18,296 research outputs found
The systematic use of cost-effectiveness criteria to inform decisions about the removal of items from publicly-financed 'benefits packages'. A report commissioned by the Department of Health and prepared by the London School of Hygiene and Tropical Medicine
The regulation of competition between publicly-financed hospitals. A rapid review commissioned by the Department of Health and prepared by the London School of Hygiene and Tropical Medicine
A review of the role and responsibilities of national ministries of health in five countries. A report commissioned by the Department of Health and prepared by the London School of Hygiene and Tropical Medicine
Do we really drive as we feel?
Learning to drive has been conceptualised as a series of stages which take the learner from mastery of the basic mechanics of driving, through anticipation of other road user's behaviour, to the development of a driving style consistent with the skill achieved in the first two stages (Parker & Stradling, 2002). Deery (1999) suggests that hazard perception is one of the main skills to be acquired in the second stage and that this skill is poorly developed in the inexperienced (and usually young) driver
Incentives for breastfeeding and for smoking cessation in pregnancy: An exploration of types and meanings
Financial or tangible incentives are a strategy for improving health behaviours. The mechanisms of action of incentives are complex and debated. Using a multidisciplinary integrated mixed methods study, with service-user collaboration throughout, we developed a typology of incentives and their meanings for initiating and sustaining smoking cessation in pregnancy and breastfeeding. The ultimate aim was to inform incentive intervention design by providing insights into incentive acceptability and mechanisms of action.
Systematic evidence syntheses of incentive intervention studies for smoking cessation in pregnancy or breastfeeding identified incentive characteristics, which were developed into initial categories. Little published qualitative data on user perspectives and acceptability was available. Qualitative interviews and focus groups conducted in three UK regions with a diverse socio-demographic sample of 88 women and significant others from the target population, 53 service providers, 24 experts/decision makers, and conference attendees identified new potential incentives and providers, with and without experience of incentives. Identified incentives (published and emergent) were classified into eight categories: cash and shopping vouchers, maternal wellbeing, baby and pregnancy-related, behaviour-related, health-related, general utility, awards and certificates, and experiences. A typology was refined iteratively through concurrent data collection and thematic analysis to explore participants' understandings of ‘incentives’ and to compare and contrast meanings across types. Our typology can be understood in three dimensions: the degree of restriction, the extent to which each is hedonic and/or utilitarian, and whether each has solely monetary value versus monetary with added social value. The layers of autonomy, meanings and the social value of incentive types influence their acceptability and interact with structural, social, and personal factors. Dimensions of incentive meaning that go beyond the simple incentive description should inform incentive programme design and are likely to influence outcomes
On the Rate-dependent Plasticity Modelling of Unidirectional Fibre-reinforced Polymeric Matrix Composites
Three different approaches to plasticity are investigated to model the experimentally-observed non-linear behaviour of unidirectional fibre-reinforced polymeric matrix materials. The first and simplest approach consists on assuming independent one-dimensional rate-dependent plasticity on in-plane (12) and through-thickness longitudinal (13) shear components of the Cauchy stress tensor. The second, employs a 3D extension of the plane stress Hill'48 anisotropic plastic surface. The third and the last is formulated as a quadratic yield function inspired by Puck's fracture initiation criterion. It searches for a plastic localisation plane in which a certain combination of normal and shear stresses is maximum. Numerical simulations are conducted to analyse the off-axis compression behaviour of carbon fibre reinforced epoxy composite under varying loading rates. The afore-mentioned three different approaches are explored with an aim to predict the experimentally-observed non-linear response of such composites. The model parameters are determined using a deterministic inverse modelling strategy employing an iterative domain reduction optimisation technique. As far as the experiments are concerned, the quasi-static and medium rate tests were carried out in universal testing machines, while the experiments at high rate were conducted in a Split Hopkinson Pressure Bar system. The effectiveness in terms of accuracy and robustness of the three approaches are discussed
Extremely low long‐term erosion rates around the Gamburtsev Mountains in interior East Antarctica
The high elevation and rugged relief (>3 km) of the Gamburtsev Subglacial Mountains (GSM) have long been considered enigmatic. Orogenesis normally occurs near plate boundaries, not cratonic interiors, and large‐scale tectonic activity last occurred in East Antarctica during the Pan‐African (480–600 Ma). We sampled detrital apatite from Eocene sands in Prydz Bay at the terminus of the Lambert Graben, which drained a large pre‐glacial basin including the northern Gamburtsev Mountains. Apatite fission‐track and (U‐Th)/He cooling ages constrain bedrock erosion rates throughout the catchment. We double‐dated apatites to resolve individual cooling histories. Erosion was very slow, averaging 0.01–0.02 km/Myr for >250 Myr, supporting the preservation of high elevation in interior East Antarctica since at least the cessation of Permian rifting. Long‐term topographic preservation lends credence to postulated high‐elevation mountain ice caps in East Antarctica since at least the Cretaceous and to the idea that cold‐based glaciation can preserve tectonically inactive topography
The bidirectional paradigm of transplant immunology. Bone marrow transplantation: Foundations for the 21st century
The Pipeline Project: A Holistic Approach to Teaching Multimedia
The multimedia industry has embraced the integration of computer software packages. The industry recognizes that better integration and compatibility of software and hardware will produce better end results and improve workflow. In fact, many of the major software developers are now introducing suites of products. Surely, educational establishments should follow suit and develop courses in which differing but complementary subject areas (modules) are integrated. The main area of development at Leeds Metropolitan University has been to allow students to clearly see the aims and objectives of each module but within a more global project. Not only has this holistic approach benefited the students, it has also allowed staff to develop material that extends across modules, allows for team teaching, and integrates the lecture program. This logical approach to project work echoes the skills required in the multimedia industry
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