'Reform' of the British national health service after the election of a labour government: Understanding the policy development process

The policy development process leading to the Labour government's white paper of December 1997—The new NHS: Modern, Dependable—is the focus of this project and the public policy development literature is used to aid in the understanding of this process. Policy makers who had been involved in the development of the white paper were interviewed in order to acquire a thorough understanding of who was involved in this process and how they produced the white paper. A theoretical framework is used that sorts policy development models into those that focus on knowledge and experience, and those which focus on politics and influence. This framework is central to understanding the evidence gathered from the individuals and associations that participated in this policy development process. The main research question to be asked in this project is to what extent do either of these sets of policy development models aid in understanding and explicating the process by which the Labour government's policies were developed. The interview evidence, along with published evidence, show that a clear pattern of policy change emerged from this policy development process, and the Knowledge-Experience and Politics-Influence policy making models both assist in understanding this process. The early stages of the policy development process were characterized as hierarchical and iterative, yet also very collaborative among those participating, with knowledge and experience being quite prevalent. At every point in the process, however, informal networks of political influence were used and noted to be quite prevalent by all of the individuals interviewed. The later stages of the process then became increasingly noninclusive, with decisions made by a select group of internal and external policy makers. These policy making models became an important tool with which to understand the policy development process. This Knowledge-Experience and Politics-Influence dichotomy of policy development models could therefore be useful in analyzing other types of policy development. ^

Effects of Estrogen on Muscle Damage in Response to an Acute Resistance Exercise Protocol

Creatine Kinase (CK) is used as a measure of exercise-induced muscle membrane damage. During acute eccentric (muscle lengthening) exercise, muscle sarcolemma, sarcoplasmic reticulum, and Z-lines are damaged, thus causing muscle proteins and enzymes to leak into the interstitial fluid. Strenuous eccentric exercise produces an elevation of oxygen free radicals, which further increases muscle damage. Muscle soreness and fatigue can be attributed to this membrane damage. Estradiol, however, may preserve membrane stability post-exercise (Brancaccio, Maffulli, & Limongelli, 2007; Carter, Dobridge, & Hackney, 2001; Tiidus, 2001). Because estradiol has a similar structure to Vitamin E, which is known to have antioxidant properties, and both are known to affect membrane structure, researchers have proposed that estrogen acts as an antioxidant to provide a protective effect on the post-exercise muscle of women (Sandoval & Matt, 2002). As a result, it has been postulated that muscles in women incur less damage in response to an acute strenuous exercise as compared to men. PURPOSE: To determine if circulating estrogen concentrations are related to muscle damage, as measured by creatine kinase activity and to determine gender differences in creatine kinase as a marker of muscle damage in response to an acute heavy resistance exercise protocol. METHODS: 7 healthy, resistance-trained, eumenhorrheic women (23±3 y, 169±9.1 cm, 66.4±10.5 kg) and 8 healthy, resistance-trained men (25±5 y, 178±6.7 cm, 82.3±9.33 kg) volunteered to participate in the study. Subjects performed an Acute Resistance Exercise Test (ARET) consisting of 6 sets of 5 repetitions Smith machine squats at 90% of their previously determined 1-RM. Blood samples were taken pre-, mid-, post-, 1 hour post-, 6 hours post-, and 24 hours post-exercise. Samples were stored at -80ºC until analyzed. Serum creatine kinase was measured using an assay kit from Genzyme (Framingham, MA). Serum estradiol was measured by an ELISA from GenWay (San Diego, CA). Estradiol b-receptor presence on granulocytes was measured via flow cytometry using primary antibodies from Abcam (Cambridge, MA) and PeCy7 antibodies (secondary) from Santa Cruz (Santa Cruz, CA). RESULTS: No significant correlations between estrogen and CK response were found after an acute resistant exercise protocol. Moreover, no significant change in estradiol receptors were expressed on granulocytes after exercise. Creatine Kinase response, however, differed significantly between genders. Men had higher resting CK concentrations throughout all time points. Creatine Kinase response increased significantly after exercise in both men and women (p=0.008, F=9.798). Men had a significantly higher CK response at 24 hours post exercise than women. A significant condition/sex/time interaction was exhibited in CK response (p=0.02, F=4.547). Perceived general soreness presented a significant condition, sex interaction (p=0.01, F=9.532). DISCUSSION: Although no estradiol and CK response correlations were found in response to exercise, a significant difference in creatine kinase activity was present between men and women. This discrepancy of our results and findings in the literature may be due to the high variability between subjects in creatine kinase activity as well as estrogen concentrations. The lack of significance in change of estradiol receptor expression on granulocytes in response to exercise may be due to intracellular estradiol receptor staining and non-specific gating for granulocytes rather than additional staining for neutrophil markers. Because neutrophils are the initial cells present in the inflammatory response after strenuous exercise, staining for estrogen receptors on this cell type may allow for a better understanding of the effect of estrogen and its hypothesized protective effect against muscle damage. Furthermore, the mechanism of action may include estradiol receptor expression on the muscle fiber itself may play a role in the protective effects of estradiol rather than or in addition to expression on neutrophils. We have shown here that gender differences occur in CK activity as a marker of muscle damage in response to strenuous eccentric exercise, but may not be the result of estradiol concentration or estradiol receptor expression on granulocytes. Other variables should be examined in order to determine the mechanism involved in the difference in creatine kinase as a marker of muscle damage between men and women after heavy resistance exercise.

Extracting more out of relocation data: building movement models as mixtures of random walks

We present a framework for fitting multiple random walks to animal movement paths consisting of ordered sets of step lengths and turning angles. Each step and turn is assigned to one of a number of random walks, each characteristic of a different behavioral state. Behavioral state assignments may be inferred purely from movement data or may include the habitat type in which the animals are located. Switching between different behavioral states may be modeled explicitly using a state transition matrix estimated directly from data, or switching probabilities may take into account the proximity of animals to landscape features. Model fitting is undertaken within a Bayesian framework using the WinBUGS software. These methods allow for identification of different movement states using several properties of observed paths and lead naturally to the formulation of movement models. Analysis of relocation data from elk released in east-central Ontario, Canada, suggests a biphasic movement behavior: elk are either in an "encamped" state in which step lengths are small and turning angles are high, or in an "exploratory" state, in which daily step lengths are several kilometers and turning angles are small. Animals encamp in open habitat (agricultural fields and opened forest), but the exploratory state is not associated with any particular habitat type.

Micro-granulometry of sedimentary dykes, Kathmandu basin, Nepal

Soft-sediment deformation structures have been analyzed at six sites of the Kathmandu valley. Microgranulometric study (this Supplement and Fig. 3B of Mugnier et al., Tectonophysics, 2011) reveals that silty levels (60 to 80% silt) favor the development of soft-sediment deformation structures, while sandy levels (60 to 80% sand) are passively deformed. Nonetheless well sorted sand levels (more than 80% sand) generate over-fluid pressure during compaction if located beneath a silty cap, leading to fluidization and dike development. 3-D geometry of seismites indicates a very strong horizontal shearing during their development. Using a physical approach based on soil liquefaction during horizontal acceleration, we show that the fluidization zone progressively grows down-section during the shaking, but does not exactly begin at the surface. The comparison of bed-thickness and strength/depth evolution indicates three cases: i) no soft-sediment deformation occurs for thin (few centimeters) silty beds; ii) the thickness of soft-sediment deformation above sandy beds is controlled by the lithological contrast; iii) the thickness of soft-sediment deformation depends on the shaking intensity for very thick silty beds. These 3 cases are evidenced in the Kathmandu basin. We use the 30 cm-thick soft-sediment deformation level formed during the 1833 earthquake as a reference: the 1833 earthquake rupture zone extended very close to Kathmandu, inducing there MMI IX-X damages. A 90 cm-thick sediment deformation has therefore to be induced by an event greater than MMI X. From a compilation of paleo and historic seismology studies, it is found that the great (M ~ 8.1) historical earthquakes are not characteristic of the greatest earthquakes of Himalaya; hence earthquakes greater than M ~ 8.6 occurred. Kathmandu is located above one of the asperities that laterally limits the extent of mega-earthquake ruptures and two successive catastrophic events already affected Kathmandu, in 1255 located to the west of this asperity and in ~ 1100 to the east.

Updated bathymetric chart of the East Aral Sea

The Aral Sea is located in an arid region with much sand and salt deposits in the surrounding barren open land. Hence, significant displacements of sediments into the lakebed by the action of wind, water, gravity, or snow are likely. The bathymetry of the lake was last observed in the 1960s, and within the last half century, the structure of the lakebed has changed. Based on satellite observations of the temporal changes of shoreline (Landsat optical remote sensing) and water level (multi-mission satellite altimetry) over more than one decade an updated bathymetric chart for the East Basin of the Aral Sea has been generated. During this time, the geometry of the shallow East Basin experienced strong fluctuations due to the occurrence of periods of drying and strong inflow. By the year 2014 the East Basin fell dry. The dynamic behavior of the basin allowed for estimating the lake's bathymetry from a series of satellite-based information. The river mouth made its impression in the present East Aral Sea, because its shrinking led to the inflow of much sediment into the lake's interior. In addition, salt deposits along the shorelines increased the corresponding elevation, a phenomenon that is more pronounced in the reduced lakebed because of increased salinity. It must be noted that height estimates from satellite altimetry were only possible down to a minimum elevation of 27 m above sea level due to a lack of reliable altimetry data over the largely reduced water surface. In order to construct a complete bathymetric chart of the lakebed of the East Aral Sea heights below 27 m were obtained solely from Landsat optical images following the SRB (Selected Region Boundary) approach as described by Singh et al. (2015).

Physical properties of ODP Leg 178 sites

We have reanalyzed the porosity, bulk density, and seismic velocity information collected from continental rise Sites 1095, 1096, and 1101 during the drilling of Ocean Drilling Program (ODP) Leg 178 (Fig. F1). The purpose is to provide a comprehensive composite digital set of data readily available for future studies aimed at well-seismic correlation. The work originates from the occurrence of overlapping sets of physical parameters and acoustic velocity collected by different methods (downhole logging, core logging, laboratory determination, and derivation from seismic data) and from different holes at the same site. These data do not always provide the same information because of difficulties encountered at each specific hole or methodological differences. In addition, a basic correlation between these parameters and onsite multichannel seismic (MCS) data is presented.

Chemistry of phyllosilicates of ODP Hole 140-504B

Replacement minerals in olivine record the evolution of hydrothermal alteration between 1600 and 2000 mbsf in the sheeted dike complex in Hole 504B. 1. Talc (+ magnetite) rim on olivine represents the earliest alteration. Talc probably crystallized during initial cooling of the dikes. 2. The partial breakdown of talc to "deweylite", a chaotic mixture of serpentine and Al-free stevensite, was facilitated by further cooling and a somewhat increased fluid:rock interaction in the dikes. 3. The presence of chlorite veins and the replacement of unaltered olivine cores, talc, and deweylite and of other silicates by chlorite suggest fracturing of the rocks during cooling (shrinkage cracks) and local influx of seawater into the dikes. 4. Late amphibole veins and locally extensive amphibole alteration indicate increasing temperature and the development of new sets of fractures, possibly due to the injection of fresh magma. Several generations of chlorite and amphibole veins are present in the dikes. Offset veins and the crack-seal texture within veins in the dikes suggest that the alteration cycle was probably repeated with the injection of each set of new dikes. Presently measured temperatures (195°C) at 2000 m depth in Hole 504B indicate that deweylite, which was previously considered a low-temperature mineral, can form well above its previously estimated crystallization temperature of 50°C.

(Table 1) Morphometrics of narwhal (Monodon monoceros) fluke planforms

In this study, we compared the fluke geometries of male and female narwhals, which may be associated with hydrodynamic effects. Computerized tomography (CT) scanning was used to obtain data for analyses of the three-dimensional geometry of the flukes. The flukes from four narwhals (two males and two females) were obtained from aboriginal hunters in the vicinity of Broughton Island, Canada. The body lengths of the animals ranged from 2.98 to 3.60 m. Both males had erupted, upper left tusks. Standard body measurements were made including the span of the fluke (i.e., linear distance between fluke tips).

Paleomagnetic reconstructions of sediments at ODP Sites 135-840 and 135-841

The geometry of the Tonga Arc implies that it has rotated approximately 17° clockwise away from the Lau Ridge as the Lau Basin formed in between. Questions have arisen about the timing of the opening, whether the arc behaved rigidly, and whether the opening occurred instead from motion of the Lau Ridge, the remanent arc. We undertook to address these questions by taking paleomagnetic samples from sediment cores drilled on the Tonga Arc at Sites 840 and 841, orienting the samples in azimuth, and comparing the paleodeclinations to expected directions. Advanced hydraulic piston corer (APC) cores from Holes 840C and 841A were oriented during drilling with a tool based on a magnetic compass and attached to the core barrel. Samples from Hole 841B were drilled with a rotary core barrel (RCB) and therefore are azimuthally unoriented. They were oriented by identifying faults and dipping beds in the core and aligning them with the same features in the Formation MicroScanner (FMS) wireline logs, which were themselves oriented with a three-axis magnetometer in the FMS tool. The best results came from the APC cores, which yielded a mean pole at -69.0°S, 112.2°E for an age of 4 Ma. This pole implies a declination anomaly of 20.8° ± 12.6° (95% confidence limit), which appears to have occurred by tectonic rotation of the Tonga Arc. This value is almost exactly that expected from the geometry of the arc and implies that it did indeed rotate clockwise as a rigid body. The large uncertainty in azimuth results from core orientation errors, which have an average standard deviation of 18.6°. The youngest cores used to calculate the APC pole contain sediments deposited during Subchron 2A (2.48-3.40 Ma), and their declinations are indistinguishable from the others. This observation suggests that most of the rotation occurred after their deposition; this conclusion must be treated with caution, however, because of the large azimuthal orientation errors. Poles from late and early Miocene sediments of Hole 841B are more difficult to interpret. Samples from this hole are mostly normal in polarity, fail a reversal test, and yield poles that suggest that the normal-polarity directions may be a recent overprint. Late Miocene reversed-polarity samples may be unaffected by this overprint; if so, they imply a declination anomaly of 51.1° ± 11.5°. This observation may indicate that, for older sediments, Tonga forearc rotations are larger than expected.

Carbonate and terrigenous content and chemical composition of sediments in the Central Equatorial Pacific

This study addresses changes in the absolute magnitude and spatial geometry of particle flux and export production in a meridional transect across the central equatorial Pacific Ocean's upwelling system during oxygen isotope Stage 11 and Stage 12 and compares these time periods to the current Holocene interglacial system. Temporal and spatial variability in several chemical proxies of export production, and in particular the distributions of Ba, scavenged Al, and P, are studied in a suite of sediment cores gathered along a cross-equator transect at 5°S, 2°S, 0°, 2°N, and 4°N. Because this latitudinal range preserves strong gradients in biogenic particle flux in the modern equatorial Pacific Ocean, we are able to assess variations in the relative magnitude of export production as well as the meridional width of the equatorial system through the late Quaternary glacial/interglacial cycles. During interglacial oxygen isotope Stage 11 the chemical proxies each indicate lower particle flux and export production than during Stage 12. These records are consistent throughout the transect during this time period, but geographic narrowing (during the interglacial) and widening (during the glacial) of the meridional gradient also occurs. Although carbonate concentration varies dramatically through glacial/interglacial cycles at all latitudes studied, the productivity proxies record only minimal glacial/interglacial change at 5°S and 4°N, indicating that the carbonate minima at these latitudes is controlled dominantly by dissolution rather than production. The chemical data indicate that although the spatial geometry of the system during Stages 11 and 12 indicates maximum productivity at the equator during both glacial and interglacial conditions, the absolute magnitude of export production integrated from 5°S to 4°N during Stage 11 was 25-50% less than during Stage 12, and also was 25-50% less than it is now.

Predicting bed form roughness: the influence of lee side angle

Flow transverse bedforms (ripples and dunes) are ubiquitous in rivers and coastal seas. Local hydrodynamics and transport conditions depend on the size and geometry of these bedforms, as they constitute roughness elements at the bed. Bedform influence on flow energy must be considered for the understanding of flow dynamics, and in the development and application of numerical models. Common estimations or predictors of form roughness (friction factors) are based mostly on data of steep bedforms (with angle-of-repose lee slopes), and described by highly simplified bedform dimensions (heights and lengths). However, natural bedforms often are not steep, and differ in form and hydraulic effect relative to idealised bedforms. Based on systematic numerical model experiments, this study shows how the hydraulic effect of bedforms depends on the flow structure behind bedforms, which is determined by the bedform lee side angle, aspect ratio and relative height. Simulations reveal that flow separation behind bedform crests and, thus, a hydraulic effect is induced at lee side angles steeper than 11 to 18° depending on relative height, and that a fully developed flow separation zone exists only over bedforms with a lee side angle steeper than 24°. Furthermore, the hydraulic effect of bedforms with varying lee side angle is evaluated and a reduction function to common friction factors is proposed. A function is also developed for the Nikuradse roughness (k s), and a new equation is proposed which directly relates k s to bedform relative height, aspect ratio and lee side angle.

Averages and ranges of paleoenvironmental proxy records of ODP Hole 108-658C (Table 1)

Several high-resolution proxy environmental records have been obtained for the last 35 kyr from ODP Hole 658C, a well-studied site ca. 200 km off Cap Blanc, NW Africa. The collective assessment based on the marine proxies (UK'37 SST, contents of TOC and chlorins, Upwelling Radiolarian Index and the percentage of Florisphaera profunda), surprisingly indicates that the last glacial maximum (LGM) was characterized by warmer sea surface temperature (SST), weaker upwelling, and lower marine productivity, compared with the preceding older glacial and subsequent deglaciation periods. Of the terrigenous proxies, the mean grain size of the non-carbonate fraction and the terrigenous alkane content indicate that wind strength and aridity were high. The weaker upwelling at the 658 site during the LGM may have resulted from changes in the strength and direction of the wind systems and/or shifts in the position and geometry of the upwelling cell.