title: The nature of sustainability as viewed by European students

authors: Lockley, John

subjects: sustainability

abstract: Sustainability as a concept, though well understood in general terms, is often politically captured by interest groups and as such expressed through issues like concern for global climate change or the need to develop more efficient energy sources, to address regional, national or international priorities. Education for sustainability as a concept similarly is generally becoming well understood; however, it is expressed in different ways by different educational communities.
This research investigates a conceptual framework for the nature of sustainability to describe the way students and teachers from five European countries express their ideas of sustainability.
The results indicate that despite the diversity of education systems and the range of nationally important issues of sustainability identified by the participants from five significantly different European countries (from Eastern and Western, Northern, Central and Southern Europe), there exists a common understanding of the nature of sustainability that can be expressed through a conceptual framework. The framework, based on a matrix of sustainability aspects (ecological, social, cultural and economic) and concepts (equity, interdependence and personal responsibility for action), allowed dialogue to occur to such a large extent that the nearly 200 participants agreed to a common resolution for future action on living more sustainably, applicable across the five countries.

text: The nature of sustainability as viewed by European students Sustainability as a concept, though well understood in general terms, is often politically captured by interest groups and as such expressed through issues like concern for global climate change or the need to develop more efficient energy sources, to address regional, national or international priorities. Education for sustainability as a concept similarly is generally becoming well understood; however, it is expressed in different ways by different educational communities.
This research investigates a conceptual framework for the nature of sustainability to describe the way students and teachers from five European countries express their ideas of sustainability.
The results indicate that despite the diversity of education systems and the range of nationally important issues of sustainability identified by the participants from five significantly different European countries (from Eastern and Western, Northern, Central and Southern Europe), there exists a common understanding of the nature of sustainability that can be expressed through a conceptual framework. The framework, based on a matrix of sustainability aspects (ecological, social, cultural and economic) and concepts (equity, interdependence and personal responsibility for action), allowed dialogue to occur to such a large extent that the nearly 200 participants agreed to a common resolution for future action on living more sustainably, applicable across the five countries.

year: 2013-03

title: Analysis of circuit conditions for optimum intermodulation and gain in bipolar cascomp amplifiers with non-ideal error correction

authors: Balsom, Toby

abstract: The cascoded-compensation or ‘Cascomp’ amplifier offers excellent distortion reduction and thermal distortion rejection, but has not seen widespread use because of a limited gain and increased complexity compared with other topologies. The original theory showed that with the addition of an ideal error amplifier the circuit will completely compensate distortion for suitably chosen degeneration and bias values. This research presents a new, rigorous mathematical proof for conditions of compensation. The authors further develop the proof to include the non-idealities of the error amplifier. It is shown that there exists a second bias point, not exposed by the original analysis that offers improved gain while maintaining distortion cancellation. By reducing the error amplifier degeneration resistance, one can increase a Cascomp circuit's overall gain by several dB while maintaining theoretically perfect distortion compensation. A robust bias point is proposed, which takes the advantage of this new theory by optimising circuit values resulting in a comparatively broader and deeper third-order distortion null. The proposed theory is confirmed with simulation and measurement that show agreement within the bounds of process and component error limits.

text: Analysis of circuit conditions for optimum intermodulation and gain in bipolar cascomp amplifiers with non-ideal error correction The cascoded-compensation or ‘Cascomp’ amplifier offers excellent distortion reduction and thermal distortion rejection, but has not seen widespread use because of a limited gain and increased complexity compared with other topologies. The original theory showed that with the addition of an ideal error amplifier the circuit will completely compensate distortion for suitably chosen degeneration and bias values. This research presents a new, rigorous mathematical proof for conditions of compensation. The authors further develop the proof to include the non-idealities of the error amplifier. It is shown that there exists a second bias point, not exposed by the original analysis that offers improved gain while maintaining distortion cancellation. By reducing the error amplifier degeneration resistance, one can increase a Cascomp circuit's overall gain by several dB while maintaining theoretically perfect distortion compensation. A robust bias point is proposed, which takes the advantage of this new theory by optimising circuit values resulting in a comparatively broader and deeper third-order distortion null. The proposed theory is confirmed with simulation and measurement that show agreement within the bounds of process and component error limits.

year: 2014-11-20

title: Rising demand for health care: The sustainability of community general practice in the Waikato

authors: Amey, Janet Heather

subjects: General practice

abstract: Community general practice is the cornerstone of New Zealand’s health system, providing first contact health care, care coordination and acting as gatekeeper to expensive hospital services. An ageing population now brings increasing demand for the care provided in general practice, with chronic conditions a major contributing factor. This rising demand, alongside limited workforce capacity will seriously test general practice sustainability. 

These evolving and multifaceted challenges are within the context of long-standing health access and outcome inequalities, particularly for Māori (and more recently the Pacific population) compared with Pākehā. The pursuit of equity is inherent in all health sector strategies, but any meaningful improvement will necessitate wide-ranging reform of current planning, funding and service delivery pathways across traditional sector boundaries.

The sustainability of general practice is about the sustainability and efficiency of the entire health system. To better measure the contribution of general practice care to the system, and improve demand projections, an expanded service use measure was developed, combining services of a general practice nature from Emergency Department and Accident & Medical settings with services delivered in community general practice.

Drawing on approaches from demography, epidemiology and health services research, linked demographic and health administrative data were used to undertake a retrospective, observational study of service use for 235,666 people enrolled with the Pinnacle Midlands Health Network in 2013/14. Using the new expanded measure, service use levels at a locality level were established by age, gender, ethnic group, chronic condition status, practice funding model, high needs status, income and geography of residence.

Significant variation was found in annual average consults (1.0 to 13.4 consults in 2013/14). Statistical analysis identified age, chronic conditions and gender as the key demand drivers responsible for such variation, with regional level results masking significant spatial variation. Where the cost of care was lower, people used a higher level of services in the enrolled practice setting and a lower level outside of it, suggesting the importance of affordable care. Māori and Pacific used significantly fewer services than Pākehā although there was substantial sub-regional variation. Using the expanded measure, the vast majority of care was delivered in the enrolled setting, including for those with chronic conditions.

Demand projections, based on the expanded measure of general practice, out to 2038 show the uneven geography of future demand due to disordered cohort flows and sub-regional population contexts. Overall, demand for services is projected to rise by 34 per cent to almost two million consults across the Waikato District Health Board catchment, with this driven predominantly by services for those aged 65+ years (or 45+ years in Hamilton City, Waikato and Waipa Districts).

Models of care are being transformed as general practices and Primary Health Organisations look to the future. Reorganisation of work roles, improved use of health information and use of emerging health technologies will be required to re-configure general practice in preparation for an ageing future, and to eliminate recalcitrant health inequalities. Real and inclusive collaboration across traditional system boundaries is perhaps the greatest challenge to general practice sustainability.

text: Rising demand for health care: The sustainability of community general practice in the Waikato Community general practice is the cornerstone of New Zealand’s health system, providing first contact health care, care coordination and acting as gatekeeper to expensive hospital services. An ageing population now brings increasing demand for the care provided in general practice, with chronic conditions a major contributing factor. This rising demand, alongside limited workforce capacity will seriously test general practice sustainability. 

These evolving and multifaceted challenges are within the context of long-standing health access and outcome inequalities, particularly for Māori (and more recently the Pacific population) compared with Pākehā. The pursuit of equity is inherent in all health sector strategies, but any meaningful improvement will necessitate wide-ranging reform of current planning, funding and service delivery pathways across traditional sector boundaries.

The sustainability of general practice is about the sustainability and efficiency of the entire health system. To better measure the contribution of general practice care to the system, and improve demand projections, an expanded service use measure was developed, combining services of a general practice nature from Emergency Department and Accident & Medical settings with services delivered in community general practice.

Drawing on approaches from demography, epidemiology and health services research, linked demographic and health administrative data were used to undertake a retrospective, observational study of service use for 235,666 people enrolled with the Pinnacle Midlands Health Network in 2013/14. Using the new expanded measure, service use levels at a locality level were established by age, gender, ethnic group, chronic condition status, practice funding model, high needs status, income and geography of residence.

Significant variation was found in annual average consults (1.0 to 13.4 consults in 2013/14). Statistical analysis identified age, chronic conditions and gender as the key demand drivers responsible for such variation, with regional level results masking significant spatial variation. Where the cost of care was lower, people used a higher level of services in the enrolled practice setting and a lower level outside of it, suggesting the importance of affordable care. Māori and Pacific used significantly fewer services than Pākehā although there was substantial sub-regional variation. Using the expanded measure, the vast majority of care was delivered in the enrolled setting, including for those with chronic conditions.

Demand projections, based on the expanded measure of general practice, out to 2038 show the uneven geography of future demand due to disordered cohort flows and sub-regional population contexts. Overall, demand for services is projected to rise by 34 per cent to almost two million consults across the Waikato District Health Board catchment, with this driven predominantly by services for those aged 65+ years (or 45+ years in Hamilton City, Waikato and Waipa Districts).

Models of care are being transformed as general practices and Primary Health Organisations look to the future. Reorganisation of work roles, improved use of health information and use of emerging health technologies will be required to re-configure general practice in preparation for an ageing future, and to eliminate recalcitrant health inequalities. Real and inclusive collaboration across traditional system boundaries is perhaps the greatest challenge to general practice sustainability.

year: 2018