Financial support for families with children: options for the new integrated child credit

This commentary discusses the rationale for directing financial support to families with children and assesses options for a new integrated child credit. It shows how the government intends to reform the existing system to separate out the 'adult' and 'child' components of financial support, and analyses various alternatives for how the integrated child credit could be structured to meet the costs of children in different sorts of households. It also assesses how the integrated child credit could respond to changes in income and family circumstances. In doing this, it examines the economics of financial support for children and the evidence on the 'cost' of children, and assesses both the objectives set by the government for an integrated child credit and other criteria that should be used to evaluate its eventual success

The benefits of parenting: Government financial support for families with children since 1975

This commentary describes the changes to the structure of child-contingent support through the tax and benefit system since 1975. It also presents new results, which were produced to quantify explicitly the amount of government support for families with children, using representative samples of families from over the past three decades. With these data, it is possible to examine whether child-contingent support has become more or less progressive, or more or less slanted towards large families, lone-parents families or families with young children

Device induces lungs to maintain known constant pressure

This device requires the use of thoracic muscles to maintain prescribed air pressure in the lungs for brief periods. It consists of a clear plastic hollow cylinder fitted with a mouthpiece, a spring-loaded piston, and a small vent for escaping air when exhalation into the mouthpiece displaces the piston

What do we really know about infants who attend Accident and Emergency departments?

Aims: Accident and Emergency attendances continue to rise. Infants are disproportionately represented. This study examines the clinical reasons infants attend UK Accident and Emergency departments. Methods: A retrospective review of 6,667 infants aged less than one year attending Accident and Emergency at two district general hospitals in London from 1st April 2009 to 30th March 2010. All infants had been assigned to a diagnostic category by the medical coding department according to National Health Service (NHS) data guidelines, based on the clinical diagnoses stated in the medical records. The Accident and Emergency case notes of a random subsample of 10% of infants in each of the top five recorded diagnostic categories (n = 535) were reviewed in detail and audited against the standard national NHS data set. Results: The top 5 clinical diagnoses were ‘infectious diseases’, ‘gastrointestinal’, ‘respiratory’, ‘unclassifiable’ and ‘no abnormality detected’ (NAD). A third of infants were originally given a diagnosis of unclassifiable (21.5%) or NAD (11.5%). After detailed case-note review, we were able to reduce this to 9.7% (95% confidence interval (CI): 9.0, 10.4) and 8.8% (95% CI: 8.1, 9.5), respectively. Conclusion: This study demonstrates the importance of providing a clear clinical diagnosis and coding system for Accident and Emergency attendances and understanding that system fully. This would allow for better informed health service evaluation, planning and research as each of these relies on the interpretation of routine health-care data. Furthermore, the relatively high proportion (10%) of infants attending with no discernible underlying medical abnormality suggests the health needs of a significant proportion of infants attending Accident and Emergency departments may be better addressed by alternative service provision and/or improved education and support to parents

Quantum Equilibration under Constraints and Transport Balance

For open quantum systems coupled to a thermal bath at inverse temperature $\beta$, it is well known that under the Born-, Markov-, and secular approximations the system density matrix will approach the thermal Gibbs state with the bath inverse temperature $\beta$. We generalize this to systems where there exists a conserved quantity (e.g., the total particle number), where for a bath characterized by inverse temperature $\beta$ and chemical potential $\mu$ we find equilibration of both temperature and chemical potential. For couplings to multiple baths held at different temperatures and different chemical potentials, we identify a class of systems that equilibrates according to a single hypothetical average but in general non-thermal bath, which may be exploited to generate desired non-thermal states. Under special circumstances the stationary state may be again be described by a unique Boltzmann factor. These results are illustrated by several examples.Comment: 8 pages, 1 figure, leaner presentation, to appear in PR

Instrument for use in performing a controlled Valsalva maneuver Patent

Piston device for producing known constant positive pressure within lungs by using thoracic muscle

Partnership research with older people: moving towards making the rhetoric a reality

As nursing develops closer partnerships with older people in delivering care, it also needs to develop partnerships in order to create the knowledge base for practice in a way that challenges professional hegemony and empowers older people. However, the process of developing partnerships in research takes place against a background of academic research traditions and norms, which can present obstacles to collaboration. This paper is a reflection on the issues that have arisen in three projects where older people were involved in research at different levels, from sources of data to independent researchers. It points to some of the areas that need further exploration and development

Spectral resolution of the Liouvillian of the Lindblad master equation for a harmonic oscillator

A Lindblad master equation for a harmonic oscillator, which describes the dynamics of an open system, is formally solved. The solution yields the spectral resolution of the Liouvillian, that is, all eigenvalues and eigenprojections are obtained. This spectral resolution is discussed in depth in the context of the biorthogonal system and the rigged Hilbert space, and the contribution of each eigenprojection to expectation values of physical quantities is revealed. We also construct the ladder operators of the Liouvillian, which clarify the structure of the spectral resolution.Comment: 22pages, no figure; title changed, minor corrections, references added; minor correction