Shear-flexible finite-element models of laminated composite plates and shells

Several finite-element models are applied to the linear static, stability, and vibration analysis of laminated composite plates and shells. The study is based on linear shallow-shell theory, with the effects of shear deformation, anisotropic material behavior, and bending-extensional coupling included. Both stiffness (displacement) and mixed finite-element models are considered. Discussion is focused on the effects of shear deformation and anisotropic material behavior on the accuracy and convergence of different finite-element models. Numerical studies are presented which show the effects of increasing the order of the approximating polynomials, adding internal degrees of freedom, and using derivatives of generalized displacements as nodal parameters

Neoliberal globalization and trade unionism: toward radical political unionism?

This article revisits the question of changing forms of trade unionism within the context of neoliberal globalization. While broadly accepting the argument that globalization might encourage the development of more radical forms of unionism as survival strategies, it argues that such radicalism cannot be understood satisfactorily by the term social movement unionism (SMU). This is due to over-reliance on theories of the new social movements (NSMs), which produce a largely de-classed and de-politicized perspective. The article uses insights gained from theoretical work on protest and labour movement development to bring the state back into the analysis and applies this analysis to oppositional trade union practice in a variety of institutional contexts. It concludes by making a case for understanding contemporary forms of oppositional trade union strategy through the term radical political unionism which takes account of both its social and political determinants as well as the agency role played by political leaderships

The crisis of social democratic unionism: the opening up of civil society and the prospects for union renewal in the UK, France and Germany

This article defines and explores the crisis of social democratic trade unionism in three countries in western Europe. The authors contend that a particularized form of postwar trade union orientation was socially constructed in Britain, Germany, and France in which a party union nexus gave special privileges to unions in return for compliance with state policies in the national interest. This arrangement has broken down in recent years under the pressure of global product market competition. As a result, trade unions are being forced to adopt alternative strategic orientations, involving both a fracture in the party union nexus and a willingness to work within wider civil society

Beyond ‘Political Economism’: new identities for unions in Western Europe?

This article engages critically with Richard Hyman’s work on union identity and European integration. It includes a sympathetic review of Hyman’s contribution to the debate on these topics over the past two decades, alongside a critique of Hyman’s approach that highlights certain weaknesses and contradictions resulting from his uncritical use of a range of categories and concepts taken from regulation theory. The authors question Hyman’s argument that developments in European unionism can be conceptualised adequately through an analysis of the development and crisis of ‘political economism’: a dominant union identity that Hyman aligns with the development and crisis of Fordism. An alternative model for understanding the reorientation of European unions is presented based on a critical and dialectical conceptualisation of the relationship between unions and capitalist development. This is used to construct a model of contemporary union reorientation along the dimensions of ‘accommodation’ and ‘opposition’ to neoliberalism and to ‘national’ and ‘international’ modes of organisation and mobilisation

Beyond the chains that bind: the political crisis of unions in Western Europe

The dynamics of neo-liberal restructuring have generated serious tensions in the institutional alignments between social democratic political parties and labor unions in Western Europe. This article explores the origins, development and consequences of the resulting political crisis through a detailed analysis of the institutional alignment of parties and unions in Sweden, Germany, UK and France. The authors reject the argument that the changing contours of the party-union nexus can be understood solely on the basis of a rational choice analysis of labor movement actors in favor of an account that also highlights the importance of historical path dependency and ideological orientation. The resulting complexity of union responses to the crisis of the party-union nexus is explored through the construction of a typology that charts union reorientation along the dimensions of accommodation with, or resistance against, neo-liberalism and within and beyond the national political context. [ABSTRACT FROM PUBLISHER]

Improvements in prevalence trend fitting and incidence estimation in EPP 2013

OBJECTIVE: Describe modifications to the latest version of the Joint United Nations Programme on AIDS (UNAIDS) Estimation and Projection Package component of Spectrum (EPP 2013) to improve prevalence fitting and incidence trend estimation in national epidemics and global estimates of HIV burden. METHODS: Key changes made under the guidance of the UNAIDS Reference Group on Estimates, Modelling and Projections include: availability of a range of incidence calculation models and guidance for selecting a model; a shift to reporting the Bayesian median instead of the maximum likelihood estimate; procedures for comparison and validation against reported HIV and AIDS data; incorporation of national surveys as an integral part of the fitting and calibration procedure, allowing survey trends to inform the fit; improved antenatal clinic calibration procedures in countries without surveys; adjustment of national antiretroviral therapy reports used in the fitting to include only those aged 15–49 years; better estimates of mortality among people who inject drugs; and enhancements to speed fitting. RESULTS: The revised models in EPP 2013 allow closer fits to observed prevalence trend data and reflect improving understanding of HIV epidemics and associated data. CONCLUSION: Spectrum and EPP continue to adapt to make better use of the existing data sources, incorporate new sources of information in their fitting and validation procedures, and correct for quantifiable biases in inputs as they are identified and understood. These adaptations provide countries with better calibrated estimates of incidence and prevalence, which increase epidemic understanding and provide a solid base for program and policy planning

The stability of food intake between adolescence and adulthood: a 21-year follow-up

Studies of the diet of adolescents in the UK demonstrate that dietary habits known to be detrimental to health in adulthood are evident at an early age. For example, Gregory et al (2000) found 4-18 year olds in the UK to have a frequent consumption of fatty and sugary foods and low consumption of fruit and vegetables. Concerns have therefore been expressed regarding the diet of children and adolescents and the continuation of these dietary habits into adulthood (HEA, 1995; Gaziano, 1998). This study aimed to investigate the extent to which these concerns may be justified by determining the stability of food intake of a group of adolescents followed up 21 years later in adulthood. The investigation involved 202 individuals from whom dietary data were collected in 1979-80 (mean age 11.6 years) (Hackett et al. 1984) and again in 2000-1 (mean age 32.5 years). Dietary data were collected at both time-points using two 3 d estimated food diaries followed by an interview to determine portion sizes using the method considered most appropriate at the time, i.e. calibrated food models in 1979-80 and a photographic food atlas (Nelson et al. 1997) in 2000-1. Foods consumed were allocated to one, or a combination of, the five food groups of the ‘Balance of Good Health’ food selection guide (HEA, 1994) according to Gatenby et al. (1995). The weight of food eaten from each of the five food groups was calculated (percentage of total weight of food consumed) and Pearson correlation coefficients generated to provide an estimate of the stability of food intake. The HEA guide advises that a balanced diet should consist of around 33% fruit and vegetables, 33% bread, other cereals and potatoes, 8% foods containing fat and/or sugar, 12% meat, fish and alternatives and 15% milk and dairy products (Gatenby et al. 1995). A shift in the group’s food intake towards the recommendations had occurred with age, most notably with a decrease in foods containing fat and/or sugar and an increase in fruit and vegetables. Nevertheless, at both ages, intakes of foods containing fat and/or sugar, meat, fish and alternatives were higher, and fruit, vegetables, bread, other cereals and potatoes lower than currently recommended. In addition, although there was significant evidence of tracking of relative intake of bread, cereals and potatoes (P<0.01), fruit and vegetables (P<0.01), and meat, fish and alternatives (P=0.02) between 11.6 and 32.5 years, the correlations were not strong. In conclusion, food intake patterns had changed considerably from early adolescence through to adulthood in a direction more in line with the current recommendations. The predictive value of an adolescent’s food intake of their intake in adulthood was found to be significant, but not strong. Further investigations will consider the extent to which this is influenced by factors such as social class, gender and educational level, as well as assessing tracking in terms of relative nutrient intakes

Ageing, social class and common mental disorders: longitudinal evidence from three cohorts in the West of Scotland

Background: Understanding how common mental disorders such as anxiety and depression vary with socio-economic circumstances as people age can help to identify key intervention points. However, much research treats these conditions as a single disorder when they differ significantly in terms of their disease burden. This paper examines the socio-economic pattern of anxiety and depression separately and longitudinally to develop a better understanding of their disease burden for key social groups at different ages. Method: The Twenty-07 Study has followed 4510 respondents from three cohorts in the West of Scotland for 20 years and 3846 respondents had valid data for these analyses. Hierarchical repeated-measures models were used to investigate the relationship between age, social class and the prevalence of anxiety and depression over time measured as scores of 8 or more out of 21 on the relevant subscale of the Hospital Anxiety and Depression Scale (HADS). Results: Social class differences in anxiety and depression widened with age. For anxiety there was a nonlinear decrease in prevalence with age, decreasing more slowly for those from manual classes compared to non-manual, whereas for depression there was a non-linear increase in prevalence with age, increasing more quickly for those from manual classes compared to non-manual. This relationship is robust to cohort, period and attrition effects. Conclusions: The more burdensome disorder of depression occurs more frequently at ages where socio-economic inequalities in mental health are greatest, representing a ‘double jeopardy’ for older people from a manual class

Factors that impact on the quality of life of intestinal failure patients treated with home parenteral nutrition: protocol for a multicentre, longitudinal observational study

\ua9 2024 BMJ Publishing Group. All rights reserved. Background: Home parenteral nutrition (HPN) refers to the intravenous administration of macronutrients, micronutrients and fluid. The aims of treatment are to increase survival and improve quality of life (QoL). However, patients struggle with physiological symptoms, time-consuming invasive therapy and an increased occurrence of depression and social isolation. Our aim is to understand how HPN impacts the QoL of patients, and the contribution played by the complications of treatment, for example, liver disease. Methods and analysis: A multicentre, longitudinal, observational study will be conducted using routinely collected clinical data. Participants will also be asked to complete three QoL questionnaires (EuroQol-5 Dimensions, Short Form 36 and HPN-QoL) at baseline and 12 months. The primary outcome is mean change in QoL scores over 12 months. Secondary outcomes include how factors including liver function, gut microbiota, number of infusions of PN per week, nutritional composition of PN and nutritional status impact on QoL scores. Ethics and dissemination: Ethical approval was obtained from HRA and Health and Care Research Wales Research Ethics Committee (21/SC/0316). The study was eligible for portfolio adoption, Central Portfolio Management System ID 50506. Results will be disseminated through peer-reviewed scientific journals and presented at national and international meetings