Prevention through design: Trade-offs in reducing occupational health and safety risk for the construction and operation of a facility

Purpose - The research aims to explore the interaction between design decisions that reduce occupational health and safety (OHS) risk in the operation stage of a facility's life cycle and the OHS experiences of workers in the construction stage. Design/methodology/approach - Data was collected from three construction projects in Australia. Design decisions were examined to understand the reasons they were made and the impact that they had on OHS in the construction and operation stages. Findings - The case examples reveal that design decisions made to reduce OHS risk during the operation of a facility can introduce new hazards in the construction stage. These decisions are often influenced by stakeholders external to the project itself. Research limitations/implications - The results provide preliminary evidence of challenges inherent in designing for OHS across the lifecycle of a facility. Further research is needed to identify and evaluate methods by which risk reduction across all stages of a facility's life cycle can be optimised. Practical implications - The research highlights the need to manage tensions between designing for safe construction and operation of a facility. Originality/value - Previous research assumes design decisions that reduce OHS risk in one stage of a facility's life cycle automatically translate to a net risk reduction across the life cycle. The research highlights the need to consider the implications of PtD decision-making focused on one stage of the facility's life cycle for OHS outcomes in other stages

The development and application of aerodynamic uncertainties: And flight test verification for the space shuttle orbiter

The approach used in establishing the predicted aerodynamic uncertainties and the process used in applying these uncertainties during the design of the Orbiter flight control system and the entry trajectories are presented. The flight test program that was designed to verify the stability and control derivatives with a minimum of test flights is presented and a comparison of preflight predictions with preliminary flight test results is made. It is concluded that the approach used for the Orbiter is applicable to future programs where testing is limited due to time constraints or funding

The True NTH prostate cancer survivorship care programme: development and evaluation of a model for delivering follow up care to men with prostate cancer

42 Background: Increasing use of prostate specific antigen (PSA), improvements in treatment and aging population have led to the escalating incidence of prostate cancer. 5 year survival rate is relatively high and men who have completed treatment require long-term follow-up to detect recurrence or progression of disease, monitor adverse effects of treatment and identify and address psychosocial needs. Studies demonstrate men have a range of unmet physical and psychosocial needs, and health services are struggling to cope with the growing numbers. Changes is critical for long-term sustainability of the health system in many developed nations Methods: This presentation presents a model of follow up care centered on remote surveillance of PSA combined with promoting patient self-management. This initiative is part of the True NTH programme of developments initiated in the UK with funding from Movember Foundation and Prostate Cancer UK. Traditional face to face clinic follow up consultations are replaced with: patient directed individually tailored care and surveillance programme which involves: a 4 hour preparatory patient workshop, remote assessment of unmet needs and symptoms and surveillance of PSA, patient information resources, survivorship care plan, communication of treatment summary and management plan to primary care, and rapid recall system for assessment in secondary care should the need arise. The care programme is mediated through clinician and patient access to an IT portal enabling communication. Results: The second part of the presentation will describe the evaluation protocol. A historical cohort design is comparing a group of men receiving clinic follow up care (N = 300) with men enrolled on the care programme (N = 300) in 3 centers. Patient-reported outcomes are collected at baseline, 4 months and 8 months. Health economic evaluation will compare costs of clinic based follow up with those of the care programme from both a health service and patient perspective. Conclusions: The evaluation will generate data on impact, acceptability and cost of this model of follow-up care. </jats:p

A Gravitational Theory of the Quantum

The synthesis of quantum and gravitational physics is sought through a finite, realistic, locally causal theory where gravity plays a vital role not only during decoherent measurement but also during non-decoherent unitary evolution. Invariant set theory is built on geometric properties of a compact fractal-like subset $I_U$ of cosmological state space on which the universe is assumed to evolve and from which the laws of physics are assumed to derive. Consistent with the primacy of $I_U$, a non-Euclidean (and hence non-classical) state-space metric $g_p$ is defined, related to the $p$-adic metric of number theory where $p$ is a large but finite Pythagorean prime. Uncertain states on $I_U$ are described using complex Hilbert states, but only if their squared amplitudes are rational and corresponding complex phase angles are rational multiples of $2 \pi$. Such Hilbert states are necessarily $g_p$-distant from states with either irrational squared amplitudes or irrational phase angles. The gappy fractal nature of $I_U$ accounts for quantum complementarity and is characterised numerically by a generic number-theoretic incommensurateness between rational angles and rational cosines of angles. The Bell inequality, whose violation would be inconsistent with local realism, is shown to be $g_p$-distant from all forms of the inequality that are violated in any finite-precision experiment. The delayed-choice paradox is resolved through the computational irreducibility of $I_U$. The Schr\"odinger and Dirac equations describe evolution on $I_U$ in the singular limit at $p=\infty$. By contrast, an extension of the Einstein field equations on $I_U$ is proposed which reduces smoothly to general relativity as $p \rightarrow \infty$. Novel proposals for the dark universe and the elimination of classical space-time singularities are given and experimental implications outlined

Does Migration Make You Happy?:A Longitudinal Study of Internal Migration and Subjective Well-Being

The authors acknowledge financial support from the Economic and Social Research Council (ESRC) (RES-625-28-0001). This project is part of the ESRC Centre for Population Change (CPC). Financial support from the Marie Curie programme under the European Union's Seventh Framework Programme (FP/2007-2013) / Career Integration Grant n. PCIG10-GA-2011-303728 (CIG Grant NBHCHOICE, Neighbourhood choice, neighbourhood sorting, and neighbourhood effects).The majority of quantitative studies on the consequences of internal migration focus almost exclusively on the labour-market outcomes and the material well-being of migrants. We investigate whether individuals who migrate within the UK become happier after the move than they were before, and whether the effect is permanent or transient. Using life-satisfaction responses from twelve waves of the British Household Panel Survey and employing a fixed-effects model, we derive a temporal pattern of migrants’ subjective well-being around the time of the migration event. Our findings make an original contribution by revealing that, on average, migration is preceded by a period when individuals experience a significant decline in happiness for a variety of reasons, including changes in personal living arrangements. Migration itself causes a boost in happiness, and brings people back to their initial levels. The research contributes, therefore, to advancing an understanding of migration in relation to set-point theory. Perhaps surprisingly, long-distance migrants are at least as happy as short-distance migrants despite the higher social and psychological costs involved. The findings of this paper add to the pressure to retheorize migration within a conceptual framework that accounts for social well-being from a life-course perspective.PostprintPeer reviewe

On the interpretation of spin-polarized electron energy loss spectra

We study the origin of the structure in the spin-polarized electron energy loss spectroscopy (SPEELS) spectra of ferromagnetic crystals. Our study is based on a 3d tight-binding Fe model, with constant onsite Coulomb repulsion U between electrons of opposite spin. We find it is not the total density of Stoner states as a function of energy loss which determines the response of the system in the Stoner region, as usually thought, but the densities of Stoner states for only a few interband transitions. Which transitions are important depends ultimately on how strongly umklapp processes couple the corresponding bands. This allows us to show, in particular, that the Stoner peak in SPEELS spectra does not necessarily indicate the value of the exchange splitting energy. Thus, the common assumption that this peak allows us to estimate the magnetic moment through its correlation with exchange splitting should be reconsidered, both in bulk and surface studies. Furthermore, we are able to show that the above mechanism is one of the main causes for the typical broadness of experimental spectra. Finally, our model predicts that optical spin waves should be excited in SPEELS experiments.Comment: 11 pages, 7 eps figures, REVTeX fil

The song of the dunes as a self-synchronized instrument

Since Marco Polo (1) it has been known that some sand dunes have the peculiar ability of emitting a loud sound with a well defined frequency, sometimes for several minutes. The origin of this sustained sound has remained mysterious, partly because of its rarity in nature (2). It has been recognized that the sound is not due to the air flow around the dunes but to the motion of an avalanche (3), and not to an acoustic excitation of the grains but to their relative motion (4-7). By comparing several singing dunes and two controlled experiments, one in the laboratory and one in the field, we here demonstrate that the frequency of the sound is the frequency of the relative motion of the sand grains. The sound is produced because some moving grains synchronize their motions. The existence of a velocity threshold in both experiments further shows that this synchronization comes from an acoustic resonance within the flowing layer: if the layer is large enough it creates a resonance cavity in which grains self-synchronize.Comment: minor changes, essentially more references

Effects of Hypovolemia on Cerebral Blood Velocity and Autoregulation During Upright Tilt: Implications for Post-Spaceflight Orthostasis

Orthostatic stability depends on maintenance of adequate cerebral blood flow. Orthostatic instability experienced by returning astronauts is associated with microgravity-induced hypovolemia, suggesting that hypovolemia may disrupt the ability of the cerebral vasculature to regulate blood flow. PURPOSE: To test the hypothesis that hypovolemia reduces cerebral blood velocity and impairs cerebral autoregulation (CA) during upright tilt. METHODS: Nine males (age 23 ± .5 yrs; height 172 ± 2 cm; weight 87 ± 3 kg; mean ± SE) were tilted head-up to 70° on two occasions separated by at least 5 days under euhydration (EUH) and dehydration (DEH) conditions. Dehydration was induced with 40 mg Furosemide and 8 h water restriction. Plasma volumes (PV) and blood volumes (BV) were estimated from venous hemoglobin and hematocrit. ECG, beat-by-beat finger arterial pressures, and cerebral blood velocity (CBV) were measured during a five min supine baseline, and during the first (T1) and last (T2) five min of upright tilt. Dynamic CA was assessed in the frequency domain with cross-spectral analysis of mean arterial pressure (MAP) and mean CBV within the frequency range of 0.07-0.2 Hz. RESULTS: Furosemide reduced PV by 10 ± 2 % and BV by 6 ± 2 % (P = .005 and P = .07). MAP decreased during tilt (P \u3c .007), but the reduction was similar between hydration conditions. CBV during DEH was lower during the entire 10-min tilt by about 7 cm/s (P \u3c .004) compared with EUH. Low frequency coherence was higher during DEH T1 compared with EUH T1 (.67 ± .04 vs .51 ± .04; P = .02), but coherence decreased as tilt continued, and was similar to EUH during T2 (P = 0.7). CONCLUSIONS: Increased coherence during the first 5 min of tilt suggests that reductions of CBV with hypovolemia might be explained by a reduced autoregulatory capacity. However, maintenance of lower CBV despite reduced coherence during the second 5 min of tilt suggests that disruptions of autoregulatory capacity with hypovolemia are transient. Our results provide evidence that hypovolemic astronauts may be at greatest risk for orthostatic intolerance immediately upon assumption of upright posture

Novel methods for spatial prediction of soil functions within landscapes (SP0531)

Previous studies showed that soil patterns could be predicted in agriculturally managed landscapes by modelling and extrapolating from extensive existing but related integrated datasets. Based on these results we proposed to develop and apply predictive models of the relationships between environmental data and known soil patterns to predict capacity for key soil functions within diverse landscapes for which there is little detailed underpinning soil information available. Objectives were: To develop a high-level framework in which the non-specialist user-community could explore questions. To generate digital soil maps for three selected catchments at a target resolution of 1:50000 to provide the base information for soil function prediction. To use a modelling approach to predict the performance of key soil functions in catchments undergoing change but where only sparse or low resolution soil survey data are available. To use a modelling approach to assess the impact of different management scenarios and/or environmental conditions on the delivery of multiple soil functions within a catchment. To create a detailed outline of the requirements for ground-truthing to test the predicted model outputs at a catchment scale. To contribute to the development of a high-level framework for decision makers

Prescribing trends of gabapentin, pregabalin and oxycodone; a secondary analysis of primary care prescribing patterns in England

Background The risk of iatrogenic harm from prescription drug use, misuse and abuse of drugs such as gabapentin, pregabalin and oxycodone is substantial. In recent years, deaths associated with these drugs in England have increased. Aims To characterise general practice prescribing trends for gabapentin, pregabalin and oxycodone – termed dependence forming medicines (DFM) – in England and describe potential drivers of unwarranted variation. Design and Setting This study is a retrospective secondary analysis of open source, publicly available government data from various sources pertaining to primary care demographics and prescriptions. Methods This study used five consecutive years (April 2013 – March 2018) of aggregate data to investigate longitudinal trends of prescribing and variation in prescribing trends at practice and clinical commissioning group (CCG) level. Results Annual prescriptions of gabapentin, pregabalin and oxycodone have increased each year over the period. Variation in prescribing trends were associated with GP practice deprivation quintile, where the most deprived GP practices prescribe 313% (p<0.001) and 238% (p<0.001) greater volumes of gabapentin and pregabalin per person than practices in the least deprived quintile. The highest prescribing CCGs of each of these drugs were predominantly in northern and eastern regions of England. Conclusions Substantial increases in gabapentin, pregabalin and oxycodone prescriptions are concerning and will increase iatrogenic harm from drug-related morbidity and mortality. More research is needed to understand the large variation in prescribing between general practices; and to develop and implement interventions to reduce unwarranted variation and increase the appropriateness of prescribing of these drugs