3,717 research outputs found
EXOGEN ultrasound bone healing system for long bone fractures with non-union or delayed healing: a NICE medical technology guidance
Open Access. This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author(s) and the source are credited.This article has been made available through the Brunel Open Access Publishing Fund.A routine part of the process for developing National Institute for Health and Care Excellence (NICE) medical technologies guidance is a submission of clinical and economic evidence by the technology manufacturer. The Birmingham and Brunel Consortium External Assessment Centre (EAC; a consortium of the University of Birmingham and Brunel University) independently appraised the submission on the EXOGEN bone healing system for long bone fractures with non-union or delayed healing. This article is an overview of the original evidence submitted, the EAC’s findings, and the final NICE guidance issued.The Birmingham and Brunel Consortium is funded by NICE to act as an External Assessment Centre for the Medical Technologies Evaluation Programme
Trust, regulatory processes and NICE decision-making: Appraising cost-effectiveness models through appraising people and systems.
This article presents an ethnographic study of regulatory decision-making regarding the cost-effectiveness of expensive medicines at the National Institute for Health and Care Excellence (NICE) in England. We explored trust as one important mechanism by which problems of complexity and uncertainty were resolved. Existing studies note the salience of trust for regulatory decisions, by which the appraisal of people becomes a proxy for appraising technologies themselves. Although such (dis)trust in manufacturers was one important influence, we describe a more intricate web of (dis)trust relations also involving various expert advisors, fellow committee members and committee Chairs. Within these complex chains of relations, we found examples of both more blind-acquiescent and more critical-investigative forms of trust as well as, at times, pronounced distrust. Difficulties in overcoming uncertainty through other means obliged trust in some contexts, although not in others. (Dis)trust was constructed through inferences involving abstract systems alongside actors’ oral and written presentations-of-self. Systemic features and ‘forced options’ to trust indicate potential insidious processes of regulatory capture
Managing the Tensions of Essentialism: Purity and Impurity
This article proposes a new interpretation of Pierre Bourdieu, as a theorist of purity and impurity.
Bourdieu’s writings indicate that through the adjudication of things or people as relatively impure or pure an image is constructed of their essential truth. Building from Bourdieu, we will show how themes of purity and impurity can be used to manage the tensions associated with attempts
to impute an essence to human nature or to reality, ensuring that the moral and epistemological significance of complexity is masked. This is the reason why themes of purity and impurity so often attend polarized world views, and why they are frequently mobilized for justifying and
operating biopolitical processes of social stratification and regulation
Swamp dredge: Research into grunge
For this project I have researched grunge music and created a body of work influenced by this genre. During my extended contextual research into the genre, I looked at both the artists and producers. I wrote/co-wrote the songs, played some of the instruments and produced the recordings. These are now available for download on www.soundcloud.com/swampdredg
Customer satisfaction of Nice Run
The idea of this thesis was introduced by Hanna-Maija Haikka, the project manager of Nice Run. Nice Run is a women’s sport event held in nine different cities in 2010. Participants at-tend the event with group of six, go around a route of 5 kilometers and after the run, enjoy a picnic provided by the organizers.
Therefore there has been no previous research on the customer satisfaction of Nice Run, this possibility, of finding out the customer satisfaction of the event, was provided that it would be beneficial for both, the author and for the event organization.
The purpose of this thesis is to gain satisfactory results from the customers of the event, and then come together a developmental proposal for the event organization group, Forssan Salama Ry, in order to help Nice Run organization to improve their event for the next years to come. Everything is based on the findings that are gotten from the answerers.
Customers had the chance of answering a questionnaire concerning the satisfactory of the event on some of the cities that Nice Run was held, and in addition to this the same questionnaire could be found in the Nice Run website. This was how the information on this thesis was gained and afterwards put together on the results.
The results gotten in this research showed that participants are pleased with what the event has to offer, but also wish to help out and develop it to be even better in the following years. A lot of good and improving feedback was gotten, which will surely be a big help for Forssan Salama ry
Non-normality points and nice spaces
summary:J. Terasawa in " are non-normal for non-discrete spaces " (2007) and the author in "On non-normality points and metrizable crowded spaces" (2007), independently showed for any metrizable crowded space that each point of its Čech--Stone remainder is a non-normality point of . We introduce a new class of spaces, named nice spaces, which contains both of Sorgenfrey line and every metrizable crowded space. We obtain the result above for every nice space
"Decision Making in Europe: Were Spain and Poland Right to Stop the Constitution in December 2003?"
This paper tries to explain why Spain and Poland stopped the Draft Constitution for the European Union in December 2003 and discusses whether this action was compatible with these countries long term interests. The author finds that the decline in power – measured by a power index – arising for Spain and Poland when going from the Nice Treaty to the Draft Constitution cannot explain their veto. While the two countries lose power when shifting from Nice to the Draft Constitution other countries’ power shrinks even more. Other measures - passage probability, blocking leverage and fairness - cannot explain the two countries’ opposition either. This paper contends that the Spanish and Polish rejection can be explained by the weakness of government in the Polish and the need for a reelection topic in the Spanish case. Furthermore this paper asserts that the Spanish and Polish government’s veto was against the medium and long term interest of their own countries. Poland and Spain must have been able to anticipate that the Nice Treaty would not last due to most EU countries’ dislike of it. An analysis of reasonable alternative voting schemes in the EU finds that Spain and Poland would not have been better off in any of these cases and worse off in most; under the voting rules agreed upon under the Irish presidency in June 2004 the two countries are weaker than under the Draft Constitution
Chemistry in an Indigenous Science Learning 3D Animation:Acetylene Lamp
[[abstract]]This study presents a portion of a series of 3D animations for indigenous science learning called Petlaman. The animations are divided in ten parts, each involving a science learning topic. To our knowledge, this is the world’s first 3D, animated science education film with an indigenous culture as its subject. The part presented in this study concerns the chemistry of acetylene lamps. This study also provides a valuable insight into how the author, as the producer of the animation, handles controversial issues raised from different perspectives, including cultural, scientific, educational and ethnicity-based, among consultants.[[fileno]]2090104030005[[department]]師資培訓中
The Warwick Hip Trauma Evaluation – an abridged protocol for the WHiTE Study : a multiple embedded randomised controlled trial cohort study
Fractures of the proximal femur are one of the greatest challenges facing the medical community, constituting a heavy socioeconomic burden worldwide. The National Hip Fracture Audit currently provides a framework for service evaluation. This evaluation is based upon the assessment of process rather than assessment of patient-centred outcome and therefore it fails to provide meaningful data regarding the clinical effectiveness of treatments. This study aims to capture data from the cohort of patients who present with a fracture of the proximal femur at a single United Kingdom Major Trauma Centre. Patient-centred outcomes will be recorded and provide a baseline cohort within which to test the clinical effectiveness of experimental interventions
- …
