Sample records for england complex systems

  1. Theorising Systemic Change: Learning from the Academisation Project in England

    ERIC Educational Resources Information Center

    Rayner, Stephen M.; Courtney, Steven J.; Gunter, Helen M.

    2018-01-01

    The research reported in this article contributes new understandings of systemic change by studying the form of system redesign known in England as "academisation." The data illuminate tensions within the neoliberal policy complex that are surfaced in a single secondary school. Although several studies have described academy conversions…

  2. "It's a complex mesh"- how large-scale health system reorganisation affected the delivery of the immunisation programme in England: a qualitative study.

    PubMed

    Chantler, Tracey; Lwembe, Saumu; Saliba, Vanessa; Raj, Thara; Mays, Nicholas; Ramsay, Mary; Mounier-Jack, Sandra

    2016-09-15

    . Partnership working helped staff adapt, but the complexity of the health system hindered the development of consistent approaches for training and service evaluation. The April 2013 health system reorganisation in England resulted in significant fragmentation in the way the immunisation programme was delivered. Some of this was a temporary by-product of organisational change, other more persistent challenges were intrinsic to the complex architecture of the new health system. Partnership working helped immunisation leaders and implementers reconnect and now the challenge is to assess how inter-agency collaboration can be strengthened.

  3. Systemic Amyloidosis in England: an epidemiological study

    PubMed Central

    Pinney, Jennifer H; Smith, Colette J; Taube, Jessi B; Lachmann, Helen J; Venner, Christopher P; Gibbs, Simon D J; Dungu, Jason; Banypersad, Sanjay M; Wechalekar, Ashutosh D; Whelan, Carol J; Hawkins, Philip N; Gillmore, Julian D

    2013-01-01

    Epidemiological studies of systemic amyloidosis are scarce and the burden of disease in England has not previously been estimated. In 1999, the National Health Service commissioned the National Amyloidosis Centre (NAC) to provide a national clinical service for all patients with amyloidosis. Data for all individuals referred to the NAC is held on a comprehensive central database, and these were compared with English death certificate data for amyloidosis from 2000 to 2008, obtained from the Office of National Statistics. Amyloidosis was stated on death certificates of 2543 individuals, representing 0·58/1000 recorded deaths. During the same period, 1143 amyloidosis patients followed at the NAC died, 903 (79%) of whom had amyloidosis recorded on their death certificates. The estimated minimum incidence of systemic amyloidosis in the English population in 2008, based on new referrals to the NAC, was 0·4/100 000 population. The incidence peaked at age 60–79 years. Systemic AL amyloidosis was the most common type with an estimated minimum incidence of 0·3/100 000 population. Although there are various limitations to this study, the available data suggest the incidence of systemic amyloidosis in England exceeds 0·8/100 000 of the population. PMID:23480608

  4. Development of priority based statewide scour monitoring systems in New England (PDF file)

    DOT National Transportation Integrated Search

    2001-08-02

    A project was funded by the New England Transportation Consortium to research the creation of a scour monitoring system : that would assist in the allocation of resources during potentially destructive flood events in New England. Emphasis was placed...

  5. Genetic variation in populations of Culicoides variipennis complex in the six New England states, U.S.A.

    PubMed

    Holbrook, F R; Tabachnick, W J; Brady, R

    1996-04-01

    We investigated the identity and distribution of members of the Culicoides variipennis complex in the six New England states of the U.S.A., a region where bluetongue transmission has not been detected. Analyses of seven polymorphic isozyme-encoding loci showed that only C.v.variipennis, not considered to be a vector of the bluetongue viruses, was present. The populations of C.v.variipennis were significantly more hetero-zygous than C.v.sonorensis and C.v.occidentalis populations from similar studies in the state of California. Estimates of genetic diversity among populations of C.v.variipennis in New England were similar to C.v.sonorensis in the state of Colorado, but were significantly more genetically divergent than California populations of C.v.occidentalis. The impact of these findings on the status of New England as a possible bluetongue-free region for the purpose of international trade in ruminant livestock and their germplasm is discussed.

  6. Diversity and Complexity: Becoming a Teacher in England in 2015-2016

    ERIC Educational Resources Information Center

    Whiting, Caroline; Whitty, Geoff; Menter, Ian; Black, Pat; Hordern, Jim; Parfitt, Anne; Reynolds, Kate; Sorensen, Nick

    2018-01-01

    This paper is based on a profile of Initial Teacher Training (ITT) provision in England, which was developed as part of a wider research programme on Diversity in Teacher Education (DiTE) based at Bath Spa University. It provides a new topography of routes to qualified teacher status (QTS) in England for the academic year 2015-2016, along similar…

  7. Environment Agency England flood warning systems

    NASA Astrophysics Data System (ADS)

    Strong, Chris; Walters, Mark; Haynes, Elizabeth; Dobson, Peter

    2015-04-01

    Context In England around 5 million homes are at risk of flooding. We invest significantly in flood prevention and management schemes but we can never prevent all flooding. Early alerting systems are fundamental to helping us reduce the impacts of flooding. The Environment Agency has had the responsibility for flood warning since 1996. In 2006 we invested in a new dissemination system that would send direct messages to pre-identified recipients via a range of channels. Since then we have continuously improved the system and service we offer. In 2010 we introduced an 'opt-out' service where we pre-registered landline numbers in flood risk areas, significantly increasing the customer base. The service has performed exceptionally well under intense flood conditions. Over a period of 3 days in December 2013, when England was experiencing an east coast storm surge, the system sent nearly 350,000 telephone messages, 85,000 emails and 70,000 text messages, with a peak call rate of around 37,000 per hour and 100% availability. The Floodline Warnings Direct (FWD) System FWD provides warnings in advance of flooding so that people at risk and responders can take action to minimise the impact of the flood. Warnings are sent via telephone, fax, text message, pager or e-mail to over 1.1 million properties located within flood risk areas in England. Triggers for issuing alerts and warnings include attained and forecast river levels and rainfall in some rapidly responding locations. There are three levels of warning: Flood Alert, Flood Warning and Severe Flood Warning, and a stand down message. The warnings can be updated to include relevant information to help inform those at risk. Working with our current provider Fujitsu, the system is under a programme of continuous improvement including expanding the 'opt-out' service to mobile phone numbers registered to at risk addresses, allowing mobile registration to the system for people 'on the move' and providing access to

  8. The complexity of patient safety reporting systems in UK dentistry.

    PubMed

    Renton, T; Master, S

    2016-10-21

    Since the 'Francis Report', UK regulation focusing on patient safety has significantly changed. Healthcare workers are increasingly involved in NHS England patient safety initiatives aimed at improving reporting and learning from patient safety incidents (PSIs). Unfortunately, dentistry remains 'isolated' from these main events and continues to have a poor record for reporting and learning from PSIs and other events, thus limiting improvement of patient safety in dentistry. The reasons for this situation are complex.This paper provides a review of the complexities of the existing systems and procedures in relation to patient safety in dentistry. It highlights the conflicting advice which is available and which further complicates an overly burdensome process. Recommendations are made to address these problems with systems and procedures supporting patient safety development in dentistry.

  9. A comparison of substance dependence treatment information system in America, England, and Iran.

    PubMed

    Ajami, Sima; Mellat-Karkevandi, Zahra; Saghaeiannejad-Isfahani, Sakineh; Salehi, Mehrdad; Jahanbakhsh, Maryam

    2014-01-01

    Addiction, as a social problem, is a phenomenon that causes structural changes in cultural, social, political, and economic system in society. Prevention of this problem means decrease of risk factors and increase of protective factors; and recognition of these factors is possible with the help of update, accurate, and complete information in information systems. The aim of this study was to compare substance dependence treatment information system (SDTIS) in America, England, and Iran. This research was an applied and comparison-descriptive study, in which SDTIS was compared in America, England, and Iran. These countries were chosen based on available information on the Internet and also on the development of these countries in the health information management field. Information resources included library resources, electronic resources, and expert people (Health Information Management, Medical Records Education, Psychologist, Psychiatrist, and Medical Informatics). The data collection tool was the data raw form, whose reliability was proved by expert people. Findings were analyzed by theory and descriptive method. America and England had the SDTIS. Their systems had special characteristics such as goals, scope, special method for collecting, processing, reporting, quality and validity control, and confidentiality principles. However, there was no such system in Iran and the present situation in Iran has many differences with similar situations in the studied countries. Presence of an information system in the substance dependence treatment field helps to prevent, control, and treat addicted people. Hence, we try to submit a suitable model for implementing this system.

  10. Modeling the complex activity of sickle cell and thalassemia specialist nurses in England.

    PubMed

    Leary, Alison; Anionwu, Elizabeth N

    2014-01-01

    Specialist advanced practice nursing in hemoglobinopathies has a rich historical and descriptive literature. Subsequent work has shown that the role is valued by patients and families and also by other professionals. However, there is little empirical research on the complexity of activity of these services in terms of interventions offered. In addition, the work of clinical nurse specialists in England has been devalued through a perception of oversimplification. The purpose of this study was to understand the complexity of expert nursing practice in sickle cell and thalassemia. The approach taken to modeling complexity was used from common methods in mathematical modeling and computational mathematics. Knowledge discovery through data was the underpinning framework used in this study using a priori mined data. This allowed categorization of activity and articulation of complexity. In total, 8966 nursing events were captured over 1639 hours from a total of 22.8 whole time equivalents, and several data sources were mined. The work of specialist nurses in this area is complex in terms of the physical and psychosocial care they provide. The nurses also undertook case management activity such as utilizing a very large network of professionals, and others participated in admission avoidance work and education of patients' families and other staff. The work of nurses specializing in hemoglobinopathy care is complex and multidimensional and is likely to contribute to the quality of care in a cost-effective way. An understanding of this complexity can be used as an underpinning to establishing key performance indicators, optimum caseload calculations, and economic evaluation.

  11. Developing and validating a new national remote health advice syndromic surveillance system in England.

    PubMed

    Harcourt, S E; Morbey, R A; Loveridge, P; Carrilho, L; Baynham, D; Povey, E; Fox, P; Rutter, J; Moores, P; Tiffen, J; Bellerby, S; McIntosh, P; Large, S; McMenamin, J; Reynolds, A; Ibbotson, S; Smith, G E; Elliot, A J

    2017-03-01

    Public Health England (PHE) coordinates a suite of real-time national syndromic surveillance systems monitoring general practice, emergency department and remote health advice data. We describe the development and informal evaluation of a new syndromic surveillance system using NHS 111 remote health advice data. NHS 111 syndromic indicators were monitored daily at national and local level. Statistical models were applied to daily data to identify significant exceedances; statistical baselines were developed for each syndrome and area using a multi-level hierarchical mixed effects model. Between November 2013 and October 2014, there were on average 19 095 NHS 111 calls each weekday and 43 084 each weekend day in the PHE dataset. There was a predominance of females using the service (57%); highest percentage of calls received was in the age group 1-4 years (14%). This system was used to monitor respiratory and gastrointestinal infections over the winter of 2013-14, the potential public health impact of severe flooding across parts of southern England and poor air quality episodes across England in April 2014. This new system complements and supplements the existing PHE syndromic surveillance systems and is now integrated into the routine daily processes that form this national syndromic surveillance service. © Crown copyright 2016.

  12. Product Diversity and Spectrum of Choice in Hospital ePrescribing Systems in England

    PubMed Central

    Mozaffar, Hajar; Williams, Robin; Cresswell, Kathrin; Morison, Zoe; Slee, Ann; Team, Aziz Sheikh; Coleman, Jamie; Bates, David W.; Robertson, Ann; Avery, Tony; Blake, Laurence; Chuter, Antony; Slight, Sarah P.; Girling, Alan; Lee, Lisa; Lilford, Richard; McCloughan, Lucy; Schofield, Jill

    2014-01-01

    Background ePrescribing systems have considerable potential for improving healthcare quality and safety. With growing expectations about the benefits of such systems, there is evidence of widespread plans to implement these systems in hospitals in England where hitherto they have had a low uptake. Given the international drive away from developing home-grown to systems to procuring commercial applications, we aimed to identify available ePrescribing systems in England and to use the findings to develop a taxonomy of the systems offered by suppliers. Methods and Findings We undertook a scoping review of the published and grey literature, and conducted expert interviews with vendors, healthcare organisations and national ePrescribing experts in order to identify the spectrum of available systems, identify and map their key features, and then iteratively develop and validate a taxonomy of commercial ePrescribing systems available to English hospitals. There is a wide range of available systems including 13 hospital-wide applications and a range of specialty systems. These commercial applications can be grouped into four sub-categories: standalone systems, modules within integrated systems, functionalities spread over several modules, and specialty systems. The findings also reveal that apart from four packaged applications (two of which are specialty systems), all other systems have none or less than two live implementations across England. Conclusions The wide range of products developed in the last few years by different national and international suppliers, and the low uptake of these products by English hospitals indicate that the English ePrescribing market is still in its infancy. This market is undergoing rapid cycles of change, both with respect to the number of suppliers and their diversity of offerings. Constant renewal of knowledge is needed on the status of this evolving market, encompassing the products development and adoption, to assist implementation

  13. Racialised Norms in Apprenticeship Systems in England and Germany

    ERIC Educational Resources Information Center

    Chadderton, Charlotte; Wischmann, Anke

    2014-01-01

    In this paper, we consider the issue of the under-representation of young people from minority ethnic/migrant backgrounds in apprenticeships in England and Germany. Whilst there are many studies on apprenticeships in England and Germany, few focus on under-representation or discrimination, even fewer on ethnic under-representation, and there are…

  14. Developing resilience to England's future droughts: time for cap and trade?

    PubMed

    Mitchell, Gordon; McDonald, Adrian

    2015-02-01

    Much of England is seriously water stressed and future droughts will present major challenges to the water industry if socially and economically damaging supply restrictions are to be avoided. Demand management is seen as a key mechanism for alleviating water stress, yet there are no truly effective incentives to encourage widespread adoption of the behavioural and technological demand management practices available. Water pricing could promote conservation, but on its own it is an inefficient tool for dealing with short term restriction in water supply. Raising prices over the short term in response to a drought is likely to be ineffectual in lowering demand sufficiently; conversely, maintaining high prices over the long term implies costs to the consumer which are needlessly high most of the time. We propose a system for developing resilience to drought in highly water stressed areas, based on a cap and trade (C&T) model. The system would represent a significant innovation in England's water market. However, international experience shows that C&T is successful in other sectors, and need not be overly complex. Here, we open the debate on how a C&T system might work in England. Copyright © 2014 Elsevier Ltd. All rights reserved.

  15. Schisms in the church: National Health Service systems and institutional divergence in England and Wales.

    PubMed

    Hughes, David; Vincent-Jones, Peter

    2008-12-01

    Since devolution, the four countries of the United Kingdom have pursued strikingly different National Health Service (NHS) reforms. While England created a supply-side market more radical than the previous internal market system, Wales moved to a softer version of the purchaser/provider split emphasizing localism. This article deploys institutional theory to analyze the forces shaping change, and describes the hybrid forms of economic organization emerging, including the economic regulation model implemented in England. The schism that has resulted in separate NHS subsystems warrants a different analysis from the more familiar phenomenon of infield divergence. We argue that schism was triggered by political-regulatory influences rather than economic or other social institutional forces, and predict that other decentralized public health care systems may follow a similar path. While political-regulatory, normative, and cognitive institutional influences push in the same direction in Wales, the misalignment of political-regulatory and normative elements in England looks set to result in a period of organizational turbulence.

  16. Local Authorities and the Education of Young People with Sickle Cell Disorders in England

    ERIC Educational Resources Information Center

    Dyson, S. M.; Abuateya, H.; Atkin, K.; Culley, L. A.; Dyson, S. E.; Rowley, D. T.

    2008-01-01

    The successful inclusion of minority ethnic pupils with sickle cell disorders (SCD) raises a number of challenges for educational systems. In England, local education authorities were important drivers for innovative responses to complex needs and the former Inner London Education Authority produced guidance in 1989 on SCD in schools. Local…

  17. Complexity in the new NHS: longitudinal case studies of CCGs in England

    PubMed Central

    Checkland, Katherine; Coleman, Anna; Perkins, Neil

    2016-01-01

    Objective The reform in the English National Health Services (NHS) under the Health and Social Care Act 2012 is unlike previous NHS reorganisations. The establishment of clinical commissioning groups (CCGs) was intended to be ‘bottom up’ with no central blueprint. This paper sets out to offer evidence about how this process has played out in practice and examines the implications of the complexity and variation which emerged. Design Detailed case studies in CCGs across England, using interviews, observation and documentary analysis. Using realist framework, we unpacked the complexity of CCG structures. Setting/participants In phase 1 of the study (January 2011 to September 2012), we conducted 96 interviews, 439 h of observation in a wide variety of meetings, 2 online surveys and 38 follow-up telephone interviews. In phase 2 (April 2013 to March 2015), we conducted 42 interviews with general practitioners (GPs) and managers and observation of 48 different types of meetings. Results Our study has highlighted the complexity inherent in CCGs, arising out of the relatively permissive environment in which they developed. Not only are they very different from one another in size, but also in structure, functions between different bodies and the roles played by GPs. Conclusions The complexity and lack of uniformity of CCGs is important as it makes it difficult for those who must engage with CCGs to know who to approach at what level. This is of increasing importance as CCGs are moving towards greater integration across health and social care. Our study also suggests that there is little consensus as to what being a ‘membership’ organisation means and how it should operate. The lack of uniformity in CCG structure and lack of clarity over the meaning of ‘membership’ raises questions over accountability, which becomes of greater importance as CCG is taking over responsibility for primary care co-commissioning. PMID:26743708

  18. Examination of England's New Medicine Service (NMS) of complex health care interventions in community pharmacy.

    PubMed

    Latif, Asam; Waring, Justin; Watmough, Deborah; Barber, Nick; Chuter, Anthony; Davies, James; Salema, Nde-Eshimuni; Boyd, Matthew J; Elliott, Rachel A

    Community pharmacies are increasingly commissioned to deliver new, complex health interventions in response to the growing demands on family doctors and secondary health care services. Little is known about how these complex interventions are being accommodated and translated into the community pharmacy setting and whether their aims and objectives are realized in practice. The New Medicine Service (NMS) is a complex medicine management intervention that aims to support patients' adherence to newly prescribed medicines for a long-term condition. This study explores the recent implementation of the NMS in community pharmacies across England. It also seeks to understand how the service is becoming manifest in practice and what lessons can be learned for future service implementation. Structured, organizational ethnographic observations and in situ workplace interviews with pharmacists and support staff were undertaken within 23 English community pharmacies. Additionally, one-to-one, semi-structured interviews were carried out with 47 community pharmacists and 11 general practitioners (GPs). Observational and interview data were transcribed and analyzed thematically and guided by Damschroder's consolidated framework for implementation research. The NMS workload had been implemented and absorbed into pharmacists' daily routines alongside existing responsibilities with no extra resources and little evidence of reduction in other responsibilities. Pharmacists were pragmatic, simplifying, and adapting the NMS to facilitate its delivery and using discretion to circumvent perceived non-essential paperwork. Pharmacist understanding of the NMS was found to impact on what they believed should be achieved from the service. Despite pharmacists holding positive views about the value of the NMS, not all were convinced of its perceived benefits and necessity, with reports that many consultations did not identify any problems with the patients' medicines. GPs were generally

  19. Education in a Multicultural Environment: Equity Issues in Teaching and Learning in the School System in England

    ERIC Educational Resources Information Center

    Boyle, Bill; Charles, Marie

    2011-01-01

    The paper focuses on the auditing and accountancy paradigm that has dominated educational measurement of pupil performance for the last 20 years in England. The advocates of this minimum competency paradigm do not take account of the results of its dominance. These results include ignoring the heterogeneous complexity of groups within societies…

  20. Towards a Totalitarian Education System in England: Looking at the Academy Question in a Longer Policy Context

    ERIC Educational Resources Information Center

    Newsam, Peter

    2013-01-01

    In this opinion piece, the author writes that England is now well on the way to having the most totalitarian as well as one of the most inefficiently managed schools system in Europe. He states that in the much maligned 1960s, people came from all over the world to learn from what was being achieved in the best of England's publicly-funded, local…

  1. How a universal health system reduces inequalities: lessons from England

    PubMed Central

    Ali, Shehzad; Doran, Tim; Ferguson, Brian; Fleetcroft, Robert; Goddard, Maria; Goldblatt, Peter; Laudicella, Mauro; Raine, Rosalind; Cookson, Richard

    2016-01-01

    Background Provision of universal coverage is essential for achieving equity in healthcare, but inequalities still exist in universal healthcare systems. Between 2004/2005 and 2011/2012, the National Health Service (NHS) in England, which has provided universal coverage since 1948, made sustained efforts to reduce health inequalities by strengthening primary care. We provide the first comprehensive assessment of trends in socioeconomic inequalities of primary care access, quality and outcomes during this period. Methods Whole-population small area longitudinal study based on 32 482 neighbourhoods of approximately 1500 people in England from 2004/2005 to 2011/2012. We measured slope indices of inequality in four indicators: (1) patients per family doctor, (2) primary care quality, (3) preventable emergency hospital admissions and (4) mortality from conditions considered amenable to healthcare. Results Between 2004/2005 and 2011/2012, there were larger absolute improvements on all indicators in more-deprived neighbourhoods. The modelled gap between the most-deprived and least-deprived neighbourhoods in England decreased by: 193 patients per family doctor (95% CI 173 to 213), 3.29 percentage points of primary care quality (3.13 to 3.45), 0.42 preventable hospitalisations per 1000 people (0.29 to 0.55) and 0.23 amenable deaths per 1000 people (0.15 to 0.31). By 2011/2012, inequalities in primary care supply and quality were almost eliminated, but socioeconomic inequality was still associated with 158 396 preventable hospitalisations and 37 983 deaths amenable to healthcare. Conclusions Between 2004/2005 and 2011/2012, the NHS succeeded in substantially reducing socioeconomic inequalities in primary care access and quality, but made only modest reductions in healthcare outcome inequalities. PMID:26787198

  2. Complexity in the new NHS: longitudinal case studies of CCGs in England.

    PubMed

    Checkland, Katherine; McDermott, Imelda; Coleman, Anna; Perkins, Neil

    2016-01-07

    The reform in the English National Health Services (NHS) under the Health and Social Care Act 2012 is unlike previous NHS reorganisations. The establishment of clinical commissioning groups (CCGs) was intended to be 'bottom up' with no central blueprint. This paper sets out to offer evidence about how this process has played out in practice and examines the implications of the complexity and variation which emerged. Detailed case studies in CCGs across England, using interviews, observation and documentary analysis. Using realist framework, we unpacked the complexity of CCG structures. In phase 1 of the study (January 2011 to September 2012), we conducted 96 interviews, 439 h of observation in a wide variety of meetings, 2 online surveys and 38 follow-up telephone interviews. In phase 2 (April 2013 to March 2015), we conducted 42 interviews with general practitioners (GPs) and managers and observation of 48 different types of meetings. Our study has highlighted the complexity inherent in CCGs, arising out of the relatively permissive environment in which they developed. Not only are they very different from one another in size, but also in structure, functions between different bodies and the roles played by GPs. The complexity and lack of uniformity of CCGs is important as it makes it difficult for those who must engage with CCGs to know who to approach at what level. This is of increasing importance as CCGs are moving towards greater integration across health and social care. Our study also suggests that there is little consensus as to what being a 'membership' organisation means and how it should operate. The lack of uniformity in CCG structure and lack of clarity over the meaning of 'membership' raises questions over accountability, which becomes of greater importance as CCG is taking over responsibility for primary care co-commissioning. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go

  3. Clinical outcomes and costs for people with complex psychosis; a naturalistic prospective cohort study of mental health rehabilitation service users in England.

    PubMed

    Killaspy, Helen; Marston, Louise; Green, Nicholas; Harrison, Isobel; Lean, Melanie; Holloway, Frank; Craig, Tom; Leavey, Gerard; Arbuthnott, Maurice; Koeser, Leonardo; McCrone, Paul; Omar, Rumana Z; King, Michael

    2016-04-07

    Mental health rehabilitation services in England focus on people with complex psychosis. This group tend to have lengthy hospital admissions due to the severity of their problems and, despite representing only 10-20 % of all those with psychosis, they absorb 25-50 % of the total mental health budget. Few studies have investigated the effectiveness of these services and there is little evidence available to guide clinicians working in this area. As part of a programme of research into inpatient mental health rehabilitation services, we carried out a prospective study to investigate longitudinal outcomes and costs for patients of these services and the predictors of better outcome. Inpatient mental health rehabilitation services across England that scored above average (median) on a standardised quality assessment tool used in a previous national survey were eligible for the study. Unit quality was reassessed and costs of care and patient characteristics rated using standardised tools at recruitment. Multivariable regression modelling was used to investigate the relationship between service quality, patient characteristics and the following clinical outcomes at 12 month follow-up: social function; length of admission in the rehabiliation unit; successful community discharge (without readmission or community placement breakdown) and costs of care. Across England, 50 units participated and 329 patients were followed over 12 months (94 % of those recruited). Service quality was not associated with patients' social function or length of admission (median 16 months) at 12 months but most patients were successfully discharged (56 %) or ready for discharge (14 %), with associated reductions in the costs of care. Factors associated with successful discharge were the recovery orientation of the service (OR 1.04, 95 % CI 1.00-1.08), and patients' activity (OR 1.03, 95 % CI 1.01-1.05) and social skills (OR 1.13, 95 % CI 1.04-1.24) at recruitment. Inpatient mental health

  4. Factors Affecting Completion of Apprenticeship Training in England

    ERIC Educational Resources Information Center

    Gambin, Lynn; Hogarth, Terence

    2016-01-01

    This paper examines factors that are associated with the probability of completion of apprenticeship programmes by individual learners in England. Data are from the 2008/2009 academic year Individualised Learner Record--the administrative database containing information on all learners in the Further Education system in England. The analysis…

  5. 75 FR 16096 - New England Power Generators Association Inc., Complainant v. ISO New England Inc., Respondent...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-03-31

    ...-787-000] New England Power Generators Association Inc., Complainant v. ISO New England Inc., Respondent; ISO New England Inc. and New England Power Pool; Notice of Complaint March 24, 2010. Take notice... Inc. (Complainant) filed a formal complaint against ISO New England Inc. (Respondent) alleging that...

  6. Preparing primary care for the future - perspectives from the Netherlands, England, and USA.

    PubMed

    Erler, Antje; Bodenheimer, Thomas; Baker, Richard; Goodwin, Nick; Spreeuwenberg, Cor; Vrijhoef, Hubertus J M; Nolte, Ellen; Gerlach, Ferdinand M

    2011-01-01

    All modern healthcare systems need to respond to the common challenges posed by an aging population combined with a growing number of patients with (complex) chronic conditions and rising patient expectations. Countries with 'stronger' primary care systems (e.g. the Netherlands and England) seem to be better prepared to address these challenges than countries with 'weaker' primary care (e.g. USA). The role of primary care in a health care system is strongly related to its organisation and funding, thus determining the starting point and the possibilities for change. We selected the Netherlands, England, and USA as examples for the diversity of approaches to organise and finance health care. We analysed the main problems for primary care and reviewed strategies and practice models used to meet the challenges described above. The Netherlands aim to strengthen prevention for chronic diseases, while England strives to improve the management of patients with multimorbidity, prevent hospital admissions to contain costs, and to satisfy the increased demand of patients for access to primary care. Both countries seek to reorganise care around the patient and place their needs at the centre. The USA has to provide sufficient workforce, organisation, and funding for primary care to ensure better access, prevention, and provision of chronic care for its population. Strategies to improve (trans-sectoral) cooperation and care coordination, a main issue in all three countries, include the implementation of standards of care and bundled payments for chronic diseases in the Netherlands, GP commissioning, federated and group practice models in England, and the introduction of the Patient-Centred Medical Home and accountable care organisations in the USA. Organisation and financing of health care differ widely in the three countries. However, the necessity to improve coordination and integration of chronic disease care remains a common and core challenge. Copyright © 2011. Published

  7. Lost in translation? Theory, policy and practice in systems-based environmental approaches to obesity prevention in the Healthy Towns programme in England.

    PubMed

    Sautkina, Elena; Goodwin, Denise; Jones, Andy; Ogilvie, David; Petticrew, Mark; White, Martin; Cummins, Steven

    2014-09-01

    This paper explores how system-wide approaches to obesity prevention were 'theorised' and translated into practice in the 'Healthy Towns' programme implemented in nine areas in England. Semi-structured interviews with 20 informants, purposively selected to represent national and local programme development, management and delivery were undertaken. Results suggest that informants articulated a theoretical understanding of a system-wide approach to obesity prevention, but simplifying this complex task in the context of uncertainty over programme aims and objectives, and absence of a clear direction from the central government, resulted in local programmes relying on traditional multi-component approaches to programme delivery. The development of clear, practical guidance on implementation should form a central part of future system-wide approaches to obesity prevention. Copyright © 2014 Elsevier Ltd. All rights reserved.

  8. Confusion in the Ranks: How Good Are England's Schools?

    ERIC Educational Resources Information Center

    Smithers, Alan

    2013-01-01

    Understanding how well English education performs compared with other countries is a valuable exercise, particularly because the information can help England and other countries learn from successful systems. The most recent international league tables of pupil performance differ considerably. England languishes well down the list in PISA 2009,…

  9. Actors involved in the regulation of clinical research: comparison of Finland to England, Canada, and the USA.

    PubMed

    Hemminki, Elina

    2015-04-07

    The relevance and quantity of clinical research has caused concern and regulation is claimed to hinder clinical research. This paper compares clinical research regulations in Finland to those of England, Canada, and the USA around 2010-2011. Several approaches and data sources were used, including semi- or unstructured interviews of experts. For the analysis, a theoretical framework was made, data from various sources was synthesized, and features of the systems were simplified and classified. The various specific names and terms used in the data were changed into general ones. Common structures for the regulation existed in all four countries, but the details and scope varied. The research regulated within the main system was determined by research type (Finland), the financer of the health system (England), or research site (Canada, USA). Only Finland had specific legislation on medical research. The overriding impression of the regulatory systems was one of complexity. All countries had extra regulation for drug research. The types of drug research covered varied from trials with unlicensed (new) products or new indications (USA and Canada), to all types of interventional drug research (England), where 'interventional' was interpreted broadly (Finland). The complexity of regulations had led to the creation of various big and small businesses to help researchers and sponsors. There was notable variation in the role played by the public research funder. The role played by health care was difficult to study and seemed to involve varying interests as researchers were also health care employees. Research ethics committees were important and their tasks also included aspects other than ethics. This study revealed that a comparison between countries can provide useful insights into the distinctive aspects of each country's system, as well as identifying common features that require international action.

  10. Up or Down and Out? A Systemic Analysis of Young People's Educational Pathways in the Youth Justice System in England and Wales

    ERIC Educational Resources Information Center

    Lanskey, Caroline

    2015-01-01

    Many young people in the youth justice system in England and Wales are educationally marginalised and systemic barriers to their engagement with education persist. This article presents an analytical framework for understanding how education and youth justice practices shape young people's educational pathways during their time in the youth…

  11. User's Manual for the New England Water-Use Data System (NEWUDS)

    USGS Publications Warehouse

    Horn, Marilee A.

    2003-01-01

    Water is used in a variety of ways that need to be understood for effective management of water resources. Water-use activities need to be categorized and included in a database management system to understand current water uses and to provide information to water-resource management policy decisionmakers. The New England Water-Use Data System (NEWUDS) is a complex database developed to store water-use information that allows water to be tracked from a point of water-use activity (called a 'Site'), such as withdrawal from a resource (reservoir or aquifer), to a second Site, such as distribution to a user (business or irrigator). NEWUDS conceptual model consists of 10 core entities: system, owner, address, location, site, data source, resource, conveyance, transaction/rate, and alias, with tables available to store user-defined details. Three components--site (with both a From Site and a To Site), a conveyance that connects them, and a transaction/rate associated with the movement of water over a specific time interval form the core of the basic NEWUDS network model. The most important step in correctly translating real-world water-use activities into a storable format in NEWUDS depends on choosing the appropriate sites and linking them correctly in a network to model the flow of water from the initial From Site to the final To Site. Ten water-use networks representing real-world activities are described--three withdrawal networks, three return networks, two user networks, two complex community-system networks. Ten case studies of water use, one for each network, also are included in this manual to illustrate how to compile, store, and retrieve the appropriate data. The sequence of data entry into tables is critical because there are many foreign keys. The recommended core entity sequence is (1) system, (2) owner, (3) address, (4) location, (5) site, (6) data source, (7) resource, (8) conveyance, (9) transaction, and (10) rate; with (11) alias and (12) user

  12. The Dark Figure of Infanticide in England and Wales: Complexities of Diagnosis

    ERIC Educational Resources Information Center

    Brookman, Fiona; Nolan, Jane

    2006-01-01

    Infants aged younger than 12 months have the highest homicide victimization rate of any single age group in England and Wales. In addition, there are good grounds for believing that the official homicide statistics for this particular age group are an underestimate and subject to distortion. At the same time there is evidence mounting in the…

  13. The Neo-Liberalisation Policy Agenda and Its Consequences for Education in England: A Focus on Resistance Now and Possibilities for the Future

    ERIC Educational Resources Information Center

    Maisuria, Alpesh

    2014-01-01

    In this article, the author explores the way that neo-liberalism is becoming more entrenched in the fabric of the education system in England. The article begins by setting out a very brief historical trajectory of neo-liberalism to provide a working definition of a complex and disarticulated socio-political and economic system. In part two, this…

  14. Public health in England in 2016-the health of the public and the public health system: a review.

    PubMed

    Middleton, John

    2017-01-01

    This article describes the current state of the health of the public in England and the state of the public health professional service and systems. Data sources are wide ranging including the Global Burden of Disease, the Commonwealth Fund and Public Health England reports. There is a high burden of preventable disease and unacceptable inequalities in England. There is considerable expectation that there are gains to be made in preventing ill health and disability and so relieving demand on healthcare. Despite agreement on the need for prevention, the Government has cut public health budgets by a cumulative 10% to 2020. Public health professionals broadly supportive of remaining in the EU face an uphill battle to retain health, workplace and environmental protections following the 'Leave' vote. There is revitalized interest in air pollution. Extreme weather events are testing response and organizational skills of public health professionals and indicating the need for greater advocacy around climate change, biodiversity and protection of ecological systems. Planetary health and ecological public health are ideas whose time has certainly come. © The Author 2017. Published by Oxford University Press. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com

  15. The Evidence Informed School System in England: Where Should School Leaders Be Focusing Their Efforts?

    ERIC Educational Resources Information Center

    Greany, Toby; Brown, Chris

    2017-01-01

    This article examines the impetus for schools to engage both in and with evidence in England's self-improving school system. It begins with an examination of how the education policy environment has changed, shifting from predominantly top down approaches to school improvement to the current government's focus on schools themselves sourcing and…

  16. The Evidence-Informed School System in England: Where Should School Leaders Be Focusing Their Efforts?

    ERIC Educational Resources Information Center

    Brown, Chris; Greany, Toby

    2018-01-01

    This article examines the impetus for schools to engage in and with evidence in England's self-improving school system. It begins with an examination of how the education policy environment has changed, shifting from predominantly top-down approaches to school improvement to the current government's focus on schools themselves sourcing and sharing…

  17. New England Lakes & Ponds Project

    EPA Science Inventory

    The New England Lakes and Ponds Project provides a consistent and first time comprehensive assessment of the ecological and water quality condition of lakes and ponds across the New England region. The project is being conducted by EPA along with the New England Interstate Water...

  18. The Complex Determinants of School Intake Characteristics and Segregation, England 1989 to 2014

    ERIC Educational Resources Information Center

    Gorard, Stephen

    2016-01-01

    The extent of between-school segregation, or clustering of disadvantaged students within schools, in England varies depending on the indicator of interest. For example, the trend over time for segregation by student poverty differs from those for ethnicity or special educational need. Additionally the causes of the level of segregation for any…

  19. Educational Reform and Curriculum Implementation in England: An Historical Perspective.

    ERIC Educational Resources Information Center

    Aldrich, Richard

    This paper provides a historical perspective on the implementation of educational reform by the Thatcher government in England. Since 1979, and particularly since the Education Reform Act of 1988, the state educational system in England has undergone massive reform in the form of a national curriculum, increased school-based management, and the…

  20. Envisioning an Ecologically Sustainable Campus At New England College

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Paula Amato; Gregory Palmer

    Appropriation funding for our project Ecologically Sustainable Campus - New England College (NH). 67.09. supported five environmental initiatives: (1) a wood pellet boiler for our Science Building, (2) solar hot water panels and systems for five campus buildings, (3) campus-wide energy lighting efficiency project, (4) new efficiency boiler system in Colby Residence Hall, and (5) energy efficient lighting system for the new artificial athletic turf field. (1) New England College purchased and installed a new wood pellet boiler in the Science Building. This new boiler serves as the primary heating source for this building. Our boiler was purchased through Newmore » England Wood Pellet, LLC, located in Jaffrey, New Hampshire. The boiler selected was a Swebo, P500. 300KW wood pellet boiler. The primary goals, objectives, and outcomes of this initiative include the installation of a wood pellet boiler system that is environmentally friendly, highly efficient, and represents a sustainable and renewable resource for New England College. This project was completed on December 15, 2010. (2) New England College purchased and installed solar hot water panels and systems for the Science Building, the Simon Center (student center), the H. Raymond Danforth Library, Gilmore Dining Hall, and Bridges Gymnasium. The College worked with Granite State Plumbing & Heating, LLC, located in Weare, New Hampshire on this project. The solar panels are manufactured by Heat Transfer; the product is Heat Transfer 30-tube collector panels (Evacuated Tube Type) with stainless steel hardware. The interior equipment includes Super Stor Ultra stainless steel super insulated storage tank, Taco 009 Bronze circulator pump, Solar Relay Control Pack, and a Taco Thermal Expansion Tank. The primary goals, objectives, and outcomes of this initiative will allow the College to utilize the sun as an energy resource. These solar hot water panels and systems will alleviate our dependency on fossil fuel as our

  1. Developing care pathways--lessons from the Steele Review implementation in England.

    PubMed

    Rooney, Eric

    2014-02-01

    This paper sets out to discuss the concept of care pathways, review their definition, features and implementation and using an example from the NHS dental system in England guide the development of an elder care pathway. Care pathways have developed from quality management approaches in industry and focus on a number of steps which are intended to lead to expected outcomes. The existing definition and descriptors of care pathways serve well, but miss the complex process underlying the development of pathways, their structure, implementation and evaluation. The literature identifies key features of clinical pathways and from the developing field of implementation science, the factors likely to support pathway implementation. Pathways must be generic enough to enable them to be applicable broadly, but specific enough for them to be locally relevant and population specific. The development of care pathways in the National Health Service (NHS) Dental Service in England is described and when compared with the implementation science literature exhibits features identified as positive factors for implementation. As a result a contribution to the pathway definition literature is offered. Learning from the literature and the practical experience described from England, the process for developing dental care pathways for dependent elders should begin with the creation of a high level pathway, which is cognisant of the clinical and implementation science evidence base. © 2014 John Wiley & Sons A/S and The Gerodontology Society. Published by John Wiley & Sons Ltd.

  2. Changing Landscapes in Safeguarding Babies and Young Children in England

    ERIC Educational Resources Information Center

    Lumsden, Eunice

    2014-01-01

    The importance of safeguarding children from violence is internationally recognised. However, detecting, intervening and protecting children from abuse both within the family and in institutions is complex. This paper specifically focuses on safeguarding in England and how workforce reform in the early years offers the opportunity to forge new…

  3. Education Reform in England: Quality and Equity in the Performative School

    ERIC Educational Resources Information Center

    Wilkins, Chris

    2015-01-01

    This article argues that contradictory forces affect teachers' work in the neo-liberal school system in England, with a diversity of governance models alongside increasingly dominant orthodoxies of what constitutes 'effective practice and leadership'. School reforms in England have focused on increasing overall attainment and on closing the…

  4. The New England forest: baseline for New England forest health monitoring

    Treesearch

    Robert T. Brooks; Thomas S Frieswyk; Douglas M. Griffith; Ellen Cooter; Luther Smith; Luther Smith

    1992-01-01

    The USDA Forest Service along with various cooperators has initiated Forest Health Monitoring (FHM) in New England to assess the condition and stressors of the region's forests, to analyze changes in these data over time, and to identify any relationships between forest condition and stressors. A major component of FHM in New England is 263 permanent plots located...

  5. Defining geo-habitats for groundwater ecosystem assessments: an example from England and Wales (UK)

    NASA Astrophysics Data System (ADS)

    Weitowitz, Damiano C.; Maurice, Louise; Lewis, Melinda; Bloomfield, John P.; Reiss, Julia; Robertson, Anne L.

    2017-12-01

    Groundwater ecosystems comprising micro-organisms and metazoans provide an important contribution to global biodiversity. Their complexity depends on geology, which determines the physical habitat available, and the chemical conditions within it. Despite this, methods of classifying groundwater habitats using geological data are not well established and researchers have called for higher resolution habitat frameworks. A novel habitat typology for England and Wales (UK) is proposed, which distinguishes 11 geological habitats (geo-habitats) on hydrogeological principles and maps their distribution. Hydrogeological and hydrochemical data are used to determine the characteristics of each geo-habitat, and demonstrate their differences. Using these abiotic parameters, a new method to determine abiotic habitat quality is then developed. The geo-habitats had significantly different characteristics, validating the classification system. All geo-habitats were highly heterogeneous, containing both high quality habitat patches that are likely to be suitable for fauna, and areas of low quality that may limit faunal distributions. Karstic and porous habitats generally were higher quality than fractured habitats. Overall, 70% of England and Wales are covered by lower quality fractured habitats, with only 13% covered by higher quality habitats. The main areas of high quality habitats occur in central England as north-south trending belts, possibly facilitating dispersal along this axis. They are separated by low quality geo-habitats that may prevent east-west dispersal of fauna. In south-west England and Wales suitable geo-habitats occur as small isolated patches. Overall, this paper provides a new national-scale typology that is adaptable for studies in other geographic areas.

  6. Deconstructing the Carter Review: Competing Conceptions of Quality in England's "School-Led" System of Initial Teacher Education

    ERIC Educational Resources Information Center

    Mutton, Trevor; Burn, Katharine; Menter, Ian

    2017-01-01

    The commitment to establish a "school-led" system of teacher education in England, announced by the Coalition Government in 2011 and relentlessly pursued thereafter, represented a radical departure from previous kinds of initial teacher education partnership. While it is entirely consistent with a neoliberal agenda, with its strong…

  7. Surveillance of sexually transmitted infections in England and Wales.

    PubMed

    Hughes, G; Paine, T; Thomas, D

    2001-05-01

    Surveillance of sexually transmitted infections (STIs) in England and Wales has, in the past, relied principally on aggregated statistical data submitted by all genitourinary medicine clinics to the Communicable Disease Surveillance Centre, supplemented by various laboratory reporting systems. Although these systems provide comparatively robust surveillance data, they do not provide sufficient information on risk factors to target STI control and prevention programmes appropriately. Over recent years, substantial rises in STIs, the emergence of numerous outbreaks of STIs, and changes in gonococcal resistance patterns have necessitated the introduction of more sophisticated surveillance mechanisms. This article describes current STI surveillance systems in England and Wales, including new systems that have recently been introduced or are currently being developed to meet the need for enhanced STI surveillance data.

  8. The Commerce of Utility: Teaching Mathematical Geography in Early Modern England

    ERIC Educational Resources Information Center

    Cormack, Lesley B.

    2006-01-01

    The teaching and learning of geographical and mathematical knowledge in early modern England was a complex interaction among scholars, practitioners, merchants, and gentry. Each group had different values and goals associated with geographical knowledge and therefore different educational venues and different topics to be investigated. This paper…

  9. Pain and Surgery in England, circa 1620–circa 1740

    PubMed Central

    Walker, Katherine A.

    2015-01-01

    The scholarship on the discussion and role of pain in early modern English surgery is limited. Scholars have given little consideration to how surgeons described and comprehended pain in their patients’ bodies in early modern England, including how these understandings connected to notions of the humours, nerves and sex difference. This article focuses on the attention that surgeons paid to pain in their published and manuscript casebooks and manuals available in English, circa 1620–circa 1740. Pain was an important component of surgery in early modern England, influencing diagnosis, treatment and technique. Surgeons portrayed a complex and multi-dimensional understanding of their patients’ bodies in pain, which was further connected to their portrayals of their professional ability. PMID:25766543

  10. Remodeling Headteachers in England: Is It the End of Educational Leadership?

    ERIC Educational Resources Information Center

    Gunter, Helen M.; Rayner, Steve

    2007-01-01

    We examine the contemporary relationship between headship and leadership in England. This speaks to the current globalizing agenda promoting generic leadership within a modernizing agenda of restructuring and reculturing in public education. Thinking based on several research studies is used to stimulate perspectives on a range of complex tensions…

  11. 78 FR 1851 - New England States Committee on Electricity v. ISO New England Inc.; Notice of Complaint

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-01-09

    ... DEPARTMENT OF ENERGY Federal Energy Regulatory Commission [Docket No. EL13-34-000] New England States Committee on Electricity v. ISO New England Inc.; Notice of Complaint Take notice that on December... sections 206 of the Federal Power Act, 16 U.S.C. 824(e), New England States Committee on Electricity...

  12. Future Apprenticeships in England: The Role of Mediation in the New Model

    ERIC Educational Resources Information Center

    Hodgson, Ann; Spours, Ken; Smith, David

    2017-01-01

    Apprenticeship systems across the globe are having to adapt to changing international economic and social trends. England is no exception. This article examines the latest model of apprenticeship in England from the perspective of the "mediators" who work at local and regional level with employers to construct and deliver the majority of…

  13. Imagining School Autonomy in High-Performing Education Systems: East Asia as a Source of Policy Referencing in England

    ERIC Educational Resources Information Center

    You, Yun; Morris, Paul

    2016-01-01

    Education reform is increasingly based on emulating the features of "world-class" systems that top international attainment surveys and, in England specifically, East Asia is referenced as the "inspiration" for their education reforms. However, the extent to which the features identified by the UK Government accord with the…

  14. The implications of e-health system delivery strategies for integrated healthcare: lessons from England.

    PubMed

    Eason, Ken; Waterson, Patrick

    2013-05-01

    This paper explores the implications that different technical strategies for sharing patient information have for healthcare workers and, as a consequence, for the extent to which these systems provide support for integrated care. Four technical strategies were identified and the forms of coupling they made with healthcare agencies were classified. A study was conducted in England to examine the human and organizational implications of systems implemented by these four strategies. Results were used from evaluation reports of two systems delivered as part of the NPfIT (National Programme for Information Technology) and from user responses to systems delivered in two local health communities in England. In the latter study 40 clinical respondents reported the use of systems to support integrated care in six healthcare pathways. The implementation of a detailed care record system (DCRS) in the NPfIT was problematic because it could not meet the diverse needs of all healthcare agencies and it required considerable local customization. The programme evolved to allow different systems to be delivered for each local health community. A national Summary Care Record (SCR) was implemented but many concerns were raised about wide access to confidential patient information. The two technical strategies that required looser forms of coupling and were under local control led to wide user adoption. The systems that enabled data to be transferred between local systems were successfully used to support integrated care in specific healthcare pathways. The portal approach gave many users an opportunity to view patient data held on a number of databases and this system evolved over a number of years as a result of requests from the user community. The UK national strategy to deliver single shared database systems requires tight coupling between many users and has led to poor adoption because of the diverse needs of healthcare agencies. Sharing patient information has been more

  15. Modern cockpit complexity challenges pilot interfaces.

    PubMed

    Dornheim, M A

    1995-01-30

    Advances in the use of automated cockpits are examined. Crashes at Nagoya and Toulouse in 1994 and incidents at Manchester, England, and Paris Orly are used as examples of cockpit automation versus manual operation of aircraft. Human factors researchers conclude that flight management systems (FMS) should have fewer modes and less authority. Reducing complexity and authority override systems of FMS can provide pilots with greater flexibility during crises. Aircraft discussed include Boeing 737-300 and 757-200, Airbus A300-600 and A310, McDonnell Douglas MD-11, and Tarom A310-300.

  16. Current Scientific Approaches to Decision Making in Complex Systems. 3. Volume 2. Conference Position Papers

    DTIC Science & Technology

    1980-01-01

    Search: Traffic on a Multi- dimensional Structure R. i. Atkin, University of Essex, England b. Annex. Volume 3: Decision: Foundation and Practice Brian R...Gaines, University of Essex, England Volume 4: Competing Modes of Cognition and Communication in Simulated and Self-Reflective Systems Stein Braten... University of Oslo, Norway Volume 5: On the Spontaneous Emergence of Decision Making Constraints in Communicating Hierarchical Structure John S

  17. New England Colleges under Stress: Presidential Voices from the Region's Smaller Colleges

    ERIC Educational Resources Information Center

    Halfond, Jay A.; Stokes, Peter

    2013-01-01

    Shifting demography, rising operating expenses, plummeting state and federal support, intensified competition, broken financial models… these are just a few of the complex challenges facing New England higher education institutions. Given these tensions, who would be surprised if college presidents in the region weren't occasionally plagued by…

  18. Trust, nostalgia and narrative accounts of blood banking in England in the 21st century.

    PubMed

    Wynne Busby, Helen

    2010-07-01

    Historically, cultural accounts and descriptions of blood banking in Britain have been associated with notions of altruism, national solidarity and imagined community. While these ideals have continued to be influential, the business of procuring and supplying blood has become increasingly complex. Drawing on interview data with donors in one blood centre in England, this article reports that these donors tend not to acknowledge the complex dynamics of production and exchange in modern blood systems. This, it is argued, is congruent with nostalgic narratives in both popular and official accounts of blood services, which tend to bracket these important changes. A shift to a more open institutional narrative about modern blood services is advocated, as blood services face current and future challenges.

  19. Character change of New England snow

    USGS Publications Warehouse

    Huntington, T.G.; Hodgkins, G.A.; Keim, B.D.; Dudley, R.W.

    2004-01-01

    The annual ratio of snow to total precipitation (S/P) for 11 out of 21 US Historical Climatology Network (USHCN) sites in New England decreased significantly from 1949 through 2000. One possible explanation for the observed decrease in S/P ratio is that their temperature increased in New England during the 20th century. The results are consistent with published reports indicating lengthening of the growing season in New England.

  20. Performance over Professional Learning and the Complexity Puzzle: Lesson Observation in England's Further Education Sector

    ERIC Educational Resources Information Center

    O'Leary, Matt; Wood, Phil

    2017-01-01

    Attempts to measure the quality of teaching and learning have resulted in an overreliance on quantitative performance data and the normalisation of a set of reductionist practices in England's further education sector in recent years. Focusing on lesson observation as an illustrative example and drawing on data from a national study, this article…

  1. Geomorphology of New England

    USGS Publications Warehouse

    Denny, C.S.

    1982-01-01

    Widely scattered terrestrial deposits of Cretaceous or Tertiary age and extensive nearshore and fluvial Coastal Plain deposits now largely beneath the sea indicate that the New England region has been above sea level during and since the Late Cretaceous. Estimates of rates of erosion based on sediment load in rivers and on volume of sediments in the Coastal Plain suggest that if the New England highlands had not been uplifted in the Miocene, the area would now be largely a lowland. If the estimated rates of erosion and uplift are of the right order of magnitude, then it is extremely unlikely that any part of the present landscape dates back before Miocene time. The only exception would be lowlands eroded in the early Mesozoic, later buried beneath Mesozoic and Cenozoic deposits, and exhumed by stream and glacial erosion during the later Cenozoic. Many of the rocks in the New England highlands are similar to those that underlie the Piedmont province in the central and southern Appalachians, where the relief over large areas is much less than in the highlands of New England. These comparisons suggest that the New England highlands have been upwarped in late Cenozoic time. The uplift took place in the Miocene and may have continued into the Quaternary. The New England landscape is primarily controlled by the underlying bedrock. Erosion and deposition during the Quaternary, related in large part to glaciation, have produced only minor changes in drainage and in topography. Shale and graywacke of Ordovician, Cambrian, and Proterozoic age forming the Taconic highlands, and akalic plutonic rocks of Mesozoic age are all highland makers. Sandstone and shale of Jurassic and Triassic age, similar rocks of Carboniferous age, and dolomite, limestone, and shale of Ordovician and Cambrian age commonly underlie lowlands. High-grade metapelites are more resistant than similar schists of low metamorphic grade and form the highest mountains in New England. Feldspathic rocks tend to

  2. Inference, simulation, modeling, and analysis of complex networks, with special emphasis on complex networks in systems biology

    NASA Astrophysics Data System (ADS)

    Christensen, Claire Petra

    Across diverse fields ranging from physics to biology, sociology, and economics, the technological advances of the past decade have engendered an unprecedented explosion of data on highly complex systems with thousands, if not millions of interacting components. These systems exist at many scales of size and complexity, and it is becoming ever-more apparent that they are, in fact, universal, arising in every field of study. Moreover, they share fundamental properties---chief among these, that the individual interactions of their constituent parts may be well-understood, but the characteristic behaviour produced by the confluence of these interactions---by these complex networks---is unpredictable; in a nutshell, the whole is more than the sum of its parts. There is, perhaps, no better illustration of this concept than the discoveries being made regarding complex networks in the biological sciences. In particular, though the sequencing of the human genome in 2003 was a remarkable feat, scientists understand that the "cellular-level blueprints" for the human being are cellular-level parts lists, but they say nothing (explicitly) about cellular-level processes. The challenge of modern molecular biology is to understand these processes in terms of the networks of parts---in terms of the interactions among proteins, enzymes, genes, and metabolites---as it is these processes that ultimately differentiate animate from inanimate, giving rise to life! It is the goal of systems biology---an umbrella field encapsulating everything from molecular biology to epidemiology in social systems---to understand processes in terms of fundamental networks of core biological parts, be they proteins or people. By virtue of the fact that there are literally countless complex systems, not to mention tools and techniques used to infer, simulate, analyze, and model these systems, it is impossible to give a truly comprehensive account of the history and study of complex systems. The author

  3. Innovation Is Possible, It's Just Not Easy: Improvement, Innovation and Legitimacy in England's Autonomous and Accountable School System

    ERIC Educational Resources Information Center

    Greany, Toby

    2018-01-01

    This article reviews the literature and explores the institutional and systemic factors that help and/or hinder change and innovation across school systems, with a focus on evidence from England. A number of authors have argued that schools and school systems need to become more innovative and adaptive if they are to meet the needs of 21st-century…

  4. The Current Brouhaha about Standards in England

    ERIC Educational Resources Information Center

    Brown, Roger

    2010-01-01

    Following a report by a Parliamentary Committee, the Higher Education Funding Council for England is consulting the sector about a strengthened national quality assurance system, with an enhanced role for information about quality and a closer focus on academic standards. This article provides a critical review of the main proposals.

  5. England's New Market Based System of Student Education: An Initial Report. Research & Occasional Paper Series: CSHE.7.13

    ERIC Educational Resources Information Center

    Brown, Roger

    2013-01-01

    In 2012 the Conservative-Liberal Democrat Government introduced a number of reforms to the higher education system in England. The main change was to abolish direct state subsidies for the teaching of most subjects, and replace them with a state-subsidised tuition fee of up to $9,000 (US $13,700). A number of other changes were also made, all with…

  6. Impact of mercury from the Canadian boreal forest widfires to New England

    NASA Astrophysics Data System (ADS)

    Hwang, G.; Talbot, R. W.

    2010-12-01

    Canadian Boreal forest fires release significant amounts of mercury and constitute several air quality episodes every year in New England, especially during summer. With continuous monitoring of mercury in two New England sites in both rural and elevated area from 2004 to date, several events of the wildfire transport was screened out using ensembles of backward trajectories to ensure the air parcels sampled spent substantial residence time within the box of burned area defined by the the Fire Information for Resource Management System(FIRMS) MODIS hotspot/fires data. Other biomass burning tracers, (such as HCN), were also used as criteria if they are were available during the events period. The mercury to CO ratios during the events were calculated as the input to the Sparse Matrix Operator Kernel Emissions System (SMOKE) model to simulate the high and low ranges of mercury emissions frorm the burned area. We are now using the Community Multiscale Air Quality Modeling System (CMAQ) to study the impact of the mercury emission from the Canadian boreal forest wildfires to the New England region in more details.

  7. New England

    Atmospheric Science Data Center

    2014-05-15

    article title:  Summer Turns to Autumn in New England     View Larger Image ... 20, 2000 (right). The images include eastern Vermont, New Hampshire, and western Maine, as well as the southeastern corner of Quebec ...

  8. Tectono-metamorphic evolution of high-P/T and low-P/T metamorphic rocks in the Tia Complex, southern New England Fold Belt, eastern Australia: Insights from K-Ar chronology

    NASA Astrophysics Data System (ADS)

    Fukui, Shiro; Tsujimori, Tatsuki; Watanabe, Teruo; Itaya, Tetsumaru

    2012-10-01

    The Tia Complex in the southern New England Fold Belt is a poly-metamorphosed Late Paleozoic accretionary complex. It consists mainly of high-P/low-T type pumpellyite-actinolite facies (rare blueschist facies) schists, phyllite and serpentinite (T = 300 °C and P = 5 kbar), and low-P/high-T type amphibolite facies schist and gneiss (T = 600 °C and P < 5 kbar) associated with granodioritic plutons (Tia granodiorite). White mica and biotite K-Ar ages distinguish Carboniferous subduction zone metamorphism and Permian granitic intrusions, respectively. The systematic K-Ar age mapping along a N-S traverse of the Tia Complex exhibits a gradual change. The white mica ages become younger from the lowest-grade zone (339 Ma) to the highest-grade zone (259 Ma). In contrast, Si content of muscovite changes drastically only in the highest-grade zone. The regional changes of white mica K-Ar ages and chemical compositions of micas indicate argon depletion from precursor high-P/low-T type phengitic white mica during the thermal overprinting and recrystallization by granitoids intrusions. Our new K-Ar ages and available geological data postulate a model of the eastward rollback of a subduction zone in Early Permian. The eastward shift of a subduction zone system and subsequent magmatic activities of high-Mg andesite and adakite might explain formation of S-type granitoids (Hillgrove suite) and coeval low-P/high-T type metamorphism in the Tia Complex.

  9. 78 FR 32384 - New England Power Generators Association v. ISO New England Inc.; Notice of Complaint

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-05-30

    ... Power Generators Association v. ISO New England Inc.; Notice of Complaint Take notice that on May 17... New England Power Generators Association (Complainant) filed a formal complaint against ISO New...., Washington, DC 20426. This filing is accessible on-line at http://www.ferc.gov , using the ``eLibrary'' link...

  10. Fatal Child Maltreatment in England, 2005-2009

    ERIC Educational Resources Information Center

    Sidebotham, Peter; Bailey, Sue; Belderson, Pippa; Brandon, Marian

    2011-01-01

    Objective: This paper presents comprehensive and up-to-date data covering 4 years of Serious Case Reviews into fatal child maltreatment in England. Methods: Information on all notified cases of fatal maltreatment between April 2005 and March 2009 was examined to obtain case characteristics related to a systemic classification of 5 broad groups of…

  11. Polish Complementary Schools in Iceland and England

    ERIC Educational Resources Information Center

    Zielinska, Malgorzata; Kowzan, Piotr; Ragnarsdóttir, Hanna

    2014-01-01

    Since 2004, the opening of labour markets has spurred a considerable number of Poles to emigrate e.g. to Iceland and England. Families with school age children have had the challenge of adapting to foreign environments and school systems. Polish complementary schools have played an important, albeit ambivalent, role in this process. Through focus…

  12. 76 FR 543 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-01-05

    ... England Fishery Management Council, 50 Water Street, Mill 2, Newburyport, MA 01950; telephone: (978) 465... representative will present an outline of their project--a networked sensor system array proposed for offshore...

  13. Ezekiel Cheever (1614-1708), New England Colonial Teacher.

    ERIC Educational Resources Information Center

    Parker, Franklin; Parker, Betty J.

    This paper narrates the life of Ezekiel Cheever, the most famous colonial New England Latin grammar teacher of his time. Cheever came from middle class Puritan roots in England, receiving a classical education before emigrating to Boston (Massachusetts). His remarkably long teaching career of 70 years in four New England towns and the esteem shown…

  14. Hazard and risk in the New England fishing fleet

    DOT National Transportation Integrated Search

    1998-10-29

    The United States Coast Guard and the Volpe National Transportation Systems Center studied the 102 serious fishing vessel accidents (1993-1997) in Coast Guard District 1 (New England and Long Island, New York), U.S national fleet accident data, and i...

  15. Operational Earthquake Forecasting of Aftershocks for New England

    NASA Astrophysics Data System (ADS)

    Ebel, J.; Fadugba, O. I.

    2015-12-01

    Although the forecasting of mainshocks is not possible, recent research demonstrates that probabilistic forecasts of expected aftershock activity following moderate and strong earthquakes is possible. Previous work has shown that aftershock sequences in intraplate regions behave similarly to those in California, and thus the operational aftershocks forecasting methods that are currently employed in California can be adopted for use in areas of the eastern U.S. such as New England. In our application, immediately after a felt earthquake in New England, a forecast of expected aftershock activity for the next 7 days will be generated based on a generic aftershock activity model. Approximately 24 hours after the mainshock, the parameters of the aftershock model will be updated using the observed aftershock activity observed to that point in time, and a new forecast of expected aftershock activity for the next 7 days will be issued. The forecast will estimate the average number of weak, felt aftershocks and the average expected number of aftershocks based on the aftershock statistics of past New England earthquakes. The forecast also will estimate the probability that an earthquake that is stronger than the mainshock will take place during the next 7 days. The aftershock forecast will specify the expected aftershocks locations as well as the areas over which aftershocks of different magnitudes could be felt. The system will use web pages, email and text messages to distribute the aftershock forecasts. For protracted aftershock sequences, new forecasts will be issued on a regular basis, such as weekly. Initially, the distribution system of the aftershock forecasts will be limited, but later it will be expanded as experience with and confidence in the system grows.

  16. 78 FR 67357 - New England Power Generators Association, Inc. v. ISO New England Inc.; Notice of Complaint

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-11-12

    ... Power Generators Association, Inc. v. ISO New England Inc.; Notice of Complaint Take notice that on...), 18 CFR 385.206 (2013), the New England Power Generators Association, Inc. (NEPGA or Complainant..., 888 First Street NE., Washington, DC 20426. This filing is accessible on-line at http://www.ferc.gov...

  17. Forest resources of southern New England

    Treesearch

    Robert T. Brooks; David B. Kittredge; Carol L. Alerich; Carol L. Alerich

    1993-01-01

    An analytical report of the third forest inventory of the three southern New England states of Connecticut, Massachusetts, and Rhode Island. Included is a discussion of forest area, number of trees, timber volume, tree biomass, timber value, forest wildlife habitat, ownership, management opportunities, and the future of forest resources in southern New England.

  18. Gauging the Health of New England's Lakes and Ponds

    EPA Science Inventory

    The New England Lakes and Ponds Project provides a consistent and first time comprehensive assessment of the ecological and water quality condition of lakes and ponds across the New England region. The project is being conducted by EPA along with the New England Interstate Water...

  19. Mathematics and complex systems.

    PubMed

    Foote, Richard

    2007-10-19

    Contemporary researchers strive to understand complex physical phenomena that involve many constituents, may be influenced by numerous forces, and may exhibit unexpected or emergent behavior. Often such "complex systems" are macroscopic manifestations of other systems that exhibit their own complex behavior and obey more elemental laws. This article proposes that areas of mathematics, even ones based on simple axiomatic foundations, have discernible layers, entirely unexpected "macroscopic" outcomes, and both mathematical and physical ramifications profoundly beyond their historical beginnings. In a larger sense, the study of mathematics itself, which is increasingly surpassing the capacity of researchers to verify "by hand," may be the ultimate complex system.

  20. Primary Teacher Education in England: 40 Years On

    ERIC Educational Resources Information Center

    Murray, Jean; Passy, Rowena

    2014-01-01

    This article examines the relationship between pre-service teacher education (ITE) for primary schooling and primary teaching in England between 1974 and 2014, and explores the "fitness of purpose" of the current system of preparing teachers for the classrooms of the twenty-first century. Our historical analysis suggests that, despite 40…

  1. Profitable woodlot management in New England

    Treesearch

    Stanley M. Filip; William B. Leak

    1962-01-01

    The woodlot owners of New England have a large stake in the forestry future of the region. In New England there are more than 250,000 woodlots, averaging about 60 acres each. All together they make up about 15 million acres; and they provide a large part of the raw material needed by local wood-using industries.

  2. United Kingdom (England): Health system review.

    PubMed

    Boyle, Seán

    2011-01-01

    The Health Systems in Transition (HiT) profiles are country-based reports that provide a detailed description of a health system and of policy initiatives in progress or under development. HiTs examine different approaches to the organization, financing and delivery of health services and the role of the main actors in health systems; describe the institutional framework, process, content and implementation of health and health care policies; and highlight challenges and areas that require more in-depth analysis. Various indicators show that the health of the population has improved over the last few decades. However, inequalities in health across socioeconomic groups have been increasing since the 1970s. The main diseases affecting the population are circulatory diseases, cancer, diseases of the respiratory system and diseases of the digestive system. Risk factors such as the steadily rising levels of alcohol consumption, the sharp increases in adult and child obesity and prevailing smoking levels are among the most pressing public health concerns, particularly as they reflect the growing health inequalities among different socioeconomic groups. Health services in England are largely free at the point of use. The NHS provides preventive medicine, primary care and hospital services to all those ordinarily resident. Over 12% of the population is covered by voluntary health insurance schemes, known in the United Kingdom as private medical insurance (PMI), which mainly provides access to acute elective care in the private sector. Responsibility for publicly funded health care rests with the Secretary of State for Health, supported by the Department of Health. The Department operates at a regional level through 10 strategic health authorities (SHAs), which are responsible for ensuring the quality and performance of local health services within their geographic area. Responsibility for commissioning health services at the local level lies with 151 primary care

  3. Postgraduate Clinical Training at the New England School of Optometry.

    ERIC Educational Resources Information Center

    Hoffman, Douglas J.

    1989-01-01

    The New England College of Optometry's two separate but integrated clinical postgraduate programs, one providing Veterans' Administration residencies and the other, college-based fellowships, are described. The shared curriculum components, exchange process, and evaluation system are highlighted. (MSE)

  4. Smart Routes: Migration Patterns among New England's College Freshmen

    ERIC Educational Resources Information Center

    Thomas, Michael K.

    2003-01-01

    Despite increased competition from other states, New England remains a very popular education destination for both undergraduate and graduate students. As with commerce, New England has a "balance of trade," with students flowing in and out of the region. As a region, New England enjoys a notable "positive" net migration of…

  5. Describing the complexity of systems: multivariable "set complexity" and the information basis of systems biology.

    PubMed

    Galas, David J; Sakhanenko, Nikita A; Skupin, Alexander; Ignac, Tomasz

    2014-02-01

    Context dependence is central to the description of complexity. Keying on the pairwise definition of "set complexity," we use an information theory approach to formulate general measures of systems complexity. We examine the properties of multivariable dependency starting with the concept of interaction information. We then present a new measure for unbiased detection of multivariable dependency, "differential interaction information." This quantity for two variables reduces to the pairwise "set complexity" previously proposed as a context-dependent measure of information in biological systems. We generalize it here to an arbitrary number of variables. Critical limiting properties of the "differential interaction information" are key to the generalization. This measure extends previous ideas about biological information and provides a more sophisticated basis for the study of complexity. The properties of "differential interaction information" also suggest new approaches to data analysis. Given a data set of system measurements, differential interaction information can provide a measure of collective dependence, which can be represented in hypergraphs describing complex system interaction patterns. We investigate this kind of analysis using simulated data sets. The conjoining of a generalized set complexity measure, multivariable dependency analysis, and hypergraphs is our central result. While our focus is on complex biological systems, our results are applicable to any complex system.

  6. School Autonomy and Government Control: School Leaders' Views on a Changing Policy Landscape in England

    ERIC Educational Resources Information Center

    Higham, Rob; Earley, Peter

    2013-01-01

    The Conservative-Liberal Democrat Coalition government elected in 2010 has argued contemporary reform will increase the autonomy of schools in England. Given the complexities that exist, however, in the balance between autonomy and control, we explore how school leaders view autonomy as it exists within the wider policy framework. The article…

  7. Detection and assessment of secondary sonic booms in New England

    DOT National Transportation Integrated Search

    1980-05-01

    This report documents the results of a secondary sonic boom detection and assessment program conducted by the U.S. Dept. of Transportation, Transportation Systems Center in New England during the summer of 1979. Measurements of both acoustic and infr...

  8. ANNUAL REPORT For Calendar Year 2011 : NEW ENGLAND TRANSPORTATION CONSORTIUM

    DOT National Transportation Integrated Search

    2011-12-01

    The New England Transportation Consortium (NETC) is a cooperative effort of the transportation agencies of the six New England States, the six New England state land grant universities and the Federal Highway Administration (FHWA). Through the Consor...

  9. ANNUAL REPORT For Calendar Year 2015 : NEW ENGLAND TRANSPORTATION CONSORTIUM

    DOT National Transportation Integrated Search

    2018-01-01

    The New England Transportation Consortium (NETC) is a cooperative effort of the transportation agencies of the six New England States, the six New England state land grant universities and the Federal Highway Administration (FHWA). Through the Consor...

  10. New England Transportation Consortium annual report for calendar year 2012.

    DOT National Transportation Integrated Search

    2013-02-01

    The New England Transportation Consortium (NETC) is a cooperative effort of the : transportation agencies of the six New England States, the six New England state land grant universities and the Federal Highway Administration (FHWA). Through the Cons...

  11. ANNUAL REPORT For Calendar Year 2010 : NEW ENGLAND TRANSPORTATION CONSORTIUM

    DOT National Transportation Integrated Search

    2011-04-01

    The New England Transportation Consortium (NETC) is a cooperative effort of the transportation agencies of the six New England States, the six New England state land grant universities and the Federal Highway Administration (FHWA). Through the Consor...

  12. ANNUAL REPORT For Calendar Year 2013 : NEW ENGLAND TRANSPORTATION CONSORTIUM

    DOT National Transportation Integrated Search

    2014-02-02

    The New England Transportation Consortium (NETC) is a cooperative effort of the transportation agencies of the six New England States, the six New England state land grant universities and the Federal Highway Administration (FHWA). Through the Consor...

  13. ANNUAL REPORT For Calendar Year 2014 : NEW ENGLAND TRANSPORTATION CONSORTIUM

    DOT National Transportation Integrated Search

    2015-02-02

    The New England Transportation Consortium (NETC) is a cooperative effort of the transportation agencies of the six New England States, the six New England state land grant universities and the Federal Highway Administration (FHWA). Through the Consor...

  14. Salt Marsh Sustainability in New England: Progress and Remaining Challenges

    EPA Science Inventory

    Natural resource managers, conservationists, and scientists described marsh loss and degradation in many New England coastal systems at the 2014 “Effects of Sea Level Rise on Rhode Island’s Salt Marshes” workshop, organized by the Narragansett Bay National Estua...

  15. The Uncertain Future of Comprehensive Schooling in England

    ERIC Educational Resources Information Center

    Gorard, Stephen

    2015-01-01

    This is an article about secondary schools in England, and what type of school is fair and efficient for a national education system. It discusses what "fair" could mean in this context, summarises some key policy revisions since 1944 in this light, and reminds readers of the damage caused by unfairness within education. Most notably it…

  16. Fluvial system response to Late Devensian (Weichselian) aridity, Baston, Lincolnshire, England

    NASA Astrophysics Data System (ADS)

    Briant, Rebecca M.; Coope, G. Russell; Preece, Richard C.; Keen, David H.; Boreham, Steve; Griffiths, Huw I.; Seddon, Mary B.; Gibbard, Philip L.

    2004-07-01

    Little is known about the impact of Late Devensian (Weichselian) aridity on lowland British landscapes, largely because they lack the widespread coversand deposits of the adjacent continent. The concentration of large interformational ice-wedge casts in the upper part of many Devensian fluvial sequences suggests that fluvial activity may have decreased considerably during this time. The development of optically stimulated luminescence (OSL) dating enables this period of ice-wedge cast formation to be constrained for the first time in eastern England, where a marked horizon of ice-wedge casts is found between two distinctive dateable facies associations. Contrasts between this horizon and adjacent sediments show clear changes in environment and fluvial system behaviour in response to changing water supply, in line with palaeontological evidence. In addition to providing chronological control on the period of ice-wedge formation, the study shows good agreement of the radiocarbon and OSL dating techniques during the Middle and Late Devensian, with direct comparison of these techniques beyond 15 000 yr for the first time in Britain. It is suggested that aridity during the Late Devensian forced a significant decrease in fluvial activity compared with preceding and following periods, initiating a system with low peak flows and widespread permafrost development. Copyright

  17. Complex adaptive systems: concept analysis.

    PubMed

    Holden, Lela M

    2005-12-01

    The aim of this paper is to explicate the concept of complex adaptive systems through an analysis that provides a description, antecedents, consequences, and a model case from the nursing and health care literature. Life is more than atoms and molecules--it is patterns of organization. Complexity science is the latest generation of systems thinking that investigates patterns and has emerged from the exploration of the subatomic world and quantum physics. A key component of complexity science is the concept of complex adaptive systems, and active research is found in many disciplines--from biology to economics to health care. However, the research and literature related to these appealing topics have generated confusion. A thorough explication of complex adaptive systems is needed. A modified application of the methods recommended by Walker and Avant for concept analysis was used. A complex adaptive system is a collection of individual agents with freedom to act in ways that are not always totally predictable and whose actions are interconnected. Examples include a colony of termites, the financial market, and a surgical team. It is often referred to as chaos theory, but the two are not the same. Chaos theory is actually a subset of complexity science. Complexity science offers a powerful new approach--beyond merely looking at clinical processes and the skills of healthcare professionals. The use of complex adaptive systems as a framework is increasing for a wide range of scientific applications, including nursing and healthcare management research. When nursing and other healthcare managers focus on increasing connections, diversity, and interactions they increase information flow and promote creative adaptation referred to as self-organization. Complexity science builds on the rich tradition in nursing that views patients and nursing care from a systems perspective.

  18. Salt Marsh Sustainability in New England: Progress and Remaining Challenges

    EPA Science Inventory

    Natural resource managers, conservationists, and scientists described marsh loss and degradation in many New England coastal systems at the 2014 “Effects of Sea Level Rise on Rhode Island’s Salt Marshes” workshop, organized by the Narragansett Bay National Estuarine Research Rese...

  19. The invertebrate ecology of the Chalk aquifer in England (UK)

    NASA Astrophysics Data System (ADS)

    Maurice, L.; Robertson, A. R.; White, D.; Knight, L.; Johns, T.; Edwards, F.; Arietti, M.; Sorensen, J. P. R.; Weitowitz, D.; Marchant, B. P.; Bloomfield, J. P.

    2016-03-01

    The Chalk is an important water supply aquifer, yet ecosystems within it remain poorly understood. Boreholes (198) in seven areas of England (UK) were sampled to determine the importance of the Chalk aquifer as a habitat, and to improve understanding of how species are distributed. Stygobitic macro-invertebrates were remarkably common, and were recorded in 67 % of boreholes in unconcealed Chalk, although they were not recorded in Chalk that is concealed by low-permeability strata and thus likely to be confined. Most species were found in shallow boreholes (<21 m) and boreholes with deep (>50 m) water tables, indicating that the habitat is vertically extensive. Stygobites were present in more boreholes in southern England than northern England (77 % compared to 38 %). Only two species were found in northern England compared to six in southern England, but overall seven of the eight stygobitic macro-invertebrate species found in England were detected in the Chalk. Two species are common in southern England, but absent from northern England despite the presence of a continuous habitat prior to the Devensian glaciation. This suggests that either they did not survive glaciations in the north where glaciers were more extensive, or dispersal rates are slow and they have never colonised northern England. Subsurface ecosystems comprising aquatic macro-invertebrates and meiofauna, as well as the microbial organisms they interact with, are likely to be widespread in the Chalk aquifer. They represent an important contribution to biodiversity, and may influence biogeochemical cycles and provide other ecosystem services.

  20. Exporting Poor Health: The Irish in England

    PubMed Central

    Delaney, Liam; Fernihough, Alan; Smith, James P

    2013-01-01

    The Irish-born population in England typically were in worse health than both the native population and the Irish population in Ireland, a reversal of the commonly observed healthy migrant effect (HIE). Recent birth-cohorts living in England and born in Ireland, however, are healthier than the English population. The substantial Irish migrant health penalty arises principally for cohorts born between 1920 and 1960. This paper attempts to understand the processes that generated these changing migrant health patterns for Irish migrants to England. Our results suggest a strong role for economic selection in driving the dynamics of health differences between the Irish-born migrants and White English populations. PMID:24014181

  1. Pressure ulcer and wounds reporting in NHS hospitals in England part 1: Audit of monitoring systems.

    PubMed

    Smith, Isabelle L; Nixon, Jane; Brown, Sarah; Wilson, Lyn; Coleman, Susanne

    2016-02-01

    Internationally, health-care systems have attempted to assess the scale of and demonstrate improvement in patient harms. Pressure ulcer (PU) monitoring systems have been introduced across NHS in-patient facilities in England, including the Safety Thermometer (STh) (prevalence), Incident Reporting Systems (IRS) and the Strategic Executive Information System (STEIS) for serious incidents. This is the first of two related papers considering PU monitoring systems across NHS in-patient facilities in England and focusses on a Wound Audit (PUWA) to assess the accuracy of these systems. Part 2 of this work and recommendations are reported pp *-*. The PUWA was undertaken in line with 'gold-standard' PU prevalence methods in a stratified random sample of NHS Trusts; 24/34 (72.7%) invited NHS Trusts participated, from which 121 randomly selected wards and 2239 patients agreed to participate. The PUWA identified 160 (7.1%) patients with an existing PU, compared to 105 (4.7%) on STh. STh had a weighted sensitivity of 48.2% (95%CI 35.4%-56.7%) and weighted specificity of 99.0% (95%CI 98.99%-99.01%). The PUWA identified 189 (8.4%) patients with an existing/healed PU compared to 135 (6.0%) on IRS. IRS had an unweighted sensitivity of 53.4% (95%CI 46.3%-60.4%) and unweighted specificity of 98.3% (95%CI 97.7%-98.8%). 83 patients had one or more potentially serious PU on PUWA and 8 (9.6%) of these patients were reported on STEIS. The results identified high levels of under-reporting for all systems and highlighted data capture challenges, including the use of clinical staff to inform national monitoring systems and the completeness of clinical records for PUs. Copyright © 2015 The Authors. Published by Elsevier Ltd.. All rights reserved.

  2. New England Takes Stock of Midterm Elections

    ERIC Educational Resources Information Center

    Harney, John O.; Morwick, Carolyn

    2014-01-01

    The recent midterm elections brought New England two new governors. Rhode Island elected its first woman chief executive in Gina Raimondo (D). Massachusetts elected Charlie Baker (R), a former Harvard Pilgrim CEO and official in the Weld and Cellucci administrations. Otherwise, the New England corner offices cautiously welcomed back incumbents:…

  3. Comparison of hypertension healthcare outcomes among older people in the USA and England

    PubMed Central

    Marshall, Alan; Nazroo, James; Feeney, Kevin; Lee, Jinkook; Vanhoutte, Bram; Pendleton, Neil

    2016-01-01

    Background The USA and England have very different health systems. Comparing hypertension care outcomes in each country enables an evaluation of the effectiveness of each system. Method The English Longitudinal Study of Ageing and the Health and Retirement Survey are used to compare the prevalence of controlled, uncontrolled and undiagnosed hypertension within the hypertensive population (diagnosed or measured within the survey data used) aged 50 years and above in the USA and in England. Results Controlled hypertension is more prevalent within the hypertensive population in the USA (age 50–64: 0.53 (0.50 to 0.57) and age 65+: 0.51 (0.49 to 0.53)) than in England (age 50–64: 0.45 (0.42 to 0.48) and age 65+: 0.42 (0.40 to 0.45)). This difference is driven by lower undiagnosed hypertension in the USA (age 50–64: 0.18 (0.15–0.21) and age 65+: 0.13 (0.12 to 0.14)) relative to England (age 50–64: 0.26 (0.24 to 0.29) and age 65+: 0.22 (0.20 to 0.24)). The prevalence of uncontrolled hypertension within the hypertensive population is very similar in the USA (age 50–64: 0.29 (0.26 to 0.32) and age 65+: 0.36 (0.34 to 0.38)) and England (age 50–64: 0.29 (0.26 to 0.32) and age 65+: 0.36 (0.34 to 0.39)). Hypertension care outcomes are comparable across US insurance categories. In both countries, undiagnosed hypertension is positively correlated with wealth (ages 50–64). Uncontrolled hypertension declines with rising wealth in the USA. Conclusions Different diagnostic practices are likely to drive the cross-country differences in undiagnosed hypertension. US government health systems perform at least as well as private healthcare and are more equitable in the distribution of care outcomes. Higher undiagnosed hypertension among the affluent may reflect less frequent medical contact. PMID:26598759

  4. Management of complex dynamical systems

    NASA Astrophysics Data System (ADS)

    MacKay, R. S.

    2018-02-01

    Complex dynamical systems are systems with many interdependent components which evolve in time. One might wish to control their trajectories, but a more practical alternative is to control just their statistical behaviour. In many contexts this would be both sufficient and a more realistic goal, e.g. climate and socio-economic systems. I refer to it as ‘management’ of complex dynamical systems. In this paper, some mathematics for management of complex dynamical systems is developed in the weakly dependent regime, and questions are posed for the strongly dependent regime.

  5. New England's Vital Resource: The Labor Force.

    ERIC Educational Resources Information Center

    Hoy, John C., Ed.; Bernstein, Melvin H., Ed.

    A collection of analyses and projections is presented that explores the challenges posed by a rapidly evolving economy and the critical issue of manpower policy facing New England and the nation. New England was able to move from traditional industry to high technology because its colleges and universities supplied basic research and trained…

  6. Recent Developments in Assessment Procedures in England and Wales.

    ERIC Educational Resources Information Center

    Goldstein, Harvey; Nuttall, Desmond

    Focusing on technical issues, this paper critiques proposed changes in assessment procedures at the further educational level (ages 16 through 18) in England and Wales. Major structural changes are taking place at this educational level, partly because of large scale youth unemployment. The two current examination systems for the final year of…

  7. Youth Justice in England and Wales: A Risky Business

    ERIC Educational Resources Information Center

    Paylor, Ian

    2011-01-01

    Risk factor research dominates explanatory models of youth offending and "evidence-based" policy and practice with young people in the youth justice system in England and Wales. Asset is the product of these actuarial ideas and has put the risk factor prevention paradigm into practice. This article evaluates the impact that an actuarial…

  8. Spotlight of a Century of Educational Reform in England.

    ERIC Educational Resources Information Center

    Henry, Thomas B.

    During the past 100 years, there has been an evolution in publicly funded education in England. This report provides a historical perspective for recent reforms and spotlights three related areas. The first section describes the early 19th-century Newcastle Commission's efforts to design a system of sound and cheap elementary education for…

  9. Synchronization in node of complex networks consist of complex chaotic system

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Wei, Qiang, E-mail: qiangweibeihua@163.com; Digital Images Processing Institute of Beihua University, BeiHua University, Jilin, 132011, Jilin; Faculty of Electronic Information and Electrical Engineering, Dalian University of Technology, Dalian, 116024

    2014-07-15

    A new synchronization method is investigated for node of complex networks consists of complex chaotic system. When complex networks realize synchronization, different component of complex state variable synchronize up to different scaling complex function by a designed complex feedback controller. This paper change synchronization scaling function from real field to complex field for synchronization in node of complex networks with complex chaotic system. Synchronization in constant delay and time-varying coupling delay complex networks are investigated, respectively. Numerical simulations are provided to show the effectiveness of the proposed method.

  10. A New England Land-Grant Network; A Study of the Feasibility of Establishing Educational Information Links Between the Six Land-Grant Universities in New England.

    ERIC Educational Resources Information Center

    Bardwell, John D.

    This study sought to identify physical facilities needed to connect the six New England land-grant universities. Criteria were time (use of current technology), cost (regular operating budgets of participating institutions), minimal personnel requirements, flexibility, and compatibility. The telephone system, an existing microwave network, a…

  11. A comparative study of contemporary user involvement within healthcare systems across England, Poland and Slovenia.

    PubMed

    Lichon, Mateusz; Kavcic, Matic; Masterson, Daniel

    2015-01-01

    The purpose of this paper is to explore how healthcare-users' engagement is perceived, how it occurs and how these perceptions differ between three European countries: England, Poland and Slovenia, using the concepts of voice, choice and coproduction. This comparative, qualitative study is based on a review of legal documents, academic literature and semi-structured interviews conducted in October and November 2011. A research sample consisted of 21 interviewees representing various stakeholders including healthcare-users, doctors and managers. Primary and secondary data were analysed using theoretical thematic analysis. Emerging themes were identified from the interviews and related to the indicators describing healthcare-users' involvement in the voice, choice and coproduction model. Results of the comparative qualitative research suggest that the healthcare-users' influence is strongly grounded in England where the healthcare system and professionals are prepared to include healthcare-users in the decision-making process. In Slovenia, cultural development of healthcare-users' involvement seems to proceed the institutional development. In Poland, institutions are ready to involve healthcare-users in decision-making process although the cultural desirability of involving users among doctors and patients is lacking. The notion of user involvement is increasingly gaining importance and research attention, yet there is still little known about the way cultural, political, historical differences between various European countries influence it. This paper explores this little known area using the original approach of user involvement (Dent et al., 2011) with input from various stakeholders including patients, healthcare representatives and academics.

  12. Complex systems: physics beyond physics

    NASA Astrophysics Data System (ADS)

    Holovatch, Yurij; Kenna, Ralph; Thurner, Stefan

    2017-03-01

    Complex systems are characterised by specific time-dependent interactions among their many constituents. As a consequence they often manifest rich, non-trivial and unexpected behaviour. Examples arise both in the physical and non-physical worlds. The study of complex systems forms a new interdisciplinary research area that cuts across physics, biology, ecology, economics, sociology, and the humanities. In this paper we review the essence of complex systems from a physicists' point of view, and try to clarify what makes them conceptually different from systems that are traditionally studied in physics. Our goal is to demonstrate how the dynamics of such systems may be conceptualised in quantitative and predictive terms by extending notions from statistical physics and how they can often be captured in a framework of co-evolving multiplex network structures. We mention three areas of complex-systems science that are currently studied extensively, the science of cities, dynamics of societies, and the representation of texts as evolutionary objects. We discuss why these areas form complex systems in the above sense. We argue that there exists plenty of new ground for physicists to explore and that methodical and conceptual progress is needed most.

  13. Exploring Geochemical Markers of the Anthropocene in River Sediments: Southern New England

    NASA Astrophysics Data System (ADS)

    Tran, J.

    2015-12-01

    The sedimentary record of New England is complex. From glacial till to colonial land use to the industrial revolution, any sediment preserved is intertwined and muddled by humans. Recent studies support the idea that any anthropogenic markers in the sediment record are site specific. Southern New England is marked by a myriad of practices including farming, charcoal kilns, hatting, mill dams, and iron furnaces. While specific markers of the anthropocene have been identified, little work has been done to correlate and quantify these noted markers across multiple basins. Specifically, a combination of x-ray fluorescence (XRF), x-ray diffraction (XRD), and grain size analysis were done on sediment cores taken within Southern New England across various watersheds. We present a combination of geochemical analysis and detrital zircon geochronology in order identify and account for basin differences. This in turn results in a more comprehensive trans-basin understanding of the anthropocene in this region. We observe strong evidence that supports the idea of geochemical markers anthropocene which include an increase in Mercury and Lead content in the sediments. Additionally, in basins where mill dams are present we observe sediment records consistent with flood events and dam degradation. While still fairly novel and understudied, our results provide insight to the much often question topic of the anthropocene in relation to this particular region and the potential pitfalls of doing large scale anthropogenic dating.

  14. Complexity, Systems, and Software

    DTIC Science & Technology

    2014-08-14

    2014 Carnegie Mellon University Complexity, Systems, and Software Software Engineering Institute Carnegie Mellon University Pittsburgh, PA...this collection of information, including suggestions for reducing this burden, to Washington Headquarters Services , Directorate for Information...OMB control number. 1. REPORT DATE 29 OCT 2014 2. REPORT TYPE N/A 3. DATES COVERED 4. TITLE AND SUBTITLE Complexity, Systems, and Software

  15. Restructuring Teachers' Work-Lives and Knowledge in England and Spain

    ERIC Educational Resources Information Center

    Muller, Jorg; Norrie, Caroline; Hernandez, Fernando; Goodson, Ivor

    2010-01-01

    This article explores the restructuring of education in England and Spain. Against a presumably homogeneous global streamlining of educational systems according to competition-driven goals, the comparison of teachers' work-lives and professional knowledge evidences a variety of experiences under-represented in discourses on global restructuring.…

  16. Melmark New England

    ERIC Educational Resources Information Center

    Cancro, Lorraine

    2009-01-01

    This article features Melmark New England, a private, nonprofit, community based organization dedicated to serving children and adolescents with autism spectrum disorders, acquired brain injury, neurological diseases and disorders, and severe challenging behaviors. The Melmark parent corporation, a Pennsylvania based provider of services for those…

  17. Reduction of Subjective and Objective System Complexity

    NASA Technical Reports Server (NTRS)

    Watson, Michael D.

    2015-01-01

    Occam's razor is often used in science to define the minimum criteria to establish a physical or philosophical idea or relationship. Albert Einstein is attributed the saying "everything should be made as simple as possible, but not simpler". These heuristic ideas are based on a belief that there is a minimum state or set of states for a given system or phenomena. In looking at system complexity, these heuristics point us to an idea that complexity can be reduced to a minimum. How then, do we approach a reduction in complexity? Complexity has been described as a subjective concept and an objective measure of a system. Subjective complexity is based on human cognitive comprehension of the functions and inter relationships of a system. Subjective complexity is defined by the ability to fully comprehend the system. Simplifying complexity, in a subjective sense, is thus gaining a deeper understanding of the system. As Apple's Jonathon Ive has stated," It's not just minimalism or the absence of clutter. It involves digging through the depth of complexity. To be truly simple, you have to go really deep". Simplicity is not the absence of complexity but a deeper understanding of complexity. Subjective complexity, based on this human comprehension, cannot then be discerned from the sociological concept of ignorance. The inability to comprehend a system can be either a lack of knowledge, an inability to understand the intricacies of a system, or both. Reduction in this sense is based purely on a cognitive ability to understand the system and no system then may be truly complex. From this view, education and experience seem to be the keys to reduction or eliminating complexity. Objective complexity, is the measure of the systems functions and interrelationships which exist independent of human comprehension. Jonathon Ive's statement does not say that complexity is removed, only that the complexity is understood. From this standpoint, reduction of complexity can be approached

  18. Innovations in major system reconfiguration in England: a study of the effectiveness, acceptability and processes of implementation of two models of stroke care.

    PubMed

    Fulop, Naomi; Boaden, Ruth; Hunter, Rachael; McKevitt, Christopher; Morris, Steve; Pursani, Nanik; Ramsay, Angus Ig; Rudd, Anthony G; Tyrrell, Pippa J; DA Wolfe, Charles

    2013-01-05

    Significant changes in provision of clinical care within the English National Health Service (NHS) have been discussed in recent years, with proposals to concentrate specialist services in fewer centres. Stroke is a major public health issue, accounting for over 10% of deaths in England and Wales, and much disability among survivors. Variations have been highlighted in stroke care, with many patients not receiving evidence-based care. To address these concerns, stroke services in London and Greater Manchester were reorganised, although different models were implemented. This study will analyse processes involved in making significant changes to stroke care services over a short time period, and the factors influencing these processes. We will examine whether the changes have delivered improvements in quality of care and patient outcomes; and, in light of this, whether the significant extra financial investment represented good value for money. This study brings together quantitative data on 'what works and at what cost?' with qualitative data on 'understanding implementation and sustainability' to understand major system change in two large conurbations in England. Data on processes of care and their outcomes (e.g. morbidity, mortality, and cost) will be analysed to evidence services' performance before and after reconfiguration. The evaluation draws on theories related to the dissemination and sustainability of innovations and the 'social matrix' underlying processes of innovation. We will conduct a series of case studies based on stakeholder interviews and documentary analysis. These will identify drivers for change, how the reconfigurations were governed, developed, and implemented, and how they influenced service quality. The research faces challenges due to: the different timings of the reconfigurations; the retrospective nature of the evaluation; and the current organisational turbulence in the English NHS. However, these issues reflect the realities of major

  19. Mycoplasma pneumoniae Epidemiology in England and Wales: A National Perspective.

    PubMed

    Brown, Rebecca J; Nguipdop-Djomo, Patrick; Zhao, Hongxin; Stanford, Elaine; Spiller, O Brad; Chalker, Victoria J

    2016-01-01

    Investigations of patients with suspected Mycoplasma pneumoniae infection have been undertaken in England since the early 1970s. M. pneumoniae is a respiratory pathogen that is a common cause of pneumonia and may cause serious sequelae such as encephalitis and has been documented in children with persistent cough. The pathogen is found in all age groups, with higher prevalence in children aged 5-14 years. In England, recurrent epidemic periods have occurred at ~4-yearly intervals. In addition, low-level sporadic infection occurs with seasonal peaks from December to February. Voluntarily reports from regional laboratories and hospitals in England from 1975 to 2015 were collated by Public Health England for epidemiological analysis. Further data pertaining cases of note and specimens submitted to Public Health England from 2005 to 2015 for confirmation, molecular typing is included.

  20. Building Complex Systems

    NASA Technical Reports Server (NTRS)

    Hinchey, Mike

    2006-01-01

    The explosion of capabilities and new products within ICT (Information and Communication Technology) has fostered widespread, overly optimistic opinions regarding the industry, based on common but unjustified assumptions of quality and correctness of software. These assumptions are encouraged by software producers and vendors, who have not succeeded in finding a way to overcome the lack of an automated, mathematically sound way to develop correct systems from requirements. NASA faces this dilemma as it envisages advanced mission concepts in future exploration missions, which may well be the most ambitious computer-based systems ever developed. Such missions entail levels of complexity that beg for new methods for system development. NASA-led research in such areas as sensor networks, formal methods, autonomic computing, and requirements-based programming (to name but a few) will offer some innovative approaches to achieving correctness in complex system development.

  1. Policy Perspective: School Turnaround in England. Utilizing the Private Sector

    ERIC Educational Resources Information Center

    Corbett, Julie

    2014-01-01

    This paper, written by strategic partner of the Center on School Turnaround (CST), Julie Corbett, provides research and examples on England's approach to turning around its lowest performing schools. The English education system utilizes private vendors to support chronically low-performing schools and districts. The introduction is followed by…

  2. Spatial distribution of clinical computer systems in primary care in England in 2016 and implications for primary care electronic medical record databases: a cross-sectional population study.

    PubMed

    Kontopantelis, Evangelos; Stevens, Richard John; Helms, Peter J; Edwards, Duncan; Doran, Tim; Ashcroft, Darren M

    2018-02-28

    UK primary care databases (PCDs) are used by researchers worldwide to inform clinical practice. These databases have been primarily tied to single clinical computer systems, but little is known about the adoption of these systems by primary care practices or their geographical representativeness. We explore the spatial distribution of clinical computing systems and discuss the implications for the longevity and regional representativeness of these resources. Cross-sectional study. English primary care clinical computer systems. 7526 general practices in August 2016. Spatial mapping of family practices in England in 2016 by clinical computer system at two geographical levels, the lower Clinical Commissioning Group (CCG, 209 units) and the higher National Health Service regions (14 units). Data for practices included numbers of doctors, nurses and patients, and area deprivation. Of 7526 practices, Egton Medical Information Systems (EMIS) was used in 4199 (56%), SystmOne in 2552 (34%) and Vision in 636 (9%). Great regional variability was observed for all systems, with EMIS having a stronger presence in the West of England, London and the South; SystmOne in the East and some regions in the South; and Vision in London, the South, Greater Manchester and Birmingham. PCDs based on single clinical computer systems are geographically clustered in England. For example, Clinical Practice Research Datalink and The Health Improvement Network, the most popular primary care databases in terms of research outputs, are based on the Vision clinical computer system, used by <10% of practices and heavily concentrated in three major conurbations and the South. Researchers need to be aware of the analytical challenges posed by clustering, and barriers to accessing alternative PCDs need to be removed. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

  3. The New England travel market: changes in generational travel patterns

    Treesearch

    Rodney B. Warnick

    1995-01-01

    The purpose of this study was to examine and explore the New England domestic travel market trends, from 1979 through 1991 within the context of generations. The existing travel markets, who travel to New England, are changing by age cohorts and specifically within different generations. The New England changes in generational travel patterns do not reflect national...

  4. University Enrollment Patterns in England and the United States.

    ERIC Educational Resources Information Center

    Fairweather, Malcolm

    Factors that influence college choice and enrollment patterns in both the United States and England were identified, based on a comparative literature review. It was found that the reasons given by students for attending universities in the two countries are very similar, in spite of the fact that the systems of higher education in these countries…

  5. Clinical negligence in hospitals in France and England.

    PubMed

    Kelly, Michael J; de Bono Q C, John; Métayer, Patrice

    2015-12-01

    This article arose from the back-to-back presentations by Michael Kelly and Patrice Métayer to the Anglo-French Medical Society in 2013 on the French and English legal systems handling a case of alleged clinical negligence as it proceeds from complaint to settlement or judgment in the two jurisdictions. Both systems have a hospital-based first stage with various avenues being available for amicable resolution, the French version being more regulated and prescribed than the English one. In both jurisdictions fewer than 5% cases go down the criminal route. Before the court is involved, in England there is an elaborate lawyer-controlled phase involving negotiations between the two sides and their experts which is expensive but often leads to pre-trial settlement for significant sums of money. Medical experts are central to all of this. In England they are largely unregulated and entirely advisory in an open market, in France they are both regulated and supervised by judges, being placed on official lists. These experts take a major inquisitorial role in a Debate between the two sides, combining the functions of Single Joint Expert (SJE), arbiter and mentor. If agreement is not reached, a second Debate before a different Expert is arranged. In both countries fewer than 5% cases reach a court for a hearing before a judge. In England a trial is an elaborate lengthy, expensive adversarial contest where all of the issues are rehearsed in full with factual and expert evidence, whereas in France in a contested case the judge reviews the reports of the two Debates with the lawyers who were involved (and not the experts, factual witnesses or parties). © The Author(s) 2015.

  6. Researching and Developing Music Provision in Special Schools in England for Children and Young People with Complex Needs

    ERIC Educational Resources Information Center

    Cheng, Evangeline; Ockelford, Adam; Welch, Graham

    2009-01-01

    The House of Commons Select Committee on Education (2006) estimated that around 18% of all pupils in England were categorised as having Special Educational Needs (SEN). "Around 3% of all children (250,000) had a statement of SEN and around 1% of all children were in special schools (90,000) which represent approximately one third of children…

  7. Sustainability, Complexity and Learning: Insights from Complex Systems Approaches

    ERIC Educational Resources Information Center

    Espinosa, A.; Porter, T.

    2011-01-01

    Purpose: The purpose of this research is to explore core contributions from two different approaches to complexity management in organisations aiming to improve their sustainability,: the Viable Systems Model (VSM), and the Complex Adaptive Systems (CAS). It is proposed to perform this by summarising the main insights each approach offers to…

  8. Implementing sustainable drainage systems for urban surface water management within the regulatory framework in England and Wales.

    PubMed

    Ellis, J Bryan; Lundy, Lian

    2016-12-01

    The UK 2007 floods resulted in damages estimated to exceed over £4 billion. This triggered a national review of strategic flood risk management (Pitt, 2008) with its recommendations informing and implemented by the Flood and Water Management, Act (FWMA, 2010). Estimating that up to two-thirds of properties flooded in the 2007 event as a direct result of overloaded sewer systems, the FWMA set out an ambitious overhaul of flood risk management approaches including identifying bodies responsible for the management of local flood risk (local municipalities) and the development of over-arching Lead Local Flood Authorities (LLFAs) at a regional level. LLFAs duties include developing local flood risk management strategies and, aligned with this, many LLFAs and local municipalities produced sustainable drainage system (SUDS) guidance notes. In parallel, changes to the national planning policy framework (NPPF) in England give priority to the use of SUDS in new major developments, as does the related Town and Country Planning Order (2015). However, whilst all three pieces of legislation refer to the preferential use of SUDs, these requirements remain "economically proportionate" and thus the inclusion of SUDS within development controls remain desirable - but not mandatory - obligations. Within this dynamic policy context, reignited most recently by the December 2015 floods, this paper examines some of the challenges to the implementation of SUDS in England and Wales posed by the new regulatory frameworks. In particular, it examines how emerging organisational procedures and processes are likely to impact on future SUDS implementation, and highlights the need for further cross-sectoral working to ensure opportunities for cross-sectoral benefits- such as that accrued by reducing stormwater flows within combined sewer systems for water companies, property developers and environmental protection - are not lost. Copyright © 2016 Elsevier Ltd. All rights reserved.

  9. A Comparison of Mortality Following Emergency Laparotomy Between Populations From New York State and England.

    PubMed

    Tan, Benjamin H L; Mytton, Jemma; Al-Khyatt, Waleed; Aquina, Christopher T; Evison, Felicity; Fleming, Fergal J; Griffiths, Ewen; Vohra, Ravinder S

    2017-08-01

    The aim of this study was to compare mortality following emergency laparotomy between populations from New York State and England. Mortality following emergency surgery is a key quality improvement metric in both the United States and UK. Comparison of the all-cause 30-day mortality following emergency laparotomy between populations from New York State and England might identify factors that could improve care. Patient demographics, in-hospital, and 30-day outcomes data were extracted from Hospital Episode Statistics (HES) in England and the New York Statewide Planning and Research Cooperative System (SPARCS) administrative databases for all patients older than 18 years undergoing laparotomy for emergency open bowel surgery between April 2009 and March 2014. The primary outcome measure was all-cause mortality within 30 days of the index laparotomy. Mixed-effects logistic regression was performed to model independent demographic variables against mortality. A one-to-one propensity score matched dataset was created to compare the odd ratios of mortality between the 2 populations. Overall, 137,869 patient records, 85,286 (61.9%) from England and 52,583 (38.1%) from New York State, were extracted. Crude 30-day mortality for patients was significantly higher in the England compared with New York State [11,604 (13.6%) vs 3633 (6.9%) patients, P < 0.001]. Patients undergoing emergency laparotomy in England had significantly higher risk of mortality compared with those in New York State (odds ratio 2.35, confidence interval 2.24-2.46, P < 0.001). The risk of mortality at 30 days is higher following emergency laparotomy in England as compared with New York State despite similar patient groups.

  10. Complexity in Dynamical Systems

    NASA Astrophysics Data System (ADS)

    Moore, Cristopher David

    The study of chaos has shown us that deterministic systems can have a kind of unpredictability, based on a limited knowledge of their initial conditions; after a finite time, the motion appears essentially random. This observation has inspired a general interest in the subject of unpredictability, and more generally, complexity; how can we characterize how "complex" a dynamical system is?. In this thesis, we attempt to answer this question with a paradigm of complexity that comes from computer science, we extract sets of symbol sequences, or languages, from a dynamical system using standard methods of symbolic dynamics; we then ask what kinds of grammars or automata are needed a generate these languages. This places them in the Chomsky heirarchy, which in turn tells us something about how subtle and complex the dynamical system's behavior is. This gives us insight into the question of unpredictability, since these automata can also be thought of as computers attempting to predict the system. In the culmination of the thesis, we find a class of smooth, two-dimensional maps which are equivalent to the highest class in the Chomsky heirarchy, the turning machine; they are capable of universal computation. Therefore, these systems possess a kind of unpredictability qualitatively different from the usual "chaos": even if the initial conditions are known exactly, questions about the system's long-term dynamics are undecidable. No algorithm exists to answer them. Although this kind of unpredictability has been discussed in the context of distributed, many-degree-of -freedom systems (for instance, cellular automata) we believe this is the first example of such phenomena in a smooth, finite-degree-of-freedom system.

  11. Child survival in England: Strengthening governance for health.

    PubMed

    Wolfe, Ingrid; Mandeville, Kate; Harrison, Katherine; Lingam, Raghu

    2017-11-01

    The United Kingdom, like all European countries, is struggling to strengthen health systems and improve conditions for child health and survival. Child mortality in the UK has failed to improve in line with other countries. Securing optimal conditions for child health requires a healthy society, strong health system, and effective health care. We examine inter-sectoral and intra-sectoral policy and governance for child health and survival in England. Literature reviews and universally applicable clinical scenarios were used to examine child health problems and English policy and governance responses for improving child health through integrating care and strengthening health systems, over the past 15 years. We applied the TAPIC framework for analysing policy governance: transparency, accountability, participation, integrity, and capacity. We identified strengths and weaknesses in child health governance in all the five domains. However there remain policy failures that are not fully explained by the TAPIC framework. Other problems with successfully translating policy to improved health that we identified include policy flux; policies insufficiently supported by delivery mechanisms, measurable targets, and sufficient budgets; and policies with unintended or contradictory aspects. We make recommendations for inter-sectoral and intra-sectoral child health governance, policy, and action to improve child health in England with relevant lessons for other countries. Copyright © 2017 The Author(s). Published by Elsevier B.V. All rights reserved.

  12. Comparison of hypertension healthcare outcomes among older people in the USA and England.

    PubMed

    Marshall, Alan; Nazroo, James; Feeney, Kevin; Lee, Jinkook; Vanhoutte, Bram; Pendleton, Neil

    2016-03-01

    The USA and England have very different health systems. Comparing hypertension care outcomes in each country enables an evaluation of the effectiveness of each system. The English Longitudinal Study of Ageing and the Health and Retirement Survey are used to compare the prevalence of controlled, uncontrolled and undiagnosed hypertension within the hypertensive population (diagnosed or measured within the survey data used) aged 50 years and above in the USA and in England. Controlled hypertension is more prevalent within the hypertensive population in the USA (age 50-64: 0.53 (0.50 to 0.57) and age 65+: 0.51 (0.49 to 0.53)) than in England (age 50-64: 0.45 (0.42 to 0.48) and age 65+: 0.42 (0.40 to 0.45)). This difference is driven by lower undiagnosed hypertension in the USA (age 50-64: 0.18 (0.15-0.21) and age 65+: 0.13 (0.12 to 0.14)) relative to England (age 50-64: 0.26 (0.24 to 0.29) and age 65+: 0.22 (0.20 to 0.24)). The prevalence of uncontrolled hypertension within the hypertensive population is very similar in the USA (age 50-64: 0.29 (0.26 to 0.32) and age 65+: 0.36 (0.34 to 0.38)) and England (age 50-64: 0.29 (0.26 to 0.32) and age 65+: 0.36 (0.34 to 0.39)). Hypertension care outcomes are comparable across US insurance categories. In both countries, undiagnosed hypertension is positively correlated with wealth (ages 50-64). Uncontrolled hypertension declines with rising wealth in the USA. Different diagnostic practices are likely to drive the cross-country differences in undiagnosed hypertension. US government health systems perform at least as well as private healthcare and are more equitable in the distribution of care outcomes. Higher undiagnosed hypertension among the affluent may reflect less frequent medical contact. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/

  13. Hybrid estimation of complex systems.

    PubMed

    Hofbaur, Michael W; Williams, Brian C

    2004-10-01

    Modern automated systems evolve both continuously and discretely, and hence require estimation techniques that go well beyond the capability of a typical Kalman Filter. Multiple model (MM) estimation schemes track these system evolutions by applying a bank of filters, one for each discrete system mode. Modern systems, however, are often composed of many interconnected components that exhibit rich behaviors, due to complex, system-wide interactions. Modeling these systems leads to complex stochastic hybrid models that capture the large number of operational and failure modes. This large number of modes makes a typical MM estimation approach infeasible for online estimation. This paper analyzes the shortcomings of MM estimation, and then introduces an alternative hybrid estimation scheme that can efficiently estimate complex systems with large number of modes. It utilizes search techniques from the toolkit of model-based reasoning in order to focus the estimation on the set of most likely modes, without missing symptoms that might be hidden amongst the system noise. In addition, we present a novel approach to hybrid estimation in the presence of unknown behavioral modes. This leads to an overall hybrid estimation scheme for complex systems that robustly copes with unforeseen situations in a degraded, but fail-safe manner.

  14. A new laboratory-based surveillance system (Respiratory DataMart System) for influenza and other respiratory viruses in England: results and experience from 2009 to 2012.

    PubMed

    Zhao, H; Green, H; Lackenby, A; Donati, M; Ellis, J; Thompson, C; Bermingham, A; Field, J; Sebastianpillai, P; Zambon, M; Watson, Jm; Pebody, R

    2014-01-23

    During the 2009 influenza A(H1N1) pandemic, a new laboratory-based virological sentinel surveillance system, the Respiratory DataMart System (RDMS), was established in a network of 14 Health Protection Agency (now Public Health England (PHE)) and National Health Service (NHS) laboratories in England. Laboratory results (both positive and negative) were systematically collected from all routinely tested clinical respiratory samples for a range of respiratory viruses including influenza, respiratory syncytial virus (RSV), rhinovirus, parainfluenza virus, adenovirus and human metapneumovirus (hMPV). The RDMS also monitored the occurrence of antiviral resistance of influenza viruses. Data from the RDMS for the 2009–2012 period showed that the 2009 pandemic influenza virus caused three waves of activity with different intensities during the pandemic and post pandemic periods. Peaks in influenza A(H1N1)pdm09 positivity (defined as number of positive samples per total number of samples tested) were seen in summer and autumn in 2009, with slightly higher peak positivity observed in the first post-pandemic season in 2010/2011. The influenza A(H1N1)pdm09 virus strain almost completely disappeared in the second postpandemic season in 2011/2012. The RDMS findings are consistent with other existing community-based virological and clinical surveillance systems. With a large sample size, this new system provides a robust supplementary mechanism, through the collection of routinely available laboratory data at minimum extra cost, to monitor influenza as well as other respiratory virus activity. A near real-time, daily reporting mechanism in the RDMS was established during the London 2012 Olympic and Paralympic Games. Furthermore, this system can be quickly adapted and used to monitor future influenza pandemics and other major outbreaks of respiratory infectious disease, including novel pathogens.

  15. Comparative epidemiology of Clostridium difficile infection: England and the USA.

    PubMed

    King, Alice; Mullish, Benjamin H; Williams, Horace R T; Aylin, Paul

    2017-10-01

    To examine whether there is an epidemiological difference between Clostridium difficile infection (CDI) inpatient populations in England and the United States. A cross-sectional study. National administrative inpatient discharge data from England (Hospital Episode Statistics) and the USA (National Inpatient Sample) in 2012. De-identifiable non-obstetric inpatient discharges from the national datasets were used to estimate national CDI incidence in the United States and England using ICD9-CM(008.45) and ICD10(A04.7) respectively. The rate of CDI was calculated per 100 000 population using national population estimates. Rate per 100 000 inpatient discharges was also calculated separated by primary and secondary diagnosis of CDI. Age, sex and Elixhauser comorbidities profiles were examined. The USA had a higher rate of CDI compared to England: 115.1/100 000 vs. 19.3/100 000 population (P < 0.001). CDI age profiles differed between the countries (P < 0.001): in England, patients ≥75 years constitute a larger proportion of CDI cases, whilst those aged 25-70 constitute more cases in the US (P < 0.001). Overall adjusted odds of CDI in females compared to males was elevated in both England (odds ratios (OR) 1.26 95% CI [1.21,1.31] P < 0.001) and the USA (OR 1.20 95% CI [1.18,1.22] P < 0.001). The proportion of CDI patients with comorbidities was greater in the USA compared to England apart from dementia, which was greater in England (9.63% vs. 1.25%, P < 0.0001). The 2012 inpatient CDI rate within the USA was much higher than in England. Age and comorbidity profiles also differed between CDI patients in both countries. The reasons for this are likely multi-factorial but may reflect national infection control policy. © The Author 2017. Published by Oxford University Press in association with the International Society for Quality in Health Care. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com

  16. How Effective Is the Research and Development Ecosystem for England's Schools?

    ERIC Educational Resources Information Center

    Godfrey, David; Brown, Chris

    2018-01-01

    This article examines the role of research and development within England's school system. From a range of literature past and present we argue that six features (three dimensions) should form the focus for action at the institutional, systemic and policy levels. Applying these stress tests to the current system, we suggest that an effective…

  17. New England After 3 PM: Spotlight on Maine

    ERIC Educational Resources Information Center

    Afterschool Alliance, 2008

    2008-01-01

    The Afterschool Alliance and the Nellie Mae Education Foundation have been exploring the answers to questions like these throughout New England in a series of reports designed to examine afterschool in the region today. "Spotlight on Maine" is the fifth installment of the Afterschool Alliance's "New England After 3 PM" series,…

  18. Nothing Changes: Perceptions of Vocational Education in England

    ERIC Educational Resources Information Center

    Atkins, Liz; Flint, Kevin J.

    2015-01-01

    This paper explores young people's perceptions of vocational education and training (VET) in England. It draws on interview and focus-group data from a funded project. Parallel studies were carried out in The Netherlands, South Africa and England. This study reports on the English project. It found that serendipity, contingent events and influence…

  19. A Population-Based Cohort Study of Emergency Appendectomy Performed in England and New York State.

    PubMed

    Al-Khyatt, Waleed; Mytton, Jemma; Tan, Benjamin H L; Aquina, Christopher T; Evison, Felicity; Fleming, Fergal J; Pasquali, Sandro; Griffiths, Ewen A; Vohra, Ravinder S

    2017-08-01

    To compare selected outcomes (30-day reoperation and total length of hospital stay) following emergency appendectomy between populations from New York State and England. This retrospective cohort study used demographic and in-hospital outcome data from Hospital Episode Statistics (HES) and the New York Statewide Planning and Research Cooperative System (SPARCS) administrative databases for all patients aged 18+ years undergoing appendectomy between April 2009 and March 2014. Univariate and adjusted multivariable logistic regression were used to test significant factors. A one-to-one propensity score matched dataset was created to compare odd ratios (OR) of reoperations between the two populations. A total of 188,418 patient records, 121,428 (64.4%) from England and 66,990 (35.6%) from NYS, were extracted. Appendectomy was completed laparoscopically in 77.7% of patients in New York State compared to 53.6% in England (P < 0.001). The median lengths of hospital stay for patients undergoing appendectomy were 3 (interquartile range, IQR 2-4) days versus 2 (IQR 1-3) days (P < 0.001) in England and New York State, respectively. All 30-day reoperation rates were higher in England compared to New York State (1.2 vs. 0.6%, P < 0.001), representing nearly a twofold higher risk of 30-day reoperation (OR 1.88, 95% CI 1.64-2.14, P < 0.001). As the proportion of appendectomy completed laparoscopically increased, there was a reduction in the reoperation rate in England (correlation coefficient -0.170, P = 0.036). Reoperations and total length of hospital stay is significantly higher following appendectomy in England compared to New York State. Increasing the numbers of appendectomy completed laparoscopically may decrease length of stay and reoperations.

  20. Can the Accountable Care Organization model facilitate integrated care in England?

    PubMed

    Ahmed, Faheem; Mays, Nicholas; Ahmed, Naeem; Bisognano, Maureen; Gottlieb, Gary

    2015-10-01

    Following the global economic recession, health care systems have experienced intense political pressure to contain costs without compromising quality. One response is to focus on improving the continuity and coordination of care, which is seen as beneficial for both patients and providers. However, cultural and structural barriers have proved difficult to overcome in the quest to provide integrated care for entire populations. By holding groups of providers responsible for the health outcomes of a designated population, in the United States, Accountable Care Organizations are regarded as having the potential to foster collaboration across the continuum of care. They could have a similar role in England's National Health Service. However, it is important to consider the difference in context before implementing a similar model, adapted to suit the system's strengths. Working together, general practice federations and the Academic Health Science Networks could form the basis of accountable care in England. © The Author(s) 2015.

  1. [Health: an adaptive complex system].

    PubMed

    Toro-Palacio, Luis Fernando; Ochoa-Jaramillo, Francisco Luis

    2012-02-01

    This article points out the enormous gap that exists between complex thinking of an intellectual nature currently present in our environment, and complex experimental thinking that has facilitated the scientific and technological advances that have radically changed the world. The article suggests that life, human beings, global society, and all that constitutes health be considered as adaptive complex systems. This idea, in turn, prioritizes the adoption of a different approach that seeks to expand understanding. When this rationale is recognized, the principal characteristics and emerging properties of health as an adaptive complex system are sustained, following a care and services delivery model. Finally, some pertinent questions from this perspective are put forward in terms of research, and a series of appraisals are expressed that will hopefully serve to help us understand all that we have become as individuals and as a species. The article proposes that the delivery of health care services be regarded as an adaptive complex system.

  2. School Governor Regulation in England's Changing Education Landscape

    ERIC Educational Resources Information Center

    Baxter, Jacqueline

    2017-01-01

    The changing education landscape in England, combined with a more rigorous form of governor regulation in the form of the Ofsted 2012 Inspection Framework, are together placing more demands than ever before on the 300,000 volunteer school governors in England. These school governors are, in many cases, directly accountable to the Secretary of…

  3. On Affordability: Public Higher Education in New England

    ERIC Educational Resources Information Center

    Syverud, Gretchen

    2015-01-01

    As the lowest-priced higher education institutions serving the greatest share of students in New England, public institutions are a crucial access point for the region's students who may not have other opportunities to enroll in college. Maintaining the cost of attending a public institution in New England is imperative for students, families,…

  4. COMPLEXITY IN ECOLOGICAL SYSTEMS

    EPA Science Inventory

    The enormous complexity of ecosystems is generally obvious under even the most cursory examination. In the modern world, this complexity is further augmented by the linkage of ecosystems to economic and social systems through the human use of the environment for technological pu...

  5. Modeling the probability of arsenic in groundwater in New England as a tool for exposure assessment.

    PubMed

    Ayotte, Joseph D; Nolan, Bernard T; Nuckols, John R; Cantor, Kenneth P; Robinson, Gilpin R; Baris, Dalsu; Hayes, Laura; Karagas, Margaret; Bress, William; Silverman, Debra T; Lubin, Jay H

    2006-06-01

    We developed a process-based model to predict the probability of arsenic exceeding 5 microg/L in drinking water wells in New England bedrock aquifers. The model is being used for exposure assessment in an epidemiologic study of bladder cancer. One important study hypothesis that may explain increased bladder cancer risk is elevated concentrations of inorganic arsenic in drinking water. In eastern New England, 20-30% of private wells exceed the arsenic drinking water standard of 10 micrograms per liter. Our predictive model significantly improves the understanding of factors associated with arsenic contamination in New England. Specific rock types, high arsenic concentrations in stream sediments, geochemical factors related to areas of Pleistocene marine inundation and proximity to intrusive granitic plutons, and hydrologic and landscape variables relating to groundwater residence time increase the probability of arsenic occurrence in groundwater. Previous studies suggest that arsenic in bedrock groundwater may be partly from past arsenical pesticide use. Variables representing historic agricultural inputs do not improve the model, indicating that this source does not significantly contribute to current arsenic concentrations. Due to the complexity of the fractured bedrock aquifers in the region, well depth and related variables also are not significant predictors.

  6. Neo-Liberalism and Change in Higher Education Policy: England and Japan

    ERIC Educational Resources Information Center

    Yokoyama, Keiko

    2008-01-01

    The study scrutinizes the rationale behind higher education policy change in England and Japan, giving attention to stakeholders' perspective and legitimacy, policy network, and policy sphere. It argues that change in higher education policy in England and Japan towards being more market-oriented in the 1980s (England) and the 1990s (Japan) can…

  7. From Shakespeare to Defoe: malaria in England in the Little Ice Age.

    PubMed

    Reiter, P

    2000-01-01

    Present global temperatures are in a warming phase that began 200 to 300 years ago. Some climate models suggest that human activities may have exacerbated this phase by raising the atmospheric concentration of carbon dioxide and other greenhouse gases. Discussions of the potential effects of the weather include predictions that malaria will emerge from the tropics and become established in Europe and North America. The complex ecology and transmission dynamics of the disease, as well as accounts of its early history, refute such predictions. Until the second half of the 20th century, malaria was endemic and widespread in many temperate regions, with major epidemics as far north as the Arctic Circle. From 1564 to the 1730s the coldest period of the Little Ice Age malaria was an important cause of illness and death in several parts of England. Transmission began to decline only in the 19th century, when the present warming trend was well under way. The history of the disease in England underscores the role of factors other than temperature in malaria transmission.

  8. From Shakespeare to Defoe: malaria in England in the Little Ice Age.

    PubMed Central

    Reiter, P.

    2000-01-01

    Present global temperatures are in a warming phase that began 200 to 300 years ago. Some climate models suggest that human activities may have exacerbated this phase by raising the atmospheric concentration of carbon dioxide and other greenhouse gases. Discussions of the potential effects of the weather include predictions that malaria will emerge from the tropics and become established in Europe and North America. The complex ecology and transmission dynamics of the disease, as well as accounts of its early history, refute such predictions. Until the second half of the 20th century, malaria was endemic and widespread in many temperate regions, with major epidemics as far north as the Arctic Circle. From 1564 to the 1730s the coldest period of the Little Ice Age malaria was an important cause of illness and death in several parts of England. Transmission began to decline only in the 19th century, when the present warming trend was well under way. The history of the disease in England underscores the role of factors other than temperature in malaria transmission. PMID:10653562

  9. Ground-level Ozone (Smog) Information | New England | US ...

    EPA Pesticide Factsheets

    2017-09-05

    Ground-level ozone presents a serious air quality problem in New England. In 2008, EPA revised the ozone standard to a level of 0.075 parts per million, 8-hour average. Over the last 5 years (2006 through 2010), there have been an average of 31 days per summer when New England's air exceeded this standard.

  10. The forest-land owners of southern New England

    Treesearch

    Neal P. Kingsley

    1976-01-01

    A statistical-analytical report of a mail canvass of the owners of privately owned commercial forest land in the three Southern New England States-Connecticut, Massachusetts, and Rhode Island. The study was conducted in conjunction with the second forest survey of Southern New England by the USDA Forest Service. Trends in forest-land ownership and the attitudes and...

  11. Tourism in New England towns: a threat to the rural fabric

    Treesearch

    Robert S. Bristow

    2007-01-01

    A traditional tourist attraction in New England is the classic rural New England town. These small communities have a small-town feel bounded by family farms and wooded lands. These towns are heavily visited during the fall foliage season and during spring maple sugaring operations. The rural character of many New England communities is threatened by a growing...

  12. 78 FR 79402 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-12-30

    ...The New England Fishery Management Council's (Council) Joint VMS/Enforcement Committee and Advisory Panel will meet to consider actions affecting New England fisheries in the exclusive economic zone (EEZ).

  13. Status of exotic grasses and grass-like vegetation and potential impacts on wildlife in New England

    USGS Publications Warehouse

    DeStefano, Stephen

    2013-01-01

    The Northeastern section of the United States, known as New England, has seen vast changes in land cover and human population over the past 3 centuries. Much of the region is forested; grasslands and other open-land cover types are less common, but provide habitat for many species that are currently declining in abundance and distribution. New England also consists of some of the most densely populated and developed states in the country. The origin, distribution, and spread of exotic species are highly correlated with human development. As such, exotics are common throughout much of New England, including several species of graminoids (grasses and grass-like plants such as sedges and rushes). Several of the more invasive grass species can form expansive dense mats that exclude native plants, alter ecosystem structure and functions, and are perceived to provide little-to-no value as wildlife food or cover. Although little research has been conducted on direct impacts of exotic graminoids on wildlife populations in New England, several studies on the common reed (Phragmites australis) in salt marshes have shown this species to have variable effects as cover for birds and other wildlife, depending on the distribution of the plant (e.g., patches and borders of reeds are used more by wildlife than expansive densely growing stands). Direct impacts of other grasses on wildlife populations are largely unknown. However, many of the invasive graminoid species that are present in New England have the capability of outcompeting native plants and thereby potentially affecting associated fauna. Preservation, protection, and restoration of grassland and open-land cover types are complex but necessary challenges in the region to maintain biological and genetic diversity of grassland, wetland, and other open-land obligate species.

  14. Addressing water resources risk in England and Wales: Long term infrastructure planning in a private, regulated industry

    NASA Astrophysics Data System (ADS)

    Turner, Sean

    2015-04-01

    Water resources planning is a complex and challenging discipline in which decision makers must deal with conflicting objectives, contested socio-economic values and vast uncertainties, including long term hydrological variability. The task is arguably more demanding in England and Wales, where private water companies must adhere to a rigid set of regulatory planning guidelines in order to justify new infrastructural investments. These guidelines prescribe a "capacity expansion" approach to planning: ensure that a deterministic measure of supply, known as "Deployable Output," meets projected demand over a 25-year planning horizon. Deployable Output is derived using a method akin to yield analysis and is commensurate with the maximum rate of supply that a water resources system can sustain without incurring failure under a simulation of historical recorded hydrological conditions. This study examines whether Deployable Output analysis is fit to serve an industry in which: water companies are seeking to invest in cross-company water transfer schemes to deal with loss of water availability brought about by European environmental legislation and an increase in demand driven by population growth; water companies are expected address potential climate change impacts through their planning activities; and regulators wish to benchmark water resource system performance across the separate companies. Of particular interest, then, is the adequacy of Deployable Output analysis as a means to measuring current and future water shortage risk and comparing across supply systems. Data from the UK National River Flow Archive are used to develop a series of hypothetical reservoir systems in two hydrologically contrasting regions -- northwest England/north Wales and Southeast England. The systems are varied by adjusting the draft ratio (ratio of target annual demand to mean annual inflow), the inflow diversity (covariance of streamflow sequences supplying the system), the strength of

  15. Complex Systems

    PubMed Central

    Goldberger, Ary L.

    2006-01-01

    Physiologic systems in health and disease display an extraordinary range of temporal behaviors and structural patterns that defy understanding based on linear constructs, reductionist strategies, and classical homeostasis. Application of concepts and computational tools derived from the contemporary study of complex systems, including nonlinear dynamics, fractals and “chaos theory,” is having an increasing impact on biology and medicine. This presentation provides a brief overview of an emerging area of biomedical research, including recent applications to cardiopulmonary medicine and chronic obstructive lung disease. PMID:16921107

  16. Challenges Facing Healthwatch, a New Consumer Champion in England.

    PubMed

    Carter, Pam; Martin, Graham

    2016-01-21

    This article engages with debates about the conceptualisation and practical challenges of patient and public involvement (PPI) in health and social care services. Policy in this area in England has shifted numerous times but increasingly a consumerist discourse seems to override more democratic ideas concerning the relationship between citizens and public services. Recent policy change in England has seen the creation of new consumer champion bodies in the form of local Healthwatch. The article describes these new organisational structures for PPI and shows how those who seek to influence planning and delivery of services or comment or complain about aspects of their care face considerable complexity. This is due, in part, to the ambiguous remit set out for newly instigated Healthwatch organisations by government. Drawing on governance theory, we show that it can also be understood as a function of an increasingly polycentric governance arena. Challenges that flow from this include problems of specifying jurisdictional responsibility, accountability, and legitimacy. We review Healthwatch progress to date, then we set out four challenges facing local Healthwatch organisations before discussing the implications of these for patients and the public. The first challenge relates to non-coterminous boundaries and jurisdictional integrity. Secondly, establishing the unique features of Healthwatch is problematic in the crowded PPI arena. The third challenge arises from limited resources as well as the fact that resources flow to Healthwatch from the local authorities that Healthwatch are expected to hold to account. The fourth challenge we identify is how local Healthwatch organisations negotiate the complexity of being a partner to statutory and other organisations, while at the same time being expected to champion local people's views. © 2016 by Kerman University of Medical Sciences.

  17. Spring Storm Hits New England

    NASA Image and Video Library

    2014-03-26

    The strong coastal storm currently off the coast of New England will continue to bring strong winds and heavy snow to coastal portions of the Northeast on Wednesday. The storm will move into the Canadian Maritimes by Thursday. This image was taken by GOES East at 17:31 UTC on March 26, 2014. Credit: NOAA/NASA GOES Project NASA image use policy. NASA Goddard Space Flight Center enables NASA’s mission through four scientific endeavors: Earth Science, Heliophysics, Solar System Exploration, and Astrophysics. Goddard plays a leading role in NASA’s accomplishments by contributing compelling scientific knowledge to advance the Agency’s mission. Follow us on Twitter Like us on Facebook Find us on Instagram

  18. Integrating Economics into the Curriculum: Teaching Ideas from England.

    ERIC Educational Resources Information Center

    Waite, Patrick; And Others

    1991-01-01

    Reviews economics teaching methods in England in light of curriculum reform there. Explains economics' cross-curricular status in England's national curriculum. Stresses students' experiential learning in simulations, interview projects, and a minienterprise approach in which students produce and market goods. Describes one elementary school's…

  19. Epidemiology of Toxocariasis in England and Wales.

    PubMed

    Halsby, K; Senyonjo, L; Gupta, S; Ladbury, G; Suvari, M; Chiodini, P; Morgan, D

    2016-11-01

    Toxocara infection occurs through ingestion of parasite eggs excreted by dogs and cats, and can cause severe morbidity. The burden of disease in England and Wales is not well described, and the impact of public health campaigns conducted in the mid-1990s is uncertain. This paper uses data from two extensive databases to explore the trends in this disease in England and Wales from the 1970s to 2009. © 2016 Blackwell Verlag GmbH.

  20. Threshold Assessment and Performance Management: Modernizing or Masculinizing Teaching in England?

    ERIC Educational Resources Information Center

    Mahony, Pat; Hextall, Ian; Menter, Ian

    2004-01-01

    The paper reports on aspects of an ESRC project, "The impact of Performance 'Threshold Assessment' on teachers' work" (ESRC R000239286). The paper begins by explaining the nature and technology of "Threshold Assessment," and its location nationally within the performance management system recently introduced into schools in England. We review the…

  1. Mortality in England during the 1783 4 Laki Craters eruption

    NASA Astrophysics Data System (ADS)

    Witham, C. S.; Oppenheimer, C.

    2004-12-01

    1783/4 has been recognised as a mortality “crisis year” in the population history of England. This demographic incident coincides with the Laki Craters eruption, Iceland, which began in June 1783 and fumigated many parts of Europe with volcanic gases and particles. Many reports and proxy climate records implicate the volcanic cloud in meteorological anomalies, including notably hot 1783 summer conditions in England and a severe subsequent winter. We present here a detailed analysis of the geographical and temporal trends in English mortality data, and interpret them in the light of the climatological records and observations of the pollutant cloud. We show that there were two distinct crisis periods: in August-September 1783, and January-February 1784, which together accounted for ~20,000 extra deaths. In both cases, the East of England was the worst affected region. Possible causes for the two crisis periods are considered and we conclude that the timing and magnitude of the winter mortality peak can be explained by the severe cold of January 1784. The late summer mortality followed 1 2 months after the very hot July of 1783 and may also have been related to the weather, with the time lag reflecting the relatively slow spread of enteric disease or the contraction of malaria. However, it is hard to explain the entire late summer anomaly by these high temperature causes. We therefore consider that fine acid aerosol and/or gases in the volcanic haze may also have contributed to the unusual August-September mortality. Given that complex radiative and dynamical effects of the volcanic cloud are implicated in the climatic anomalies in 1783 4, it is likely that the Laki Craters eruption did play a role in the English mortality crises of the same period.

  2. Aspirations for a Master's-Level Teaching Profession in England

    ERIC Educational Resources Information Center

    Thomas, Lorraine

    2016-01-01

    This research investigates aspirations for a master's-level teaching profession in England, providing key stakeholder perceptions in one densely populated region within a multiple case study. Although this intended move to a master's-level profession represented a major shift in teachers' professional development in England, only limited…

  3. The plastic surgery postcode lottery in England.

    PubMed

    Henderson, James

    2009-12-01

    The National Health Service (NHS) provides treatment free at the point of delivery to patients. Elective medical procedures in England are funded by 149 independent Primary Care Trusts (PCTs), which are each responsible for patients within a defined geographical area. There is wide variation of availability for many treatments, leading to a "postcode lottery" for healthcare provision in England. The aims were to review funding policies for cosmetic procedures, to evaluate the criteria used to decide eligibility against national guidelines, and to evaluate the extent of any postcode lottery for cosmetic surgery on the National Health Service. This study is the first comprehensive review of funding policies for cosmetic surgery in England. All PCTs in England were asked for their funding policies for cosmetic procedures including breast reduction & augmentation, removal of implants, mastopexy, abdominoplasty, facelift, blepharoplasty, rhinoplasty, pinnaplasty, body lifting, surgery for gynaecomastia and tattoo removal. Details of policies were received from 124/149 PCTs (83%). Guidelines varied widely; some refuse all procedures, whilst others allow a full range. Different and sometimes contradictory rules governing symptoms, body mass indices, breast sizes, weights, heights, and other criteria are used to assess patients for funding. Nationally produced guidelines were only followed by nine PCTs. A "postcode lottery" exists in the UK for plastic surgery procedures, despite national guidelines. Some of the more interesting findings are highlighted.

  4. ANNUAL REPORT For Calendar Year 2007 : NEW ENGLAND TRANSPORTATION CONSORTIUM

    DOT National Transportation Integrated Search

    2008-02-02

    The New England Transportation Consortium (NETC) is a cooperative effort of the transportation agencies of the six New England States. Through the Consortium, the states pool professional, academic and financial resources for transportation research ...

  5. ANNUAL REPORT For Calendar Year 2006 : NEW ENGLAND TRANSPORTATION CONSORTIUM

    DOT National Transportation Integrated Search

    2007-04-01

    The New England Transportation Consortium (NETC) is a cooperative effort of the transportation agencies of the six New England States. Through the Consortium, the states pool professional, academic and financial resources for transportation research ...

  6. ANNUAL REPORT For Calendar Year 2009 : NEW ENGLAND TRANSPORTATION CONSORTIUM

    DOT National Transportation Integrated Search

    2010-03-01

    The New England Transportation Consortium (NETC) is a cooperative effort of the transportation agencies of the six New England States. Through the Consortium, the states pool professional, academic and financial resources for transportation research ...

  7. ANNUAL REPORT For Calendar Year 1996 : NEW ENGLAND TRANSPORTATION CONSORTIUM

    DOT National Transportation Integrated Search

    1997-01-01

    The New England Transportation Consortium (NETC) is a cooperative effort of the transportation agencies of the six New England States. Through the Consortium, the states pool professional, academic and financial resources for transportation research ...

  8. ANNUAL REPORT For Calendar Year 2002 : NEW ENGLAND TRANSPORTATION CONSORTIUM

    DOT National Transportation Integrated Search

    2003-11-01

    The New England Transportation Consortium (NETC) is a cooperative effort of the transportation agencies of the six New England States. Through the Consortium, the states pool professional, academic and financial resources for transportation research ...

  9. ANNUAL REPORT For Calendar Year 2003 : NEW ENGLAND TRANSPORTATION CONSORTIUM

    DOT National Transportation Integrated Search

    2005-09-22

    The New England Transportation Consortium (NETC) is a cooperative effort of the transportation agencies of the six New England States. Through the Consortium, the states pool professional, academic and financial resources for transportation research ...

  10. ANNUAL REPORT For Calendar Year 2004 : NEW ENGLAND TRANSPORTATION CONSORTIUM

    DOT National Transportation Integrated Search

    2005-12-01

    The New England Transportation Consortium (NETC) is a cooperative effort of the transportation agencies of the six New England States. Through the Consortium, the states pool professional, academic and financial resources for transportation research ...

  11. ANNUAL REPORT For Calendar Year 2001 : NEW ENGLAND TRANSPORTATION CONSORTIUM

    DOT National Transportation Integrated Search

    2002-12-01

    The New England Transportation Consortium (NETC) is a cooperative effort of the transportation agencies of the six New England States. Through the Consortium, the states pool professional, academic and financial resources for transportation research ...

  12. ANNUAL REPORT For Calendar Year 2005 : NEW ENGLAND TRANSPORTATION CONSORTIUM

    DOT National Transportation Integrated Search

    2006-08-01

    The New England Transportation Consortium (NETC) is a cooperative effort of the transportation agencies of the six New England States. Through the Consortium, the states pool professional, academic and financial resources for transportation research ...

  13. ANNUAL REPORT For Calendar Year 2008 : NEW ENGLAND TRANSPORTATION CONSORTIUM

    DOT National Transportation Integrated Search

    2009-04-01

    The New England Transportation Consortium (NETC) is a cooperative effort of the transportation agencies of the six New England States. Through the Consortium, the states pool professional, academic and financial resources for transportation research ...

  14. Social networks as embedded complex adaptive systems.

    PubMed

    Benham-Hutchins, Marge; Clancy, Thomas R

    2010-09-01

    As systems evolve over time, their natural tendency is to become increasingly more complex. Studies in the field of complex systems have generated new perspectives on management in social organizations such as hospitals. Much of this research appears as a natural extension of the cross-disciplinary field of systems theory. This is the 15th in a series of articles applying complex systems science to the traditional management concepts of planning, organizing, directing, coordinating, and controlling. In this article, the authors discuss healthcare social networks as a hierarchy of embedded complex adaptive systems. The authors further examine the use of social network analysis tools as a means to understand complex communication patterns and reduce medical errors.

  15. Bayesian conditional-independence modeling of the AIDS epidemic in England and Wales

    NASA Astrophysics Data System (ADS)

    Gilks, Walter R.; De Angelis, Daniela; Day, Nicholas E.

    We describe the use of conditional-independence modeling, Bayesian inference and Markov chain Monte Carlo, to model and project the HIV-AIDS epidemic in homosexual/bisexual males in England and Wales. Complexity in this analysis arises through selectively missing data, indirectly observed underlying processes, and measurement error. Our emphasis is on presentation and discussion of the concepts, not on the technicalities of this analysis, which can be found elsewhere [D. De Angelis, W.R. Gilks, N.E. Day, Bayesian projection of the the acquired immune deficiency syndrome epidemic (with discussion), Applied Statistics, in press].

  16. Physical approach to complex systems

    NASA Astrophysics Data System (ADS)

    Kwapień, Jarosław; Drożdż, Stanisław

    2012-06-01

    Typically, complex systems are natural or social systems which consist of a large number of nonlinearly interacting elements. These systems are open, they interchange information or mass with environment and constantly modify their internal structure and patterns of activity in the process of self-organization. As a result, they are flexible and easily adapt to variable external conditions. However, the most striking property of such systems is the existence of emergent phenomena which cannot be simply derived or predicted solely from the knowledge of the systems’ structure and the interactions among their individual elements. This property points to the holistic approaches which require giving parallel descriptions of the same system on different levels of its organization. There is strong evidence-consolidated also in the present review-that different, even apparently disparate complex systems can have astonishingly similar characteristics both in their structure and in their behaviour. One can thus expect the existence of some common, universal laws that govern their properties. Physics methodology proves helpful in addressing many of the related issues. In this review, we advocate some of the computational methods which in our opinion are especially fruitful in extracting information on selected-but at the same time most representative-complex systems like human brain, financial markets and natural language, from the time series representing the observables associated with these systems. The properties we focus on comprise the collective effects and their coexistence with noise, long-range interactions, the interplay between determinism and flexibility in evolution, scale invariance, criticality, multifractality and hierarchical structure. The methods described either originate from “hard” physics-like the random matrix theory-and then were transmitted to other fields of science via the field of complex systems research, or they originated elsewhere but

  17. National Curriculum Reform in China and England: Origins, Character and Comparison

    ERIC Educational Resources Information Center

    Halpin, David

    2010-01-01

    Both China and England require state-funded schools to teach a national curriculum. While policy congruence in terms of overall intention is apparent, there are major differences between each country's approach to systemic curriculum reform which highlight contrasting attitudes to how best to effect change in schools and widely differing views on…

  18. What Is a Complex Innovation System?

    PubMed Central

    Katz, J. Sylvan

    2016-01-01

    Innovation systems are sometimes referred to as complex systems, something that is intuitively understood but poorly defined. A complex system dynamically evolves in non-linear ways giving it unique properties that distinguish it from other systems. In particular, a common signature of complex systems is scale-invariant emergent properties. A scale-invariant property can be identified because it is solely described by a power law function, f(x) = kxα, where the exponent, α, is a measure of scale-invariance. The focus of this paper is to describe and illustrate that innovation systems have properties of a complex adaptive system. In particular scale-invariant emergent properties indicative of their complex nature that can be quantified and used to inform public policy. The global research system is an example of an innovation system. Peer-reviewed publications containing knowledge are a characteristic output. Citations or references to these articles are an indirect measure of the impact the knowledge has on the research community. Peer-reviewed papers indexed in Scopus and in the Web of Science were used as data sources to produce measures of sizes and impact. These measures are used to illustrate how scale-invariant properties can be identified and quantified. It is demonstrated that the distribution of impact has a reasonable likelihood of being scale-invariant with scaling exponents that tended toward a value of less than 3.0 with the passage of time and decreasing group sizes. Scale-invariant correlations are shown between the evolution of impact and size with time and between field impact and sizes at points in time. The recursive or self-similar nature of scale-invariance suggests that any smaller innovation system within the global research system is likely to be complex with scale-invariant properties too. PMID:27258040

  19. Protecting Geoheritage - Geodiversity Charter for England

    NASA Astrophysics Data System (ADS)

    Dunlop, Lesley

    2016-04-01

    The Geodiversity Charter for England, launched in 2014, sets out the clear vision that England's 'geodiversity is recognised as an integral and vital part of our environment, economy and heritage that must be safeguarded and managed for current and future generations'. England is privileged to be among the most geodiverse places in the world with 700 million years of geological history revealed by our rocks. The white cliffs of Dover, honey coloured Cotswold limestone, granite Dartmoor Tors, are examples of this geodiversity. To maintain and enhance our geodiversity it is important to recognise its role in: • the understanding of England's geological history and global geosciences • natural heritage, both terrestrial and marine, and landscapes in all their diversity • supporting habitats and species and the many essential benefits they provide for society • adaptation to changes in climate and sea-level through sustainable management of land and water and working with natural processes • sustainable economic development • the history, character and cultural development of our society through intellectual growth and creative expression alongside industrial and technological development • public health, quality of life and national well-being and connecting people with the natural environment including active promotion of geotourism. Geodiversity, however, is an often overlooked environmental asset. The vision of the Charter and the work of the English Geodiversity Forum is to encourage good practice and to act as a focus in order to: • raise awareness of the importance, value and relevance of geodiversity to our economic prosperity and comfort and its wider links with the natural environment, landscape, cultural and historical heritage and sense of place • encourage a sense of pride through education and learning, promotion and interpretation • promote careful management of geodiversity through conservation and enhancement of its special

  20. 77 FR 27716 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-05-11

    ... DEPARTMENT OF COMMERCE National Oceanic and Atmospheric Administration New England Fishery Management Council; Public Meeting AGENCY: National Marine Fisheries Service (NMFS), National Oceanic and Atmospheric Administration (NOAA), Commerce. ACTION: Notice; public meeting. SUMMARY: The New England Fishery...

  1. 77 FR 27717 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-05-11

    ... DEPARTMENT OF COMMERCE National Oceanic and Atmospheric Administration New England Fishery Management Council; Public Meeting AGENCY: National Marine Fisheries Service (NMFS), National Oceanic and Atmospheric Administration (NOAA), Commerce. ACTION: Notice; public meeting. SUMMARY: The New England Fishery...

  2. Improving surveillance of sexually transmitted infections using mandatory electronic clinical reporting: the genitourinary medicine clinic activity dataset, England, 2009 to 2013.

    PubMed

    Savage, E J; Mohammed, H; Leong, G; Duffell, S; Hughes, G

    2014-12-04

    A new electronic surveillance system for sexually transmitted infections (STIs) was introduced in England in 2009. The genitourinary medicine clinic activity dataset (GUMCAD) is a mandatory, disaggregated, pseudo-anonymised data return submitted by all STI clinics across England. The dataset includes information on all STI diagnoses made and services provided alongside demographic characteristics for every patient attendance at a clinic. The new system enables the timely analysis and publication of routine STI data, detailed analyses of risk groups and longitudinal analyses of clinic attendees. The system offers flexibility so new codes can be introduced to help monitor outbreaks or unusual STI activity. From January 2009 to December 2013 inclusive, over twenty-five million records from a total of 6,668,648 patients of STI clinics have been submitted. This article describes the successful implementation of this new surveillance system and the types of epidemiological outputs and analyses that GUMCAD enables. The challenges faced are discussed and forthcoming developments in STI surveillance in England are described.

  3. 77 FR 70737 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-11-27

    ... Atmospheric Administration RIN 0648-XC366 New England Fishery Management Council; Public Meeting AGENCY: National Marine Fisheries Service (NMFS), National Oceanic and Atmospheric Administration (NOAA), Commerce. ACTION: Notice; public meeting. SUMMARY: The New England Fishery Management Council's (Council...

  4. 75 FR 80798 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-12-23

    ... Fishery Management Council; Public Meeting AGENCY: National Marine Fisheries Service (NMFS), National... England Fishery Management Council's (Council) Groundfish Committee will meet to consider actions... England Fishery Management Council, 50 Water Street, Mill 2, Newburyport, MA 01950. FOR FURTHER...

  5. System-Level Barriers and Facilitators for Foregoing or Withdrawing Dialysis: A Qualitative Study of Nephrologists in the United States and England.

    PubMed

    Grubbs, Vanessa; Tuot, Delphine S; Powe, Neil R; O'Donoghue, Donal; Chesla, Catherine A

    2017-11-01

    Despite a growing body of literature suggesting that dialysis does not confer morbidity or mortality benefits for all patients with chronic kidney failure, the initiation and continuation of dialysis therapy in patients with poor prognosis is commonplace. Our goal was to elicit nephrologists' perspectives on factors that affect decision making regarding end-stage renal disease. Semistructured, individual, qualitative interviews. Participants were purposively sampled based on age, race, sex, geographic location, and practice type. Each was asked about his or her perspectives and experiences related to foregoing and withdrawing dialysis therapy. Interviews were audiotaped, transcribed, and analyzed using narrative and thematic analysis. We conducted 59 semistructured interviews with nephrologists from the United States (n=41) and England (n=18). Most participants were 45 years or younger, men, and white. Average time since completing nephrology training was 14.2±11.6 (SD) years. Identified system-level facilitators and barriers for foregoing and withdrawing dialysis therapy stemmed from national and institutional policies and structural factors, how providers practice medicine (the culture of medicine), and beliefs and behaviors of the public (societal culture). In both countries, the predominant barriers described included lack of training in end-of-life conversations and expectations for aggressive care among non-nephrologists and the general public. Primary differences included financial incentives to dialyze in the United States and widespread outpatient conservative management programs in England. Participants' views may not fully capture those of all American or English nephrologists. Nephrologists in the United States and England identified several system-level factors that both facilitated and interfered with decision making around foregoing and withdrawing dialysis therapy. Efforts to expand facilitators while reducing barriers could lead to care practices

  6. Pixie-Dust and Privacy: What's Happening to Children's Rights in England?

    ERIC Educational Resources Information Center

    Dowty, Terri

    2008-01-01

    Increasingly, Information Technology is being used to identify, record and track children in England under the banners of child protection, reducing risk and improving outcomes. Discussions about the importance of a child's right to privacy have been sidelined in the rush to embrace systems that seek to expand the amount and types of information…

  7. 75 FR 11846 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-03-12

    ... Fishery Management Council; Public Meeting AGENCY: National Marine Fisheries Service (NMFS), National... England Fishery Management Council's (Council) Joint Groundfish/Scallop Committee will meet to consider... England Fishery Management Council, 50 Water Street, Mill 2, Newburyport, MA 01950. FOR FURTHER...

  8. Governance in English VET: On the Functioning of a Fractured "System"

    ERIC Educational Resources Information Center

    Keep, Ewart

    2015-01-01

    This article explores the governance structures that cover vocational education and training (VET) in England. The English VET system is highly fragmented, complex and unstable, and has tended to oscillate between centralised command and control, and attempts at marketisation. Its governance arrangements reflect this situation. The various…

  9. Modeling the probability of arsenic in groundwater in New England as a tool for exposure assessment

    USGS Publications Warehouse

    Ayotte, J.D.; Nolan, B.T.; Nuckols, J.R.; Cantor, K.P.; Robinson, G.R.; Baris, D.; Hayes, L.; Karagas, M.; Bress, W.; Silverman, D.T.; Lubin, J.H.

    2006-01-01

    We developed a process-based model to predict the probability of arsenic exceeding 5 ??g/L in drinking water wells in New England bedrock aquifers. The model is being used for exposure assessment in an epidemiologic study of bladder cancer. One important study hypothesis that may explain increased bladder cancer risk is elevated concentrations of inorganic arsenic in drinking water. In eastern New England, 20-30% of private wells exceed the arsenic drinking water standard of 10 micrograms per liter. Our predictive model significantly improves the understanding of factors associated with arsenic contamination in New England. Specific rock types, high arsenic concentrations in stream sediments, geochemical factors related to areas of Pleistocene marine inundation and proximity to intrusive granitic plutons, and hydrologic and landscape variables relating to groundwater residence time increase the probability of arsenic occurrence in groundwater. Previous studies suggest that arsenic in bedrock groundwater may be partly from past arsenical pesticide use. Variables representing historic agricultural inputs do not improve the model, indicating that this source does not significantly contribute to current arsenic concentrations. Due to the complexity of the fractured bedrock aquifers in the region, well depth and related variables also are not significant predictors. ?? 2006 American Chemical Society.

  10. 76 FR 63285 - New England Fishery Management Council; Public Meeting; Correction

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-10-12

    ...The New England Fishery Management Council's (Council) VMS/ Enforcement Committee and Advisory Panel will meet to consider actions affecting New England fisheries in the exclusive economic zone (EEZ).

  11. Embracing uncertainty, managing complexity: applying complexity thinking principles to transformation efforts in healthcare systems.

    PubMed

    Khan, Sobia; Vandermorris, Ashley; Shepherd, John; Begun, James W; Lanham, Holly Jordan; Uhl-Bien, Mary; Berta, Whitney

    2018-03-21

    Complexity thinking is increasingly being embraced in healthcare, which is often described as a complex adaptive system (CAS). Applying CAS to healthcare as an explanatory model for understanding the nature of the system, and to stimulate changes and transformations within the system, is valuable. A seminar series on systems and complexity thinking hosted at the University of Toronto in 2016 offered a number of insights on applications of CAS perspectives to healthcare that we explore here. We synthesized topics from this series into a set of six insights on how complexity thinking fosters a deeper understanding of accepted ideas in healthcare, applications of CAS to actors within the system, and paradoxes in applications of complexity thinking that may require further debate: 1) a complexity lens helps us better understand the nebulous term "context"; 2) concepts of CAS may be applied differently when actors are cognizant of the system in which they operate; 3) actor responses to uncertainty within a CAS is a mechanism for emergent and intentional adaptation; 4) acknowledging complexity supports patient-centred intersectional approaches to patient care; 5) complexity perspectives can support ways that leaders manage change (and transformation) in healthcare; and 6) complexity demands different ways of implementing ideas and assessing the system. To enhance our exploration of key insights, we augmented the knowledge gleaned from the series with key articles on complexity in the literature. Ultimately, complexity thinking acknowledges the "messiness" that we seek to control in healthcare and encourages us to embrace it. This means seeing challenges as opportunities for adaptation, stimulating innovative solutions to ensure positive adaptation, leveraging the social system to enable ideas to emerge and spread across the system, and even more important, acknowledging that these adaptive actions are part of system behaviour just as much as periods of stability are. By

  12. 78 FR 54240 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-09-03

    ... Fishery Management Council; Public Meeting AGENCY: National Marine Fisheries Service (NMFS), National... England Fishery Management Council (Council) is scheduling a public meeting of its Scallop Committee to consider actions affecting New England fisheries in the exclusive economic zone (EEZ). Recommendations from...

  13. 77 FR 57076 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-09-17

    ... Fishery Management Council; Public Meeting AGENCY: National Marine Fisheries Service (NMFS), National... England Fishery Management Council (Council) is scheduling a public meeting of its Groundfish Advisory Panel to consider actions affecting New England fisheries in the exclusive economic zone (EEZ...

  14. 76 FR 7823 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-02-11

    ... Oceanic and Atmospheric Administration (NOAA), Commerce. ACTION: Notice; public meeting. SUMMARY: The New England Fishery Management Council (Council) is scheduling a public meeting of its Research Steering Committee (Committee), in February 2011, to consider actions affecting New England fisheries in the...

  15. 76 FR 31304 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-05-31

    ... Fishery Management Council; Public Meeting AGENCY: National Marine Fisheries Service (NMFS), National... England Fishery Management Council's (Council) VMS/ Enforcement Committee and Advisory Panel will meet to consider actions affecting New England fisheries in the exclusive economic zone (EEZ). DATES: The meeting...

  16. 76 FR 29726 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-05-23

    ... Fishery Management Council; Public Meeting AGENCY: National Marine Fisheries Service (NMFS), National... England Fishery Management Council's (Council) Groundfish Committee, Plan Development Team and Advisory...: (978) 777-2500; fax: (978) 750-7991. Council address: New England Fishery Management Council, 50 Water...

  17. 75 FR 62507 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-10-12

    ... Fishery Management Council; Public Meeting AGENCY: National Marine Fisheries Service (NMFS), National... England Fishery Management Council's (Council) Groundfish Committee will meet to consider actions affecting New England fisheries in the exclusive economic zone (EEZ). DATES: The meeting will be held on...

  18. Retention of Recent College Graduates in New England. Policy Brief 09-2

    ERIC Educational Resources Information Center

    Sasser, Alicia

    2009-01-01

    The population of recent college graduates has been growing more slowly in New England than in the rest of the United States, and New England states are concerned that an inadequate supply of skilled workers may hamper economic growth. In some sense, New England is a victim of its own success. The region's colleges and universities excel at…

  19. "Health for All" in England and Brazil?

    PubMed

    Duncan, Peter; Bertolozzi, Maria Rita; Cowley, Sarah; Egry, Emiko Yoshikawa; Chiesa, Anna Maria; de Siqueira França, Francisco Oscar

    2015-01-01

    This article discusses the achievements and challenges that England and Brazil face in relation to their capacity to address inequalities in health through health promotion and public health policies. Using secondary data (policy texts and related documents), this article contextualizes, explains, and critically appraises health promotion and public health efforts for the reduction of inequalities in health in the 2 countries. A historic documentary analysis was undertaken, with hermeneutics as the methodological framework. The global economic crisis has prompted the so-called developed economies of Europe to reconsider their economic and social priorities. England represents a state facing this kind of challenge. Equally, Brazil is assuming new positions not only on the world stage but also in terms of the relationship it has with its citizens and the priorities it has for state welfare. The United Kingdom continues to finance a health care system allowing universal access in the form of the National Health Service, and state concern about the public health task of reducing inequalities has recently been underlined in policy. For Brazil, although there have been recent achievements related to population access to healthcare, challenges continue, especially with regard to the quality of care. © SAGE Publications 2015.

  20. Understanding School Leadership and Management Development in England: Retrospect and Prospect

    ERIC Educational Resources Information Center

    Simkins, Tim

    2012-01-01

    This article explores the ways in which leadership and management development (LMD) in England has been researched and analysed over the past 40 years. The article is in two parts. The first analyses the ways in which patterns of provision have evolved in response to changing conceptions of how the school system should be organized and how,…

  1. 75 FR 78976 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-12-17

    ... Fishery Management Council; Public Meeting AGENCY: National Marine Fisheries Service (NMFS), National... England Fishery Management Council (Council) is scheduling a public meeting of its Habitat/MPA/Ecosystem Committee, in January, 2011, to consider actions affecting New England fisheries in the exclusive economic...

  2. 75 FR 66072 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-10-27

    ... Oceanic and Atmospheric Administration (NOAA), Commerce. ACTION: Notice of a public meeting. SUMMARY: The New England Fishery Management Council (Council) is scheduling a public meeting of its Research Steering Committee (Committee), in November, 2010, to consider actions affecting New England fisheries in...

  3. 76 FR 17381 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-03-29

    ... Oceanic and Atmospheric Administration (NOAA), Commerce. ACTION: Notice; public meeting. SUMMARY: The New England Fishery Management Council (Council) is scheduling a public meeting of its Research Steering Committee (Committee), in April, 2011, to consider actions affecting New England fisheries in the exclusive...

  4. 76 FR 10561 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-02-25

    ... Oceanic and Atmospheric Administration (NOAA), Commerce. ACTION: Notice of a public meeting. SUMMARY: The New England Fishery Management Council (Council) is scheduling a public meeting of its Research Steering Committee (Committee), in March, 2011, to consider actions affecting New England fisheries in the...

  5. 76 FR 31304 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-05-31

    ... Fishery Management Council; Public Meeting AGENCY: National Marine Fisheries Service (NMFS), National... England Fishery Management Council (Council) is scheduling a joint public meeting of its Skate Committee and Advisory Panel, in June, 2011, to consider actions affecting New England fisheries in the...

  6. 78 FR 62587 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-10-22

    ... prepare a work plan regarding how the New England Fishery Management Council (Council) may proceed in... DEPARTMENT OF COMMERCE National Oceanic and Atmospheric Administration RIN 0648-XC923 New England... Oceanic and Atmospheric Administration (NOAA), Commerce. ACTION: Notice; public meeting. SUMMARY: The New...

  7. 76 FR 22080 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-04-20

    ... Fishery Management Council; Public Meeting AGENCY: National Marine Fisheries Service (NMFS), National... England Fishery Management Council (Council) is scheduling a public meeting of its Scallop Advisory Panel...: (508) 747- 8937. Council address: New England Fishery Management Council, 50 Water Street, Mill 2...

  8. 76 FR 7548 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-02-10

    ... Fishery Management Council; Public Meeting AGENCY: National Marine Fisheries Service (NMFS), National... England Fishery Management Council (Council) is scheduling a public meeting of its Scallop Committee in...; fax: (401) 734-9700. Council address: New England Fishery Management Council, 50 Water Street, Mill 2...

  9. 75 FR 68757 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-11-09

    ... Fishery Management Council; Public Meeting AGENCY: National Marine Fisheries Service (NMFS), National... New England Fishery Management Council's (Council) Herring Committee will meet to consider actions affecting New England fisheries in the exclusive economic zone (EEZ). DATES: The meeting will be held on...

  10. Successful multi-technology NO{sub x} reduction project experience at New England Power Company - Salem Harbor station

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Fynan, G.A.; Sload, A.; Adamson, E.J.

    This paper presents the successes and lessons learned during recent low NOx burner and SNCR projects on generating units at New England Power`s Salem Harbor Generating Station. The principals involved in the project were New England Power Company, New England Power Service Company, Stone and Webster Engineering Corp. and Deutsche-Babcock Riley Inc. One unit was retrofitted with 16 Riley CCV burners with an OFA system, the other with 12 low NOx burners only. In addition to the burners, a SNCR system was also installed on three units. Since each of the burner systems are interdependent (SNCR was treated separately duringmore » design phases and optimized along with the burner systems), close cooperation during the design stages was essential to ensuring a successful installation, startup and optimization. This paper will present the coordinated effort put forth by each company toward this goal with the hope of assisting others who may be planning a similar effort. A summary of the operating results will also be presented. The up front teamwork and advance planning that went into the design stages of the project resulted in a number of successful outcomes e.g. scanner reliability, properly operating oil supply system, compatibility of burners and burner front oil system with new Burner Management System (BMS), reliable first attempt burner ignition and more. Advance planning facilitated pre-outage work and factored into keeping schedules and budgets on track.« less

  11. Six States, One Destiny: Critical Issues for New England

    ERIC Educational Resources Information Center

    Mass, William; Soule, David C.

    2005-01-01

    Midway through the first decade of the 21st century, New England innovation and creative capacity are being challenged by other regions of the nation and the world. New England needs foresight to understand what its emerging economic sectors need to thrive in a changing demography. The region is losing 20- to 34-year-olds and seeing a growing…

  12. Towards "MFL for All" in England: A Historical Perspective

    ERIC Educational Resources Information Center

    Dobson, Alan

    2018-01-01

    This article considers the provision of modern foreign languages (MFL) in England since the 1970s in the context of wider curricular change and also taking into account Europe-wide developments in MFL. It charts the changes implemented over almost three decades to England's National Curriculum for MFL at secondary level (from ages 11 to 16) and…

  13. Current Funds: Public Higher Education Finance in New England

    ERIC Educational Resources Information Center

    Lingenfelter, Paul E.

    2009-01-01

    New Englanders have been well-served by the region's higher education legacy. They tend to be better-educated and more prosperous than the rest of the nation, and the cultural life in their cities and towns is exceptionally rich. But New England dares not rest on its laurels. The growing demand for even greater levels of educational attainment in…

  14. Using real-time syndromic surveillance systems to help explore the acute impact of the air pollution incident of March/April 2014 in England.

    PubMed

    Smith, Gillian E; Bawa, Zharain; Macklin, Yolande; Morbey, Roger; Dobney, Alec; Vardoulakis, Sotiris; Elliot, Alex J

    2015-01-01

    During March and early April 2014 there was widespread poor air quality across the United Kingdom. Public Health England used existing syndromic surveillance systems to monitor community health during the period. Short lived statistically significant rises in a variety of respiratory conditions, including asthma and wheeze, were detected. This incident has demonstrated the value of real-time syndromic surveillance systems, during an air pollution episode, for helping to explore the impact of poor air quality on community health in real-time. Crown Copyright © 2014. Published by Elsevier Inc. All rights reserved.

  15. EPA New England Opens Nomination Period for Annual Environmental Merit Awards

    EPA Pesticide Factsheets

    The U.S. Environmental Protection Agency office in New England is accepting nominations for New England people, organizations, government entities or businesses whose environmental achievements during the past year deserve recognition.

  16. Associations between air pollution and socioeconomic characteristics, ethnicity and age profile of neighbourhoods in England and the Netherlands.

    PubMed

    Fecht, Daniela; Fischer, Paul; Fortunato, Léa; Hoek, Gerard; de Hoogh, Kees; Marra, Marten; Kruize, Hanneke; Vienneau, Danielle; Beelen, Rob; Hansell, Anna

    2015-03-01

    Air pollution levels are generally believed to be higher in deprived areas but associations are complex especially between sensitive population subgroups. We explore air pollution inequalities at national, regional and city level in England and the Netherlands comparing particulate matter (PM10) and nitrogen dioxide (NO2) concentrations and publicly available population characteristics (deprivation, ethnicity, proportion of children and elderly). We saw higher concentrations in the most deprived 20% of neighbourhoods in England (1.5 μg/m(3) higher PM10 and 4.4 μg/m(3) NO2). Concentrations in both countries were higher in neighbourhoods with >20% non-White (England: 3.0 μg/m(3) higher PM10 and 10.1 μg/m(3) NO2; the Netherlands: 1.1 μg/m(3) higher PM10 and 4.5 μg/m(3) NO2) after adjustment for urbanisation and other variables. Associations for some areas differed from the national results. Air pollution inequalities were mainly an urban problem suggesting measures to reduce environmental air pollution inequality should include a focus on city transport. Copyright © 2014 Elsevier Ltd. All rights reserved.

  17. Ontology of Earth's nonlinear dynamic complex systems

    NASA Astrophysics Data System (ADS)

    Babaie, Hassan; Davarpanah, Armita

    2017-04-01

    As a complex system, Earth and its major integrated and dynamically interacting subsystems (e.g., hydrosphere, atmosphere) display nonlinear behavior in response to internal and external influences. The Earth Nonlinear Dynamic Complex Systems (ENDCS) ontology formally represents the semantics of the knowledge about the nonlinear system element (agent) behavior, function, and structure, inter-agent and agent-environment feedback loops, and the emergent collective properties of the whole complex system as the result of interaction of the agents with other agents and their environment. It also models nonlinear concepts such as aperiodic, random chaotic behavior, sensitivity to initial conditions, bifurcation of dynamic processes, levels of organization, self-organization, aggregated and isolated functionality, and emergence of collective complex behavior at the system level. By incorporating several existing ontologies, the ENDCS ontology represents the dynamic system variables and the rules of transformation of their state, emergent state, and other features of complex systems such as the trajectories in state (phase) space (attractor and strange attractor), basins of attractions, basin divide (separatrix), fractal dimension, and system's interface to its environment. The ontology also defines different object properties that change the system behavior, function, and structure and trigger instability. ENDCS will help to integrate the data and knowledge related to the five complex subsystems of Earth by annotating common data types, unifying the semantics of shared terminology, and facilitating interoperability among different fields of Earth science.

  18. 78 FR 65617 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-11-01

    ... Fishery Management Council; Public Meeting AGENCY: National Marine Fisheries Service (NMFS), National... New England Fishery Management Council (Council) will hold a one-day meeting on November 20, 2013 to... special accommodations should be addressed to the New England Fishery Management Council, 50 Water Street...

  19. Regional variation in hospitalisation and mortality in heart failure: comparison of England and Lombardy using multistate modelling.

    PubMed

    Bottle, Alex; Ventura, Chiara Maria; Dharmarajan, Kumar; Aylin, Paul; Ieva, Francesca; Paganoni, Anna Maria

    2018-06-01

    Heart failure (HF) is a common, serious chronic condition with high morbidity, hospitalisation and mortality. The healthcare systems of England and the northern Italian region of Lombardy share important similarities and have comprehensive hospital administrative databases linked to the death register. We used them to compare admission for HF and mortality for patients between 2006 and 2012 (n = 37,185 for Lombardy, 234,719 for England) with multistate models. Despite close similarities in age, sex and common comorbidities of the two sets of patients, in Lombardy, HF admissions were longer and more frequent per patient than in England, but short- and medium-term mortality was much lower. English patients had more very short stays, but their very elderly also had longer stays than their Lombardy counterparts. Using a three-state model, the predicted total time spent in hospital showed large differences between the countries: women in England spent an average of 24 days if aged 65 at first admission and 19 days if aged 85; in Lombardy these figures were 68 and 27 days respectively. Eight-state models suggested disease progression that appeared similar in each country. Differences by region within England were modest, with London patients spending more time in hospital and having lower mortality than the rest of England. Whilst clinical practice differences plausibly explain these patterns, we cannot confidently disentangle the impact of alternatives such as coding, casemix, and the availability and use of non-hospital settings. We need to better understand the links between rehospitalisation frequency and mortality.

  20. Complex systems as lenses on learning and teaching

    NASA Astrophysics Data System (ADS)

    Hurford, Andrew C.

    From metaphors to mathematized models, the complexity sciences are changing the ways disciplines view their worlds, and ideas borrowed from complexity are increasingly being used to structure conversations and guide research on teaching and learning. The purpose of this corpus of research is to further those conversations and to extend complex systems ideas, theories, and modeling to curricula and to research on learning and teaching. A review of the literatures of learning and of complexity science and a discussion of the intersections between those disciplines are provided. The work reported represents an evolving model of learning qua complex system and that evolution is the result of iterative cycles of design research. One of the signatures of complex systems is the presence of scale invariance and this line of research furnishes empirical evidence of scale invariant behaviors in the activity of learners engaged in participatory simulations. The offered discussion of possible causes for these behaviors and chaotic phase transitions in human learning favors real-time optimization of decision-making as the means for producing such behaviors. Beyond theoretical development and modeling, this work includes the development of teaching activities intended to introduce pre-service mathematics and science teachers to complex systems. While some of the learning goals for this activity focused on the introduction of complex systems as a content area, we also used complex systems to frame perspectives on learning. Results of scoring rubrics and interview responses from students illustrate attributes of the proposed model of complex systems learning and also how these pre-service teachers made sense of the ideas. Correlations between established theories of learning and a complex adaptive systems model of learning are established and made explicit, and a means for using complex systems ideas for designing instruction is offered. It is a fundamental assumption of this

  1. Integrated mental health services in England: a policy paradox

    PubMed Central

    England, Elizabeth; Lester, Helen

    2005-01-01

    Abstract Purpose The purpose of this paper is to examine the effects of health care policy on the development of integrated mental health services in England. Data sources Drawing largely from a narrative review of the literature on adult mental health services published between January 1997 and February 2003 undertaken by the authors, we discuss three case studies of integrated care within primary care, secondary care and across the primary/secondary interface for people with serious mental illness. Conclusion We suggest that while the central thrust of a raft of recent Government policies in England has been towards integration of different parts of the health care system, policy waterfalls and implementation failures, the adoption of ideas before they have been thoroughly tried and tested, a lack of clarity over roles and responsibilities and poor communication have led to an integration rhetoric/reality gap in practice. This has particular implications for people with serious mental health problems. Discussion We conclude with suggestions for strategies that may facilitate more integrated working. PMID:16773165

  2. Recent trends in children's exposure to second-hand smoke in England: cotinine evidence from the Health Survey for England.

    PubMed

    Jarvis, Martin J; Feyerabend, Colin

    2015-09-01

    To examine changes in children's exposure to second-hand tobacco smoke in England since 1998. Repeated cross-sectional surveys of the general population in England. The Health Survey for England. A total of 37 038 children participating in surveys from 1998 to 2012, 13 327 of whom were aged 4-15 years, had available cotinine and were confirmed non-smokers. The proportion of children with smoking parents; the proportion of children living in homes reported to be smoke-free; the proportion of children with undetectable concentrations of cotinine; linear and quadratic trend estimates of geometric mean cotinine across years. By 2012, 87.3% of children lived in a home that was smoke-free {97.2% [95% confidence interval (CI) = 95.9-98.1] when parents were non-smokers, 61.3% (95% CI = 55.5-66.8) when one or both parents smoked}. A total of 68.6% (95% CI = 64.3-72.6%) of children had undetectable cotinine in 2012, up from 14.3% (95% CI = 12.7-16.0%) in 1998. There was a highly significant linear trend across years (with a small but significant quadratic term) to declining geometric mean cotinine in all children from 0.52 ng/ml (95% CI = 0.48-0.57) in 1998 to 0.11 ng/ml (95% CI = 0.10-0.12) in 2012. Children from routine/manual backgrounds were more exposed, but experienced similar gains across years to those from non-manual backgrounds. In England, children's exposure to second-hand smoke has declined by 79% since 1998, with continuing progress since smoke-free legislation in 2007. An emerging social norm in England has led to the adoption of smoke-free homes not only when parents are non-smokers, but also when they smoke. © 2015 Society for the Study of Addiction.

  3. Modeling Power Systems as Complex Adaptive Systems

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Chassin, David P.; Malard, Joel M.; Posse, Christian

    2004-12-30

    Physical analogs have shown considerable promise for understanding the behavior of complex adaptive systems, including macroeconomics, biological systems, social networks, and electric power markets. Many of today's most challenging technical and policy questions can be reduced to a distributed economic control problem. Indeed, economically based control of large-scale systems is founded on the conjecture that the price-based regulation (e.g., auctions, markets) results in an optimal allocation of resources and emergent optimal system control. This report explores the state-of-the-art physical analogs for understanding the behavior of some econophysical systems and deriving stable and robust control strategies for using them. We reviewmore » and discuss applications of some analytic methods based on a thermodynamic metaphor, according to which the interplay between system entropy and conservation laws gives rise to intuitive and governing global properties of complex systems that cannot be otherwise understood. We apply these methods to the question of how power markets can be expected to behave under a variety of conditions.« less

  4. England Policy in Gifted Education: Current Problems and Promising Directions

    ERIC Educational Resources Information Center

    Koshy, Valsa; Smith, Carole Portman; Casey, Ronald

    2018-01-01

    This article presents and analyzes policies in identification and provisions in England with respect to gifted education. England has developed a national policy to provide services to identified students. Surveys and interviews with teachers illustrate how implementation of both identification and provision policy elements were handled. Although…

  5. Schooling Reforms in England: From Quasi-Markets to Co-Opetition?

    ERIC Educational Resources Information Center

    Adnett, Nick; Davies, Peter

    2003-01-01

    Economic analysis of the impact of recent schooling reforms in England designed to promote competition or cooperation between schools. Outlines the theoretical relationships between school competition and cooperation and school effectiveness. Briefly describes the development of policy in England and analyzes the interaction between the incentives…

  6. Restricted Complexity Framework for Nonlinear Adaptive Control in Complex Systems

    NASA Astrophysics Data System (ADS)

    Williams, Rube B.

    2004-02-01

    Control law adaptation that includes implicit or explicit adaptive state estimation, can be a fundamental underpinning for the success of intelligent control in complex systems, particularly during subsystem failures, where vital system states and parameters can be impractical or impossible to measure directly. A practical algorithm is proposed for adaptive state filtering and control in nonlinear dynamic systems when the state equations are unknown or are too complex to model analytically. The state equations and inverse plant model are approximated by using neural networks. A framework for a neural network based nonlinear dynamic inversion control law is proposed, as an extrapolation of prior developed restricted complexity methodology used to formulate the adaptive state filter. Examples of adaptive filter performance are presented for an SSME simulation with high pressure turbine failure to support extrapolations to adaptive control problems.

  7. Gender and the Social Order in Early Modern England.

    ERIC Educational Resources Information Center

    Amussen, Susan Dwyer

    The place of the family and the relationship between gender and social order in England between 1560 and 1725 are examined. The fear of disorder so prevalent in England in the late 16th and early 17th centuries was caused by the doubling of the population and extremely poor economic conditions. In the attempt to enforce order, the analogy between…

  8. Technology Skills in Demand: A Survey of Job Advertisements in New England.

    ERIC Educational Resources Information Center

    Papp, Raymond

    In order to identify the IS (Information Systems) skills in greatest demand in Connecticut and the New England region, classified ads for business-oriented IS positions appearing in the region's major newspapers during the summer of 1998 were analyzed. This paper highlights these findings and compares them to the skills employers from other…

  9. Nor'easter Pounds New England

    NASA Image and Video Library

    2015-01-27

    The U.S. National Weather Service called it a “a crippling and historic winter blizzard.” In late January 2015, transportation systems from Trenton to Portland were shut down, and more than 35 million people hunkered down for extreme snowfall and biting winds. For those in New England, it turned out to be a monstrous storm. For the Mid-Atlantic region, not so much. Vast swaths of Massachusetts, Connecticut, Rhode Island, New Hampshire, Maine, and Long Island (NY) were blanketed with 15 to 25 inches (40 to 60 centimeters) of snow as of midday on January 27, 2015, and snow was expected to continue into January 28. Sustained winds reached gale force, with hurricane-force gusts along the coastlines. Storm surges sent ice and water into the streets of Scituate and Nantucket, Massachusetts. Many New England towns, including the city of Boston, were expected to approach all-time snowfall records. The Visible Infrared Imaging Radiometer Suite on the Suomi NPP satellite acquired these nighttime images at 1:45 am US eastern standard time (06:45 Universal Time) on January 27, 2015. The top image, lit by moonlight and city lights, shows a nor'easter off the coast of the East Coast of the United States. City lights are blurred somewhat by the cloud cover. The second image shows the same scene in longwave infrared radiation, with brighter shades representing the colder temperatures of snow-producing clouds. NASA Earth Observatory image by Jesse Allen, using VIIRS data from the Suomi National Polar-orbiting Partnership. Read more: earthobservatory.nasa.gov/IOTD/view.php?id=85166&eocn... Via: NASA Earth Observatory NASA image use policy. NASA Goddard Space Flight Center enables NASA’s mission through four scientific endeavors: Earth Science, Heliophysics, Solar System Exploration, and Astrophysics. Goddard plays a leading role in NASA’s accomplishments by contributing compelling scientific knowledge to advance the Agency’s mission. Follow us on Twitter Like us on

  10. New hospital payment systems: comparing medical strategies in The Netherlands, Germany and England.

    PubMed

    van Essen, Anne Marije

    2009-01-01

    This paper seeks to identify different medical strategies adopted in relation to the new hospital payment systems in Germany, The Netherlands and England and analyse how the medical strategies have impacted on the emergence of these New Public Management policy tools between 2002 and 2007. A comparative approach is applied. In addition to secondary sources, the study uses publications in professional journals, official publications of the (national) physician organisations and a (non-random) expert questionnaire to obtain the views of the medical corporate bodies in the three countries. The results reveal differences in the medical strategies in the three countries that point towards the significance of institutional and interest configurations. The Dutch corporate medical body was most willing to solve the conflict, while the German and English corporate medical bodies seem to be keen to use a strategy of confrontation. The differences in medical strategies also impact on the ways in which hospital payment systems have emerged in the three countries. Further research is necessary to study the medical strategies in healthcare reforms from a broader perspective, for instance by including other countries. The paper gives insights into the interplay between the medical profession and the government in the context of new managerial governance practices in the hospital sector. It adds to the scholarly debates about the role of the medical profession in health policy-making.

  11. Towards Mentoring as Feminist Praxis in Early Childhood Education and Care in England

    ERIC Educational Resources Information Center

    Hammond, Sue; Powell, Sacha; Smith, Kate

    2015-01-01

    Following our contribution to a study of mentoring in seven European countries, we explored epistemological and ontological inconsistencies within mainstream mentoring systems and their regulated practice in England. We considered how feminist mentoring praxis can unsettle conceptualisations of mentoring relationships and challenge inequity in the…

  12. Some employment and earnings implications of regional biomass energy utilization: New England and the Cornbelt States

    NASA Astrophysics Data System (ADS)

    Stevenson, W.; Bell, S. E.; Blair, L. M.; Gove, R. M.; Little, J. R.

    1981-08-01

    Because of their abundant forest and agricultural biomass resources, New England and the Cornbelt are likely to grow considerably in the development of biomass energy systems during the next decade or two. Forty thousand or more permanent jobs might be created in New England's wood energy industry by the end of the century. If alcohol-fuel use continues to grow, even greater potential for employment in biomass energy exists in the Cornbelt states. The associated earnings would be quite substantial for both regions. The direct combustion of wood and activities related to alcohol-fuel production are expected to be the major contributors to biomass energy production, employment, and earnings; but other biomass systems show potential as well. Energy extraction from municipal waste, anaerobic digestion of animal manure, and other biomass conversion systems will all generate employment as they grow in use.

  13. 78 FR 79672 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-12-31

    ...The New England Fishery Management Council (Council) is scheduling a public meeting of its Herring Advisory Panel to consider actions affecting New England fisheries in the exclusive economic zone (EEZ). Recommendations from this group will be brought to the full Council for formal consideration and action, if appropriate.

  14. Perspectives on the "Silent Period" for Emergent Bilinguals in England

    ERIC Educational Resources Information Center

    Bligh, Caroline; Drury, Rose

    2015-01-01

    This article draws together the research findings from two ethnographic studies as a means to problematize the "silent period" as experienced by young bilingual learners in two English speaking early-years settings in England. Most teachers and senior early-years practitioners in England are monolingual English speakers. The children…

  15. Sustaining water resources in South East England

    NASA Astrophysics Data System (ADS)

    Rodda, John C.

    2006-07-01

    The South East of England is one of the driest regions of the UK and it is also one of the most densely populated. As a consequence the available water resource per head of population is about half of the figure used by the World Bank to indicate that a country is suffering water stress. The South East Plan, prepared by the South East England Regional Assembly, proposes to increase the population of the region by about 1 million by 2026. This paper considers the ability of the Region's water resources to cope with this growth.

  16. 75 FR 78681 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-12-16

    ...The New England Fishery Management Council (Council) is scheduling a public meeting of its Skate Committee in January, 2011 to consider actions affecting New England fisheries in the exclusive economic zone (EEZ). Recommendations from this group will be brought to the full Council for formal consideration and action, if appropriate.

  17. Statistically Validated Networks in Bipartite Complex Systems

    PubMed Central

    Tumminello, Michele; Miccichè, Salvatore; Lillo, Fabrizio; Piilo, Jyrki; Mantegna, Rosario N.

    2011-01-01

    Many complex systems present an intrinsic bipartite structure where elements of one set link to elements of the second set. In these complex systems, such as the system of actors and movies, elements of one set are qualitatively different than elements of the other set. The properties of these complex systems are typically investigated by constructing and analyzing a projected network on one of the two sets (for example the actor network or the movie network). Complex systems are often very heterogeneous in the number of relationships that the elements of one set establish with the elements of the other set, and this heterogeneity makes it very difficult to discriminate links of the projected network that are just reflecting system's heterogeneity from links relevant to unveil the properties of the system. Here we introduce an unsupervised method to statistically validate each link of a projected network against a null hypothesis that takes into account system heterogeneity. We apply the method to a biological, an economic and a social complex system. The method we propose is able to detect network structures which are very informative about the organization and specialization of the investigated systems, and identifies those relationships between elements of the projected network that cannot be explained simply by system heterogeneity. We also show that our method applies to bipartite systems in which different relationships might have different qualitative nature, generating statistically validated networks in which such difference is preserved. PMID:21483858

  18. Thresholds for Abdominal Aortic Aneurysm Repair in England and the United States

    PubMed Central

    Karthikesalingam, Alan; Vidal-Diez, Alberto; Holt, Peter J.; Loftus, Ian M.; Schermerhorn, Marc L.; Soden, Peter A.; Landon, Bruce E.; Thompson, Matthew M.

    2016-01-01

    BACKGROUND Thresholds for repair of abdominal aortic aneurysms vary considerably among countries. METHODS We examined differences between England and the United States in the frequency of aneurysm repair, the mean aneurysm diameter at the time of the procedure, and rates of aneurysm rupture and aneurysm-related death. Data on the frequency of repair of intact (nonruptured) abdominal aortic aneurysms, in-hospital mortality among patients who had undergone aneurysm repair, and rates of aneurysm rupture during the period from 2005 through 2012 were extracted from the Hospital Episode Statistics database in England and the U.S. Nationwide Inpatient Sample. Data on the aneurysm diameter at the time of repair were extracted from the U.K. National Vascular Registry (2014 data) and from the U.S. National Surgical Quality Improvement Program (2013 data). Aneurysm-related mortality during the period from 2005 through 2012 was determined from data obtained from the Centers for Disease Control and Prevention and the U.K. Office of National Statistics. Data were adjusted with the use of direct standardization or conditional logistic regression for differences between England and the United States with respect to population age and sex. RESULTS During the period from 2005 through 2012, a total of 29,300 patients in England and 278,921 patients in the United States underwent repair of intact abdominal aortic aneurysms. Aneurysm repair was less common in England than in the United States (odds ratio, 0.49; 95% confidence interval [CI], 0.48 to 0.49; P<0.001), and aneurysm-related death was more common in England than in the United States (odds ratio, 3.60; 95% CI, 3.55 to 3.64; P<0.001). Hospitalization due to an aneurysm rupture occurred more frequently in England than in the United States (odds ratio, 2.23; 95% CI, 2.19 to 2.27; P<0.001), and the mean aneurysm diameter at the time of repair was larger in England (63.7 mm vs. 58.3 mm, P<0.001). CONCLUSIONS We found a lower rate

  19. Lessons for major system change: centralization of stroke services in two metropolitan areas of England

    PubMed Central

    Ramsay, Angus; Perry, Catherine; Boaden, Ruth; McKevitt, Christopher; Morris, Stephen; Pursani, Nanik; Rudd, Anthony; Tyrrell, Pippa; Wolfe, Charles; Fulop, Naomi

    2016-01-01

    Objectives Our aim was to identify the factors influencing the selection of a model of acute stroke service centralization to create fewer high-volume specialist units in two metropolitan areas of England (London and Greater Manchester). It considers the reasons why services were more fully centralized in London than in Greater Manchester. Methods In both areas, we analysed 316 documents and conducted 45 interviews with people leading transformation, service user organizations, providers and commissioners. Inductive and deductive analyses were used to compare the processes underpinning change in each area, with reference to propositions for achieving major system change taken from a realist review of the existing literature (the Best framework), which we critique and develop further. Results In London, system leadership was used to overcome resistance to centralization and align stakeholders to implement a centralized service model. In Greater Manchester, programme leaders relied on achieving change by consensus and, lacking decision-making authority over providers, accommodated rather than challenged resistance by implementing a less radical transformation of services. Conclusions A combination of system (top-down) and distributed (bottom-up) leadership is important in enabling change. System leadership provides the political authority required to coordinate stakeholders and to capitalize on clinical leadership by aligning it with transformation goals. Policy makers should examine how the structures of system authority, with performance management and financial levers, can be employed to coordinate transformation by aligning the disparate interests of providers and commissioners. PMID:26811375

  20. Lessons for major system change: centralization of stroke services in two metropolitan areas of England.

    PubMed

    Turner, Simon; Ramsay, Angus; Perry, Catherine; Boaden, Ruth; McKevitt, Christopher; Morris, Stephen; Pursani, Nanik; Rudd, Anthony; Tyrrell, Pippa; Wolfe, Charles; Fulop, Naomi

    2016-07-01

    Our aim was to identify the factors influencing the selection of a model of acute stroke service centralization to create fewer high-volume specialist units in two metropolitan areas of England (London and Greater Manchester). It considers the reasons why services were more fully centralized in London than in Greater Manchester. In both areas, we analysed 316 documents and conducted 45 interviews with people leading transformation, service user organizations, providers and commissioners. Inductive and deductive analyses were used to compare the processes underpinning change in each area, with reference to propositions for achieving major system change taken from a realist review of the existing literature (the Best framework), which we critique and develop further. In London, system leadership was used to overcome resistance to centralization and align stakeholders to implement a centralized service model. In Greater Manchester, programme leaders relied on achieving change by consensus and, lacking decision-making authority over providers, accommodated rather than challenged resistance by implementing a less radical transformation of services. A combination of system (top-down) and distributed (bottom-up) leadership is important in enabling change. System leadership provides the political authority required to coordinate stakeholders and to capitalize on clinical leadership by aligning it with transformation goals. Policy makers should examine how the structures of system authority, with performance management and financial levers, can be employed to coordinate transformation by aligning the disparate interests of providers and commissioners. © The Author(s) 2016.

  1. Why They Come: New England's Lure to the International Student

    ERIC Educational Resources Information Center

    Goodman, Allan E.

    2006-01-01

    The Institute of International Education's annual census of academic mobility reveals that 7.5 percent of the nearly 600,000 international students attending U.S. colleges and universities in 2005 went to campuses in New England. In this article, the author explains why New England's higher education enterprise will continue to lure international…

  2. 77 FR 17459 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-03-26

    ...The New England Fishery Management Council (Council) is scheduling a public meeting of its Whiting Oversight Committee on April 17, 2012 to consider actions affecting New England fisheries in the exclusive economic zone (EEZ). Recommendations from this group will be brought to the full Council for formal consideration and action, if appropriate.

  3. 76 FR 70420 - New England Fishery Management Council (NEFMC); Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-11-14

    ...), National Oceanic and Atmospheric Administration (NOAA), Commerce. ACTION: Notice; public meeting. SUMMARY: The New England Fishery Management Council (Council) is scheduling a public meeting of its Research Steering Committee (Committee), in November, 2011, to consider actions affecting New England fisheries in...

  4. Utilizing a 'systems' approach to improve the management of waste from healthcare facilities: best practice case studies from England and Wales.

    PubMed

    Tudor, Terry L; Woolridge, Anne C; Bates, Margaret P; Phillips, Paul S; Butler, Sharon; Jones, Keith

    2008-06-01

    Changes in environmental legislation and standards governing healthcare waste, such as the Hazardous Waste Regulations are expected to have a significant impact on healthcare waste quantities and costs in England and Wales. This paper presents findings from two award winning case study organizations, the Cardiff and Vale NHS Trust and the Cornwall NHS Trust on 'systems' they have employed for minimizing waste. The results suggest the need for the development and implementation of a holistic range of systems in order to develop best practice, including waste minimization strategies, key performance indicators, and staff training and awareness. The implications for the sharing of best practice from the two case studies are also discussed.

  5. An audit of clinical resources available for the care of head and neck cancer patients in England.

    PubMed

    Bradley, P J; Zutshi, B; Nutting, C M

    2005-08-01

    To undertake a postal survey of cancer networks to define the services available for the diagnosis, treatment and support of patients with head and neck cancer in England. Thirty-four cancer networks are now responsible for the delivery of head and neck cancer services in England and 52 cancer units responded to our questionnaire. Multidisciplinary team working was evident in all centres. However such team working was not always fully staffed, especially in areas of national staff shortages such as pathology, radiology, dietetics and speech therapy. Rapid referral pathways were present for initial assessment of patients but clinically significant delays were identified in the provision of complex investigations, in access to intensive care beds and for oncological care--especially radiotherapy. Major changes in service configuration are likely to be required if the current national targets of time to diagnosis and treatment are to be met.

  6. 76 FR 30306 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-05-25

    ...The New England Fishery Management Council (Council) is scheduling a public meeting of its Scientific and Statistical Committee on June 14-15, 2011 to consider actions affecting New England fisheries in the exclusive economic zone (EEZ). Recommendations from this group will be brought to the full Council for formal consideration and action, if appropriate.

  7. 75 FR 23244 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-05-03

    ...The New England Fishery Management Council (Council) is scheduling a public meeting of its Joint Skate Committee and Advisory Panel, in May, 2010, to consider actions affecting New England fisheries in the exclusive economic zone (EEZ). Recommendations from this group will be brought to the full Council for formal consideration and action, if appropriate.

  8. 76 FR 43266 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-07-20

    ...The New England Fishery Management Council (Council) is scheduling a public meeting of its Scientific and Statistical Committee, on August 9-10, 2011, to consider actions affecting New England fisheries in the exclusive economic zone (EEZ). Recommendations from this group will be brought to the full Council for formal consideration and action, if appropriate.

  9. Women Secondary Head Teachers in England: Where Are They Now?

    ERIC Educational Resources Information Center

    Fuller, Kay

    2017-01-01

    The underrepresentation of women in secondary school headship in England and elsewhere is an early and longstanding theme in the women and gender in educational leadership literature. The purpose of this article is to report findings from a statistical survey of secondary school head teachers across England. Data available in the public domain on…

  10. Is New England Ready for P-20?: A Report Card on Efforts to Expand the K-12 Notion from Preschool to Grade 20

    ERIC Educational Resources Information Center

    Cronin, Joseph M.; Goodman, Richard H.

    2008-01-01

    These authors state that, while New England schools serve the children of the affluent very well, many children from low-income backgrounds are left behind at key points in the "non-system" that is perpetuated from preschool through college and beyond. They suggest that all segments of New England education should work more closely…

  11. PISA, Policymaking and Political Pantomime: Education Policy Referencing between England and Hong Kong

    ERIC Educational Resources Information Center

    Adamson, Bob; Forestier, Katherine; Morris, Paul; Han, Christine

    2017-01-01

    Since the mid-1980s, a number of East Asian societies have consistently performed well in international tests, and their education systems have emerged as models of "best practice", including Hong Kong, which has been extensively referenced by politicians and their advisers in England. In parallel, local dissatisfaction with the…

  12. Dying in hospital: socioeconomic inequality trends in England

    PubMed Central

    Asaria, Miqdad; Sheringham, Jessica; Stone, Patrick; Raine, Rosalind; Cookson, Richard

    2017-01-01

    Objective To describe trends in socioeconomic inequality in the proportion of deaths occurring in hospital, during a period of sustained effort by the NHS in England to improve end of life care. Methods Whole-population, small area longitudinal study involving 5,260,871 patients of all ages who died in England from 2001/2002 to 2011/2012. Our primary measure of inequality was the slope index of inequality. This represents the estimated gap between the most and least deprived neighbourhood in England, allowing for the gradient in between. Neighbourhoods were geographic Lower Layer Super Output Areas containing about 1500 people each. Results The overall proportion of patients dying in hospital decreased from 49.5% to 43.6% during the study period, after initially increasing to 52.0% in 2004/2005. There was substantial ‘pro-rich’ inequality, with an estimated difference of 5.95 percentage points in the proportion of people dying in hospital (confidence interval 5.26 to 6.63), comparing the most and least deprived neighbourhoods in 2011/2012. There was no significant reduction in this gap over time, either in absolute terms or relative to the mean, despite the overall reduction in the proportion of patients dying in hospital. Conclusions Efforts to reduce the proportion of patients dying in hospital in England have been successful overall but did not reduce inequality. Greater understanding of the reasons for such inequality is required before policy changes can be determined. PMID:28429981

  13. 78 FR 78823 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-12-27

    ...The New England Fishery Management Council (Council) is scheduling a joint public meeting of its Skate Oversight Committee and Skate Advisory Panel on January 15, 2014 to consider actions affecting New England fisheries in the exclusive economic zone (EEZ). Recommendations from this group will be brought to the full Council for formal consideration and action, if appropriate.

  14. Higher Education in England 2016: Key Facts. September 2016/20

    ERIC Educational Resources Information Center

    Higher Education Funding Council for England, 2016

    2016-01-01

    This updated edition of "Higher Education in England: Key Facts" provides a statistical overview of key sector trends and developments in 2016. Using the most recent data, it draws together key findings from a range of reports published by the Higher Education Funding Council for England (HEFCE) over the past year to provide a robust,…

  15. 76 FR 53417 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-08-26

    ...The New England Fishery Management Council (Council) is scheduling a public meeting of its Joint Skate/Whiting Committee and Whiting Advisory Panel, on September 14-15, 2011, to consider actions affecting New England fisheries in the exclusive economic zone (EEZ). Recommendations from this group will be brought to the full Council for formal consideration and action, if appropriate.

  16. 76 FR 54433 - New England Fishery Management Council; Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-09-01

    ...The New England Fishery Management Council (Council) is scheduling and revising a public meeting of its Joint Skate/Whiting Committee and Whiting Advisory Panel on September 14, 2011 to consider actions affecting New England fisheries in the exclusive economic zone (EEZ). Recommendations from this group will be brought to the full Council for formal consideration and action, if appropriate.

  17. 1998 Complex Systems Summer School

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    NONE

    1998-12-15

    For the past eleven years a group of institutes, centers, and universities throughout the country have sponsored a summer school in Santa Fe, New Mexico as part of an interdisciplinary effort to promote the understanding of complex systems. The goal of these summer schools is to provide graduate students, postdoctoral fellows and active research scientists with an introduction to the study of complex behavior in mathematical, physical, and living systems. The Center for Nonlinear Studies supported the eleventh in this series of highly successful schools in Santa Fe in June, 1998.

  18. Complex Physical, Biophysical and Econophysical Systems

    NASA Astrophysics Data System (ADS)

    Dewar, Robert L.; Detering, Frank

    1. Introduction to complex and econophysics systems: a navigation map / T. Aste and T. Di Matteo -- 2. An introduction to fractional diffusion / B. I. Henry, T.A.M. Langlands and P. Straka -- 3. Space plasmas and fusion plasmas as complex systems / R. O. Dendy -- 4. Bayesian data analysis / M. S. Wheatland -- 5. Inverse problems and complexity in earth system science / I. G. Enting -- 6. Applied fluid chaos: designing advection with periodically reoriented flows for micro to geophysical mixing and transport enhancement / G. Metcalfe -- 7. Approaches to modelling the dynamical activity of brain function based on the electroencephalogram / D. T. J. Liley and F. Frascoli -- 8. Jaynes' maximum entropy principle, Riemannian metrics and generalised least action bound / R. K. Niven and B. Andresen -- 9. Complexity, post-genomic biology and gene expression programs / R. B. H. Williams and O. J.-H. Luo -- 10. Tutorials on agent-based modelling with NetLogo and network analysis with Pajek / M. J. Berryman and S. D. Angus.

  19. A Comparative Analysis of Primary Teacher Professionalism in England and Finland

    ERIC Educational Resources Information Center

    Webb, Rosemary; Vulliamy, Graham; Hamalainen, Seppo; Sarja, Anneli; Kimonen, Eija; Nevalainen, Raimo

    2004-01-01

    Policy-makers' conceptions of teacher professionalism currently differ markedly in England and Finland. In England they are shaped by agendas associated with the drive to raise standards and "commercialized professionalism" whilst in Finland they are influenced by notions of "teacher empowerment". This article analyses findings…

  20. Primary care and health inequality: Difference-in-difference study comparing England and Ontario

    PubMed Central

    Cookson, Richard; Mondor, Luke; Kringos, Dionne S.; Klazinga, Niek S.

    2017-01-01

    Background It is not known whether equity-oriented primary care investment that seeks to scale up the delivery of effective care in disadvantaged communities can reduce health inequality within high-income settings that have pre-existing universal primary care systems. We provide some non-randomised controlled evidence by comparing health inequality trends between two similar jurisdictions–one of which implemented equity-oriented primary care investment in the mid-to-late 2000s as part of a cross-government strategy for reducing health inequality (England), and one which invested in primary care without any explicit equity objective (Ontario, Canada). Methods We analysed whole-population data on 32,482 neighbourhoods (with mean population size of approximately 1,500 people) in England, and 18,961 neighbourhoods (with mean population size of approximately 700 people) in Ontario. We examined trends in mortality amenable to healthcare by decile groups of neighbourhood deprivation within each jurisdiction. We used linear models to estimate absolute and relative gaps in amenable mortality between most and least deprived groups, considering the gradient between these extremes, and evaluated difference-in-difference comparisons between the two jurisdictions. Results Inequality trends were comparable in both jurisdictions from 2004–6 but diverged from 2007–11. Compared with Ontario, the absolute gap in amenable mortality in England fell between 2004–6 and 2007–11 by 19.8 per 100,000 population (95% CI: 4.8 to 34.9); and the relative gap in amenable mortality fell by 10 percentage points (95% CI: 1 to 19). The biggest divergence occurred in the most deprived decile group of neighbourhoods. Discussion In comparison to Ontario, England succeeded in reducing absolute socioeconomic gaps in mortality amenable to healthcare from 2007 to 2011, and preventing them from growing in relative terms. Equity-oriented primary care reform in England in the mid-to-late 2000s may

  1. Primary care and health inequality: Difference-in-difference study comparing England and Ontario.

    PubMed

    Cookson, Richard; Mondor, Luke; Asaria, Miqdad; Kringos, Dionne S; Klazinga, Niek S; Wodchis, Walter P

    2017-01-01

    It is not known whether equity-oriented primary care investment that seeks to scale up the delivery of effective care in disadvantaged communities can reduce health inequality within high-income settings that have pre-existing universal primary care systems. We provide some non-randomised controlled evidence by comparing health inequality trends between two similar jurisdictions-one of which implemented equity-oriented primary care investment in the mid-to-late 2000s as part of a cross-government strategy for reducing health inequality (England), and one which invested in primary care without any explicit equity objective (Ontario, Canada). We analysed whole-population data on 32,482 neighbourhoods (with mean population size of approximately 1,500 people) in England, and 18,961 neighbourhoods (with mean population size of approximately 700 people) in Ontario. We examined trends in mortality amenable to healthcare by decile groups of neighbourhood deprivation within each jurisdiction. We used linear models to estimate absolute and relative gaps in amenable mortality between most and least deprived groups, considering the gradient between these extremes, and evaluated difference-in-difference comparisons between the two jurisdictions. Inequality trends were comparable in both jurisdictions from 2004-6 but diverged from 2007-11. Compared with Ontario, the absolute gap in amenable mortality in England fell between 2004-6 and 2007-11 by 19.8 per 100,000 population (95% CI: 4.8 to 34.9); and the relative gap in amenable mortality fell by 10 percentage points (95% CI: 1 to 19). The biggest divergence occurred in the most deprived decile group of neighbourhoods. In comparison to Ontario, England succeeded in reducing absolute socioeconomic gaps in mortality amenable to healthcare from 2007 to 2011, and preventing them from growing in relative terms. Equity-oriented primary care reform in England in the mid-to-late 2000s may have helped to reduce socioeconomic inequality in

  2. McDonald's restaurants and neighborhood deprivation in Scotland and England.

    PubMed

    Cummins, Steven C J; McKay, Laura; MacIntyre, Sally

    2005-11-01

    Features of the local fast food environment have been hypothesized to contribute to the greater prevalence of obesity in deprived neighborhoods. However, few studies have investigated whether fast food outlets are more likely to be found in poorer areas, and those that have are local case studies. In this paper, using national-level data, we examine the association between neighborhood deprivation and the density of McDonald's restaurants in small census areas (neighborhoods) in Scotland and England. Data on population, deprivation, and the location of McDonald's Restaurants were obtained for 38,987 small areas in Scotland and England (6505 "data zones" in Scotland, and 32,482 "super output areas" in England) in January 2005. Measures of McDonald's restaurants per 1000 people for each area were calculated, and areas were divided into quintiles of deprivation. Associations between neighborhood deprivation and outlet density were examined during February 2005, using one-way analysis of variance in Scotland, England, and both countries combined. Statistically significant positive associations were found between neighborhood deprivation and the mean number of McDonald's outlets per 1000 people for Scotland (p<0.001), England (p<0.001), and both countries combined (p<0.001). These associations were broadly linear with greater mean numbers of outlets per 1000 people occurring as deprivation levels increased. Observed associations between presence or absence of fast food outlets and neighborhood deprivation may provide support for environmental explanations for the higher prevalence of obesity in poor neighborhoods.

  3. Child mortality in England compared with Sweden: a birth cohort study.

    PubMed

    Zylbersztejn, Ania; Gilbert, Ruth; Hjern, Anders; Wijlaars, Linda; Hardelid, Pia

    2018-05-19

    Child mortality is almost twice as high in England compared with Sweden. We aimed to establish the extent to which adverse birth characteristics and socioeconomic factors explain this difference. We developed nationally representative cohorts of singleton livebirths between Jan 1, 2003, and Dec 31, 2012, using the Hospital Episode Statistics in England, and the Swedish Medical Birth Register in Sweden, with longitudinal follow-up from linked hospital admissions and mortality records. We analysed mortality as the outcome, based on deaths from any cause at age 2-27 days, 28-364 days, and 1-4 years. We fitted Cox proportional hazard regression models to estimate the hazard ratios (HRs) for England compared with Sweden in all three age groups. The models were adjusted for birth characteristics (gestational age, birthweight, sex, and congenital anomalies), and for socioeconomic factors (maternal age and socioeconomic status). The English cohort comprised 3 932 886 births and 11 392 deaths and the Swedish cohort comprised 1 013 360 births and 1927 deaths. The unadjusted HRs for England compared with Sweden were 1·66 (95% CI 1·53-1·81) at 2-27 days, 1·59 (1·47-1·71) at 28-364 days, and 1·27 (1·15-1·40) at 1-4 years. At 2-27 days, 77% of the excess risk of death in England was explained by birth characteristics and a further 3% by socioeconomic factors. At 28-364 days, 68% of the excess risk of death in England was explained by birth characteristics and a further 11% by socioeconomic factors. At 1-4 years, the adjusted HR did not indicate a significant difference between countries. Excess child mortality in England compared with Sweden was largely explained by the unfavourable distribution of birth characteristics in England. Socioeconomic factors contributed to these differences through associations with adverse birth characteristics and increased mortality after 1 month of age. Policies to reduce child mortality in England could have most impact by

  4. Obesity prevalence among healthcare professionals in England: a cross-sectional study using the Health Survey for England

    PubMed Central

    Wills, Jane; Mahoney, Catherine; Hoyle, Louise; Kelly, Muireann; Atherton, Iain M

    2017-01-01

    Objective To estimate obesity prevalence among healthcare professionals in England and compare prevalence with those working outside of the health services. Design Cross-sectional study based on data from 5 years (2008–2012) of the nationally representative Health Survey for England. Setting England. Participants 20 103 adults aged 17–65 years indicating they were economically active at the time of survey classified into four occupational groups: nurses (n=422), other healthcare professionals (n=412), unregistered care workers (n=736) and individuals employed in non-health-related occupations (n=18 533). Outcome measure Prevalence of obesity defined as body mass index ≥30.0 with 95% CIs and weighted to reflect the population. Results Obesity prevalence was high across all occupational groups including: among nurses (25.1%, 95% CI 20.9% to 29.4%); other healthcare professionals (14.4%, 95% CI 11.0% to 17.8%); non-health-related occupations (23.5%, 95% CI 22.9% to 24.1%); and unregistered care workers who had the highest prevalence of obesity (31.9%, 95% CI 28.4% to 35.3%). A logistic regression model adjusted for sociodemographic composition and survey year indicated that, compared with nurses, the odds of being obese were significantly lower for other healthcare professionals (adjusted OR (aOR) 0.52, 95% CI 0.37 to 0.75) and higher for unregistered care workers (aOR 1.46, 95% CI 1.11 to 1.93). There was no significant difference in obesity prevalence between nurses and people working in non-health-related occupations (aOR 0.94, 95% CI 0.74 to 1.18). Conclusions High obesity prevalence among nurses and unregistered care workers is concerning as it increases the risks of musculoskeletal conditions and mental health conditions that are the main causes of sickness absence in health services. Further research is required to better understand the reasons for high obesity prevalence among healthcare professionals in England to inform interventions to

  5. On Chaotic and Hyperchaotic Complex Nonlinear Dynamical Systems

    NASA Astrophysics Data System (ADS)

    Mahmoud, Gamal M.

    Dynamical systems described by real and complex variables are currently one of the most popular areas of scientific research. These systems play an important role in several fields of physics, engineering, and computer sciences, for example, laser systems, control (or chaos suppression), secure communications, and information science. Dynamical basic properties, chaos (hyperchaos) synchronization, chaos control, and generating hyperchaotic behavior of these systems are briefly summarized. The main advantage of introducing complex variables is the reduction of phase space dimensions by a half. They are also used to describe and simulate the physics of detuned laser and thermal convection of liquid flows, where the electric field and the atomic polarization amplitudes are both complex. Clearly, if the variables of the system are complex the equations involve twice as many variables and control parameters, thus making it that much harder for a hostile agent to intercept and decipher the coded message. Chaotic and hyperchaotic complex systems are stated as examples. Finally there are many open problems in the study of chaotic and hyperchaotic complex nonlinear dynamical systems, which need further investigations. Some of these open problems are given.

  6. Managing Schools as Complex Adaptive Systems: A Strategic Perspective

    ERIC Educational Resources Information Center

    Fidan, Tuncer; Balci, Ali

    2017-01-01

    This conceptual study examines the analogies between schools and complex adaptive systems and identifies strategies used to manage schools as complex adaptive systems. Complex adaptive systems approach, introduced by the complexity theory, requires school administrators to develop new skills and strategies to realize their agendas in an…

  7. Nomination Period Extended for EPA’s New England Annual Environmental Merit Awards

    EPA Pesticide Factsheets

    The U.S. Environmental Protection Agency’s New England office has extended the deadline to submit nominations for New England people, organizations, government entities or businesses whose environmental achievements during the past year deserve recognition

  8. Special Deliveries: Certified Nurse-Midwifery Programs Lacking in New England

    ERIC Educational Resources Information Center

    Franzosa, Alyssa

    2012-01-01

    With Boston serving as a hub of both educational and medical excellence, it's no wonder that New England has a high reputation to uphold in both of these areas. However, Boston and the rest of the region lack a specific degree program that is putting New England below the radars of potential midwives. Certified nurse-midwifery is a popular field…

  9. Complexity in electronic negotiation support systems.

    PubMed

    Griessmair, Michele; Strunk, Guido; Vetschera, Rudolf; Koeszegi, Sabine T

    2011-10-01

    It is generally acknowledged that the medium influences the way we communicate and negotiation research directs considerable attention to the impact of different electronic communication modes on the negotiation process and outcomes. Complexity theories offer models and methods that allow the investigation of how pattern and temporal sequences unfold over time in negotiation interactions. By focusing on the dynamic and interactive quality of negotiations as well as the information, choice, and uncertainty contained in the negotiation process, the complexity perspective addresses several issues of central interest in classical negotiation research. In the present study we compare the complexity of the negotiation communication process among synchronous and asynchronous negotiations (IM vs. e-mail) as well as an electronic negotiation support system including a decision support system (DSS). For this purpose, transcripts of 145 negotiations have been coded and analyzed with the Shannon entropy and the grammar complexity. Our results show that negotiating asynchronically via e-mail as well as including a DSS significantly reduces the complexity of the negotiation process. Furthermore, a reduction of the complexity increases the probability of reaching an agreement.

  10. New England Drinking Water Program | US EPA

    EPA Pesticide Factsheets

    2017-07-06

    Information on Drinking Water in New England. Major Topics covered include: Conservation, Private Wells, Preventing Contamination, Drinking Water Sources, Consumer Confidence Reports, and Drinking Water Awards.

  11. England's Class Society in Change.

    ERIC Educational Resources Information Center

    Rulf, Werner

    1990-01-01

    Observes that England's present government is displacing the humanist values of traditional higher education with those of a new achievement-oriented society. Points out the educated elite still determines the values of British life. Discusses how these changes affect the working class through a diminished standard of living and quality of…

  12. Educational Aspirations Trajectories in England

    ERIC Educational Resources Information Center

    McCulloch, Andrew

    2017-01-01

    This study used latent class analysis to examine the trajectories followed by young people's educational aspirations in England over the age range from 13 to 16 years and their relationship to educational achievement. The results suggested that young people's aspirations followed six trajectories. Four trajectories showed overall patterns of…

  13. Overseas Trained Teachers in England: A Policy Framework for Social and Professional Integration

    ERIC Educational Resources Information Center

    Miller, Paul Washington

    2008-01-01

    Overseas trained teachers (OTTs) have become an important part of the make-up of England's primary and secondary education system. Through inadequate, and in some cases a lack of, initial induction and support for professional development, many are at risk of performing sub-optimally and some have become an endangered species. Failure to integrate…

  14. Further Education outside the Jurisdiction of Local Education Authorities in Post-War England

    ERIC Educational Resources Information Center

    Simmons, Robin

    2014-01-01

    This article revisits the three decades following the end of World War Two--a time when, following the 1944 Education Act, local education authorities (LEAs) were the key agencies responsible for running the education system across England. For the first time, there was a statutory requirement for LEAs to secure adequate facilities for further…

  15. Neoliberal Globalisation, Managerialism and Higher Education in England: Challenging the Imposed "Order of Things"

    ERIC Educational Resources Information Center

    Beckmann, Andrea; Cooper, Charlie

    2013-01-01

    This article critically explores the consequences of the imposition of neoliberal ideology on a transnational scale on the higher education system. Its particular focus is England where the context of the "new managerialism" continues to dominate the "lifeworlds" of educators and the educated, despite strong concerns about its…

  16. Southeast New England Coastal Watershed Restoration Program

    EPA Pesticide Factsheets

    The Southeast New England Program aims to enhance collaboration among stakeholders and promote innovation in policy, monitoring and best management practices in Rhode Island and southeast Massachusetts.

  17. Energy performance of net-zero and near net-zero energy homes in New England

    NASA Astrophysics Data System (ADS)

    Thomas, Walter D.

    Net-Zero Energy Homes (NZEHs) are homes that consume no more energy than they produce on site during the course of a year. They are well insulated and sealed, use energy efficient appliances, lighting, and mechanical equipment, are designed to maximize the benefits from day lighting, and most often use a combination of solar hot water, passive solar and photovoltaic (PV) panels to produce their on-site energy. To date, NZEHs make up a miniscule percentage of homes in the United States, and of those, few have had their actual performance measured and analyzed once built and occupied. This research focused on 19 NZEHs and near net-zero energy homes (NNZEHs) built in New England. This set of homes had varying designs, numbers of occupants, and installed technologies for energy production, space heating and cooling, and domestic hot water systems. The author worked with participating homeowners to collect construction and systems specifications, occupancy information, and twelve months of energy consumption, production and cost measurements, in order to determine whether the homes reached their respective energy performance design goals. The author found that six out of ten NZEHs achieved net-zero energy or better, while all nine of the NNZEHs achieved an energy density (kWh/ft 2/person) at least half as low as the control house, also built in New England. The median construction cost for the 19 homes was 155/ft 2 vs. 110/ft2 for the US average, their average monthly energy cost was 84% below the average for homes in New England, and their estimated CO2 emissions averaged 90% below estimated CO2 emissions from the control house. Measured energy consumption averaged 14% below predictions for the NZEHs and 38% above predictions for the NNZEHs, while generated energy was within +/- 10% of predicted for 17 out of 18 on-site PV systems. Based on these results, the author concludes that these types of homes can meet or exceed their designed energy performance (depending on

  18. International Student Recruitment to Universities in England: Discourse, Rationales and Globalisation

    ERIC Educational Resources Information Center

    Bolsmann, Chris; Miller, Henry

    2008-01-01

    The recruitment of international students to universities in England has become a central issue in an era of globalisation for university administrators, senior managers, international offices and heads of schools and faculties. We examine the policy rationales for the recruitment of international students to England. Through the use of in-depth…

  19. Graduate Education in Government: In England, France, and the United States.

    ERIC Educational Resources Information Center

    Vernardakis, George

    This book reports findings of a study comparing how the leading institutions of higher education in England, France, and the United States conduct their graduate programs in political science. Institutions studied were: Cambridge University, Oxford University, and the University of London in England; the University of Paris 1 (Sorbonne), Institute…

  20. Teaching about Complex Systems Is No Simple Matter: Building Effective Professional Development for Computer-Supported Complex Systems Instruction

    ERIC Educational Resources Information Center

    Yoon, Susan A.; Anderson, Emma; Koehler-Yom, Jessica; Evans, Chad; Park, Miyoung; Sheldon, Josh; Schoenfeld, Ilana; Wendel, Daniel; Scheintaub, Hal; Klopfer, Eric

    2017-01-01

    The recent next generation science standards in the United States have emphasized learning about complex systems as a core feature of science learning. Over the past 15 years, a number of educational tools and theories have been investigated to help students learn about complex systems; but surprisingly, little research has been devoted to…

  1. Adaptive simplification of complex multiscale systems.

    PubMed

    Chiavazzo, Eliodoro; Karlin, Ilya

    2011-03-01

    A fully adaptive methodology is developed for reducing the complexity of large dissipative systems. This represents a significant step toward extracting essential physical knowledge from complex systems, by addressing the challenging problem of a minimal number of variables needed to exactly capture the system dynamics. Accurate reduced description is achieved, by construction of a hierarchy of slow invariant manifolds, with an embarrassingly simple implementation in any dimension. The method is validated with the autoignition of the hydrogen-air mixture where a reduction to a cascade of slow invariant manifolds is observed.

  2. Mortality from ruptured abdominal aortic aneurysms: clinical lessons from a comparison of outcomes in England and the USA.

    PubMed

    Karthikesalingam, Alan; Holt, Peter J; Vidal-Diez, Alberto; Ozdemir, Baris A; Poloniecki, Jan D; Hinchliffe, Robert J; Thompson, Matthew M

    2014-03-15

    The outcome of patients with ruptured abdominal aortic aneurysm (rAAA) varies by country. Study of practice differences might allow the formulation of pathways to improve care. We compared data from the Hospital Episode Statistics for England and the Nationwide Inpatient Sample for the USA for patients admitted to hospital with rAAA from 2005 to 2010. Primary outcomes were in-hospital mortality, mortality after intervention, and decision to follow non-corrective treatment. In-hospital mortality and the rate of non-corrective treatment were analysed by binary logistic regression for each health-care system, after adjustment for age, sex, year, and Charlson comorbidity index. The study included 11,799 patients with rAAA in England and 23,838 patients with rAAA in the USA. In-hospital mortality was lower in the USA than in England (53·05% [95% CI 51·26-54·85] vs 65·90%; p<0·0001). Intervention (open or endovascular repair) was offered to a greater proportion of cases in the USA than in England (19,174 [80·43%] vs 6897 [58·45%]; p<0·0001) and endovascular repair was more common in the USA than in England (4003 [20·88%] vs 589 [8·54%]; p<0·0001). Postintervention mortality was similar in both countries (41·77% for England and 41·65% for USA). These observations persisted in age-matched and sex-matched comparisons. In both countries, reduced mortality was associated with increased use of endovascular repair, increased hospital caseload (volume) for rAAA, high hospital bed capacity, hospitals with teaching status, and admission on a weekday. In-hospital survival from rAAA, intervention rates, and uptake of endovascular repair are lower in England than in the USA. In England and the USA, the lowest mortality for rAAA was seen in teaching hospitals with larger bed capacities and doing a greater proportion of cases with endovascular repair. These common factors suggest strategies for improving outcomes for patients with rAAA. None. Copyright © 2014 Elsevier Ltd

  3. Observation-Driven Configuration of Complex Software Systems

    NASA Astrophysics Data System (ADS)

    Sage, Aled

    2010-06-01

    The ever-increasing complexity of software systems makes them hard to comprehend, predict and tune due to emergent properties and non-deterministic behaviour. Complexity arises from the size of software systems and the wide variety of possible operating environments: the increasing choice of platforms and communication policies leads to ever more complex performance characteristics. In addition, software systems exhibit different behaviour under different workloads. Many software systems are designed to be configurable so that policies can be chosen to meet the needs of various stakeholders. For complex software systems it can be difficult to accurately predict the effects of a change and to know which configuration is most appropriate. This thesis demonstrates that it is useful to run automated experiments that measure a selection of system configurations. Experiments can find configurations that meet the stakeholders' needs, find interesting behavioural characteristics, and help produce predictive models of the system's behaviour. The design and use of ACT (Automated Configuration Tool) for running such experiments is described, in combination a number of search strategies for deciding on the configurations to measure. Design Of Experiments (DOE) is discussed, with emphasis on Taguchi Methods. These statistical methods have been used extensively in manufacturing, but have not previously been used for configuring software systems. The novel contribution here is an industrial case study, applying the combination of ACT and Taguchi Methods to DC-Directory, a product from Data Connection Ltd (DCL). The case study investigated the applicability of Taguchi Methods for configuring complex software systems. Taguchi Methods were found to be useful for modelling and configuring DC- Directory, making them a valuable addition to the techniques available to system administrators and developers.

  4. Development of risk-based trading farm scoring system to assist with the control of bovine tuberculosis in cattle in England and Wales.

    PubMed

    Adkin, A; Brouwer, A; Simons, R R L; Smith, R P; Arnold, M E; Broughan, J; Kosmider, R; Downs, S H

    2016-01-01

    Identifying and ranking cattle herds with a higher risk of being or becoming infected on known risk factors can help target farm biosecurity, surveillance schemes and reduce spread through animal trading. This paper describes a quantitative approach to develop risk scores, based on the probability of infection in a herd with bovine tuberculosis (bTB), to be used in a risk-based trading (RBT) scheme in England and Wales. To produce a practical scoring system the risk factors included need to be simple and quick to understand, sufficiently informative and derived from centralised national databases to enable verification and assess compliance. A logistic regression identified herd history of bTB, local bTB prevalence, herd size and movements of animals onto farms in batches from high risk areas as being significantly associated with the probability of bTB infection on farm. Risk factors were assigned points using the estimated odds ratios to weight them. The farm risk score was defined as the sum of these individual points yielding a range from 1 to 5 and was calculated for each cattle farm that was trading animals in England and Wales at the start of a year. Within 12 months, of those farms tested, 30.3% of score 5 farms had a breakdown (sensitivity). Of farms scoring 1-4 only 5.4% incurred a breakdown (1-specificity). The use of this risk scoring system within RBT has the potential to reduce infected cattle movements; however, there are cost implications in ensuring that the information underpinning any system is accurate and up to date. Crown Copyright © 2015. Published by Elsevier B.V. All rights reserved.

  5. Risk Modeling of Interdependent Complex Systems of Systems: Theory and Practice.

    PubMed

    Haimes, Yacov Y

    2018-01-01

    The emergence of the complexity characterizing our systems of systems (SoS) requires a reevaluation of the way we model, assess, manage, communicate, and analyze the risk thereto. Current models for risk analysis of emergent complex SoS are insufficient because too often they rely on the same risk functions and models used for single systems. These models commonly fail to incorporate the complexity derived from the networks of interdependencies and interconnectedness (I-I) characterizing SoS. There is a need to reevaluate currently practiced risk analysis to respond to this reality by examining, and thus comprehending, what makes emergent SoS complex. The key to evaluating the risk to SoS lies in understanding the genesis of characterizing I-I of systems manifested through shared states and other essential entities within and among the systems that constitute SoS. The term "essential entities" includes shared decisions, resources, functions, policies, decisionmakers, stakeholders, organizational setups, and others. This undertaking can be accomplished by building on state-space theory, which is fundamental to systems engineering and process control. This article presents a theoretical and analytical framework for modeling the risk to SoS with two case studies performed with the MITRE Corporation and demonstrates the pivotal contributions made by shared states and other essential entities to modeling and analysis of the risk to complex SoS. A third case study highlights the multifarious representations of SoS, which require harmonizing the risk analysis process currently applied to single systems when applied to complex SoS. © 2017 Society for Risk Analysis.

  6. Apprenticeships in England: What Next?

    ERIC Educational Resources Information Center

    Hogarth, Terence; Gambin, Lynn; Hasluck, Chris

    2012-01-01

    This paper examines recent development in Apprenticeship training in England. Since the introduction of Modern Apprenticeships in the mid-1990s this form of training has been subject to much analysis and reform. This paper summarises the current situation and highlights some of the challenges and opportunities which face Apprenticeship over the…

  7. Promoting Community Cohesion in England

    ERIC Educational Resources Information Center

    Morris, Andrew B.; McDaid, Maggie; Potter, Hugh

    2011-01-01

    Following serious disturbances in some northern cities in England in 2001, concerns about possible rising inter-communal tension have led to a statutory duty to promote community cohesion being placed on schools. Inspectors from the Office for Standards in Education (Ofsted) are required to make judgements in the leadership and management section…

  8. The sleeping brain as a complex system.

    PubMed

    Olbrich, Eckehard; Achermann, Peter; Wennekers, Thomas

    2011-10-13

    'Complexity science' is a rapidly developing research direction with applications in a multitude of fields that study complex systems consisting of a number of nonlinear elements with interesting dynamics and mutual interactions. This Theme Issue 'The complexity of sleep' aims at fostering the application of complexity science to sleep research, because the brain in its different sleep stages adopts different global states that express distinct activity patterns in large and complex networks of neural circuits. This introduction discusses the contributions collected in the present Theme Issue. We highlight the potential and challenges of a complex systems approach to develop an understanding of the brain in general and the sleeping brain in particular. Basically, we focus on two topics: the complex networks approach to understand the changes in the functional connectivity of the brain during sleep, and the complex dynamics of sleep, including sleep regulation. We hope that this Theme Issue will stimulate and intensify the interdisciplinary communication to advance our understanding of the complex dynamics of the brain that underlies sleep and consciousness.

  9. Changing Policy and Legislation and Its Effects on Inclusive and Special Education: A Perspective from England

    ERIC Educational Resources Information Center

    Norwich, Brahm

    2014-01-01

    This article, by Brahm Norwich of the Graduate School of Education, University of Exeter, sets the recent legislative changes in the special education system in England, the Children and Families Act (2014), in the context of wider changes in the school system, such as changes in curriculum-assessment, the governance of schools and inspection…

  10. Developing Professionalism within a Regulatory Framework in England: Challenges and Possibilities

    ERIC Educational Resources Information Center

    Miller, Linda

    2008-01-01

    Early Childhood Education and Care (ECEC) is now firmly on government agendas in many countries, including England, and the need to develop a professional workforce is generally agreed. The reform of the children's workforce in England acknowledges that increasing the skills and competence of this workforce is critical to its success. Two new…

  11. School Nurses' perspectives on the role of the school nurse in health education and health promotion in England: a qualitative study.

    PubMed

    Hoekstra, Beverley A; Young, Vicki L; Eley, Charlotte V; Hawking, Meredith K D; McNulty, Cliodna A M

    2016-01-01

    The role of the school nurse is complex with many possible elements identified by previous research. The aim of this study is to understand perceptions of the role of the school nurse in order to support school nurses in the delivery of health education. The study used an inductive, qualitative research design involving semi-structured interviews and focus groups. Participants were recruited from four NHS trusts across England and final sample size was thirty one school nurses. Three focus groups and two interviews took place in person, and three interviews were over the phone. Data was thematically analysed. School nurses described six main themes. Four themes directly related to the school nurse role: the main roles of a school nurse, school nurses' role in health education, prioritisation of workload and activities, and community work. A further two other themes related to the delivery of health education: the school nursing system and educational resources. The role of the school nurse in England is very diverse and the school nurse role in health education is primarily to advise and support schools, rather than to directly deliver education. The study identified that tailored public health educational resources are needed to support school nurses.

  12. The Organisation of 14-19 Education and Training in England: Beyond Weakly Collaborative Arrangements

    ERIC Educational Resources Information Center

    Hodgson, Ann; Spours, Ken

    2006-01-01

    As a result of reforms over the past two decades, institutional arrangements for upper secondary education in England are both marketised and competitive compared with other European systems. Since 1997, the Labour Government has broadly sustained this position. However, recent policy documents recognise that 14-19 education and training will…

  13. Neoliberalization and Managerialization of "Education" in England and Wales--A Case for Reconstructing Education

    ERIC Educational Resources Information Center

    Beckmann, Andrea; Cooper, Charlie; Hill, Dave

    2009-01-01

    This paper argues that the neoliberalization of education in England, begun in the 1980s, is having profoundly harmful effects on the lives of individuals and society. Neoliberalism represents a shift away from the post-war social democratic notion of universal "citizenship" rights/identities toward a system of individual consumer…

  14. Provision of out-of-hours services for acute upper gastrointestinal bleeding in England: results of the 2014-2015 BSG/NHS England national survey.

    PubMed

    Nedjat-Shokouhi, Bahman; Glynn, Michael; Denton, Erika R E; Greenfield, Simon M

    2017-01-01

    There has been a drive to raise the standard of management of acute upper gastrointestinal bleeding (AUGIB) in the UK, including three previous audits, sponsored by the British Society of Gastroenterology (BSG). To review the results of the latest BSG/National Health Service (NHS) England national survey of endoscopy services in England between 2014 and 2015. All NHS hospitals accepting acute admissions in England (168) were invited to respond to the survey. Overall, 142 hospitals (84%) returned data. 85% of hospitals used a validated risk assessment score at the time of patient's admission. While 80% of hospitals provided a 24/7 endoscopy service for unstable patients, and another 10% were in network to provide an acute service, only 60% performed an endoscopy within 24 hours for stable acute admissions or inpatients with AUGIB. 11% of hospitals operated an out-of-hours ad hoc rota. 43% felt that pressure from routine work affected their ability to offer a next-day oesophagogastroduodenoscopy service, while 20% of hospitals struggled to recruit endoscopists. 28% of units reported that the previous national audit performed in 2013 had a positive influence on service development. This survey has revealed significant deficiencies in provision of services for patients with AUGIB in England, without a significant increase in number of hospitals providing an emergency AUGIB service since the last national audit in 2013.

  15. Epidemiology of chickenpox in England and Wales, 1967-85

    PubMed Central

    Joseph, Carol A; Noah, Norman D

    1988-01-01

    Routine sources of data on chickenpox morbidity and mortality in England and Wales were reviewed for 1967-85. Only two epidemics occurred, one in 1967 and one in 1980, both of which were immediately followed by two to three years of low incidence. The age distribution of the disease appears to be changing, with more cases now being reported in children aged 0-4 years. The number of deaths in adults have, however, increased, particularly those deaths that are associated with pneumonia and immunosuppression. At present in England and Wales more deaths are attributed to chickenpox than to whooping cough and mumps. Widespread use of selective immunisation against chickenpox might be justified in England and Wales, but before routine immunisation of the child population can be considered special surveys to determine the incidence and severity of chickenpox and the effect of the vaccine on the subsequent development of herpes zoster are needed as well as cost-benefit studies of immunisation. PMID:3128363

  16. THE NEW ENGLAND AIR QUALITY FORECASTING PILOT PROGRAM: DEVELOPMENT OF AN EVALUATION PROTOCOL AND PERFORMANCE BENCHMARK

    EPA Science Inventory

    The National Oceanic and Atmospheric Administration recently sponsored the New England Forecasting Pilot Program to serve as a "test bed" for chemical forecasting by providing all of the elements of a National Air Quality Forecasting System, including the development and implemen...

  17. The Momentum behind the International Primary Curriculum in Schools in England

    ERIC Educational Resources Information Center

    Bunnell, Tristan

    2010-01-01

    The year 2007 saw a discrete yet significant development in the sphere of "international education" in England: a doubling in number of state-funded schools offering the International Primary Curriculum. This curriculum had been developed in 2000 for the Shell Company Group of Schools. It first emerged in England in 2003; two years later…

  18. Confluence and convergence: team effectiveness in complex systems.

    PubMed

    Porter-OʼGrady, Tim

    2015-01-01

    Complex adaptive systems require nursing leadership to rethink organizational work and the viability and effectiveness of teams. Much of emergent thinking about complexity and systems and organizations alter the understanding of the nature and function of teamwork and the configuration and leadership of team effort. Reflecting on basic concepts of complexity and their application to team formation, dynamics, and outcomes lays an important foundation for effectively guiding the strategic activity of systems through the focused tactical action of teams. Basic principles of complexity, their impact on teams, and the fundamental elements of team effectiveness are explored.

  19. Identifying dietary differences between Scotland and England: a rapid review of the literature.

    PubMed

    Chambers, Stephanie; Barton, Karen L; Albani, Viviana; Anderson, Annie S; Wrieden, Wendy L

    2017-10-01

    Rates of premature mortality have been higher in Scotland than in England since the 1970s. Given the known association of diet with chronic disease, the study objective was to identify and synthesise evidence on current and historical differences in food and nutrient intakes in Scotland and England. A rapid review of the peer-reviewed and grey literature was carried out. After an initial scoping search, Medline, CINAHL, Embase and Web of Science were searched. Relevant grey literature was also included. Inclusion criteria were: any date; measures of dietary intake; representative populations; cross-sectional or observational cohort studies; and English-language publications. Study quality was assessed using the Quality Assessment Tool for Observational Cohort and Cross-sectional Studies. A narrative synthesis of extracted information was conducted. Fifty publications and reports were included in the review. Results indicated that children and adults in Scotland had lower intakes of vegetables and vitamins compared with those living in England. Higher intakes of salt in Scotland were also identified. Data were limited by small Scottish samples, difficulty in finding England-level data, lack of statistical testing and adjustment for key confounders. Further investigation of adequately powered and analysed surveys is required to examine more fully dietary differences between Scotland and England. This would provide greater insight into potential causes of excess mortality in Scotland compared with England and suitable policy recommendations to address these inequalities.

  20. Heterogeneity of organic matter distribution in relation to a transgressive systems tract: Kimmeridge Clay (Jurassic), England

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Herbin, J.P.; Muller, C.; Geyssant, J.

    1991-03-01

    The Kimmeridge clay has been drilled in four continuously cored boreholes put down to sample the organic carbon content of the formation. Three of them sited in the Cleveland basin (Yorkshire) prove over 200 m of strata ranging from Mutabilis to Pectinatus zones; the fourth, completing a 35 km transect, proves the lower part of the Kimmeridge clay of the thinner Eastern England shelf. The results show the total organic carbon content (TOC) increasing by 50% when traced from shelf into the basin where deeper bathymetry and more rapid sedimentation have favored preservation of organic matter. The study of stratigraphicalmore » variation of % TOC enables evaluation of fundamental problems of these cycles in which organic matter is one of the major constituents. Such cycles exist throughout the Jurassic and Lower-Middle Cretaceous sequences but a transgressive systems tract such as that of the Kimmeridgian Stage enables the phenomenon to be studied in detail.« less

  1. Fitness to stand trial, human rights and possibilities from England and Wales.

    PubMed

    Stewart, Jeanette; Woodward, Mary; Hepner, Flana

    2015-06-01

    The capacity of individuals with disability, including cognitive or mental health impairments, to access justice on an equal basis has been considered recently in several Australian jurisdictions. Impairments can render individuals vulnerable in the legal system, affecting their reliability as a witness or their fitness to be tried, especially when limited support is available to help these individuals meet the test and criteria for fitness to stand trial. This article considers the situation in Australia in light of human rights perspectives and compares it with the England and Wales approach where special support measures have been introduced to help individuals access justice. The article recommends that better support measures be introduced in Australia that would be consistent with a human rights framework calling for support to enable individuals with disability to access justice. In particular, the introduction of intermediaries, as used in England and Wales, would go some way towards helping vulnerable individuals to access justice.

  2. A Lasting Legacy: Recommendations of the New England Governors Blue Ribbon Commission on Land Conservation

    ERIC Educational Resources Information Center

    Barringer, Richard

    2010-01-01

    In September 2008, New England's governors established a blue-ribbon Commission on Land Conservation to identify the most urgent land-conservation issues facing New England today and provide recommendations to the governors in September 2009. New England faces profound threats to its land and natural-resource base. As the nation urbanizes further,…

  3. Guidance for commissioning NHS England dental conscious sedation services: a framework tool.

    PubMed

    Howlett, Paul

    2014-01-01

    Conscious sedation is an integral part of modern day dental care and should be delivered through a high quality, effective and evidence-based approach. Commissioning of NHS dental services in England is currently under review by NHS England and the National Dental Commissioning Group. This group has identified the management of vulnerable people including anxious patients, as one of its priorities. The Society for the Advancement of Anaesthesia in Dentistry (SAAD) believes this provides an opportunity to influence the commissioning of NHS conscious sedation services. With this aim in mind,"Guidance for Commissioning NHS England Dental Conscious Sedation Services: A Framework Tool" was developed. This guidance proposes a common approach to the organisation of NHS dental conscious sedation services in England, advocating the provision of Tier 1 and Tier 2 services in all regions. Its ethos is a"hub and spoke" model of service delivery with patient assessment delivered by experienced and well trained dental sedationists at its core. In line with the recent Francis Report fundamental standards for all aspects of dental conscious sedation practice are outlined, supported by a robust and predictable quality assurance process. This work has been shared with key stakeholders in NHS England including the Chief Dental Officer and the Head of Primary Care Commissioning.

  4. Mapping School Types in England

    ERIC Educational Resources Information Center

    Courtney, Steven J.

    2015-01-01

    The number and range of school types in England is increasing rapidly in response to a neoliberal policy agenda aiming to expand choice of provision as a mechanism for raising educational standards. In this paper, I seek to undertake a mapping of these school types in order to describe and explain what is happening. I capture this busy terrain…

  5. Obesity prevalence among healthcare professionals in England: a cross-sectional study using the Health Survey for England.

    PubMed

    Kyle, Richard G; Wills, Jane; Mahoney, Catherine; Hoyle, Louise; Kelly, Muireann; Atherton, Iain M

    2017-12-04

    To estimate obesity prevalence among healthcare professionals in England and compare prevalence with those working outside of the health services. Cross-sectional study based on data from 5 years (2008-2012) of the nationally representative Health Survey for England. England. 20 103 adults aged 17-65 years indicating they were economically active at the time of survey classified into four occupational groups: nurses (n=422), other healthcare professionals (n=412), unregistered care workers (n=736) and individuals employed in non-health-related occupations (n=18 533). Prevalence of obesity defined as body mass index ≥30.0 with 95% CIs and weighted to reflect the population. Obesity prevalence was high across all occupational groups including: among nurses (25.1%, 95% CI 20.9% to 29.4%); other healthcare professionals (14.4%, 95% CI 11.0% to 17.8%); non-health-related occupations (23.5%, 95% CI 22.9% to 24.1%); and unregistered care workers who had the highest prevalence of obesity (31.9%, 95% CI 28.4% to 35.3%). A logistic regression model adjusted for sociodemographic composition and survey year indicated that, compared with nurses, the odds of being obese were significantly lower for other healthcare professionals (adjusted OR (aOR) 0.52, 95% CI 0.37 to 0.75) and higher for unregistered care workers (aOR 1.46, 95% CI 1.11 to 1.93). There was no significant difference in obesity prevalence between nurses and people working in non-health-related occupations (aOR 0.94, 95% CI 0.74 to 1.18). High obesity prevalence among nurses and unregistered care workers is concerning as it increases the risks of musculoskeletal conditions and mental health conditions that are the main causes of sickness absence in health services. Further research is required to better understand the reasons for high obesity prevalence among healthcare professionals in England to inform interventions to support individuals to achieve and maintain a healthy weight. © Article

  6. Detection of timescales in evolving complex systems

    PubMed Central

    Darst, Richard K.; Granell, Clara; Arenas, Alex; Gómez, Sergio; Saramäki, Jari; Fortunato, Santo

    2016-01-01

    Most complex systems are intrinsically dynamic in nature. The evolution of a dynamic complex system is typically represented as a sequence of snapshots, where each snapshot describes the configuration of the system at a particular instant of time. This is often done by using constant intervals but a better approach would be to define dynamic intervals that match the evolution of the system’s configuration. To this end, we propose a method that aims at detecting evolutionary changes in the configuration of a complex system, and generates intervals accordingly. We show that evolutionary timescales can be identified by looking for peaks in the similarity between the sets of events on consecutive time intervals of data. Tests on simple toy models reveal that the technique is able to detect evolutionary timescales of time-varying data both when the evolution is smooth as well as when it changes sharply. This is further corroborated by analyses of several real datasets. Our method is scalable to extremely large datasets and is computationally efficient. This allows a quick, parameter-free detection of multiple timescales in the evolution of a complex system. PMID:28004820

  7. Mineralogical Evidence for the Palaeohydrogeological Stability of a Deep Groundwater System in Fractured Rock, in West Cumbria, Northwest England

    NASA Astrophysics Data System (ADS)

    Milodowski, A. E.; Gillespie, M. R.; Chenery, S. R. N.; Naden, J.; Shaw, R. P.

    2014-12-01

    An important requirement of the safety assessment for a geological disposal facility (GDF) for radioactive waste is to be able to demonstrate the long-term chemical stability of the groundwater system at repository depth over the long period of time during which the waste will be a hazard, typically up to one million years. Of particular concern in the UK is the potential for oxidising groundwater to penetrate to repository depth during periods of glaciation, thereby increasing the mobility of some transuranic radionuclides.Between 1990 and 1998, United Kingdom Nirex Limited carried out geological investigations into the suitability of a potential site in the Sellafield area of NW England, for a GDF for L/ILW. As part of these investigations, detailed petrological analysis of fracture mineralisation in 23 deep boreholes identified a complex sequence of mineralisation events referred to as ME1-ME9. The distribution of the ME9 calcite mineralisation correlates closely with present-day groundwater flows. The ME9 calcite has been studied in more detail to understand the evolution of the deep groundwater system. The morphology and growth zoning characteristics of the calcites reflects the groundwater chemistry. Freshwater calcites display c-axis flattened to equant crystals, and are non-ferroan and strongly zoned with Mn-rich and Mn-free bands. Deeper saline-zone calcites display c-axis elongated crystals, with high Mn:Fe and low Mn:Fe growth zones. Calcite in the transition zone between the saline and fresh groundwater display saline-type cores overgrown by freshwater-type calcite, indicating a small depression of the position of the transition zone during the growth of the calcites. Sr isotope ratios and fluid inclusion chemistry confirm a link between ME9 calcite and the present regional groundwater system. Modelling of the oxygen isotope data indicates that some growth zones in the ME9 calcite precipitated from groundwater potentially containing a significant

  8. Comparing School Accountability in England and Its East Asian Sources of "Borrowing"

    ERIC Educational Resources Information Center

    You, Yun

    2017-01-01

    Education reforms in England are increasingly justified by borrowing "best practices" of high-performing East Asian societies, including Hong Kong, Singapore and Shanghai. However, taking the reforms of school accountability as an illustrative example, this article argues that there are serious variations between England and its East…

  9. Rationale for the new GP deprivation payment scheme in England: effects of moving from electoral ward to enumeration district underprivileged area scores.

    PubMed Central

    Bajekal, M; Alves, B; Jarman, B; Hurwitz, B

    2001-01-01

    BACKGROUND: The Department of Health introduced a new deprivation payments system for general practitioners (GPs) on 1 April 1999. Following a three-year phasing-in process, registered patients will attract deprivation payments based on the underprivileged area (UPA) score of their enumeration district (ED) of residence, rather than their electoral ward, changing the pattern and distribution of payments throughout England. AIM: To assess the rationale behind the changed deprivation payments system for GPs in England and to examine its impact on GP and practice payments. DESIGN OF STUDY: A quantitative study modelling practice-based deprivation payments. SETTING: A total of 25,450 unrestricted principal GPs in 8919 practices in England. METHOD: The effect of three new components in the system were examined: changes in the ED score ranges attracting payment, the percentage increase in the size of successive payment bands, and the total budget. The relationship between consultation rates (used as a proxy for workload) and UPA score was examined, together with changes in GP payments calculated nationally and by geographical area. RESULTS: A total of 11.6% of the population of England live in wards with a UPA score of 30 or more, qualifying for deprivation payments, and a similar proportion (11.4%) live in EDs with a UPA score of 20 or more. The larger percentage increases in the size of payments in successive ED UPA bands is supported by the modelled relationship between consultation rate and UPA score. Financially, under the new deprivations payment system, entitlement widens with 88% of practices receiving a payment. Overall, 74% of GPs gain and 13% lose (3% losing more than 1500 Pounds), with 13% receiving no payment. CONCLUSION: The new ED system maps onto the previous system well. Moreover, it more finely discriminates between smaller areas of different relative deprivation and, thereby, targets payments more accurately. PMID:11407049

  10. Rationale for the new GP deprivation payment scheme in England: effects of moving from electoral ward to enumeration district underprivileged area scores.

    PubMed

    Bajekal, M; Alves, B; Jarman, B; Hurwitz, B

    2001-06-01

    The Department of Health introduced a new deprivation payments system for general practitioners (GPs) on 1 April 1999. Following a three-year phasing-in process, registered patients will attract deprivation payments based on the underprivileged area (UPA) score of their enumeration district (ED) of residence, rather than their electoral ward, changing the pattern and distribution of payments throughout England. To assess the rationale behind the changed deprivation payments system for GPs in England and to examine its impact on GP and practice payments. A quantitative study modelling practice-based deprivation payments. A total of 25,450 unrestricted principal GPs in 8919 practices in England. The effect of three new components in the system were examined: changes in the ED score ranges attracting payment, the percentage increase in the size of successive payment bands, and the total budget. The relationship between consultation rates (used as a proxy for workload) and UPA score was examined, together with changes in GP payments calculated nationally and by geographical area. A total of 11.6% of the population of England live in wards with a UPA score of 30 or more, qualifying for deprivation payments, and a similar proportion (11.4%) live in EDs with a UPA score of 20 or more. The larger percentage increases in the size of payments in successive ED UPA bands is supported by the modelled relationship between consultation rate and UPA score. Financially, under the new deprivations payment system, entitlement widens with 88% of practices receiving a payment. Overall, 74% of GPs gain and 13% lose (3% losing more than 1500 Pounds), with 13% receiving no payment. The new ED system maps onto the previous system well. Moreover, it more finely discriminates between smaller areas of different relative deprivation and, thereby, targets payments more accurately.

  11. Context-dependent consumer control in New England tidal wetlands.

    PubMed

    Moore, Alexandria

    2018-01-01

    Recent studies in coastal wetlands have indicated that consumers may play an important role in regulating large-scale ecosystem processes. Predator removal experiments have shown significant differences in above-ground biomass production in the presence of higher level consumers, or predators. These results indicate that predators play an important role in regulating biomass production, but the extent to which this regulation impacts additional ecosystem functions, such as nutrient cycling and organic matter accumulation, is unclear. This study evaluated the impact that consumers have on large-scale ecosystem processes within southern New England tidal wetlands and contributes to the general understanding of trophic control in these systems. I established enclosure cages within three coastal wetlands and manipulated the presence of green crab predators to assess how trophic interactions affect ecosystem functions. Findings suggest that although these consumers may exert some top-down effects, other environmental factors, such as other consumers not studied here or bottom-up interactions, may variably play a larger role in the maintenance of ecosystem processes within the region. These results indicate that the loss of top-down control as an important mechanism influencing ecosystem functions may not hold for all wetlands along the full extent of the New England coastline.

  12. Context-dependent consumer control in New England tidal wetlands

    PubMed Central

    2018-01-01

    Recent studies in coastal wetlands have indicated that consumers may play an important role in regulating large-scale ecosystem processes. Predator removal experiments have shown significant differences in above-ground biomass production in the presence of higher level consumers, or predators. These results indicate that predators play an important role in regulating biomass production, but the extent to which this regulation impacts additional ecosystem functions, such as nutrient cycling and organic matter accumulation, is unclear. This study evaluated the impact that consumers have on large-scale ecosystem processes within southern New England tidal wetlands and contributes to the general understanding of trophic control in these systems. I established enclosure cages within three coastal wetlands and manipulated the presence of green crab predators to assess how trophic interactions affect ecosystem functions. Findings suggest that although these consumers may exert some top-down effects, other environmental factors, such as other consumers not studied here or bottom-up interactions, may variably play a larger role in the maintenance of ecosystem processes within the region. These results indicate that the loss of top-down control as an important mechanism influencing ecosystem functions may not hold for all wetlands along the full extent of the New England coastline. PMID:29771961

  13. Estimating farm-level private expenditure on veterinary medical inputs in England.

    PubMed

    Gilbert, W; Rushton, J

    2014-03-15

    The current re-evaluation of responsibility and cost sharing between the public and private sectors with reference to animal health and welfare (AHW) would be improved by a greater understanding of the contributions made at farm level. This knowledge would facilitate the design of a cost-sharing system which best balances technical, economic and political objectives. This paper presents a framework by which the farm-level investment in AHW can be assessed. An evaluation of data available for the framework was made and, as a benchmark, an estimate of total expenditure on veterinary medical inputs for commercial agricultural holdings in England calculated. In 2010/2011 it is calculated that farmers on commercial holdings in England spent £230 million on veterinary medicines and fees, with an additional £160 million being spent for horses kept on non-commercial holdings. By contrast, for 2012/2013, Defra budgeted £277 million on AHW. The results presented emphasise the critical importance of generating sufficient evidence to support the development of an efficient, equitable and sustainable AHW strategy.

  14. Do financial incentives trump clinical guidance? Hip Replacement in England and Scotland.

    PubMed

    Papanicolas, Irene; McGuire, Alistair

    2015-12-01

    Following devolution in 1999 England and Scotland's National Health Services diverged, resulting in major differences in hospital payment. England introduced a case payment mechanism from 2003/4, while Scotland continued to pay through global budgets. We investigate the impact this change had on activity for Hip Replacement. We examine the financial reimbursement attached to uncemented Hip Replacement in England, which has been more generous than for its cemented counterpart, although clinical guidance from the National Institute for Clinical Excellence recommends the later. In Scotland this financial differential does not exist. We use a difference-in-difference estimator, using Scotland as a control, to test whether the change in reimbursement across the two countries had an influence on treatment. Our results indicate that financial incentives are directly linked to the faster uptake of the more expensive, uncemented Hip Replacement in England, which ran against the clinical guidance. Copyright © 2015 Elsevier B.V. All rights reserved.

  15. Understanding health system reform - a complex adaptive systems perspective.

    PubMed

    Sturmberg, Joachim P; O'Halloran, Di M; Martin, Carmel M

    2012-02-01

    Everyone wants a sustainable well-functioning health system. However, this notion has different meaning to policy makers and funders compared to clinicians and patients. The former perceive public policy and economic constraints, the latter clinical or patient-centred strategies as the means to achieving a desired outcome. Theoretical development and critical analysis of a complex health system model. We introduce the concept of the health care vortex as a metaphor by which to understand the complex adaptive nature of health systems, and the degree to which their behaviour is predetermined by their 'shared values' or attractors. We contrast the likely functions and outcomes of a health system with a people-centred attractor and one with a financial attractor. This analysis suggests a shift in the system's attractor is fundamental to progress health reform thinking. © 2012 Blackwell Publishing Ltd.

  16. Influence of Fire and other anthropogenic practices on grassland and shrubland birds in New England

    Treesearch

    Peter D. Vickery; Benjamin Zuckerburg; Andrea L. Jones; W. Gregory Shriver; Andrew P. Weik

    2005-01-01

    Since 1966, many species of grassland and shrubland birds have declined substantially in New England (Askins 2000). The extent of grassland and shrubland habitat in New England has changed dramatically over the past 400 years. Presently, grassland and shrubland habitat in New England are created and maintained primarily as a result of four types of habitat management:...

  17. Language Networks as Complex Systems

    ERIC Educational Resources Information Center

    Lee, Max Kueiming; Ou, Sheue-Jen

    2008-01-01

    Starting in the late eighties, with a growing discontent with analytical methods in science and the growing power of computers, researchers began to study complex systems such as living organisms, evolution of genes, biological systems, brain neural networks, epidemics, ecology, economy, social networks, etc. In the early nineties, the research…

  18. Cx-02 Program, workshop on modeling complex systems

    USGS Publications Warehouse

    Mossotti, Victor G.; Barragan, Jo Ann; Westergard, Todd D.

    2003-01-01

    This publication contains the abstracts and program for the workshop on complex systems that was held on November 19-21, 2002, in Reno, Nevada. Complex systems are ubiquitous within the realm of the earth sciences. Geological systems consist of a multiplicity of linked components with nested feedback loops; the dynamics of these systems are non-linear, iterative, multi-scale, and operate far from equilibrium. That notwithstanding, It appears that, with the exception of papers on seismic studies, geology and geophysics work has been disproportionally underrepresented at regional and national meetings on complex systems relative to papers in the life sciences. This is somewhat puzzling because geologists and geophysicists are, in many ways, preadapted to thinking of complex system mechanisms. Geologists and geophysicists think about processes involving large volumes of rock below the sunlit surface of Earth, the accumulated consequence of processes extending hundreds of millions of years in the past. Not only do geologists think in the abstract by virtue of the vast time spans, most of the evidence is out-of-sight. A primary goal of this workshop is to begin to bridge the gap between the Earth sciences and life sciences through demonstration of the universality of complex systems science, both philosophically and in model structures.

  19. Statistical Features of Complex Systems ---Toward Establishing Sociological Physics---

    NASA Astrophysics Data System (ADS)

    Kobayashi, Naoki; Kuninaka, Hiroto; Wakita, Jun-ichi; Matsushita, Mitsugu

    2011-07-01

    Complex systems have recently attracted much attention, both in natural sciences and in sociological sciences. Members constituting a complex system evolve through nonlinear interactions among each other. This means that in a complex system the multiplicative experience or, so to speak, the history of each member produces its present characteristics. If attention is paid to any statistical property in any complex system, the lognormal distribution is the most natural and appropriate among the standard or ``normal'' statistics to overview the whole system. In fact, the lognormality emerges rather conspicuously when we examine, as familiar and typical examples of statistical aspects in complex systems, the nursing-care period for the aged, populations of prefectures and municipalities, and our body height and weight. Many other examples are found in nature and society. On the basis of these observations, we discuss the possibility of sociological physics.

  20. Suicide in murderers in England and Wales.

    PubMed

    Lester, David

    2003-06-01

    In England and Wales, the suicide rate of murderers was positively associated with the male suicide rate in the general population, and both of these rates were positively associated with the unemployment rate.

  1. Labour Market Developments and Their Significance for VET in England: Current Concerns and Debates

    ERIC Educational Resources Information Center

    Laczik, Andrea; Mayhew, Ken

    2015-01-01

    This chapter discusses the relationship between the labour market and vocational education and training in England. For decades British governments have emphasised the need for more people to stay longer in the formal education system and at the same time have attempted to improve work-based training. They have also emphasised the centrality of…

  2. Lasercom system architecture with reduced complexity

    NASA Technical Reports Server (NTRS)

    Lesh, James R. (Inventor); Chen, Chien-Chung (Inventor); Ansari, Homayoon (Inventor)

    1994-01-01

    Spatial acquisition and precision beam pointing functions are critical to spaceborne laser communication systems. In the present invention, a single high bandwidth CCD detector is used to perform both spatial acquisition and tracking functions. Compared to previous lasercom hardware design, the array tracking concept offers reduced system complexity by reducing the number of optical elements in the design. Specifically, the design requires only one detector and one beam steering mechanism. It also provides the means to optically close the point-ahead control loop. The technology required for high bandwidth array tracking was examined and shown to be consistent with current state of the art. The single detector design can lead to a significantly reduced system complexity and a lower system cost.

  3. Trends in violence in England and Wales 2010-2014.

    PubMed

    Sivarajasingam, Vaseekaran; Page, Nicholas; Wells, John; Morgan, Peter; Matthews, Kent; Moore, Simon; Shepherd, Jonathan

    2016-06-01

    The National Violence Surveillance Network (NVSN) of emergency departments (ED), minor injuries units and walk-in-centres in England and Wales has brought clarity to contradictory violence trends derived from crime survey and police data. Gender, age-specific and regional trends in violence-related injury in England and Wales since 2010 have not been studied. Data on violence-related injury were collected from a structured sample of 151 EDs in England and Wales. ED attendance date and age and gender of patients who reported injury in violence from 1 January 2010 to 31 December 2014 were identified from attendance codes, specified at the local level. Time series statistical methods were used to detect both regional and national trends. In total, 247 016 (178 709 males: 72.3%) violence-related attendances were identified. Estimated annual injury rate across England and Wales was 4.4/1000 population (95% CI 3.9 to 4.9); males 6.5/1000 (95% CI 5.6 to 7.2) and females 2.4/1000 (95% CI 2.1 to 2.6). On average, overall attendances decreased by 13.8% per year over the 5 years (95% CI -14.8 to -12.1). Attendances decreased significantly for both genders and all age groups (0-10, 11-17, 18-30, 31-50, 51+ years); declines were greatest among children and adolescents. Significant decreases in violence-related injury were found in all but two regions. Violence peaked in May and July. From an ED perspective, violence in England and Wales decreased substantially between 2010 and 2014, especially among children and adolescents. Violence prevention efforts should focus on regions with the highest injury rates and during the period May-July. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/

  4. EPA New England Environmental Data Review Supplement

    EPA Pesticide Factsheets

    This document provides Region 1-specific implementation guidance for reviewing and reporting sample results generated for data collection activities and is used in conjunction with the EPA New England Environmental Data Review Program Guidance.

  5. Grammar Teaching in Secondary School Foreign Language Learning in England: Teachers' Reported Beliefs and Observed Practices

    ERIC Educational Resources Information Center

    Liviero, Sara

    2017-01-01

    This study investigates teachers' beliefs relating to grammar teaching in modern foreign language (MFL) learning in England. Focus on grammatical form has been consistently supported by linguistic research and teacher practice, and has progressively been reinstated in England's National Curriculum. However, MFL learning assessment in England has…

  6. Links Between Watershed Activities and the Degradation of Coastal, Tidal Salt Marshes in Southern New England USA

    EPA Science Inventory

    Human activities (e.g., land development, wastewater) in coastal watersheds in New England USA are linked with community- and system-level changes in tidal, organic-rich salt marshes. Significant relationships between various indicators of watershed activities and ecosystem stru...

  7. Trends in modeling Biomedical Complex Systems

    PubMed Central

    Milanesi, Luciano; Romano, Paolo; Castellani, Gastone; Remondini, Daniel; Liò, Petro

    2009-01-01

    In this paper we provide an introduction to the techniques for multi-scale complex biological systems, from the single bio-molecule to the cell, combining theoretical modeling, experiments, informatics tools and technologies suitable for biological and biomedical research, which are becoming increasingly multidisciplinary, multidimensional and information-driven. The most important concepts on mathematical modeling methodologies and statistical inference, bioinformatics and standards tools to investigate complex biomedical systems are discussed and the prominent literature useful to both the practitioner and the theoretician are presented. PMID:19828068

  8. Mathematics anxiety in secondary students in England.

    PubMed

    Chinn, Steve

    2009-02-01

    Whatever the changes that are made to the mathematics curriculum in England, there will always remain a problem with mathematics anxiety. Maths anxiety is rarely facilitative. This study examined aspects of mathematics in secondary schools and how students rated them as sources of anxiety. Over 2000 students in independent and mainstream schools in England completed a 20-item questionnaire designed to investigate maths anxiety levels. The same questionnaire was given to over 440 dyslexic males in specialist schools within the same age range. The results showed that examinations and tests create high levels of anxiety in approximately 4% of students. The results suggest that certain aspects and topics in the maths curriculum, such as long division, cause similar levels of anxiety for students in all year groups in secondary schools.

  9. Managing Complex Dynamical Systems

    ERIC Educational Resources Information Center

    Cox, John C.; Webster, Robert L.; Curry, Jeanie A.; Hammond, Kevin L.

    2011-01-01

    Management commonly engages in a variety of research designed to provide insight into the motivation and relationships of individuals, departments, organizations, etc. This paper demonstrates how the application of concepts associated with the analysis of complex systems applied to such data sets can yield enhanced insights for managerial action.

  10. Predictable and Adaptable Complex Real-Time Systems

    DTIC Science & Technology

    1993-09-30

    Predictable and Adaptable Complex Real - Time Systems Grant or Contract Number: N00014-92-J-1048 Reporting Period: 1 Oct 91 - 30 Sep 93 1... Real - Time Systems Grant or Contract Number: N00014-92-J-1048 Reporting Period: 1 Oct 91 - 30 Sep 93 2. Summary of Technical Progress Our...cs.umass.edu Grant or Contract Title: Predictable and Adaptable Complex Real - Time Systems Grant or Contract Number: N00014-92-J-1048 Reporting Period: 1 Oct 91

  11. Trends in community violence in England and Wales 2005-2009.

    PubMed

    Sivarajasingam, Vaseekaran; Page, Nicholas; Morgan, Peter; Matthews, Kent; Moore, Simon; Shepherd, Jonathan

    2014-03-01

    Injury records from Emergency Departments (EDs) have been studied over the last decade as part of the work of the National Violence Surveillance Network (NVSN) and provide information about local, regional and national violence levels and trends in England and Wales. The purpose of the current study is to evaluate overall, gender, age-specific and regional trends in community violence in England and Wales from an ED perspective from January 2005 to December 2009. Violence-related injury data were collected prospectively in a stratified sample of 77 EDs (Types 1, 3 and 4) in the nine Government Office Regions in England and in Wales. All 77 EDs were recruited on the basis that they had implemented and continued to comply with the provisions of the 1998 Data Protection Act and Caldicott guidance. Attendance date, age and gender of patients who reported injury in violence were identified using assault-related attendance codes, specified at the local level. Time series statistical methods were used to detect both regional and national trends. In total 221,673 (163,384 males: 74%) violence-related attendances were identified. Overall estimated annual injury rate was 6.5 per 1000 resident population (males 9.8 and females 3.4 per 1000). Violence affecting males and females decreased significantly in England and Wales over the 5-year period, with an overall estimated annual decrease of 3% (95% CI: 1.8-4.1%, p<0.05). Attendances decreased significantly for both genders across four out of the five age groups studied. Attendances were found to be highest during the months of May and July and lowest in February. Substantial differences in violence-related ED attendances were identified at the regional level. From this ED perspective overall violence in England and Wales decreased over the period 2005-2009 but increased in East Midlands, London and South West regions. Since 2006, overall trends according to Crime Survey for England and Wales (CSEW), police and ED measures were

  12. Lower New England, USA

    NASA Technical Reports Server (NTRS)

    1973-01-01

    This view of lower New England, (41.5N, 72.0W) shows a rare cloud-free area stretching from northern Long Island across the states of Connecticut, Rhode Island and Massachusetts. The total area covered by this photo is more than 25,000 square miles and includes all of Rhode Island, most of Massachusetts and Connecticut, part of New York and the coastal waters of the Atlantic Ocean. Cape Cod, Boston and the offshore islands are distinctive features.

  13. The Influence of Overseas Examples on DES Policy-Making for the School System in England, 1985-1995

    ERIC Educational Resources Information Center

    Smith, George; Exley, Sonia

    2006-01-01

    Claims are often made in British education about the extent to which policy reforms have been "borrowed" from overseas. Based on interviews with senior civil servants and HMI, this paper addresses the extent to which such claims apply to central government educational policy-making at school level in England between 1985 and 1995. This…

  14. On synchronisation of a class of complex chaotic systems with complex unknown parameters via integral sliding mode control

    NASA Astrophysics Data System (ADS)

    Tirandaz, Hamed; Karami-Mollaee, Ali

    2018-06-01

    Chaotic systems demonstrate complex behaviour in their state variables and their parameters, which generate some challenges and consequences. This paper presents a new synchronisation scheme based on integral sliding mode control (ISMC) method on a class of complex chaotic systems with complex unknown parameters. Synchronisation between corresponding states of a class of complex chaotic systems and also convergence of the errors of the system parameters to zero point are studied. The designed feedback control vector and complex unknown parameter vector are analytically achieved based on the Lyapunov stability theory. Moreover, the effectiveness of the proposed methodology is verified by synchronisation of the Chen complex system and the Lorenz complex systems as the leader and the follower chaotic systems, respectively. In conclusion, some numerical simulations related to the synchronisation methodology is given to illustrate the effectiveness of the theoretical discussions.

  15. Travel trends in New England and the Northeast United States: updating post 9-11 trends

    Treesearch

    Rodney B. Warnick

    2008-01-01

    This paper examines the travel market trends in New England after September 11, 2001 (9- 11). Comparisons of travel to New England are also made with overall national domestic travel trends and vacation travel trends. The primary purpose is to examine the markets that travel to both the Northeast United States and New England1 regions to determine if and when the...

  16. Deprivation and mortality in non-metropolitan areas of England and Wales.

    PubMed

    Jessop, E G

    1996-10-01

    To test the hypothesis that the relationship between deprivation and mortality is weaker among residents of non-metropolitan areas of England and Wales than among residents of metropolitan areas. This study compared mortality, expressed as standardised mortality ratios (SMRs), in residents of metropolitan and non-metropolitan districts at three levels of deprivation classified by an electoral ward deprivation score and by home and car ownership. SMRs were computed for all causes of death, for bronchitis and asthma (ICD9 codes 490-493), and for accident, violence, and poisoning (ICD9 codes 800-999). England and Wales. Members of the longitudinal study of the Office of Population Censuses and Surveys, a quasi-random 1% sample of the population of England and Wales. There was an association between deprivation and mortality which was clear for all cause mortality, more noticeable for respiratory disease, and less clear for deaths from accident, violence, and poison. In general, the results showed a remarkable similarity between metropolitan and non-metropolitan areas. This study does not support the hypothesis that the relationship between mortality and deprivation differs between residents of metropolitan and non-metropolitan areas of England and Wales.

  17. Jeremy Bentham and Church of England Education.

    ERIC Educational Resources Information Center

    Taylor, Brian

    1979-01-01

    The author traces Jeremy Bentham's attacks, in 1815 and 1816, on the Church of England's role in the provision of schooling in Britain, particularly his objections to Church policies excluding non-adherents from instruction. (SJL)

  18. Prison Education in England and Wales. (2nd Revised Edition). Mendip Papers MP 022.

    ERIC Educational Resources Information Center

    Ripley, Paul

    In response to prison disturbances in England and Wales in the late 1980s, the education program for prisoners was improved and more prisoners were given access to educational services. Although education is a relatively new phenomenon in the English and Welsh penal system, by the 20th century, education had become an integral part of prison life.…

  19. Climate Change Science Activities of the U.S. Geological Survey in New England

    USGS Publications Warehouse

    Lent, Robert M.

    2016-03-23

    This fact sheet presents recent climate change investigations of the USGS in New England using selected recent publications. These publications highlight the broad spectrum of expertise and commitment to understanding the relations of climate change and water resources in New England.

  20. A new decision sciences for complex systems.

    PubMed

    Lempert, Robert J

    2002-05-14

    Models of complex systems can capture much useful information but can be difficult to apply to real-world decision-making because the type of information they contain is often inconsistent with that required for traditional decision analysis. New approaches, which use inductive reasoning over large ensembles of computational experiments, now make possible systematic comparison of alternative policy options using models of complex systems. This article describes Computer-Assisted Reasoning, an approach to decision-making under conditions of deep uncertainty that is ideally suited to applying complex systems to policy analysis. The article demonstrates the approach on the policy problem of global climate change, with a particular focus on the role of technology policies in a robust, adaptive strategy for greenhouse gas abatement.

  1. Design tools for complex dynamic security systems.

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Byrne, Raymond Harry; Rigdon, James Brian; Rohrer, Brandon Robinson

    2007-01-01

    The development of tools for complex dynamic security systems is not a straight forward engineering task but, rather, a scientific task where discovery of new scientific principles and math is necessary. For years, scientists have observed complex behavior but have had difficulty understanding it. Prominent examples include: insect colony organization, the stock market, molecular interactions, fractals, and emergent behavior. Engineering such systems will be an even greater challenge. This report explores four tools for engineered complex dynamic security systems: Partially Observable Markov Decision Process, Percolation Theory, Graph Theory, and Exergy/Entropy Theory. Additionally, enabling hardware technology for next generation security systemsmore » are described: a 100 node wireless sensor network, unmanned ground vehicle and unmanned aerial vehicle.« less

  2. Characterizing New England Emergency Departments by Telemedicine Use.

    PubMed

    Zachrison, Kori S; Hayden, Emily M; Schwamm, Lee H; Espinola, Janice A; Sullivan, Ashley F; Boggs, Krislyn M; Raja, Ali S; Camargo, Carlos A

    2017-10-01

    Telemedicine connects emergency departments (ED) with resources necessary for patient care; its use has not been characterized nationally, or even regionally. Our primary objective was to describe the prevalence of telemedicine use in New England EDs and the clinical applications of use. Secondarily, we aimed to determine if telemedicine use was associated with consultant availability and to identify ED characteristics associated with telemedicine use. We analyzed data from the National Emergency Department Inventory-New England survey, which assessed basic ED characteristics in 2014. The survey queried directors of every ED (n=195) in the six New England states (excluding federal hospitals and college infirmaries). Descriptive statistics characterized ED telemedicine use; multivariable logistic regression identified independent predictors of use. Of the 169 responding EDs (87% response rate), 82 (49%) reported using telemedicine. Telemedicine EDs were more likely to be rural (18% of users vs. 7% of non-users, p=0.03); less likely to be academic (1% of users vs. 11% of non-users, p=0.01); and less likely to have 24/7 access to neurology (p<0.001), neurosurgery (p<0.001), orthopedics (p=0.01), plastic surgery (p=0.01), psychiatry (p<0.001), and hand surgery (p<0.001) consultants. Neuro/stroke (68%), pediatrics (11%), psychiatry (11%), and trauma (10%) were the most commonly reported applications. On multivariable analysis, telemedicine was more likely in rural EDs (odds ratio [OR] 4.39, 95% confidence interval [CI] 1.30-14.86), and less likely in EDs with 24/7 neurologist availability (OR 0.21, 95% CI [0.09-0.49]), and annual volume <20,000 (OR 0.24, 95% CI [0.08-0.68]). Telemedicine is commonly used in New England EDs. In 2014, use was more common among rural EDs and EDs with limited neurology consultant availability. In contrast, telemedicine use was less common among very low-volume EDs.

  3. Atomic switch networks as complex adaptive systems

    NASA Astrophysics Data System (ADS)

    Scharnhorst, Kelsey S.; Carbajal, Juan P.; Aguilera, Renato C.; Sandouk, Eric J.; Aono, Masakazu; Stieg, Adam Z.; Gimzewski, James K.

    2018-03-01

    Complexity is an increasingly crucial aspect of societal, environmental and biological phenomena. Using a dense unorganized network of synthetic synapses it is shown that a complex adaptive system can be physically created on a microchip built especially for complex problems. These neuro-inspired atomic switch networks (ASNs) are a dynamic system with inherent and distributed memory, recurrent pathways, and up to a billion interacting elements. We demonstrate key parameters describing self-organized behavior such as non-linearity, power law dynamics, and multistate switching regimes. Device dynamics are then investigated using a feedback loop which provides control over current and voltage power-law behavior. Wide ranging prospective applications include understanding and eventually predicting future events that display complex emergent behavior in the critical regime.

  4. New England's Drinking Water | Drinking Water in New ...

    EPA Pesticide Factsheets

    2017-07-06

    Information on Drinking Water in New England. Major Topics covered include: Conservation, Private Wells, Preventing Contamination, Drinking Water Sources, Consumer Confidence Reports, and Drinking Water Awards.

  5. Market Accountability in Schools: Policy Reforms in England, Germany, France and Italy

    ERIC Educational Resources Information Center

    Mattei, Paola

    2012-01-01

    This article concentrates on the policy reforms of schools in England, Germany, France and Italy, from 1988 to 2009, with a focus on the introduction of market accountability. Pressing demands for organisational change in schools, shaped by the objectives of "efficiency" and competition, which were introduced in England in the 1980s,…

  6. Systems thinking and complexity: considerations for health promoting schools.

    PubMed

    Rosas, Scott R

    2017-04-01

    The health promoting schools concept reflects a comprehensive and integrated philosophy to improving student and personnel health and well-being. Conceptualized as a configuration of interacting, interdependent parts connected through a web of relationships that form a whole greater than the sum of its parts, school health promotion initiatives often target several levels (e.g. individual, professional, procedural and policy) simultaneously. Health promoting initiatives, such as those operationalized under the whole school approach, include several interconnected components that are coordinated to improve health outcomes in complex settings. These complex systems interventions are embedded in intricate arrangements of physical, biological, ecological, social, political and organizational relationships. Systems thinking and characteristics of complex adaptive systems are introduced in this article to provide a perspective that emphasizes the patterns of inter-relationships associated with the nonlinear, dynamic and adaptive nature of complex hierarchical systems. Four systems thinking areas: knowledge, networks, models and organizing are explored as a means to further manage the complex nature of the development and sustainability of health promoting schools. Applying systems thinking and insights about complex adaptive systems can illuminate how to address challenges found in settings with both complicated (i.e. multi-level and multisite) and complex aspects (i.e. synergistic processes and emergent outcomes). © The Author 2015. Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

  7. Using SysML to model complex systems for security.

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Cano, Lester Arturo

    2010-08-01

    As security systems integrate more Information Technology the design of these systems has tended to become more complex. Some of the most difficult issues in designing Complex Security Systems (CSS) are: Capturing Requirements: Defining Hardware Interfaces: Defining Software Interfaces: Integrating Technologies: Radio Systems: Voice Over IP Systems: Situational Awareness Systems.

  8. Building a Lattice for School Leadership: The Top-to-Bottom Rethinking of Leadership Development in England and What It Might Mean for American Education. Research Report #RR-83

    ERIC Educational Resources Information Center

    Supovitz, Jonathan

    2014-01-01

    This report examines the educational leadership development system in England over the last 15 years to identify ideas American leaders and policymakers might learn from looking cross-nationally. The report describes the rise of the National College for School Leadership in England, which spearheaded much of the early policy development and…

  9. Detection and Assessment of Secondary Sonic Booms in New England.

    DTIC Science & Technology

    1980-05-01

    MEASUREMENT DATA During the period May 3, 1979 to September 14, 1979, infra - sonic measurements were made at Malden MA, at six other sites in the Greater...D-AO8O 160 TRANSPORTATION SYSTEMS CENTER CAMBRIDGE MA F/ 20/1 DETECTION AND ASSESSMENT OF SECONDARY SONIC BOOMS IN NEW ENGLAN--ETC(U) MAY 80 E J...CHART F AA-AEE-8O-22 DETECTION AND ASSESSMENT OF SECONDARY SONIC BOOMS IN NEW ENGLAND AD A088 160 MAY 1980 Q4 = Ci OF T R, 4 This document has been

  10. Relations between winter climatic variables and April streamflows in New England and implications for summer streamflows

    USGS Publications Warehouse

    Hodgkins, Glenn A.; Dudley, Robert W.; Schalk, Luther F.

    2012-01-01

    A period of much below normal streamflow in southern New England during April 2012 raised concerns that a long-term period of drought could evolve through late spring and summer, leading to potential water availability issues. To understand better the relations between winter climatic variables and April streamflows, April streamflows from 31 streamflow gages in New England that drain relatively natural watersheds were tested for year-to-year correlation with winter precipitation and air temperature from nearby meteorological sites. Higher winter (December through March) precipitation is associated with higher April streamflows at many gages in northern and central New England. This implies that snowpack accumulation is an important mechanism for winter water storage and subsequently important for spring streamflows in this area. Higher March air temperatures are associated with lower April streamflows at many gages in central and southern New England, likely because the majority of snowmelt runoff occurs before April in warm years. A warm March 2012 contributed to early snowmelt runoff in New England and to much below normal April streamflows in southern New England. However, no strong relation was found between historical April streamflows and late-spring or summer streamflows in New England. The lack of a strong relation implies that summer precipitation, rather than spring conditions, controls summer streamflows.

  11. Disorder in Complex Human System

    NASA Astrophysics Data System (ADS)

    Akdeniz, K. Gediz

    2011-11-01

    Since the world of human and whose life becomes more and more complex every day because of the digital technology and under the storm of knowledge (media, internet, governmental and non-governmental organizations, etc...) the simulation is rapidly growing in the social systems and in human behaviors. The formation of the body and mutual interactions are left to digital technological, communication mechanisms and coding the techno genetics of the body. Deconstruction begins everywhere. The linear simulation mechanism with modern realities are replaced by the disorder simulation of human behaviors with awareness realities. In this paper I would like to introduce simulation theory of "Disorder Sensitive Human Behaviors". I recently proposed this theory to critique the role of disorder human behaviors in social systems. In this theory the principle of realty is the chaotic awareness of the complexity of human systems inside of principle of modern thinking in Baudrillard's simulation theory. Proper examples will be also considered to investigate the theory.

  12. Leave No City Behind: England/United States Dialogue on Urban Education Reform

    ERIC Educational Resources Information Center

    Hannaway, Jane; Murphy, Marilyn; Reed, Jodie

    2004-01-01

    Both the United States and England initiated ambitious standards-based education reform to eliminate large gaps between their highest and lowest achievers. England appears to be ahead, having started in 1988 with a national curriculum, tests, and performance tables. The United States' No Child Left Behind Act began rewriting state rules in 2002…

  13. Approaches to appropriate care delivery from a policy perspective: A case study of Australia, England and Switzerland.

    PubMed

    Robertson-Preidler, Joelle; Anstey, Matthew; Biller-Andorno, Nikola; Norrish, Alexandra

    2017-07-01

    Appropriateness is a conceptual way for health systems to balance Triple Aim priorities for improving population health, containing per capita cost, and improving the patient experience of care. Comparing system approaches to appropriate care delivery can help health systems establish priorities and facilitate appropriate care practices. We conceptualized system appropriateness by identifying policies that aim to achieve the Triple Aim and their consequent trade-offs for financing, clinical practice, and the individual patient. We used secondary data sources to compare the appropriate care approaches of Australia, England, and Switzerland according to financial, clinical, and individual appropriateness policies. Health system approaches to appropriate care delivery varied. England prioritizes public health, equity and efficiency at the expense of individual choice, while Switzerland focuses on individual patient preferences, but has higher per capita and out of pocket costs. Australia provides equity in public care access and private health care options that allows for more patient choice, with health care costs falling between the two. Integrating the Triple Aim into health system design and policy can facilitate appropriate care delivery at the system, clinical, and individual levels. Approaches will vary and require countries to negotiate and justify priorities and trade-offs within the context of thehealth system. Copyright © 2017 Elsevier B.V. All rights reserved.

  14. Ethnic group variations in alcohol-related hospital admissions in England: does place matter?

    PubMed

    Barry, Eleanor; Laverty, Anthony A; Majeed, Azeem; Millett, Christopher

    2015-01-01

    The health burden of alcohol use is socially and geographically patterned in many countries. Less is known about variations in this burden between ethnic groups and whether this differs across place of residence. National cross-sectional study using hospital admission data in England. Alcohol-related admission rates, where an alcohol-related condition was either the primary diagnosis (considered as the reason for admission) or a comorbidity, were calculated using ethnic group specific rates for English regions. In 2010/11 there were a total of 264,870 alcohol-related admissions in England. Admission rates were higher in the North of England than elsewhere (e.g. for primary diagnosis 161 per 100,000 population in the North vs. 62 per 100,000 in the South). These patterns were not uniform across ethnic groups however. For example, admission rates for alcohol-related comorbidity were four times higher among White Irish in London compared with those in the South of England (306 to 76 per 100,000) and four times higher in Indians living in the Midlands compared with those in the South of England (128 to 29 per 100,000). These patterns were similar for admissions with a comorbid alcohol-related condition. Geographical location may be an important determinant of within and between ethnic group variations in alcohol-related hospital admissions in England. While a number of factors were not examined here, this descriptive analysis suggests that this heterogeneity should be taken into account when planning interventions and services for the prevention and management of alcohol misuse.

  15. Hepatitis E in England and Wales.

    PubMed

    Lewis, Hannah C; Boisson, Sophie; Ijaz, Samreen; Hewitt, Kirsten; Ngui, Siew Lin; Boxall, Elizabeth; Teo, Chong Gee; Morgan, Dilys

    2008-01-01

    In 2005, 329 cases of hepatitis E virus infection were confirmed in England and Wales; 33 were confirmed indigenous infections, and a further 67 were estimated to be indigenous infections. Hepatitis E should be considered in the investigation of patients with hepatitis even if they have no history of travel.

  16. Rural Primary School Closures in England.

    ERIC Educational Resources Information Center

    Whitfield, Richard C.

    A three-phase interdisciplinary effort between educators and environmental planners is focusing on the social effects of rural primary school reorganization now occuring in England as a result of a declining birth rate and the resulting need for school closure. A questionnaire mailed nationally to rural Local Education Authorities, cross-community…

  17. Whales of New England. Secondary Curriculum.

    ERIC Educational Resources Information Center

    New England Aquarium, Boston, MA.

    Instructional materials and suggestions for conducting a whale watching field trip are contained in this curriculum packet for secondary science teachers. It is one unit in a series of curricular programs developed by the New England Aquarium Education Department. Activities and information are organized into three sections: (1) pre-trip…

  18. Forest cover type analysis of New England forests using innovative WorldView-2 imagery

    NASA Astrophysics Data System (ADS)

    Kovacs, Jenna M.

    For many years, remote sensing has been used to generate land cover type maps to create a visual representation of what is occurring on the ground. One significant use of remote sensing is the identification of forest cover types. New England forests are notorious for their especially complex forest structure and as a result have been, and continue to be, a challenge when classifying forest cover types. To most accurately depict forest cover types occurring on the ground, it is essential to utilize image data that have a suitable combination of both spectral and spatial resolution. The WorldView-2 (WV2) commercial satellite, launched in 2009, is the first of its kind, having both high spectral and spatial resolutions. WV2 records eight bands of multispectral imagery, four more than the usual high spatial resolution sensors, and has a pixel size of 1.85 meters at the nadir. These additional bands have the potential to improve classification detail and classification accuracy of forest cover type maps. For this reason, WV2 imagery was utilized on its own, and in combination with Landsat 5 TM (LS5) multispectral imagery, to evaluate whether these image data could more accurately classify forest cover types. In keeping with recent developments in image analysis, an Object-Based Image Analysis (OBIA) approach was used to segment images of Pawtuckaway State Park and nearby private lands, an area representative of the typical complex forest structure found in the New England region. A Classification and Regression Tree (CART) analysis was then used to classify image segments at two levels of classification detail. Accuracies for each forest cover type map produced were generated using traditional and area-based error matrices, and additional standard accuracy measures (i.e., KAPPA) were generated. The results from this study show that there is value in analyzing imagery with both high spectral and spatial resolutions, and that WV2's new and innovative bands can be useful

  19. A Survey of Young People's Reading in England: Borrowing and Choosing Books

    ERIC Educational Resources Information Center

    Maynard, Sally; MacKay, Sophie; Smyth, Fiona

    2008-01-01

    This article reports on selected results of a comprehensive survey of children's reading in England, carried out online in 2005 by the National Centre for Research in Children's Literature at Roehampton University. With 4182 responses from children living in England aged from 4 to 16 years, the survey is a follow-up to a similar study completed in…

  20. 50 CFR 229.33 - Harbor Porpoise Take Reduction Plan Regulations-New England.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ..., when immersed in water, broadcasts a 10 kHz (plus or minus 2 kHz) sound at 132 dB (plus or minus 4 dB... Regulations-New England. 229.33 Section 229.33 Wildlife and Fisheries NATIONAL MARINE FISHERIES SERVICE... Emergency Regulations § 229.33 Harbor Porpoise Take Reduction Plan Regulations—New England. (a) Restrictions...

  1. 50 CFR 229.33 - Harbor Porpoise Take Reduction Plan Regulations-New England.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ..., when immersed in water, broadcasts a 10 kHz (plus or minus 2 kHz) sound at 132 dB (plus or minus 4 dB... Regulations-New England. 229.33 Section 229.33 Wildlife and Fisheries NATIONAL MARINE FISHERIES SERVICE... Emergency Regulations § 229.33 Harbor Porpoise Take Reduction Plan Regulations—New England. (a) Restrictions...

  2. 50 CFR 229.33 - Harbor Porpoise Take Reduction Plan Regulations-New England.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ..., broadcasts a 10 kHz (plus or minus 2 kHz) sound at 132 dB (plus or minus 4 dB) re 1 micropascal at 1 m... Regulations-New England. 229.33 Section 229.33 Wildlife and Fisheries NATIONAL MARINE FISHERIES SERVICE... Emergency Regulations § 229.33 Harbor Porpoise Take Reduction Plan Regulations—New England. (a) Restrictions...

  3. Complex Homology and the Evolution of Nervous Systems

    PubMed Central

    Liebeskind, Benjamin J.; Hillis, David M.; Zakon, Harold H.; Hofmann, Hans A.

    2016-01-01

    We examine the complex evolution of animal nervous systems and discuss the ramifications of this complexity for inferring the nature of early animals. Although reconstructing the origins of nervous systems remains a central challenge in biology, and the phenotypic complexity of early animals remains controversial, a compelling picture is emerging. We now know that the nervous system and other key animal innovations contain a large degree of homoplasy, at least on the molecular level. Conflicting hypotheses about early nervous system evolution are due primarily to differences in the interpretation of this homoplasy. We highlight the need for explicit discussion of assumptions and discuss the limitations of current approaches for inferring ancient phenotypic states. PMID:26746806

  4. Comparative analysis of the outcomes of elective abdominal aortic aneurysm repair in England and Sweden

    PubMed Central

    Karthikesalingam, A.; Holt, P. J.; Vidal‐Diez, A.; Thompson, M. M.; Wanhainen, A.; Bjorck, M.; Mani, K.

    2018-01-01

    Background There is substantial international variation in mortality after abdominal aortic aneurysm (AAA) repair; many non‐operative factors influence risk‐adjusted outcomes. This study compared 90‐day and 5‐year mortality for patients undergoing elective AAA repair in England and Sweden. Methods Patients were identified from English Hospital Episode Statistics and the Swedish Vascular Registry between 2003 and 2012. Ninety‐day mortality and 5‐year survival were compared after adjustment for age and sex. Separate within‐country analyses were performed to examine the impact of co‐morbidity, hospital teaching status and hospital annual caseload. Results The study included 36 249 patients who had AAA treatment in England, with a median age of 74 (i.q.r. 69–79) years, of whom 87·2 per cent were men. There were 7806 patients treated for AAA in Sweden, with a median of age 73 (68–78) years, of whom 82·9 per cent were men. Ninety‐day mortality rates were poorer in England than in Sweden (5·0 versus 3·9 per cent respectively; P < 0·001), but were not significantly different after 2007. Five‐year survival was poorer in England (70·5 versus 72·8 per cent; P < 0·001). Use of EVAR was initially lower in England, but surpassed that in Sweden after 2010. In both countries, poor outcome was associated with increased age. In England, institutions with higher operative annual volume had lower mortality rates. Conclusion Mortality for elective AAA repair was initially poorer in England than Sweden, but improved over time alongside greater uptake of EVAR, and now there is no difference. Centres performing a greater proportion of EVAR procedures achieved better results in England. PMID:29468657

  5. Dual-phase evolution in complex adaptive systems.

    PubMed

    Paperin, Greg; Green, David G; Sadedin, Suzanne

    2011-05-06

    Understanding the origins of complexity is a key challenge in many sciences. Although networks are known to underlie most systems, showing how they contribute to well-known phenomena remains an issue. Here, we show that recurrent phase transitions in network connectivity underlie emergent phenomena in many systems. We identify properties that are typical of systems in different connectivity phases, as well as characteristics commonly associated with the phase transitions. We synthesize these common features into a common framework, which we term dual-phase evolution (DPE). Using this framework, we review the literature from several disciplines to show that recurrent connectivity phase transitions underlie the complex properties of many biological, physical and human systems. We argue that the DPE framework helps to explain many complex phenomena, including perpetual novelty, modularity, scale-free networks and criticality. Our review concludes with a discussion of the way DPE relates to other frameworks, in particular, self-organized criticality and the adaptive cycle.

  6. Vacuum Ultraviolet Photoionization of Complex Chemical Systems

    DOE PAGES

    Kostko, Oleg; Bandyopadhyay, Biswajit; Ahmed, Musahid

    2016-02-24

    Tunable vacuum ultraviolet (VUV) radiation coupled to mass spectrometry is applied to the study of complex chemical systems in this paper. The identification of novel reactive intermediates and radicals is revealed in flame, pulsed photolysis, and pyrolysis reactors, leading to the elucidation of spectroscopy, reaction mechanisms, and kinetics. Mass-resolved threshold photoelectron photoion coincidence measurements provide unprecedented access to vibrationally resolved spectra of free radicals present in high-temperature reactors. Photoionization measurements in water clusters, nucleic acid base dimers, and their complexes with water provide signatures of proton transfer in hydrogen-bonded and π-stacked systems. Experimental and theoretical methods to track ion–molecule reactionsmore » and fragmentation pathways in intermolecular and intramolecular hydrogen-bonded systems in sugars and alcohols are described. Photoionization of laser-ablated molecules, clusters, and their reaction products inform thermodynamics and spectroscopy that are relevant to astrochemistry and catalysis. Finally, new directions in coupling VUV radiation to interrogate complex chemical systems are discussed.« less

  7. Dual-phase evolution in complex adaptive systems

    PubMed Central

    Paperin, Greg; Green, David G.; Sadedin, Suzanne

    2011-01-01

    Understanding the origins of complexity is a key challenge in many sciences. Although networks are known to underlie most systems, showing how they contribute to well-known phenomena remains an issue. Here, we show that recurrent phase transitions in network connectivity underlie emergent phenomena in many systems. We identify properties that are typical of systems in different connectivity phases, as well as characteristics commonly associated with the phase transitions. We synthesize these common features into a common framework, which we term dual-phase evolution (DPE). Using this framework, we review the literature from several disciplines to show that recurrent connectivity phase transitions underlie the complex properties of many biological, physical and human systems. We argue that the DPE framework helps to explain many complex phenomena, including perpetual novelty, modularity, scale-free networks and criticality. Our review concludes with a discussion of the way DPE relates to other frameworks, in particular, self-organized criticality and the adaptive cycle. PMID:21247947

  8. Krylov Subspace Methods for Complex Non-Hermitian Linear Systems. Thesis

    NASA Technical Reports Server (NTRS)

    Freund, Roland W.

    1991-01-01

    We consider Krylov subspace methods for the solution of large sparse linear systems Ax = b with complex non-Hermitian coefficient matrices. Such linear systems arise in important applications, such as inverse scattering, numerical solution of time-dependent Schrodinger equations, underwater acoustics, eddy current computations, numerical computations in quantum chromodynamics, and numerical conformal mapping. Typically, the resulting coefficient matrices A exhibit special structures, such as complex symmetry, or they are shifted Hermitian matrices. In this paper, we first describe a Krylov subspace approach with iterates defined by a quasi-minimal residual property, the QMR method, for solving general complex non-Hermitian linear systems. Then, we study special Krylov subspace methods designed for the two families of complex symmetric respectively shifted Hermitian linear systems. We also include some results concerning the obvious approach to general complex linear systems by solving equivalent real linear systems for the real and imaginary parts of x. Finally, numerical experiments for linear systems arising from the complex Helmholtz equation are reported.

  9. New England Wind Forum: A Wind Powering America Project, Volume 1, Issue 4 -- May 2008 (Newsletter)

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Grace, R. C.; Gifford, J.

    2008-05-01

    The New England Wind Forum electronic newsletter summarizes the latest news in wind energy development activity, markets, education, and policy in the New England region. It also features an interview with a key figure influencing New England's wind energy development. Volume 1, Issue 4 features an interview with Brian Fairbank, president and CEO of Jiminy Peak Mountain Resort.

  10. Complex Adaptive Systems: The Theater Air Control System in Desert Storm

    DTIC Science & Technology

    2014-05-22

    insight into leverage points of effective and ineffective adaptation of the TACS. Successful adaptation indicates that increased variety or diversity of...encourages innovation and diversity of ideas. 15. SUBJECT TERMS Theater Air Control System, TACS, Complex Adaptive Systems, Adaptation, Desert Storm...increased variety or diversity of agents and purposeful behaviors are beneficial to overcoming complexity. Leaders play a key role in creating an

  11. Malaspina Glacier: a modern analog to the Laurentide Glacier in New England

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Gustavson, T.C.; Boothroyd, J.C.

    1985-01-01

    The land-based temperate Malaspina Glacier is a partial analog to the late Wisconsinan Laurentide Ice Sheet that occupied New England and adjacent areas. The Malaspina occupies a bedrock basin similar to basins occupied by the margin of the Laurentide Ice Sheet. Ice lobes of the Malaspina are similar in size to end moraine lobes in southern New England and Long Island,New York. Estimated ice temperature, ablation rates, surface slopes and meltwater discharge per unit of surface area for the Laurentide Ice Sheet are similar to those for the Malaspina Glacier. In a simple hydrologic-fluvial model for the Malaspina Glacier meltwatermore » moves towards the glacier bed and down-glacier along intercrystalline pathways, crevasses and moulins, and a series of tunnels. Regolith and bedrock at the glacier floor, which are eroded and transported by subglacial and englacial streams, are the sources of essentially all fluvio-lacustrine sediment on the Malaspina Foreland. Supraglacial eskers containing coarse gravels occur as much as 100 m above the glacier bed and are evidence that bedload can be lifted hydraulically. Subordinant amounts of sediment are contributed to outwash by small surface streams draining the ice margin. By analogy a similar hydrologic-fluvial system existed along the southeastern margin of the Laurentide Ice Sheet. Subglacial regolith and bedrock eroded from beneath the Laurentide Ice Sheet by meltwater was also the source of most glaciofluvial and glaciolacustrine deposits in southern New England, not sediment carried to the surface of the ice sheet along shear planes and washed off the glacier by meltwater.« less

  12. Promoting evaluation capacity building in a complex adaptive system.

    PubMed

    Lawrenz, Frances; Kollmann, Elizabeth Kunz; King, Jean A; Bequette, Marjorie; Pattison, Scott; Nelson, Amy Grack; Cohn, Sarah; Cardiel, Christopher L B; Iacovelli, Stephanie; Eliou, Gayra Ostgaard; Goss, Juli; Causey, Lauren; Sinkey, Anne; Beyer, Marta; Francisco, Melanie

    2018-04-10

    This study provides results from an NSF funded, four year, case study about evaluation capacity building in a complex adaptive system, the Nanoscale Informal Science Education Network (NISE Net). The results of the Complex Adaptive Systems as a Model for Network Evaluations (CASNET) project indicate that complex adaptive system concepts help to explain evaluation capacity building in a network. The NISE Network was found to be a complex learning system that was supportive of evaluation capacity building through feedback loops that provided for information sharing and interaction. Participants in the system had different levels of and sources of evaluation knowledge. To be successful at building capacity, the system needed to have a balance between both centralized and decentralized control, coherence, redundancy, and diversity. Embeddedness of individuals within the system also provided support and moved the capacity of the system forward. Finally, success depended on attention being paid to the control of resources. Implications of these findings are discussed. Copyright © 2018 Elsevier Ltd. All rights reserved.

  13. What is the utility of using syndromic surveillance systems during large subnational infectious gastrointestinal disease outbreaks? An observational study using case studies from the past 5 years in England.

    PubMed

    Todkill, D; Elliot, A J; Morbey, R; Harris, J; Hawker, J; Edeghere, O; Smith, G E

    2016-08-01

    Syndromic surveillance systems in England have demonstrated utility in the early identification of seasonal gastrointestinal illness (GI) tracking its spatio-temporal distribution and enabling early public health action. There would be additional public health utility if syndromic surveillance systems could detect or track subnational infectious disease outbreaks. To investigate using syndromic surveillance for this purpose we retrospectively identified eight large GI outbreaks between 2009 and 2014 (four randomly and four purposively sampled). We then examined syndromic surveillance information prospectively collected by the Real-time Syndromic Surveillance team within Public Health England for evidence of possible outbreak-related changes. None of the outbreaks were identified contemporaneously and no alerts were made to relevant public health teams. Retrospectively, two of the outbreaks - which happened at similar times and in proximal geographical locations - demonstrated changes in the local trends of relevant syndromic indicators and exhibited a clustering of statistical alarms, but did not warrant alerting local health protection teams. Our suite of syndromic surveillance systems may be more suited to their original purposes than as means of detecting or monitoring localized, subnational GI outbreaks. This should, however, be considered in the context of this study's limitations; further prospective work is needed to fully explore the use of syndromic surveillance for this purpose. Provided geographical coverage is sufficient, syndromic surveillance systems could be able to provide reassurance of no or minor excess healthcare systems usage during localized GI incidents.

  14. Co-operation and conflict under hard and soft contracting regimes: case studies from England and Wales

    PubMed Central

    2013-01-01

    Background This paper examines NHS secondary care contracting in England and Wales in a period which saw increasing policy divergence between the two systems. At face value, England was making greater use of market levers and utilising harder-edged service contracts incorporating financial penalties and incentives, while Wales was retreating from the 1990s internal market and emphasising cooperation and flexibility in the contracting process. But there were also cross-border spill-overs involving common contracting technologies and management cultures that meant that differences in on-the-ground contracting practices might be smaller than headline policy differences suggested. Methods The nature of real-world contracting behaviour was investigated by undertaking two qualitative case studies in England and two in Wales, each based on a local purchaser/provider network. The case studies involved ethnographic observations and interviews with staff in primary care trusts (PCTs) or local health boards (LHBs), NHS or Foundation trusts, and the overseeing Strategic Health Authority or NHS Wales regional office, as well as scrutiny of relevant documents. Results Wider policy differences between the two NHS systems were reflected in differing contracting frameworks, involving regional commissioning in Wales and commissioning by either a PCT, or co-operating pair of PCTs in our English case studies, and also in different oversight arrangements by higher tiers of the service. However, long-term relationships and trust between purchasers and providers had an important role in both systems when the financial viability of organisations was at risk. In England, the study found examples where both PCTs and trusts relaxed contractual requirements to assist partners faced with deficits. In Wales, news of plans to end the purchaser/provider split meant a return to less precisely-specified block contracts and a renewed concern to build cooperation between LHB and trust staff

  15. Co-operation and conflict under hard and soft contracting regimes: case studies from England and Wales.

    PubMed

    Hughes, David; Allen, Pauline; Doheny, Shane; Petsoulas, Christina; Vincent-Jones, Peter

    2013-01-01

    This paper examines NHS secondary care contracting in England and Wales in a period which saw increasing policy divergence between the two systems. At face value, England was making greater use of market levers and utilising harder-edged service contracts incorporating financial penalties and incentives, while Wales was retreating from the 1990 s internal market and emphasising cooperation and flexibility in the contracting process. But there were also cross-border spill-overs involving common contracting technologies and management cultures that meant that differences in on-the-ground contracting practices might be smaller than headline policy differences suggested. The nature of real-world contracting behaviour was investigated by undertaking two qualitative case studies in England and two in Wales, each based on a local purchaser/provider network. The case studies involved ethnographic observations and interviews with staff in primary care trusts (PCTs) or local health boards (LHBs), NHS or Foundation trusts, and the overseeing Strategic Health Authority or NHS Wales regional office, as well as scrutiny of relevant documents. Wider policy differences between the two NHS systems were reflected in differing contracting frameworks, involving regional commissioning in Wales and commissioning by either a PCT, or co-operating pair of PCTs in our English case studies, and also in different oversight arrangements by higher tiers of the service. However, long-term relationships and trust between purchasers and providers had an important role in both systems when the financial viability of organisations was at risk. In England, the study found examples where both PCTs and trusts relaxed contractual requirements to assist partners faced with deficits. In Wales, news of plans to end the purchaser/provider split meant a return to less precisely-specified block contracts and a renewed concern to build cooperation between LHB and trust staff. The interdependency of local

  16. Managing Programmatic Risk for Complex Space System Developments

    NASA Technical Reports Server (NTRS)

    Panetta, Peter V.; Hastings, Daniel; Brumfield, Mark (Technical Monitor)

    2001-01-01

    Risk management strategies have become a recent important research topic to many aerospace organizations as they prepare to develop the revolutionary complex space systems of the future. Future multi-disciplinary complex space systems will make it absolutely essential for organizations to practice a rigorous, comprehensive risk management process, emphasizing thorough systems engineering principles to succeed. Project managers must possess strong leadership skills to direct high quality, cross-disciplinary teams for successfully developing revolutionary space systems that are ever increasing in complexity. Proactive efforts to reduce or eliminate risk throughout a project's lifecycle ideally must be practiced by all technical members in the organization. This paper discusses some of the risk management perspectives that were collected from senior managers and project managers of aerospace and aeronautical organizations by the use of interviews and surveys. Some of the programmatic risks which drive the success or failure of projects are revealed. Key findings lead to a number of insights for organizations to consider for proactively approaching the risks which face current and future complex space systems projects.

  17. Hepatitis E in England and Wales

    PubMed Central

    Lewis, Hannah C.; Boisson, Sophie; Ijaz, Samreen; Hewitt, Kirsten; Ngui, Siew Lin; Boxall, Elizabeth; Teo, Chong Gee

    2008-01-01

    In 2005, 329 cases of hepatitis E virus infection were confirmed in England and Wales; 33 were confirmed indigenous infections, and a further 67 were estimated to be indigenous infections. Hepatitis E should be considered in the investigation of patients with hepatitis even if they have no history of travel. PMID:18258100

  18. New England wildlife: management forested habitats

    Treesearch

    Richard M. DeGraaf; Mariko Yamasaki; William B. Leak; John W. Lanier

    1992-01-01

    Presents silvicultural treatments for six major cover-type groups in New England to produce stand conditions that provide habitat opportunities for a wide range of wildlife species. Includes matrices for species occurrence and utilization by forested and nonforested habitats, habitat breadth and size class, and structural habitat features for the 338 wildlife species...

  19. Education and Training: Some Lessons from England.

    ERIC Educational Resources Information Center

    Hall, William

    1987-01-01

    Describes distinctions between "education" and "training," with particular reference to the relationships between England's Department of Education and Science and the Manpower Services Commission. Applies these lessons to relations between Australia's Department of Employment and Industrial Relations and its Technical and…

  20. Analysis of physical activity and acculturation among Turkish migrants in Germany and England (.).

    PubMed

    Koca, Canan; Lapa, Tennur Yerlisu

    2014-12-01

    Recent literature shows that migrant populations in Western countries are generally less physically active than their host populations. The purpose of the present study was to expand research investigating associations between physical activity (PA) and acculturation and their relationship with several socio-demographic factors among Turkish migrants in Germany and England. The sample consisted of 521 Turkish migrants. Migrant generation, length of residence, and language proficiency were used as indicators of acculturation. Acculturation was not associated with PA among migrants in Germany and England. PA of migrants was significantly associated with migrant's host country, age, sex, marital status, and education. The total PA of migrants in Germany was higher than that of migrants in England; the large majority of females in both Germany and England had low PA, whereas most males had moderate PA. Seemingly, PA in Turkish migrant populations will not necessarily increase as a result of greater acculturation to the host society.

  1. Automated Design of Complex Dynamic Systems

    PubMed Central

    Hermans, Michiel; Schrauwen, Benjamin; Bienstman, Peter; Dambre, Joni

    2014-01-01

    Several fields of study are concerned with uniting the concept of computation with that of the design of physical systems. For example, a recent trend in robotics is to design robots in such a way that they require a minimal control effort. Another example is found in the domain of photonics, where recent efforts try to benefit directly from the complex nonlinear dynamics to achieve more efficient signal processing. The underlying goal of these and similar research efforts is to internalize a large part of the necessary computations within the physical system itself by exploiting its inherent non-linear dynamics. This, however, often requires the optimization of large numbers of system parameters, related to both the system's structure as well as its material properties. In addition, many of these parameters are subject to fabrication variability or to variations through time. In this paper we apply a machine learning algorithm to optimize physical dynamic systems. We show that such algorithms, which are normally applied on abstract computational entities, can be extended to the field of differential equations and used to optimize an associated set of parameters which determine their behavior. We show that machine learning training methodologies are highly useful in designing robust systems, and we provide a set of both simple and complex examples using models of physical dynamical systems. Interestingly, the derived optimization method is intimately related to direct collocation a method known in the field of optimal control. Our work suggests that the application domains of both machine learning and optimal control have a largely unexplored overlapping area which envelopes a novel design methodology of smart and highly complex physical systems. PMID:24497969

  2. Deprivation and mortality in non-metropolitan areas of England and Wales.

    PubMed Central

    Jessop, E G

    1996-01-01

    OBJECTIVE: To test the hypothesis that the relationship between deprivation and mortality is weaker among residents of non-metropolitan areas of England and Wales than among residents of metropolitan areas. DESIGN: This study compared mortality, expressed as standardised mortality ratios (SMRs), in residents of metropolitan and non-metropolitan districts at three levels of deprivation classified by an electoral ward deprivation score and by home and car ownership. SMRs were computed for all causes of death, for bronchitis and asthma (ICD9 codes 490-493), and for accident, violence, and poisoning (ICD9 codes 800-999). SETTING: England and Wales. PARTICIPANTS: Members of the longitudinal study of the Office of Population Censuses and Surveys, a quasi-random 1% sample of the population of England and Wales. MAIN RESULTS: There was an association between deprivation and mortality which was clear for all cause mortality, more noticeable for respiratory disease, and less clear for deaths from accident, violence, and poison. In general, the results showed a remarkable similarity between metropolitan and non-metropolitan areas. CONCLUSIONS: This study does not support the hypothesis that the relationship between mortality and deprivation differs between residents of metropolitan and non-metropolitan areas of England and Wales. PMID:8944858

  3. Automated biosurveillance data from England and Wales, 1991-2011.

    PubMed

    Enki, Doyo G; Noufaily, Angela; Garthwaite, Paul H; Andrews, Nick J; Charlett, André; Lane, Chris; Farrington, C Paddy

    2013-01-01

    Outbreak detection systems for use with very large multiple surveillance databases must be suited both to the data available and to the requirements of full automation. To inform the development of more effective outbreak detection algorithms, we analyzed 20 years of data (1991-2011) from a large laboratory surveillance database used for outbreak detection in England and Wales. The data relate to 3,303 distinct types of infectious pathogens, with a frequency range spanning 6 orders of magnitude. Several hundred organism types were reported each week. We describe the diversity of seasonal patterns, trends, artifacts, and extra-Poisson variability to which an effective multiple laboratory-based outbreak detection system must adjust. We provide empirical information to guide the selection of simple statistical models for automated surveillance of multiple organisms, in the light of the key requirements of such outbreak detection systems, namely, robustness, flexibility, and sensitivity.

  4. Challenges in the analysis of complex systems: introduction and overview

    NASA Astrophysics Data System (ADS)

    Hastings, Harold M.; Davidsen, Jörn; Leung, Henry

    2017-12-01

    One of the main challenges of modern physics is to provide a systematic understanding of systems far from equilibrium exhibiting emergent behavior. Prominent examples of such complex systems include, but are not limited to the cardiac electrical system, the brain, the power grid, social systems, material failure and earthquakes, and the climate system. Due to the technological advances over the last decade, the amount of observations and data available to characterize complex systems and their dynamics, as well as the capability to process that data, has increased substantially. The present issue discusses a cross section of the current research on complex systems, with a focus on novel experimental and data-driven approaches to complex systems that provide the necessary platform to model the behavior of such systems.

  5. Changes in the proportion of precipitation occurring as snow in New England (1949-2000)

    USGS Publications Warehouse

    Huntington, T.G.; Hodgkins, G.A.; Keim, B.D.; Dudley, R.W.

    2004-01-01

    The ratio of snow to total precipitation (S/P) is a hydrologic indicator that is sensitive to climate variability and can be used to detect and monitor hydrologic responses to climatic change. Changes in S/P ratio over time could influence the magnitude and timing of spring runoff and recession to summer baseflow. The S/P ratio for 21 U.S. Historical Climatology Network sites in New England was examined. Eleven out of twenty-one sites in New England had significant decreasing annual S/P ratios from 1949 to 2000. Annual trends in S/P are predominantly a result of decreasing snowfall, and to a lesser extent, increasing rainfall. The most consistent trends were in northernmost New England where all four sites had decreasing ratios, and in the coastal and near-coastal areas where five out of eight sites had significantly decreasing ratios. The four sites in northernmost New England, which had the strongest and most coherent trends, showed an average decrease in annual S/P ratio from about 0.30 in 1949 to 0.23 in 2000. Trends in winter S/P ratio were less geographically consistent. Seven out of 21 sites had significantly decreasing winter S/P ratios. Most northern New England and coastal to near-coastal sites had statistically significant trends (p < 0.05) or weak, but not significant trends (p < 0.2). When trends in S/P were analyzed on a monthly basis for the northernmost sites, it was evident that decreasing S/P trends were significant for March and December only. Significant correlations were observed between winter S/P ratios in northern New England and the timing of spring runoff, the North Atlantic Oscillation (NAO) index, and the Pacific-North American (PNA) index. Significant correlations were observed between winter S/P ratios averaged for all of New England and the NAO and PNA.

  6. The Ontologies of Complexity and Learning about Complex Systems

    ERIC Educational Resources Information Center

    Jacobson, Michael J.; Kapur, Manu; So, Hyo-Jeong; Lee, June

    2011-01-01

    This paper discusses a study of students learning core conceptual perspectives from recent scientific research on complexity using a hypermedia learning environment in which different types of scaffolding were provided. Three comparison groups used a hypermedia system with agent-based models and scaffolds for problem-based learning activities that…

  7. Complex Homology and the Evolution of Nervous Systems.

    PubMed

    Liebeskind, Benjamin J; Hillis, David M; Zakon, Harold H; Hofmann, Hans A

    2016-02-01

    We examine the complex evolution of animal nervous systems and discuss the ramifications of this complexity for inferring the nature of early animals. Although reconstructing the origins of nervous systems remains a central challenge in biology, and the phenotypic complexity of early animals remains controversial, a compelling picture is emerging. We now know that the nervous system and other key animal innovations contain a large degree of homoplasy, at least on the molecular level. Conflicting hypotheses about early nervous system evolution are due primarily to differences in the interpretation of this homoplasy. We highlight the need for explicit discussion of assumptions and discuss the limitations of current approaches for inferring ancient phenotypic states. Copyright © 2015. Published by Elsevier Ltd.

  8. Professional Development and the Teaching Schools Experiment in England: Leadership Challenges in an Alliance's First Year

    ERIC Educational Resources Information Center

    Dowling, Simon

    2016-01-01

    This article reports findings from the first year of a longitudinal, mixed-methods case study of a large teaching school alliance in England. This national initiative is intended to drive improvement at system level by grouping schools around formally designated teaching schools. These "alliances" work collaboratively to share learning,…

  9. A View from England and Wales

    ERIC Educational Resources Information Center

    Ingham, Roger

    2016-01-01

    This commentary outlines developments regarding Sex and Relationships Education (SRE, akin to Comprehensive Sex Education) in England and Wales over the past 15 years or so. BZgA has been a WHO/Europe collaborating centre for sexual and reproductive health since 2003. In this capacity, BZgA contributes to the development and dissemination of WHO…

  10. The climatic context of major plague outbreaks in late medieval England

    NASA Astrophysics Data System (ADS)

    Pribyl, Kathleen

    2017-04-01

    The climatological triggers of major plague outbreaks in late medieval and early modern Europe remain unclear; recent studies have been inconclusive. Plague is primarily a rodent disease and due to the involvement of rodent hosts and insect vectors, the epidemiology of plague is complicated, but research on outbreaks in the Third Pandemic, which began in the late nineteenth century, has shown that in central and eastern Asia plague is linked to specific meteorological conditions. The disease adapts to a varied spectrum of ecological and climatological settings, which influence the development of plague waves, and due to Europe's geographical diversity, this paper focuses on one region, England, in its search for meteorological parameters contributing to plague outbreaks. The study period of this paper is defined by the arrival of Yersinia pestis in the British Isles in 1348 and the end of the fifteenth century. During this time, England's population dynamics were mortality-driven due to recurrent epidemic disease; and public health measures, such as quarantining, had not yet been introduced, hence the influence of social factors on the formation of major plague waves was very limited. The geographical and temporal focus of this study allows for the combination of the series of English major plague outbreaks, verified in the original texts, with the high-quality climate reconstructions based on both documentary sources and proxy data available for this region. The detailed analysis of the mechanisms contributing to English plague waves presented in this paper, reveals a complex interplay of time-lag responses and concurrent conditions involving temperature and precipitation parameters.

  11. The Challenges Facing Further Education College Governors in England: A Time for Caution or Creativity?

    ERIC Educational Resources Information Center

    Hill, Ron; James, Chris; Forrest, Colin

    2016-01-01

    "Further education" (FE) is a substantial sector in the education system in England. It has funding of approximately £8 billion annually and educates close to three million students. Within the sector are 231 FE colleges which provide a range of courses that are typically vocational/skills-based. They vary in scale and scope with the…

  12. Application of Complex Adaptive Systems in Portfolio Management

    ERIC Educational Resources Information Center

    Su, Zheyuan

    2017-01-01

    Simulation-based methods are becoming a promising research tool in financial markets. A general Complex Adaptive System can be tailored to different application scenarios. Based on the current research, we built two models that would benefit portfolio management by utilizing Complex Adaptive Systems (CAS) in Agent-based Modeling (ABM) approach.…

  13. Dependency visualization for complex system understanding

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Smart, J. Allison Cory

    1994-09-01

    With the volume of software in production use dramatically increasing, the importance of software maintenance has become strikingly apparent. Techniques now sought and developed for reverse engineering and design extraction and recovery. At present, numerous commercial products and research tools exist which are capable of visualizing a variety of programming languages and software constructs. The list of new tools and services continues to grow rapidly. Although the scope of the existing commercial and academic product set is quite broad, these tools still share a common underlying problem. The ability of each tool to visually organize object representations is increasingly impairedmore » as the number of components and component dependencies within systems increases. Regardless of how objects are defined, complex ``spaghetti`` networks result in nearly all large system cases. While this problem is immediately apparent in modem systems analysis involving large software implementations, it is not new. As will be discussed in Chapter 2, related problems involving the theory of graphs were identified long ago. This important theoretical foundation provides a useful vehicle for representing and analyzing complex system structures. While the utility of directed graph based concepts in software tool design has been demonstrated in literature, these tools still lack the capabilities necessary for large system comprehension. This foundation must therefore be expanded with new organizational and visualization constructs necessary to meet this challenge. This dissertation addresses this need by constructing a conceptual model and a set of methods for interactively exploring, organizing, and understanding the structure of complex software systems.« less

  14. Increasing Pneumocystis pneumonia, England, UK, 2000-2010.

    PubMed

    Maini, Rishma; Henderson, Katherine L; Sheridan, Elizabeth A; Lamagni, Theresa; Nichols, Gordon; Delpech, Valerie; Phin, Nick

    2013-03-01

    After an increase in the number of reported cases of Pneumocystis jirovecii pneumonia in England, we investigated data from 2000-2010 to verify the increase. We analyzed national databases for microbiological and clinical diagnoses of P. jirovecii pneumonia and associated deaths. We found that laboratory-confirmed cases in England had increased an average of 7% per year and that death certifications and hospital admissions also increased. Hospital admissions indicated increased P. jirovecii pneumonia diagnoses among patients not infected with HIV, particularly among those who had received a transplant or had a hematologic malignancy. A new risk was identified: preexisting lung disease. Infection rates among HIV-positive adults decreased. The results confirm that diagnoses of potentially preventable P. jirovecii pneumonia among persons outside the known risk group of persons with HIV infection have increased. This finding warrants further characterization of risk groups and a review of P. jirovecii pneumonia prevention strategies.

  15. Pre-Service Teachers' Efficacy Beliefs and Concerns in Malaysia, England and New Zealand

    ERIC Educational Resources Information Center

    Berg, David A. G.; Smith, Lisa F.

    2014-01-01

    This study compared perceptions of teacher efficacy beliefs and concerns about teaching in pre-service teacher cohorts from New Zealand, Malaysia, and England. Participants were primary pre-service teachers from Malaysia (n = 53), New Zealand (n = 100), and England (n = 119), who completed the Teachers' Sense of Efficacy (long form)…

  16. Comparison of elderly suicide rates among migrants in England and Wales with their country of origin.

    PubMed

    Shah, Ajit; Lindesay, James; Dennis, Mick

    2009-03-01

    The black and minority ethnic (BME) elderly population size in England and Wales has progressively increased over the last three decades. Only two studies, both well over a decade old, have compared suicide rates in BME groups in England and Wales with those in their country of origin. A study comparing suicide rates among elderly migrants in England and Wales and in their country of origin using the latest available mortality data from the Office of National Statistics and the World Health Organization was conducted. There were wide variations in standardised mortality ratios for elderly suicides among migrants from different countries compared with those born in England and Wales and in their country of origin. There was convergence towards elderly suicide rates for England and Wales in some migrant groups in males in the age-bands 65-74 years and 75 + years, and in females in the age-band 75 + years. However, males aged 75 + years from most migrant groups had higher rates than those born in England and Wales. A more detailed analysis of suicide of older people from migrant groups is required to determine vulnerability and protective influences.

  17. Modeling Complex Cross-Systems Software Interfaces Using SysML

    NASA Technical Reports Server (NTRS)

    Mandutianu, Sanda; Morillo, Ron; Simpson, Kim; Liepack, Otfrid; Bonanne, Kevin

    2013-01-01

    The complex flight and ground systems for NASA human space exploration are designed, built, operated and managed as separate programs and projects. However, each system relies on one or more of the other systems in order to accomplish specific mission objectives, creating a complex, tightly coupled architecture. Thus, there is a fundamental need to understand how each system interacts with the other. To determine if a model-based system engineering approach could be utilized to assist with understanding the complex system interactions, the NASA Engineering and Safety Center (NESC) sponsored a task to develop an approach for performing cross-system behavior modeling. This paper presents the results of applying Model Based Systems Engineering (MBSE) principles using the System Modeling Language (SysML) to define cross-system behaviors and how they map to crosssystem software interfaces documented in system-level Interface Control Documents (ICDs).

  18. System Complexity Reduction via Feature Selection

    ERIC Educational Resources Information Center

    Deng, Houtao

    2011-01-01

    This dissertation transforms a set of system complexity reduction problems to feature selection problems. Three systems are considered: classification based on association rules, network structure learning, and time series classification. Furthermore, two variable importance measures are proposed to reduce the feature selection bias in tree…

  19. On the age of the penultimate full glaciation of New England

    USGS Publications Warehouse

    Oldale, R.N.; Colman, S.M.

    1992-01-01

    Tills that discontinuously underlie the late Wisconsinan till throughout New England represent the penultimate full glaciation of the region. In southern New England, the late Wisconsinan till and the tills that locally underlie it are informally referred to as upper and lower tills, respectively. For the most part, the ages of the lower tills are not firmly established, and regional correlations between occurrences of lower till, including those on Long Island, New York, are tenuous. Where a lower till underlies deposits having limiting middle Wisconsinan radiocarbon ages (e.g., the Montauk till member of the Manhassett Formation on Long Island at Port Washington, New York, and the lower till at New Sharon, Maine), many workers have assigned the till an early Wisconsinan age. However, lower tills throughout much of New England may be Illinoian or older in age and may correlate with a lower till exposed at Sankaty Head, Nantucket Island, Massachusetts, that is pre-Sangamonian in age. The till at Sankaty Head lies below marine beds containing marine faunas indicative of sea-water temperatures both warmer and slightly cooler than those off Nantucket today and that have uranium-thorium and amino-acid racemization (AAR) age estimates suggesting a Sangamonian age (marine oxygen-isotope stage 5).The lower till at Sankaty Head and the Montauk till member on Long Island were deposited during a full glaciation of New England that was at least as extensive as the late Wisconsinan advance of the Laurentide ice. Global ice-volume data from the marine oxygen-isotope record and the late Pleistocene eustatic sea-level record inferred from raised coral terraces support an advance of this magnitude during marine oxygenisotope stage 6, but not during stage 4.An early Wisconsinan age of the southern New England lower tills and, hence, of the penultimate glaciation there is problematic in terms of the pre-Sangamonian age of the lower till on Nantucket, and in terms of the late

  20. Best geoscience approach to complex systems in environment

    NASA Astrophysics Data System (ADS)

    Mezemate, Yacine; Tchiguirinskaia, Ioulia; Schertzer, Daniel

    2017-04-01

    The environment is a social issue that continues to grow in importance. Its complexity, both cross-disciplinary and multi-scale, has given rise to a large number of scientific and technological locks, that complex systems approaches can solve. Significant challenges must met to achieve the understanding of the environmental complexes systems. There study should proceed in some steps in which the use of data and models is crucial: - Exploration, observation and basic data acquisition - Identification of correlations, patterns, and mechanisms - Modelling - Model validation, implementation and prediction - Construction of a theory Since the e-learning becomes a powerful tool for knowledge and best practice shearing, we use it to teach the environmental complexities and systems. In this presentation we promote the e-learning course dedicated for a large public (undergraduates, graduates, PhD students and young scientists) which gather and puts in coherence different pedagogical materials of complex systems and environmental studies. This course describes a complex processes using numerous illustrations, examples and tests that make it "easy to enjoy" learning process. For the seek of simplicity, the course is divided in different modules and at the end of each module a set of exercises and program codes are proposed for a best practice. The graphical user interface (GUI) which is constructed using an open source Opale Scenari offers a simple navigation through the different module. The course treats the complex systems that can be found in environment and their observables, we particularly highlight the extreme variability of these observables over a wide range of scales. Using the multifractal formalism through different applications (turbulence, precipitation, hydrology) we demonstrate how such extreme variability of the geophysical/biological fields should be used solving everyday (geo-)environmental chalenges.

  1. Complexity for Survival of Living Systems

    NASA Technical Reports Server (NTRS)

    Zak, Michail

    2009-01-01

    A logical connection between the survivability of living systems and the complexity of their behavior (equivalently, mental complexity) has been established. This connection is an important intermediate result of continuing research on mathematical models that could constitute a unified representation of the evolution of both living and non-living systems. Earlier results of this research were reported in several prior NASA Tech Briefs articles, the two most relevant being Characteristics of Dynamics of Intelligent Systems (NPO- 21037), NASA Tech Briefs, Vol. 26, No. 12 (December 2002), page 48; and Self-Supervised Dynamical Systems (NPO- 30634) NASA Tech Briefs, Vol. 27, No. 3 (March 2003), page 72. As used here, living systems is synonymous with active systems and intelligent systems. The quoted terms can signify artificial agents (e.g., suitably programmed computers) or natural biological systems ranging from single-cell organisms at one extreme to the whole of human society at the other extreme. One of the requirements that must be satisfied in mathematical modeling of living systems is reconciliation of evolution of life with the second law of thermodynamics. In the approach followed in this research, this reconciliation is effected by means of a model, inspired partly by quantum mechanics, in which the quantum potential is replaced with an information potential. The model captures the most fundamental property of life - the ability to evolve from disorder to order without any external interference. The model incorporates the equations of classical dynamics, including Newton s equations of motion and equations for random components caused by uncertainties in initial conditions and by Langevin forces. The equations of classical dynamics are coupled with corresponding Liouville or Fokker-Planck equations that describe the evolutions of probability densities that represent the uncertainties. The coupling is effected by fictitious information-based forces that are

  2. Outcome of cardiac surgery in patients with congenital heart disease in England between 1997 and 2015

    PubMed Central

    Dimopoulos, Konstantinos; Uebing, Anselm; Diller, Gerhard-Paul; Rosendahl, Ulrich; Belitsis, George

    2017-01-01

    Background The number of patients with congenital heart disease (CHD) is increasing worldwide and most of them will require cardiac surgery, once or more, during their lifetime. The total volume of cardiac surgery in CHD patients at a national level and the associated mortality and predictors of death associated with surgery are not known. We aimed to investigate the surgical volume and associated mortality in CHD patients in England. Methods Using a national hospital episode statistics database, we identified all CHD patients undergoing cardiac surgery in England between 1997 and 2015. Results We evaluated 57,293 patients (median age 11.9years, 46.7% being adult, 56.7% female). There was a linear increase in the number of operations performed per year from 1,717 in 1997 to 5,299 performed in 2014. The most common intervention at the last surgical event was an aortic valve procedure (9,276; 16.2%), followed by repair of atrial septal defect (9,154; 16.0%), ventricular septal defect (7,746; 13.5%), tetralogy of Fallot (3,523; 6.1%) and atrioventricular septal defect (3,330; 5.8%) repair. Associated mortality remained raised up to six months following cardiac surgery. Several parameters were predictive of post-operative mortality, including age, complexity of surgery, need for emergency surgery and socioeconomic status. The relationship of age with mortality was “U”-shaped, and mortality was highest amongst youngest children and adults above 60 years of age. Conclusions The number of cardiac operations performed in CHD patients in England has been increasing, particularly in adults. Mortality remains raised up to 6-months after surgery and was highest amongst young children and seniors. PMID:28628610

  3. Lessons from Jurassic Park: patients as complex adaptive systems.

    PubMed

    Katerndahl, David A

    2009-08-01

    With realization that non-linearity is generally the rule rather than the exception in nature, viewing patients and families as complex adaptive systems may lead to a better understanding of health and illness. Doctors who successfully practise the 'art' of medicine may recognize non-linear principles at work without having the jargon needed to label them. Complex adaptive systems are systems composed of multiple components that display complexity and adaptation to input. These systems consist of self-organized components, which display complex dynamics, ranging from simple periodicity to chaotic and random patterns showing trends over time. Understanding the non-linear dynamics of phenomena both internal and external to our patients can (1) improve our definition of 'health'; (2) improve our understanding of patients, disease and the systems in which they converge; (3) be applied to future monitoring systems; and (4) be used to possibly engineer change. Such a non-linear view of the world is quite congruent with the generalist perspective.

  4. Some Approaches to Modeling Complex Information Systems.

    ERIC Educational Resources Information Center

    Rao, V. Venkata; Zunde, Pranas

    1982-01-01

    Brief discussion of state-of-the-art of modeling complex information systems distinguishes between macrolevel and microlevel modeling of such systems. Network layout and hierarchical system models, simulation, information acquisition and dissemination, databases and information storage, and operating systems are described and assessed. Thirty-four…

  5. Using a biased qubit to probe complex systems

    NASA Astrophysics Data System (ADS)

    Pollock, Felix A.; Checińska, Agata; Pascazio, Saverio; Modi, Kavan

    2016-09-01

    Complex mesoscopic systems play increasingly important roles in modern science, from understanding biological functions at the molecular level to designing solid-state information processing devices. The operation of these systems typically depends on their energetic structure, yet probing their energy landscape can be extremely challenging; they have many degrees of freedom, which may be hard to isolate and measure independently. Here, we show that a qubit (a two-level quantum system) with a biased energy splitting can directly probe the spectral properties of a complex system, without knowledge of how they couple. Our work is based on the completely positive and trace-preserving map formalism, which treats any unknown dynamics as a "black-box" process. This black box contains information about the system with which the probe interacts, which we access by measuring the survival probability of the initial state of the probe as function of the energy splitting and the process time. Fourier transforming the results yields the energy spectrum of the complex system. Without making assumptions about the strength or form of its coupling, our probe could determine aspects of a complex molecule's energy landscape as well as, in many cases, test for coherent superposition of its energy eigenstates.

  6. Evaluating variation in use of definitive therapy and risk-adjusted prostate cancer mortality in England and the USA.

    PubMed

    Sachdeva, Ashwin; van der Meulen, Jan H; Emberton, Mark; Cathcart, Paul J

    2015-02-24

    Prostate cancer mortality (PCM) in the USA is among the lowest in the world, whereas PCM in England is among the highest in Europe. This paper aims to assess the association of variation in use of definitive therapy on risk-adjusted PCM in England as compared with the USA. Observational study. Cancer registry data from England and the USA. Men diagnosed with non-metastatic prostate cancer (PCa) in England and the USA between 2004 and 2008. Competing-risks survival analyses to estimate subhazard ratios (SHR) of PCM adjusted for age, ethnicity, year of diagnosis, Gleason score (GS) and clinical tumour (cT) stage. 222,163 men were eligible for inclusion. Compared with American patients, English patients were more likely to present at an older age (70-79 years: England 44.2%, USA 29.3%, p<0.001), with higher tumour stage (cT3-T4: England 25.1%, USA 8.6%, p<0.001) and higher GS (GS 8-10: England 20.7%, USA 11.2%, p<0.001). They were also less likely to receive definitive therapy (England 38%, USA 77%, p<0.001). English patients were more likely to die of PCa (SHR=1.9, 95% CI 1.7 to 2.0, p<0.001). However, this difference was no longer statistically significant when also adjusted for use of definitive therapy (SHR=1.0, 95% CI 1.0 to 1.1, p=0.3). Risk-adjusted PCM is significantly higher in England compared with the USA. This difference may be explained by less frequent use of definitive therapy in England. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

  7. Connecting large-scale atmospheric circulation, river flow and groundwater levels in a chalk catchment in southern England

    NASA Astrophysics Data System (ADS)

    Lavers, David A.; Hannah, David M.; Bradley, Chris

    2015-04-01

    Groundwater is an important water resource and globally it represents the largest distributed store of freshwater. In southern England, groundwater is a major source for public water supply, and many aquifers have recently experienced both extreme low and high groundwater levels. In this paper, we use observations of precipitation, river discharge and groundwater levels (1964-2010) and an atmospheric reanalysis to explore the large-scale climate patterns preceding the nine highest and lowest March river discharge and groundwater levels in the chalk catchment of the River Lambourn (Berkshire Downs, southern England). Peak monthly precipitation is shown to occur from October to January, while the highest river discharge and groundwater levels are found from February to April. For high discharge/groundwater levels, composite anomaly patterns of the mean sea level pressure show a stronger than average pressure gradient across the North Atlantic Ocean, with enhanced water vapour transport across southern England. For the lowest discharge/groundwater levels, a blocking high pressure system is found across the British Isles deflecting storms and precipitation to the north. Significantly, the intra-composite variability suggests that different sequences of atmospheric states may lead to high and low discharge/groundwater events.

  8. Visualizing Coastal Erosion, Overwash and Coastal Flooding in New England

    NASA Astrophysics Data System (ADS)

    Young Morse, R.; Shyka, T.

    2017-12-01

    Powerful East Coast storms and their associated storm tides and large, battering waves can lead to severe coastal change through erosion and re-deposition of beach sediment. The United States Geological Survey (USGS) has modeled such potential for geological response using a storm-impact scale that compares predicted elevations of hurricane-induced water levels and associated wave action to known elevations of coastal topography. The resulting storm surge and wave run-up hindcasts calculate dynamic surf zone collisions with dune structures using discrete regime categories of; "collision" (dune erosion), "overwash" and "inundation". The National Weather Service (NWS) recently began prototyping this empirical technique under the auspices of the North Atlantic Regional Team (NART). Real-time erosion and inundation forecasts were expanded to include both tropical and extra-tropical cyclones along vulnerable beaches (hotspots) on the New England coast. Preliminary results showed successful predictions of impact during hurricane Sandy and several intense Nor'easters. The forecasts were verified using observational datasets, including "ground truth" reports from Emergency Managers and storm-based, dune profile measurements organized through a Maine Sea Grant partnership. In an effort to produce real-time visualizations of this forecast output, the Northeastern Regional Association of Coastal Ocean Observing Systems (NERACOOS) and the Gulf of Maine Research Institute (GMRI) partnered with NART to create graphical products of wave run-up levels for each New England "hotspot". The resulting prototype system updates the forecasts twice daily and allows users the ability to adjust atmospheric and sea state input into the calculations to account for model errors and forecast uncertainty. This talk will provide an overview of the empirical wave run-up calculations, the system used to produce forecast output and a demonstration of the new web based tool.

  9. Symmetric and Asymmetric Tendencies in Stable Complex Systems

    PubMed Central

    Tan, James P. L.

    2016-01-01

    A commonly used approach to study stability in a complex system is by analyzing the Jacobian matrix at an equilibrium point of a dynamical system. The equilibrium point is stable if all eigenvalues have negative real parts. Here, by obtaining eigenvalue bounds of the Jacobian, we show that stable complex systems will favor mutualistic and competitive relationships that are asymmetrical (non-reciprocative) and trophic relationships that are symmetrical (reciprocative). Additionally, we define a measure called the interdependence diversity that quantifies how distributed the dependencies are between the dynamical variables in the system. We find that increasing interdependence diversity has a destabilizing effect on the equilibrium point, and the effect is greater for trophic relationships than for mutualistic and competitive relationships. These predictions are consistent with empirical observations in ecology. More importantly, our findings suggest stabilization algorithms that can apply very generally to a variety of complex systems. PMID:27545722

  10. Symmetric and Asymmetric Tendencies in Stable Complex Systems.

    PubMed

    Tan, James P L

    2016-08-22

    A commonly used approach to study stability in a complex system is by analyzing the Jacobian matrix at an equilibrium point of a dynamical system. The equilibrium point is stable if all eigenvalues have negative real parts. Here, by obtaining eigenvalue bounds of the Jacobian, we show that stable complex systems will favor mutualistic and competitive relationships that are asymmetrical (non-reciprocative) and trophic relationships that are symmetrical (reciprocative). Additionally, we define a measure called the interdependence diversity that quantifies how distributed the dependencies are between the dynamical variables in the system. We find that increasing interdependence diversity has a destabilizing effect on the equilibrium point, and the effect is greater for trophic relationships than for mutualistic and competitive relationships. These predictions are consistent with empirical observations in ecology. More importantly, our findings suggest stabilization algorithms that can apply very generally to a variety of complex systems.

  11. Fault detection and isolation for complex system

    NASA Astrophysics Data System (ADS)

    Jing, Chan Shi; Bayuaji, Luhur; Samad, R.; Mustafa, M.; Abdullah, N. R. H.; Zain, Z. M.; Pebrianti, Dwi

    2017-07-01

    Fault Detection and Isolation (FDI) is a method to monitor, identify, and pinpoint the type and location of system fault in a complex multiple input multiple output (MIMO) non-linear system. A two wheel robot is used as a complex system in this study. The aim of the research is to construct and design a Fault Detection and Isolation algorithm. The proposed method for the fault identification is using hybrid technique that combines Kalman filter and Artificial Neural Network (ANN). The Kalman filter is able to recognize the data from the sensors of the system and indicate the fault of the system in the sensor reading. Error prediction is based on the fault magnitude and the time occurrence of fault. Additionally, Artificial Neural Network (ANN) is another algorithm used to determine the type of fault and isolate the fault in the system.

  12. Multistage Spectral Relaxation Method for Solving the Hyperchaotic Complex Systems

    PubMed Central

    Saberi Nik, Hassan; Rebelo, Paulo

    2014-01-01

    We present a pseudospectral method application for solving the hyperchaotic complex systems. The proposed method, called the multistage spectral relaxation method (MSRM) is based on a technique of extending Gauss-Seidel type relaxation ideas to systems of nonlinear differential equations and using the Chebyshev pseudospectral methods to solve the resulting system on a sequence of multiple intervals. In this new application, the MSRM is used to solve famous hyperchaotic complex systems such as hyperchaotic complex Lorenz system and the complex permanent magnet synchronous motor. We compare this approach to the Runge-Kutta based ode45 solver to show that the MSRM gives accurate results. PMID:25386624

  13. Configuration complexity assessment of convergent supply chain systems

    NASA Astrophysics Data System (ADS)

    Modrak, Vladimir; Marton, David

    2014-07-01

    System designers usually generate alternative configurations of supply chains (SCs) by varying especially fixed assets to satisfy a desired production scope and rate. Such alternatives often vary in associated costs and other facets including degrees of complexity. Hence, a measure of configuration complexity can be a tool for comparison and decision-making. This paper presents three approaches to assessment of configuration complexity and their applications to designing convergent SC systems. Presented approaches are conceptually distinct ways of measuring structural complexity parameters based on different preconditions and circumstances of assembly systems which are typical representatives of convergent SCs. There are applied two similar approaches based on different preconditions that are related to demand shares. Third approach does not consider any special condition relating to character of final product demand. Subsequently, we propose a framework for modeling of assembly SC models, which are dividing to classes.

  14. Complexity Thinking in PE: Game-Centred Approaches, Games as Complex Adaptive Systems, and Ecological Values

    ERIC Educational Resources Information Center

    Storey, Brian; Butler, Joy

    2013-01-01

    Background: This article draws on the literature relating to game-centred approaches (GCAs), such as Teaching Games for Understanding, and dynamical systems views of motor learning to demonstrate a convergence of ideas around games as complex adaptive learning systems. This convergence is organized under the title "complexity thinking"…

  15. Engineering Complex Embedded Systems with State Analysis and the Mission Data System

    NASA Technical Reports Server (NTRS)

    Ingham, Michel D.; Rasmussen, Robert D.; Bennett, Matthew B.; Moncada, Alex C.

    2004-01-01

    It has become clear that spacecraft system complexity is reaching a threshold where customary methods of control are no longer affordable or sufficiently reliable. At the heart of this problem are the conventional approaches to systems and software engineering based on subsystem-level functional decomposition, which fail to scale in the tangled web of interactions typically encountered in complex spacecraft designs. Furthermore, there is a fundamental gap between the requirements on software specified by systems engineers and the implementation of these requirements by software engineers. Software engineers must perform the translation of requirements into software code, hoping to accurately capture the systems engineer's understanding of the system behavior, which is not always explicitly specified. This gap opens up the possibility for misinterpretation of the systems engineer s intent, potentially leading to software errors. This problem is addressed by a systems engineering methodology called State Analysis, which provides a process for capturing system and software requirements in the form of explicit models. This paper describes how requirements for complex aerospace systems can be developed using State Analysis and how these requirements inform the design of the system software, using representative spacecraft examples.

  16. Interacting complex systems: Theory and application to real-world situations

    NASA Astrophysics Data System (ADS)

    Piccinini, Nicola

    The interest in complex systems has increased exponentially during the past years because it was found helpful in addressing many of today's challenges. The study of the brain, biology, earthquakes, markets and social sciences are only a few examples of the fields that have benefited from the investigation of complex systems. Internet, the increased mobility of people and the raising energy demand are among the factors that brought in contact complex systems that were isolated till a few years ago. A theory for the interaction between complex systems is becoming more and more urgent to help mankind in this transition. The present work builds upon the most recent results in this field by solving a theoretical problem that prevented previous work to be applied to important complex systems, like the brain. It also shows preliminary laboratory results of perturbation of in vitro neural networks that were done to test the theory. Finally, it gives a preview of the studies that are being done to create a theory that is even closer to the interaction between real complex systems.

  17. The Physics of Complex Systems in Cuba

    NASA Astrophysics Data System (ADS)

    Sotolongo-Costa, Oscar

    In relating the circumstances that led to the birth and development of the physics of complex systems in Cuba, it is difficult to avoid being anecdotal—particularly because of the difficult times during which this research started. Cuban eclecticism, whose spectrum extends from religious syncretism to world-class medicine, seems quite coherent with the field of complex systems, characterized by the synergy of diverse fields. Such a combination, however, in the beginning seemed to be quite removed from the physicists' standard research dogmas.

  18. MERGANSER - An Empirical Model to Predict Fish and Loon Mercury in New England Lakes

    EPA Science Inventory

    MERGANSER (MERcury Geo-spatial AssessmeNtS for the New England Region) is an empirical least-squares multiple regression model using mercury (Hg) deposition and readily obtainable lake and watershed features to predict fish (fillet) and common loon (blood) Hg in New England lakes...

  19. Estimating the burden of heat illness in England during the 2013 summer heatwave using syndromic surveillance

    PubMed Central

    Smith, Sue; Elliot, Alex J; Hajat, Shakoor; Bone, Angie; Smith, Gillian E; Kovats, Sari

    2016-01-01

    Background The burden of heat illness on health systems is not well described in the UK. Although the UK generally experiences mild summers, the frequency and intensity of hot weather is likely to increase due to climate change, particularly in Southern England. We investigated the impact of the moderate heatwave in 2013 on primary care and emergency department (ED) visits using syndromic surveillance data in England. Methods General practitioner in hours (GPIH), GP out of hours (GPOOH) and ED syndromic surveillance systems were used to monitor the health impact of heat/sun stroke symptoms (heat illness). Data were stratified by age group and compared between heatwave and non-heatwave years. Incidence rate ratios were calculated for GPIH heat illness consultations. Results GP consultations and ED attendances for heat illness increased during the heatwave period; GPIH consultations increased across all age groups, but the highest rates were in school children and those aged ≥75 years, with the latter persisting beyond the end of the heatwave. Extrapolating to the English population, we estimated that the number of GPIH consultations for heat illness during the whole summer (May to September) 2013 was 1166 (95% CI 1064 to 1268). This was double the rate observed during non-heatwave years. Conclusions These findings support the monitoring of heat illness (symptoms of heat/sun stroke) as part of the Heatwave Plan for England, but also suggest that specifically monitoring heat illness in children, especially those of school age, would provide additional early warning of, and situation awareness during heatwaves. PMID:26873949

  20. New England Instructional Television Research Center (NETREC).

    ERIC Educational Resources Information Center

    Friedlander, Bernard Z.; Wetstone, Harriet S.

    Projects of the New England Instructional Television Research Center (NITREC) are summarized in a collection of papers. Objectives, rationale, and program of NETREC are defined, along with methods of formative evaluation during production. Seven videotest research projects cover methods of evaluating communicative effectiveness of primary-grade…

  1. Capacity withholding in wholesale electricity markets: The experience in England and Wales

    NASA Astrophysics Data System (ADS)

    Quinn, James Arnold

    This thesis examines the incentives wholesale electricity generators face to withhold generating capacity from centralized electricity spot markets. The first chapter includes a brief history of electricity industry regulation in England and Wales and in the United States, including a description of key institutional features of England and Wales' restructured electricity market. The first chapter also includes a review of the literature on both bid price manipulation and capacity bid manipulation in centralized electricity markets. The second chapter details a theoretical model of wholesale generator behavior in a single price electricity market. A duopoly model is specified under the assumption that demand is non-stochastic. This model assumes that duopoly generators offer to sell electricity at their marginal cost, but can withhold a continuous segment of their capacity from the market. The Nash equilibrium withholding strategy of this model involves each duopoly generator withholding so that it produces the Cournot equilibrium output. A monopoly model along the lines of the duopoly model is specified and simulated under the assumption that demand is stochastic. The optimal strategy depends on the degree of demand uncertainty. When there is a moderate degree of demand uncertainty, the optimal withholding strategy involves production inefficiencies. When there is a high degree of demand uncertainty, the optimal monopoly quantity is greater than the optimal output level when demand is non-stochastic. The third chapter contains an empirical examination of the behavior of generators in the wholesale electricity market in England and Wales in the early 1990's. The wholesale market in England and Wales is analyzed because the industry structure in the early 1990's created a natural experiment, which is described in this chapter, whereby one of the two dominant generators had no incentive to behave non-competitively. This chapter develops a classification methodology

  2. Hot Topics/New Initiatives | Drinking Water in New England ...

    EPA Pesticide Factsheets

    2017-07-06

    Information on Drinking Water in New England. Major Topics covered include: Conservation, Private Wells, Preventing Contamination, Drinking Water Sources, Consumer Confidence Reports, and Drinking Water Awards.

  3. Determinants of general practitioners' wages in England.

    PubMed

    Morris, Stephen; Goudie, Rosalind; Sutton, Matt; Gravelle, Hugh; Elliott, Robert; Hole, Arne Risa; Ma, Ada; Sibbald, Bonnie; Skåtun, Diane

    2011-02-01

    We analyse the determinants of annual net income and wages (net income/hours) of general practitioners (GPs) using data for 2271 GPs in England recorded during Autumn 2008. The average GP had an annual net income of £97,500 and worked 43 h per week. The mean wage was £51 per h. Net income and wages depended on gender, experience, list size, partnership size, whether or not the GP worked in a dispensing practice, whether they were salaried of self-employed, whether they worked in a practice with a nationally or locally negotiated contract, and the characteristics of the local population (proportion from ethnic minorities, rurality, and income deprivation). The findings have implications for pay discrimination by GP gender and ethnicity, GP preferences for partnership size, incentives for competition for patients, and compensating differentials for local population characteristics. They also shed light on the attractiveness to GPs in England of locally negotiated (personal medical services) versus nationally negotiated (general medical services) contracts.

  4. Managing interoperability and complexity in health systems.

    PubMed

    Bouamrane, M-M; Tao, C; Sarkar, I N

    2015-01-01

    In recent years, we have witnessed substantial progress in the use of clinical informatics systems to support clinicians during episodes of care, manage specialised domain knowledge, perform complex clinical data analysis and improve the management of health organisations' resources. However, the vision of fully integrated health information eco-systems, which provide relevant information and useful knowledge at the point-of-care, remains elusive. This journal Focus Theme reviews some of the enduring challenges of interoperability and complexity in clinical informatics systems. Furthermore, a range of approaches are proposed in order to address, harness and resolve some of the many remaining issues towards a greater integration of health information systems and extraction of useful or new knowledge from heterogeneous electronic data repositories.

  5. LaserCom System Architecture With Reduced Complexity

    NASA Technical Reports Server (NTRS)

    Lesh, James R. (Inventor); Chen, Chien-Chung (Inventor); Ansari, Homa-Yoon (Inventor)

    1996-01-01

    Spatial acquisition and precision beam pointing functions are critical to spaceborne laser communication systems. In the present invention a single high bandwidth CCD detector is used to perform both spatial acquisition and tracking functions. Compared to previous lasercom hardware design, the array tracking concept offers reduced system complexity by reducing the number of optical elements in the design. Specifically, the design requires only one detector and one beam steering mechanism. It also provides means to optically close the point-ahead control loop. The technology required for high bandwidth array tracking was examined and shown to be consistent with current state of the art. The single detector design can lead to a significantly reduced system complexity and a lower system cost.

  6. Network representations of immune system complexity

    PubMed Central

    Subramanian, Naeha; Torabi-Parizi, Parizad; Gottschalk, Rachel A.; Germain, Ronald N.; Dutta, Bhaskar

    2015-01-01

    The mammalian immune system is a dynamic multi-scale system composed of a hierarchically organized set of molecular, cellular and organismal networks that act in concert to promote effective host defense. These networks range from those involving gene regulatory and protein-protein interactions underlying intracellular signaling pathways and single cell responses to increasingly complex networks of in vivo cellular interaction, positioning and migration that determine the overall immune response of an organism. Immunity is thus not the product of simple signaling events but rather non-linear behaviors arising from dynamic, feedback-regulated interactions among many components. One of the major goals of systems immunology is to quantitatively measure these complex multi-scale spatial and temporal interactions, permitting development of computational models that can be used to predict responses to perturbation. Recent technological advances permit collection of comprehensive datasets at multiple molecular and cellular levels while advances in network biology support representation of the relationships of components at each level as physical or functional interaction networks. The latter facilitate effective visualization of patterns and recognition of emergent properties arising from the many interactions of genes, molecules, and cells of the immune system. We illustrate the power of integrating ‘omics’ and network modeling approaches for unbiased reconstruction of signaling and transcriptional networks with a focus on applications involving the innate immune system. We further discuss future possibilities for reconstruction of increasingly complex cellular and organism-level networks and development of sophisticated computational tools for prediction of emergent immune behavior arising from the concerted action of these networks. PMID:25625853

  7. Leadership and transitions: maintaining the science in complexity and complex systems.

    PubMed

    Sturmberg, Joachim P; Martin, Carmel M

    2012-02-01

    It is the 'moral compass', however subtle, that underpins leadership. Leadership, meaning showing the way, demands as much conviction as gentile diplomacy in the discourse with supporters and detractors. In particular, leadership defends the goal by safeguarding its principles from its detractors. The authors writing in the Forum on Complexity in Medicine and Healthcare since its inception are leaders in an intellectual transition to complex systems thinking in medicine and health. © 2012 Blackwell Publishing Ltd.

  8. Rewilding in England and Wales: A review of recent developments, issues, and concerns

    Treesearch

    Steve Carver

    2007-01-01

    This paper reviews the emerging wild land policy in the United Kingdom-in England and Wales in particular-and the environmental, social, political and economic drivers that make extensive protected wild land areas a possibility in what is otherwise a crowded and intensively developed island nation. Various future scenarios for wild land and rewilding in England and...

  9. Population Structure of Sclerotinia subarctica and Sclerotinia sclerotiorum in England, Scotland and Norway

    PubMed Central

    Clarkson, John P.; Warmington, Rachel J.; Walley, Peter G.; Denton-Giles, Matthew; Barbetti, Martin J.; Brodal, Guro; Nordskog, Berit

    2017-01-01

    Sclerotinia species are important fungal pathogens of a wide range of crops and wild host plants. While the biology and population structure of Sclerotinia sclerotiorum has been well-studied, little information is available for the related species S. subarctica. In this study, Sclerotinia isolates were collected from different crop plants and the wild host Ranuculus ficaria (meadow buttercup) in England, Scotland, and Norway to determine the incidence of Sclerotinia subarctica and examine the population structure of this pathogen for the first time. Incidence was very low in England, comprising only 4.3% of isolates while moderate and high incidence of S. subarctica was identified in Scotland and Norway, comprising 18.3 and 48.0% of isolates respectively. Characterization with eight microsatellite markers identified 75 haplotypes within a total of 157 isolates over the three countries with a few haplotypes in Scotland and Norway sampled at a higher frequency than the rest across multiple locations and host plants. In total, eight microsatellite haplotypes were shared between Scotland and Norway while none were shared with England. Bayesian and principal component analyses revealed common ancestry and clustering of Scottish and Norwegian S. subarctica isolates while English isolates were assigned to a separate population cluster and exhibited low diversity indicative of isolation. Population structure was also examined for S. sclerotiorum isolates from England, Scotland, Norway, and Australia using microsatellite data, including some from a previous study in England. In total, 484 haplotypes were identified within 800 S. sclerotiorum isolates with just 15 shared between England and Scotland and none shared between any other countries. Bayesian and principal component analyses revealed a common ancestry and clustering of the English and Scottish isolates while Norwegian and Australian isolates were assigned to separate clusters. Furthermore, sequencing part of the

  10. Selected water-resources activities of the U.S. Geological Survey in New England in 2017

    USGS Publications Warehouse

    Weiskel, Peter K.

    2017-06-22

    The New England Water Science Center of the U.S. Geological Survey (USGS) is headquartered in Pembroke, New Hampshire, with offices in East Hartford, Connecticut; Augusta, Maine; Northborough, Massachusetts; and Montpelier, Vermont. The areas of expertise covered by the water science center’s staff of 130 include aquatic biology, chemistry, geographic information systems, geology, hydrologic sciences and engineering, and water use.

  11. Community treatment orders in England: review of usage from national data.

    PubMed

    Gupta, Susham; Akyuz, Elvan U; Baldwin, Toby; Curtis, David

    2018-06-01

    Aims and methodCommunity treatment orders (CTOs) have been in used in England and Wales since November 2008; however, their effectiveness has been debated widely, as has the question of which methodology is appropriate to investigate them. This paper uses national data to explore the use of CTOs in England. About 5500 patients are subject to CTOs at any one time. Each year, ~4500 patients are made subject to a CTO each year and ~2500 are fully discharged, usually by the responsible clinician; fewer than half of CTO patients are recalled, and two-thirds of recalls end in revocation. The low rate of CTO discharges by mental health tribunals (below 5%) suggests that they are not used inappropriately.Clinical implicationsThe introduction of CTOs in England has coincided with a reduction in psychiatric service provision due to the economic downturn. Pressures on services might be even more severe if patients currently subject to CTOs instead needed to be detained as in-patients.Declaration of interestNone.

  12. Lessons from Albion: Can Australia learn from England's approach to primary healthcare funding?

    PubMed

    Norman, Richard; Robinson, Suzanne

    2015-01-01

    As Australia struggles to meet increased demand for healthcare and contain expenditure there has been a focus on primary care and its role in demand management and keeping people out of expensive secondary care. However, with domestic policy struggling to find a suitable approach consideration of English policy could well be fruitful in the quest to strengthen and develop primary care in Australia. The purpose of this paper is to consider policy developments in England and explores these in relation to the Australian healthcare system. The authors highlight the key changes to policy that have occurred in the English healthcare system in recent years, and discuss whether they have proven successful. The authors discuss the barriers to implementing similar approaches in Australia, particularly the difference in system structure that would necessitate policy adaptation. Whilst there are differences in the structure and organisation of funding and service provision between countries, there are developments in England that are worthy of consideration from an Australian perspective. These include a focus on funding and commissioning that rewards quality not just activity and volume. As Australia sees the development of new primary care organisations that are tasked with commissioning then developments and lessons around the technical and relational aspects will be important to consider. The work highlights that Australia might consider learning from the English experience in this area and the types of incentives that may increase efficiency and quality of health service provision. This is important as it potentially gives greater certainty about those approaches most likely to yield beneficial outcomes for patients and the broader system.

  13. Accountability in the UK Healthcare System: An Overview

    PubMed Central

    Peckham, Stephen

    2014-01-01

    Recent changes in the English National Health Service (NHS) have introduced new complexities into the accountability arrangements for healthcare services. This commentary describes how the new organizational structures have challenged the traditional centralized accountability structures by creating a more dispersed system of governance for local health-care commissioners. It sets the context of discussions about accountability in the UK NHS and then describes the key changes in England following the implementation of the NHS reforms in April 2013. The commentary concludes that while there is increased complexity of accountability within a more decentralized and fragmented healthcare system, the government's goal of achieving increased local autonomy and greater control by general practitioners (GPs) will probably not be realized. In particular, the system will continue to have strongly centralized aspects, with increased regulation and central political responsibility. PMID:25305399

  14. Documentation Driven Development for Complex Real-Time Systems

    DTIC Science & Technology

    2004-12-01

    This paper presents a novel approach for development of complex real - time systems , called the documentation-driven development (DDD) approach. This... time systems . DDD will also support automated software generation based on a computational model and some relevant techniques. DDD includes two main...stakeholders to be easily involved in development processes and, therefore, significantly improve the agility of software development for complex real

  15. Strategies and Rubrics for Teaching Complex Systems Theory to Novices (Invited)

    NASA Astrophysics Data System (ADS)

    Fichter, L. S.

    2010-12-01

    Bifurcation. Self-similarity. Fractal. Sensitive dependent. Agents. Self-organized criticality. Avalanche behavior. Power laws. Strange attractors. Emergence. The language of complexity is fundamentally different from the language of equilibrium. If students do not know these phenomena, and what they tell us about the pulse of dynamic systems, complex systems will be opaque. A complex system is a group of agents. (individual interacting units, like birds in a flock, sand grains in a ripple, or individual friction units along a fault zone), existing far from equilibrium, interacting through positive and negative feedbacks, following simple rules, forming interdependent, dynamic, evolutionary networks. Complex systems produce behaviors that cannot be predicted deductively from knowledge of the behaviors of the individual components themselves; they must be experienced. What complexity theory demonstrates is that, by following simple rules, all the agents end up coordinating their behavior—self organizing—so that what emerges is not chaos, but meaningful patterns. How can we introduce Freshman, non-science, general education students to complex systems theories, in 3 to 5 classes; in a way they really get it, and can use the principles to understand real systems? Complex systems theories are not a series of unconnected or disconnected equations or models; they are developed as narratives that makes sense of how all the pieces and properties are interrelated. The principles of complex systems must be taught as deliberately and systematically as the equilibrium principles normally taught; as, say, the systematic training from pre-algebra and geometry to algebra. We have developed a sequence of logically connected narratives (strategies and rubrics) that introduce complex systems principles using models that can be simulated in a computer, in class, in real time. The learning progression has a series of 12 models (e.g. logistic system, bifurcation diagrams, genetic

  16. Backward- and forward-looking responsibility for obesity: policies from WHO, the EU and England.

    PubMed

    Vallgårda, Signild; Nielsen, Morten Ebbe Juul; Hartlev, Mette; Sandøe, Peter

    2015-10-01

    In assigning responsibility for obesity prevention a distinction may be drawn between who is responsible for the rise in obesity prevalence ('backward-looking responsibility'), and who is responsible for reducing it ('forward-looking responsibility'). We study how the two aspects of responsibility figure in the obesity policies of WHO (European Region), the EU and the Department of Health (England). Responsibility for the emergence and reduction of obesity is assigned to both individuals and other actors to different degrees in the policies, combining an individual and a systemic view. The policies assign backward-looking responsibility to individuals, the social environment, the authorities and businesses. When it comes to forward-looking responsibility, individuals are expected to play a central role in reducing and preventing obesity, but other actors are also urged to act. WHO assigns to individuals the lowest degree of backward- and forward-looking responsibility, and the Department of Health (England) assigns them the highest degree of responsibility. Differences in the assignment of backward- and above all forward-looking responsibility could be explained to some extent by the different roles of the three authorities making the plans. WHO is a UN agency with health as its goal, the EU is a liberal economic union with optimization of the internal European market as an important task, and England, as an independent sovereign country, has its own economic responsibilities. © The Author 2015. Published by Oxford University Press on behalf of the European Public Health Association. All rights reserved.

  17. Formal Requirements-Based Programming for Complex Systems

    NASA Technical Reports Server (NTRS)

    Rash, James L.; Hinchey, Michael G.; Rouff, Christopher A.; Gracanin, Denis

    2005-01-01

    Computer science as a field has not yet produced a general method to mechanically transform complex computer system requirements into a provably equivalent implementation. Such a method would be one major step towards dealing with complexity in computing, yet it remains the elusive holy grail of system development. Currently available tools and methods that start with a formal model of a system and mechanically produce a provably equivalent implementation are valuable but not sufficient. The gap that such tools and methods leave unfilled is that the formal models cannot be proven to be equivalent to the system requirements as originated by the customer For the classes of complex systems whose behavior can be described as a finite (but significant) set of scenarios, we offer a method for mechanically transforming requirements (expressed in restricted natural language, or appropriate graphical notations) into a provably equivalent formal model that can be used as the basis for code generation and other transformations. While other techniques are available, this method is unique in offering full mathematical tractability while using notations and techniques that are well known and well trusted. We illustrate the application of the method to an example procedure from the Hubble Robotic Servicing Mission currently under study and preliminary formulation at NASA Goddard Space Flight Center.

  18. Religious Education in England after 9/11

    ERIC Educational Resources Information Center

    Moulin, Daniel

    2012-01-01

    In the ten years following 9/11 there was unprecedented interest in, and commitment to, religious education in the school curriculum in England. Politicians, academics, and professionals all argued that learning about religion could foster "social cohesion" and even prevent terrorism. Accordingly there were a number of national and…

  19. Diversion of mentally disordered people from the criminal justice system in England and Wales: An overview.

    PubMed

    James, David V

    2010-01-01

    The form that diversion mechanisms take in a given jurisdiction will be influenced both by mental health law and sentencing policies, and by the structure of criminal justice and health care systems. In England and Wales, treatment in hospital in lieu of any other sentence is available as a disposal option following a finding of guilt. In addition, there is a National Health Service, free at the point of delivery, the existence of which creates the potential for a co-ordinated nationwide response to mental disorder within the criminal justice system. In recent years, the National Health Service has taken over the delivery of health care in prisons, including psychiatric services, with the principle being one of equivalence between the quality of health provision provided in the community and that provided in prisons. However, problems within the system dictate that an important place remains for add-on diversion initiatives at courts and police stations, which aim to circumvent some of the delays in dealing with mentally disordered people or to prevent them entering the criminal justice system in the first place. It has been demonstrated that such mechanisms can be highly effective, and a government-sponsored review in 1992 recommended their general adoption. A lack of central co-ordination determined that progress was very slow. A new government-commissioned report in 2009 set out detailed recommendations for reform throughout the system. It laid emphasis on a co-ordinated response at all levels and between all agencies, and placed importance on linking initiatives with community services and with preventative measures, including attention to the effects of social exclusion. Some grounds for optimism exist, although there are particular problems in implementing change at a time of financial austerity. Copyright 2010 Elsevier Ltd. All rights reserved.

  20. Greater Perceived Age Discrimination in England than the United States: Results from HRS and ELSA

    PubMed Central

    Zaninotto, Paola; Steptoe, Andrew

    2015-01-01

    Objectives. We examined cross-national differences in perceptions of age discrimination in England and the United States. Under the premise that the United States has had age discrimination legislation in place for considerably longer than England, we hypothesized that perceptions of age discrimination would be lower in the United States. Methods. We analyzed data from two nationally representative studies of aging, the U.S. Health and Retirement Study (n = 4,818) and the English Longitudinal Study of Ageing (n = 7,478). Respondents aged 52 years and older who attributed any experiences of discrimination to their age were treated as cases of perceived age discrimination. We used multivariable logistic regression to estimate the odds ratios of experiencing perceived age discrimination in relation to selected sociodemographic factors. Results. Perceptions of age discrimination were significantly higher in England than the United States, with 34.8% of men and women in England reporting age discrimination compared with 29.1% in the United States. Associations between perceived age discrimination and older age and lower levels of household wealth were observed in both countries, but we found differences between England and the United States in the relationship between perceived age discrimination and education. Discussion. Our study revealed that levels of perceived age discrimination are lower in the United States than England and are less socially patterned. This suggests that differing social and political circumstances in the two countries may have an important role to play. PMID:26224759

  1. Complex systems dynamics in aging: new evidence, continuing questions.

    PubMed

    Cohen, Alan A

    2016-02-01

    There have long been suggestions that aging is tightly linked to the complex dynamics of the physiological systems that maintain homeostasis, and in particular to dysregulation of regulatory networks of molecules. This review synthesizes recent work that is starting to provide evidence for the importance of such complex systems dynamics in aging. There is now clear evidence that physiological dysregulation--the gradual breakdown in the capacity of complex regulatory networks to maintain homeostasis--is an emergent property of these regulatory networks, and that it plays an important role in aging. It can be measured simply using small numbers of biomarkers. Additionally, there are indications of the importance during aging of emergent physiological processes, functional processes that cannot be easily understood through clear metabolic pathways, but can nonetheless be precisely quantified and studied. The overall role of such complex systems dynamics in aging remains an important open question, and to understand it future studies will need to distinguish and integrate related aspects of aging research, including multi-factorial theories of aging, systems biology, bioinformatics, network approaches, robustness, and loss of complexity.

  2. Mapping complex traits as a dynamic system

    PubMed Central

    Sun, Lidan; Wu, Rongling

    2017-01-01

    Despite increasing emphasis on the genetic study of quantitative traits, we are still far from being able to chart a clear picture of their genetic architecture, given an inherent complexity involved in trait formation. A competing theory for studying such complex traits has emerged by viewing their phenotypic formation as a “system” in which a high-dimensional group of interconnected components act and interact across different levels of biological organization from molecules through cells to whole organisms. This system is initiated by a machinery of DNA sequences that regulate a cascade of biochemical pathways to synthesize endophenotypes and further assemble these endophenotypes toward the end-point phenotype in virtue of various developmental changes. This review focuses on a conceptual framework for genetic mapping of complex traits by which to delineate the underlying components, interactions and mechanisms that govern the system according to biological principles and understand how these components function synergistically under the control of quantitative trait loci (QTLs) to comprise a unified whole. This framework is built by a system of differential equations that quantifies how alterations of different components lead to the global change of trait development and function, and provides a quantitative and testable platform for assessing the multiscale interplay between QTLs and development. The method will enable geneticists to shed light on the genetic complexity of any biological system and predict, alter or engineer its physiological and pathological states. PMID:25772476

  3. The Effectiveness of Paid Services in Supporting Unpaid Carers' Employment in England.

    PubMed

    Pickard, Linda; King, Derek; Brimblecombe, Nicola; Knapp, Martin

    2015-07-01

    This paper explores the effectiveness of paid services in supporting unpaid carers' employment in England. There is currently a new emphasis in England on 'replacement care', or paid services for the cared-for person, as a means of supporting working carers. The international evidence on the effectiveness of paid services as a means of supporting carers' employment is inconclusive and does not relate specifically to England. The study reported here explores this issue using the 2009/10 Personal Social Services Survey of Adult Carers in England . The study finds a positive association between carers' employment and receipt of paid services by the cared-for person, controlling for covariates. It therefore gives support to the hypothesis that services for the cared-for person are effective in supporting carers' employment. Use of home care and a personal assistant are associated on their own with the employment of both men and women carers, while use of day care and meals-on-wheels are associated specifically with women's employment. Use of short-term breaks are associated with carers' employment when combined with other services. The paper supports the emphasis in English social policy on paid services as a means of supporting working carers, but questions the use of the term 'replacement care' and the emphasis on 'the market'.

  4. 50 CFR 600.1310 - New England and Gulf of Mexico Individual Fishing Quota Referenda.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 50 Wildlife and Fisheries 8 2010-10-01 2010-10-01 false New England and Gulf of Mexico Individual... PROVISIONS Limited Access Privilege Programs § 600.1310 New England and Gulf of Mexico Individual Fishing... Fishery Management Council (NEFMC) and the Gulf of Mexico Fishery Management Council (GMFMC). These...

  5. Local Education Spending in Scotland and England: Problems of Comparison in the LACE Study.

    ERIC Educational Resources Information Center

    Midwinter, Arthur

    1997-01-01

    The LACE (Local Authority Current Expenditure) report on comparable local education expenditure in Scotland, England, and Wales, 1993-95, found that Scottish expenditure was 23% higher than in England, largely from the higher incidence of local authority-educated children in Scotland. However, the LACE report excludes several important variables…

  6. 50 CFR 600.1310 - New England and Gulf of Mexico Individual Fishing Quota Referenda.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 50 Wildlife and Fisheries 12 2013-10-01 2013-10-01 false New England and Gulf of Mexico Individual... PROVISIONS Limited Access Privilege Programs § 600.1310 New England and Gulf of Mexico Individual Fishing... Fishery Management Council (NEFMC) and the Gulf of Mexico Fishery Management Council (GMFMC). These...

  7. 50 CFR 600.1310 - New England and Gulf of Mexico Individual Fishing Quota Referenda.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 50 Wildlife and Fisheries 10 2011-10-01 2011-10-01 false New England and Gulf of Mexico Individual... PROVISIONS Limited Access Privilege Programs § 600.1310 New England and Gulf of Mexico Individual Fishing... Fishery Management Council (NEFMC) and the Gulf of Mexico Fishery Management Council (GMFMC). These...

  8. 50 CFR 600.1310 - New England and Gulf of Mexico Individual Fishing Quota Referenda.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 50 Wildlife and Fisheries 12 2014-10-01 2014-10-01 false New England and Gulf of Mexico Individual... PROVISIONS Limited Access Privilege Programs § 600.1310 New England and Gulf of Mexico Individual Fishing... Fishery Management Council (NEFMC) and the Gulf of Mexico Fishery Management Council (GMFMC). These...

  9. 50 CFR 600.1310 - New England and Gulf of Mexico Individual Fishing Quota Referenda.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 50 Wildlife and Fisheries 12 2012-10-01 2012-10-01 false New England and Gulf of Mexico Individual... PROVISIONS Limited Access Privilege Programs § 600.1310 New England and Gulf of Mexico Individual Fishing... Fishery Management Council (NEFMC) and the Gulf of Mexico Fishery Management Council (GMFMC). These...

  10. Farewell to the Tick Box Inspector? Ofsted and the Changing Regime of School Inspection in England

    ERIC Educational Resources Information Center

    Baxter, Jacqueline; Clarke, John

    2013-01-01

    Since its inception in 1992 Ofsted (The Office for Standards in Education, Children's Services and Skills) has inspected schools under Section 9 of the Education (Schools) Act 1992; Section 10 of the School Inspections Act 1996; and Section 5 of the Education Act 2005. Pressure on England to improve its system of education has not only emerged…

  11. Uncertainty-based Estimation of the Secure Range for ISO New England Dynamic Interchange Adjustment

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Etingov, Pavel V.; Makarov, Yuri V.; Wu, Di

    2014-04-14

    The paper proposes an approach to estimate the secure range for dynamic interchange adjustment, which assists system operators in scheduling the interchange with neighboring control areas. Uncertainties associated with various sources are incorporated. The proposed method is implemented in the dynamic interchange adjustment (DINA) tool developed by Pacific Northwest National Laboratory (PNNL) for ISO New England. Simulation results are used to validate the effectiveness of the proposed method.

  12. Exploring Complex Systems Aspects of Blackout Risk and Mitigation

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Newman, David E; Carreras, Benjamin A; Lynch, Vickie E

    2011-01-01

    Electric power transmission systems are a key infrastructure, and blackouts of these systems have major consequences for the economy and national security. Analyses of blackout data suggest that blackout size distributions have a power law form over much of their range. This result is an indication that blackouts behave as a complex dynamical system. We use a simulation of an upgrading power transmission system to investigate how these complex system dynamics impact the assessment and mitigation of blackout risk. The mitigation of failures in complex systems needs to be approached with care. The mitigation efforts can move the system tomore » a new dynamic equilibrium while remaining near criticality and preserving the power law region. Thus, while the absolute frequency of blackouts of all sizes may be reduced, the underlying forces can still cause the relative frequency of large blackouts to small blackouts to remain the same. Moreover, in some cases, efforts to mitigate small blackouts can even increase the frequency of large blackouts. This result occurs because the large and small blackouts are not mutually independent, but are strongly coupled by the complex dynamics.« less

  13. Emergent "Quantum" Theory in Complex Adaptive Systems.

    PubMed

    Minic, Djordje; Pajevic, Sinisa

    2016-04-30

    Motivated by the question of stability, in this letter we argue that an effective quantum-like theory can emerge in complex adaptive systems. In the concrete example of stochastic Lotka-Volterra dynamics, the relevant effective "Planck constant" associated with such emergent "quantum" theory has the dimensions of the square of the unit of time. Such an emergent quantum-like theory has inherently non-classical stability as well as coherent properties that are not, in principle, endangered by thermal fluctuations and therefore might be of crucial importance in complex adaptive systems.

  14. Etoile Project : Social Intelligent ICT-System for very large scale education in complex systems

    NASA Astrophysics Data System (ADS)

    Bourgine, P.; Johnson, J.

    2009-04-01

    The project will devise new theory and implement new ICT-based methods of delivering high-quality low-cost postgraduate education to many thousands of people in a scalable way, with the cost of each extra student being negligible (< a few Euros). The research will create an in vivo laboratory of one to ten thousand postgraduate students studying courses in complex systems. This community is chosen because it is large and interdisciplinary and there is a known requirement for courses for thousand of students across Europe. The project involves every aspect of course production and delivery. Within this the research focused on the creation of a Socially Intelligent Resource Mining system to gather large volumes of high quality educational resources from the internet; new methods to deconstruct these to produce a semantically tagged Learning Object Database; a Living Course Ecology to support the creation and maintenance of evolving course materials; systems to deliver courses; and a ‘socially intelligent assessment system'. The system will be tested on one to ten thousand postgraduate students in Europe working towards the Complex System Society's title of European PhD in Complex Systems. Étoile will have a very high impact both scientifically and socially by (i) the provision of new scalable ICT-based methods for providing very low cost scientific education, (ii) the creation of new mathematical and statistical theory for the multiscale dynamics of complex systems, (iii) the provision of a working example of adaptation and emergence in complex socio-technical systems, and (iv) making a major educational contribution to European complex systems science and its applications.

  15. Challenges in Developing Models Describing Complex Soil Systems

    NASA Astrophysics Data System (ADS)

    Simunek, J.; Jacques, D.

    2014-12-01

    Quantitative mechanistic models that consider basic physical, mechanical, chemical, and biological processes have the potential to be powerful tools to integrate our understanding of complex soil systems, and the soil science community has often called for models that would include a large number of these diverse processes. However, once attempts have been made to develop such models, the response from the community has not always been overwhelming, especially after it discovered that these models are consequently highly complex, requiring not only a large number of parameters, not all of which can be easily (or at all) measured and/or identified, and which are often associated with large uncertainties, but also requiring from their users deep knowledge of all/most of these implemented physical, mechanical, chemical and biological processes. Real, or perceived, complexity of these models then discourages users from using them even for relatively simple applications, for which they would be perfectly adequate. Due to the nonlinear nature and chemical/biological complexity of the soil systems, it is also virtually impossible to verify these types of models analytically, raising doubts about their applicability. Code inter-comparisons, which is then likely the most suitable method to assess code capabilities and model performance, requires existence of multiple models of similar/overlapping capabilities, which may not always exist. It is thus a challenge not only to developed models describing complex soil systems, but also to persuade the soil science community in using them. As a result, complex quantitative mechanistic models are still an underutilized tool in soil science research. We will demonstrate some of the challenges discussed above on our own efforts in developing quantitative mechanistic models (such as HP1/2) for complex soil systems.

  16. Surnames and social mobility in England, 1170-2012.

    PubMed

    Clark, Gregory; Cummins, Neil

    2014-12-01

    Using educational status in England from 1170 to 2012, we show that the rate of social mobility in any society can be estimated from knowledge of just two facts: the distribution over time of surnames in the society and the distribution of surnames among an elite or underclass. Such surname measures reveal that the typical estimate of parent-child correlations in socioeconomic measures in the range of 0.2-0.6 are misleading about rates of overall social mobility. Measuring education status through Oxbridge attendance suggests a generalized intergenerational correlation in status in the range of 0.70-0.90. Social status is more strongly inherited even than height. This correlation is unchanged over centuries. Social mobility in England in 2012 was little greater than in preindustrial times. Thus there are indications of an underlying social physics surprisingly immune to government intervention.

  17. Rebels against the System: Leadership Agency and Curriculum Innovation in the Context of School Autonomy and Accountability in England

    ERIC Educational Resources Information Center

    Greany, Toby; Waterhouse, Joanne

    2016-01-01

    Purpose: The purpose of this paper is to describe and analyse the development of school autonomy, school leadership and curriculum innovation in England over the past 40 years. It provides a baseline picture for the wider international study on school autonomy and curriculum innovation. Design/methodology/approach: An initial literature review was…

  18. Physiological profile of senior and junior England international amateur boxers.

    PubMed

    Smith, Marcus S

    2006-01-01

    Despite worldwide popularity of amateur boxing, research focussed on the physiological demands of the sport is limited. The physiological profile of Senior and Junior England international amateur boxers is presented. A gradual (8 to 21-days) and rapid (0 to 7-days) phase of body weight reduction was evident with 2.2 ± 0.3 % of the 7.0 ± 0. 8 % weight loss occurring over the final 24-hours. An increase in body weight >4% was observed following a recovery period. High urine osmolality values (> 1000 mOsm·kg(-1)) were recorded during training and competition. High post-competition blood lactate values (>13.5 mmol·l(-1)) highlighted the need for a well-developed anaerobic capacity and the importance of not entering the ring in a glycogen depleted state. The aerobic challenge of competition was demonstrated by maximum heart rate values being recorded during 'Open' sparring. Mean body fat values of 9-10% were similar to those reported for other weight classified athletes. Normal resting values were reported for hematocrit (Senior 48 ± 2 % and Junior 45 ± 2 %), haemoglobin (Senior 14.7 ± 1.0 g·dl(-1) and Junior 14.5 ± 0.8 g·dl(-1)), bilirubin (Senior 15.3 ± 6.2 µmol·l-1(-1)) and ferritin (Senior 63.3 ± 45.7 ng·ml(-1)). No symptoms associated with asthma or exercise-induced asthma was evident. A well- developed aerobic capacity was reflected in the Senior VO2max value of 63.8 ± 4.8 ml·kg(-1)·min(-1). Senior lead hand straight punching force (head 1722 ± 700 N and body 1682 ± 636 N) was lower than the straight rear hand (head 2643 ± 1273 N and body 2646 ± 1083 N), lead hook (head 2412 ± 813 N and body 2414 ± 718 N) and rear hook (head 2588 ± 1040 N and body 2555 ± 926 N). It was concluded that amateur boxing performance is dependent on the interplay between anaerobic and aerobic energy systems. Current weight making methods may lead to impaired substrate availability, leading to reduced competitive performance and an increased risk to a boxers

  19. The Tornado Hazard in Southern New England: History, Characteristics, Student and Teacher Perceptions

    ERIC Educational Resources Information Center

    Lewis, Thomas R.

    2006-01-01

    People generally do not perceive New England to be tornado-prone. Yet, there is a long history of such storms in the six states going back to the late seventeenth century. Usually, New England tornadoes are small and short-lived; even so, some have caused many deaths and much property damage. There is a greater probability for a person to be…

  20. The Self as a Complex Dynamic System

    ERIC Educational Resources Information Center

    Mercer, Sarah

    2011-01-01

    This article explores the potential offered by complexity theories for understanding language learners' sense of self and attempts to show how the self might usefully be conceived of as a complex dynamic system. Rather than presenting empirical findings, the article discusses existent research on the self and aims at outlining a conceptual…

  1. The Politics of Education Policy in England

    ERIC Educational Resources Information Center

    Gunter, Helen M.

    2015-01-01

    In this appreciative discussion paper I provide an overview of the reforms made to education in England, and engage with the politics of education through examining the simultaneous and inter-related processes of politicisation, depoliticisation and repoliticisation of educational matters. I engage in a discussion of the papers in this special…

  2. Aspects of In-Service Education in England.

    ERIC Educational Resources Information Center

    Nist, Joan Stidham

    This paper outlines the growth and development of teacher centers in England. These centers grew out of a general dissatisfaction on the part of classroom teachers with existing inservice programs. It was the feeling that certain priorities for teachers were being overlooked, such as methods of dealing with learning difficulties, class…

  3. Post-Panopticism and School Inspection in England

    ERIC Educational Resources Information Center

    Courtney, Steven J.

    2016-01-01

    In this paper, I draw on a study of school leaders' experiences of inspection to argue that repeated changes to school inspection policy in England constitute a post-panoptic regime. Thinking with and against Foucault, I elaborate post-panopticism, here characterised by: subjects' visibility; "fuzzy" norms; the exposure of subjects'…

  4. Employment Outlook for 1975 College Graduates in New England. Regional Report Number 75-5.

    ERIC Educational Resources Information Center

    Bowen, Gordon E.

    Based on interviews with placement officers at more than 24 colleges in New England and information sought from corporate placement officials and college seniors, the job outlook for many 1975 New England college graduates seemed favorable according to early spring indications. Campus recruiting, as measured by the number of firms scheduling…

  5. Redesign and commissioning of sexual health services in England - a qualitative study.

    PubMed

    Walker, I F; Leigh-Hunt, N; Lee, A C K

    2016-10-01

    Responsibility for the commissioning of sexual and reproductive health (SRH) services transferred from the National Health Service to local authorities in England in 2013. This transfer prompted many local authorities to undertake new procurements of these SRH services. This study was undertaken to capture some of the lessons learnt in order to inform future commissioning and system redesign. A qualitative study was carried out involving semi-structured interviews. Interviews were conducted with 13 local authority sexual health commissioners in Yorkshire and the Humber from 11 interviews. Thematic analysis was used to identify themes from transcripts of the interviews with the 13 participants. Key themes identified were as follows: the challenge and complexity to those new to clinical commissioning; the prerequisites of robust infrastructural inputs to undertake the process, including technical expertise, a dependable project team, with clarity over the timescales and the budget; the requirement for good governance, stakeholder engagement and successful management of relationships with the latter; and the need to focus on the outcomes, aiming for value for money and improved system performance. Several key issues emerged from our study that significantly influenced the outcome of the redesign and commissioning process for sexual health services. An adapted model of the Donabedian evaluation framework was developed to provide a tool to inform future system redesign. Our model helps identify the key determinants for successful redesign in this context which is essential to both mitigate potential risks and maximize the likelihood of successful outcomes. Our model may have wider applications. Copyright © 2016 The Royal Society for Public Health. Published by Elsevier Ltd. All rights reserved.

  6. Automated Biosurveillance Data from England and Wales, 1991–2011

    PubMed Central

    Enki, Doyo G.; Noufaily, Angela; Garthwaite, Paul H.; Andrews, Nick J.; Charlett, André; Lane, Chris

    2013-01-01

    Outbreak detection systems for use with very large multiple surveillance databases must be suited both to the data available and to the requirements of full automation. To inform the development of more effective outbreak detection algorithms, we analyzed 20 years of data (1991–2011) from a large laboratory surveillance database used for outbreak detection in England and Wales. The data relate to 3,303 distinct types of infectious pathogens, with a frequency range spanning 6 orders of magnitude. Several hundred organism types were reported each week. We describe the diversity of seasonal patterns, trends, artifacts, and extra-Poisson variability to which an effective multiple laboratory-based outbreak detection system must adjust. We provide empirical information to guide the selection of simple statistical models for automated surveillance of multiple organisms, in the light of the key requirements of such outbreak detection systems, namely, robustness, flexibility, and sensitivity. PMID:23260848

  7. Management Strategies for Complex Adaptive Systems: Sensemaking, Learning, and Improvisation

    ERIC Educational Resources Information Center

    McDaniel, Reuben R., Jr.

    2007-01-01

    Misspecification of the nature of organizations may be a major reason for difficulty in achieving performance improvement. Organizations are often viewed as machine-like, but complexity science suggests that organizations should be viewed as complex adaptive systems. I identify the characteristics of complex adaptive systems and give examples of…

  8. Complex Engineered Systems: A New Paradigm

    NASA Astrophysics Data System (ADS)

    Mina, Ali A.; Braha, Dan; Bar-Yam, Yaneer

    Human history is often seen as an inexorable march towards greater complexity — in ideas, artifacts, social, political and economic systems, technology, and in the structure of life itself. While we do not have detailed knowledge of ancient times, it is reasonable to conclude that the average resident of New York City today faces a world of much greater complexity than the average denizen of Carthage or Tikal. A careful consideration of this change, however, suggests that most of it has occurred recently, and has been driven primarily by the emergence of technology as a force in human life. In the 4000 years separating the Indus Valley Civilization from 18th century Europe, human transportation evolved from the bullock cart to the hansom, and the methods of communication used by George Washington did not differ significantly from those used by Alexander or Rameses. The world has moved radically towards greater complexity in the last two centuries. We have moved from buggies and letter couriers to airplanes and the Internet — an increase in capacity, and through its diversity also in complexity, orders of magnitude greater than that accumulated through the rest of human history. In addition to creating iconic artifacts — the airplane, the car, the computer, the television, etc. — this change has had a profound effect on the scope of experience by creating massive, connected and multiultra- level systems — traffic networks, power grids, markets, multinational corporations — that defy analytical understanding and seem to have a life of their own. This is where complexity truly enters our lives.

  9. Geographical variation in anophthalmia and microphthalmia in England, 1988-94

    PubMed Central

    Dolk, H; Busby, A; Armstrong, B G; Walls, P H

    1998-01-01

    Objective: To investigate the geographical variation and clustering of congenital anophthalmia and microphthalmia in England, in response to media reports of clusters. Design: Comparison of pattern of residence at birth of cases of anophthalmia and microphthalmia in England in 1988-94, notified to a special register, with pattern of residence of all births. Three groups studied included all cases, all severe cases, and all severe cases of unknown aetiology. Outcome measures: Prevalence rates of anophthalmia and microphthalmia by region and district, and by ward population density and socioeconomic deprivation index of enumeration district grouped into fifths. Clustering expressed as the tendency for the three nearest neighbours of a case to be more likely to be cases than expected by chance, or for there to be more cases within circles of fixed radius of a case than expected by chance. Results: The overall prevalence of anophthalmia and microphthalmia was 1.0 per 10 000 births. Regional and district variation in prevalence did not reach statistical significance. Prevalence was higher in rural than urban areas: the relative risk in the group of wards of lowest population density compared with the most densely populated group was 1.79 (95% confidence interval 1.15 to 2.81) for all cases and 2.37 (1.38 to 4.08) for severe cases. There was no evidence of a trend in risk with socioeconomic deprivation. There was very little evidence of localised clustering. Conclusions: There is very little evidence to support the presence of strongly localised environmental exposures causing clusters of children to be born with anophthalmia or microphthalmia. The excess risk in rural areas requires further investigation. Key messagesClusters of anophthalmia and microphthalmia in England have been alleged in the media, with hypothesised links to environmental exposure such as pesticidesTo answer concerns about clustering a register has been established of all cases of anophthalmia and

  10. Aortic dissection in pregnancy in England: an incidence study using linked national databases

    PubMed Central

    Banerjee, Amitava; Begaj, Irena; Thorne, Sara

    2015-01-01

    Objectives To conduct the first population-level incidence study of aortic dissection in pregnancy using linked hospital-based data in England. Setting Hospital-based data (Hospital Episode Statistics (HES) linked with mortality data from the Office of National Statistics), national enquiries (Confidential Enquiries into Maternal Mortality) and surveys (UK Obstetric Surveillance System; UKOSS) of aortic dissection in pregnancy from 2003 to 2011 in England. Participants Between 2003 and 2011, all female patients admitted with diagnoses of aortic dissection (not necessarily as the primary cause of admission) and of pregnancy, childbirth and puerperium, were included. Outcome measures Diagnosis of aortic dissection during pregnancy, operated or not operated, with outcome of death or live patient from 2003 to 2011 in England. Results There were significant differences in characteristics of databases with respect to study population, time of study, recorded event and follow-up of outcomes. On the basis of HES, annual incidence of aortic dissection was 1.23 (95% CI 1.22 to 1.24) per 100 000 maternities. Incidence of aortic dissection with death within 1 year was 0.30 (0.29 to 0.31) per 100 000 maternities. Incidence of aortic dissection increased from 0.74 (0.73 to 0.75) per 100 000 maternities in 2003–2005 to 1.52 (1.51 to 1.53) per 100 000 maternities in 2009–2011. In the Confidential Enquiries into Maternal Deaths, incidence of deaths was highest for 2003–2005 (0.43/100 000 maternities) and lowest for 1997–1999 (0.21/100 000 maternities). In the UK Obstetric Surveillance System, national incidence of aortic dissection was 0.80 (0.50 to 1.50) per 100 000 maternities between 2009 and 2011. Conclusions The case of aortic dissection in pregnancy illustrates data limitations regarding complications in pregnancy from different sources in the UK, even for a diagnosis with seemingly few alternative coding and diagnostic possibilities. These limitations should be

  11. Large-scale systems: Complexity, stability, reliability

    NASA Technical Reports Server (NTRS)

    Siljak, D. D.

    1975-01-01

    After showing that a complex dynamic system with a competitive structure has highly reliable stability, a class of noncompetitive dynamic systems for which competitive models can be constructed is defined. It is shown that such a construction is possible in the context of the hierarchic stability analysis. The scheme is based on the comparison principle and vector Liapunov functions.

  12. Preventing violence-related injuries in England and Wales: a panel study examining the impact of on-trade and off-trade alcohol prices.

    PubMed

    Page, Nicholas; Sivarajasingam, Vaseekaran; Matthews, Kent; Heravi, Saeed; Morgan, Peter; Shepherd, Jonathan

    2017-02-01

    To examine the influence of real on-trade and off-trade alcohol prices and socioeconomic and environmental factors on rates of violence-related emergency department (ED) attendances in England and Wales over an 8-year period. Anonymised injury data which included attendance date, age and gender of patients aged over 18 years who reported injury in violence were collected from a structured sample of 100 EDs across England and Wales between 1 January 2005 and 31 December 2012. Alcohol prices and socioeconomic measures were obtained from the UK Office for National Statistics. Panel techniques were used to derive a statistical model. Real on-trade (β=-0.661, p<0.01) and off-trade (β=-0.277, p<0.05) alcohol prices were negatively related with rates of violence-related ED attendance among the adult population of England and Wales, after accounting for the effects of regional poverty, income inequality, youth spending power and seasonal effects. It is estimated that over 6000 fewer violence-related ED attendances per year in England and Wales would result from a 1% increase in both on-trade and off-trade alcohol prices above inflation. Of the variables studied, changes in regional poverty and income inequality had the greatest effect on violence-related ED attendances in England and Wales. Small increases in the price of alcohol, above inflation, in both markets, would substantially reduce the number of patients attending EDs for treatment of violence-related injuries in England and Wales. Reforming the current alcohol taxation system may be more effective at reducing violence-related injury than minimum unit pricing. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/.

  13. Drakelands Mine, England

    NASA Image and Video Library

    2015-08-21

    The Drakelands Mine (previously known as the Hemerdon Mine) is a historic tungsten and tin mine located northeast of Plymouth, England. Tin and tungsten deposits were discovered in 1867, and the mine operated until 1944. Last year work started to re-open the mine, as it hosts the fourth-largest tungsten and tin deposits in the world. Tungsten has innumerable uses due to its incredible density and high melting temperature. Yet more than 80% of world supply is controlled by China, who has imposed restriction on export of the metal. The image covers an area of 17 by 18.9 km, was acquired June 5, 2013, and is located at 50.4 degrees north, 4 degrees west. http://photojournal.jpl.nasa.gov/catalog/PIA19757

  14. Advanced Kalman Filter for Real-Time Responsiveness in Complex Systems

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Welch, Gregory Francis; Zhang, Jinghe

    2014-06-10

    Complex engineering systems pose fundamental challenges in real-time operations and control because they are highly dynamic systems consisting of a large number of elements with severe nonlinearities and discontinuities. Today’s tools for real-time complex system operations are mostly based on steady state models, unable to capture the dynamic nature and too slow to prevent system failures. We developed advanced Kalman filtering techniques and the formulation of dynamic state estimation using Kalman filtering techniques to capture complex system dynamics in aiding real-time operations and control. In this work, we looked at complex system issues including severe nonlinearity of system equations, discontinuitiesmore » caused by system controls and network switches, sparse measurements in space and time, and real-time requirements of power grid operations. We sought to bridge the disciplinary boundaries between Computer Science and Power Systems Engineering, by introducing methods that leverage both existing and new techniques. While our methods were developed in the context of electrical power systems, they should generalize to other large-scale scientific and engineering applications.« less

  15. New England wildlife: habitat, natural history, and distribution

    Treesearch

    Richard M. DeGraaf; Deborah D. Rudis

    1986-01-01

    Describes natural history profiles of New England wildlife species and their associations with forested and nonforested habitats. Provides a database that will enable forest managers or wildlife biologists to describe the species or groups to be found in a given habitat.

  16. [The reception of Vesalius in Spain and England].

    PubMed

    Portmann, Maria

    2014-01-01

    This paper discusses the depiction of engravings taken from Vesalius's, Valverde de Hamusco's and Casserio 's treatises in portraits during the 16th and the 17th centuries to understand better the reception of the Fabrica in Spain and England.

  17. New England's travel & tourism markets: trends in the geographic target markets in the 90's

    Treesearch

    Rodney B. Warnick

    2001-01-01

    The purpose of this paper was to examine the travel and lifestyle activity market trends to New England in the 90s. The central theme was to fully examine in detail the primary, secondary and tertiary geographic markets targeted by New England destinations.

  18. Transition Manifolds of Complex Metastable Systems

    NASA Astrophysics Data System (ADS)

    Bittracher, Andreas; Koltai, Péter; Klus, Stefan; Banisch, Ralf; Dellnitz, Michael; Schütte, Christof

    2018-04-01

    We consider complex dynamical systems showing metastable behavior, but no local separation of fast and slow time scales. The article raises the question of whether such systems exhibit a low-dimensional manifold supporting its effective dynamics. For answering this question, we aim at finding nonlinear coordinates, called reaction coordinates, such that the projection of the dynamics onto these coordinates preserves the dominant time scales of the dynamics. We show that, based on a specific reducibility property, the existence of good low-dimensional reaction coordinates preserving the dominant time scales is guaranteed. Based on this theoretical framework, we develop and test a novel numerical approach for computing good reaction coordinates. The proposed algorithmic approach is fully local and thus not prone to the curse of dimension with respect to the state space of the dynamics. Hence, it is a promising method for data-based model reduction of complex dynamical systems such as molecular dynamics.

  19. Employment Outlook for 1976 College Graduates in New England. Regional Report Number 76-4.

    ERIC Educational Resources Information Center

    Bowen, Gordon E.

    Primary information furnished by college placement directors in New England revealed that recruiting for the 1976 New England college graduates started slowly in the fall of 1975 but picked up in the early months of 1976. Most placement officials reported slight increases in the number of recruiters visiting college campuses. Chemical engineers…

  20. Complex systems and the technology of variability analysis

    PubMed Central

    Seely, Andrew JE; Macklem, Peter T

    2004-01-01

    Characteristic patterns of variation over time, namely rhythms, represent a defining feature of complex systems, one that is synonymous with life. Despite the intrinsic dynamic, interdependent and nonlinear relationships of their parts, complex biological systems exhibit robust systemic stability. Applied to critical care, it is the systemic properties of the host response to a physiological insult that manifest as health or illness and determine outcome in our patients. Variability analysis provides a novel technology with which to evaluate the overall properties of a complex system. This review highlights the means by which we scientifically measure variation, including analyses of overall variation (time domain analysis, frequency distribution, spectral power), frequency contribution (spectral analysis), scale invariant (fractal) behaviour (detrended fluctuation and power law analysis) and regularity (approximate and multiscale entropy). Each technique is presented with a definition, interpretation, clinical application, advantages, limitations and summary of its calculation. The ubiquitous association between altered variability and illness is highlighted, followed by an analysis of how variability analysis may significantly improve prognostication of severity of illness and guide therapeutic intervention in critically ill patients. PMID:15566580

  1. Enduring the shipboard stressor complex: a systems approach.

    PubMed

    Comperatore, Carlos A; Rivera, Pik Kwan; Kingsley, Leonard

    2005-06-01

    A high incidence of physiological and psychological stressors characterizes the maritime work environment in many segments of the commercial maritime industry and in the military. Traditionally, crewmembers work embedded in a complex of stressors. Stressors rarely act independently because most occur concurrently, simultaneously taxing physical and mental resources. Stressors such as extreme environmental temperatures, long work hours, heavy mental and physical workload, authoritative leadership, isolation from family and loved ones, lack of exercise, and unhealthy diets often combine to degrade crewmember health and performance, particularly on long voyages. This complex system of interacting stressors affects the ability of maritime crewmembers to maintain adequate levels of alertness and performance. An analytical systems approach methodology is described here as a viable method to identify workplace stressors and track their systemic interactions. A systems-based program for managing the stressor complex is then offered, together with the empirical research supporting its efficacy. Included is an example implementation of a stressor-control program aboard a U.S. Coast Guard cutter.

  2. Nocturnal Oviposition Behavior of Forensically Important Diptera in Central England.

    PubMed

    Barnes, Kate M; Grace, Karon A; Bulling, Mark T

    2015-11-01

    Timing of oviposition on a corpse is a key factor in entomologically based minimum postmortem interval (mPMI) calculations. However, there is considerable variation in nocturnal oviposition behavior of blow flies reported in the research literature. This study investigated nocturnal oviposition in central England for the first time, over 25 trials from 2011 to 2013. Liver-baited traps were placed in an urban location during control (diurnal), and nocturnal periods and environmental conditions were recorded during each 5-h trial. No nocturnal activity or oviposition was observed during the course of the study indicating that nocturnal oviposition is highly unlikely in central England. © 2015 American Academy of Forensic Sciences.

  3. Freedoms and Perils: Academy Schools in England

    ERIC Educational Resources Information Center

    Heilbronn, Ruth

    2016-01-01

    Can Dewey's Moral Principles in Education throw light on a contemporary policy issue in education, namely the privatisation of education through the establishment of academy schools in England? The article first considers what the policy entails, in terms of its conception of education as a market commodity. The next section suggests an…

  4. Images of Idiocy in Puritan New England.

    ERIC Educational Resources Information Center

    Wickham, Parnel

    2001-01-01

    A review of how New England colonists viewed idiocy finds that for practical purposes, colonists defined idiocy in terms of incompetence in order to create a class of individuals who might qualify for protection under the laws. The influence of the beliefs of the Puritan preacher Cotton Mather is discussed. (Contains references.) (CR)

  5. Mathematics Anxiety in Secondary Students in England

    ERIC Educational Resources Information Center

    Chinn, Steve

    2009-01-01

    Whatever the changes that are made to the mathematics curriculum in England, there will always remain a problem with mathematics anxiety. Maths anxiety is rarely facilitative. This study examined aspects of mathematics in secondary schools and how students rated them as sources of anxiety. Over 2000 students in independent and mainstream schools…

  6. The Field of Educational Administration in England

    ERIC Educational Resources Information Center

    Gunter, Helen M.

    2012-01-01

    Based on over twenty years of empirical and intellectual work about knowledge production in the field of educational administration, I examine the origins and development of the canon, methodologies and knowledge workers in England. I focus on the field as being primarily concerned with professional activity and how and why this was established…

  7. A Statistical Physics Characterization of the Complex Systems Dynamics: Quantifying Complexity from Spatio-Temporal Interactions

    NASA Astrophysics Data System (ADS)

    Koorehdavoudi, Hana; Bogdan, Paul

    2016-06-01

    Biological systems are frequently categorized as complex systems due to their capabilities of generating spatio-temporal structures from apparent random decisions. In spite of research on analyzing biological systems, we lack a quantifiable framework for measuring their complexity. To fill this gap, in this paper, we develop a new paradigm to study a collective group of N agents moving and interacting in a three-dimensional space. Our paradigm helps to identify the spatio-temporal states of the motion of the group and their associated transition probabilities. This framework enables the estimation of the free energy landscape corresponding to the identified states. Based on the energy landscape, we quantify missing information, emergence, self-organization and complexity for a collective motion. We show that the collective motion of the group of agents evolves to reach the most probable state with relatively lowest energy level and lowest missing information compared to other possible states. Our analysis demonstrates that the natural group of animals exhibit a higher degree of emergence, self-organization and complexity over time. Consequently, this algorithm can be integrated into new frameworks to engineer collective motions to achieve certain degrees of emergence, self-organization and complexity.

  8. A Statistical Physics Characterization of the Complex Systems Dynamics: Quantifying Complexity from Spatio-Temporal Interactions

    PubMed Central

    Koorehdavoudi, Hana; Bogdan, Paul

    2016-01-01

    Biological systems are frequently categorized as complex systems due to their capabilities of generating spatio-temporal structures from apparent random decisions. In spite of research on analyzing biological systems, we lack a quantifiable framework for measuring their complexity. To fill this gap, in this paper, we develop a new paradigm to study a collective group of N agents moving and interacting in a three-dimensional space. Our paradigm helps to identify the spatio-temporal states of the motion of the group and their associated transition probabilities. This framework enables the estimation of the free energy landscape corresponding to the identified states. Based on the energy landscape, we quantify missing information, emergence, self-organization and complexity for a collective motion. We show that the collective motion of the group of agents evolves to reach the most probable state with relatively lowest energy level and lowest missing information compared to other possible states. Our analysis demonstrates that the natural group of animals exhibit a higher degree of emergence, self-organization and complexity over time. Consequently, this algorithm can be integrated into new frameworks to engineer collective motions to achieve certain degrees of emergence, self-organization and complexity. PMID:27297496

  9. From globally coupled maps to complex-systems biology

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Kaneko, Kunihiko, E-mail: kaneko@complex.c.u-tokyo.ac.jp

    Studies of globally coupled maps, introduced as a network of chaotic dynamics, are briefly reviewed with an emphasis on novel concepts therein, which are universal in high-dimensional dynamical systems. They include clustering of synchronized oscillations, hierarchical clustering, chimera of synchronization and desynchronization, partition complexity, prevalence of Milnor attractors, chaotic itinerancy, and collective chaos. The degrees of freedom necessary for high dimensionality are proposed to equal the number in which the combinatorial exceeds the exponential. Future analysis of high-dimensional dynamical systems with regard to complex-systems biology is briefly discussed.

  10. Greater Perceived Age Discrimination in England than the United States: Results from HRS and ELSA.

    PubMed

    Rippon, Isla; Zaninotto, Paola; Steptoe, Andrew

    2015-11-01

    We examined cross-national differences in perceptions of age discrimination in England and the United States. Under the premise that the United States has had age discrimination legislation in place for considerably longer than England, we hypothesized that perceptions of age discrimination would be lower in the United States. We analyzed data from two nationally representative studies of aging, the U.S. Health and Retirement Study (n = 4,818) and the English Longitudinal Study of Ageing (n = 7,478). Respondents aged 52 years and older who attributed any experiences of discrimination to their age were treated as cases of perceived age discrimination. We used multivariable logistic regression to estimate the odds ratios of experiencing perceived age discrimination in relation to selected sociodemographic factors. Perceptions of age discrimination were significantly higher in England than the United States, with 34.8% of men and women in England reporting age discrimination compared with 29.1% in the United States. Associations between perceived age discrimination and older age and lower levels of household wealth were observed in both countries, but we found differences between England and the United States in the relationship between perceived age discrimination and education. Our study revealed that levels of perceived age discrimination are lower in the United States than England and are less socially patterned. This suggests that differing social and political circumstances in the two countries may have an important role to play. © The Author 2015. Published by Oxford University Press on behalf of The Gerontological Society of America.

  11. A Multifaceted Mathematical Approach for Complex Systems

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Alexander, F.; Anitescu, M.; Bell, J.

    2012-03-07

    Applied mathematics has an important role to play in developing the tools needed for the analysis, simulation, and optimization of complex problems. These efforts require the development of the mathematical foundations for scientific discovery, engineering design, and risk analysis based on a sound integrated approach for the understanding of complex systems. However, maximizing the impact of applied mathematics on these challenges requires a novel perspective on approaching the mathematical enterprise. Previous reports that have surveyed the DOE's research needs in applied mathematics have played a key role in defining research directions with the community. Although these reports have had significantmore » impact, accurately assessing current research needs requires an evaluation of today's challenges against the backdrop of recent advances in applied mathematics and computing. To address these needs, the DOE Applied Mathematics Program sponsored a Workshop for Mathematics for the Analysis, Simulation and Optimization of Complex Systems on September 13-14, 2011. The workshop had approximately 50 participants from both the national labs and academia. The goal of the workshop was to identify new research areas in applied mathematics that will complement and enhance the existing DOE ASCR Applied Mathematics Program efforts that are needed to address problems associated with complex systems. This report describes recommendations from the workshop and subsequent analysis of the workshop findings by the organizing committee.« less

  12. Developing Students' Understanding of Complex Systems in the Geosciences (Invited)

    NASA Astrophysics Data System (ADS)

    Manduca, C. A.; Mogk, D. W.; Bice, D. M.; Pyle, E.; Slotta, J.

    2010-12-01

    Developing a systems perspective is a commonly cited goal for geosciences courses and programs. This perspective is a powerful tool for critical thinking, problem solving and integrative thinking across and beyond the sciences. In April 2010, a NSF funded ‘On the Cutting Edge’ workshop brought together 45 geoscience faculty, education and cognitive science researchers, and faculty from other STEM and social science disciplines that make use of a complex systems approach. The workshop participants focused on understanding the challenges inherent in developing an understanding of complex systems and the teaching strategies currently in use across the disciplines. These include using models and visualizations to allow students to experiment with complex systems, using projects and problems to give students experience with data and observations derived from a complex system, and using illustrated lectures and discussions and analogies to illuminate the salient aspects of complex systems. The workshop website contains a collection of teaching activities, instructional resources and courses that demonstrate these approaches. The workshop participants concluded that research leading to a clear articulation of what constitutes understanding complex system behavior is needed, as are instruments and performance measures that could be used to assess this understanding. Developing the ability to recognize complex systems and understand their behavior is a significant learning task that cannot be achieved in a single course. Rather it is a type of literacy that should be taught in a progression extending from elementary school to college and across the disciplines. Research defining this progression and its endpoints is needed. Full information about the workshop, its discussions, and resulting collections of courses, activities, references and ideas are available on the workshop website.

  13. Conceptual Foundations of Systems Biology Explaining Complex Cardiac Diseases.

    PubMed

    Louridas, George E; Lourida, Katerina G

    2017-02-21

    Systems biology is an important concept that connects molecular biology and genomics with computing science, mathematics and engineering. An endeavor is made in this paper to associate basic conceptual ideas of systems biology with clinical medicine. Complex cardiac diseases are clinical phenotypes generated by integration of genetic, molecular and environmental factors. Basic concepts of systems biology like network construction, modular thinking, biological constraints (downward biological direction) and emergence (upward biological direction) could be applied to clinical medicine. Especially, in the field of cardiology, these concepts can be used to explain complex clinical cardiac phenotypes like chronic heart failure and coronary artery disease. Cardiac diseases are biological complex entities which like other biological phenomena can be explained by a systems biology approach. The above powerful biological tools of systems biology can explain robustness growth and stability during disease process from modulation to phenotype. The purpose of the present review paper is to implement systems biology strategy and incorporate some conceptual issues raised by this approach into the clinical field of complex cardiac diseases. Cardiac disease process and progression can be addressed by the holistic realistic approach of systems biology in order to define in better terms earlier diagnosis and more effective therapy.

  14. Evaluation of the measles, mumps and rubella vaccination catch-up campaign in England in 2013.

    PubMed

    Simone, Benedetto; Balasegaram, Sooria; Gobin, Maya; Anderson, Charlotte; Charlett, André; Coole, Louise; Maguire, Helen; Nichols, Tom; Rawlings, Chas; Ramsay, Mary; Oliver, Isabel

    2014-08-06

    In January-March 2013 in England, confirmed measles cases increased in children aged 10-16 years. In April-September 2013, the National Health System and Public Health England launched a national measles-mumps-rubella (MMR) campaign based on data from Child Health Information Systems (CHIS) estimating that approximately 8% in this age group were unvaccinated. We estimated coverage at baseline, and, of those unvaccinated (target), the proportion vaccinated up to 20/08/2013 (mid-point) to inform further public health action. We selected a sample of 6644 children aged 10-16 years using multistage sampling from those reported unvaccinated in CHIS at baseline and validated their records against GP records. We adjusted the CHIS MMR vaccine coverage estimates correcting by the proportion of vaccinated children obtained through sample validation. We validated 5179/6644 (78%) of the sample records. Coverage at baseline was estimated as 94.7% (95% confidence intervals, CI: 93.5-96.0%), lower in London (86.9%, 95%CI: 83.0-90.9%) than outside (96.1%, 95%CI 95.5-96.8%). The campaign reached 10.8% (95%CI: 7.0-14.6%) of the target population, lower in London (7.1%, 95%CI: 4.9-9.3) than in the rest of England (11.4%, 95%CI: 7.0-15.9%). Coverage increased by 0.5% up to 95.3% (95% CI: 94.1-96.4%) but an estimated 210,000 10-16 year old children remained unvaccinated nationally. Baseline MMR coverage was higher than previously reported and was estimated to have reached the 95% campaign objective at midpoint. Eleven per cent of the target population were vaccinated during the campaign, and may be underestimated, especially in London. No further national campaigns are needed but targeted local vaccination activities should be considered. Copyright © 2014 Elsevier Ltd. All rights reserved.

  15. Sensitivity based coupling strengths in complex engineering systems

    NASA Technical Reports Server (NTRS)

    Bloebaum, C. L.; Sobieszczanski-Sobieski, J.

    1993-01-01

    The iterative design scheme necessary for complex engineering systems is generally time consuming and difficult to implement. Although a decomposition approach results in a more tractable problem, the inherent couplings make establishing the interdependencies of the various subsystems difficult. Another difficulty lies in identifying the most efficient order of execution for the subsystem analyses. The paper describes an approach for determining the dependencies that could be suspended during the system analysis with minimal accuracy losses, thereby reducing the system complexity. A new multidisciplinary testbed is presented, involving the interaction of structures, aerodynamics, and performance disciplines. Results are presented to demonstrate the effectiveness of the system reduction scheme.

  16. Structured analysis and modeling of complex systems

    NASA Technical Reports Server (NTRS)

    Strome, David R.; Dalrymple, Mathieu A.

    1992-01-01

    The Aircrew Evaluation Sustained Operations Performance (AESOP) facility at Brooks AFB, Texas, combines the realism of an operational environment with the control of a research laboratory. In recent studies we collected extensive data from the Airborne Warning and Control Systems (AWACS) Weapons Directors subjected to high and low workload Defensive Counter Air Scenarios. A critical and complex task in this environment involves committing a friendly fighter against a hostile fighter. Structured Analysis and Design techniques and computer modeling systems were applied to this task as tools for analyzing subject performance and workload. This technology is being transferred to the Man-Systems Division of NASA Johnson Space Center for application to complex mission related tasks, such as manipulating the Shuttle grappler arm.

  17. Systems genetics approaches to understand complex traits

    PubMed Central

    Civelek, Mete; Lusis, Aldons J.

    2014-01-01

    Systems genetics is an approach to understand the flow of biological information that underlies complex traits. It uses a range of experimental and statistical methods to quantitate and integrate intermediate phenotypes, such as transcript, protein or metabolite levels, in populations that vary for traits of interest. Systems genetics studies have provided the first global view of the molecular architecture of complex traits and are useful for the identification of genes, pathways and networks that underlie common human diseases. Given the urgent need to understand how the thousands of loci that have been identified in genome-wide association studies contribute to disease susceptibility, systems genetics is likely to become an increasingly important approach to understanding both biology and disease. PMID:24296534

  18. Isotopic evidence for closed-system anatexis at midcrustal levels: An example from the Acadian Appalachians of New England

    NASA Astrophysics Data System (ADS)

    Lathrop, Alison S.; Blum, Joel D.; Chamberlain, C. Page

    1994-05-01

    We have investigated the Sr and O isotope systematics of granitoid and metasedimentary samples from the Central Main Terrane (CMT) of New England. Granitoid samples were taken from interior and contact zones within the Acadian-aged (approximately 410 m.y.), synmetamorphic and syntectonic Kinsman Quartz Monzonite (KQM), which is a member of the New Hampshire Plutonic Series. Metasedimentary samples were taken from Silurian and Devonian formations hosting the KQM. Initial Sr isotope ratios (Sr(sub i) and delta O-18 values for the KQM range from 0.70799 to 0.71246 and 7.6% to 12.9%, respectively, and Sr(sub i) and delta O-18 values of the metasedimentary rocks range from 0.70770 to 0.75008 and 6.2% to 14.1%, respectively. We observe a linear and slightly positive correlation between Sr(sub i) and delta O-18 for interior KQM samples that can be duplicated by a mixing curve calculated for metasedimentary endmembers, whereas the Sr(sub i) and delta O-18 values of contact KQM samples cluster near the Sr(sub i) and delta O-18 values of the metasedimentary rocks with which they are in contact. Mixing calculations provide no evidence for a measurable primitive mantle component in either interior or contact KQM samples, and we conclude that the Sr-O isotopic composition of the KQM is most likely a reflection of isotopic heterogeneities inherited from a complex package of midcrustal metasedimentary source rocks. We propose that the KQM is the product of midcrustal partial melting that was initiated due to excess thermal energy from the decay of anomalously high concentrations of heat-producing elements in Silurian source rocks within the CMT. Because we see no isotopic evidence for a lower-crustal or mantle component in the KQM, we suggest that midcrustal anatexis may have occurred as a closed-system process, requiring no accompanying mantle-derived magma or above normal mantle heat flow.

  19. Pregnancy-associated listeriosis in England and Wales.

    PubMed

    Awofisayo, A; Amar, C; Ruggles, R; Elson, R; Adak, G K; Mook, P; Grant, K A

    2015-01-01

    Listeriosis is a rare but severe foodborne disease with low morbidity and high case-fatality rates. Pregnant women, unborn and newborn babies are among the high-risk groups for listeriosis. We examined listeriosis cases reported to the enhanced surveillance system in England and Wales from 1990 to 2010 to identify risk factors influencing outcome. Cases were defined as pregnancy-associated if Listeria monocytogenes was isolated from a pregnant woman or newborn infants aged <28 days. Of the 3088 cases reported, pregnancy-associated listeriosis accounted for 462 (15%) cases and 315 cases resulted in a live birth. Several factors were identified as affecting the severity and outcome of listeriosis in pregnancy in both mother and child including: presence or absence of maternal symptoms, gestational age at onset of symptoms, and clinical presentation in the infant (meningitis or septicaemia). Deprivation, ethnicity and molecular serotype had no effect on outcome.

  20. Trends in penile cancer: a comparative study between Australia, England and Wales, and the US.

    PubMed

    Sewell, James; Ranasinghe, Weranja; De Silva, Daswin; Ayres, Ben; Ranasinghe, Tamra; Hounsome, Luke; Verne, Julia; Persad, Raj

    2015-01-01

    To investigate and compare the trends in incidence and mortality of penile cancer between Australia, England and Wales, and the US, and provide hypotheses for these trends. Cancer registry data from 1982 to 2005 inclusive were obtained from Australia, England and Wales, and the United States. From these data, age-specific, -standardised and mortality:incidence ratios were calculated, and compared. The overall incidence of penile cancer in England and Wales (1.44 per 100,000 man-years) was higher than in Australia (0.80 per 100,000), and the US (0.66 per 100,000). Incidence of penile cancer in all three countries has remained relatively stable over time. Similarly, although the mortality rates were also higher in England and Wales (0.37 per 100,000 man-years) compared to Australia (0.18 per 100,000) and the US (0.15 per 100,000), the mortality/incidence ratios were similar for all three countries. Penile cancer incidence is low, affecting mainly older men. Rates differ between the three countries, being twice as common in England and Wales as in the other studied regions. Circumcision rates have a potential influence on these rates but are not the sole explanation for the variation.