139 research outputs found
European Governance, or Governmentality? Reflections on the EU‘s System of Government
This paper offers a critical exploration of the term ‘governance’, its rise to prominence within EU political discourse, and the new forms of authority and expertise it has come to be associated with within the EU’sevolving political regime. Its argues that a critical understanding of EU governance might be advanced ifscholars look beyond the conventional political science literature (where governance is often ontologizedas that form of politics and authority which reflects the social reality of administering complex societies),and interpret it instead in terms of recent debates about neoliberal governmentality. I ask, what does theCommission’s appropriation of this ambiguous concept reveal about the way EU politicians, experts andpolicy makers are re-conceptualising Europe and the problem of European government?
Caring for the dying: How well prepared are general practitioners? A questionnaire study in Wales
Complex k band diagrams of 3D metamaterial/photonic crystals
A finite element method (FEM) for solving the complex valued k({\omega}) vs.
{\omega} dispersion curve of a 3D metamaterial/photonic crystal system is
presented. This 3D method is a generalization of a previously reported 2D
eigenvalue method. This method is particularly convenient for analyzing
periodic systems containing dispersive (e.g., plasmonic) materials, for
computing isofrequency surfaces in the k-space, and for calculating the decay
length of the evanescent waves. Two specific examples are considered: a
photonic crystal comprised of dielectric spheres and a plasmonic fishnet
structure. Hybridization and avoided crossings between Mie resonances and
propagating modes are numerically demonstrated. Negative index propagation of
four electromagnetic modes distinguished by their symmetry is predicted for the
plasmonic fishnets. By calculating the isofrequency contours, we also
demonstrate that the fishnet structure is a hyperbolic medium
Health economic analysis of the integrated cognitive assessment tool to aid dementia diagnosis in the United Kingdom
ObjectivesThe aim of this study was to develop a comprehensive economic evaluation of the integrated cognitive assessment (ICA) tool compared with standard cognitive tests when used for dementia screening in primary care and for initial patient triage in memory clinics.MethodsICA was compared with standard of care comprising a mixture of cognitive assessment tools over a lifetime horizon and employing the UK health and social care perspective. The model combined a decision tree to capture the initial outcomes of the cognitive testing with a Markov structure that estimated long-term outcomes of people with dementia. Quality of life outcomes were quantified using quality-adjusted life years (QALYs), and the economic benefits were assessed using net monetary benefit (NMB). Both costs and QALYs were discounted at 3.5% per annum and cost-effectiveness was assessed using a threshold of £20,000 per QALY gained.ResultsICA dominated standard cognitive assessment tools in both the primary care and memory clinic settings. Introduction of the ICA tool was estimated to result in a lifetime cost saving of approximately £123 and £226 per person in primary care and memory clinics, respectively. QALY gains associated with early diagnosis were modest (0.0016 in primary care and 0.0027 in memory clinic). The net monetary benefit (NMB) of ICA introduction was estimated at £154 in primary care and £281 in the memory clinic settings.ConclusionIntroduction of ICA as a tool to screen primary care patients for dementia and perform initial triage in memory clinics could be cost saving to the UK public health and social care payer
Health economic analysis of the integrated cognitive assessment tool to aid dementia diagnosis in the United Kingdom.
ObjectivesThe aim of this study was to develop a comprehensive economic evaluation of the integrated cognitive assessment (ICA) tool compared with standard cognitive tests when used for dementia screening in primary care and for initial patient triage in memory clinics.MethodsICA was compared with standard of care comprising a mixture of cognitive assessment tools over a lifetime horizon and employing the UK health and social care perspective. The model combined a decision tree to capture the initial outcomes of the cognitive testing with a Markov structure that estimated long-term outcomes of people with dementia. Quality of life outcomes were quantified using quality-adjusted life years (QALYs), and the economic benefits were assessed using net monetary benefit (NMB). Both costs and QALYs were discounted at 3.5% per annum and cost-effectiveness was assessed using a threshold of £20,000 per QALY gained.ResultsICA dominated standard cognitive assessment tools in both the primary care and memory clinic settings. Introduction of the ICA tool was estimated to result in a lifetime cost saving of approximately £123 and £226 per person in primary care and memory clinics, respectively. QALY gains associated with early diagnosis were modest (0.0016 in primary care and 0.0027 in memory clinic). The net monetary benefit (NMB) of ICA introduction was estimated at £154 in primary care and £281 in the memory clinic settings.ConclusionIntroduction of ICA as a tool to screen primary care patients for dementia and perform initial triage in memory clinics could be cost saving to the UK public health and social care payer
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Learning from the pandemic: Capitalising on opportunities and overcoming challenges for mathematics teaching and learning practices with and through technology
This working group (WG), which met for the second time in June 2021,
was created to discuss the theoretical and methodological challenges faced
by the mathematics education field when the prevailing boundaries of the
classroom shifted as a result of the COVID-19 pandemic. Following a
brief introduction to the aims for the WG, we offer three further case
studies of teachers’ practices and an emerging synthesis of the cases
according to three pedagogic activities that are proving to be particularly
challenging
Mutations in CNNM4 Cause Jalili Syndrome, Consisting of Autosomal-Recessive Cone-Rod Dystrophy and Amelogenesis Imperfecta
The combination of recessively inherited cone-rod dystrophy (CRD) and amelogenesis imperfecta (AI) was first reported by Jalili and Smith in 1988 in a family subsequently linked to a locus on chromosome 2q11, and it has since been reported in a second small family. We have identified five further ethnically diverse families cosegregating CRD and AI. Phenotypic characterization of teeth and visual function in the published and new families reveals a consistent syndrome in all seven families, and all link or are consistent with linkage to 2q11, confirming the existence of a genetically homogenous condition that we now propose to call Jalili syndrome. Using a positional-candidate approach, we have identified mutations in the CNNM4 gene, encoding a putative metal transporter, accounting for the condition in all seven families. Nine mutations are described in all, three missense, three terminations, two large deletions, and a single base insertion. We confirmed expression of Cnnm4 in the neural retina and in ameloblasts in the developing tooth, suggesting a hitherto unknown connection between tooth biomineralization and retinal function. The identification of CNNM4 as the causative gene for Jalili syndrome, characterized by syndromic CRD with AI, has the potential to provide new insights into the roles of metal transport in visual function and biomineralization
A schematic sampling protocol for contaminant monitoring in raptors
Birds of prey, owls and falcons are widely used as sentinel species in raptor biomonitoring programmes. A major current challenge is to facilitate large-scale biomonitoring by coordinating contaminant monitoring activities and by building capacity across countries. This requires sharing, dissemination and adoption of best practices addressed by the Networking Programme Research and Monitoring for and with Raptors in Europe (EURAPMON) and now being advanced by the ongoing international COST Action European Raptor Biomonitoring Facility. The present perspective introduces a schematic sampling protocol for contaminant monitoring in raptors. We provide guidance on sample collection with a view to increasing sampling capacity across countries, ensuring appropriate quality of samples and facilitating harmonization of procedures to maximize the reliability, comparability and interoperability of data. The here presented protocol can be used by professionals and volunteers as a standard guide to ensure harmonised sampling methods for contaminant monitoring in raptors
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