809 research outputs found

    Corporate decisionmaking, corporate collapse and inefficiency

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    Companies are a nexus of decisions.1 The quantum of each day’s decision making either moves the company forward in its best interests, backwards from its best interests or leaves the company neutral (the same) in relation to its best interests

    On Large-Scale Graph Generation with Validation of Diverse Triangle Statistics at Edges and Vertices

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    Researchers developing implementations of distributed graph analytic algorithms require graph generators that yield graphs sharing the challenging characteristics of real-world graphs (small-world, scale-free, heavy-tailed degree distribution) with efficiently calculable ground-truth solutions to the desired output. Reproducibility for current generators used in benchmarking are somewhat lacking in this respect due to their randomness: the output of a desired graph analytic can only be compared to expected values and not exact ground truth. Nonstochastic Kronecker product graphs meet these design criteria for several graph analytics. Here we show that many flavors of triangle participation can be cheaply calculated while generating a Kronecker product graph. Given two medium-sized scale-free graphs with adjacency matrices AA and BB, their Kronecker product graph has adjacency matrix C=ABC = A \otimes B. Such graphs are highly compressible: E|{\cal E}| edges are represented in O(E1/2){\cal O}(|{\cal E}|^{1/2}) memory and can be built in a distributed setting from small data structures, making them easy to share in compressed form. Many interesting graph calculations have worst-case complexity bounds O(Ep){\cal O}(|{\cal E}|^p) and often these are reduced to O(Ep/2){\cal O}(|{\cal E}|^{p/2}) for Kronecker product graphs, when a Kronecker formula can be derived yielding the sought calculation on CC in terms of related calculations on AA and BB. We focus on deriving formulas for triangle participation at vertices, tC{\bf t}_C, a vector storing the number of triangles that every vertex is involved in, and triangle participation at edges, ΔC\Delta_C, a sparse matrix storing the number of triangles at every edge.Comment: 10 pages, 7 figures, IEEE IPDPS Graph Algorithms Building Block

    Distribution of modern benthic foraminiferal assemblages across the Northeast Greenland continental shelf

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    Analysis of benthic foraminifera in surface samples from 23 sites on the Northeast Greenland continental shelf reveal key assemblage differences between sites. Cluster analysis creates two clear geographical faunal assemblage zones: the 1) inner shelf, and 2) mid and outer shelf sites. These assemblages differ significantly, with the inner shelf sites being characterised by a high percentage and concentration of calcareous species, whilst the mid and outer shelf sites are dominated by agglutinated taxa. At almost all sites, the calcareous assemblages are dominated by Cassidulina neoteretis and Cassidulina reniforme, suggesting that they thrive across the shelf. Stetsonia horvathi, Oridorsalis tener, as well as Glomulina oculus and other miliolid species are found to be key calcareous species at many sites in the inner shelf zone, but they are rare-to-absent on the mid and outer shelf. Canonical correspondence analysis shows that September sea-ice cover and bottom water oxygen content are positively correlated with benthic foraminiferal assemblages at inner shelf sites, whereas organic carbon content is correlated with those in the mid and outer shelf. The formation of seasonal sea-ice and the Northeast Water polynya rejects brine into surrounding waters and transports CO2 to the seafloor, creating a highly corrosive environment for calcium carbonate. These environments are also highly productive, as indicated by the high organic carbon content and low bottom water oxygen content. The oxidation of this organic material creates CO2. We propose that these processes are key drivers in the dissolution of calcareous tests. In contrast, extensive sea-ice, high bottom water oxygen content and low primary productivity in the glacier-proximal region facilitates carbonate preservation

    Red-bed bleaching in a CO2 storage analogue: insights from Entrada Sandstone fracture-hosted mineralization

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    Improving our ability to predict the interactions between CO2 and reservoir rocks at geological time scales is of key importance if carbon capture and storage (CCS) is to have a role in climate-change mitigation, particularly in the light of likely regulatory requirements. Understanding and identifying the relevant geological processes over long time scales can be obtained only at natural-analogue sites. At one such site, in the Salt Wash Graben area of Utah, USA, widespread bleaching affects the Middle Jurassic red-bed “wet dune” Entrada Sandstone. Previous work has proposed a genetic link between the bleaching and spatially concomitant recent and modern CO2-rich fluids. The results presented here challenge some of the previous models and come from a detailed petrographic examination of mineralized fractures in the Entrada Sandstone that are centered in vertical extensions to the bleaching. These fractures typically contain complex mineralization assemblages. Pyrite was a paragenetically early phase, identifiable from common pseudomorphs of mixed iron oxides and oxyhydroxides that rarely contain relict pyrite. The pyrite contains up to 3 wt% arsenic. The volume of fracture-adjacent bleached sandstone is sufficient to have been the source of iron for the pyrite originally present in the fracture. The pyrite pseudomorphs occur at the center of fracture- and pore-filling cements that comprise intergrowths of hematite–goethite–jarosite–gypsum, an assemblage that suggests that their formation resulted from the oxidative alteration of pyrite, a genetic link supported by the arsenic present in the iron-bearing minerals. The presence of jarosite and proximal removal of earlier, sandstone-hosted carbonates are consistent with, and indicative of, the low-pH conditions associated with pyrite oxidation reactions. Calcite- and gypsum-cemented fractures crosscut, and contain fragments of, the pyrite-pseudomorphic and -oxidation assemblages, proving that they postdate pyrite formation and its subsequent oxidation, and that pyrite oxidation was not a result of modern weathering reactions. In outcrop, some calcite- and gypsum-cemented fractures link with travertine deposits associated with the modern and recent CO2-rich fluids. The mineral assemblages observed here, and the paragenetic sequence that we have inferred, suggest that the fracture-associated bleaching patterns result from the fracture-fed movement of sulfur-bearing reducing fluids, with hydrogen sulfide the most likely bleaching agent. We conclude that bleaching adjacent to fractures is not genetically related to modern CO2-bearing fluids despite the spatial relationship. The bleaching was already present when the modern fluids utilized the same fracture-based fluid pathways. We suggest that the more widespread regional bleaching formed contemporaneously with the fracture bleaching and followed similar mechanisms. This study highlights the complexity of interpreting analogue sites and the importance of using field and petrographic observations to unravel textures and events that are juxtaposed spatially but not temporally

    Can we normalise developmentally appropriate health care for young people in UK hospital settings? An ethnographic study

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    OBJECTIVE: The WHO has argued that adolescent-responsive health systems are required. Developmentally appropriate healthcare (DAH) for young people is one approach that could underpin this move. The aim of this study was to explore the potential for DAH to become normalised, to become a routine, taken-for-granted, element of clinical practice. DESIGN: Qualitative ethnographic study. Analyses were based on procedures from first-generation grounded theory and theoretically informed by normalisation process theory. SETTING: Two tertiary and one secondary care hospital in England. PARTICIPANTS: 192 participants, health professionals (n=121) and managers (n=71) were recruited between June 2013 and January 2015. Approximately 1600 hours of non-participant observations in clinics, wards and meeting rooms were conducted, alongside 65 formal qualitative interviews. RESULTS: We observed diverse values and commitments towards the care of young people and provision of DAH, including a distributed network of young person-orientated practitioners. Informal networks of trust existed, where specific people, teams or wards were understood to have the right skill-mix, or mindset, or access to resources, to work effectively with young people. As young people move through an organisation, the preference is to direct them to other young person-orientated practitioners, so inequities in skills and experience can be self-sustaining. At two sites, initiatives around adolescent and young adult training remained mostly within these informal networks of trust. At another, through support by wider management, we observed a programme that sought to make the young people's healthcare visible across the organisation, and to get people to reappraise values and commitment. CONCLUSION: To move towards normalisation of DAH within an organisation, we cannot solely rely on informal networks and cultures of young person-orientated training, practice and mutual referral and support. Organisation-wide strategies and training are needed, to enable better integration and consistency of health services for all young people

    Health professional perceptions of communicating with adolescents and young adults about bone cancer clinical trial participation

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    Purpose: Low recruitment of adolescents and young adults in cancer clinical trials is widely reported and may be linked to limited improvements in survival. Research to date does not adequately explain all underlying reasons for poor trial accrual. This paper reports health professional perceptions of communicating with adolescents and young adults with bone sarcoma about clinical trial participation. Methods: This study used narrative inquiry. Findings are reported from thematic analysis of in-depth interviews with eighteen multi-disciplinary health professionals working in a supra-regional bone and soft tissue sarcoma centre. Results: Participants described professional expertise, the development of specialist knowledge and skills, and strategies used to develop trusting relationships with adolescents and young adults with bone sarcoma. These factors were perceived to facilitate communication about clinical trial participation. Emergent themes were: having credibility through expertise of the team; developing specialist communication skills through reflection on practice; having inclusive approaches to education and training about clinical trials; individual communication styles used to form trusting relationships; using a patient-centred approach to connect with adolescents and young adults; creating time needed to form trusting relationships; and effective team working. Conclusions: We aligned findings of this study with characteristics of patientphysician trust and provide a basis for transferable recommendations. Our findings can be used to inform the development of age-specific, specialist communication skills and highlight health professional education needs about clinical trials. Additional research is needed to explore which elements of team working optimise improved clinical trial participation, in what contexts, and why

    The incidence, prevalence and survival of systemic sclerosis in the UK Clinical Practice Research Datalink

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    Objective: To estimate the incidence, prevalence and survival of systemic sclerosis in the United Kingdom. Methods: We conducted a historical cohort study using data from the Clinical Practice Research Datalink (CPRD). We calculated the incidence and survival of systemic sclerosis between 1994 and 2013 and examined its association with age, sex, and socio-economic status. We calculated point prevalence on 1 July 2013, and examined its association with the same exposures. Results: We identified 1,327 cases with incident systemic sclerosis. Annual incidence was 19.4 per million person-years between 1994 and 2013. The incidence was 4.7 times higher in women than in men, was not influenced by socioeconomic status, and has remained stable over the 20 year study period. The peak age of onset was 55-69 years. Survival at 1, 5 and 10 years was 94.2%, 80.0% and 65.7% respectively. The prevalence was 307 (290-323) per million with the highest prevalence in the 70-84 years age group. We estimate there are currently 1180 new cases of systemic sclerosis each year in the UK, and 19,390 people living with systemic sclerosis. Due to the predicted growth and aging of the population, we predict a 24% increase in incident cases and 26% increase in prevalent cases in 20 years’ time. Conclusion: Our estimates of incidence and prevalence are higher than previously reported in the UK, but similar to recent USA and Swedish studies, and do not support a north-south gradient of the occurrence of systemic sclerosis in Europe

    Estimating the health effects of greenhouse gas mitigation strategies: addressing parametric, model, and valuation challenges.

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    BACKGROUND: Policy decisions regarding climate change mitigation are increasingly incorporating the beneficial and adverse health impacts of greenhouse gas emission reduction strategies. Studies of such co-benefits and co-harms involve modeling approaches requiring a range of analytic decisions that affect the model output. OBJECTIVE: Our objective was to assess analytic decisions regarding model framework, structure, choice of parameters, and handling of uncertainty when modeling health co-benefits, and to make recommendations for improvements that could increase policy uptake. METHODS: We describe the assumptions and analytic decisions underlying models of mitigation co-benefits, examining their effects on modeling outputs, and consider tools for quantifying uncertainty. DISCUSSION: There is considerable variation in approaches to valuation metrics, discounting methods, uncertainty characterization and propagation, and assessment of low-probability/high-impact events. There is also variable inclusion of adverse impacts of mitigation policies, and limited extension of modeling domains to include implementation considerations. Going forward, co-benefits modeling efforts should be carried out in collaboration with policy makers; these efforts should include the full range of positive and negative impacts and critical uncertainties, as well as a range of discount rates, and should explicitly characterize uncertainty. We make recommendations to improve the rigor and consistency of modeling of health co-benefits. CONCLUSION: Modeling health co-benefits requires systematic consideration of the suitability of model assumptions, of what should be included and excluded from the model framework, and how uncertainty should be treated. Increased attention to these and other analytic decisions has the potential to increase the policy relevance and application of co-benefits modeling studies, potentially helping policy makers to maximize mitigation potential while simultaneously improving health
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