13,866 research outputs found
Squeeziness: An information theoretic measure for avoiding fault masking
Copyright @ 2012 ElsevierFault masking can reduce the effectiveness of a test suite. We propose an information theoretic measure, Squeeziness, as the theoretical basis for avoiding fault masking. We begin by explaining fault masking and the relationship between collisions and fault masking. We then define Squeeziness and demonstrate by experiment that there is a strong correlation between Squeeziness and the likelihood of collisions. We conclude with comments on how Squeeziness could be the foundation for generating test suites that minimise the likelihood of fault masking
FARM-LEVEL EVALUATION OF ALTERNATIVE POLICY APPROACHES TO REDUCE NITRATE LEACHING FROM MIDWEST AGRICULTURE
Policies to reduce nitrate leaching are evaluated using a mixed integer linear programming model of a representative Michigan cash grain farm. At spring 1993 prices, elimination of the current deficiency payment program is found to be more efficient at reducing leaching than a nitrogen input tax, a tax credit on biologically fixed nitrogen, a rotation payment, or obligatory use of the Integrated Farm Management Program Option (IFMPO). However, elimination of the deficiency payment program would significantly reduce farm income. Modeling risk management and nitrate leaching dynamics are useful extensions of this research, as is estimating the benefits from averting nitrate leaching.Agricultural and Food Policy,
Improving Access to Psychological Therapy: Initial Evaluation of the Two Demonstration Sites
The Government's Improving Access to Psychological Therapy (IAPT) programme aims to implement NICE Guidance for people with depression and anxiety disorders. In the first phase of the programme, two demonstration sites were established in Doncaster and Newham with funding to provide increased availability of cognitive-behaviour therapy-based (CBT) services to those in the community who need them. The services opened in late summer 2006. This paper documents the achievements of the sites up to September 2007 (roughly their first year of operation) and makes recommendations for the future roll out of IAPT services.Cognitive Behavioural Therapy, CBT, Psychological therapy, Evaluation, Cost benefit analysis, IAPT
Continued monitoring of LMXBs with the Faulkes Telescopes
The Faulkes Telescope Project is an educational and research arm of the Las Cumbres Observatory Global Telescope Network (LCOGTN). It has two 2-metre robotic telescopes, located at Haleakala on Maui (FT North) and Siding Spring in Australia (FT South). It is planned for these telescopes to be complemented by a research network of eighteen 1-metre telescopes, along with an educational network of twenty-eight 0.4-metre telescopes, providing 24 hour coverage of both northern and southern hemispheres.
We have been conducting a monitoring project of 13 low-mass X-ray binaries (LMXBs) using FT North since early 2006. The introduction of FT South has allowed us to extend this to monitor a total of 30 LMXBs (see target list, Section 4). New instrumentation will allow us to expand this project to include both infrared wavelengths (z and y band) and spectroscopy. Brighter targets (~ 16 - 18 mag.) are imaged weekly in V, R and i’ bands (SNR ~ 50), while fainter ones (> 18 mag.) are observed only in i’ band (SNR ~ 20). We alter this cadence in response to our own analysis or Astronomers Telegrams (ATels)
The unavoidable costs of ethnicity : a review of evidence on health costs
This report was commissioned by the Advisory Committee on Resource Allocation (ACRA), and prepared
by the Centre for Health Services Studies (CHESS) and the Centre for Research in Ethnic Relations
(CRER) at the University of Warwick. The NHS Executive does not necessarily assent to the factual
accuracy of the report, nor necessarily share the opinions and recommendations of the authors.
The study reviews the evidence concerning the degree to which the presence of populations of minority
ethnic origin was associated with ‘unavoidable additional costs’ in health service delivery. While local
health authorities retail full autonomy in their use of funds allocated to them under the Hospital and
Community Health Services formula, the size of that budget is governed by a set of weightings applied to
their population, to allow for factors known to influence levels of need, and the costs of providing services.
The study began by considering the definitions used in describing ‘ethnicity’ and ethnic groups in relevant
medical and social policy literature. It is clear that no fixed set of terms can be adopted, and that flexibility
is required to respond to social changes. The terms used in the 1991 Census, with additions to allow for
local and contemporary developments, provide a suitable baseline but require additional information on
religion language and migration history for clinical and health service delivery planning.
There have been notable developments in health service strategy to meet the needs of black and minority
ethnic groups which have been encouraged by good practice guidelines and local initiatives. Together with
research into epidemiology and ethnic monitoring of services, these have enlarged understanding of the
impact of diversity. A conceptual model is developed which explores the potential for such diversity to lead
to variations in the cost of providing health services to a multi-ethnic population.
The research team reviewed the existing published evidence relating to ethnic health and disease treatment
in medical, social science, academic and practitioner literature, using conventional techniques. Additional
evidence was located through trawls of ‘grey’ literature in specialist collections, and through contacting all
English health districts with a request for information. A number of authorities and trusts provided written
and oral evidence, and a bibliography of key materials is provided.
Key issues considered include the need for and use of, interpreter and translation services, the incidence of
‘ethnically-specific’ disease, and variations in the prevalence and cost of treating ‘common’ conditions in
minority ethnic populations. Sources of variation are discussed, and a ‘scoping’ approach adopted to
explore the extent to which these variations could be adequately modelled. It is clear that while some
additional costs can be identified, and seen to be unavoidable, there are other areas where the presence of
minority populations may lead to lessened pressures on budgets, or where provision of ‘ethnic-specific’
facilities may be alternative to existing needs.
The literature provides a range of estimates which can be used in a modelling exercise, but is deficient in
many respects, particularly in terms of precise costs associated with procedure and conditions, or in
associating precise and consistent categories of ethnic group with epidemiological and operational service
provision data. Certain other activities require funding to set them up, and may not be directly related to
population size. There is considerable variation in the approaches adopted by different health authorities,
and many services are provided by agencies not funded by NHS budgets. The study was completed before
the announcement of proposed changes in health service commissioning which may have other implications
for ethnic diversity.
The presence of minorities is associated with the need to provide additional services in respect of
interpreting and translation, and the media of communication.
In order to achieve clinical effectiveness, a range of advocacy support facilities or alternative models of
provision seem to be desirable.
Ethnic diversity requires adaptation and additional evidence in order to inform processes of consultation
and commissioning.
Minority populations do create demands for certain additional specific clinical services not required by the
bulk of the majority population: it is not yet clear to what extent the reverse can be stated since research on
‘under-use’ is less well developed.
Some variations in levels of need, particularly those relating to established clinical difference in
susceptibility or deprivation, are already incorporated in funding formulae although it is not clear how far
the indicators adequately reflect these factors.
Costs are not necessarily simply related to the size of minority populations.
The provision of services to meet minority needs is not always a reflection of their presence, but has
frequently depended upon the provision of additional specific funds.
There is a consensus that the NHS research and development strategy should accept the need for more work
to establish the actual levels of need and usage of service by ethnic minority groups, and that effort should
be made to use and improve the growing collection of relevant information through ethnic monitoring
activities.
A variety of modelling techniques are suggested, and can be shown to have the potential to provide
practical guidance to future policy in the field.
Current data availability at a national or regional scale is inadequate to provide estimates of the ‘additional
costs of ethnicity’ but locally collected data and the existence of relevant policy initiatives suggest that a
focused study in selected districts would provide sufficiently robust information to provide reliable
estimates.
The review has demonstrated that there are costs associated with the presence of minority ethnic groups in
the population which can be shown to be unavoidable and additional, but that others are either ‘desirable’ or
‘alternative’. It would be wrong to assume that all cost pressures of this nature are in the same direction.
Our study has drawn attention to deficiencies in data collection and budgeting which may hinder
investigation of the effectiveness of the service in general. The process of drawing attention to ethnic
minority needs itself leads to developments in services which are functional and desirable for the majority
population
Likelihood of death within one year among a national cohort of hospital inpatients in Scotland
No abstract available
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