scholarly journals What is evidence as evidence is used? A case of dualism?

2021 ◽  
Author(s):  
Andrew Neil Fletcher
Keyword(s):  
Health Service ◽  
Policy Implementation ◽  
Judicial Review ◽  
Large Scale ◽  
Political Change ◽  
Data Types ◽  
Administrative Procedure ◽  
Health Delivery ◽  
Administrative Structures ◽  
Over Time

AbstractHow ‘evidence’ is conceptualised, generated and deployed in meso-level policy implementation on the ground is critical to health delivery. Using the case of a large-scale health service reconfiguration in northwest England, this study began as a narrative investigation into how different data types and sources are prioritised as NHS administrative structures change over time. During the research, one unpopular reconfiguration decision, the downgrading of a hospital, was challenged using judicial review. Suddenly, a key decision was being based not upon ‘facts and data’ type evidence but upon evidence of adherence to administrative procedure. This transferred focus away from the ever-shifting categories and hierarchies of data ‘types’ towards an emphasis on process. By comparing two deliberative contexts—committee and judicial review—this article proposes that evidence can be understood as simultaneously entity and process. As health service reconfigurations continue in response to austerity, integration agendas, evolving organisational landscapes, and demographic and political change, it is increasingly important to recognise the different meanings and uses of evidence.

scholarly journals Current State of ICT in Healthcare Delivery in Developing Countries

2019 ◽  
Vol 15 (08) ◽  
pp. 91 ◽  
Author(s):  
Adebayo Omotosho ◽  
Peace Ayegba ◽  
Justice Emuoyibofarhe ◽  
Christoph Meinel
Keyword(s):  
Developing Countries ◽  
Health Service ◽  
Information And Communication Technologies ◽  
Large Scale ◽  
Healthcare Delivery ◽  
Communication Technologies ◽  
Health Delivery ◽  
Current State ◽  
Quality Health ◽  
Information And Communication

Electronic health is one of the most popular applications of information and communication technologies and it has contributed immensely to health delivery through the provision of quality health service and ubiquitous access at a lower cost. Even though this mode of health service is increasingly becoming known or used in developing nations, these countries are faced with a myriad of challenges when implementing and deploying e-health services on both small and large scale. It is estimated that the Africa population alone carries the highest percentage of the world’s global diseases despite its certain level of e-health adoption. This paper aims at analyzing the progress so far and the current state of e-health in developing countries particularly Africa and propose a framework for further improvement.

scholarly journals Analysis of 220 Years of Floodplain Population Dynamics in the US at Different Spatial Scales

Water ◽  
2021 ◽  
Vol 13 (2) ◽  
pp. 141
Author(s):  
Firoza Akhter ◽  
Maurizio Mazzoleni ◽  
Luigia Brandimarte
Keyword(s):  
Population Dynamics ◽  
Large Scale ◽  
Spatial Scales ◽  
National Level ◽  
State Level ◽  
Economic Activities ◽  
Protection Measures ◽  
Management Planning ◽  
The Us ◽  
Over Time

In this study, we explore the long-term trends of floodplain population dynamics at different spatial scales in the contiguous United States (U.S.). We exploit different types of datasets from 1790–2010—i.e., decadal spatial distribution for the population density in the US, global floodplains dataset, large-scale data of flood occurrence and damage, and structural and nonstructural flood protection measures for the US. At the national level, we found that the population initially settled down within the floodplains and then spread across its territory over time. At the state level, we observed that flood damages and national protection measures might have contributed to a learning effect, which in turn, shaped the floodplain population dynamics over time. Finally, at the county level, other socio-economic factors such as local flood insurances, economic activities, and socio-political context may predominantly influence the dynamics. Our study shows that different influencing factors affect floodplain population dynamics at different spatial scales. These facts are crucial for a reliable development and implementation of flood risk management planning.

scholarly journals China’s Investments in Germany and the Impact of the COVID-19 Pandemic

2021 ◽  
Vol 56 (2) ◽  
pp. 113-119
Author(s):  
Xinming Xia ◽  
Wan-Hsin Liu
Keyword(s):  
Large Scale ◽  
Know How ◽  
Advanced Technologies ◽  
The Future ◽  
Potential Impact ◽  
Chinese State ◽  
The Impact ◽  
Gain Access ◽  
Over Time

AbstractThis paper analyses how China’s investments in Germany have developed over time and the potential impact of the COVID-19 pandemic in this regard, based on four different datasets, including our own survey in mid-2020. Our analysis shows that Germany is currently one of the most attractive investment destinations for Chinese investors. Chinese state-owned enterprises have played an important role as investors in Germany — particularly in large-scale projects. The COVID-19 pandemic has had some negative but rather temporary effects on Chinese investments in Germany. Germany is expected to stay attractive to Chinese investors who seek to gain access to advanced technologies and know-how in the future.

Pioneers in International Administration: A Prosopography of the Directors of the League of Nations Secretariat

2019 ◽  
Vol 13 (2) ◽  
pp. 190-227 ◽  
Author(s):  
Torsten Kahlert
Keyword(s):  
International Organizations ◽  
Large Scale ◽  
Second World War ◽  
League Of Nations ◽  
World War ◽  
Clear Trend ◽  
Organizational Contexts ◽  
Career Trajectories ◽  
Second World ◽  
Over Time

AbstractThis article investigates interwar internationalism from the perspective of the highest personnel of the first large-scale international administration, the League of Nations Secretariat. It applies a prosopographical approach in order to map out the development of the composition of the group of the section directors of the Secretariat over time in terms of its social and cultural characteristics and career trajectories. The analysis of gender, age, nationality, as well as educational and professional backgrounds and careers after their service for the League’s Secretariat gives insight on how this group changed over time and what it tells us about interwar internationalism. I have three key findings to offer in this article: First, the Secretariat was far from being a static organization. On the contrary, the Secretariat’s directors developed in three generations each with distinct characteristics. Second, my analysis demonstrates a clear trend towards professionalization and growing maturity of the administration over time. Third, the careers of the directors show a clear pattern of continuity across the Second World War and beyond. Even though the careers continued in different organizational contexts, the majority of the directors remained closely connected to the world of internationalism of the League, the UN world and its surrounding organizations. On a methodological level, the article offers an example of how prosopographical analysis can be used to study international organizations.

A Framework and Case Study for Earthquake Vulnerability Assessment of Incrementally Expanding Buildings

2017 ◽  
Vol 33 (4) ◽  
pp. 1369-1384 ◽  
Author(s):  
David Lallemant ◽  
Henry Burton ◽  
Luis Ceferino ◽  
Zach Bullock ◽  
Anne Kiremidjian
Keyword(s):  
Large Scale ◽  
Building Construction ◽  
Risk Assessment Models ◽  
Earthquake Vulnerability ◽  
Valley Area ◽  
Common Understanding ◽  
Dynamic Structural Analysis ◽  
Neighborhood Level ◽  
Over Time

This study proposes a framework for incorporating time-dependent fragility into large-scale risk assessment models, focusing on incremental building expansion as a significant driver of changes in vulnerability. In rapidly urbanizing areas in developing countries, the pay-as-you-go process of informal building construction and staged expansion is the de facto pattern of growth. While there is a common understanding that such expansions increase the earthquake vulnerability of buildings, this study proposes a framework to model and quantify this increase. Vulnerability curves are developed through incremental dynamic structural analysis for common building expansion typologies. Building expansions are modeled as Markov chain processes and used to simulate stochastic expansion sequences over a building's lifetime. The model is then used to simulate a hypothetical neighborhood in the Kathmandu valley area to understand neighborhood-level risk over time. The study provides a new methodology to analyze changing seismic risk over time, driven by any building modification that impacts the building's vulnerability (incremental expansion, deterioration, retrofit, etc.).

scholarly journals Rapid Spread of the SARS-CoV-2 Variant of Concern 202012/01 in Southern Italy (December 2020–March 2021)

2021 ◽  
Vol 18 (9) ◽  
pp. 4766
Author(s):  
Daniela Loconsole ◽  
Francesca Centrone ◽  
Caterina Morcavallo ◽  
Silvia Campanella ◽  
Anna Sallustio ◽  
...  
Keyword(s):  
Clinical Characteristics ◽  
Large Scale ◽  
Southern Italy ◽  
Whole Genome ◽  
Third Wave ◽  
Gene Target ◽  
The Third ◽  
Rapid Spread ◽  
Pharmaceutical Interventions ◽  
Over Time

Epidemiological and virological studies have revealed that SARS-CoV-2 variants of concern (VOCs) are emerging globally, including in Europe. The aim of this study was to evaluate the spread of B.1.1.7-lineage SARS-CoV-2 in southern Italy from December 2020–March 2021 through the detection of the S gene target failure (SGTF), which could be considered a robust proxy of VOC B.1.1.7. SGTF was assessed on 3075 samples from week 52/2020 to week 10/2021. A subset of positive samples identified in the Apulia region during the study period was subjected to whole-genome sequencing (WGS). A descriptive and statistical analysis of the demographic and clinical characteristics of cases according to SGTF status was performed. Overall, 20.2% of samples showed SGTF; 155 strains were confirmed as VOC 202012/01 by WGS. The proportion of SGTF-positive samples rapidly increased over time, reaching 69.2% in week 10/2021. SGTF-positive cases were more likely to be symptomatic and to result in hospitalization (p < 0.0001). Despite the implementation of large-scale non-pharmaceutical interventions (NPIs), such as the closure of schools and local lockdowns, a rapid spread of VOC 202012/01 was observed in southern Italy. Strengthened NPIs and rapid vaccine deployment, first among priority groups and then among the general population, are crucial both to contain the spread of VOC 202012/01 and to flatten the curve of the third wave.

Cannons over the EU legal order: The decision of the BVerfG (5 May 2020) in the Weiss case

2021 ◽  
Vol 28 (1) ◽  
pp. 123-142
Author(s):  
Filippo Annunziata
Keyword(s):  
Monetary Policy ◽  
Judicial Review ◽  
Legal Order ◽  
Banking Union ◽  
Preliminary Ruling ◽  
Banking Supervision ◽  
The Public ◽  
Changes Over Time ◽  
Over Time ◽  
The Eu

The Weiss affair, culminating in the BVerfG ruling of 5 May 2020 ( Weiss II), marks a break-up point in the long-standing dialogue between the BVerfG and the CJEU. The judges in Karlsruhe refused to follow the decision rendered by the CJEU in a preliminary ruling ( Weiss I) and ordered EU institutions to provide further clarifications on the proportionality assessment of the Public Sector Purchase Programme. This paper claims that the principles applied by the BVerfG in Weiss I are quite similar to those employed in the Gauweiler and Landeskreditbank-Banking Union cases. Considering that background, it will be argued that the construction of the principles employed by the BVerfG for the judicial review of EU acts did not undergo dramatic changes over time. The different outcome of Weiss II is due to the fact that, according to the BVerfG, insufficient elements of explanation and justification were provided by the ECB and the CJEU. Therefore, the central problem of Weiss II ends up being a procedural question of allegedly insufficient statements of reasons. From Gauweiler to Weiss II, one also sees the development of the standards for the judicial review of the ECB’s decisions, in the fields of both monetary policy and banking supervision.

scholarly journals Kinetically driven successive sodic and potassic alteration of feldspar

2021 ◽  
Vol 12 (1) ◽  
Author(s):  
Gan Duan ◽  
Rahul Ram ◽  
Yanlu Xing ◽  
Barbara Etschmann ◽  
Joël Brugger
Keyword(s):  
Hydrothermal Fluid ◽  
Large Scale ◽  
Ore Deposits ◽  
Potassic Alteration ◽  
Positive Feedbacks ◽  
Micro Scale ◽  
Equilibrium Reaction ◽  
Earth's Crust ◽  
Mineral Transformations ◽  
Over Time

AbstractThe dynamic evolutions of fluid-mineral systems driving large-scale geochemical transformations in the Earth’s crust remain poorly understood. We observed experimentally that successive sodic and potassic alterations of feldspar can occur via a single self-evolved, originally Na-only, hydrothermal fluid. At 600 °C, 2 kbar, sanidine ((K,Na)AlSi3O8) reacted rapidly with a NaCl fluid to form albite (NaAlSi3O8); over time, some of this albite was replaced by K-feldspar (KAlSi3O8), in contrast to predictions from equilibrium reaction modelling. Fluorine accelerated the process, resulting in near-complete back-replacement of albite within 1 day. These findings reveal that potassic alteration can be triggered by Na-rich fluids, indicating that pervasive sequential sodic and potassic alterations associated with mineralization in some of the world’s largest ore deposits may not necessarily reflect externally-driven changes in fluid alkali contents. Here, we show that these reactions are promoted at the micro-scale by a self-evolving, kinetically-driven process; such positive feedbacks between equilibrium and kinetic factors may be essential in driving pervasive mineral transformations.

TOTAL VOLUME OF MEDICAL CARE FOR CHILDREN BASED ON AN ANALYSIS OF EIGHT STATES

PEDIATRICS ◽  
1948 ◽  
Vol 1 (2) ◽  
pp. 227-236
Author(s):  
WARREN R. SISSON ◽  
KATHERINE BAIN ◽  
ROLLO H. BRITTEN ◽  
MARYLAND Y. PENNELL ◽  
JOHN P. HUBBARD
Keyword(s):  
Public Health ◽  
Health Service ◽  
Large Scale ◽  
Public Health Service ◽  
Health Problems ◽  
Federal Agencies ◽  
Child Health Services ◽  
Executive Staff ◽  
Intimate Knowledge ◽  
Statistical Studies

AN ASSIGNMENT has been given to me to present the first official results of the Study of Child Health Services, instituted by the Academy and executed by the Academy with the cooperation of the U. S. Public Health Service and the U. S. Children's Bureau. The paper which I am to read represents the results of work by you and compiled by your Executive Staff of the Study. One would like to conjecture how the future historian of the Academy will evaluate the transactions of this afternoon's session. Certainly this meeting marks a milestone in that it represents an awareness of public health problems, especially those of children, which have never before been so intimately studied. Furthermore, it is noteworthy because of the actual achievement of an investigation of a scope never previously paralleled by a group of physicians. Also the Study has revealed that, with common objectives, groups of physicians in private practice and those from the ranks of academic circles, along with personnel from established governmental bureaus, can work effectively together. It should be reiterated that the Study could not have been accomplished by us as a group of physicians alone nor by any existing governmental department. The two cooperating federal agencies, the U. S. Public Health Service and the U. S. Children's Bureau, have trained personnel with interest and experience in public health problems and in the conduct of large-scale statistical studies. The Academy, on its part, has first-hand experience in medical service and an intimate knowledge of those who are rendering service to children, and through its various members has been able to impart knowledge which otherwise would not have been available.

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