1,969 research outputs found

    A regulatory governance perspective on health technology assessment (HTA) in France: the contextual mediation of common functional pressures

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    The new regulatory governance perspective has introduced several insights to the study of health technology assessment (HTA): it has broadened the scope for the analysis of HTA; it has provided a more sophisticated account of national diversity and the potential for cross-border policy learning; and, it has dissolved the distinction between HTA assessment and appraisal processes. In this paper, we undertake a qualitative study of the French process for HTA with a view to introducing a fourth insight: that the emergence and continuing function of national agencies for HTA follows a broadly evolutionary pattern in which contextual factors play an important mediating role. We demonstrate that the French process for HTA is characterised by distinctive institutions, processes and evidential requirements. Consistent with the mediating role of this divergent policy context, we argue that even initiatives for the harmonisation of national approaches to HTA are likely to meet with divergent national policy responses

    Combined heat and power from the intermediate pyrolysis of biomass materials:performance, economics and environmental impact

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    Combined heat and power from the intermediate pyrolysis of biomass materials offers flexible, on-demand renewable energy with some significant advantages over other renewable routes. To maximise the deployment of this technology an understanding of the dynamics and sensitivities of such a system is required. In the present work the system performance, economics and life-cycle environmental impact is analysed with the aid of the process simulation software Aspen Plus. Under the base conditions for the UK, such schemes are not currently economically competitive with energy and char products produced from conventional means. However, under certain scenarios as modelled using a sensitivity analysis this technology can compete and can therefore potentially contribute to the energy and resource sustainability of the economy, particularly in on-site applications with low-value waste feedstocks. The major areas for potential performance improvement are in reactor cost reductions, the reliable use of waste feedstocks and a high value end use for the char by-product from pyrolysis

    Gold as an inflation hedge?

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    This paper attempts to reconcile an apparent contradiction between short-run and long-run movements in the price of gold. The theoretical model suggests a set of conditions under which the price of gold rises over time at the general rate of inflation and hence be an effective hedge against inflation. The model also demonstrates that short-run changes in the gold lease rate, the real interest rate, convenience yield, default risk, the covariance of gold returns with other assets and the dollar/world exchange rate can disturb this equilibrium relationship and generate short-run price volatility. Using monthly gold price data (1976-1999), and cointegration regression techniques, an empirical analysis confirms the central hypotheses of the theoretical model

    Translucency of Human Dental Enamel

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    Translucency of human dental enamel was determined by total transmittance of wavelengths from 400 to 700 nm. The transmission coefficient at 525 nm was 0.481 mm-1. Total transmission of light through human dental enamel increased with increasing wavelength. Human tooth enamel is more translucent at higher wavelengths. The translucency of wet human enamel and enamel after dehydration was also measured by total transmittance. The transmission coefficient at 525 nm decreased from 0.482 to 0.313 mm-1 after dehydration and was reversed on rehydration. The decrease in translucency occurred as a result of the replacement of water around the enamel prisms by air during dehydration.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/68115/2/10.1177_00220345810600100401.pd

    Portfolio Vol. V N 2

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    Koons, Marilynn. America Is . Poem. 4. Rucker, J.G. Nothing but the Beat . Prose. 5. Wyman, John. Pringle . Prose. 6. Tolan, Marace. Hands at Midnight . Poem. 7. Wright, Edward A. All in a Day\u27s Work . Prose. 8. Benson, Virginia. Now is the Time . Prose. 9. Moll, Wilhelm. The Dead Lover . Prose. 12. Flammt, Marga. Escape . Poem. 14. Rolph, Alice. Fancy\u27s Flight . Poem. 14. Vercoe, Mary. Future . Poem. 14. Klammt,Marga. Parting . Poem. 14. Anonymous. Denisoniana . Picture. 10. Benson, Virginia. Marquand-H.M. Pulham. Esquire . Prose. 15. Benson, Virginia. Junior Miss . Prose. 15. Reynolds, Virginia. Stubs of the Jungle . Prose. 16. Masquers. Thespiana . Prose. 17. Anonymous. How to Knit a Sweater, or, Eighteen Holes . Prose. 20

    Working in preventive medicine or not? Flawed perceptions decrease chance of retaining students for the profession

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    Background: Recruiting and retaining students in preventive medical (PM) specialties has never been easy; one main challenge is how to select appropriate students with proper motivation. Understanding how students perceive PM practice differently from practicing doctors is necessary to guide students, especially for those for whom PM is only a substitute for medicine as their first study preference, properly during their study and, later, the practice of PM. Methods: One thousand three hundred eighty-six PM students in four Vietnamese medical schools and 101 PM doctors filled out a questionnaire about the relevance of 44 characteristics of working in PM. ANOVAs were conducted to define the relationship between students' interest, year of study, willingness to work in PM, and the degree to which students had realistic perceptions of PM practice, compared to doctors' perceptions. Results: Overall, compared to doctors' perceptions, students overestimated the importance of most of the investigated PM practice's characteristics. Moreover, students' perception related to their preference and willing to pursue a career in PM after graduation. In particular, students for whom PM was their first choice had more realistic perceptions of community practice than those who chose PM as their second choice. And, second-choice students had more realistic perceptions than first-choice students in their final years of study, but expected higher work stress in PM practice. Students who were willing to pursue a career in PM rated the importance of community practice higher than those who were not. We also found that students' perception changed during training as senior students had more realistic perceptions of clinical aspects and working stress than junior students, even though they overemphasized the importance of the community aspects of PM practice. Conclusions: To increase the number of students actually entering the PM field after graduation, the flawed perceptions of students about the real working environment of PM doctors should be addressed through vocation-oriented activities in the curriculum targeted on groups of students who are most likely to have unrealistic perceptions. Our findings also have implications for other less attractive primary health care specialties that experience problems with recruiting and retaining students

    Scalar field exact solutions for non-flat FLRW cosmology: A technique from non-linear Schr\"odinger-type formulation

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    We report a method of solving for canonical scalar field exact solution in a non-flat FLRW universe with barotropic fluid using non-linear Schr\"{o}dinger (NLS)-type formulation in comparison to the method in the standard Friedmann framework. We consider phantom and non-phantom scalar field cases with exponential and power-law accelerating expansion. Analysis on effective equation of state to both cases of expansion is also performed. We speculate and comment on some advantage and disadvantage of using the NLS formulation in solving for the exact solution.Comment: 12 pages, GERG format, Reference added. accepted by Gen. Relativ. and Gra

    Spores: A Type-Based Foundation for Closures in the Age of Concurrency and Distribution

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    Functional programming (FP) is regularly touted as the way forward for bringing parallel, concurrent, and distributed programming to the mainstream. The popularity of the rationale behind this viewpoint (immutable data transformed by function application) has even lead to a number of object-oriented (OO) programming languages adopting functional features such as lambdas (functions) and thereby function closures. However, despite this established viewpoint of FP as an enabler, reliably distributing function closures over a network, or using them in concurrent environments nonetheless remains a challenge across FP and OO languages. This paper takes a step towards more principled distributed and concurrent programming by introducing a new closure-like abstraction and type system, called spores, that can guarantee closures to be serializable, thread-safe, or even have general, custom user-defined properties. Crucially, our system is based on the principle of encoding type information corresponding to captured variables in the type of a spore. We prove our type system sound, implement our approach for Scala, evaluate its practicality through an small empirical study, and show the power of these guarantees through a case analysis of real-world distributed and concurrent frameworks that this safe foundation for migratable closures facilitates
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