Present dangers and future threats: some perverse incentives in the NHS reforms.

The NHS reforms have come to mean all things to all men (and women). Identifying a market oriented purchaser-provider split as the conceptual heart of the reforms is still, however, useful. There are important perverse incentives in and around the NHS that are associated with the reforms; furthermore, many reactions to the resulting problems are paradoxical and often counterproductive. Hitherto most criticism of the reforms from the health policy and management community (as opposed to the professions and the public) has been tactical rather than fundamental. There are serious problems for the NHS associated both with the NHS market and with current, often tacit, strategies for the future of the service.     

Movements of radio-tagged Common Buzzards Buteo buteo in their first year

The movements of 96 radio-tagged juvenile Common Buzzards Buteo buteo were studied during 3 years in Dorset, southern England. Contrary to previous studies which implied that Common Buzzards are territorial, we found that 39% foraged within 1 km of the nest during their first winter, presumably within their parents' home range. Most (72%) of those that did not disperse were recorded making brief excursions during August and September, before opting for a "stay-at-home" strategy. There was no significant difference between the sexes in the tendency to make excursions or disperse, but females dispersed further than males. Buzzards which dispersed early tended to settle significantly farther from their nests than did late dispersers. Long-term radio-tracking has shown that 72% of the dispersing birds returned towards their natal area in the following breeding season. Such philopatry may be an important hindrance to avian recolonization following local extinctions.     

A Simple,Flexible Failure Model

A new failure model is introduced in the form of a four-parameter nonlinear differential equation, with failure probability as the dependent variable and failure time as the independent variable. The first parameter characterizes the location, the second the scale, and the other two the shape of the model. The type of the accompanying hazard function is immediately read off the shape parameters. The new model approximates the classical failure models with rather high precision, but also models cases where the failure density is skewed to the left. It can be used to analyze survival data objectively, based on the shape of the failure distribution. The computation of quantiles and moments is easy and fast. Nonlinear regression methods are used to estimate parameter values.     

Synthesis of stromal glycosaminoglycans in response to injury

Our goal is to examine the synthesis and deposition of corneal glycosaminoglycans (GAGs) in response to a wound created by the insertion of porous discs into stromal interlamellar pockets. The disc and the surrounding stromal tissue were assayed and compared to contralateral control stroma and to sham operated corneas at 14,42, and 84 days. The tissue and/or discs were removed and labeled with ³⁵S-sulfate for 18 h; GAGs were extracted with 4 M guanidine–HCl. Extracts were chromatographed on Q-Sepharose columns, bound proteoglycans were eluted with a linear salt gradient, and radioactive fractions were analyzed. Total GAG content was determined colorimetrically, using dimethylmethylene blue. Specific GAGs were determined using enzymatic digestion with selective polysaccharide lyases and protein cores were examined using SDS–PAGE. The nonbound fractions from the chromatography were assayed for TGF-β using Western blot analysis and for hyaluronic acid using an ¹²⁵I-radiometric assay. Specific GAGs were localized 42 days after the disc had been implanted in the stroma. The placement of the discs into the stroma resulted in a decrease in the total amount of GAG. However, the ratio of dermatan-chondroitin sulfate and heparan sulfate to keratan sulfate increased in the surrounding tissue and disc. Hyaluronic acid was elevated at day 14 in the surrounding tissue, and not until day 84 in the disc. Western blot analysis of surrounding tissue extracts revealed forms of TGF-β that migrated with an apparent molecular mass of 63 and 43 kDa. The results indicate that the insertion of discs into interlamellar pockets causes changes in the sulfation and proportion of the glycosaminoglycans in the surrounding tissue and the disc. These changes are coincident with the appearance of TGF-β. After 84 days, the population of glycosaminoglycans in the disc begins to resemble the surrounding stroma. This model will allow us to examine further the synthesis and deposition of proteins following an extensive wound in which cells must migrate to the wound site and then undergo extensive remodeling. © 1995 Wiley-Liss, Inc.