Innovation and Organisation in the UK magazine print publishing industry: a survey

This paper examines innovation within the UK magazine publishing industry. We find that publishers are able to engage with niche interest groups in order to supply a high value-added product. The paper attempts define the characteristics of the industry and to examine the drivers of innovation through a survey and an exploratory approach to data analysis. We suggest that the frequently employed simple output measures of innovation do not adequately capture the innovation process in this industry or the range of activities carried out by firms. We find that groups of firms engage different patterns of innovative behaviour depending on the drivers of innovation. Firms that are more responsive to consumer trends are more likely to engage in a wider range of associated activities in order to add value from their consumer knowledge

Improving the measurement of QALYs in dementia: Developing patient- and carer-reported health state classification systems using Rasch analysis

Objectives: Cost-utility analysis is increasingly used to inform resource allocation. This requires a means of valuing health states before and after intervention. Although generic measures are typically used to generate values, these do not perform well with people with dementia. We report the development of a health state classification system amenable to valuation for use in studies of dementia, derived from the DEMQOL system, a measure of health-related quality of life in dementia by patient self-report (DEMQOL) and carer proxy-report (DEMQOL-Proxy). Methods: Factor analysis was used to determine the dimensional structure of DEMQOL and DEMQOL-Proxy. Rasch analysis was subsequently used to investigate item performance across factors in terms of item-level ordering, functioning across subgroups, model fit and severity-range coverage. This enabled the selection of one item from each factor for the classification system. A sample of people with a diagnosis of mild/moderate dementia (n=644) and a sample of carers of those with mild/moderate dementia (n=683) were used. Results: Factor analysis found different 5-factor solutions for DEMQOL and DEMQOL-Proxy. Following item reduction and selection using Rasch analysis, a 5-dimension classification for DEMQOL and a 4-dimension classification for DEMQOL-Proxy were developed. Each item contained 4 health state levels. Conclusion: Combining Rasch and classical psychometric analysis is a valid method of selecting items for dementia health state classifications from both the patient and carer perspectives. The next stage is to obtain preference weights so that the measure can be used in the economic evaluation of treatment, care and support arrangements for dementia

Improving the measurement of QALYs in dementia: developing patient- and carer-reported health state classification systems using Rasch analysis

Objectives: Cost-utility analysis is increasingly used to inform resource allocation. This requires a means of valuing health states before and after intervention. Although generic measures are typically used to generate values, these do not perform well with people with dementia. We report the development of a health state classification system amenable to valuation for use in studies of dementia, derived from the DEMQOL system, a measure of health-related quality of life in dementia by patient self-report (DEMQOL) and carer proxy-report (DEMQOL-Proxy). Methods: Factor analysis was used to determine the dimensional structure of DEMQOL and DEMQOL-Proxy. Rasch analysis was subsequently used to investigate item performance across factors in terms of item-level ordering, functioning across subgroups, model fit and severity-range coverage. This enabled the selection of one item from each factor for the classification system. A sample of people with a diagnosis of mild/moderate dementia (n=644) and a sample of carers of those with mild/moderate dementia (n=683) were used. Results: Factor analysis found different 5-factor solutions for DEMQOL and DEMQOL-Proxy. Following item reduction and selection using Rasch analysis, a 5-dimension classification for DEMQOL and a 4-dimension classification for DEMQOL-Proxy were developed. Each item contained 4 health state levels. Conclusion: Combining Rasch and classical psychometric analysis is a valid method of selecting items for dementia health state classifications from both the patient and carer perspectives. The next stage is to obtain preference weights so that the measure can be used in the economic evaluation of treatment, care and support arrangements for dementia.quality adjusted life years; health related quality of life; Rasch analysis; preference-based measures of health; health states; dementia

Observations of a rotating macrospicule associated with an X-ray jet

We attempt to understand the driving mechanism of a macrospicule and its relationship with a coronal jet. We study the dynamics of a macrospicule and an associated coronal jet captured by multi-spacecraft observations. Doppler velocities both in the macrospicule and the coronal jet are determined by EIS and SUMER spectra. Their temporal evolution is studied using X-ray and He II 304 images. A blueshift of -120+/-15 km/s is detected on one side of the macrospicule, while a redshift of 50+/-6 km/s is found at the base of the other side. The inclination angle of the macrospicule inferred from a stereoscopic analysis with STEREO suggests that the measured Doppler velocities can be attributed to a rotating motion of the macrospicule rather than a radial flow or an expansion. The macrospicule is driven by the unfolding motion of a twisted magnetic flux rope, while the associated X-ray jet is a radial outflow.Comment: 4 pages, 3 figures, accepted for publication in A&

Surgical results: A justification of the surgeon selection process for the ACAS trial

AbstractPurpose: The selection of surgeons to participate in a prospective randomized trial comparing the efficacy of a surgical method with medical management is critically important because it will have a direct impact on the outcome of the study and the future use of the operation. We report the success of the method used for selecting surgeons who participated in the Asymptomatic Carotid Atherosclerosis Study (ACAS) by examining the surgical morbidity and mortality rates and the outcome of the study.Methods: A Surgical Management Committee established criteria for auditing surgeons who wished to participate in the study. The parameters included a minimum performance of at least 12 carotid endarterectomies (CEA) per year and an audit of each surgeon's last 50 consecutive CEAs with required documentation of a combined neurologic morbidity and mortality rate of <3.0% for asymptomatic patients and <5.0% for all indications including symptomatic patients.Results: As of February 1991, 164 surgeons from 48 medical centers applied for ACAS participation. One hundred seventeen were approved, and their aggregate experience of 5641 operations yielded a combined neurologic morbidity and mortality rate of 2.3% for asymptomatic and symptomatic patients combined. The morbidity and mortality rate for CEA on asymptomatic patients was 1.7%. These surgeons, plus those recruited after February 1991, became investigators in the ACAS trial and were responsible for the surgical care of 825 patients who were randomized to the surgical arm. Seven hundred twenty-four patients actually underwent CEA. One patient (0.14%) died and ten patients (1.38%) had strokes within the 30-day perioperative interval, for a combined stroke or death incidence of 1.52%. The 5-year stroke event rate in the surgical group (including perioperative morbidity and mortality rates) was 5.1%, compared with 11% of patients treated medically, yielding a relative risk reduction of 53% in favor of surgery ( p =0.004).Conclusions: A method for selecting surgeons for participation in the ACAS trial was successful in providing low perioperative morbidity and mortality rates. This materially influenced the outcome of the study in favor of CEA. (J VASC SURG 1996;23:323-8.

Dipolar Bose-Einstein condensate soliton on a two-dimensional optical lattice

Using a three-dimensional mean-field model we study one-dimensional dipolar Bose-Einstein condensate (BEC) solitons on a weak two-dimensional (2D) square and triangular optical lattice (OL) potentials placed perpendicular to the polarization direction. The stabilization against collapse and expansion of these solitons for a fixed dipolar interaction and a fixed number of atoms is possible for short-range atomic interaction lying between two critical limits. The solitons collapse below the lower limit and escapes to infinity above the upper limit. One can also stabilize identical tiny BEC solitons arranged on the 2D square OL sites forming a stable 2D array of interacting droplets when the OL sites are filled with a filling factor of 1/2 or less. Such an array is unstable when the filling factor is made more than 1/2 by occupying two adjacent sites of OL. These stable 2D arrays of dipolar superfluid BEC solitons are quite similar to the recently studied dipolar Mott insulator states on 2D lattice in the Bose-Hubbard model by Capogrosso-Sansone et al. [B. Capogrosso-Sansone, C. Trefzger, M. Lewenstein, P. Zoller, G. Pupillo, Phys. Rev. Lett. 104 (2010) 125301].Comment: 8 pages, 5 figures and 2 table