Ophthalmology research in the UK’s National Health Service: the structure and performance of the NIHR’s Ophthalmology research portfolio

Purpose- To report on the composition and performance of the portfolio of Ophthalmology research studies in the United Kingdom’s National Institute for Health Research (NIHR) Clinical Research Network (UK CRN). Methods- Ophthalmology studies open to recruitment between 1 April 2010 and 31 March 2018 were classified by: sub-specialty, participant age, gender of Chief Investigator, involvement of genetic investigations, commercial/ non-commercial, interventional/observational design. Frequency distributions for each covariate and temporal variation in recruitment to time and target were analysed. Results- Over 8 years, 137,377 participants were recruited (average of 15,457 participants/year; range: 5485–32,573) with growth by year in proportion of commercial studies and hospital participation in England (76% in 2017/18). Fourteen percent of studies had a genetic component and most studies (82%) included only adults. The majority of studies (41%) enrolled patients with retinal diseases, followed by glaucoma (17%), anterior segment and cataract (13%), and ocular inflammation (6%). Overall, 68% of non-commercial studies and 55% of commercial studies recruited within the anticipated time set by the study and also recruited to or exceeded the target number of participants. Conclusions- High levels of clinical research activity, growth and improved performance have been observed in Ophthalmology in UK over the past 8 years. Some sub-specialties that carry substantial morbidity and a very high burden on NHS services are underrepresented and deserve more patient-centred research. Yet the NIHR and its CRN Ophthalmology National Specialty Group has enabled key steps in achieving the goal of embedding research into every day clinical care

Foreign aid and foreign policy The case of British aid to Nepal

SIGLEGBUnited Kingdo

An action-learning approach to public administration training The experience of the Development Administration Group

SIGLEGBUnited Kingdo

Decentralization and the development of nationalized party systems in new democracies: evidence from Latin America

The extent to which a party system is nationalized—with nationalization being defined as the degree to which major political parties obtain similar vote shares throughout the national territory—has considerable consequences for political representation, public policy making, and even the survival of democracy. Yet, so far there is little empirical evidence about the conditions that promote or inhibit the development of nationalized party systems in new democracies. Using electoral data from 89 elections in 16 Latin American democracies, this article provides a systematic analysis of the effect of decentralization on party system nationalization. The results show that political decentralization and fiscal decentralization inhibit the development of nationalized party systems, thus suggesting that a trade-off exists between decentralized governance and party system nationalization. These results are robust when controlling for ethnolinguistic fractionalization and characteristics of the electoral system

The human dimension a review of human resources management issues in the tourism and hospitality industry

Human resources are often seen as one of the most important assets of tourism and hospitality organizations. Numerous studies have examined how employee performance can be managed to contribute to the organizational bottom line. This article is a structured review of the literature regarding key human resources management (HAM) issues in the tourism and hospitality industry. Based on this review, the authors offer an assessment of emerging trends in HRM and a summary of what has been advocated in the literature for managing employee performance