Setting up an acupuncture knee clinic under Practice Based Commissioning

Original article can be found at: http://www.acupunctureinmedicine.org.uk/index.shtmlThis paper outlines the setting up of a new service in primary care offering acupuncture to patients with severe osteoarthritis of the knee. The high volume clinic is funded under the Practice Based Commissioning initiative and is the first of its type in the UK. It would appear to offer a model for similar services elsewhere.Peer reviewe

A descriptive study of two community projects for the coordination of services for the aged

Thesis (M.S.)--Boston Universit

A descriptive study of two community projects for the coordination of services for the aged

Thesis (M.S.)--Boston Universit

Design of a video teleconference facility for a synchronous satellite communications link

The system requirements, design tradeoffs, and final design of a video teleconference facility are discussed, including proper lighting, graphics transmission, and picture aesthetics. Methods currently accepted in the television broadcast industry are used in the design. The unique problems associated with using an audio channel with a synchronous satellite communications link are discussed, and a final audio system design is presented

The pitch-heave dynamics of transportation vehicles

The analysis and design of suspensions for vehicles of finite length using pitch-heave models is presented. Dynamic models for the finite length vehicle include the spatial distribution of the guideway input disturbance over the vehicle length, as well as both pitch and heave degrees-of-freedom. Analytical results relate the vehicle front and rear accelerations to the pitch and heave natural frequencies, which are functions of vehicle suspension geometry and mass distribution. The effects of vehicle asymmetry and suspension contact area are evaluated. Design guidelines are presented for the modification of vehicle and suspension parameters to meet alternative ride quality criteria

Hierarchical models of very large problems, dilemmas, prospects, and an agenda for the future

Interdisciplinary approaches to the modeling of global problems are discussed in terms of multilevel cooperation. A multilevel regionalized model of the Lake Erie Basin is analyzed along with a multilevel regionalized world modeling project. Other topics discussed include: a stratified model of interacting region in a world system, and the application of the model to the world food crisis in south Asia. Recommended research for future development of integrated models is included

Quantification of channel planform change on the lower Rangitikei River, New Zealand, 1949-2007: response to management?

The Rangitikei River, a large gravel‐bed wandering river located in the North Island of New Zealand, has outstanding scenic characteristics, recreational, fisheries and wildlife habitat features. Recently concerns have been raised over the potential negative impact that perceived channel changes in the latter part of the 20th century may be having on the Rangitikei River recreational fishery. This study describes and quantifies the large‐scale morphological changes that have occurred in selected reaches of the lower Rangitikei River between 1949 and 2007. This research utilised historical aerial photography and analysis in ArcGIS® to quantify channel planform change in three reaches, encompassing ~18 km of the lower Rangitikei River. This showed that the lower Rangitikei was transformed from a multi‐channelled planform to a predominantly single‐thread wandering planform, with an associated reduction in morphological complexity and active channel width of up to 74%, between 1949 and 2007. Bank protection measures instigated under the Rangitikei River Scheme have primarily driven these changes. Gravel extraction has also contributed by enhancing channel‐floodplain disconnection and exacerbating sediment deficits. The findings of this study have implications for future management of the Rangitikei. Previous lower Rangitikei River management schemes have taken a reach‐based engineering approach with a focus on bank erosion protection and flood mitigation. This study has confirmed the lower river has responded geomorphologically to these goals of river control. However questions as to the economic and ecological sustainability of this management style may encourage river managers to consider the benefits of promoting a self‐adjusting fluvial system within a catchment‐framed management approach