Inter-Governmental Managerial Mechanisms in Australia

This paper looks at the intergovernmental mechanisms by which federalism operates in Australia, notably the Council of Australian Governments (COAG), Commonwealth Grants Commission (CGC), Australian Loan Council (ALC). These three main systems contribute to improve Australian intergovernmental relations, that is, establish managerial mechanism in Australia. Australia’s intergovernmental system provides the foundation for new federalism operations. And these mechanisms are an opportunity to consider the intergovernmental relations as a whole. Reform of intergovernmental operations and federal financial arrangements would contribute to greater economic efficiency, improved equity outcomes, and greater accountability and transparency. Reform will deliver benefits to the national economy and improve both Commonwealth and state fiscal operation

Double Q2Q^2-rescaling model and the nuclear effect of the parton distribution functions

In order to overcome the shortcoming of nonconservation of nuclear momentum existing in the original $Q^2$-rescaling model(O$Q^2$RM) and avoid introducing nuclear shadowing factor, we proposed a double $Q^2$-rescaling model(D$Q^2$RM) for the parton distributions of the bound nucleon. Using the experimental data of lepton-nucleus deep inelastic scattering(DIS) and the condition of the nuclear momentum conservation, the $Q^2$-rescaling parameters of various partons for Sn, Fe, Ca and C nuclei are determined. The rescaling parameters of valence quark distributions are larger than unity and graduauly increases with atomic number A, on the contrary, the rescaling parameters of sea quark distributions and gluon distributions are smaller than unity, and slowly decreases with A. By using this model, the experimental data of the DIS process, the nuclear Drell-Yan process and $J/\psi$ photoproduction process are consistently and quite satisfactorily explained. Key words --- parton distribution functions, Nuclear effect, Double $Q^2$-rescaling model.Comment: 15 pages, 4 figures (to be published in Z. Phys. C

Clinical outcomes of prophylactic Damus-Kaye-Stansel anastomosis concomitant with bidirectional Glenn procedure

ObjectiveWe evaluated prophylactic Damus-Kaye-Stansel (DKS) anastomosis in association with the timing of a bidirectional Glenn (BDG) procedure as second-stage palliation aiming at Fontan completion to prevent late systemic ventricular outflow tract obstruction.MethodsBetween 1996 and 2005, 25 patients (14 boys; median age, 12 months) underwent a BDG procedure concomitant with DKS anastomosis. All had a systemic ventricular outflow tract through an intraventricular communication or morphologically developed subaortic conus and had previously undergone pulmonary artery banding. Enlargement of intraventricular communication and/or resection of a subaortic conus were not performed before or during the operation.ResultsTwenty-one (84%) patients subsequently underwent a Fontan operation, with a follow-up period of 6.8 ± 1.9 years (range, 4-11 years), with no mortalities after the Fontan operation. Cardiac catheterization showed that systemic ventricular end-diastolic volume was significantly decreased from 187% ± 74% of normal before BDG to 139% ± 35% after (P = .038) and to 73% ± 14% at 4.3 years after the Fontan operation (P < .001). However, the pressure gradient across the systemic ventricular outflow tract remained at 0.5 ± 0.8 mm Hg after DKS anastomosis and 0.6 ± 2.3 mm Hg at 4.6 years after the Fontan operation. None of the patients showed more than moderate aortic or neoaortic regurgitation, except 1 who progressed to pulmonary regurgitation after DKS anastomosis and required a reoperation for a systemic ventricular outflow tract. No anatomic properties affected late neoaortic valve function.ConclusionsRegardless of a significant reduction in systemic ventricular volume, DKS anastomosis concomitant with a BDG procedure shows promise for a nonobstructive systemic ventricular outflow tract after a Fontan operation

A INFLUÊNCIA DO SALÁRIO NA EVASÃO DOS CURSOS DE GRADUAÇÃO NO BRASIL

O presente estudo tem como objetivo verificar, de forma até então inédita, se o salário das profissões associadas aos seus respectivos cursos de graduação, influenciam a evasão de alunos dos cursos de Ensino Superior no Brasil. Para isso, foram utilizadas as bases do Censo da Educação Superior referentes aos anos de 2010 à 2014 fornecidas pelo INEP para obtenção dos dados acadêmicos, e a base do Censo Demográfico de 2010 fornecido pelo IBGE referente as informações sobre o mercado de trabalho. A análise foi feita a partir de uma regressão linear múltipla, verificando qual a influência das variáveis de mercado, principalmente o salário, na evasão dos cursos. Os resultados demonstraram que existe uma relação inversamente proporcional entre evasão e os rendimentos das profissões associadas, indicando que profissões melhor remuneradas ocasionam uma menor evasão ao curso que as prepara.This study aims to verify, in an unprecedented way, if the salary of professions associated with their respective undergraduate courses, influences the evasion of students from Higher Education courses in Brazil. For this, the bases of the Higher Education Census for the years 2010 to 2014 provided by INEP were used to obtain academic data, and the base of the 2010 Demographic Census provided by IBGE regarding information on the labor market. The analysis was made from a multiple linear regression, verifying the influence of the market variables, mainly the earnings, in the evasion of the courses. The results showed that there is an inversely proportional relationship between evasion and the income of associated professions, indicating that better paid professions result in less evasion in the course that prepares them

Long-term outcomes after definitive repair for tetralogy of Fallot with preservation of the pulmonary valve annulus

ObjectivesThe aim of our study was to evaluate the long-term outcomes after definitive repair of tetralogy of Fallot with preservation of the pulmonary valve (PV) annulus.MethodsFrom 1989 to 2000, 84 of 222 patients (37.8%) with tetralogy of Fallot and PV stenosis underwent definitive repair with preservation of the PV annulus without right ventriculotomy. PV commissurotomy was concomitantly performed in 74 patients (88.1%). The PV was bicuspid in 56 patients (66.7%); the mean Z value was −1.2 ± 1.5 (range, −4.9 to 2.4). The mean follow-up period was 15.8 ± 5.7 years (maximum, 22.8), and follow-up data were complete for 75 patients (89.3%).ResultsThe actuarial survival and freedom from reoperation rates at 20 years was 98.6% and 95.8%. The freedom from ventricular arrhythmia at 5, 10, 15, and 20 years was 98.7%, 89.6%, 74.1%, and 58.0%, respectively. All detected ventricular arrhythmias were isolated monofocal premature ventricular contractions. Freedom from moderate or greater pulmonary regurgitation at 5, 10, 15 and 20 years was 50.4%, 44.9%, 38.4%, and 35.7%, respectively. A bicuspid PV (hazard ratio, 2.910; 95% confidence interval, 1.404-6.204, P = .004) and a Z-value of less than −2 (hazard ratio, 1.948; 95% confidence interval, 0.915-5.857; P = .034) were the risk factors for developing moderate or greater pulmonary regurgitation.ConclusionsThe long-term outcomes after definitive repair of tetralogy of Fallot with preservation of the PV annulus were excellent. Although isolated, monofocal premature ventricular contractions were frequently observed, fatal ventricular arrhythmia was not. The indication should not only be decided by the PV annulus size, but also by the valvular morphology to maintain long-term PV competency

Structural and kinetic modification of aqueous hydroxypropylmethylcellulose(HPMC) induced by electron beam irration

Electron beam was irradiated on 10% and 20% hydroxypropylmethylcellulose (HPMC) aqueous solutions with different doses to make gel films. As increasing dose, the gel fraction of the film increased sharply above a critical dose and then decreased gradually after passing a maximum. The scission/cross-linking ratio and the critical dose were determined using the Charlesby-Rosiak equation as 0.52 and 9 kGy for 10% gel and 0.43 and 14 kGy for 20% gel, respectively. The gel fraction for 20% HPMC film was lower at low dose and higher at high dose than that for 10% film. The behavior of the swelling ratio of the gel film was just opposite to that of the gel fraction. The cross-linking density of the gel estimated from the Flory theory linearly increased with irradiation dose at low dose, passed a maximum around 100 and 160 kGy for 10% and 20% films, respectively, and decreased at high dose. These results suggest the competition of scission and cross-linking induced by indirect effect of irradiation. Dielectric relaxation measurement by time domain reflectometry and RF impedance/material analyzer revealed two characteristic relaxations of chain motions around 100MHz and of orientation of free water around 20GHz. From the dose dependence of the relaxation parameters determined by fitting to a combined equation of Cole-Cole type and KWW type, a coupling of motions of HPMC molecules and water molecules was strongly suggested. The critical dose for gelation was coincident with the dose for the maximum of t h and the minimum of Deh together with the minimum of t m and the maximum of Dem, where t h and Deh denote the relaxation time and the relaxation strength for free water molecular motion and t m and Dem the corresponding ones for HPMC molecular motion. The characteristic behavior was discussed in terms of the increase of affinity between HPMC and water and the constrained molecular motion in the gel network

Oxidative stress and quality of life in elderly patients with obstructive sleep apnea syndrome: are there differences after six months of Continuous Positive Airway Pressure treatment?

OBJECTIVES: This study evaluated the effect of Continuous Positive Airway Pressure treatment on oxidative stress parameters and the quality of life of elderly patients with obstructive sleep apnea syndrome. METHODS: In total, 30 obstructive sleep apnea syndrome patients and 27 subjects without obstructive sleep apnea syndrome were included in this study. Both groups underwent quality of life and oxidative stress evaluations at baseline and after six months. Polysomnography was performed in both groups at baseline and a second time in the obstructive sleep apnea syndrome group after six months of Continuous Positive Airway Pressure treatment. All of the variables were compared between the control and obstructive sleep apnea syndrome groups in this prospective case-control study. RESULTS: The baseline concentrations of the antioxidant enzyme catalase were higher in the obstructive sleep apnea syndrome group than the control group. After Continuous Positive Airway Pressure treatment, the obstructive sleep apnea syndrome group exhibited a reduction in the level of oxidative stress, as indicated by a decrease in the level of lipid peroxidation measured by the malondialdehyde (MDA) concentration [pre: 2.7 nmol malondialdehyde/mL (95% 1.6-3.7) vs. post: 1.3 nmol MDA/mL (0.7-1.9),

Oxidative stress and quality of life in elderly patients with obstructive sleep apnea syndrome: are there differences after six months of Continuous Positive Airway Pressure treatment?

OBJECTIVES: This study evaluated the effect of Continuous Positive Airway Pressure treatment on oxidative stress parameters and the quality of life of elderly patients with obstructive sleep apnea syndrome. METHODS: In total, 30 obstructive sleep apnea syndrome patients and 27 subjects without obstructive sleep apnea syndrome were included in this study. Both groups underwent quality of life and oxidative stress evaluations at baseline and after six months. Polysomnography was performed in both groups at baseline and a second time in the obstructive sleep apnea syndrome group after six months of Continuous Positive Airway Pressure treatment. All of the variables were compared between the control and obstructive sleep apnea syndrome groups in this prospective case-control study. RESULTS: The baseline concentrations of the antioxidant enzyme catalase were higher in the obstructive sleep apnea syndrome group than the control group. After Continuous Positive Airway Pressure treatment, the obstructive sleep apnea syndrome group exhibited a reduction in the level of oxidative stress, as indicated by a decrease in the level of lipid peroxidation measured by the malondialdehyde (MDA) concentration [pre: 2.7 nmol malondialdehyde/mL (95% 1.6-3.7) vs. post: 1.3 nmol MDA/mL (0.7-1.9), p<0.01]. Additionally, improvements were observed in two domains covered by the SF-36 questionnaire: functional capacity [pre: 77.4 (69.2-85.5) vs. post: 83.4 (76.9-89.9), p = 0.002] and pain [pre: 65.4 (52.8-78.1) vs. post: 77.8 (67.2-88.3), p = 0.004]. CONCLUSION: Our study demonstrated that the use of Continuous Positive Airway Pressure to treat obstructive sleep apnea syndrome in elderly patients reduced oxidative stress and improved the quality of life