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Nick Zonneveld, Henk Nies, Elize van Wijk and Mirella Minkman
This paper gives a bibliographical review of the finite element methods (FEMs) applied to the analysis of ceramics and glass materials. The bibliography at the end of the paper…
Abstract
This paper gives a bibliographical review of the finite element methods (FEMs) applied to the analysis of ceramics and glass materials. The bibliography at the end of the paper contains references to papers, conference proceedings and theses/dissertations on the subject that were published between 1977‐1998. The following topics are included: ceramics – material and mechanical properties in general, ceramic coatings and joining problems, ceramic composites, ferrites, piezoceramics, ceramic tools and machining, material processing simulations, fracture mechanics and damage, applications of ceramic/composites in engineering; glass – material and mechanical properties in general, glass fiber composites, material processing simulations, fracture mechanics and damage, and applications of glasses in engineering.
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Anders Klevmarken and Björn Lindgren
The challenge of an ageing population is a major concern to policymakers and researchers all over the world. As evident in Figure 1, the percentage of people aged 60 and above…
Abstract
The challenge of an ageing population is a major concern to policymakers and researchers all over the world. As evident in Figure 1, the percentage of people aged 60 and above will increase substantially between 2000 and 2050 in all parts of the world. Europe has the highest proportion; only Japan has a similar age structure. The already high proportion of older people in Europe is expected to rise to an even higher level by 2050, from currently 19 percent to an estimated 34 percent.
This paper exposes, analyses, and challenges the revanchism (Smith, 1996) exhibited by ruling elites in austerity Britain. After recapitulating the concept of revanchism in its…
Abstract
This paper exposes, analyses, and challenges the revanchism (Smith, 1996) exhibited by ruling elites in austerity Britain. After recapitulating the concept of revanchism in its original form, and discussing some critiques and extensions, it scrutinizes the emergence of revanchist political economy in Britain, with particular reference to the UK housing crisis. In order to explain how revanchism has become so ingrained in British society, the paper analyses the production of ignorance via the activation of class and place stigma, where free market think tanks play a crucial role in deflecting attention away from the causes of housing crisis. It is argued that the production of ignorance carves an economic and political path for gentrification on a scale never before seen in the United Kingdom, where speculation, rentier capitalist extraction, and the global circulation of capital in urban land markets is resulting in staggering fortunes for those expropriating socially created use values.
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The purpose of this paper is to critically reflect on the practice, rhetoric and reality of integrating care. Echoing Le Grand's framework of motivation, agency and policy, it is…
Abstract
Purpose
The purpose of this paper is to critically reflect on the practice, rhetoric and reality of integrating care. Echoing Le Grand's framework of motivation, agency and policy, it is argued that the stories the authors tell themselves why the authors embark on integration programmes differ from the reasons why managers commit to these programmes. This split between policy rhetoric and reality has implications for the way the authors investigate integration.
Design/methodology/approach
Examining current integration policy, practice and research, the paper adopts the critical framework articulated by Le Grand about the underlying assumptions of health care policy and practice.
Findings
It is argued that patient perspectives are speciously placed at the centre of integration policy but mask the existing organizational and managerial rationalities of integration. Making the patient the measure of all things integration would turn this agenda back on its feet.
Originality/value
The paper discusses the underlying assumptions of integration policy, practice and research. Increasing the awareness about the gap between what the authors do, why the authors do it and the stories the authors tell themselves about it injects a much needed amount of criticality into research and practice.
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Q. Jane Zhao, Nathan Cupido, Cynthia R. Whitehead and Maria Mylopoulos
Design, implementation, and evaluation are all important for integrated care. However, they miss one critical factor: education. The authors define “integrated care education” as…
Abstract
Purpose
Design, implementation, and evaluation are all important for integrated care. However, they miss one critical factor: education. The authors define “integrated care education” as meaningful learning that purposefully supports collaboration and the development of adaptive expertise in integrated care. The ECHO (Extensions for Community Health Outcomes) model is a novel digital health solution that uses technology-enabled learning (TEL) to facilitate, support, and model integrated care education. Using ECHO Concussion as a case study, the authors describe the effects of technology-enabled integrated care education on the micro-, meso-, and macro-dimensions of integrated care.
Design/methodology/approach
This case study was constructed using data extracted from ECHO Concussion from video-archived sessions, participant observation, and internal program evaluation memos. The research team met regularly to discuss the development of relevant themes to the dimensions of integrated care.
Findings
On the micro-level, clinical integration occurs through case-based learning and the development of adaptive expertise. On the meso-level, professional integration is achieved through the development of the “specialist generalist,” professional networks and empathy. Finally, on the macro-level, ECHO Concussion and the ECHO model achieve vertical and horizontal system integration in the delivery of integrated care. Vertical integration is achieved through ECHO by educating and connecting providers across sectors from primary to quaternary levels of care. Horizontal integration is achieved through the establishment of lateral peer-based networks across sectors as a result of participation in ECHO sessions with a focus on population-level health.
Originality/value
This case study examines the role of education in the delivery of integrated care through one program, ECHO Concussion. Using the three dimensions of integrated care on the micro-, meso-, and macro-levels, this case study is the first explicit operationalization of ECHO as a means of delivering integrated care education and supporting integrated care delivery.
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Jeanette Prorok, Kelly Kay, Adam Morrison and Salinda Anne Horgan
Performance measures are an important mediating mechanism that influences the design and delivery of care. Unfortunately, it is still commonly the case that acute care indicators…
Abstract
Purpose
Performance measures are an important mediating mechanism that influences the design and delivery of care. Unfortunately, it is still commonly the case that acute care indicators are employed to assess the efficacy of integrated care. This hinders the ability to accurately assess and continuously improve integrated care efforts for priority populations, including older persons who live with complex health and social care requirements. A core set of indicators is needed from which to assess the quality and impact of integrated care on these older persons and care partners.
Design/methodology/approach
A modified Delphi process was employed that comprised of the following steps: (1) selection of an indicator inventory (2) defining criteria for ranking and achieving consensus, (3) recruiting participants, (4) iterative voting rounds and analysis and (5) selection of a core indicator set.
Findings
The study produced a core set of 16 indicators of integrated care that pertain to older persons who live with health and social care requirements. The set can be applied by health and social care organizations and systems to assess the quality and impact of integrated care for this population across the continuum of care.
Research limitations/implications
Although the gap in the availability of relevant indicators was the impetus for the study, this also meant there was a dearth of validated indicators to draw from. There are significant gaps in commonly used data sets with respect to indicators of integrated care as it relates to older persons and care partner.
Practical implications
The indicator set is intended to follow the older person and care partner throughout their health journey, enabling a whole systems view of their care. The set can be used in full or in part by health and social care systems and organizations across various primary, acute, rehabilitative and community settings for program development and evaluation purposes.
Social implications
The core set of indicators that emerged out of this study is a first step toward ensuring that older persons who live with complex health and social care requirements and their care partners receive quality integrated care across the continuum of care.
Originality/value
The findings are informed by the perspectives of older persons, care partners and healthcare professionals. Future research is needed to test, validate and potentially expand the indicator set.
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Guillaume Rohat, Stéphane Goyette and Johannes Flacke
Climate analogues have been extensively used in ecological studies to assess the shift of ecoregions due to climate change and the associated impacts on species survival and…
Abstract
Purpose
Climate analogues have been extensively used in ecological studies to assess the shift of ecoregions due to climate change and the associated impacts on species survival and displacement, but they have hardly been applied to urban areas and their climate shift. This paper aims to use climate analogues to characterize the climate shift of cities and to explore its implications as well as potential applications of this approach.
Design/methodology/approach
The authors propose a methodology to match the current climate of cities with the future climate of other locations and to characterize cities’ climate shift velocity. Employing a sample of 90 European cities, the authors demonstrate the applicability of this method and characterize their climate shift from 1951 to 2100.
Findings
Results show that cities’ climate shift follows rather strictly north-to-south transects over the European continent and that the average southward velocity is expected to double throughout the twenty-first century. These rapid shifts will have direct implications for urban infrastructure, risk management and public health services.
Originality/value
These findings appear to be potentially useful for raising awareness of stakeholders and urban dwellers about the pace, magnitude and dynamics of climate change, supporting identification of the future climate impacts and vulnerabilities and implementation of readily available adaptation options, and strengthening cities’ cooperation within climate-related networks.