TOWARDS REGIONAL DIFFERENTIATION OF RURAL DEVELOPMENT POLICY IN THE EU

In this study a comparative analysis of the Rural Development Plans (RDPs) in four intermediate rural regions (Northern Netherlands, Lower Saxony, Wales and Emilia Romagna) and four most urban regions (Southern Netherlands, North Rhine-Westphalia, Flanders and Lombardia) is made. Such plans are designed in the scope of the second pillar of the Common Agricultural Policy (CAP). In particular, the focus was on the question whether the menu approach of the second pillar enables EU member states and regions to design Rural Development Plans with a tailor-made set of measures which address their specific rural development needs. The findings of this study suggest that the current menu of rural development measures is sufficient to suit the wide range of socio-economic, ecological and physical circumstances in the EU regions. The analysis also revealed that there is some overlap between the three rural development priorities of the second pillar. Therefore, an outline of future rural development priorities and measures in the EU is designed, in which it is attempted to avoid overlap between the various rural development priorities and in which each measure contributes to the achievement of one development priority only. In addition, it is proposed that regions would select only those measures in their Rural Development Plan which really address the rural development needs in their region, even if this results in a Rural Development Plan with only one or two rural development measures. Such an approach of selecting rural development measures according to regional needs will result in a large variation in rural development measures implemented and may be considered regional differentiation of EU rural development policy.Agricultural and Food Policy,

Homoclinic Orbits around Spinning Black Holes I: Exact Solution for the Kerr Separatrix

Under the dissipative effects of gravitational radiation, black hole binaries will transition from an inspiral to a plunge. The separatrix between bound and plunging orbits features prominently in the transition. For equatorial Kerr orbits, we show that the separatrix is a homoclinic orbit in one-to-one correspondence with an energetically-bound, unstable circular orbit. After providing a definition of homoclinic orbits, we exploit their correspondence with circular orbits and derive exact solutions for them. This paper focuses on homoclinic behavior in physical space, while in a companion paper we paint the complementary phase space portrait. The exact results for the Kerr separatrix could be useful for analytic or numerical studies of the transition from inspiral to plunge.Comment: 21 pages, some figure

Prescriptions and proscriptions: moralising sleep medicines

This work was carried out with colleagues at the University of Warwick and Royal Holloway, University of London. Open access articleThe pharmaceuticalisation of sleep is a contentious issue. Sleep medicines get a‘bad press’due to their potential for dependence and other side effects, including studies reporting increased mortality risks for long-term users. Yet relatively little qualitative social science research has been conducted into how people understandand negotiate their use/non-use of sleep medicines in the context of their everyday lives. This paper draws on focus group data collected in the UK to elicit collective views on and experiences of prescription hypnotics across different social contexts.Respondents, we show, drew on a range of moral repertoires which allowed them to present themselves and their relationships with hypnotics in different ways. Six distinct repertoires about hypnotic use are identified in this regard: the ‘deserving’ patient, the ‘responsible’ user, the ‘compliant’ patient, the ‘addict’, the ‘sinful’ user and the ‘noble’ non user. These users and non-users are constructed drawing on cross-cutting themes of addiction and control, ambivalence and reflexivity. Such issues are in turn discussed in relation to recent sociological debates on the pharmaceuticalisation/de-pharmaceuticalisation of everyday life and the consumption of medicines in the UK today

The WIMP Forest: Indirect Detection of a Chiral Square

The spectrum of photons arising from WIMP annihilation carries a detailed imprint of the structure of the dark sector. In particular, loop-level annihilations into a photon and another boson can in principle lead to a series of lines (a WIMP forest) at energies up to the WIMP mass. A specific model which illustrates this feature nicely is a theory of two universal extra dimensions compactified on a chiral square. Aside from the continuum emission, which is a generic prediction of most dark matter candidates, we find a "forest" of prominent annihilation lines that, after convolution with the angular resolution of current experiments, leads to a distinctive (2-bump plus continuum) spectrum, which may be visible in the near future with the Fermi Gamma-Ray Space Telescope (formerly known as GLAST).Comment: 11 pages, 4 figure

What is the contribution of physician associates in hospital care in England? A mixed methods, multiple case study.

OBJECTIVES: To investigate the deployment of physician associates (PAs); the factors supporting and inhibiting their employment and their contribution and impact on patients' experience and outcomes and the organisation of services. DESIGN: Mixed methods within a case study design, using interviews, observations, work diaries and documentary analysis. SETTING: Six acute care hospitals in three regions of England in 2016-2017. PARTICIPANTS: 43 PAs, 77 other health professionals, 28 managers, 28 patients and relatives. RESULTS: A key influencing factor supporting the employment of PAs in all settings was a shortage of doctors. PAs were found to be acceptable, appropriate and safe members of the medical/surgical teams by the majority of doctors, managers and nurses. They were mainly deployed to undertake inpatient ward work in the medical/surgical team during core weekday hours. They were reported to positively contribute to: continuity within their medical/surgical team, patient experience and flow, inducting new junior doctors, supporting the medical/surgical teams' workload, which released doctors for more complex patients and their training. The lack of regulation and attendant lack of authority to prescribe was seen as a problem in many but not all specialties. The contribution of PAs to productivity and patient outcomes was not quantifiable separately from other members of the team and wider service organisation. Patients and relatives described PAs positively but most did not understand who and what a PA was, often mistaking them for doctors. CONCLUSIONS: This study offers new insights concerning the deployment and contribution of PAs in medical and surgical specialties in English hospitals. PAs provided a flexible addition to the secondary care workforce without drawing from existing professions. Their utility in the hospital setting is unlikely to be completely realised without the appropriate level of regulation and authority to prescribe medicines and order ionising radiation within their scope of practice

Ontogeny of the skull of Sternotherus odoratus.

97 p. : ill. ; 26 cm. "Issued December 9, 2009." Includes bibliographical references (p. 75-81).There are few published data addressing the types, levels, and patterns of intraspecific variation in gross anatomical structures for nonavian reptiles, especially considering the widespread interest in their morphology and evolutionary history. This study examines variation in both discrete and continuous characters of the postnatal skull for a single population of the kinosternid turtle Sternotherus odoratus. The primary purpose of the study was to elucidate those features that exhibit transformations (and by default those that do not) in the latter two-thirds of postnatal ontogeny--that portion heavily relied upon in phylogenetic analyses of macroanatomical features and most often preserved in the vertebrate fossil record. Data are presented for cranial characters historically used to elucidate phylogenetic relationships in turtles and to assess fossil specimens taxonomically. Results indicate that the number of characters exhibiting postnatal variation, and the levels at which they vary, are surprisingly high considering the conservative nature of both the taxonomic sample and the pool of examined characters. Features associated with the feeding apparatus are among the most variable cranial structures--for both continuous and discrete characters. A relatively large number of discrete transformations occur in structures derived from those cranial elements preformed in cartilage. This concentration demonstrates that developmental trajectories apomorphic for deep nodes in vertebrate phylogenetic history result in relatively late-stage postnatal transformations and high levels of variation in characters informative at much more restricted taxonomic levels. This study provides a baseline of data that future studies examining the ontogenetic and evolutionary history of variation can build upon and it represents a necessary step in understanding the complex system by which variability in developmental modules becomes integrated in the reptile skull

Can virtual nature improve patient experiences and memories of dental treatment? A study protocol for a randomized controlled trial

Background Dental anxiety and anxiety-related avoidance of dental care create significant problems for patients and the dental profession. Distraction interventions are used in daily medical practice to help patients cope with unpleasant procedures. There is evidence that exposure to natural scenery is beneficial for patients and that the use of virtual reality (VR) distraction is more effective than other distraction interventions, such as watching television. The main aim of this randomized controlled trial is to determine whether the use of VR during dental treatment can improve the overall dental experience and recollections of treatment for patients, breaking the negative cycle of memories of anxiety leading to further anxiety, and avoidance of future dental appointments. Additionally, the aim is to test whether VR benefits dental patients with all levels of dental anxiety or whether it could be especially beneficial for patients suffering from higher levels of dental anxiety. The third aim is to test whether the content of the VR distraction can make a difference for its effectiveness by comparing two types of virtual environments, a natural environment and an urban environment. Methods/design The effectiveness of VR distraction will be examined in patients 18 years or older who are scheduled to undergo dental treatment for fillings and/or extractions, with a maximum length of 30 minutes. Patients will be randomly allocated into one of three groups. The first group will be exposed to a VR of a natural environment. The second group will be exposed to a VR of an urban environment. A third group consists of patients who receive standard care (control group). Primary outcomes relate to patients’ memories of the dental treatment one week after treatment: (a) remembered pain, (b) intrusive thoughts and (c) vividness of memories. Other measures of interest are the dental experience, the treatment experience and the VR experience. Trial registration Current Controlled Trials ISRCTN4144280