Taming systems to create enabling environments for HCV treatment: negotiating trust in the drug and alcohol setting.

HCV (hepatitis C) treatment uptake among the population most affected - people who inject drugs - is suboptimal. Hospital based treatment provision is one evidenced barrier to HCV treatment uptake. In response, HCV treatment is increasingly located in treatment settings seen as more amenable to people who inject drugs, such as drug and alcohol services. We explored the accessibility of HCV treatment provision at two such partnerships. Data collection comprised qualitative interviews collected in 2011 and 2012 with 35 service users and 14 service providers of HCV treatment in London, United Kingdom. We draw here primarily on thematic analyses of service provider accounts, yet narratives relating to trust and environment emerged unsolicited in both user and provider accounts of negotiated HCV treatment access. A key theme in service provider accounts were strategies they deployed to 'tame' the treatment system so as to create an 'enabling environment' of care, in which trust was a critical feature. This 'taming' of the system was enacted through practices of 'negotiated flexibility', including in relation to appointments, eligibility, and phlebotomy. Service user accounts accentuated familiar environments and known health providers as those most trusted, and the potentially stigmatising effects of negotiating treatment in unfamiliar territory, especially hospital settings. Whilst noting the effects of provider strategies to negotiate flexibility on behalf of would-be patients seeking treatment, we conclude by noting the limits of trust relations in settings of constrained choice

Pathways to Catching Up and Falling Behind

In this paper we seek to explain why bank performance has varied so dramatically during and after the financial crisis on Europe’s periphery, both across states and within them. Our dependent variable is bank performance defined in terms of credit provision and banks’ contribution to financial stability. Our independent variable is the particular mix at play between political/social purpose and what we call ‘market authority’ - the importance of market incentives, signals and pricing within a particular financial ‘ecosystem’. “Economic nationalism” or the politicization of local and regional banks has often imbued banks with social and political goals, serving the economy at different levels, and is one major source of political/social purpose. But the latter must be constrained by market authority. We argue that for optimal bank performance, economic nationalism or political/social purpose must be constrained by market authority, otherwise a political logic (e.g. cronyism, a lack of professionalism, and deficits in banking expertise) can easily subvert or distort credit provision and undermine financial stability

Good and Bad Banking on Europe's Periphery: Pathways to Catching Up and Falling Behind

In this paper we seek to explain why bank performance has varied so dramatically during and after the financial crisis on Europe’s periphery, both across states and within them. Our dependent variable is bank performance defined in terms of credit provision and banks’ contribution to financial stability. Our independent variable is the particular mix at play between political/social purpose and what we call ‘market authority’ - the importance of market incentives, signals and pricing within a particular financial ‘ecosystem’. “Economic nationalism” or the politicization of local and regional banks has often imbued banks with social and political goals, serving the economy at different levels, and is one major source of political/social purpose. But the latter must be constrained by market authority. We argue that for optimal bank performance, economic nationalism or political/social purpose must be constrained by market authority, otherwise a political logic (e.g. cronyism, a lack of professionalism, and deficits in banking expertise) can easily subvert or distort credit provision and undermine financial stability

International in life, national in death? Banking nationalism on the road to Banking Union

European states have a long history of banking sector nationalism. Control over credit allocation is believed to contribute to economic development and competitiveness goals, insulation from external economic shocks, and control over monetary policy. This paper explains the potentially dramatic loss in domestic control over banks created by the European Banking Union (EBU). First, we argue that ongoing liberalization in the global and European economies has made banking sector protectionism both more costly and conflictual. Second, we contend that because many of the biggest banks have internationalized their operations, they now prefer centralized European regulation and supervision. Third, supporting a modified neofunctionalist argument, we find that behind the sometimes frenetic intergovernmental bargaining in 2012-14, it is primarily the European Commission and the European Central Bank that have pushed Banking Union ahead. Supranational institutions have argued, with some success, that they have unique capacity to solve collective action and prisoners’ dilemma problems. Contrary to accepted wisdom, Germany has not set or limited the Banking Union agenda to a great extent, in part because of its own internal divisions. Moreover, the Commission and the ECB have managed at critical junctures to isolate Germany to secure the country’s assent to controversial measures

Structural impacts of farm program payment limitation

Cover title."11/82/1M."Includes bibliographical references (page [31])

Mechanistic Study of Nano-Particle Fluidization

Degussa Aerosil R974 powder, with a primary particle size of 12 nm, was fluidized using nitrogen in a cylindrical vessel, 50-mm-id and 900 mm in height. Characteristics of incipient fluidization are analysed in relation to variations in the initial packing conditions. Bed collapse experiments were performed and the results are used for assessing fluidization characteristics of the particles. It was found that nanoparticles exhibit characteristics of both Group A and Group C powders. Various methods for estimating the cohesion forces between nanoparticle aggregates are discussed

Globalization and West European Welfare State: a Critical Review of Recent Debates

Gospodarska politika Zapadne Europe sada doživljava duboke promjene. To se u velikoj mjeri odražava na zapadnoeuropske države dobrobiti. Postoje različite prepreke i kontraindikacije koje djeluju na funkcioniranje države dobiti u Zapadnoj Europi. Posebno značajnu ulogu pri tome igra sve veća globalizacija svjetskog gospodarstva koja mijenja strukturu nacionalnih gospodarstava i samih država dobrobiti. U ovom članku autor razmatra prilagodbe nacionalnih gospodarstava i država dobrobiti na sve izraženiju globalizaciju svjetskog gospodarstva. Naime, svaki nacionalni sustav socijalne dobrobiti odgovara industrijskoj i gospodarskoj konfiguraciji pojedine zemlje, drugim riječima „inovativnom sustavu“ koji određuje parametre prilagodbe. Buduće da modificira svoje institucije i odgovarajuće programe nego također općenito o prilagodljivosti nacionalnih gospodarstava međunarodnoj konkurenciji i uvjetima globalizacije

Transient evoked otoacoustic emissions testing for screening of sensorineural deafness in puppies

<p><b>Background:</b> Transient evoked otoacoustic emissions (TEOAE) are widely used for human neonatal deafness screening, but have not been reported for clinical use in dogs.</p> <p><b>Hypothesis/Objectives:</b> To investigate the feasibility of TEOAE testing in conscious puppies and the ability of TEOAE testing to correctly identify deaf and hearing ears, as defined by brainstem auditory evoked response (BAER).</p> <p><b>Animals:</b> Forty puppies from 10 litters.</p> <p><b>Methods:</b> Prospective study on puppies presented for hearing assessment as part of a congenital deafness BAER screening program. Hearing status was determined using BAER. TEOAE testing was performed after the BAER assessment and the results of the TEOAE testing were compared with the hearing status for each ear. Parameters were tested for normality using the D'Agostino Pearson test and comparisons between the deaf and hearing ears were made using Mann-Whitney tests.</p> <p><b>Results:</b> TEOAE testing was readily performed in puppies presented for congenital deafness screening. Using analysis parameters based on those used in human neonatal hearing screening, TEOAE testing correctly identified all deaf ears, as defined by BAER testing, with a sensitivity of 100% (95% CI: 56-100%) for diagnosing deafness and specificity of 78% (95% CI: 66-87%).</p> <p><b>Conclusions and Clinical Importance:</b> TEOAE testing is an effective screening modality for identifying congenital sensorineural deafness in dogs. In light of the simpler and less expensive equipment, TEOAE testing has the potential to improve access to hearing screening and through this reduce the prevalence of congenital deafness in the dog.</p&gt