The training of healthcare professionals: An expense or an investment?

Background. There is little information on the financial return of investment when funding the tertiary education of healthcare professionals (HCPs) in South Africa (SA).Objectives. To assess the cost-benefit of the Umthombo Youth Development Foundation (UYDF) scholarship scheme, which has supported the training of HCPs from rural areas in KwaZulu-Natal Province, SA, for the past 19 years, and to establish whether it is a worthwhile investment.Methods. This was an economic analysis to estimate the costs and economic value of UYDF’s investment in the training of HCPs, using a deterministic model developed in Excel 2010 (Microsoft, USA) to analyse the UYDF’s historical, numerical and economic data. Costs were measured in monetary terms, and a rate of return on investment was calculated over the working life of HCPs who had been supported by the UYDF.Results. With a >90% pass rate, the total cost of training the 254 graduates supported by the UYDF from 2009 to 2015 was estimated to be ZAR186 million. Graduates are expected to generate an estimated ZAR15 billion in lifetime earnings, which is equal to ZAR4 billion at 2015 prices, and represents an internal rate of return of 63%. Income tax paid on future earnings will be ~ZAR4 billion, assuming a 20 - 30% tax rate.Conclusions. The analysis has shown that the cost of HCPs’ education, where the annual pass rate is >90%, and >98% of graduates are employed, is an excellent investment. Consideration should be given to finding ways of improving the pass rate at institutions of higher learning and ensuring that graduates obtain meaningful employment if such returns on investment are to be seen on a national level

Three-nucleon mechanisms in photoreactions

The $^{12}$C$(\gamma,ppn)$ reaction has been measured for E$_{\gamma}$=150-800 MeV in the first study of this reaction in a target heavier than $^3$He. The experimental data are compared to a microscopic many body calculation. The model, which predicts that the largest contribution to the reaction arises from final state interactions following an initial pion production process, overestimates the measured cross sections and there are strong indications that the overestimate arises in this two-step process. The selection of suitable kinematic conditions strongly suppresses this two-step contribution leaving cross sections in which up to half the yield is predicted to arise from the absorption of the photon on three interacting nucleons and which agree with the model. The results indicate $(\gamma,3N)$ measurements on nuclei may be a valuable tool for obtaining information on the nuclear three-body interaction.Comment: 5 pages, 3 figure

Amantadine hydrochloride in the treatment of parkinsonism: A placebo-controlled double-blind study

This report covers a review of the literature and a description of a double-blind placebo-controlled trial, of 200 mg of amantadine hydrochloride daily in the treatment of 23 parkinsonian patients. Statistical analysis of clinical results showed a significant improvement in rigidity and tremor at rest and a fair improvement in initiating movements and alertness. Subjective mood elevation was not confirmed by statistical analysis. Gait, voice control, jaw tremor and salivation showed no statistical improvement, while eye convergence may be adversely affected. Side-effects were minimal. Amantadine hydrochloride (Symmetrel, Geigy) appears to have real value in the treatment of parkinsonism

Mode identification in rapidly rotating stars

Context: Recent calculations of pulsation modes in rapidly rotating polytropic models and models based on the Self-Consistent Field method have shown that the frequency spectrum of low degree pulsation modes can be described by an empirical formula similar to Tassoul's asymptotic formula, provided that the underlying rotation profile is not too differential. Aims: Given the simplicity of this asymptotic formula, we investigate whether it can provide a means by which to identify pulsation modes in rapidly rotating stars. Methods: We develop a new mode identification scheme which consists in scanning a multidimensional parameter space for the formula coefficients which yield the best-fitting asymptotic spectra. This mode identification scheme is then tested on artificial spectra based on the asymptotic formula, on random frequencies and on spectra based on full numerical eigenmode calculations for which the mode identification is known beforehand. We also investigate the effects of adding random frequencies to mimic the effects of chaotic modes which are also expected to show up in such stars. Results: In the absence of chaotic modes, it is possible to accurately find a correct mode identification for most of the observed frequencies provided these frequencies are sufficiently close to their asymptotic values. The addition of random frequencies can very quickly become problematic and hinder correct mode identification. Modifying the mode identification scheme to reject the worst fitting modes can bring some improvement but the results still remain poorer than in the case without chaotic modes

Perceptions on the role of evidence: an English alcohol policy case study

This paper explores the competing influences which inform public health policy and describes the role that research evidence plays within the policy-making process. In particular it draws on a recent English alcohol policy case study to assess the role of evidence in informing policy and practice. Semi-structured interviews with key national, regional and local policy informants were transcribed and analysed thematically. A strong theme identified was that of the role of evidence. Findings are discussed in the context of competing views on what constitutes appropriate evidence for policy-making