Getting research findings into practice : when to act on the evidence.

There is increasing interest in providing evidence based health care—that is, care in which healthcare professionals, provider managers, those who commission health care, the public, and policymakers consistently consider research evidence when making decisions. Purchasers, for example, should be able to influence the organisation and delivery of care (such as for cancer and stroke services) and the type and content of services (such as using chiropractic for back pain or dilatation and curettage and drug treatment for menorrhagia). Policymakers should ensure that policies on treatment reflect and are consistent with research evidence, and that the incentive structure within the health system promotes cost effective practice. They must also ensure that there is an adequate infrastructure for monitoring changes in practice and for producing, gathering, summarising, and disseminating evidence. Clinicians determine the day to day care patients receive in healthcare systems, and user groups (for example, patients, their families, and their representatives) are also beginning to play an important role in influencing healthcare decisions

The SDSS-GALEX viewpoint of the truncated red sequence in field environments at z~0

We combine GALEX near-UV photometry with a volume-limited sample of local (0.005<z<0.037) SDSS DR4 galaxies to examine the composition and the environmental dependencies of the optical and UV-optical colour-magnitude (C-M) diagrams. We find that ~30% of red sequence galaxies in the optical C-M diagram show signs of ongoing star-formation from their spectra having EW(Halpha)>2A. This contamination is greatest at faint magnitudes (Mr>-19) and in field regions where as many as three-quarters of red sequence galaxies are star-forming, and as such has important consequences for following the build-up of the red sequence. We find that the NUV-r colour instead allows a much more robust separation of passively-evolving and star-forming galaxies, which allows the build-up of the UV-selected red sequence with redshift and environment to be directly interpreted in terms of the assembly of stellar mass in passively-evolving galaxies. We find that in isolated field regions the number density of UV-optical red sequence galaxies declines rapidly at magnitudes fainter than Mr~-19 and appears completely truncated at Mr~-18. This confirms the findings of Haines et al. (2007) that no passively-evolving dwarf galaxies are found more than two virial radii from a massive halo, whether that be a group, cluster or massive galaxy. These results support the downsizing paradigm whereby the red sequence is assembled from the top down, being already largely in place at the bright end by z~1, and the faint end filled in at later epochs in clusters and groups through environment-related processes such as ram-pressure stripping or galaxy harassment.Comment: 12 pages, 7 figures, MNRAS submitte

Case studies of clear air turbulence using the diagnostic Richardson Number Tendency formulation

The results of four case studies of clear air turbulence (CAT) using the diagnostic Richardson number tendency (DRT) formulation are highlighted. The performance of this technique in resolving regions of documented CAT encounters is encouraging. Its operational adaptability appears particularly attractive in that input data can be supplied by the currently operational rawinsonde system. Two CAT indices are calculated deterministically, sensing synoptic scale changes in static stability and vertical wind shear conductive for supporting mesoscale CAT layers. These two indices reveal volumes of the troposphere which act as source regions for patches of CAT. The first, the time to reach the critical Richardson number necessary for the initiation of turbulent conditions, was first used by Oard (1974). A second index is devised which is an adaptation of Roach's (1970) work relating synoptic scale and mesoscale energetical coupling and gives more information on the relative intensity of these source regions. The output from the DRT computer module highlights specific regions of the atmosphere which can be interpreted operationally in terms of a CAT encounter probability

Aerodynamic penalties of heavy rain on a landing aircraft

The aerodynamic penalties of very heavy rain on landing aircraft were investigated. Based on severity and frequency of occurrence, the rainfall rates of 100 mm/hr, 500 mm/hr, and 2000 mm/hr were designated, respectively, as heavy, severe, and incredible. The overall and local collection efficiencies of an aircraft encountering these rains were calculated. The analysis was based on raindrop trajectories in potential flow about an aircraft. All raindrops impinging on the aircraft are assumed to take on its speed. The momentum loss from the rain impact was later used in a landing simulation program. The local collection efficiency was used in estimating the aerodynamic roughness of an aircraft in heavy rain. The drag increase from this roughness was calculated. A number of landing simulations under a fixed stick assumption were done. Serious landing shortfalls were found for either momentum or drag penalties and especially large shortfalls for the combination of both. The latter shortfalls are comparable to those found for severe wind shear conditions

Health and sustainable development

If sustainable development is to mean anything, people must be healthy enough to benefit from it and not have their lives cut off prematurely. Development without health is meaningless. But the processes which are likely to occur in a world undergoing globalisation, climate change, urbanisation, population increase and many other changes, will impact upon human health in complex ways. Some of them will benefit us, others will create new or augmented threats to survival and health, while many others will have a complex mixture of effects

Railroads and Local Economic Development: The United States in the 1850s

We use county and individual-level data from 1850 and 1860 to examine the economic impact of gaining access to a railroad. Previous studies have found that rail access was positively correlated with the value of agricultural land at a point in time, and have interpreted this correlation as evidence that rail access chiefly benefitted agricultural land owners in the manner predicted by the Hekscher-Ohlin or Von Theunen models. We use a difference-in-difference strategy, comparing changes in outcomes in counties that gained rail access in the 1850s to those that either gained access earlier or did not have access before the Civil War. Most of the estimated effects are small and the signs are not wholly consistent with either model, under the null hypothesis that agriculture was the chief beneficiary of rail access. For example, we find that rail access appears to have increased urbanization, raised the likelihood of participation in the service sector, decreased agricultural yields, and reduced the share of improved acreage in total land area, opposite to the patterns predicted by either the Heckscher-Ohlin or Von Theunen models.

Visual examination apparatus

An automated visual examination apparatus for measuring visual sensitivity and mapping blind spot location is described. The apparatus includes a projection system for displaying to a patient a series of visual stimuli, a response switch enabling him to indicate his reaction to the stimuli, and a recording system responsive to both the visual stimuli per se and the patient's response. The recording system provides a correlated permanent record of both stimuli and response from which a substantive and readily apparent visual evaluation can be made

Visual sensitivity tester

Testing device uses closed loop film cassettes to project programmed visual stimuli on screen which the observer views through a lens making the stimuli appear to be at optical infinity. Tester is useful for determining changes in glautomatous visual field sensitivity

Visual examination apparatus

An automated visual examination apparatus for measuring visual sensitivity and mapping blind spot location including a projection system for displaying to a patient a series of visual stimuli. A response switch enables him to indicate his reaction to the stimuli, and a recording system responsive to both the visual stimuli per se and the patient's response. The recording system thereby provides a correlated permanent record of both stimuli and response from which a substantive and readily apparent visual evaluation can be made

A new approach to the stylistic analysis of humour

This article presents a new model of humour that can be used in the successful analysis of how and why literature can be found humorous. It deconstructs the theory that the perception of incongruity leads to the recognition of humour, proposing instead that the relationship between humour and incongruity is, in fact, the reverse of that generally assumed. I propose that humour is a process through which the familiar is brought to attention. One way this can occur is by drawing attention to the unnoticed contrasts between objects, making the familiar appear incongruous. The process can be modelled as a subjective construal (Langacker, 2008) in which the participants, and the process itself, are made prominent. This draws attention to the relationship between participants and to their shared experience of the world. I present an illustrative case study of subtle literary humour with an analysis of a passage from the short story ‘The Mouse’ by Saki (1910), demonstrating that, by modelling humour in the way I propose, it can be successfully explained using frameworks already in use in stylistic investigation