Economic and environmental analysis of the introduction of legumes in livestock farming systems

Legumes in low input systems are becoming increasingly important. The socioeconomic implication of the adoption of novel legumes species has been assessed in sheep and dairy cattle grazing systems in Europe using a biological model which has been linked to linear programming models. In the economic sub-model, the mathematical programming models produce an economic evaluation of the legumes in a farming system context, emphasising the land allocation and the availability of nutrients during the different seasons of the production cycle. Then the paper evaluates the impact of adopting the legumes on the regional income and production. In the UK and Germany, the introduction of legumes results in sizeable gains for the farmers whereas in Italy and France the gains are smaller

Evolve

Evolve is a c. 16 minute work for full orchestra that explores various ways in which a single hexachord can be used to govern a variety of aspects and parameters within a work across multiple levels of structure. This includes melodic, harmonic, durational, temporal, textural and even formal aspects of the work, all derived as expansions, reinterpretations or explorations of specific relationships found within this collection of pitches. These relationships include the inherent intervallic and harmonic content found within the collection, but also extends to the frequency ratios found between pitches in the hexachord. In total, the piece is comprised of nine sections, each of which explores one or more applications of these expansions/interpretations

Disparities in access to health care in Australia for people with mental health conditions

Objective One aim of Australia’s Equally Well National Consensus Statement is to improve monitoring of the physical health of people with mental health conditions, which includes measures of accessibility and people’s experiences of physical health care services. The present analysis contributes to this aim by using population survey data to evaluate whether, and in what domains, Australians with a mental health condition experience barriers in accessing care when compared with Australians without a mental health condition. Methods The 2016 Commonwealth Fund International Health Policy Survey includes a sample of 5248 Australian adults. Access to care was measured using 39 survey questions from before to after reaching services. Multivariable logistic regression models were used to identify disparities in barriers to access, comparing experiences of people with and without a self-reported mental health condition, adjusting for age, sex, immigrant status, income and self-rated health. Results Australians with mental health conditions were more likely to experience barriers for 29 of 39 access measures (odds ratio (OR) >1.55; P < 0.05). On average, the prevalence of barriers was 10 percentage points higher for those with a condition. When measured as ratios, the largest barriers for people with mental health conditions were for affordability. When measured as percentage point differences, the largest disparities were observed for experiences of not being treated with respect in hospital. Disparities remained after adjusting for income, rurality, education, immigrant status and self-rated health for 25 of 39 measures. Conclusion Compared with the rest of the community, Australians with mental health conditions have additional challenges negotiating the health system, and are more likely to experience barriers to access to care across a wide range of measures. Understanding the extent to which people with mental health conditions experience barriers throughout the pathway to accessing care is crucial to inform care planning and delivery for this vulnerable group. Results may inform improvements in regular performance monitoring of disparities in access for people with mental health conditions. What is known about this topic? A stated national aim of the Equally Well National Consensus Statement is to improve monitoring of the physical health and well-being of people with mental health conditions through measures of service accessibility and people’s experiences of physical healthcare services. What does this paper add? This paper highlights areas in which health services are not providing equal access to overall care for people with mental health conditions. The analysis offers quantitative evidence of ‘red flag areas’ where people with mental health conditions are significantly more likely to experience barriers to access to care. What are the implications for practitioners? Systematic attention across the health system to making care more approachable and accessible for people with mental health conditions is needed. Practitioners may be engaged to discuss possible interventions to improve access disparities for people with mental health conditions

Spin-wave interference in three-dimensional rolled-up ferromagnetic microtubes

We have investigated spin-wave excitations in rolled-up Permalloy microtubes using microwave absorption spectroscopy. We find a series of quantized azimuthal modes which arise from the constructive interference of Damon-Eshbach type spin waves propagating around the circumference of the microtubes, forming a spin-wave resonator. The mode spectrum can be tailored by the tube's radius and number of rolled-up layers.Comment: 12 pages, 4 figure

Productivity in the mining industry: measurement and interpretation

The measurement and interpretation of productivity frequently presents significantchallenges, especially when conducted at the industry level. In this regard themining industry is no exception. This report identifies measurement andinterpretation issues of relevance to productivity estimates for the mining industryin Australia. Quantitative evidence is presented regarding the effect on miningindustry productivity growth of two important factors: systematic changes in theunderlying quality of natural resource inputs used in mining; and production lags inresponse to increases in capital investment

Experiences of maternity care in New South Wales among women with mental health conditions

Background: High quality maternity care is increasingly understood to represent a continuum of care. As well as ensuring a positive experience for mothers and families, integrated maternity care is responsive to mental health needs of mothers. The aim of this paper is to summarize differences in women's experiences of maternity care between women with and without a self-reported mental health condition. Methods: Secondary analyses of a randomized, stratified sample patient experience survey of 4787 women who gave birth in a New South Wales public hospital in 2017. We focused on 64 measures of experiences of antenatal care, hospital care during and following birth and follow up at home. Experiences covered eight dimensions: overall impressions, emotional support, respect for preferences, information, involvement, physical comfort and continuity. Multivariable logistic regression was used to compare experiences of women with and without a self-reported longstanding mental health condition. Results: Compared to women without a condition, women with a longstanding mental health condition (n = 353) reported significantly less positive experiences by eight percentage points on average, with significant differences on 41 out of 64 measures after adjusting for age, education, language, parity, type of birth and region. Disparities were pronounced for key measures of emotional support (discussion of worries and fears, trust in providers), physical comfort (assistance, pain management) and overall impressions of care. Most women with mental health conditions (75% or more) reported positive experiences for measures related to guidelines for maternity care for women with mental illness (discussion of emotional health, healthy behaviours, weight gain). Their experiences were not significantly different from those of women with no reported conditions. Conclusions: Women with a mental health condition had significantly less positive experiences of maternity care across all stages of care compared to women with no condition. However, for some measures, including those related to guidelines for maternity care for women with mental illness, there were highly positive ratings and no significant differences between groups. This suggests disparities in experiences of care for women with mental health conditions are not inevitable. More can be done to improve experiences of maternity care for women with mental health conditions

Health taxes on tobacco, alcohol, food and drinks in low- and middle-income countries: a scoping review of policy content, actors, process and context

Background: Taxation of tobacco, food, alcohol and other beverages has gained renewed attention in responding to non-communicable diseases (NCDs). While largely built on evidence from high-income countries (HICs), the projected economic and health benefits of these measures have increased calls for their use in price-sensitive low- and middle-income countries (LMICs). However, uptake has been sporadic and there remains little research on why and how LMICs utilise fiscal measures in response to NCDs. Methods: This scoping review analyses factors influencing the design and implementation of health-related fiscal measures in LMICs. Utilising Arksey and O'Malley's scoping review methodology and Walt and Gilson’s policy triangle, we considered the contextual, procedural, content and stakeholder-related factors that influenced measures. Results: We identified 75 papers focussing on health-related fiscal measures, with 47 (63%) focused on tobacco, 5 on alcohol, 6 on soft drink and 4 studies on food-related fiscal regulation. Thirteen papers analysed multiple measures and most papers (n = 66, 88%) were less than a decade old. Key factors enabling the design and implementation of measures included localised health and economic evidence, policy championing, inter-ministerial support, and global or regional momentum. Impeding factors encompassed negative framing and retaliation by industry, vested interests and governmental policy disjuncture. Aligning with theoretic insights from the policy triangle, findings consistently demonstrated that the interplay between factors – rather than the presence or absence of particular factors – has the most profound impact on policy implementation. Conclusion: Given the growing urgency to address NCDs in LMICs, this review highlights the need for recognition and rigorous exploration of political economy factors influencing the design and implementation of fiscal measures. Broader LMIC-specific empirical research is needed to overcome an implication noted in much of the literature: that mechanisms used to enact tobacco taxation are universally applicable to measures targeting foods, alcohol and other beverages

Science on a Shoestring: Building Nursing Knowledge With Limited Funding

Building the science for nursing practice has never been more important. However, shrunken federal and state research budgets mean that investigators must find alternative sources of financial support and develop projects that are less costly to carry out. New investigators often build beginning programs of research with limited funding. This article provides an overview of some cost-effective research approaches and gives suggestions for finding other sources of funding. Examples of more cost-effective research approaches include adding complementary questions to existing funded research projects; conducting primary analysis of electronic patient records and social media content; conducting secondary analysis of data from completed studies; reviewing and synthesizing previously completed research; implementing community-based participatory research; participating in collaborative research efforts such as inter-campus team research, practice-based research networks (PBRNs), and involving undergraduate and doctoral students in research efforts. Instead of relying on funding from the National Institutes of Health (NIH) and other government agencies, nurse researchers may be able to find support for research from local sources such as businesses, organizations, or clinical agencies. Investigators will increasingly have to rely on these and other creative approaches to fund and implement their research programs if granting agency budgets do not significantly expand

Adhesion of Three Brands of Elastic Therapeutic Tape

Purpose: The purpose of this study was to compare, over a period of 5 days, the rate of adhesion of TheraBand® Kinesiology Tape (TKT) with either KT Tape® (KT) or Kinesio® Tex Gold (KTEX) under 25% elongation among healthy adults. Methods: In this study, 2 independent cohorts of 20 healthy volunteers were randomly assigned to simultaneously receive applications of 2 brands of deidentified elastic therapeutic tape (ETT) applied to their lower back at 25% elongation. Cohort 1 received TKT and KTEX tape, whereas cohort 2 received TKT and KT. Data were collected at 1 h (D1), 3 days (D3), and 5 days (D5) following the initial application of the ETT. Data collected included 3 digital photographs of the subjects’ lower back. The percentage of the tape that remained adhered (0%–100%) was assessed independently by 3 evaluators and then averaged to arrive at a percentage of tape adhesion for each brand of tape at each data collection point. Results: Repeated-measures ANOVA of cohort 1 indicated no differences (P \u3e .05) in adhesion between the TKT and KTEX at any data collection point, although post hoc analysis of the significant time effect indicated that the rate of adhesion of the KTEX brand declined from D1 (97%) to D3 (74%) to D5 (59%), whereas that of the TKT tape did not change over the duration of the study (97%, D1; 86%, D2; 70%, D3). In cohort 2, the analysis indicated a significant interaction effect with the KT brand (99%, D1; 67%, D2; 35%), declining over the course of the study and exhibiting lower rate of adhesion than the TKT (99%, D1; 83%, D2; 76%, D3) brand at D3 and D5. The rate of adhesion of the TKT tape did not significantly decline in cohort 2. Conclusions: Clinicians can use evidence from this study when choosing different ETT brands