title: Complete sets of functions for perturbations of Robertson Walker cosmologies

authors: Kalnins, Ernie G.

subjects: Mathematics

abstract: Crucial to a knowledge of the perturbations of Robertson Walker cosmological models is a knowledge of complete sets of functions with which to expand such perturbations. For the open Robertson Walker cosmology, this question will be completely answered. In addition, some observations will be made concerning explicit solution by separation of variables of wave equations for spin s in a Riemannan space having an infinitesmal line element of which the Robertson Walker models are a special case.

text: Complete sets of functions for perturbations of Robertson Walker cosmologies Crucial to a knowledge of the perturbations of Robertson Walker cosmological models is a knowledge of complete sets of functions with which to expand such perturbations. For the open Robertson Walker cosmology, this question will be completely answered. In addition, some observations will be made concerning explicit solution by separation of variables of wave equations for spin s in a Riemannan space having an infinitesmal line element of which the Robertson Walker models are a special case.

year: 1991-05

title: Nitrate dependent anaerobic acetylene-reduction and nitrogen-fixation by soybean bacteroids

authors: Rigaud, J.

subjects: biology

abstract: Bacteroids isolated from nodules produced by one strain of Rhizobium japonicum (CC705) had strong nitrate-reducing activity and reduced C₂H₂ to C₂H₄ and N₂ to NH₃ anaerobically with nitrate. Bacteroids of another strain (CB1809) were much less active nitrate reducers and reduced little C₂H₂ anaerobically. Nitrite, which accumulated in the medium in anaerobic assays, was an inhibitor of C₂H₂reduction in both aerobic and anaerobic conditions. Succinate, at about 25 mM, stimulated both nitrate reduction and C₂H₂ reduction under aerobic conditions. Glucose stimulated C₂H₂ reduction up to 120 mM but nitrate reduction was inhibited in the presence of glucose. In terms of electrons transferred, the aerobic pathway appeared to be about 2.5 times more efficient than the anaerobic pathway in supporting nitrogenase activity of CC705 bacteroids.

text: Nitrate dependent anaerobic acetylene-reduction and nitrogen-fixation by soybean bacteroids Bacteroids isolated from nodules produced by one strain of Rhizobium japonicum (CC705) had strong nitrate-reducing activity and reduced C₂H₂ to C₂H₄ and N₂ to NH₃ anaerobically with nitrate. Bacteroids of another strain (CB1809) were much less active nitrate reducers and reduced little C₂H₂ anaerobically. Nitrite, which accumulated in the medium in anaerobic assays, was an inhibitor of C₂H₂reduction in both aerobic and anaerobic conditions. Succinate, at about 25 mM, stimulated both nitrate reduction and C₂H₂ reduction under aerobic conditions. Glucose stimulated C₂H₂ reduction up to 120 mM but nitrate reduction was inhibited in the presence of glucose. In terms of electrons transferred, the aerobic pathway appeared to be about 2.5 times more efficient than the anaerobic pathway in supporting nitrogenase activity of CC705 bacteroids.

year: 1973

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