Trust, regulatory processes and NICE decision-making: Appraising cost-effectiveness models through appraising people and systems.

This article presents an ethnographic study of regulatory decision-making regarding the cost-effectiveness of expensive medicines at the National Institute for Health and Care Excellence (NICE) in England. We explored trust as one important mechanism by which problems of complexity and uncertainty were resolved. Existing studies note the salience of trust for regulatory decisions, by which the appraisal of people becomes a proxy for appraising technologies themselves. Although such (dis)trust in manufacturers was one important influence, we describe a more intricate web of (dis)trust relations also involving various expert advisors, fellow committee members and committee Chairs. Within these complex chains of relations, we found examples of both more blind-acquiescent and more critical-investigative forms of trust as well as, at times, pronounced distrust. Difficulties in overcoming uncertainty through other means obliged trust in some contexts, although not in others. (Dis)trust was constructed through inferences involving abstract systems alongside actors’ oral and written presentations-of-self. Systemic features and ‘forced options’ to trust indicate potential insidious processes of regulatory capture

Systems theory

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Groups, organizations, families and movements: The sociology of social systems between interaction and society

Kühl S. Groups, organizations, families and movements: The sociology of social systems between interaction and society. Systems Research and Behavioral Science. 2020;37(3):496-515.In enhancing a proposal by Luhmann, this contribution shows that it is possible to locate different types of systems between ‘face‐to‐face‐interaction’ and ‘society’: groups, organizations, families and protest movements. The common ground of these is that they use membership to attribute persons to the system or not. However, they differ fundamentally in regard to how they understand membership. In contrast to Luhmann's differentiation between interaction, organization and society, it is not only possible to imagine different types of interlocking systems but also coequal combinations of and transitions between the different types of social systems

Highly efficient frequency triplers in the millimeter wave region incorporating a back-to-back configuration of two varactor diodes

This paper reports on the recent development of monolithic frequency tripler array employing a back-to-back configuration of varactor diodes. Even harmonic idler circuits are unnecessary in this design. Furthermore, no external dc bias is required. The arrangement results in highly efficient, easily-fabricated and inexpensive frequency triplers

Far-infrared imaging of tokamak plasma

A 20-channel interferometer has been developed which utilizes a linear, one-dimensional microbolometer array to obtain single-shot density profiles from the UCLA Microtor tokamak plasma. The interferometer has been used to study time-dependent phenomena in the plasma density profile. Observations of the sawtooth instability clearly show the growth of the m=0 mode from a localized oscillation (r=1 cm) on axis to an oscillation of the entire plasma. Also, measurements during the initial startup phase of the discharge show evidence of hollow density profiles. In addition, a simultaneous measurement of the poloidal magnetic field has been developed which provides 20 channels of polarimetry. Interferometry and polarimetry both use the same imaging system and the spatial resolution of both measurements has been tested using plastic and crystal-quartz test objects. The signal-to-noise ratio for the polarimeter has also proved adequate for the expected Faraday rotation angle (alphamax=7°, Ip=70 kA, n=5×10^13 cm^−3)

Publications of Proceedings for the RF 2005 7th Workshop on High Energy Density and High Power RF

The University of California, Davis hosted the High Energy Density and High Power RF 7th Workshop on High Energy Density and High Power RF in Kalamata, Greece, 13-17 June, 2005. The Proceedings cost was supported by these funds from the U.S. Department of Energy. The Proceedings was published through the American Institute of Physics

The Non-linear Dynamics of Meaning-Processing in Social Systems

Social order cannot be considered as a stable phenomenon because it contains an order of reproduced expectations. When the expectations operate upon one another, they generate a non-linear dynamics that processes meaning. Specific meaning can be stabilized, for example, in social institutions, but all meaning arises from a horizon of possible meanings. Using Luhmann's (1984) social systems theory and Rosen's (1985) theory of anticipatory systems, I submit equations for modeling the processing of meaning in inter-human communication. First, a self-referential system can use a model of itself for the anticipation. Under the condition of functional differentiation, the social system can be expected to entertain a set of models; each model can also contain a model of the other models. Two anticipatory mechanisms are then possible: one transversal between the models, and a longitudinal one providing the modeled systems with meaning from the perspective of hindsight. A system containing two anticipatory mechanisms can become hyper-incursive. Without making decisions, however, a hyper-incursive system would be overloaded with uncertainty. Under this pressure, informed decisions tend to replace the "natural preferences" of agents and an order of cultural expectations can increasingly be shaped

Millimeter and submillimeter wave technology developments for the next generation of fusion devices

There is increasing demand for compact watt-level coherent sources in the millimeter and submillimeter wave region. The approach that we have taken to satisfy this need is to fabricate two-dimensional grids loaded with oscillators, electronic beam steerers, and frequency multipliers for quasioptical coherent spatial combining of the outputs of a large number of low-power devices

Monolithic millimeter-wave diode grid frequency multiplier arrays

Monolithic diode frequency multiplier arrays, including barrier-N-N(+) (BNN) doubler, multi-quantum-barrier-varactor (MQBV) tripler, Schottky-quantum-barrier-varactor (SQBV) tripler, and resonant-tunneling-diode (RTD) tripler arrays, have been successfully fabricated with yields between 85 and 99 percent. Frequency doubling and/or tripling have been observed for all the arrays. Output powers of 2.4-2.6 W (eta = 10-18 percent) at 66 GHz with the BNN doubler and 3.8-10 W (eta = 1.7-4 percent) at 99 GHz with the SQBV tripler have been achieved