Systems leadership: how chief executives manage tension between organisation and system pressures.

Aim: System leadership is the requirement for a leader of a single organisation to operate on behalf of a wider system, rather than their individual organisation. The current policy landscape does not incentivise system leadership, as many national structures emphasise a focus on individual organisations. This study aims to understand how chief executives in the National Health Service (NHS) in England implement system leadership in practice when faced with decisions that benefit the system to the detriment of their own trust.

Rationalization of the X-ray photoelectron spectroscopy of aluminium phosphates synthesized from different precursors.

The aim of this paper is to clarify the assignments of X-ray photoelectron spectra of aluminium phosphate materials prepared from the reaction of phosphoric acid with three different aluminium precursors [Al(OH), Al(NO) and AlCl] at different annealing temperatures. The materials prepared have been studied by X-ray photoelectron spectroscopy (XPS), powder X-ray diffraction (XRD), infrared spectroscopy and high-resolution solid-state P NMR spectroscopy. A progressive polymerization from orthophosphate to metaphosphates is observed by XRD, ATR-FTIR and solid state P NMR, and on this basis the oxygen states observed in the XP spectra at 532.

Testing adaptive hypotheses of alloparenting in Agta foragers.

Human children are frequently cared for by non-parental caregivers (alloparents), yet few studies have conducted systematic alternative hypothesis tests of why alloparents help. Here we explore whether predictions from kin selection, reciprocity, learning-to-mother and costly signalling hypotheses explain non-parental childcare among Agta hunter-gatherers from the Philippines. To test these hypotheses, we used high-resolution proximity data from 1,701 child-alloparent dyads.

Kinship underlies costly cooperation in Mosuo villages.

The relative importance of social evolution theories such as kin selection, direct reciprocity and need-based transfers in explaining real-world cooperation is the source of much debate. Previous field studies of cooperation in human communities have revealed variability in the extent to which each of these theories explains human sociality in different contexts. We conducted multivariate social network analyses predicting costly cooperation-labouring on another household's farm-in 128 082 dyads of Mosuo farming households in southwest China.

The narrow gap between norms and cooperative behaviour in a reindeer herding community.

Cooperation evolves on social networks and is shaped, in part, by norms: beliefs and expectations about the behaviour of others or of oneself. Networks of cooperative social partners and associated norms are vital for pastoralists, such as Saami reindeer herders in northern Norway. However, little is known quantitatively about how norms structure pastoralists' social networks or shape cooperation.

Population structured by witchcraft beliefs.

Anthropologists have long argued that fear of victimization through witchcraft accusations promotes cooperation in small-scale societies . Others have argued that witchcraft beliefs undermine trust and therefore reduce social cohesion . However, there are very few, if any, quantified empirical examples demonstrating how witchcraft labels can structure cooperation in real human communities.

Detection of colorectal cancer (CRC) by urinary volatile organic compound analysis.

Colorectal cancer (CRC) is a leading cause of cancer related death in Europe and the USA. There is no universally accepted effective non-invasive screening test for CRC. Guaiac based faecal occult blood (gFOB) testing has largely been superseded by Faecal Immunochemical testing (FIT), but sensitivity still remains poor.

A chamber for the perfusion of in vitro tissue with multiple solutions.

There are currently no practical systems that allow extended regions (>5 mm(2)) of a tissue slice in vitro to be exposed, in isolation, to changes in ionic conditions or to pharmacological manipulation. Previous work has only achieved this at the expense of access to the tissue for recording electrodes. Here, we present a chamber that allows a tissue slice to be maintained in multiple solutions, at physiological temperatures, and preserves the ability to record from the slice.

A novel tool for noninvasive diagnosis and tracking of patients with inflammatory bowel disease.

Background: The pathogenesis of inflammatory bowel disease (IBD) involves the role of bacteria. These bacteria ferment nonstarch polysaccharides in the colon producing a fermentation profile that through altered gut permeability can be traced in urine. We proposed to track the resultant volatile organic compounds or gases that emanate from urine using noninvasive real-time tools, specifically by electronic nose and Field Asymmetric Ion Mobility Spectrometer (FAIMS) instruments.

The detection of patients at risk of gastrointestinal toxicity during pelvic radiotherapy by electronic nose and FAIMS: a pilot study.

It is well known that the electronic nose can be used to identify differences between human health and disease for a range of disorders. We present a pilot study to investigate if the electronic nose and a newer technology, FAIMS (Field Asymmetric Ion Mobility Spectrometry), can be used to identify and help inform the treatment pathway for patients receiving pelvic radiotherapy, which frequently causes gastrointestinal side-effects, severe in some. From a larger group, 23 radiotherapy patients were selected where half had the highest levels of toxicity and the others the lowest.