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Sample records for access study caliente

  1. Utilization of geothermal energy-feasibility study, Ojo Caliente Mineral Springs Company, Ojo Caliente, New Mexico

    Science.gov (United States)

    1982-04-01

    The feasibility of a geothermal heating system at the Ojo Caliente Mineral Springs Co. was investigated. The geothermal energy will be used to preheat hot water for the laundry facilities and to heat the water for a two pipe fan coil heating system in the hotel. Present annual heating fuel costs of $11,218 for propane will be replaced by electricity to operate fans and pump at an annual cost of $2547, resulting in a net savings of $8671. Installation costs include $10,100 for a well system, $1400 for a laundry system, and $41,100 for a heating system. With the addition of a 10% design fee the total installation cost is $57,860. Ignoring escalating propane fuel prices, tax credits for energy conservation equipment, and potential funding from the State of New Mexico for a geothermal demonstration project, the simple economic payback period for this project is 6.7 years.

  2. Agua Caliente Solar Feasibility and Pre-Development Study Final Report

    Energy Technology Data Exchange (ETDEWEB)

    Carolyn T. Stewart, Managing Partner; Red Mountain Energy Partners

    2011-04-26

    Evaluation of facility- and commercial-scale solar energy projects on the Agua Caliente Band of Cahuilla Indians Reservation in Palm Springs, CA. The Agua Caliente Band of Cahuilla Indians (ACBCI) conducted a feasibility and pre-development study of potential solar projects on its lands in southern California. As described below, this study as a logical and necessary next step for ACBCI. Support for solar project development in California, provided through the statewide California Solar Initiative (CSI), its Renewable Portfolio Standard and Feed-in Tariff Program, and recently announced Reverse Auction Mechanism, provide unprecedented support and incentives that can be utilized by customers of California's investor-owned utilities. Department of Energy (DOE) Tribal Energy Program funding allowed ACBCI to complete its next logical step to implement its Strategic Energy Plan, consistent with its energy and sustainability goals.

  3. DOE/NV/26383-LTR2008-01 Letter Report Yucca Mountain Environmental Monitoring Systems Initiative - Air Quality Scoping Study for Caliente, Lincoln County, Nevada

    Energy Technology Data Exchange (ETDEWEB)

    J. Engelbrecht; I. Kavouras; D. Campbell; S. Campbell; S. Kohl; D. Shafer

    2009-04-02

    The Desert Research Institute (DRI) is performing a scoping study as part of the U.S. Department of Energy's Yucca Mountain Environmental Monitoring Systems Initiative (EMSI). The main objective is to obtain baseline air quality information for Yucca Mountain and an area surrounding the Nevada Test Site (NTS). Air quality and meteorological monitoring and sampling equipment housed in a mobile trailer (shelter) is collecting data at eight sites outside the NTS, including Ash Meadows National Wildlife Refuge (NWR), Beatty, Sarcobatus Flats, Rachel, Caliente, Pahranagat NWR, Crater Flat, and Tonopah Airport, and at four sites on the NTS (Engelbrecht et al., 2007a-d). The trailer is stationed at any one site for approximately eight weeks at a time. This letter report provides a summary of air quality and meteorological data, on completion of the site's sampling program.

  4. Agua Caliente and Their Music.

    Science.gov (United States)

    Ryterband, Roman

    1979-01-01

    Discusses the traditional music of the Agua Caliente band of California's Desert Cahuilla Indian tribe, including accompanying instruments, types of songs, thematic material, and performance routines. Exploring the structure of the music, the article describes meter, tempo, harmony and tonal gravitations, and use of words. (DS)

  5. The source, discharge, and chemical characteristics of water from Agua Caliente Spring, Palm Springs, California

    Science.gov (United States)

    : Martin, Peter; Contributors: Brandt, Justin; Catchings, Rufus D.; Christensen, Allen H.; Flint, Alan L.; Gandhok, Gini; Goldman, Mark R.; Halford, Keith J.; Langenheim, V.E.; Martin, Peter; Rymer, Michael J.; Schroeder, Roy A.; Smith, Gregory A.; Sneed, Michelle

    2011-01-01

    Agua Caliente Spring, in downtown Palm Springs, California, has been used for recreation and medicinal therapy for hundreds of years and currently (2008) is the source of hot water for the Spa Resort owned by the Agua Caliente Band of the Cahuilla Indians. The Agua Caliente Spring is located about 1,500 feet east of the eastern front of the San Jacinto Mountains on the southeast-sloping alluvial plain of the Coachella Valley. The objectives of this study were to (1) define the geologic structure associated with the Agua Caliente Spring; (2) define the source(s), and possibly the age(s), of water discharged by the spring; (3) ascertain the seasonal and longer-term variability of the natural discharge, water temperature, and chemical characteristics of the spring water; (4) evaluate whether water-level declines in the regional aquifer will influence the temperature of the spring discharge; and, (5) estimate the quantity of spring water that leaks out of the water-collector tank at the spring orifice.

  6. Tierra Caliente, Michoacán

    Directory of Open Access Journals (Sweden)

    C. I. Villa

    2008-01-01

    Full Text Available Los sistemas de producción ganaderos de la región de Tierra Caliente están vinculados al manejo agrosilvopastoril, aprovechando una amplia gama de recursos forrajeros naturales, siendo las familias quienes conducen la administración y aprovechamiento de dichos recursos. Se buscó definir las características, recursos forrajeros aprovechables e insumos alimenticios, estimando su calidad nutricional, con el fin de encontrar estrategias de alimentación de ganado que reduzcan al mínimo el uso de insumos externos al interior de las unidades productivas. Se trabajó en comunidades del municipio de Tuzantla, en la región de Tierra Caliente del estado de Michoacán. El método incluye la recolección de información por medio de encuestas aplicadas a productores campesinos, durante el ciclo productivo 2007. Se analizaron de 200 a 300 g de 41 muestras de alimentos con el método de Wendee, para analizar su composición química. Se encontró que para la región de Tierra Caliente existe un sistema de producción bovina de mediana escala, semi-estabulado y trashumante que, en promedio, tiene 250 a 260 ha y 86 cabezas de ganado destinado a la producción de carne y pie de cría, y que producen 9.2 l/vaca/día; con esta leche se elabora queso a razón de 1kg de queso por cada 10 litros de leche. Se identificó, también, el uso de seis ingredientes fundamentales que componen dos dietas básicas, cuya composición química detectada fue de 10.2- 13.9% (PC, 7.9-11.8% (FC, 62.8-67.9% (ELN, 1.4-5% (EE y 1.9-8.8% (cenizas. Por tanto, se concluye que los ganaderos cubren los requerimientos nutricionales con base en el alto uso de concentrados, dejando los forrajes para satisfacer las necesidades de consumo de su ganado. Por esto, se requiere establecer un sistema de balanceo de raciones que permita optimizar los recursos

  7. Low-temperature geothermal potential of the Ojo Caliente warm springs area, northern New Mexico

    Energy Technology Data Exchange (ETDEWEB)

    Vuataz, F.D.; Stix, J.; Goff, F.; Pearson, C.F.

    1984-05-01

    A detailed geochemical investigation of 17 waters (thermal and cold, mineralized and dilute) was performed in the Ojo Caliente-La Madera area. Two types of thermomineral waters have separate and distinctive geologic, geochemical, and geothermal characteristics. The water from Ojo Caliente Resort emerges with temperatures less than or equal to 54/sup 0/C from a Precambrian metarhyolite. Its chemistry, typically Na-HCO/sub 3/, has a total mineralization of 3600 mg/l. Isotopic studies have shown that the thermal water emerges from the springs and a hot well without significant mixing with the cold shallow aquifer of the valley alluvium. However, the cold aquifer adjacent to the resort does contain varying amounts of thermal water that originates from the warm spring system. Geothermometry calculations indicate that the thermal water may be as hot as 85/sup 0/C at depth before its ascent toward surface. Thermodynamic computations on the reaction states of numerous mineral phases suggest that the thermal water will not cause major scaling problems if the hot water is utilized for direct-use geothermal applications. By means of a network of very shallow holes, temperature and electrical conductivity anomalies have been found elsewhere in the valley around Ojo Caliente, and resistivity soundings have confirmed the presence of a plume of thermal water entering the shallow aquifer. The group of lukewarm springs around La Madera, with temperatures less than or equal to 29/sup 0/C, chemical type of NaCaMg-HCO/sub 3/Cl and with a total mineralization less than or equal to 1500 mg/l behaves as a different system without any apparent relation to the Ojo Caliente system. Its temperature at depth is not believed to exceed 35 to 40/sup 0/C.

  8. Agua Caliente Wind/Solar Project at Whitewater Ranch

    Energy Technology Data Exchange (ETDEWEB)

    Hooks, Todd [Agua Caliente Band of Cahuilla Indians, Palm Springs, CA (United States); Stewart, Royce [Red Mountain Energy Partners, Sante Fe, NM (United States)

    2014-12-16

    Agua Caliente Band of Cahuilla Indians (ACBCI) was awarded a grant by the Department of Energy (DOE) to study the feasibility of a wind and/or solar renewable energy project at the Whitewater Ranch (WWR) property of ACBCI. Red Mountain Energy Partners (RMEP) was engaged to conduct the study. The ACBCI tribal lands in the Coachella Valley have very rich renewable energy resources. The tribe has undertaken several studies to more fully understand the options available to them if they were to move forward with one or more renewable energy projects. With respect to the resources, the WWR property clearly has excellent wind and solar resources. The DOE National Renewable Energy Laboratory (NREL) has continued to upgrade and refine their library of resource maps. The newer, more precise maps quantify the resources as among the best in the world. The wind and solar technology available for deployment is also being improved. Both are reducing their costs to the point of being at or below the costs of fossil fuels. Technologies for energy storage and microgrids are also improving quickly and present additional ways to increase the wind and/or solar energy retained for later use with the network management flexibility to provide power to the appropriate locations when needed. As a result, renewable resources continue to gain more market share. The transitioning to renewables as the major resources for power will take some time as the conversion is complex and can have negative impacts if not managed well. While the economics for wind and solar systems continue to improve, the robustness of the WWR site was validated by the repeated queries of developers to place wind and/or solar there. The robust resources and improving technologies portends toward WWR land as a renewable energy site. The business case, however, is not so clear, especially when the potential investment portfolio for ACBCI has several very beneficial and profitable alternatives.

  9. Ecuaciones constitutivas de la fluencia en caliente de aceros microaleados

    Directory of Open Access Journals (Sweden)

    Cabrera, J. M.

    1998-05-01

    Full Text Available Over centuries, the hot forming has been employed to provide shape to metáis. Nowadays, the deformation at high temperatures gives also the required final mechanical properties. From this point of view, the obtention of a constitutive equation describing the hot flow behaviour of microalloyed steels in particular is a very important task. The main difficulty in modelling the high temperature flow arises from the simultaneity of two opposite phenomena, namely, work hardening and dynamic softening due to recovery and recrystallization. In this is work a review of constitutive equations (including the effect of the chemical composition describing the flow behaviour of microalloyed steels deformed under high temperature conditions.

    Durante siglos el conformado en caliente se ha utilizado para proporcionar a los metales la forma deseada. Hoy en día la deformación en caliente no sólo genera la geometría deseada sino las características mecánicas requeridas. Así, la obtención de una ecuación constitutiva para la fluencia en caliente de un acero en particular, es una tarea ineludible para efectuar simulaciones por ordenador de procesos industriales. La complicación de la modelización de la fluencia a alta temperatura proviene de la simultaneidad de dos fenómenos contrapuestos durante la deformación, a saber, endurecimiento por deformación y ablandamiento por recuperación de la estructura. Este último a su vez puede constar de restauración y recristalización dinámicas. En este trabajo se revisan y plantean las ecuaciones constitutivas que describen las curvas de fluencia bajo condiciones de deformación en caliente, y se presenta una aplicación de las mismas a aceros microaleados.

  10. Calient Networks chosen as core platform for OptIPuter

    CERN Multimedia

    2003-01-01

    Calient Networks, a provider of intelligent all-optical switching systems and software, will team with the California Institute for Telecommunications and Information Technology (Cal-(IT)2) and the University of Illinois at Chicago (UIC) on development of the "OptIPuter,". This is a powerful distributed cyber-infrastructure project designed to support data-intensive scientific research and collaboration (1/2 page).

  11. Estudio de la influencia de la microestructura sobre la deformabilidad en caliente de un acero inoxidable dúplex

    Directory of Open Access Journals (Sweden)

    Iza-Mendia, A.

    1998-05-01

    Full Text Available The complexity of the hot deformation behaviour of the ferrite and austenite in a duplex structure is increased as compared with that of single phase ferritic or austenitic steels. Important factors are: the spatial phase distribution with respect to the direction of the imposed deformation, the codeformation of both phases having considerably different mechanical properties, and the nature of the interface between austenite and ferrite. In the present study, the influence of these factors on the crack formation during the hot deformation is analyzed.

    El comportamiento frente al conformado en caliente de la ferrita y de la austenita, en una estructura dúplex, es muy diferente al que presentan ambas fases por separado en los aceros monofásicos austeníticos o ferríticos. A ello contribuyen, entre otros, la distribución espacial de las fases con respecto a la deformación impuesta, la codeformación de dos fases, con propiedades mecánicas muy diferentes, y la naturaleza de la intercara. En el presente trabajo se analiza la influencia de estos factores en la formación de daño bajo condiciones de deformación en caliente.

  12. Ductilidad en caliente y mecanismos de fractura de un acero de construcción

    Directory of Open Access Journals (Sweden)

    Calvo, J.

    2006-02-01

    Full Text Available The hot ductility of a structural steel produced from scrap recycling has been studied to determine the origin of the transverse cracks in the corners that appeared in some billets. Samples extracted both from a billet with transverse cracks and from a billet with no external damage were tested. To evaluate the influence of residual elements and inclusions, the steel was compared to another one impurity free. Reduction in area of the samples tensile tested to the fracture was taken as a measure of the hot ductility The tests were carried out at temperatures ranging from 1000ºC to 650ºC and at a strain rate of 1·10- 3 s-1. The fracture surfaces of the tested samples were observed by scanning electron microscopy in order to determine the embrittling mechanisms that could be acting. The steel with residuals and impurities exhibited lower ductility values for a wider temperature range than the clean steel. The embrittling mechanisms also changed as compared to the impurity free steel.

    Se evaluó la ductilidad en caliente de un acero de construcción procedente del reciclaje de chatarra con el fin de determinar el origen de las grietas transversales que aparecen en las esquinas de algunas palanquillas. Para ello, se extrajeron probetas de dos palanquillas de una misma calidad de acero. Una de las palanquillas había presentado agrietamiento transversal al ser colada y, la otra, no. Para conocer la influencia de los elementos residuales e inclusiones en la ductilidad en caliente, otro acero, con la misma composición pero sin impurezas, se fabricó en laboratorio y fue sometido al mismo análisis que los aceros comerciales. La ductilidad en caliente se midió como la reducción del área de las probetas ensayadas a tracción hasta la rotura. Las condiciones a las que se realizaron los ensayos fueron temperaturas de 1.000 a 650 ºC y a una velocidad de deformación de 1·10-3 s-1. Las superficies de fractura de las probetas ensayadas se

  13. 76 FR 63614 - Agua Caliente Solar, LLC; Supplemental Notice That Initial Market-Based Rate Filing Includes...

    Science.gov (United States)

    2011-10-13

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF ENERGY Federal Energy Regulatory Commission Agua Caliente Solar, LLC; Supplemental Notice That Initial Market-Based Rate...-referenced proceeding of Agua Caliente Solar, LLC's application for market-based rate authority, with...

  14. 25 CFR 115.106 - Assets of members of the Agua Caliente Band of Mission Indians.

    Science.gov (United States)

    2010-04-01

    ... 25 Indians 1 2010-04-01 2010-04-01 false Assets of members of the Agua Caliente Band of Mission Indians. 115.106 Section 115.106 Indians BUREAU OF INDIAN AFFAIRS, DEPARTMENT OF THE INTERIOR FINANCIAL ACTIVITIES TRUST FUNDS FOR TRIBES AND INDIVIDUAL INDIANS IIM Accounts § 115.106 Assets of members of the...

  15. 75 FR 81190 - Television Broadcasting Services; Vernal and Santaquin, UT, and Ely and Caliente, NV

    Science.gov (United States)

    2010-12-27

    ... COMMISSION 47 CFR Part 73 Television Broadcasting Services; Vernal and Santaquin, UT, and Ely and Caliente.... The Commission was required by the DTV Delay Act to ] terminate all licenses for full-power television... Commission no longer has the authority to act on rulemaking proposals in the full-power analog...

  16. Studying Media Access andControl Protocols

    OpenAIRE

    Mohammed, Alalelddin Fuad Yousif

    2010-01-01

    This thesis project’s goal is to enable undergraduate students to gain insight into media access and control protocols based upon carrying out laboratory experiments. The educational goal is to de-mystifying radio and other link and physical layer communication technologies as the students can follow packets from the higher layers down through the physical layer and back up again. The thesis fills the gap between the existing documentation for the Universal Software Radio Peripheral (USRP) re...

  17. Analizan partículas calientes del accidente nuclear de Palomares

    OpenAIRE

    León Dueñas, Sergio David

    2012-01-01

    Investigadores pertenecientes al Centro Nacional de Aceleradores, CNA, (Universidad de Sevilla-Junta de Andalucía-CSIC) en colaboración con la Organización Internacional de la Energía Atómica (IAEA), han llevado a cabo me didas de elementos transuránicos en partículas calientes procedentes de accidentes nucleares tales como el de Thule (Groenlandia) o Palomares (España).

  18. Accessing Digital Libraries: A Study of ARL Members' Digital Projects

    Science.gov (United States)

    Kahl, Chad M.; Williams, Sarah C.

    2006-01-01

    To ensure efficient access to and integrated searching capabilities for their institution's new digital library projects, the authors studied Web sites of the Association of Research Libraries' (ARL) 111 academic, English-language libraries. Data were gathered on 1117 digital projects, noting library Web site and project access, metadata, and…

  19. Study of the reproductive characteristics of nine cassava accessions

    International Nuclear Information System (INIS)

    Reproductive behaviour of two cultivars (AF and AN) and seven breeding lines (BA, AS, LA, BS-1, HO-008, ME and SE) of cassava (Manihot esculenta Crantz) was studied to obtain information pertaining to flowering habits and other reproductive characteristics of these potential parents required for future hybridization programmes. The accessions were grown on the Research Farm of the Biotechnology and Nuclear Agriculture Research Institute in the coastal savannah agro-ecological zone of Ghana between April 2008 and December 2009. For each accession, 40 stem cuttings, each bearing five to eight nodes, were prepared from the mid-section of healthy cassava stems and planted at a spacing of 1.5 m × 1.0 m while accessions were separated by a distance of 2 m. Ten plants were tagged per accession for the collection of data on key reproductive characteristics. All accessions flowered, suggesting that flower production may not be a limiting factor under the prevailing climatic conditions. Light microscopy revealed that one accession (BA) produced dysfunctional male flowers which were devoid of pollen. Mean days to flowering and fruiting varied significantly (P < 0.05) among the accessions, indicating the need to use different planting dates for different accessions to ensure synchronization of flowering. The accessions also differed significantly (P < 0.05) with respect to plant height at various levels of branching, as well as number of inflorescences, staminate and pistillate flowers, and fruit produced per branching level. There was also variation in percent seed set, embryo formation and fruit drop. The extensive variability observed among the accessions provides breeders with immense opportunities for carrying out cross combinations to generate new genotypes to meet specific objectives. (au)

  20. A Study on Web Accessibility Improvement Using QR-Code

    OpenAIRE

    Dae-Jea Cho

    2016-01-01

    Web accessibility makes it possible for the disabled to get equal access to information provided in web like the normal. Therefore, to enable the disabled to use web, there is a need for construction of web page abide by accessibility. The text on the web site is output by sound using screen reader, so that the visually impaired can recognize the meaning of text. However, screen reader cannot recognize image. This paper studies a method for explaining images included in web pages using QR-...

  1. A Study on Web Accessibility Improvement Using QR-Code

    Directory of Open Access Journals (Sweden)

    Dae-Jea Cho

    2016-07-01

    Full Text Available Web accessibility makes it possible for the disabled to get equal access to information provided in web like the normal. Therefore, to enable the disabled to use web, there is a need for construction of web page abide by accessibility. The text on the web site is output by sound using screen reader, so that the visually impaired can recognize the meaning of text. However, screen reader cannot recognize image. This paper studies a method for explaining images included in web pages using QR-Code. When producing web page adapting the method provided in this paper, it will help the visually impaired to understand the contents of webpage.

  2. Modelización de la deformación en caliente de un cobre puro comercial

    Directory of Open Access Journals (Sweden)

    García, V. G.

    2001-04-01

    Full Text Available The objective of the study is to model the flow curve at high temperature of a commercialpurity copper which contains 297 ppm of phosphorus. For this purpose a theoretical model is applied to derive a constitutive equation that reliably predicts the behaviour at higher strain rates than experimentally tested. The test temperature range was from 873 K to 1223 K in increments of 50 K, using six true strain rates at every temperature, which span from 0.3 s-1 to 0.001 s-1 The hot flow tests were performed on a copper with a relatively large grain size (637 µm but of similar scale to pertinent industrial processes. This metal presents two antagonistic phenomena during the hot working: strain hardening and softening by dynamic restoration, which in turns can be divided into dynamic recovery and dynamic recrystallization. A quantification of the mentioned mechanisms is done through the use of physically based constitutive equations.

    El objetivo de este estudio es modelizar la curva de fluencia a alta temperatura de un cobre de pureza comercial conteniendo 297 ppm de fósforo. Todo ello, con objeto de obtener una ecuación constitutiva que fiablemente prediga el comportamiento a otras velocidades de deformación diferentes de las posibles experimentalmente. El intervalo de temperaturas en los que se efectuaron ensayos fue desde 873 K a 1.223 K en incrementos de 50 K, utilizando seis velocidades de deformación verdadera a cada temperatura, las cuales iban desde 0,3 s-1 hasta 0,001 s-1 Los ensayos de deformación en caliente fueron realizados en un cobre con un tamaño de grano relativamente grande (637 μm pero escalarmente similar al de procesos industriales relevantes. Durante la deformación en caliente, el metal presenta dos fenómenos antagonistas, a saber: endurecimiento por deformación y ablandamiento por recuperación dinámica, el cual, a su vez, puede desglosarse en restauración y

  3. A Performance Study of Wireless Broadband Access (WiMAX)

    OpenAIRE

    Maan A. S. Al-Adwany

    2011-01-01

    WiMAX (worldwide interoperability for microwave access) is one of the wireless broadband access technologies which supplies broadband services to clients, but it surpasses other technologies by its coverage area, where one base station can cover a small city. In this paper, WiMAX technology is studied by exploring its basic concepts, applications, and advantages / disadvantages. Also a MATLAB simulator is used to verify the operation of the WiMAX system under various chan...

  4. Estudio del comportamiento termo-mecánico de un acero microaleado de medio carbono durante un proceso de conformado en caliente usando una red neuronal artificial

    Directory of Open Access Journals (Sweden)

    Alcelay, Ignacio

    2016-06-01

    Full Text Available The thermo-mechanical behavior of medium carbon microalloyed steel has been analyzed by an Artificial Neural Network (ANN. The flow curves for training the ANN have been obtained from the hot compression tests, carried out over a temperature range varying from 900 to 1150 °C and at different true strain rates ranging from 10-4 to 10 s-1. It has been found that the ANN model developed in this study is capable to predict accurately and efficiently the flow behavior of the studied steel and there is a good agreement between the experimental results and the ANN results. To analyze the formability of the studied steel, processing maps have been constructed on the basis of the Dynamic Materials Model (DMM, using the ANN values of the flow stress. The study of maps reveals the different domains of the flow behavior of the studied steel and shows the great similarity between the experimental results and the theoretical results, so the use of the ANN can constitute an interesting alternative for design and study of hot forming processes.El comportamiento termo-mecánico de un acero microaleado de medio carbono ha sido analizado mediante una Red Neuronal Artificial (RNA. Las curvas de fluencia para el entrenamiento de la RNA han sido obtenidas mediante ensayos de compresión en caliente que se efectuaron a temperaturas que oscilaron entre 1150 °C y 900 °C a incrementos de 50 °C, y en un intervalo de velocidades de deformación que varió entre 10-4 y 10 s-1. Se ha podido comprobar que el modelo de RNA, desarrollado en el presente trabajo, es capaz de predecir con exactitud y eficiencia el comportamiento de fluencia en caliente del acero estudiado y existe un buen acuerdo entre los resultados experimentales y los resultados de la RNA. Para analizar la conformabilidad del acero microaleado se han construido mapas de procesado basados en el modelo dinámico de materiales (DMM usando los valores de la tensión de fluencia obtenidos mediante la RNA. El

  5. A Comparative Study on Temporal Mobile Access Pattern Mining Methods

    Directory of Open Access Journals (Sweden)

    Hanan Fahmy

    2012-03-01

    Full Text Available Mobile users behavior patterns is one of the most critical issues that need to be explored in mobile agent systems. Recently the algorithms of discovering frequent mobile user’s behavior patterns have been studied extensively. Existing mining methods have proposed frequent mobile user's behavior patterns statistically based on requested services and location information. Therefore, other studies considered that the mobile user's dynamic behavior patterns are usually associated with temporal access patterns. In this paper, temporal mobile access pattern methods are studied and compared in terms of complexity and accuracy. The advantages and disadvantages of these methods will be summarized as well

  6. Implementing Open Access Policy:First case studies

    Institute of Scientific and Technical Information of China (English)

    Chris; Armbruster

    2010-01-01

    When implementing open access,policy pioneers and flagship institutions alike have faced considerable challenges in meeting their own aims and achieving a recognized success.Legitimate authority,sufficient resources and the right timing are crucial,but the professionals charged with implementing policy still need several years to accomplish significant progress.This study defines a methodological standard for evaluating the first generation of open access policies.Evaluating implementation establishes evidence,enables reflection,and may foster the emergence of a second generation of open access policies.While the study is based on a small number of cases,these case studies cover most of the pioneer institutions,present the most significant issues and offer an international overview.Each case is reconstructed individually on the basis of public documents and background information,and supported by interviews with professionals responsible for open access implementation.This article presents the highlights from each case study.The results are utilized to indicate how a second generation of policies might define open access as a key component of digital research infrastructures that provide inputs and outputs for research,teaching and learning in real time.

  7. Boston solar retrofits: Studies of solar access and economics

    Science.gov (United States)

    Shapiro, M.; Doyle, S.

    1980-11-01

    Studies of solar access and solar retrofit economics are described for residential applications in the City of Boston. The study of solar access was based upon a random sample of 94 buildings; the sample was stratified to ensure a broad geographic representation from the city's various sections. Using available data on the heights and orientations of the sampled structures and surrounding buildings, each building's hourly access to sunlight was computed separately for the roof and south facing walls. The second study was a comparative analysis of the economics of several solar heating and hot water systems. Next, a number of alternative approaches for solar space and water heating were identified from interviews with individuals and groups involved in solar retrofit projects in the Boston area.

  8. Ontology-Based Federated Data Access to Human Studies Information

    OpenAIRE

    Sim, Ida; Carini, Simona; Tu, Samson W.; Detwiler, Landon T; Brinkley, James; Mollah, Shamim A.; Burke, Karl; Lehmann, Harold P.; Chakraborty, Swati; Wittkowski, Knut M.; Pollock, Brad H.; Johnson, Thomas M.; Huser, Vojtech

    2012-01-01

    Human studies are one of the most valuable sources of knowledge in biomedical research, but data about their design and results are currently widely dispersed in siloed systems. Federation of these data is needed to facilitate large-scale data analysis to realize the goals of evidence-based medicine. The Human Studies Database project has developed an informatics infrastructure for federated query of human studies databases, using a generalizable approach to ontology-based data access. Our ap...

  9. Eliminación de Bandas Calientes en Reformador de Gas Natural Elimination of Hot Bands in a Natural Gas Reformer

    Directory of Open Access Journals (Sweden)

    D.J. Correa

    2004-01-01

    Full Text Available El objetivo de este trabajo fue encontrar las causas de la formación de bandas calientes por deposición de coque en un reformador de gas natural, que provoca la salida de servicio de la unidad y mayores costos de producción. Se recurrió a la literatura para determinar las variables que tienen incidencia en esta problemática y se creó un trazador que cuantifica la formación de coque, denominado Índice de Obstrucción. Se analizó sistemáticamente el impacto de las distintas variables y se relacionaron con la evolución del Índice de Obstrucción, siempre tomando información de la propia planta industrial. Descartando todas las hipótesis, excepto la presencia de hidrocarburos livianos, se determinó que el problema de las bandas calientes no se origina en el propio horno de reforma, sino aguas arriba del proceso, en el desulfuradorThe purpose of this study was to find the causes of formation of hot bands due to coke deposition in a natural gas reformer which caused the unit to go out of service, resulting in higher production costs. A literature study was made to determine the variables which affected the incidence of this problem, and to produce an index which quantified the formation of coke, named Obstruction Index. The impact of different variables was systematically analyzed and these variables were related to the evolution of the Obstruction Index, always taking into account the information from the industrial plant studied. All hypotheses were discarded except that relating to the presence of light hydrocarbons. It was determined that the problem of the hot bands did not originate within the reforming unit, but rather upstream of the process in the desulfurization unit

  10. Compresas húmedo calientes como intervención para reducir el dolor musculoesquelético: Análisis de la evidencia Hot packs like intervention to reduce musculoskeletal pain: An analysis of evidence

    Directory of Open Access Journals (Sweden)

    Francisco Josué Pavez Ulloa

    2008-07-01

    Full Text Available Introducción: En los Estados Unidos el dolor en niños causa un promedio de 21 millones de días de escuela perdidos y en empleados trabajadores provoca una pérdida de 147 millones de días de trabajo. El dolor produce desordenes musculoesqueléticos y las modalidades terapéuticas se usan comúnmente en su tratamiento. Una de las modalidades más usadas clínicamente son las compresas húmedo calientes previas a tratamientos. No existen artículos que analicen cual es la evidencia disponible sobre la efectividad de las compresas húmedo calientes como intervención para aliviar el dolor. Objetivos: Determinar si existe evidencia científica que avale la efectividad de las compresas húmedo calientes como intervención efectiva en el alivio del dolor. Agrupar la mejor evidencia clínica disponible en relación a la analgesia producida por las compresas húmedo calientes. Evaluar la calidad de los estudios que investigaron los efectos de las compresas húmedo calientes sobre pacientes con dolor. Materiales y métodos: Se buscaron ensayos clínicos aleatorios las bases de datos MEDLINE, Cochrane Library Plus, CINAHL, DARE. A dichos estudios se les aplicó la escala de PEDro para evaluar la validez de los trabajos y posteriormente se clasificó la evidencia según la escala del Centro de Medicina Basada en Evidencias de Oxford. Resultados: Se incluyeron 4 ensayos clínicos aleatorios y una revisión sistemática que cumplieron con los criterios de inclusión y exclusión. Conclusión: Existe evidencia de nivel 1b y recomendación A que las compresas húmedo calientes producen efectos benéficos sobre el dolor de forma tal que potencian una intervención posterior. Aun falta investigación para formular conclusiones adecuadas.Introduction: The pain in children causes an average of 21 million days of school lost and in hardworking employees in the United States it provoke a loss of 147 million workdays. The pain produces musculoskeletal disorders

  11. A Performance Study of Wireless Broadband Access (WiMAX

    Directory of Open Access Journals (Sweden)

    Maan A. S. Al-Adwany

    2011-12-01

    Full Text Available WiMAX (worldwide interoperability for microwave access is one of the wireless broadband access technologies which supplies broadband services to clients, but it surpasses other technologies by its coverage area, where one base station can cover a small city. In this paper, WiMAX technology is studied by exploring its basic concepts, applications, and advantages / disadvantages. Also a MATLAB simulator is used to verify the operation of the WiMAX system under various channel impairments and for variety of modulation schemes. From the simulation results, we found that WiMAX system works well in both AWGN and multipath fading channels, but under certain constraints that are addressed in this paper.

  12. Price Dispersion and Accessibility: A Case study of Fast Food

    OpenAIRE

    Stewart, Hayden; David E. Davis

    2005-01-01

    This study examines spatial variation in the price and accessibility of fast food across a major urban area. We use novel data on the price of a representative fast food meal and the location of fast food restaurants belonging to one of three major chains in the District of Columbia and its surrounding suburbs. These data are used to test a structural model of spatial competition. The results of this study are easily interpreted and compared with a past analysis. We find that spatial differen...

  13. A study of multiple access schemes in satellite control network

    Science.gov (United States)

    Mo, Zijian; Wang, Zhonghai; Xiang, Xingyu; Wang, Gang; Chen, Genshe; Nguyen, Tien; Pham, Khanh; Blasch, Erik

    2016-05-01

    Satellite Control Networks (SCN) have provided launch control for space lift vehicles; tracking, telemetry and commanding (TTC) for on-orbit satellites; and, test support for space experiments since the 1960s. Currently, SCNs encounter a new challenge: how to maintain the high reliability of services when sharing the spectrum with emerging commercial services. To achieve this goal, the capability of multiple satellites reception is deserved as an update/modernization of SCN in the future. In this paper, we conducts an investigation of multiple access techniques in SCN scenario, e.g., frequency division multiple access (FDMA) and coded division multiple access (CDMA). First, we introduce two upgrade options of SCN based on FDMA and CDMA techniques. Correspondingly, we also provide their performance analysis, especially the system improvement in spectrum efficiency and interference mitigation. Finally, to determine the optimum upgrade option, this work uses CRISP, i.e., Cost, Risk, Installation, Supportability and Performance, as the baseline approach for a comprehensive trade study of these two options. Extensive numerical and simulation results are presented to illustrate the theoretical development.

  14. Challenges to dental access - England as a case study.

    Science.gov (United States)

    Bedi, Raman

    2006-06-01

    Access to dental services because of an insufficient workforce is a historic challenge faced by many developing countries. In recent years, however, it has become a major issue for many industrialized countries. The growing demand for cosmetic dentistry, an increase in patients' willingness to pay for dental treatment, and growing numbers of older dentate patients have all put pressure on dental systems. Ways of meeting these challenges and ensuring reasonable dental access will vary from country to country, but the solutions often lie in how the dental workforce is regulated. This case study of the dental reforms currently being implemented in England highlights progress at a particular point in time (Summer 2005). It is clear that it will take a number of years to find a new national dental payment system (the National Health Service) to replace the system which has changed little since 1948. However, the political pressure to address poor access to state-funded dental services calls for more immediate actions. The initial approach was to increase the dental workforce via international recruitment, and in the medium term to increase the number of dental students in training and to expand the numbers of other members of the dental team. An additional stratagem is to retain those already providing dental care under the National Health Service by the introduction of a new method of remuneration. England is trying to improve both access to care and the oral health of the population by creating a workforce more suitable to public demands and changing oral health needs. PMID:16674754

  15. ENVIRONMENTAL ASSESSMENT FOR THE PROPOSED WITHDRAWAL OF PUBLIC LANDS WITHIN AND SURROUNDING THE CALIENTE RAIL CORRIDOR, NEVADA

    International Nuclear Information System (INIS)

    The purpose for agency action is to preclude surface entry and the location of new mining claims, subject to valid existing rights, within and surrounding the Caliente rail corridor as described in the Yucca Mountain FEIS (DOE 2002). This protective measure is needed to enhance the safe, efficient, and uninterrupted evaluation of land areas for potential rail alignments within the Caliente rail corridor. The evaluation will assist the DOE in determining, through the Rail Alignment environmental impact statement (EIS) process, whether to construct a branch rail line, and to provide support to the BLM in deciding whether or not to reserve a ROW for the rail line under the Federal Land Policy and Management Act (FLPMA). The BLM participated as a cooperating agency in preparing this EA because it is the responsible land manager and BLM staff could contribute resource specific expertise

  16. ENVIRONMENTAL ASSESSMENT FOR THE PROPOSED WITHDRAWAL OF PUBLIC LANDS WITHIN AND SURROUNDING THE CALIENTE RAIL CORRIDOR, NEVADA

    Energy Technology Data Exchange (ETDEWEB)

    DOE

    2005-12-01

    The purpose for agency action is to preclude surface entry and the location of new mining claims, subject to valid existing rights, within and surrounding the Caliente rail corridor as described in the Yucca Mountain FEIS (DOE 2002). This protective measure is needed to enhance the safe, efficient, and uninterrupted evaluation of land areas for potential rail alignments within the Caliente rail corridor. The evaluation will assist the DOE in determining, through the Rail Alignment environmental impact statement (EIS) process, whether to construct a branch rail line, and to provide support to the BLM in deciding whether or not to reserve a ROW for the rail line under the Federal Land Policy and Management Act (FLPMA). The BLM participated as a cooperating agency in preparing this EA because it is the responsible land manager and BLM staff could contribute resource specific expertise.

  17. Ontology-based federated data access to human studies information.

    Science.gov (United States)

    Sim, Ida; Carini, Simona; Tu, Samson W; Detwiler, Landon T; Brinkley, James; Mollah, Shamim A; Burke, Karl; Lehmann, Harold P; Chakraborty, Swati; Wittkowski, Knut M; Pollock, Brad H; Johnson, Thomas M; Huser, Vojtech

    2012-01-01

    Human studies are one of the most valuable sources of knowledge in biomedical research, but data about their design and results are currently widely dispersed in siloed systems. Federation of these data is needed to facilitate large-scale data analysis to realize the goals of evidence-based medicine. The Human Studies Database project has developed an informatics infrastructure for federated query of human studies databases, using a generalizable approach to ontology-based data access. Our approach has three main components. First, the Ontology of Clinical Research (OCRe) provides the reference semantics. Second, a data model, automatically derived from OCRe into XSD, maintains semantic synchrony of the underlying representations while facilitating data acquisition using common XML technologies. Finally, the Query Integrator issues queries distributed over the data, OCRe, and other ontologies such as SNOMED in BioPortal. We report on a demonstration of this infrastructure on data acquired from institutional systems and from ClinicalTrials.gov. PMID:23304360

  18. Accessible Tourism : A Study of accessibility in Hotel Chains,Public Transport and Ferry Companies in Helsinki

    OpenAIRE

    Khatri, Kumar; Shrestha, Rajkumar; Mahat, Ujjwal

    2012-01-01

    This Bachelor’s thesis was prepared for the fulfillment of the educational standard of Laurea University of Applied Sciences. This thesis is aimed to achieve a main goal which is to explore accessible service and product with its environment into hotel chains, public transportation and ferry companies in Helsinki. In addition, this thesis describes the current accessibility situation of hotel chains, public transportation and two ferry companies in Helsinki. The empirical study material ...

  19. Apuntes para una historia de la insurgencia en la Tierra Caliente de Guerrero, 1810-1821

    Directory of Open Access Journals (Sweden)

    Jesús Guzmán Urióstegui

    2009-06-01

    Full Text Available Durante el periodo de lucha por la independencia de México, de 1810 a 1821, una de las zonas geográficas más destacadas por su apoyo a la insurgencia fue la del Sur, cuyo territorio forma actualmente el estado de Guerrero. Primero con José María Morelos y Pavón y luego con Vicente Guerrero, la complicada geografía suriana y su no menos malsano clima puso en entredicho todos los intentos de las autoridades virreinales por reestablecer ahí la paz. Es cierto que los realistas lograron algunos éxitos, pero nunca pudieron vencer los afanes de libertad de los pobladores del lugar, especialmente de los de Tierra Caliente, mismos que si bien de 1811 a 1813 actuaron de manera en cierta forma aislada, pues Morelos no los tomaba muy en cuenta ya que prefería a los costeños, después fueron su sostén principal. Este papel lo refrendarían de igual manera de 1816 a 1821 con Guerrero, obligando a Agustín de Iturbide a negociar la paz.During Mexico's struggle for independence, from 1810 to 1821, one of the geographical zones that provided most support for the insurgents was the south, whose territory currently forms part of the state of Guerrero. First with José María Morelos y Pavón and then with Vicente Guerrero, the complicated geography of the south and its no less unhealthy climate jeopardized all the viceregal authorities' attempts to re-establish peace there. Although the royalists had some success, they were never able to overcome the locals' desire for freedom, especially those in Tierra Caliente. Although they acted in a somewhat isolated fashion from 1811 to 1813, since Morelos ignored them, preferring those on the coast, they subsequently provided his greatest support. They did the same with Guerrero from 1816 to 1821, forcing Agustín de Iturbide to negotiate peace.

  20. Genetic variability and heritability studies in indigenous brassica rapa accessions

    International Nuclear Information System (INIS)

    Indigenous lines serves as an ideal germplasm for varietal development because of having broad genetic base. Current study was planned with an aim to check locally collected Brassica rapa (B. campestris, L.) accessions for genetic variability, heritability and genetic advance. The experiment was conducted at new development farm of The University of Agiculture, Peshawar during the main crop growing season of 2010-11. The experimental material consisted of ten locally collected B. rapa lines which were tested in randomized complete block design with three replications. Observations on eight quantitative parameters viz. primary branches, silique main raceme-1, main raceme length, silique length, silique width, plant height, seed silique-1, and 100 seed weight were made. Highly significant differences were observed in all traits except silique width, which showed significant variation. The highest heritability coupled with higher genetic advance was noticed in plant height which provided the evidence that this trait was under the control of additive genetic effects, while rest of the traits exhibited variable trends. Hence, it was observed that indigenous accessions have great proportion of genetic variability, which can be manipulated in future breeding programs to fully utilize their genetic potential. (author)

  1. Study of Pea Accessions for Development of an Oilseed Pea

    Directory of Open Access Journals (Sweden)

    Ehsan Khodapanahi

    2012-09-01

    Full Text Available Global interest in stable energy resources coupled with growing demand for bio-oils in various conventional and arising industries has renewed the importance of vegetable oil production. To address this global interest, oilseed production has been increased in recent decades by different approaches, such as extending the cultivation area of oil crops, or breeding and growing genetically modified plants. In this study, pea (Pisum sativum L. accessions were screened for lipid content using a rapid extraction method. This method quantifies lipid concentration in pea seeds and was developed by assessing and comparing the results of existing extraction methods used for canola and soybean, the top two Canadian oilseeds. Seeds of 151 field pea accessions were grown to maturity in 2009 and 2010 at McGill University (Quebec, Canada. Overall, lipid concentration in pea seeds ranged from 0.9 to 5.0%. Among several seed characteristics, only seed shape (wrinkled verses round had a significant effect on the total lipid production in the seeds. Peas are a valuable source of protein and starch, but the lipid concentration in their seeds has been undervalued. This research supports the idea of developing a novel dual-purpose oilseed pea that emulates the protein and oil production in soybean seeds while being conveniently adapted to a colder climate.

  2. Modeling spatial accessibility to parks: a national study

    Directory of Open Access Journals (Sweden)

    Lu Hua

    2011-05-01

    Full Text Available Abstract Background Parks provide ideal open spaces for leisure-time physical activity and important venues to promote physical activity. The spatial configuration of parks, the number of parks and their spatial distribution across neighborhood areas or local regions, represents the basic park access potential for their residential populations. A new measure of spatial access to parks, population-weighted distance (PWD to parks, combines the advantages of current park access approaches and incorporates the information processing theory and probability access surface model to more accurately quantify residential population's potential spatial access to parks. Results The PWD was constructed at the basic level of US census geography - blocks - using US park and population data. This new measure of population park accessibility was aggregated to census tract, county, state and national levels. On average, US residential populations are expected to travel 6.7 miles to access their local neighborhood parks. There are significant differences in the PWD to local parks among states. The District of Columbia and Connecticut have the best access to local neighborhood parks with PWD of 0.6 miles and 1.8 miles, respectively. Alaska, Montana, and Wyoming have the largest PWDs of 62.0, 37.4, and 32.8 miles, respectively. Rural states in the western and Midwestern US have lower neighborhood park access, while urban states have relatively higher park access. Conclusions The PWD to parks provides a consistent platform for evaluating spatial equity of park access and linking with population health outcomes. It could be an informative evaluation tool for health professionals and policy makers. This new method could be applied to quantify geographic accessibility of other types of services or destinations, such as food, alcohol, and tobacco outlets.

  3. Case studies of natural resource access in Jharkhand, India

    DEFF Research Database (Denmark)

    Sareen, Siddharth

    This policy brief illustrates that decentralisation can only effectively support residents’ access to natural resources if it both resolves policy overlaps at multiple levels to bring about inclusive and equitable access and aligns policies with ground realities for specific natural resources....

  4. Study of Womens Health Across the Nation (SWAN) Data: Investigator Access

    Data.gov (United States)

    U.S. Department of Health & Human Services — The SWAN Coordinating Center provides SWAN data access to SWAN Investigators through the study website. The SWAN website provides access to longitudinal data...

  5. Simulación de la fluencia en caliente de un acero microaleado con un contenido medio de carbono. III parte. Ecuaciones constitutivas

    Directory of Open Access Journals (Sweden)

    Cabrera, J. M.

    1997-08-01

    Full Text Available According to the part 1 of this work the constitutive equations of the hot flow behaviour of a commercial microalloyed steel have been obtained. For this purpose, the uniaxial hot compression tests described in the part 2 were employed. Tests were carried out over a range of 5 orders of magnitude in strain rate and 300 °C of temperature. Experimental results are compared with the theoretical model introduced in the first part of this study. It is concluded that deviations between experimental and theoretical curves are lower than 10 %. It is shown that the classical hiperbolic sine constitutive equation described accurately the experimental behaviour provided that stresses are normalized by the Young's modulus and strain rates by the self-diffusion coefficient. An internal stress must also be introduced in the latter equation when the initial grain size is fine enough.

    Siguiendo el planteamiento teórico efectuado en la I parte de este trabajo, se determinaron las ecuaciones constitutivas del comportamiento a la deformación en caliente de un acero comercial microaleado con un contenido medio de carbono. Para este objetivo se emplearon los ensayos de compresión uniaxial en caliente ya descritos en la II parte, los cuales se efectuaron en un rango de cinco órdenes de magnitud en velocidad de deformación y 300 °C de temperatura. Se comparan los resultados experimentales con el modelo teórico introducido en la I parte y se verifica que el error es inferior al 10 %. Se comprobó que la clásica ecuación del seno hiperbólico podía describir con precisión el comportamiento observado siempre y cuando las tensiones se normalicen por el módulo de Young, las velocidades de deformación por el coeficiente de autodifusión de la austenita, y se considere un efecto adicional sobre la tensión cuando el tamaño de grano inicial sea suficientemente fino.

  6. Accessibility of a Destination-Based Transportation System: A Large Airport Study

    Institute of Scientific and Technical Information of China (English)

    SHI Jing; YING Xiwen

    2008-01-01

    The accessibility of a destination-based transportation system is defined to quantify the perform-ance of transportation systems which access a distinct destination. The access cost is used to reflect the utility of the transportation system including the fatigue and inconvenience in the total cost. The cost is quan-tified by two coefficients which represent the different characteristics of various people. The average cost and the income-relative accessibility are used to describe various aspects of the accessibility and to evaluate the accessibility of a destination-based system. A case study uses data from the Kunming transpor-tation system to evaluate the accessibility of the present city airport. The calibrated coefficients are then used to evaluate the transportation system to the new Kunming international airport. The results show that this transportation accessibility evaluation can be combined with transportation planning to study transporta-tion sub-systems.

  7. A Bibliometric Study of Scholarly Articles Published by Library and Information Science Authors about Open Access

    Science.gov (United States)

    Grandbois, Jennifer; Beheshti, Jamshid

    2014-01-01

    Introduction: This study aims to gain a greater understanding of the development of open access practices amongst library and information science authors, since their role is integral to the success of the broader open access movement. Method: Data were collected from scholarly articles about open access by library and information science authors…

  8. SAFEGUARD OF TRADITIONAL MUSIC IN TIERRA CALIENTE Preservation and development programs of cultural patrimony of a region

    Directory of Open Access Journals (Sweden)

    Alejandro Martínez de la Rosa

    2010-05-01

    Full Text Available Traditional music of Mexico is in process of change andmuch of its wealth still is unknown, and so is necessary toinvestigate and to spread the variants, moreoverestablishing development cultural programs, therefore inthis article we revise three initiatives promoted for differentcultural organizations in last year’s, creates for preservingand revitalizing the musical patrimony of Tierra Caliente ofMichoacan region, and we developed a critical analysisfrom results of every one programs. The reflection aboutcultural problem force to continue the relationship betweenall culture agents of these projects, as soon as to increasethe promotion and spread in local ambit where the musicaltradition arises.

  9. Desarrollo de sistemas de agua caliente sanitaria en Costa Rica a partir de la energía solar

    OpenAIRE

    Fernando Lizana-Moreno

    2015-01-01

    En Costa Rica, el 41,3% de los hogares utilizan sistemas de agua caliente sanitaria (ACS), que en su gran mayoría funcionan a partir de energía eléctrica mediante dispositivos de calentamiento en línea, empleando para esto el efecto Joule. Estos sistemas representan a escala nacional un consumo aproximado de más de 250 GWh al año.  Para el presente trabajo se recopilaron datos de irradiación solar y temperatura media mensual en cada uno de los distritos del país. Con esta información se el...

  10. A Study on Radio Access Technology Selection Algorithms

    CERN Document Server

    Wu, Leijia

    2012-01-01

    This book discusses the basic idea of Common Radio Resource Management (CRRM), especially on the Radio Access Technologies selection part of CRRM. It introduces two interaction functions (information reporting function and RRM decision support function) and four interaction degrees (from low to very high) of CRRM. Four possible CRRM topologies (CRRM server, integrated CRRM, Hierarchical CRRM, and CRRM in user terminals) are described. The book presents different Radio Access Technologies selection algorithms, including single criterion and multiple criteria based algorithms are presented and compares them. Finally, the book analyses the advantages and disadvantages of the different selection algorithms.

  11. Communicating the Open Access Message: A Case Study from Ireland

    Science.gov (United States)

    Lawton, Aoife

    2016-01-01

    Since 2009, Open Access (OA) Week has been celebrated worldwide in October each year. It is an opportunity for librarians to engage with the research community and demonstrate the value that they bring to their organisations in the area of disseminating scholarly output. Although thousands of events have been held since the inception of OA Week, a…

  12. Study of LANs access technologies in wind power system

    DEFF Research Database (Denmark)

    Wei, Mu; Chen, Zhe

    2010-01-01

    techniques are addressed individually for each layer. Because of the particularity of the offshore wind farm, the communication network of the offshore wind farm may be treated as a LAN. Therefore the popular LANs access techniques, including Ethernet, at the Data Link Layer of the ISO seven-layers in wind...

  13. 76 FR 27287 - Port Access Route Study: In the Bering Strait; Extension of Comment Period

    Science.gov (United States)

    2011-05-11

    ... of Study and request for comments for the Port Access Route Study: In the Bering Strait (75 FR 68568..., 2008, issue of the Federal Register (73 FR 3316). This notice is issued under authority of 33 U.S.C... SECURITY Coast Guard 33 CFR Part 167 Port Access Route Study: In the Bering Strait; Extension of...

  14. Efecto de un laminado en caliente en la evolución de las propiedades mecánicas de aleaciones base cobre endurecidas por dispersión y compactadas uniaxialmente en caliente

    Directory of Open Access Journals (Sweden)

    Camurri, C.

    2003-02-01

    Full Text Available Copper powder of 140 μm mean size was mechanical alloyed with several compounds, 2 % B4C, 2 % ZrC, 1 % CrB, 2 % Cr3C2, 1 and 2 vol. % ZrB2 in a RETSCH PM high energy balls mill. The alloying process was carried out in stainless steel containers during 6 or 8 h of milling, under argon atmosphere, and the ball to powder charge ratio was 5:1. Instead of HIP processing, the alloyed powders were consolidated by uniaxial hot pressing at 650 °C for 2 h at a pressure of 90 MPa in argon atmosphere. Afterward the compact samples of 30 x 10 x 10 mm were hot rolled at 850 °C with area reduction from 10 to 40 %. If an homogeneous hot pressing process is obtained, the subsequent hot rolling can be avoided as only an annealing effect is produced, characterized by a small decrease in hardness and tensile strength with a small increase in ductility.

    Se alearon polvos de cobre de tamaño promedio 140 μm con diferentes compuestos, 2 % B4C, 2 % ZrC, 1 % CrB, 2 % Cr3C2, 1 y 2 % vol. de ZrB2, en un molino de bolas de alta energía RETSCH PM, con tiempos de aleado mecánico de 6 u 8 h bajo atmósfera de argón, con contenedores de acero inoxidable y una razón de carga de bolas de 5 a 1. Como alternativa a la clásica consolidación mediante HIP, se utilizó un prensado uniaxial en caliente a 650 °C y 90 MPa de presión en atmósfera de argón durante 2 h, obteniéndose un paralelepípedo de 30 x 10 x 10 mm. Posteriormente, el compacto se laminó en caliente a 850 °C, con reducciones de área entre 10 y 40 %. Se constata que si el prensado uniaxial es uniforme, el laminado en caliente posterior puede evitarse ya que sólo produce un efecto tipo recocido, disminuyendo levemente la dureza y resistencia a la tracción, incrementando ligeramente la ductilidad del compacto.

  15. Evaluating the Accessibility of Three Open-Source Learning Content Management Systems: A Comparative Study

    OpenAIRE

    Iglesias, Ana; Moreno, Lourdes; Martínez, Paloma; Calvo, Rocío

    2011-01-01

    Learning content management systems (LCMSs) have become increasingly popular in the educational field over the past few years. However, problems in system design can create difficulties in the interactions between LCMSs and an important sector of the user population. The assessment and monitoring of LCMS accessibility are vital for the guarantee of universal accessibility in education. This article presents a comparative study of the accessibility of three web-based, open-source L...

  16. Rebuilding Haiti's Educational Access: A Phenomenological Study of Technology Use in Education Delivery

    Science.gov (United States)

    Sandiford, Gladwyn A.

    2013-01-01

    There is a lack of access to technology blended with face-to-face instruction and learning in Haiti. Despite this lack of access, some Haitian college students have nevertheless leveraged technology to overcome the obstacles of poverty and obtain a higher education. This phenomenological study explored the lived experiences of 20 adult…

  17. Study of fine particles (PM{sub 2.5}) during the dry-hot time in the Toluca city; Estudio de las particulas finas (PM{sub 2.5}) durante la epoca seca-caliente en la ciudad de Toluca

    Energy Technology Data Exchange (ETDEWEB)

    Rosendo G, V. [ITT, 50000 Toluca (Mexico); Aldape U, F. [ININ, 52750 La Marquesa, Estado de Mexico (Mexico)]. e-mail: vero_rosen2108@yahoo.com.mx

    2007-07-01

    The first obtained results of the analysis of the fine fraction particulate material (PM{sub 2.5}) samples collected in the Toluca City are presented. The samples analyzed are part of a more extensive campaign that contemplates the low project the one which one carries out this work and that it integrates three climatic times (dry-hot, of rains and dry-cold time) with the purpose of investigating the events of contamination in one complete year. The obtained results correspond to the dry-hot time and its include mainly the database starting from which the temporal variation graphs were obtained, the correlations among elements and the enrichment factor, as well as a multiple correlation analysis. Additionally the gravimetry was measured. Its are not observed significant episodes, however, it was found an element of the traces order, little common in other atmospheric studies as it is arsenic. From the gravimetry it was deduced that the air quality standard of fine particle, it does not violate. (Author)

  18. Electronic doors to education: study of high school website accessibility in Iowa.

    Science.gov (United States)

    Klein, David; Myhill, William; Hansen, Linda; Asby, Gary; Michaelson, Susan; Blanck, Peter

    2003-01-01

    The Americans with Disabilities Act (ADA), and Sections 504 and 508 of the Rehabilitation Act, prohibit discrimination against people with disabilities in all aspects of daily life, including education, work, and access to places of public accommodations. Increasingly, these antidiscrimination laws are used by persons with disabilities to ensure equal access to e-commerce, and to private and public Internet websites. To help assess the impact of the anti-discrimination mandate for educational communities, this study examined 157 website home pages of Iowa public high schools (52% of high schools in Iowa) in terms of their electronic accessibility for persons with disabilities. We predicted that accessibility problems would limit students and others in obtaining information from the web pages as well as limiting ability to navigate to other web pages. Findings show that although many web pages examined included information in accessible formats, none of the home pages met World Wide Web Consortium (W3C) standards for accessibility. The most frequent accessibility problem was lack of alternative text (ALT tags) for graphics. Technical sophistication built into pages was found to reduce accessibility. Implications are discussed for schools and educational institutions, and for laws, policies, and procedures on website accessibility. PMID:12579616

  19. Cognitive Radio And Dynamic Spectrum Access – A Study

    Directory of Open Access Journals (Sweden)

    Goutam Ghosh

    2014-03-01

    Full Text Available A basic problem facing the future in wireless systems is where to find suitable spectrum bands to fulfill the demand of future services. While all of the radio spectrum is allocated to different services, applications and users, observation show that usage of the spectrum is actually quite low. To overcome this problem and improve the spectrum utilization, cognitive radio concept has been evolved. Wireless communication, in which a transmitter and receiver can detect intelligently communication channels that are in use and those which are not in use are known as Cognitive Radio, and it can move to unused channels. This makes possible the use of available radio frequency spectrum while minimizing interference with other users. CRs must have the capability to learn and adapt their wireless transmission according to the surrounding radio environment. The application of Artificial Intelligence approaches in the Cognitive Radio is very promising since they have a great importance for the implementation of Cognitive Radio networks architecture. Dynamic spectrum access is a promising approach to make less severe the spectrum scarcity that wireless communications face now. It aims at reusing sparsely occupied frequency bands and does not interfere to the actual licensees. This paper is a review and comparison of different DSA models and methods.

  20. Origen y endurecimiento por dispersión de carbonitruros en un acero comercial microaleado al niobio y laminado en caliente

    Directory of Open Access Journals (Sweden)

    Valencia, E.

    1998-12-01

    Full Text Available Throughout this work, a study on niobium carbonitrides formation and its hardening effect in a commercial hot strip microalloyed steel is presented. Optic and electron micrographs were obtained while mechanical tests and indirect models allow to predict samples yield strength, taking into account the steel composition and its structural characteristics. The results showed an extended precipitation on austenite boundary cells during the last thermomechanical processing stages, which probably achieved a considerable contribution to the hardening by dispersion in the material studied. Otherwise, no evidence of precipitation in ferrite by means of transmission electron microscopy (TEM was observed. A poor interphase precipitation was detected in about 10 per cent of the total observed zones with no appreciated contribution to the steel hardness.

    Se presenta un estudio sobre el origen de los carbonitruros de niobio y su efecto en el endurecimiento de un acero comercial microaleado y laminado en caliente. Para tal fin se utilizaron micrografías ópticas y electrónicas; así como también ensayos mecánicos y modelos indirectos que permitieron predecir el límite elástico teniendo en cuenta la composición del acero y sus características estructurales. Los resultados mostraron una extensa precipitación en la austenita durante las últimas fases del proceso de laminación siendo ésta responsable del principal aporte al endurecimiento por dispersión en el material investigado. No hubo evidencias de precipitación en la ferrita por observaciones al microscopio electrónico de transmisión y sólo una escasa precipitación interfásica fue detectada en un 10 % de las zonas observadas sin una apreciable contribución al endurecimiento del acero.

  1. Study of the tolerance of ten accessions of carrot (Daucus carota L. to salinity

    Directory of Open Access Journals (Sweden)

    Basma Kahouli

    2014-08-01

    Full Text Available The present work has focused on the assessment of the tolerance of ten accessions of carrot (L1, L2, L3, F4, E5, R7, R8, L10, G11 and S12 to salt stress, grown in the region of Sidi Bouzid. The tests were carried out under plastic greenhouse (during 5 months. The results obtained show that the salt stress reduced the parameters of growth and production. However, a difference in the response to salt stress was recorded between the accessions studied. A reduction in yield of up to 70 % with the concentration 3 g / l of NaCl, for different accessions studied is recorded. However, the accession L1 who has given the longer roots and dry matter yield and the largest root shows the most tolerant accessions unlike L10, G11 and S12 which are the most sensitive.

  2. Access to electronic health knowledge in five countries in Africa: a descriptive study

    Directory of Open Access Journals (Sweden)

    Honorati Masanja

    2007-05-01

    Full Text Available Abstract Background Access to medical literature in developing countries is helped by open access publishing and initiatives to allow free access to subscription only journals. The effectiveness of these initiatives in Africa has not been assessed. This study describes awareness, reported use and factors influencing use of on-line medical literature via free access initiatives. Methods Descriptive study in four teaching hospitals in Cameroon, Nigeria, Tanzania and Uganda plus one externally funded research institution in The Gambia. Survey with postgraduate doctors and research scientists to determine Internet access patterns, reported awareness of on-line medical information and free access initiatives; semi structured interviews with a sub-sample of survey participants to explore factors influencing use. Results In the four African teaching hospitals, 70% of the 305 postgraduate doctors reported textbooks as their main source of information; 66% had used the Internet for health information in the last week. In two hospitals, Internet cafés were the main Internet access point. For researchers at the externally-funded research institution, electronic resources were their main source, and almost all had used the Internet in the last week. Across all 333 respondents, 90% had heard of PubMed, 78% of BMJ on line, 49% the Cochrane Library, 47% HINARI, and 19% BioMedCentral. HINARI use correlates with accessing the Internet on computers located in institutions. Qualitative data suggested there are difficulties logging into HINARI and that sometimes it is librarians that limit access to passwords. Conclusion Text books remain an important resource for postgraduate doctors in training. Internet use is common, but awareness of free-access initiatives is limited. HINARI and other initiatives could be more effective with strong institutional endorsement and management to promote and ensure access.

  3. Advancing Migrant Access to Health Services in Europe (AMASE): Protocol for a Cross-sectional Study

    OpenAIRE

    Fakoya, I; Álvarez-Del Arco, D.; Monge, S; Copas, A J; Gennotte, A. F.; Volny-Anne, A.; Göpel, S.; Touloumi, G.; Prins, M; Barros, H; Staehelin, C.; del Amo, J.; Burns, F. M.

    2016-01-01

    BACKGROUND: Migrants form a substantial proportion of the population affected by the human immunodeficiency virus (HIV) epidemic in Europe, yet HIV prevention for this population is hindered by poor understanding of access to care and of postmigration transmission dynamics. OBJECTIVE: We present the design and methods of the advancing Migrant Access to health Services in Europe (aMASE) study, the first European cross-cultural study focused on multiple migrant populations. It aims to identify ...

  4. Caracterización de los sistemas ganaderos en dos comunidades del municipio de Tuzantla de la región de Tierra Caliente, Michoacán

    OpenAIRE

    C. I. Villa; M. J. Tena; R. Tzintzun; Val, D.

    2008-01-01

    Los sistemas de producción ganaderos de la región de Tierra Caliente están vinculados al manejo agrosilvopastoril, aprovechando una amplia gama de recursos forrajeros naturales, siendo las familias quienes conducen la administración y aprovechamiento de dichos recursos. Se buscó definir las características, recursos forrajeros aprovechables e insumos alimenticios, estimando su calidad nutricional, con el fin de encontrar estrategias de alimentación de ganado que red...

  5. An Observational Study of Consumers’ Accessing of Nutrition Information in Chain Restaurants

    Science.gov (United States)

    Agnew, Henry; Brownell, Kelly D.

    2009-01-01

    In this observational study, we determined how frequently consumers accessed on-premises nutrition information provided at chain restaurants. The number of patrons entering and accessing nutrition information was recorded at 8 locations that were part of 4 major restaurant chains (McDonald's, Burger King, Starbucks, and Au Bon Pain). Only 6 (0.1%) of 4311 patrons accessed on-premises nutrition information before purchasing food. This very small percentage suggests that such information should be more prominently displayed, such as on restaurant menu boards, to help customers make informed decisions. PMID:19299679

  6. An observational study of consumers' accessing of nutrition information in chain restaurants.

    Science.gov (United States)

    Roberto, Christina A; Agnew, Henry; Brownell, Kelly D

    2009-05-01

    In this observational study, we determined how frequently consumers accessed on-premises nutrition information provided at chain restaurants. The number of patrons entering and accessing nutrition information was recorded at 8 locations that were part of 4 major restaurant chains (McDonald's, Burger King, Starbucks, and Au Bon Pain). Only 6 (0.1%) of 4311 patrons accessed on-premises nutrition information before purchasing food. This very small percentage suggests that such information should be more prominently displayed, such as on restaurant menu boards, to help customers make informed decisions.

  7. An observational study of consumers' accessing of nutrition information in chain restaurants.

    Science.gov (United States)

    Roberto, Christina A; Agnew, Henry; Brownell, Kelly D

    2009-05-01

    In this observational study, we determined how frequently consumers accessed on-premises nutrition information provided at chain restaurants. The number of patrons entering and accessing nutrition information was recorded at 8 locations that were part of 4 major restaurant chains (McDonald's, Burger King, Starbucks, and Au Bon Pain). Only 6 (0.1%) of 4311 patrons accessed on-premises nutrition information before purchasing food. This very small percentage suggests that such information should be more prominently displayed, such as on restaurant menu boards, to help customers make informed decisions. PMID:19299679

  8. Lessons Learned from a Disabilities Accessible Study Abroad Trip

    Science.gov (United States)

    Twill, Sarah E.; Guzzo, Gaetano R.

    2012-01-01

    In the summer of 2009, a two-week study abroad program was specifically designed and executed to include students with disabilities. Recruitment efforts resulted in 11 student participants, six of who were identified as having a disability by the University's Office of Disability Services. Students participated in a two-course academic program;…

  9. Women's Access to Higher Education in Tanzania: A Qualitative Study

    Science.gov (United States)

    Johnson, Megan Patricia

    2011-01-01

    The purpose of this study was to reveal the ways in which first-generation women in Tanzania explained their success in pursuing a university education despite cultural and social obstacles. Such obstacles include social policies, socio-cultural factors, and academic factors. A review of the literature revealed that issues such as patriarchy,…

  10. A Qualitative Study of Barriers to Accessing Water, Sanitation and Hygiene for Disabled People in Malawi.

    Directory of Open Access Journals (Sweden)

    Sian White

    Full Text Available Globally, millions of people lack access to improved water, sanitation and hygiene (WASH. Disabled people, disadvantaged both physically and socially, are likely to be among those facing the greatest inequities in WASH access. This study explores the WASH priorities of disabled people and uses the social model of disability and the World Health Organization's International Classification of Functioning, Disability and Health (ICF framework to look at the relationships between impairments, contextual factors and barriers to WASH access. 36 disabled people and 15 carers from urban and rural Malawi were purposively selected through key informants. The study employed a range of qualitative methods including interviews, emotion mapping, free-listing of priorities, ranking, photo voice, observation and WASH demonstrations. A thematic analysis was conducted using nVivo 10. WASH access affected all participants and comprised almost a third of the challenges of daily living identified by disabled people. Participants reported 50 barriers which related to water and sanitation access, personal and hand hygiene, social attitudes and participation in WASH programs. No two individuals reported facing the same set of barriers. This study found that being female, being from an urban area and having limited wealth and education were likely to increase the number and intensity of the barriers faced by an individual. The social model proved useful for classifying the majority of barriers. However, this model was weaker when applied to individuals who were more seriously disabled by their body function. This study found that body function limitations such as incontinence, pain and an inability to communicate WASH needs are in and of themselves significant barriers to adequate WASH access. Understanding these access barriers is important for the WASH sector at a time when there is a global push for equitable access.

  11. A bibliometric study of publication patterns in access to medicines research in developing countries

    OpenAIRE

    Ritz, Lindsay Sarah; Adam, Taghreed; Laing, Richard

    2010-01-01

    Objectives: Developing countries face considerable problems in both accessing and properly utilizing essential medicines. One challenge to achieving these goals in resource-poor settings is a limited knowledge base as to what works to improve the selection, access and use of essential medicines including; ways to ensure affordable prices, increase sustainable financing, and strengthen reliable supply systems that are relevant to these settings. The objective of this study was to search the ex...

  12. A Qualitative Study of Barriers to Accessing Water, Sanitation and Hygiene for Disabled People in Malawi.

    Science.gov (United States)

    White, Sian; Kuper, Hannah; Itimu-Phiri, Ambumulire; Holm, Rochelle; Biran, Adam

    2016-01-01

    Globally, millions of people lack access to improved water, sanitation and hygiene (WASH). Disabled people, disadvantaged both physically and socially, are likely to be among those facing the greatest inequities in WASH access. This study explores the WASH priorities of disabled people and uses the social model of disability and the World Health Organization's International Classification of Functioning, Disability and Health (ICF) framework to look at the relationships between impairments, contextual factors and barriers to WASH access. 36 disabled people and 15 carers from urban and rural Malawi were purposively selected through key informants. The study employed a range of qualitative methods including interviews, emotion mapping, free-listing of priorities, ranking, photo voice, observation and WASH demonstrations. A thematic analysis was conducted using nVivo 10. WASH access affected all participants and comprised almost a third of the challenges of daily living identified by disabled people. Participants reported 50 barriers which related to water and sanitation access, personal and hand hygiene, social attitudes and participation in WASH programs. No two individuals reported facing the same set of barriers. This study found that being female, being from an urban area and having limited wealth and education were likely to increase the number and intensity of the barriers faced by an individual. The social model proved useful for classifying the majority of barriers. However, this model was weaker when applied to individuals who were more seriously disabled by their body function. This study found that body function limitations such as incontinence, pain and an inability to communicate WASH needs are in and of themselves significant barriers to adequate WASH access. Understanding these access barriers is important for the WASH sector at a time when there is a global push for equitable access.

  13. A Qualitative Study of Barriers to Accessing Water, Sanitation and Hygiene for Disabled People in Malawi.

    OpenAIRE

    Sian White; Hannah Kuper; Ambumulire Itimu-Phiri; Rochelle Holm; Adam Biran

    2016-01-01

    Globally, millions of people lack access to improved water, sanitation and hygiene (WASH). Disabled people, disadvantaged both physically and socially, are likely to be among those facing the greatest inequities in WASH access. This study explores the WASH priorities of disabled people and uses the social model of disability and the World Health Organization's International Classification of Functioning, Disability and Health (ICF) framework to look at the relationships between impairments, c...

  14. A Qualitative Study of Barriers to Accessing Water, Sanitation and Hygiene for Disabled People in Malawi.

    Science.gov (United States)

    White, Sian; Kuper, Hannah; Itimu-Phiri, Ambumulire; Holm, Rochelle; Biran, Adam

    2016-01-01

    Globally, millions of people lack access to improved water, sanitation and hygiene (WASH). Disabled people, disadvantaged both physically and socially, are likely to be among those facing the greatest inequities in WASH access. This study explores the WASH priorities of disabled people and uses the social model of disability and the World Health Organization's International Classification of Functioning, Disability and Health (ICF) framework to look at the relationships between impairments, contextual factors and barriers to WASH access. 36 disabled people and 15 carers from urban and rural Malawi were purposively selected through key informants. The study employed a range of qualitative methods including interviews, emotion mapping, free-listing of priorities, ranking, photo voice, observation and WASH demonstrations. A thematic analysis was conducted using nVivo 10. WASH access affected all participants and comprised almost a third of the challenges of daily living identified by disabled people. Participants reported 50 barriers which related to water and sanitation access, personal and hand hygiene, social attitudes and participation in WASH programs. No two individuals reported facing the same set of barriers. This study found that being female, being from an urban area and having limited wealth and education were likely to increase the number and intensity of the barriers faced by an individual. The social model proved useful for classifying the majority of barriers. However, this model was weaker when applied to individuals who were more seriously disabled by their body function. This study found that body function limitations such as incontinence, pain and an inability to communicate WASH needs are in and of themselves significant barriers to adequate WASH access. Understanding these access barriers is important for the WASH sector at a time when there is a global push for equitable access. PMID:27171520

  15. Assessing Accessibility in Four Library and Information Sciences Journals: A Comparative Study

    Directory of Open Access Journals (Sweden)

    Ali Sadatmoosavi

    2010-09-01

    Full Text Available The present study targets the rate of accessibility and decay of internet citations for the articles published in four LIS journals available through Emerald database for the 2005-2008 period. The findings indicated that of the 2886 URL cited, 1858 (64% were accessible while the rest were inaccessible. Using Internet Explorer, Internet Archive and Google, the inaccessible citations were reduced to 5%. URL accessibility demonstrated that 60% of the internet based citations are accessible through the URL cited. Among the error messages received, file error represented the highest (61%. URL distribution showed that the. net and. gov domains are more enduring and persistant when compared with. edu,. org and. com domains. The average internet citation for each article was 4.8.

  16. An evaluation of edge effects in nutritional accessibility and availability measures: a simulation study

    Directory of Open Access Journals (Sweden)

    Porter Dwayne E

    2010-07-01

    Full Text Available Abstract Background This paper addresses the statistical use of accessibility and availability indices and the effect of study boundaries on these measures. The measures are evaluated via an extensive simulation based on cluster models for local outlet density. We define outlet to mean either food retail store (convenience store, supermarket, gas station or restaurant (limited service or full service restaurants. We designed a simulation whereby a cluster outlet model is assumed in a large study window and an internal subset of that window is constructed. We performed simulations on various criteria including one scenario representing an urban area with 2000 outlets as well as a non-urban area simulated with only 300 outlets. A comparison is made between estimates obtained with the full study area and estimates using only the subset area. This allows the study of the effect of edge censoring on accessibility measures. Results The results suggest that considerable bias is found at the edges of study regions in particular for accessibility measures. Edge effects are smaller for availability measures (when not smoothed and also for short range accessibility Conclusions It is recommended that any study utilizing these measures should correct for edge effects. The use of edge correction via guard areas is recommended and the avoidance of large range distance-based accessibility measures is also proposed.

  17. Caracterización de aceros dual-phase obtenidos por laminación en caliente

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    Houbaert, Y.

    2011-02-01

    Full Text Available Samples were obtained from C-Mn-Si steel available in the market. Through a hot rolling and coiling process, it was possible to obtain Dual-Phase steel with microstructural and mechanical properties in the theoretical range typical of this material. The thermomechanical process consisted of a strong reduction by multiples pass of hot rolling at temperatures above Ar3, controlled-cooling the sheets during 5 s (at a rate of 20 °C/s in the equilibrium range α+γ. Temperature Ar3 measured by differential scanning calorimetry was 890 °C. Quenching was then carried out in the coiling temperatures range (500-675 °C, cooling the samples in accordance to an established curve that corresponds to the actual cooling curve of a coil. The microstructural characterization of the samples obtained was carried out by optical microscopy, scanning electron microscopy and atomic force microscopy. Additionally, texture measurements were carried out by X-ray diffraction in order to study the resulting orientations due to the finishing rolling temperature and coiling temperature, determining the influence on these parameters of the different texture components. The microstructural results were complemented with the normal and planar anisotropy indexes measured in according to the ASTM E-517 standard. The intensities of the different texture components were correlated with the values of anisotropy indexes, finding that it is possible to obtain only a slightly enhancement in the normal anisotropy index through an appropriate combination of finish rolling and coiling temperatures.

    Se tomaron muestras de acero al C-Mn-Si disponible en el mercado y mediante un proceso de laminación en caliente y bobinado, se obtuvo acero Dual Phase con microestructura y propiedades mecánicas dentro del rango teórico esperado de este material. El proceso termomecánico consistió en producir una fuerte reducción a temperaturas mayores a Ar3

  18. Access to tuberculosis services for individuals with disability in rural Malawi, a qualitative study.

    Science.gov (United States)

    Grut, Lisbet; Sanudi, Lifah; Braathen, Stine Hellum; Jürgens, Thomas; Eide, Arne H

    2015-01-01

    Tuberculosis occurs in all populations, but with higher prevalence in poor contexts. Vulnerable groups, including individuals with disability, run a particular risk due to poorer access to information and health services. Studying access to tuberculosis services for vulnerable groups in poor contexts may provide useful insight into the quality of such services in low-income contexts. This article aims to present a contextual understanding of access to tuberculosis services for people with disabilities in one district in southern Malawi. A qualitative method with semi-structured interviews and site observations was applied. In all, 89 participants were interviewed: 47 persons with disability, 11 parents/guardians of youths with disability, and the remaining 31 comprising eight health workers, four community rehabilitation assistants and volunteers, and 19 leaders in the community.Our main findings are that lack of information and knowledge, and considerable confusion related to tuberculosis, its cause and how to protect oneself, are major barrier to accessing services. Disease awareness and personal risk perception are key factors in this regard. Further findings concerns the pathways to tuberculosis related health services, in particular having a test and completing the treatment. The combination of lack of knowledge and barriers in accessing tests implies substantial availability and access problems.It is of importance to understand the combined impact of individual, social, contextual, and systems barriers to fully address the complexity of accessing tuberculosis services for vulnerable groups in poor populations. Lack of disability specific strategies in the local health services may be part of the reason why individuals with disability to not access such services.

  19. Access to tuberculosis services for individuals with disability in rural Malawi, a qualitative study.

    Directory of Open Access Journals (Sweden)

    Lisbet Grut

    Full Text Available Tuberculosis occurs in all populations, but with higher prevalence in poor contexts. Vulnerable groups, including individuals with disability, run a particular risk due to poorer access to information and health services. Studying access to tuberculosis services for vulnerable groups in poor contexts may provide useful insight into the quality of such services in low-income contexts. This article aims to present a contextual understanding of access to tuberculosis services for people with disabilities in one district in southern Malawi. A qualitative method with semi-structured interviews and site observations was applied. In all, 89 participants were interviewed: 47 persons with disability, 11 parents/guardians of youths with disability, and the remaining 31 comprising eight health workers, four community rehabilitation assistants and volunteers, and 19 leaders in the community.Our main findings are that lack of information and knowledge, and considerable confusion related to tuberculosis, its cause and how to protect oneself, are major barrier to accessing services. Disease awareness and personal risk perception are key factors in this regard. Further findings concerns the pathways to tuberculosis related health services, in particular having a test and completing the treatment. The combination of lack of knowledge and barriers in accessing tests implies substantial availability and access problems.It is of importance to understand the combined impact of individual, social, contextual, and systems barriers to fully address the complexity of accessing tuberculosis services for vulnerable groups in poor populations. Lack of disability specific strategies in the local health services may be part of the reason why individuals with disability to not access such services.

  20. ACCESSIBLE BUILT ENVIRONMENT FOR THE ELDERLY AND DISABLED IN MALAYSIA: HOTELS AS CASE STUDIES

    Directory of Open Access Journals (Sweden)

    Asiah Abdul Rahim

    2010-12-01

    Full Text Available In Malaysia, it has become of increasing importance to study ways to improve the level of accessibility in buildings for the elderly and disabled people in the built environment, especially in hotels and resorts. The methods used in this study to identify areas to improve are access audits, table research and interviews. The data from these studies are analysed using a descriptive analysis based on access audits, observations, plan analysis, photographs and questionnaires. Access audits were carried out in two hotels and resorts in July and November 2007 in selected areas of East Malaysia. The selected hotels and resorts were constructed in the 1980s; one is located at the countryside and the other in the city centre. The findings will allow the building provider to upgrade existing facilities in order to accommodate accessible built environment for the elderly and disabled people. This will allow the elderly and disabled people to move freely, safely and being more easily integrated with the society in areas of public building and public spaces.

  1. Determinants of lexical access in pure-anomic recovery:a longitudinal study

    Institute of Scientific and Technical Information of China (English)

    Xiao ZHOU; Hui LIANG; Ming-wei XU; Ben-yan LUO

    2009-01-01

    Many studies involving lexical access in picture-naming tasks have been undertaken at a point in time, mainly focusing on age of acquisition (AoA). To identify the real determinates of lexical access in recovery and their traces in the brain, we carried out a longitudinal study on a Chinese pure anomic patient using multiple logistic regression analysis. We found that AoA played an important role in early recovery but not in total recovery, whereas familiarity was significant in the whole process. From a new dynamic point of view, our results indicate that AoA and familiarity are the main determinants of lexical access in anomia recovery. We suggest that the changing effects of AoA during recovery may be related to the pathologic process; AoA and familiarity should be taken into account in constructing materials to assess and treat anomic patients.

  2. A study of institutional spending on open access publication fees in Germany.

    Science.gov (United States)

    Jahn, Najko; Tullney, Marco

    2016-01-01

    Publication fees as a revenue source for open access publishing hold a prominent place on the agendas of researchers, policy makers, and academic publishers. This study contributes to the evolving empirical basis for funding these charges and examines how much German universities and research organisations spent on open access publication fees. Using self-reported cost data from the Open APC initiative, the analysis focused on the amount that was being spent on publication fees, and compared these expenditure with data from related Austrian (FWF) and UK (Wellcome Trust, Jisc) initiatives, in terms of both size and the proportion of articles being published in fully and hybrid open access journals. We also investigated how thoroughly self-reported articles were indexed in Crossref, a DOI minting agency for scholarly literature, and analysed how the institutional spending was distributed across publishers and journal titles. According to self-reported data from 30 German universities and research organisations between 2005 and 2015, expenditures on open access publication fees increased over the years in Germany and amounted to € 9,627,537 for 7,417 open access journal articles. The average payment was € 1,298, and the median was € 1,231. A total of 94% of the total article volume included in the study was supported in accordance with the price cap of € 2,000, a limit imposed by the Deutsche Forschungsgemeinschaft (DFG) as part of its funding activities for open access funding at German universities. Expenditures varied considerably at the institutional level. There were also differences in how much the institutions spent per journal and publisher. These differences reflect, at least in part, the varying pricing schemes in place including discounted publication fees. With an indexing coverage of 99%, Crossref thoroughly indexed the open access journals articles included in the study. A comparison with the related openly available cost data from Austria and

  3. Determinación de la tensión de laminación en caliente a partir de ensayos de tracción

    Directory of Open Access Journals (Sweden)

    Monsalve, A.

    2013-02-01

    Full Text Available Prediction of mechanical behavior of hot rolled steels is an important aspect during industrial processing. The rolling stress needed to the process were estimated using three methods, the first of which is related to the Sellars`s model that takes into account the friction coefficient and the yield stress. The second method estimates the rolling stress as the average stress obtained during the tensile tests. The third method, estimates the rolling stress from the data of power consumed by the rolling equipment. This methodology was applied in this study to a carbon steel. The conclusion of the work is that results obtained by Sellars`s and consumed power, are coincident. The method based on the average tensile stress predicts stresses lower than those obtained with other two methods.

    La predicción del comportamiento mecánico de aceros laminados en caliente es un aspecto importante durante el procesamiento industrial. En el presente trabajo, las tensiones necesarias para el proceso de laminado, fueron estimadas usando tres métodos, el primero de los cuales se basa en la aplicación del modelo de Sellars, que toma en cuenta el coeficiente de fricción y el límite elástico. El segundo método, estima la tensión de laminado a partir de la tensión promedio obtenida durante los ensayos de tracción. El tercer método, estima la tensión de laminado a partir de los datos de potencia consumida por el equipo de laminación. Esta metodología fue aplicada en este estudio a un acero al carbono. La conclusión de este trabajo es que los resultados obtenidos por los métodos basados en el modelo de Sellars y de la potencia consumida, son coincidentes, en tanto que el método basado en la tensión de tracción, presenta valores ligeramente menores a los predichos por los otros modelos.

  4. Retina-on-a-chip: a microfluidic platform for point access signaling studies.

    Science.gov (United States)

    Dodson, Kirsten H; Echevarria, Franklin D; Li, Deyu; Sappington, Rebecca M; Edd, Jon F

    2015-12-01

    We report on a microfluidic platform for culture of whole organs or tissue slices with the capability of point access reagent delivery to probe the transport of signaling events. Whole mice retina were maintained for multiple days with negative pressure applied to tightly but gently bind the bottom of the retina to a thin poly-(dimethylsiloxane) membrane, through which twelve 100 μm diameter through-holes served as fluidic access points. Staining with toluidine blue, transport of locally applied cholera toxin beta, and transient response to lipopolysaccharide in the retina demonstrated the capability of the microfluidic platform. The point access fluidic delivery capability could enable new assays in the study of various kinds of excised tissues, including retina. PMID:26559199

  5. Access through the Ages at an Elite Boarding School: A Case Study of Phillips Academy

    Science.gov (United States)

    Carney, Samantha

    2012-01-01

    This study is about access for low-income students at an elite boarding school. As "feeder schools" to elite colleges and universities, elite boarding schools play a significant role in determining which students will be in the upper class in America; however, little is known about the history of low-income students at these schools. The…

  6. Video Game Access, Parental Rules, and Problem Behavior: A Study of Boys with Autism Spectrum Disorder

    Science.gov (United States)

    Engelhardt, Christopher R.; Mazurek, Micah O.

    2014-01-01

    Environmental correlates of problem behavior among individuals with autism spectrum disorder remain relatively understudied. The current study examined the contribution of in-room (i.e. bedroom) access to a video game console as one potential correlate of problem behavior among a sample of 169 boys with autism spectrum disorder (ranging from 8 to…

  7. Access Barriers to Dental Health Care in Children with Disability. A Questionnaire Study of Parents

    Science.gov (United States)

    Gerreth, Karolina; Borysewicz-Lewicka, Maria

    2016-01-01

    Background: A patient's with disability everyday life is rife with many limitations such as architectural, transport, information as well as medical, psychological, legal, economic and social barriers. The aim of this study was to evaluate access to dental health care of special-care schoolchildren with intellectual disability on the basis of…

  8. Accessibility of shared space for visually impaired persons : A comparative field study

    NARCIS (Netherlands)

    Havik, Else; Steyvers, Franciscus J.J.M.; Kooijman, Aart; Melis, Bart

    2015-01-01

    Shared Space is a concept that comprises the design and planning process of a public space. There are concerns about the accessibility of Shared Spaces for people who are visually impaired. In a comparative field study, the wayfinding performance of 25 visually impaired persons (VIPs) was observed w

  9. Making or breaking climate targets : The AMPERE study on staged accession scenarios for climate policy

    NARCIS (Netherlands)

    Kriegler, Elmar; Riahi, Keywan; Bauer, Nico; Schwanitz, Valeria Jana; Petermann, Nils; Bosetti, Valentina; Marcucci, Adriana; Otto, Sander; Paroussos, Leonidas; Rao, Shilpa; Arroyo Currás, Tabaré; Ashina, Shuichi; Bollen, Johannes; Eom, Jiyong; Hamdi-Cherif, Meriem; Longden, Thomas; Kitous, Alban; Méjean, Aurélie; Sano, Fuminori; Schaeffer, Michiel; Wada, Kenichi; Capros, Pantelis; P. van Vuuren, Detlef; Edenhofer, Ottmar

    2015-01-01

    This study explores a situation of staged accession to a global climate policy regime from the current situation of regionally fragmented and moderate climate action. The analysis is based on scenarios in which a front runner coalition - the EU or the EU and China - embarks on immediate ambitious cl

  10. Household food access and child malnutrition: results from the eight-country MAL-ED study

    Directory of Open Access Journals (Sweden)

    Psaki Stephanie

    2012-12-01

    Full Text Available Abstract Background Stunting results from decreased food intake, poor diet quality, and a high burden of early childhood infections, and contributes to significant morbidity and mortality worldwide. Although food insecurity is an important determinant of child nutrition, including stunting, development of universal measures has been challenging due to cumbersome nutritional questionnaires and concerns about lack of comparability across populations. We investigate the relationship between household food access, one component of food security, and indicators of nutritional status in early childhood across eight country sites. Methods We administered a socioeconomic survey to 800 households in research sites in eight countries, including a recently validated nine-item food access insecurity questionnaire, and obtained anthropometric measurements from children aged 24 to 60 months. We used multivariable regression models to assess the relationship between household food access insecurity and anthropometry in children, and we assessed the invariance of that relationship across country sites. Results Average age of study children was 41 months. Mean food access insecurity score (range: 0–27 was 5.8, and varied from 2.4 in Nepal to 8.3 in Pakistan. Across sites, the prevalence of stunting (42% was much higher than the prevalence of wasting (6%. In pooled regression analyses, a 10-point increase in food access insecurity score was associated with a 0.20 SD decrease in height-for-age Z score (95% CI 0.05 to 0.34 SD; p = 0.008. A likelihood ratio test for heterogeneity revealed that this relationship was consistent across countries (p = 0.17. Conclusions Our study provides evidence of the validity of using a simple household food access insecurity score to investigate the etiology of childhood growth faltering across diverse geographic settings. Such a measure could be used to direct interventions by identifying children at risk of illness and

  11. Access to Firearms Among Orange County Youth: A School-based Study

    Directory of Open Access Journals (Sweden)

    Gorchynski, Julie

    2006-08-01

    Full Text Available Objective: School-associated firearm violence among children and adolescents is a national public concern. The objective of this study was to determine the accessibility of firearms, methods of firearm access and firearm safety knowledge among middle and high school students in Orange County, California. Methods: After permission from school officials and parents was obtained, a 24-question survey was distributed to 176 students in grades 6 through 12 at four schools in Orange County. Data was collected over a 12-month period beginning in February 2003. Data analysis was presented in proportions. In addition, cross tabulations were performed to determine which factors were associated with access to guns, having fired a gun, and firearm possession at school. Results: The mean age of participants was 16.1 years. Seventy-seven (45% were male, 121 (69% Hispanic, and 171 (94% were of middle income. Four participants (2.3% admitted to gang involvement, 47 (26.7% had fired a gun. Those more likely to have fired a gun appeared to be non-Hispanic males (p= 0.001. Seventy-five (43% reported access to a gun. Older students and those in grades 9 to 12 were more likely to have access to a gun (p= 0.01, which they stated could be obtained from their homes, friends or relatives (4.5% to 22%. No students admitted to bringing a gun to school. Two (1.1% students stated that they had thought of using a gun at school. One hundred one students (62% were taught firearm safety by their parent(s. Conclusion: Almost half of the students in this study acknowledged that they could gain access to a gun and two students had thought about using a gun at school. Firearm education, safety and counseling are of paramount importance to ensure safety among school youths.

  12. Policies to Spur Energy Access. Executive Summary; Volume 1, Engaging the Private Sector in Expanding Access to Electricity; Volume 2, Case Studies to Public-Private Models to Finance Decentralized Electricity Access

    Energy Technology Data Exchange (ETDEWEB)

    Walters, Terri [National Renewable Energy Lab. (NREL), Golden, CO (United States); Rai, Neha [International Institute for Environment and Development (IIED), London (England); Esterly, Sean [National Renewable Energy Lab. (NREL), Golden, CO (United States); Cox, Sadie [National Renewable Energy Lab. (NREL), Golden, CO (United States); Reber, Tim [National Renewable Energy Lab. (NREL), Golden, CO (United States); Muzammil, Maliha [Univ. of Oxford (United Kingdom); Mahmood, Tasfiq [International Center for Climate Change and Development, Baridhara (Bangladesh); Kaur, Nanki [International Institute for Environment and Development (IIED), London (England); Tesfaye, Lidya [Echnoserve Consulting (Ethiopia); Mamuye, Simret [Echnoserve Consulting (Ethiopia); Knuckles, James [Univ. of London (England). Cass Business School; Morris, Ellen [Columbia Univ., New York, NY (United States); de Been, Merijn [Delft Univ. of Technology (Netherlands); Steinbach, Dave [International Institute for Environment and Development (IIED), London (England); Acharya, Sunil [Digo Bikas Inst. (Nepal); Chhetri, Raju Pandit [National Renewable Energy Lab. (NREL), Golden, CO (United States); Bhushal, Ramesh [National Renewable Energy Lab. (NREL), Golden, CO (United States)

    2015-09-01

    Government policy is one of the most important factors in engaging the private sector in providing universal access to electricity. In particular, the private sector is well positioned to provide decentralized electricity products and services. While policy uncertainty and regulatory barriers can keep enterprises and investors from engaging in the market, targeted policies can create opportunities to leverage private investment and skills to expand electricity access. However, creating a sustainable market requires policies beyond traditional electricity regulation. The report reviews the range of policy issues that impact the development and expansion of a market for decentralized electricity services from establishing an enabling policy environment to catalyzing finance, building human capacity, and integrating energy access with development programs. The case studies in this report show that robust policy frameworks--addressing a wide range of market issues--can lead to rapid transformation in energy access. The report highlights examples of these policies in action Bangladesh, Ethiopia, Mali, Mexico, and Nepal.

  13. Genetic diversity studies in twenty accessions of hot pepper (Capsicum spp L.) in Ghana

    International Nuclear Information System (INIS)

    Twenty (20) accessions of hot pepper (Capsicum spp L.) were collected from eight geographical regions of Ghana for genetic diversity studies. The objective was to assess genetic relationship among them using phenotypic and molecular traits and to evaluate their elemental composition. A replicated field experiment was conducted to assess their genetic diversity based on 13 quantitative traits and 22 qualitative traits using the IBPGR descriptor list for Capsicum. Confirmation of their identities was done using 10 SSR markers. The accessions were also evaluated for macro, micro and trace elements in their fresh fruits using the Instrumental Neutron Activation Analysis (INAA). Five essential macro elements (Ca, Cl, K, Mg and Na), two micro elements (Al and Mn) and one trace element (Br) were detected by INAA. Results from the agromorphological study revealed that accession Wes 01 had the widest stem width, matured leaf width, high fruit set but late maturing. Nor 03 was early maturing and had high fruit set, but also possessed the highest number of seeds per fruit. Fruit weight, fruit width, fruit length and plant canopy width, recorded the highest variabilities with 66.191; 53.24; 49.32; and 32.42 coefficients of variation (CVs), respectively. Few traits such as plant canopy width, plant height, fruit length, mature leaf length and number of seeds per fruit contributed substantially to total genetic variance as revealed by the principal component analysis (PCA). A dendrogram generated using morphological traits grouped accessions into cultivated and wild genotypes of pepper and all the accessions were identified as separate entities with no duplications. Strong correlation was recorded between plant canopy width and plant height, mature leaf length and mature leaf width, and also fruit weight and fruit width and fruit length. Negative correlation was however, observed between fruit length and days to 50% fruiting and flowering. All three accessions from the Northern

  14. Increasing access to healthful foods: a qualitative study with residents of low-income communities

    Science.gov (United States)

    2015-01-01

    Background Inadequate access to healthful foods has been identified as a significant barrier to healthful dietary behaviors among individuals who live in low-income communities. The purpose of this study was to gather low-income community members’ opinions about their food purchasing choices and their perceptions of the most effective ways to increase access to healthful foods in their communities. Methods Spanish and English focus groups were conducted in low-income, ethnically-diverse communities. Participants were asked about their knowledge, factors influencing their food purchasing decisions, and their perceptions regarding solutions to increase access to healthful foods. Results A total of 148 people participated in 13 focus groups. The majority of participants were female and ethnically diverse (63% Hispanic, 17% African American, 16% Caucasian, and 4% “other”). More than 75% of the participants reported making less than $1999 USD per month. Participants reported high levels of knowledge and preference for healthful foods. The most important barriers influencing healthful shopping behaviors included high price of healthful food, inadequate geographical access to healthful food, poor quality of available healthful food, and lack of overall quality of the proximate retail stores. Suggested solutions to inadequate access included placement of new chain supermarkets in their communities. Strategies implemented in convenience stores were not seen as effective. Farmers’ markets, with specific stipulations, and community gardens were regarded as beneficial supplementary solutions. Conclusion The results from the focus groups provide important input from a needs assessment perspective from the community, identify gaps in access, and offer potential effective solutions to provide direction for the future. PMID:26222910

  15. Evaluación espacio-temporal de vegetación y uso de suelo de la Cuenca Río Caliente, Jalisco, México

    OpenAIRE

    Ramírez Sánchez, Hermes Ulises; García Guadalupe, Mario; Villalpando Piña, Gilberto

    2013-01-01

    El territorio mexicano ha sufrido un proceso acelerado de degradación de bosques con transformación en áreas de uso agropecuario o urbano. Los estudios de procesos dinámicos del uso del suelo son importantes y necesarios, ya que proporcionan información de la degradación producto de factores antrópicos. El objetivo de este trabajo fue identificar y cuantificar la variación espacial de los tipos de vegetación y usos de suelo en la Cuenca Río Caliente del Área de Protección de Flora y Fauna La ...

  16. Diseño y optimización de una instalación solar para la obtención de agua caliente sanitaria

    OpenAIRE

    Campos Díez, Sergio

    2010-01-01

    El objetivo del presente proyecto consiste en la instalación de un sistema de captación solar para la producción de agua caliente sanitaria (ACS) en viviendas unifamiliares en la Comunidad de Madrid, evitando la emisión de grandes cantidades de gases de efecto invernadero. El proyecto se ha dividido en 16 capítulos que detallan el proceso de análisis aplicado para lograr la optimización de la instalación solar que se propone. El capítulo 1, dentro del cuál nos encontramos, t...

  17. CARACTERÍSTICAS DEL QUESO TEPEQUE DE LA TIERRA CALIENTE DE MICHOACÁN: UN QUESO PRODUCIDO EN UN SISTEMA SILVOPASTORIL INTENSIVO

    OpenAIRE

    Alejandra Donají Solís Méndez; Raquel Martínez Loperena; Javier Solorio Sánchez; Julieta G. Estrada Flores; Francisca Avilés Nova; Ana Tarin Gutiérrez Ibáñez; Octavio Alonso Castelán Ortega

    2013-01-01

    El objetivo del presente estudio fue describir las características del Queso Tepeque de la Tierra Caliente del Estado de Michoacán en términos de su región de origen, proceso de manufactura, características fisicoquímicas y microbiológicas, y documentar los cambios atribuibles a la implementación de un sistema silvopastoril intensivo (SSPi) para la alimentación del ganado. La metodología consintió en visitar la zona de estudio para recolectar información sobre el territorio donde se produce e...

  18. Immigrant mothers and access to prenatal care: evidence from a regional population study in Italy

    OpenAIRE

    Chiavarini, Manuela; Lanari, Donatella; Minelli, Liliana; Pieroni, Luca; Salmasi, Luca

    2016-01-01

    Objectives We addressed the question of whether use of adequate prenatal care differs between foreign-born and Italian mothers and estimated the extent to which unobservable characteristics bias results. Setting This study is on primary care and especially on adequate access to prenatal healthcare services by immigrant mothers. Participants Approximately 37 000 mothers of both Italian and foreign nationality were studied. Data were obtained from the Standard Certificate of Live Birth between ...

  19. Studies in tissue culture of some indigenous rice (Oryza glaberrima Steud.) accessions in Ghana

    International Nuclear Information System (INIS)

    A study was conducted with the aim of developing separate protocols for callus induction and plant regeneration from different parts of three O. glaberrima accessions indigenous to Ghana. The three O. glaberrima accessions, Guame, N/4 and SARI 1 were assessed for their callus induction and plant regeneration ability from leaf segments, mature dehusked seeds and anthers on different concentrations of plant growth regulators, incorporated into Murashige and Skoog, (1962) (MS) basal medium. For leaf segments, callus was induced on MS supplemented with (0-10) mg/l 2,4-D. Callus induction frequency was significantly (p≤0.05) different among accessions, as well as among the 2,4-dichlorophenoxyacetic acid (2,4-D) levels tested. Highest callus induction frequency was exhibited at a concentration of 6 mg/l 2,4-D for all accessions tested. Callus obtained was sub-cultured on regeneration medium consisting of MS supplemented with (1:0-5) mg.l NAA:BAP. Plant regeneration was nil. Instead, prolific root formation was observed. For mature dehusked seeds, callus induction medium consisted of MS supplemented with (0-6) mg/l 2,4-D. All tested accessions exhibited highest callus frequency at 4 mg/l 2,4-D. Similarly callus induction frequency was significantly (p≤0.05) different among accessions, as well as among concentrations of 2,4-D tested. Calli obtained were sub-cultured on MS medium supplemented with (0-2.5) mg/l 6-benzylaminopurine (BAP) and exhibited the highest regeneration frequency on medium containing 2.0 mg/l BAP. However, callus induced on a concentration of 3 mg/l 2,4-D and sub-cultured on a concentration of 2 mg/l BAP gave the best response n terms of shoot proliferation, growth and root development and therefore were considered to be the optimum concentrations for callus induction and plant regeneration respectively. Plantlet regeneration was achieved only in accession N/4 while Guame and SARI 1 exhibited poor regeneration response. Among the three rice

  20. A study of HIV positive undocumented African migrants' access to health services in the UK.

    Science.gov (United States)

    Whyte, James; Whyte, Maria D; Hires, Kimberly

    2015-01-01

    Newly immigrated persons, whatever their origin, tend to fall in the lower socioeconomic levels. In fact, failure of an asylum application renders one destitute in a large proportion of cases, often resulting in a profound lack of access to basic necessities. With over a third of HIV positive failed asylum seekers reporting no income, and the remainder reporting highly limited resources, poverty is a reality for the vast majority. The purpose of the study was to determine the basic social processes that guide HIV positive undocumented migrant's efforts to gain health services in the UK. The study used the Grounded Theory Approach. Theoretical saturation occurred after 16 participants were included in the study. The data included reflections of the prominent factors related to the establishment of a safe and productive life and the ability of individuals to remain within the UK. The data reflected heavily upon the ability of migrants to enter the medical care system during their asylum period, and on an emerging pattern of service denial after loss on immigration appeal. The findings of this study are notable in that they have demonstrated sequence of events along a timeline related to the interaction between the asylum process and access to health-related services. The results reflect that African migrants maintain a degree of formal access to health services during the period that they possess legal access to services and informal access after the failure of their asylum claim. The purpose of this paper is to examine the basic social processes that characterize efforts to gain access to health services among HIV positive undocumented African migrants to the UK. The most recent estimates indicate that there are a total of 618,000 migrants who lack legal status within the UK. Other studies have placed the number of undocumented migrants within the UK in the range of 525,000-950,000. More than 442,000 are thought to dwell in the London metropolitan area. Even in

  1. Increasing access--a qualitative study of homelessness and palliative care in a major urban center.

    Science.gov (United States)

    Krakowsky, Yonah; Gofine, Mirriam; Brown, Pnina; Danziger, Jana; Knowles, Holly

    2013-05-01

    Rates of morbidity and mortality are significantly higher in homeless populations. Homeless people experience many barriers to receive adequate palliative care. This qualitative study examines how a major urban city's palliative care resources can be improved to increase access and better serve the homeless. Audiotaped interviews were preformed with 7 homeless care providers in Toronto, Canada, and their transcripts were analyzed using thematic analysis. The findings of the study suggest that in order to increase access and to serve the city's terminally ill homeless better, the following 4 areas must be addressed: (1) increasing positive interaction between the health care system and the homeless, (2) training staff to deal with the unique issues confronting the homeless, (3) providing patient-centered care, and (4) diversifying the methods of delivery.

  2. Study of Access and Quality of Care in For-Profit PACE

    OpenAIRE

    David Jones; Nancy Duda; Bob Schmitz; Sandi Nelson; Chelsea Swete; Alex Bryce; Jared Coopersmith; Karen CyBulski

    2013-01-01

    This report summarizes a study to address quality of and access to care for participants of for-profit Programs of All-Inclusive Care for the Elderly (PACE) organizations. The PACE model allows people who otherwise need a nursing home-level of care to remain in the community by providing health care and related support services, such as social supports, meals and chore services, and transportation.

  3. Expanding access to primary care without additional budgets? A case study from Burkina Faso.

    Science.gov (United States)

    Marschall, Paul; Flessa, Steffen

    2008-11-01

    The aim of this study is to demonstrate the impact of increased access to primary care on provider costs in the rural health district of Nouna, Burkina Faso. This study question is crucial for health care planning in this district, as other research work shows that the population has a higher need for health care services. From a public health perspective, an increase of utilisation of first-line health facilities would be necessary. However, the governmental budget that is needed to finance improved access was not known. The study is based on data of 2004 of a comprehensive provider cost information system. This database provides us with the actual costs of each primary health care facility (Centre de Santé et de Promotion Sociale, CSPS) in the health district. We determine the fixed and variable costs of each institution and calculate the average cost per service unit rendered in 2004. Based on the cost structure of each CSPS, we calculate the total costs if the demand for health care services increased. We conclude that the total provider costs of primary care (and therefore the governmental budget) would hardly rise if the coverage of the population were increased. This is mainly due to the fact that the highest variable costs are drugs, which are fully paid for by the customers (Bamako Initiative). The majority of other costs are fixed. Consequently, health care reforms that improve access to health care institutions must not fear dramatically increasing the costs of health care services. PMID:18197447

  4. A study of Iranian immigrants’ experiences of accessing Canadian health care services: a grounded theory

    Directory of Open Access Journals (Sweden)

    Dastjerdi Mahdieh

    2012-09-01

    Full Text Available Abstract Background Immigration is not a new phenomenon but, rather, has deep roots in human history. Documents from every era detail individuals who left their homelands and struggled to reestablish their lives in other countries. The aim of this study was to explore and understand the experience of Iranian immigrants who accessed Canadian health care services. Research with immigrants is useful for learning about strategies that newcomers develop to access health care services. Methods The research question guiding this study was, “What are the processes by which Iranian immigrants learn to access health care services in Canada?” To answer the question, a constructivist grounded theory approach was applied. Initially, unstructured interviews were conducted with 17 participants (11 women and six men who were adults (at least 18 years old and had immigrated to Canada within the past 15 years. Eight participants took part in a second interview, and four participants took part in a third interview. Results Using a constructivist grounded theory approach, “tackling the stumbling blocks of access” emerged as the core category. The basic social process (BSP, becoming self-sufficient, was a transitional process and had five stages: becoming a stranger; feeling helpless; navigating/seeking information; employing strategies; and becoming integrated and self-sufficient. We found that “tackling the stumbling blocks of access” was the main struggle throughout this journey. Some of the immigrants were able to overcome these challenges and became proficient in accessing health care services, but others were unable to make the necessary changes and thus stayed in earlier stages/phases of transition, and sometimes returned to their country of origin. Conclusion During the course of this journey a substantive grounded theory was developed that revealed the challenges and issues confronted by this particular group of immigrants. This process explains

  5. STUDY OF ADVANTAGES AND DISADVANTAGES OF TOTALLY IMPLANTABLE VENOUS ACCESS DEVICE

    Directory of Open Access Journals (Sweden)

    J. Ahmadi

    2006-07-01

    Full Text Available Totally implantable venous access devices (TIVAD or implantable catheter ports are devices which can be implanted subcutaneously. They enable prolonged and repeated access to the vascular system, into the peritoneal cavity or intravertebral space. This device is particularly useful for repeated medical injection, for blood sampling or transfusion of blood and blood derivatives and for total parenteral nutrition (TPN. Although many patients benefit from the insertion of TIVAD without any secondary effects, any surgical implantation can nevertheless lead to complications. ‎In this study, we investigated the advantages and disadvantages of TIVAD catheter in pediatric age group. A total of 94 cases, 2 to 14 years old, were included in our study. We implanted TIVAD in these patients for chemotherapy in 83 cases (88.29%, for prolonged TPN in 6 cases (6.38%, for corticosteroid and antibiotic therapy after ‎Kasai operation in 2 cases (2.12%, for intermittent IV therapy in 2 cases (2.12% and for need to partial parenteral nutrition in 1 case (1.06%. Out of 94 cases, 14 cases (15% had some kind of complications and 80 cases (85% had no complication. There was no mortality. Most patients and their parents (82 cases, 87.23% were satisfied from TIVAD. ‎It seems that TIVAD can be a useful device for many chronic patients who need an IV access for multiple injections.

  6. Physical and Visual Accessibilities in Intensive Care Units: A Comparative Study of Open-Plan and Racetrack Units.

    Science.gov (United States)

    Rashid, Mahbub; Khan, Nayma; Jones, Belinda

    2016-01-01

    This study compared physical and visual accessibilities and their associations with staff perception and interaction behaviors in 2 intensive care units (ICUs) with open-plan and racetrack layouts. For the study, physical and visual accessibilities were measured using the spatial analysis techniques of Space Syntax. Data on staff perception were collected from 81 clinicians using a questionnaire survey. The locations of 2233 interactions, and the location and length of another 339 interactions in these units were collected using systematic field observation techniques. According to the study, physical and visual accessibilities were different in the 2 ICUs, and clinicians' primary workspaces were physically and visually more accessible in the open-plan ICU. Physical and visual accessibilities affected how well clinicians' knew their peers and where their peers were located in these units. Physical and visual accessibilities also affected clinicians' perception of interaction and communication and of teamwork and collaboration in these units. Additionally, physical and visual accessibilities showed significant positive associations with interaction behaviors in these units, with the open-plan ICU showing stronger associations. However, physical accessibilities were less important than visual accessibilities in relation to interaction behaviors in these ICUs. The implications of these findings for ICU design are discussed. PMID:27575795

  7. Assessment of the Vaccine Industry in Iran in Context of Accession to WTO: a Survey Study

    Directory of Open Access Journals (Sweden)

    Amir Hashemi Meshkini

    2012-08-01

    Full Text Available Background :The vaccine industry is one of the most important health-related industries. It can be affected by accession to the World Trade Organization (WTO because of probable dramatic changes in the business environment. Iran has already initiated accession negotiations. Purpose of the study In this paper, we investigate the position of, challenges to, and opportunities for vaccine manufacturing in Iran with regard to accession to the WTO. Methods:This is a qualitative and cross sectional study. To collect information, we designed a questionnaire and interviewed some of the vaccine industry's key opinion leaders in Iran. Before the interviews were conducted, the questionnaires were sent to these individuals by email. Results:According to the interviewees, the country's main challenges with regard to accession to the WTO are the lack of firm internal intellectual property (IP rules, not being recognized as pre-qualified by the World Health Organization (WHO, the use of old equipment, and a lack of cooperation with global vaccine companies. Major conclusions Iran's local vaccine industry, with a long history and international reputation that could be used as an advantage, is faced with several challenges, such as problems with keeping up with Current Good Manufacturing Practice (cGMP, a lack of adequate and meaningful investment in research and development (R&D, and limitations on private sector participation in the production of vaccines. Gradual privatization of the industry, improved international relations, utilization of the R&D power of small hi-tech companies, consistent education of human resources, and modernization of infrastructures and equipment are among the suggested solutions.

  8. Assessment of the vaccine industry in Iran in context of accession to WTO: a survey study

    Directory of Open Access Journals (Sweden)

    Hashemi Meshkini Amir

    2012-08-01

    Full Text Available Abstract Background The vaccine industry is one of the most important health-related industries. It can be affected by accession to the World Trade Organization (WTO because of probable dramatic changes in the business environment. Iran has already initiated accession negotiations. Purpose of the study In this paper, we investigate the position of, challenges to, and opportunities for vaccine manufacturing in Iran with regard to accession to the WTO. Methods This is a qualitative and cross sectional study. To collect information, we designed a questionnaire and interviewed some of the vaccine industry’s key opinion leaders in Iran. Before the interviews were conducted, the questionnaires were sent to these individuals by email. Results According to the interviewees, the country’s main challenges with regard to accession to the WTO are the lack of firm internal intellectual property (IP rules, not being recognized as pre-qualified by the World Health Organization (WHO, the use of old equipment, and a lack of cooperation with global vaccine companies. Major conclusions Iran’s local vaccine industry, with a long history and international reputation that could be used as an advantage, is faced with several challenges, such as problems with keeping up with Current Good Manufacturing Practice (cGMP, a lack of adequate and meaningful investment in research and development (R&D, and limitations on private sector participation in the production of vaccines. Gradual privatization of the industry, improved international relations, utilization of the R&D power of small hi-tech companies, consistent education of human resources, and modernization of infrastructures and equipment are among the suggested solutions.

  9. Challenges with participant reimbursement: experiences from a post-trial access study.

    Science.gov (United States)

    Mngadi, Kathryn Therese; Frohlich, Janet; Montague, Carl; Singh, Jerome; Nkomonde, Nelisiwe; Mvandaba, Nomzamo; Ntombeka, Fanelesibonge; Luthuli, Londiwe; Abdool Karim, Quarraisha; Mansoor, Leila

    2015-11-01

    Reimbursement of trial participants remains a frequently debated issue, with specific guidance lacking. Trials combining post-trial access and implementation science may necessitate new strategies and models. CAPRISA 008, a post-trial access study testing the feasibility of using family planning services to rollout a prelicensure HIV prevention intervention, tried to balance the real-life scenario of no reimbursement for attendance at public sector clinics with that of a trial including some visits that focused on research procedures and others that focused on standard of care procedures. A reduced reimbursement was offered for 'standard of care' visits, meant primarily to cover transport costs to and from the clinic only. This impacted negatively on accrual, retention and participant morale, primarily due to the protracted delay in regulatory approval, during which time, the costs of living, including travel costs had increased. Relevant guidelines were reviewed and institutional policy was updated to incorporate the South African National Health Research Ethics Committee guidelines on reimbursement (taking into account participant time, travel and inconvenience). The reimbursement amount for 'standard of care' visits was increased accordingly. The question remains whether a trial that combines post-trial access with implementation science, with clear benefits for the participants and the provision of above standard medical care, should have reimbursement rates that approach those of a proof-of-concept trial, for 'standard of care' visits. PMID:26392172

  10. Deficient arithmetic fact retrieval--storage or access problem? A case study.

    Science.gov (United States)

    Kaufmann, Liane; Lochy, Aliette; Drexler, Arthur; Semenza, Carlo

    2004-01-01

    This paper aims at clarifying the nature of fact retrieval difficulties in an 18-year-old young man (MO) who exhibited a puzzling pattern of developmental dyscalculia. Contrasting performance on explicit (production and verification tasks) and implicit (priming) tasks we observed poor overt retrieval of addition and multiplication facts, classical interference effects in verification tasks and inconsistency of error patterns. Hence, MO's performance pattern is suggestive of the existence of a partly stored network of facts (reflecting imperfect storage), but is also compatible with an access deficit according to Warrington and Cipolotti's [Brain 119 (1996) 611] criteria for distinguishing access and storage deficits in dysphasic patients. Furthermore, while MO displayed interference effects in verification tasks, he did not show automatic access to arithmetic facts in implicit tasks. Finally, similar to the findings of Roussel, Fayol, and Barrouillet [European Journal of Cognitive Psychology 14(1) (2002) 61] on normal subjects, MO's performance pattern is suggestive of the existence of differential processing mechanisms for addition and multiplication facts. We propose a unifying mechanism, namely a deficit of the central executive of working memory (WM), that accounts both for the constitution of a fuzzy network of fact representations, and for an access deficit modulated by attentional demands as required in explicit/implicit task paradigms. Overall, our results clearly provide evidence that even in (a developmental) case of a non-perfect network of memory representations (e.g. [Journal of Experimental Psychology: General 117 (1988) 258]), interference effects might be observed. Future studies thus need to be cautious before concluding that interference effects prove the existence of a well-established associative memory network of arithmetic facts. PMID:14728921

  11. Comportamiento de las líneas de Si IV en estrellas calientes

    Science.gov (United States)

    Venero, R. O.; Cidale, L. S.; Ringuelet, A. E.

    We study the atmospheric structure of hot stars by means of the analysis of ultraviolet line profiles of Si IV. Our goal is to obtain velocity and temperature laws of the wind as well as ionization structures for atmospheres in NLTE and with radiative equilibrium departures. We present a possible explanation on the appearance of narrow absorption components in Si IV line profiles.

  12. Enhancing Independent Internet Access for Individuals with Mental Retardation through Use of a Specialized Web Browser: A Pilot Study.

    Science.gov (United States)

    Davies, Daniel K.; Stock, Steven E.; Wehmeyer, Michael L.

    2001-01-01

    In this study, a prototype web browser, called Web Trek, that utilizes multimedia to provide access for individuals with cognitive disabilities was developed and pilot-tested with 12 adults with mental retardation. The Web Trek browser provided greater independence in accessing the Internet compared to Internet Explorer. (Contains references.)…

  13. Hot-pressing steatite bodies; Obtencion de eseatita por prensado en caliente

    Energy Technology Data Exchange (ETDEWEB)

    Aparicio Arroyo, E.

    1967-07-01

    Requirements for some special nuclear engineering ceramic shapes are: big size, impervious, dimensional accuracy and good mechanical and dielectric properties. Limitations of te conventional methods and advantages of te hot pressing techniques for the manufacturing of these shapes are discussed. Hot pressing characteristics of a certain steatite powder are studied. Occurrence of an optimum densification temperature just above the tale decomposition range is found. Experimental data show that the height/diameter ratio of the specimen has no effect on the sintering conditions. Increasing darkness from the graphite mould is detected above the optimum temperature. The hot-pressed steatite is compared with a fired dry-pressed sample of the same composition. (Author) 13 refs.

  14. Criterios de predicción de inestabilidades plásticas en procesos de conformado en caliente. (Parte I: Revisión teórica

    Directory of Open Access Journals (Sweden)

    Al Omar, A.

    2010-04-01

    Full Text Available Hot working processes often induce high levels of deformation at high strain rates, and impose very complex multiaxial modes of solicitation. These processes are essentially limited by apparition and development of plastic instabilities. These may be the direct cause of rapid crack propagation, which lead to a possible final rupture. The complexity of deformation modes and the simultaneous intervention of several parameters have led many researchers to develop various criteria, with different approaches, to predict the occurrence of defects and to optimize process control parameters. The aim of the present paper is to summarize the general characteristics of some instability criteria, widely used in the literature, for the prediction of plastic instabilities during hot working. It was considered appropriate to divide the work into two parts: part I presents the phenomenological criteria for the prediction of plastic instabilities, based on descriptive observation of microscopic phenomena of the deformation (strain hardening and strain rate sensitivity, and discusses the continuum criteria based on the principle of maximum rate of entropy production of irreversible thermodynamics applied to continuum mechanics of large plastic flow. Also, this part provides a bibliographical discussion among several authors with regard to the physical foundations of dynamic materials model. In part II, of the work, a comparative study has been carried out to characterize the flow instability during a hot working process of a medium carbon microalloyed using phenomenological and continuum criteria.

    Los procesos de conformado de materiales inducen frecuentemente altos grados de deformación, a grandes velocidades de deformación, e imponen modos de solicitación multiaxiales y muy complejos. Dichos procesos quedan esencialmente limitados por la aparición y desarrollo de inestabilidades plásticas. Éstas pueden ser la causa directa de la propagación r

  15. Respuesta mecánica durante la inversión de la deformación en caliente de un acero microaleado

    Directory of Open Access Journals (Sweden)

    Badiola, D. J.

    2005-08-01

    Full Text Available The mechanical behaviour of a Nb-microalloyed steel under non monotonie conditions has been studied using double hit hot torsion tests involving changes in the twist direction. For strain reversal conditions, a clear mechanical transient has been observed. This transient has been characterized by a steep hardening region just after reversal which takes place up to a stress level near the one reached before reversing, then a region showing a low strain hardening rate and finally, a region extending up to the convergence of monotonie and reversal behaviours. Testing temperatures and strain rates have ranged from 950°C to 1200°C and from 0.01s-1 to 0.1s-1, respectively. Applied prestrains before reversal have varied from 0.03 to 0.25 in order to avoid the occurrence of dynamic recrystallization during previous strain. Lastly, some relationships have been established between the deformation conditions and the parameters defining the transient. These parameters depend mainly on the prestrain.

    Se ha estudiado el comportamiento mecánico de un acero microaleado con niobio bajo condiciones no monótonas de deformación mediante ensayos de torsión en caliente de doble pasada con cambio de sentido de giro entre la primera y la segunda de ellas. Se ha observado que la inversión de la deformación produce un transitorio en las curvas de fluencia caracterizado por un endurecimiento rápido hasta alcanzar un nivel de tensión menor al que se tenía, justo, antes de aplicar el cambio en el sentido de giro, una etapa de endurecimiento nulo y, finalmente, una región en la que el comportamiento mecánico durante la inversión tiende progresivamente al comportamiento mecánico monótono. Las temperaturas de ensayo se han variado entre 950 °C y 1.200 °C y las velocidades de deformación entre 0,01 y 0,1 s-1 Las deformaciones previas aplicadas antes de la reversión han estado comprendidas entre 0,03 y 0,25, evit

  16. Locks and raspberries: a comparative study of single-board computers for access control

    OpenAIRE

    Romin, Andreas

    2016-01-01

    Over the past decade, there has been a drastic development of the single-board computer market. These computers are now in a position where they can compete with classic embedded hardware. Such fast improvement has led ASSA ABLOY, a well-known lock and security company, to see value in replacing some of their existing access control hardware with an off-the-shelf single-board computer. Therefore, a comparative study of single-board computers was performed for this company. Some of the compare...

  17. Advancing Migrant Access to Health Services in Europe (AMASE): Protocol for a Cross-sectional Study

    Science.gov (United States)

    Álvarez-del Arco, Débora; Monge, Susana; Copas, Andrew J; Gennotte, Anne-Francoise; Volny-Anne, Alain; Göpel, Siri; Touloumi, Giota; Prins, Maria; Barros, Henrique; Staehelin, Cornelia; del Amo, Julia; Burns, Fiona M

    2016-01-01

    Background Migrants form a substantial proportion of the population affected by the human immunodeficiency virus (HIV) epidemic in Europe, yet HIV prevention for this population is hindered by poor understanding of access to care and of postmigration transmission dynamics. Objective We present the design and methods of the advancing Migrant Access to health Services in Europe (aMASE) study, the first European cross-cultural study focused on multiple migrant populations. It aims to identify the structural, cultural, and financial barriers to HIV prevention, diagnosis, and treatment and to determine the likely country of HIV acquisition in HIV-positive migrant populations. Methods We delivered 2 cross-sectional electronic surveys across 10 countries (Belgium, France, Germany, Greece, Italy, the Netherlands, Portugal, Spain, Switzerland, and United Kingdom). A clinic survey aimed to recruit up to 2000 HIV-positive patients from 57 HIV clinics in 9 countries. A unique study number linked anonymized questionnaire data to clinical records data (viral loads, CD4 cell counts, viral clades, etc). This questionnaire was developed by expert panel consensus and cognitively tested, and a pilot study was carried out in 2 countries. A Web-based community survey (n=1000) reached those living with HIV but not currently accessing HIV clinics, as well as HIV-negative migrants. It was developed in close collaboration with a community advisory group (CAG) made up of representatives from community organizations in 9 of the participating countries. The CAG played a key role in data collection by promoting the survey to higher-risk migrant groups (sub-Saharan Africans, Latin Americans, men who have sex with men, and people who inject drugs). The questionnaires have considerable content overlap, allowing for comparison. Questions cover ethnicity, migration, immigration status, HIV testing and treatment, health-seeking behavior, sexual risk, and drug use. The electronic questionnaires

  18. The FODA-TDMA satellite access scheme - Presentation, study of the system, and results

    Science.gov (United States)

    Celandroni, Nedo; Ferro, Erina

    1991-12-01

    A description is given of FODA-TDMA, a satellite access scheme designed for mixed traffic. The study of the system is presented and the choice of some parameters is justified. A simplified analytic solution is found, describing the steady-state behavior of the system. Some results of the simulation tests for an already existing hardware environment are also presented for the channel speeds of 2 and 8 Mb/s, considering both the stationary and the transient cases. The results of the experimentation at 2 Mb/s on the satellite Eutelsat-F2 are also presented and compared with the results of the simulation.

  19. Estimating solar access of typical residential rooftops: A case study in San Jose, CA

    Energy Technology Data Exchange (ETDEWEB)

    Levinson, Ronnen M.; Gupta, Smita; Akbari, Hashem; Pomerantz, Melvin

    2008-03-03

    Shadows cast by trees and buildings can limit the solar access of rooftop solar-energy systems, including photovoltaic panels and thermal collectors. This study characterizes rooftop shading in a residential neighborhood of San Jose, CA, one of four regions analyzed in a wider study of the solar access of California homes.High-resolution orthophotos and LiDAR (Light Detection And Ranging) measurements of surface height were used to create a digital elevation model of all trees and buildings in a 4 km2 residential neighborhood. Hourly shading of roofing planes (the flat elements of roofs) was computed geometrically from the digital elevation model. Parcel boundaries were used to determine the extent to which roofing planes were shaded by trees and buildings in neighboring parcels.In the year in which surface heights were measured (2005), shadows from all sources ("total shading") reduced the insolation received by S-, SW-, and W-facing residential roofing planes in the study area by 13 - 16percent. Shadows cast by trees and buildings in neighboring parcels reduced insolation by no more than 2percent. After 30 years of simulated maximal tree growth, annual total shading increased to 19 - 22percent, and annual extraparcel shading increased to 3 - 4percent.

  20. Access to women's health care: a qualitative study of barriers perceived by homeless women.

    Science.gov (United States)

    Gelberg, Lillian; Browner, C H; Lejano, Elena; Arangua, Lisa

    2004-01-01

    Homelessness is an escalating national problem and women are disproportionately affected. Nevertheless, few studies have focused on the special circumstances associated with being a homeless woman. For instance, while both genders experience serious barriers to obtaining health care, homeless women face an additional burden by virtue of their sexual and reproductive health needs. The current study was conducted as the first stage of a qualitative/quantitative investigation of homeless women's access and barriers to family planning and women's health care. We interviewed 47 homeless women of diverse ages and ethnic backgrounds. A qualitative approach was initially taken to explore the factors homeless women themselves perceive as barriers to their use of birth control and women's health services, and factors they believe would facilitate their use. Key findings are that health is not a priority for homeless women, that transportation and scheduling can be particularly burdensome for homeless women, and that being homeless leads some to feel stigmatized by health care providers. Despite being homeless, having children was extremely important to the women in our study. At the same time, those interested in contraception confronted significant barriers in their efforts to prevent pregnancies. We conclude with suggested interventions that would make general, gynecological, and reproductive health care more accessible to homeless women.

  1. Montreal Archive of Sleep Studies: an open-access resource for instrument benchmarking and exploratory research.

    Science.gov (United States)

    O'Reilly, Christian; Gosselin, Nadia; Carrier, Julie; Nielsen, Tore

    2014-12-01

    Manual processing of sleep recordings is extremely time-consuming. Efforts to automate this process have shown promising results, but automatic systems are generally evaluated on private databases, not allowing accurate cross-validation with other systems. In lacking a common benchmark, the relative performances of different systems are not compared easily and advances are compromised. To address this fundamental methodological impediment to sleep study, we propose an open-access database of polysomnographic biosignals. To build this database, whole-night recordings from 200 participants [97 males (aged 42.9 ± 19.8 years) and 103 females (aged 38.3 ± 18.9 years); age range: 18-76 years] were pooled from eight different research protocols performed in three different hospital-based sleep laboratories. All recordings feature a sampling frequency of 256 Hz and an electroencephalography (EEG) montage of 4-20 channels plus standard electro-oculography (EOG), electromyography (EMG), electrocardiography (ECG) and respiratory signals. Access to the database can be obtained through the Montreal Archive of Sleep Studies (MASS) website (http://www.ceams-carsm.ca/en/MASS), and requires only affiliation with a research institution and prior approval by the applicant's local ethical review board. Providing the research community with access to this free and open sleep database is expected to facilitate the development and cross-validation of sleep analysis automation systems. It is also expected that such a shared resource will be a catalyst for cross-centre collaborations on difficult topics such as improving inter-rater agreement on sleep stage scoring. PMID:24909981

  2. Montreal Archive of Sleep Studies: an open-access resource for instrument benchmarking and exploratory research.

    Science.gov (United States)

    O'Reilly, Christian; Gosselin, Nadia; Carrier, Julie; Nielsen, Tore

    2014-12-01

    Manual processing of sleep recordings is extremely time-consuming. Efforts to automate this process have shown promising results, but automatic systems are generally evaluated on private databases, not allowing accurate cross-validation with other systems. In lacking a common benchmark, the relative performances of different systems are not compared easily and advances are compromised. To address this fundamental methodological impediment to sleep study, we propose an open-access database of polysomnographic biosignals. To build this database, whole-night recordings from 200 participants [97 males (aged 42.9 ± 19.8 years) and 103 females (aged 38.3 ± 18.9 years); age range: 18-76 years] were pooled from eight different research protocols performed in three different hospital-based sleep laboratories. All recordings feature a sampling frequency of 256 Hz and an electroencephalography (EEG) montage of 4-20 channels plus standard electro-oculography (EOG), electromyography (EMG), electrocardiography (ECG) and respiratory signals. Access to the database can be obtained through the Montreal Archive of Sleep Studies (MASS) website (http://www.ceams-carsm.ca/en/MASS), and requires only affiliation with a research institution and prior approval by the applicant's local ethical review board. Providing the research community with access to this free and open sleep database is expected to facilitate the development and cross-validation of sleep analysis automation systems. It is also expected that such a shared resource will be a catalyst for cross-centre collaborations on difficult topics such as improving inter-rater agreement on sleep stage scoring.

  3. Distance matters: a population based study examining access to maternity services for rural women

    Directory of Open Access Journals (Sweden)

    Kornelsen Jude

    2011-06-01

    Full Text Available Abstract Background In the past fifteen years there has been a wave of closures of small maternity services in Canada and other developed nations which results in the need for rural parturient women to travel to access care. The purpose of our study is to systematically document newborn and maternal outcomes as they relate to distance to travel to access the nearest maternity services with Cesarean section capabililty. Methods Study population is all women carrying a singleton pregnancy beyond 20 weeks and delivering between April 1, 2000 and March 31, 2004 and residing outside of the core urban areas of British Columbia. Maternal and newborn data was linked to specific geographic catchments by the B.C. Perinatal Health Program. Catchments were stratified by distance to nearest maternity service with Cesarean section capabililty if greater than 1 hour travel time or level of local service. Hierarchical logistic regression was used to test predictors of adverse newborn and maternal outcomes. Results 49,402 cases of women and newborns resident in rural catchments were included. Adjusted odds ratios for perinatal mortality for newborns from catchments greater than 4 hours from services was 3.17 (95% CI 1.45-6.95. Newborns from catchments 2 to 4 hours, and 1 to 2 hours from services generated rates of 179 and 100 NICU 3 days per thousand births respectively compared to 42 days for newborns from catchments served by specialists. Conclusions Distance matters: rural parturient women who have to travel to access maternity services have increased rates of adverse perinatal outcomes.

  4. Third party access to LNG terminals. GIIGNL - Commercial Study Group Topic 8

    International Nuclear Information System (INIS)

    This report has been elaborated in the context of the GIIGNL Commercial Study Group (CSG) activities, which include as one of its topics the 'Third Party Access to LNG terminals' (Topic 8), led by Enagas. The 2010 edition is the third update to the report presented during the meeting of the GIIGNL Commercial Study Group in Tokyo, Japan, in September 2007. - Section 1 includes a review of the regulatory TPA regimes of LNG terminals in operation in Europe. The existing regime in each country, or for each terminal, is reviewed following a number of subsections. Each subsection follows the same structure in order to better understand the different arrangements and facilitate comparisons. - Section 2 shows data on effective usage and TPA access to each LNG terminal since 2000. Three main data are shown where available: number of cargoes delivered, volumes unloaded / sent-out, and the part of these cargoes/volumes that correspond to third parties. - Section 3 includes a tariff comparison for TPA to LNG terminals in Europe, taking into account the terms and conditions in force as of July 2010. - A description of the regulatory situation in the US in Sections 4. Access conditions to the three terminals under regulated TPA have been included for the first time: Lake Charles, Cove Point and Elba Island. An overview of Mexico and Canada is also reported. - An overview of the regulatory situation in Japan is provided in Section 5. The information required for the elaboration of this report has been collected from official web sites (LNG operators, regulatory authorities and industry associations), public reports and industry and statistical data Enagas deems to be reliable. For the adoption of certain hypothesis in Section 3 Enagas has also relied in information directly provided by operators

  5. Access to Interdental Brushing in Periodontal Healthy Young Adults: A Cross-Sectional Study

    Science.gov (United States)

    Santamaria, Julie; Bravo, Manuel; Bourgeois, Denis

    2016-01-01

    Purpose Interdental diameter space is largely undefined in adults, which compromises the decision support for daily interdental cleaning during routine practice in individual oral prophylaxis. This study assesses the distribution of diameter access of interdental spaces in an 18- to 25-year-old adult population free of periodontal disease. Methods In March-April 2015, a cross-sectional study using random sampling was performed at the University Lyon 1, France. The interproximal dental spaces of 99 individuals were examined using a colorimetric calibrated probe associated with the corresponding calibrated interdental brush (IDB). Results Of the 2,408 out of 2,608 sites, the overall accessibility prevalence of any interdental brushing was 92.3%. In total, 80.6% of the sites required interdental brushes with smaller diameters (0.6–0.7 mm). In anterior sites, the diameter of the interdental brushes used was smaller (55.8% of IDB with 0.6 mm) than the diameter of the interdental brushes used in posterior sites (26.1% of IDB with 0.6 mm) (p < 0.01). The adjusted ORs indicate a significant association with the location of the sites (approximately doubling the risk of bleeding, i.e., OR = 1.9, in posterior sites). Conclusions Most interdental sites can be cleaned using interdental brushes. Even in healthy people, interdental hygiene requirements are very high. Strengthening the oral hygiene capacity by specifically using interdental brushes can have an effect on the health of the entire population. Screening of the accessibility of the interdental space should be a component of a routine examination for all patients. PMID:27192409

  6. Internet Access and Use among Students of Physical Education: A Study of Kurukshetra University, Kurukshetra

    Directory of Open Access Journals (Sweden)

    Kumar, Rajender

    2014-06-01

    Full Text Available This paper depicts a study conducted on the behavior of physical education students towards Internet usage at Kurukshetra University, Kurukshetra. Specially, the study aims to know the purposes for use of Internet resources and services, frequency of use, places and means of use, student's satisfaction level toward the Internet, and problems faced while using the Internet. A survey was carried out with a sample of 100 physical education students of Kurukshetra University and the response rate was 88%. A well-designed questionnaire was distributed to the students' sample. Amazingly, the results of the study reveal that usage of the Internet in research and education was not favored, whereas email, chatting, and sports websites were commonly used among students. The study also found that too much information on the Internet, slow access speeds, and finding relevant information were the main problems in using the Internet.

  7. Corporate Social Responsibility (CSR) for Global Market Access: A Malaysian Case Study on Small and Medium Enterprises (SMEs)

    OpenAIRE

    Tareq Bin Hossain; Chamhuri Siwar; Mohd Fauzi Mohd Jani; Abul Bashar Bhuiyan

    2013-01-01

    The Corporate Social Responsibility (CSR) is a powerful tool or channel for ensuring greater market access and enables a better engagement in the global market. The study examines how Corporate Social Responsibility (CSR) is contributing to mass access of Small and Medium Enterprises (SMEs) in the global market. The study used cross section primary data from the level of executives of the corporations. Towards the achievement of its objectives this study uses descriptive statistical tools. Th...

  8. Open Access Theses in Institutional Repositories: An Exploratory Study of the Perceptions of Doctoral Students

    Science.gov (United States)

    Stanton, Kate Valentine; Liew, Chern Li

    2011-01-01

    Introduction: We examine doctoral students' awareness of and attitudes to open access forms of publication. Levels of awareness of open access and the concept of institutional repositories, publishing behaviour and perceptions of benefits and risks of open access publishing were explored. Method: Qualitative and quantitative data were collected…

  9. Protocol for ACCESS: a qualitative study exploring barriers and facilitators to accessing the emergency contraceptive pill from community pharmacies in Australia

    Science.gov (United States)

    Hussainy, Safeera Yasmeen; Ghosh, Ayesha; Taft, Angela; Mazza, Danielle; Black, Kirsten Isla; Clifford, Rhonda; Mc Namara, Kevin Peter; Ryan, Kath; Jackson, John Keith

    2015-01-01

    Introduction The rate of unplanned pregnancy in Australia remains high, which has contributed to Australia having one of the highest abortion rates of developed countries with an estimated 1 in 5 women having an abortion. The emergency contraceptive pill (ECP) offers a safe way of preventing unintended pregnancy after unprotected sex has occurred. While the ECP has been available over-the-counter in Australian pharmacies for over a decade, its use has not significantly increased. This paper presents a protocol for a qualitative study that aims to identify the barriers and facilitators to accessing the ECP from community pharmacies in Australia. Methods and analysis Data will be collected through one-on-one interviews that are semistructured and in-depth. Partnerships have been established with 2 pharmacy groups and 2 women's health organisations to aid with the recruitment of women and pharmacists for data collection purposes. Interview questions explore domains from the Theoretical Domains Framework in order to assess the factors aiding and/or hindering access to ECP from community pharmacies. Data collected will be analysed using deductive content analysis. The expected benefits of this study are that it will help develop evidence-based workforce interventions to strengthen the capacity and performance of community pharmacists as key ECP providers. Ethics and dissemination The findings will be disseminated to the research team and study partners, who will brainstorm ideas for interventions that would address barriers and facilitators to access identified from the interviews. Dissemination will also occur through presentations and peer-reviewed publications and the study participants will receive an executive summary of the findings. The study has been evaluated and approved by the Monash Human Research Ethics Committee. PMID:26656987

  10. Diseño de un molde de accesorios de fontanería utilizando el sistema SMED y camara caliente

    OpenAIRE

    Martín Sánchez, Sergio

    2011-01-01

    El objeto de este proyecto es el diseño de un molde para una gama de codos de fontanería. Para conseguir un diseño optimizado y respetuoso con el medio ambiente, se ha empleado los patrones marcados por el Ecodiseño y se ha instalado una cámara caliente. Para conseguir un cambio de pieza rápido y minimizar los tiempos de la producción, también se ha diseñado aplicando la teoría SMED. Teniendo en cuenta todos estos aspectos y sin dejar de lado los funcionales, se ha diseña...

  11. Comprehensive Dataset and Reports of the Mamala Bay Study during 1993-1995 on Oahu, Hawaii (NODC Accession 0000030)

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — This accession contains comprehensive dataset and reports collected in support of the Mamala Bay Study during 1993-1995. Physical, chemical, biological, and...

  12. Biomarker genes used to predict AhR activity; accession numbers of microarray datasets used in the study

    Data.gov (United States)

    U.S. Environmental Protection Agency — Biomarker genes used to predict AhR activity; accession numbers of microarray datasets used in the study This dataset is associated with the following publication:...

  13. Income Related Inequality of Health Care Access in Japan: A Retrospective Cohort Study.

    Science.gov (United States)

    Fujita, Misuzu; Sato, Yasunori; Nagashima, Kengo; Takahashi, Sho; Hata, Akira

    2016-01-01

    The purpose of this retrospective cohort study was to analyze the association between income level and health care access in Japan. Data from a total of 222,259 subjects (age range, 0-74 years) who submitted National Health Insurance claims in Chiba City from April 2012 to March 2014 and who declared income for the tax period from January 1 to December 31, 2012 were integrated and analyzed. The generalized estimating equation, in which household was defined as a cluster, was used to evaluate the association between equivalent income and utilization and duration of hospitalization and outpatient care services. A significant positive linear association was observed between income level and outpatient visit rates among all age groups of both sexes; however, a significantly higher rate and longer period of hospitalization, and longer outpatient care, were observed among certain lower income subgroups. To control for decreased income due to hospitalization, subjects hospitalized during the previous year were excluded, and the data was then reanalyzed. Significant inverse associations remained in the hospitalization rate among 40-59-year-old men and 60-69-year-old women, and in duration of hospitalization among 40-59 and 60-69-year-olds of both sexes and 70-74-year-old women. These results suggest that low-income individuals in Japan have poorer access to outpatient care and more serious health conditions than their higher income counterparts.

  14. Income Related Inequality of Health Care Access in Japan: A Retrospective Cohort Study.

    Science.gov (United States)

    Fujita, Misuzu; Sato, Yasunori; Nagashima, Kengo; Takahashi, Sho; Hata, Akira

    2016-01-01

    The purpose of this retrospective cohort study was to analyze the association between income level and health care access in Japan. Data from a total of 222,259 subjects (age range, 0-74 years) who submitted National Health Insurance claims in Chiba City from April 2012 to March 2014 and who declared income for the tax period from January 1 to December 31, 2012 were integrated and analyzed. The generalized estimating equation, in which household was defined as a cluster, was used to evaluate the association between equivalent income and utilization and duration of hospitalization and outpatient care services. A significant positive linear association was observed between income level and outpatient visit rates among all age groups of both sexes; however, a significantly higher rate and longer period of hospitalization, and longer outpatient care, were observed among certain lower income subgroups. To control for decreased income due to hospitalization, subjects hospitalized during the previous year were excluded, and the data was then reanalyzed. Significant inverse associations remained in the hospitalization rate among 40-59-year-old men and 60-69-year-old women, and in duration of hospitalization among 40-59 and 60-69-year-olds of both sexes and 70-74-year-old women. These results suggest that low-income individuals in Japan have poorer access to outpatient care and more serious health conditions than their higher income counterparts. PMID:26978270

  15. Aspire UWA: A case study of widening access in Higher Education

    Directory of Open Access Journals (Sweden)

    Judy Skene

    2016-07-01

    Full Text Available Widening university access to students from low socio-economic status (LSES and non-traditional backgrounds has been a key equity objective for Australian universities, particularly since the 2008 Review into Australian Higher Education (Bradley, Noonan, Nugent & Scales, 2008. Aspire UWA is an equity pathway that aims to inform aspirations and build academic attainment through direct involvement with students who are the “most able least likely” to access the benefits of higher education (Harris, 2010, p. 7. Through forming long-term partnerships with 63 secondary schools across Western Australia (WA, Aspire UWA has grown since 2009 to engage over 10,000 students annually. Its learning framework is designed to deliver age-appropriate activities to inspire and inform students from Years 7-12 to achieve their educational goals. This paper adopts a case study methodology to explore the Aspire UWA approach, the specific operation of Aspire UWA and the efficacy of the program. 

  16. Shamir secret sharing scheme with dynamic access structure (SSSDAS). Case study on nuclear power plant

    International Nuclear Information System (INIS)

    In recent years, due to the sophistication offered by the Internet, strategic organizations like nuclear power plants are linked to the outside world communication through the Internet. The entry of outside world communication into strategic organization (nuclear power plant) increases the hacker's attempts to crack its security and to trace any information which is being sent among the top level officials. Information security system in nuclear power plant is very crucial as even small loophole in the security system will lead to a major disaster. Recent cyber attacks in nuclear power plant provoked information security professionals to look deeply into the information security aspects of strategic organizations (nuclear power plant). In these lines, Shamir secret sharing scheme with dynamic access structure (SSSDAS) is proposed in the paper which provides enhanced security by providing dynamic access structure for each node in different hierarchies. The SSSDAS algorithm can be applied to any strategic organizations with hierarchical structures. In this paper the possible scenarios where SSSDAS algorithm can be applied to nuclear power plant is explained as a case study. The proposed SSSDAS scheme identifies the wrong shares, if any, used for reconstruction of the secret. The SSSDAS scheme also address the three major security parameters namely confidentiality, authentication and integrity.

  17. Shamir secret sharing scheme with dynamic access structure (SSSDAS). Case study on nuclear power plant

    Energy Technology Data Exchange (ETDEWEB)

    Thiyagarajan, P.; Thandra, Prasanth Kumar; Rajan, J.; Satyamurthy, S.A.V. [Indira Gandhi Centre for Atomic Research (IGCAR), Kalpakkam (India). Computer Div.; Aghila, G. [National Institute of Technology, Karaikal (India). Dept. of Computer Science and Engineering

    2015-05-15

    In recent years, due to the sophistication offered by the Internet, strategic organizations like nuclear power plants are linked to the outside world communication through the Internet. The entry of outside world communication into strategic organization (nuclear power plant) increases the hacker's attempts to crack its security and to trace any information which is being sent among the top level officials. Information security system in nuclear power plant is very crucial as even small loophole in the security system will lead to a major disaster. Recent cyber attacks in nuclear power plant provoked information security professionals to look deeply into the information security aspects of strategic organizations (nuclear power plant). In these lines, Shamir secret sharing scheme with dynamic access structure (SSSDAS) is proposed in the paper which provides enhanced security by providing dynamic access structure for each node in different hierarchies. The SSSDAS algorithm can be applied to any strategic organizations with hierarchical structures. In this paper the possible scenarios where SSSDAS algorithm can be applied to nuclear power plant is explained as a case study. The proposed SSSDAS scheme identifies the wrong shares, if any, used for reconstruction of the secret. The SSSDAS scheme also address the three major security parameters namely confidentiality, authentication and integrity.

  18. Access of energetic particles to Titan's exobase: A study of Cassini's T9 flyby

    Science.gov (United States)

    Regoli, L. H.; Roussos, E.; Feyerabend, M.; Jones, G. H.; Krupp, N.; Coates, A. J.; Simon, S.; Motschmann, U.; Dougherty, M. K.

    2016-10-01

    We study how the local electromagnetic disturbances introduced by Titan affect the ionization rates of the atmosphere. For this, we model the precipitation of energetic particles, specifically hydrogen and oxygen ions with energies between 1 keV and 1 MeV, into Titan's exobase for the specific magnetospheric configuration of the T9 flyby. For the study, a particle tracing software package is used which consists of an integration of the single particle Lorentz force equation using a 4th order Runge-Kutta numerical method. For the electromagnetic disturbances, the output of the A.I.K.E.F. hybrid code (kinetic ions, fluid electrons) is used, allowing the possibility of analyzing the disturbances and asymmetries in the access of energetic particles originated by their large gyroradii. By combining these methods, 2D maps showing the access of each set of particles were produced. We show that the access of different particles is largely dominated by their gyroradii, with the complexity of the maps increasing with decreasing gyroradius, due to the larger effect that local disturbances introduced by the presence of the moon have in the trajectory of the particles with lower energies. We also show that for particles with gyroradii much larger than the moon's radius, simpler descriptions of the electromagnetic environment can reproduce similar results to those obtained when using the full hybrid simulation description, with simple north-south fields being sufficient to reproduce the hybrid code results for O+ ions with energies larger than 10 keV but not enough to reproduce those for H+ ions at any of the energies covered in the present study. Finally, by combining the maps created with upstream plasma flow measurements by the MIMI/CHEMS instrument, we are able to estimate normalized fluxes arriving at different selected positions of the moon's exobase. We then use these fluxes to calculate energy deposition and non-dissociative N2 ionization rates for precipitating O+ and H

  19. Automatización de un Secador Convectivo de Aire Caliente para fines de Docencia en Ingeniería de Alimentos Automation of a Convective Hot Air Dryer for Teaching in Food Engineering

    Directory of Open Access Journals (Sweden)

    Jorge A Saavedra

    2008-01-01

    Full Text Available El presente trabajo describe el diseño y montaje de un dispositivo experimental para la automatización de un secador de aire caliente con flujo paralelo en co-corriente para realizar estudios de secado. El desarrollo del trabajo se dividió en dos actividades principales: (i diseño del sistema de automatización y (ii la validación de los datos entregados por el equipo. Se obtuvo un dispositivo capaz de registrar las variables del proceso de secado y de la imagen de la muestra deshidratada en tiempo real, como así mismo transmitir dicha información a través de Internet. Los datos procesados por el sistema automático comparados con experiencias manuales tradicionales (no automatizadas se validaron estadísticamente. Se concluye finalmente que la propuesta es viable, fiable y atractiva para el usuario por lo que facilita el proceso de enseñanza-aprendizaje en un área de especial importancia en Ingeniería de Alimentos.This paper describes the design and installation of an automated experimental device applied to a parallel co-current hot air dryer to perform drying studies in the field of food engineering. The development of this work was divided into two main activities: (i design of the automation system and (ii validation of automatically collected data. A device capable of collecting and registering real time data and images from drying processes, and transmitting them through Internet was obtained. The data processed by the automatic device was statistically validated. It is concluded that the proposed automation device is feasible, reliable and attractive for the users, facilitating the teaching-learning process in an important area of Food Engineering.

  20. [Study of access to health care and drugs in Cameroon: 1. Methods and validation].

    Science.gov (United States)

    Commeyras, Christophe; Ndo, Jean Rolin; Merabet, Omar; Koné, Hamidou; Rakotondrabé, Faraniaina Patricia

    2005-01-01

    During the 1980s, an economic depression and the concomitant decrease in the national health budget modified the population's health behavior. Improvement of the economy since the late 1990s makes it possible to renew the national health policy. To prepare the highly indebted and poor countries' program (HIPC), the Minister of Health and its partners commissioned a survey to measure the population's real access to health care and the factors that determine this accessibility and to propose concrete corrective actions. To fulfill these objectives, the steering committee decided to analyze health care demand, through a national population survey, and supply capacity, through a national survey of pharmacies and other drug dispensers. A survey of persons using medications will also be conducted (Fig.1). Focusing on this component of health care is justified by these findings: 95% of persons feeling ill buy drugs, whereas only 31% consult a physician or other healthcare provider, and half of the average household's health expenditures are for drugs. Financial, geographic, social and quality indicators were defined to measure accessibility and its determining factors (Table 1). The smallest administrative unit, the health area (HA), was chosen as the sampling unit, to enable us to survey together healthcare demand, supply and consumption according to different concentrations of supply and demand . It behaves as a cluster of sampling units of different populations: drug retailers of all sectors, drug users, households, and ill persons within the households. The HA samples include Yaounde and Douala, with urban and rural sub-samples, for which sampling ratios increase with the diversity of supply and demand, according to several pre-defined factors. The study includes 400 HAs, covering more than one third of the population (Table 2). Within these HAs, 900 pharmacies and other formal drug retailers, 709 street vendors, 4,505 households, 2,532 ill persons in these households

  1. Anatomy of open access publishing: a study of longitudinal development and internal structure

    Directory of Open Access Journals (Sweden)

    Laakso Mikael

    2012-10-01

    Full Text Available Abstract Background Open access (OA is a revolutionary way of providing access to the scholarly journal literature made possible by the Internet. The primary aim of this study was to measure the volume of scientific articles published in full immediate OA journals from 2000 to 2011, while observing longitudinal internal shifts in the structure of OA publishing concerning revenue models, publisher types and relative distribution among scientific disciplines. The secondary aim was to measure the share of OA articles of all journal articles, including articles made OA by publishers with a delay and individual author-paid OA articles in subscription journals (hybrid OA, as these subsets of OA publishing have mostly been ignored in previous studies. Methods Stratified random sampling of journals in the Directory of Open Access Journals (n = 787 was performed. The annual publication volumes spanning 2000 to 2011 were retrieved from major publication indexes and through manual data collection. Results An estimated 340,000 articles were published by 6,713 full immediate OA journals during 2011. OA journals requiring article-processing charges have become increasingly common, publishing 166,700 articles in 2011 (49% of all OA articles. This growth is related to the growth of commercial publishers, who, despite only a marginal presence a decade ago, have grown to become key actors on the OA scene, responsible for 120,000 of the articles published in 2011. Publication volume has grown within all major scientific disciplines, however, biomedicine has seen a particularly rapid 16-fold growth between 2000 (7,400 articles and 2011 (120,900 articles. Over the past decade, OA journal publishing has steadily increased its relative share of all scholarly journal articles by about 1% annually. Approximately 17% of the 1.66 million articles published during 2011 and indexed in the most comprehensive article-level index of scholarly articles (Scopus are available OA

  2. A Human Rights Approach for Access to Clean Drinking Water: A Case Study.

    Science.gov (United States)

    Kanaaneh; McKay; Sims

    1995-01-01

    In northern and central Israel are some 70 villages that are not recognized by the state of Israel. At least half of these villages are not connected to the national drinking water networks and lack sufficient quality and quantity of water. Outbreaks of diseases associated with contaminated water supply have occurred, as well as substantial environmental distress. An outbreak of hepatitis A led to the cooperation of a public health physician, a nurse, an environmental engineer, and a human rights lawyer in successfully taking a case to the International Water Tribunal to get access to safe drinking water for these communities. This case study provides a model for cooperation between proponents and practitioners of health and human rights.

  3. Characteristics and mechanism study of cerium oxide based random access memories

    Energy Technology Data Exchange (ETDEWEB)

    Hsieh, Cheng-Chih; Roy, Anupam; Rai, Amritesh; Chang, Yao-Feng; Banerjee, Sanjay K. [Microelectronics Research Center, The University of Texas at Austin, 10100 Burnet Rd. Bldg. 160, Austin, Texas 78758 (United States)

    2015-04-27

    In this work, low operating voltage and high resistance ratio of different resistance states of binary transition metal oxide based resistive random access memories (RRAMs) are demonstrated. Binary transition metal oxides with high dielectric constant have been explored for RRAM application for years. However, CeO{sub x} is considered as a relatively new material to other dielectrics. Since research on CeO{sub x} based RRAM is still at preliminary stage, fundamental characteristics of RRAM such as scalability and mechanism studies need to be done before moving further. Here, we show very high operation window and low switching voltage of CeO{sub x} RRAMs and also compare electrical performance of Al/CeO{sub x}/Au system between different thin film deposition methods and discuss characteristics and resistive switching mechanism.

  4. S-band multiple-access interference study for advanced tracking and data relay satellite systems

    Science.gov (United States)

    Peng, Wei-Chung; Yang, Chau-Chin

    1990-01-01

    The results of a study on the effect of mutual interference among S-band multiple access (SMA) system users of advanced tracking and data relay satellite system (ATDRSS) are presented. In the ATDRSS era, the SMA system is required to support data rates ranging from 10 kb/s to 3 Mb/s. The system will consist of four advanced tracking and data relay satellites (ATDRS) each supporting up to five telemetry links. All users have 10 MHz bandwidth with their carrier frequency equal to 2.2875 GHz. A hybrid SDMA/CDMA scheme is used to mitigate the effect of the interference among system users. SMA system interference probability is evaluated with CLASS software. User link margin degradation due to mutual interference between two users is evaluated. System interference probability is evaluated for the projected 1996 mission model, a reference mission model, and a modified reference mission model.

  5. Are transnational tobacco companies’ market access strategies linked to economic development models? A case study of South Korea

    OpenAIRE

    Lee, Sungkyu; Holden, Chris; Lee, Kelley

    2013-01-01

    Transnational tobacco companies (TTCs) have used varied strategies to access previously closed markets. Using TTCs’ efforts to enter the South Korean market from the late 1980s as a case study, this article asks whether there are common patterns in these strategies that relate to the broader economic development models adopted by targeted countries. An analytical review of the existing literature on TTCs’ efforts to access emerging markets was conducted to develop hypotheses relating TTCs’ st...

  6. What Rural Women Want the Public Health Community to Know About Access to Healthful Food: A Qualitative Study, 2011

    OpenAIRE

    Carnahan, Leslie R.; Zimmermann, Kristine; Peacock, Nadine R.

    2016-01-01

    Introduction Living in a rural food desert has been linked to poor dietary habits. Understanding community perspectives about available resources and feasible solutions may inform strategies to improve food access in rural food deserts. The objective of our study was to identify resources and solutions to the food access problems of women in rural, southernmost Illinois. Methods Fourteen focus groups with women (n = 110 participants) in 4 age groups were conducted in a 7-county region as part...

  7. Corporate Social Responsibility (CSR for Global Market Access: A Malaysian Case Study on Small and Medium Enterprises (SMEs

    Directory of Open Access Journals (Sweden)

    Tareq Bin Hossain

    2013-01-01

    Full Text Available The Corporate Social Responsibility (CSR is a powerful tool or channel for ensuring greater market access and enables a better engagement in the global market. The study examines how Corporate Social Responsibility (CSR is contributing to mass access of Small and Medium Enterprises (SMEs in the global market. The study used cross section primary data from the level of executives of the corporations. Towards the achievement of its objectives this study uses descriptive statistical tools. The findings of the study revealed that practicing of CSR is playing pivotal role to pick up the brand image and reputation of the Malaysian SMEs to the customers in the global arena.

  8. The Study of Access Control for Service-Oriented Computing in Internet of Things

    Directory of Open Access Journals (Sweden)

    Guoping Zhang

    2012-06-01

    Full Text Available In Internet of Things, computing and processing of information is the core supporting. In this paper, we introduce “Service-Oriented Computing” to solve the computing and processing of information in IoT. However, a key challenge in service-oriented environment is the design of effective access control schemas.We put forward a model of Workflow -oriented Attributed Based Access Control (WABAC, and an access control framework based on WABAC model. WABAC model grants and adapts permissions to subjects according to subject atttribute, resource attribute, environment attribute and current task, meeting access control request of SOC. Using the approach presented can effectively enhance the access control security for SOC applications, and prevent the abuse of subject permissions.

  9. Studying the Feasibility and Importance of Optical Access Network Strategies in the Information and Communication Environment

    Directory of Open Access Journals (Sweden)

    Dr.S.S.Riaz Ahamed

    2010-05-01

    Full Text Available The access network has consistently been regarded as a bottleneck in the provisioning of data communication services. This is primarily because the bandwidth available has lagged behind that provided within local-area networks (LANs and in the upper echelons of the network (in metropolitan and core networks, for example, where concentration factors and economies of scale have allowed optical fiber to unleash significant bandwidth capacity. The optical access network is that part of the access network implemented using optical fiber. Optical access offers the promise of greatly increased access-network bandwidth by up to several gigabits per second (Gbps—and most likely more, as technology advances. This bandwidth availability opens up new architectural possibilities for the provisioning of high-bandwidth services.

  10. Usage Trends of Open Access and Local Journals: A Korean Case Study.

    Science.gov (United States)

    Seo, Jeong-Wook; Chung, Hosik; Yun, Jungmin; Park, Jin Young; Park, Eunsun; Ahn, Yuri

    2016-01-01

    Articles from open access and local journals are important resources for research in Korea and the usage trends of these articles are important indicators for the assessment of the current research practice. We analyzed an institutional collection of published papers from 1998 to 2014 authored by researchers from Seoul National University, and their references from papers published between 1998 and 2011. The published papers were collected from Web of Science or Scopus and were analyzed according to the proportion of articles from open access journals. Their cited references from published papers in Web of Science were analyzed according to the proportion of local (South Korean) or open access journals. The proportion of open access papers was relatively stable until 2006 (2.5 ~ 5.2% in Web of Science and 2.7 ~ 4.2% in Scopus), but then increased to 15.9% (Web of Science) or 18.5% (Scopus) in 2014. We analyzed 2,750,485 cited references from 52,295 published papers. We found that the overall proportion of cited articles from local journals was 1.8% and that for open access journals was 3.0%. Citations of open access articles have increased since 2006 to 4.1% in 2011, although the increase in open access article citations was less than for open access publications. The proportion of citations from local journals was even lower. We think that the publishing / citing mismatch is a term to describe this difference, which is an issue at Seoul National University, where the number of published papers at open access or local journals is increasing but the number of citations is not. The cause of this discrepancy is multi-factorial but the governmental / institutional policies, social / cultural issues and authors' citing behaviors will explain the mismatch. However, additional measures are also necessary, such as the development of an institutional citation database and improved search capabilities with respect to local and open access documents.

  11. Usage Trends of Open Access and Local Journals: A Korean Case Study.

    Science.gov (United States)

    Seo, Jeong-Wook; Chung, Hosik; Yun, Jungmin; Park, Jin Young; Park, Eunsun; Ahn, Yuri

    2016-01-01

    Articles from open access and local journals are important resources for research in Korea and the usage trends of these articles are important indicators for the assessment of the current research practice. We analyzed an institutional collection of published papers from 1998 to 2014 authored by researchers from Seoul National University, and their references from papers published between 1998 and 2011. The published papers were collected from Web of Science or Scopus and were analyzed according to the proportion of articles from open access journals. Their cited references from published papers in Web of Science were analyzed according to the proportion of local (South Korean) or open access journals. The proportion of open access papers was relatively stable until 2006 (2.5 ~ 5.2% in Web of Science and 2.7 ~ 4.2% in Scopus), but then increased to 15.9% (Web of Science) or 18.5% (Scopus) in 2014. We analyzed 2,750,485 cited references from 52,295 published papers. We found that the overall proportion of cited articles from local journals was 1.8% and that for open access journals was 3.0%. Citations of open access articles have increased since 2006 to 4.1% in 2011, although the increase in open access article citations was less than for open access publications. The proportion of citations from local journals was even lower. We think that the publishing / citing mismatch is a term to describe this difference, which is an issue at Seoul National University, where the number of published papers at open access or local journals is increasing but the number of citations is not. The cause of this discrepancy is multi-factorial but the governmental / institutional policies, social / cultural issues and authors' citing behaviors will explain the mismatch. However, additional measures are also necessary, such as the development of an institutional citation database and improved search capabilities with respect to local and open access documents. PMID:27195948

  12. Usage Trends of Open Access and Local Journals: A Korean Case Study.

    Directory of Open Access Journals (Sweden)

    Jeong-Wook Seo

    Full Text Available Articles from open access and local journals are important resources for research in Korea and the usage trends of these articles are important indicators for the assessment of the current research practice. We analyzed an institutional collection of published papers from 1998 to 2014 authored by researchers from Seoul National University, and their references from papers published between 1998 and 2011. The published papers were collected from Web of Science or Scopus and were analyzed according to the proportion of articles from open access journals. Their cited references from published papers in Web of Science were analyzed according to the proportion of local (South Korean or open access journals. The proportion of open access papers was relatively stable until 2006 (2.5 ~ 5.2% in Web of Science and 2.7 ~ 4.2% in Scopus, but then increased to 15.9% (Web of Science or 18.5% (Scopus in 2014. We analyzed 2,750,485 cited references from 52,295 published papers. We found that the overall proportion of cited articles from local journals was 1.8% and that for open access journals was 3.0%. Citations of open access articles have increased since 2006 to 4.1% in 2011, although the increase in open access article citations was less than for open access publications. The proportion of citations from local journals was even lower. We think that the publishing / citing mismatch is a term to describe this difference, which is an issue at Seoul National University, where the number of published papers at open access or local journals is increasing but the number of citations is not. The cause of this discrepancy is multi-factorial but the governmental / institutional policies, social / cultural issues and authors' citing behaviors will explain the mismatch. However, additional measures are also necessary, such as the development of an institutional citation database and improved search capabilities with respect to local and open access documents.

  13. Measuring Athletic Facility Managers’ Knowledge Of Access And The Americans With Disabilities Act: A Pilot Study

    Directory of Open Access Journals (Sweden)

    Joshua R. Pate

    2012-08-01

    Full Text Available The purpose of this exploratory research was measuring facility managers’ knowledge of the Americans with Disabilities Act (ADA, and it may assist in decreasing the gap in knowledge between facility managers and the needs of people with physical disabilities. An existing survey examining ADA knowledge was slightly modified and used for this study. Four athletic facility managers from universities in a large Bowl Championship Series conference participated in the study. Results provided a preliminary sketch of who athletic facility manages may be, and how athletic facility managers may be educating themselves and others about accessibility. This exploratory study shows that facility managers may be knowledgeable of specific ADA requirements but may not have a firm grasp on more general issues patrons with physical disabilities face and that have often been the point of contention in the courts such as parking, entranceways, seating, and sightlines. Additionally, athletic facility managers may not be seeking to expand their education on ADA-related matters or educate others on the topics, which could be a missed opportunity to position themselves as a topic expert in the field of ADA compliance for athletic facilities.

  14. Proyecto de instalación de energía solar térmica para producción de agua caliente sanitaria en edificio de 12 viviendas

    OpenAIRE

    Llorente Costelo, Juan

    2012-01-01

    Estudio y desarrollo de una instalación de energía solar térmica para dotar de agua caliente sanitaria a una edificación constituida por 12 viviendas, incluyendo todos los cálculos necesarios así como el presupuesto económico Escuela Técnica Superior de Ingeniería de Telecomunicación Universidad Politécnica de Cartagena

  15. Quality Assessment of Studies Published in Open Access and Subscription Journals: Results of a Systematic Evaluation.

    Directory of Open Access Journals (Sweden)

    Roberta Pastorino

    Full Text Available Along with the proliferation of Open Access (OA publishing, the interest for comparing the scientific quality of studies published in OA journals versus subscription journals has also increased. With our study we aimed to compare the methodological quality and the quality of reporting of primary epidemiological studies and systematic reviews and meta-analyses published in OA and non-OA journals.In order to identify the studies to appraise, we listed all OA and non-OA journals which published in 2013 at least one primary epidemiologic study (case-control or cohort study design, and at least one systematic review or meta-analysis in the field of oncology. For the appraisal, we picked up the first studies published in 2013 with case-control or cohort study design from OA journals (Group A; n = 12, and in the same time period from non-OA journals (Group B; n = 26; the first systematic reviews and meta-analyses published in 2013 from OA journals (Group C; n = 15, and in the same time period from non-OA journals (Group D; n = 32. We evaluated the methodological quality of studies by assessing the compliance of case-control and cohort studies to Newcastle and Ottawa Scale (NOS scale, and the compliance of systematic reviews and meta-analyses to Assessment of Multiple Systematic Reviews (AMSTAR scale. The quality of reporting was assessed considering the adherence of case-control and cohort studies to STrengthening the Reporting of OBservational studies in Epidemiology (STROBE checklist, and the adherence of systematic reviews and meta-analyses to Preferred Reporting Items for Systematic reviews and Meta-Analysis (PRISMA checklist.Among case-control and cohort studies published in OA and non-OA journals, we did not observe significant differences in the median value of NOS score (Group A: 7 (IQR 7-8 versus Group B: 8 (7-9; p = 0.5 and in the adherence to STROBE checklist (Group A, 75% versus Group B, 80%; p = 0.1. The results did not change after

  16. Effects of limited access dressing in chronic wounds: A biochemical and histological study

    Directory of Open Access Journals (Sweden)

    Thittamaranahalli Muguregowda Honnegowda

    2015-01-01

    Full Text Available Background: Negative pressure wound therapy has emerged as an attractive treatment modality for the management and healing of chronic ulcers. Though numerous clinical studies are available, there is a lack of biochemical and histological studies evaluating the healing of chronic wounds. Materials and Methods: In the present study, a total 60 patients were divided into two groups: Limited access dressing (LAD group (n = 30 and conventional dressing group (n = 30. Various biochemical parameters such as hydroxyproline, total protein and antioxidants such as reduced glutathione (GSH, glutathione peroxidase (GPx, catalase (CAT and oxidative biomarker malondialdhyde (MDA are measured in the granulation tissue. Histologically amount of inflammatory infiltrate, angiogenesis, and collagen deposition are studied to assess wound healing. Results: Patients treated with LAD have shown significant increase in the mean (±standard deviation hydroxyproline (77.3 ± 30.1 vs. 32.3 ± 16.18; P = 0.026, total protein (13.89 ± 9.0 vs. 8.9 ± 4.59; P = 0.004, GSH (7.4 ± 1.91 vs. 5.1 ± 1.28; P = 0.039, GPx (122.3 ± 59.3 vs. 88.7 ± 34.11; P = 0.030, CAT (1.80 ± 1.14 vs. 0.9 ± 0.71; P = 0.002 and decrease in MDA (13.4 ± 5.5 vs. 8.6 ± 3.8; P = 0.004. Histological study showed comparatively fewer inflammatory cells, increased and well organised collagen bundles, and more angiogenesis in the LAD group when compared with that with conventional dressing after 10 days of treatment. Conclusion: In the present study, we have found beneficial effect of newer intermittent negative pressure therapy in combination with moist environment (LAD on chronic wound healing by increasing collagen deposition and angiogenesis; and reducing oxidative stress and inflammatory infiltrate.

  17. Access to primary care and visits to emergency departments in England: a cross-sectional, population-based study.

    Directory of Open Access Journals (Sweden)

    Thomas E Cowling

    Full Text Available BACKGROUND: The number of visits to hospital emergency departments (EDs in England has increased by 20% since 2007-08, placing unsustainable pressure on the National Health Service (NHS. Some patients attend EDs because they are unable to access primary care services. This study examined the association between access to primary care and ED visits in England. METHODS: A cross-sectional, population-based analysis of patients registered with 7,856 general practices in England was conducted, for the time period April 2010 to March 2011. The outcome measure was the number of self-referred discharged ED visits by the registered population of a general practice. The predictor variables were measures of patient-reported access to general practice services; these were entered into a negative binomial regression model with variables to control for the characteristics of patient populations, supply of general practitioners and travel times to health services. MAIN RESULT AND CONCLUSION: General practices providing more timely access to primary care had fewer self-referred discharged ED visits per registered patient (for the most accessible quintile of practices, RR = 0.898; P<0.001. Policy makers should consider improving timely access to primary care when developing plans to reduce ED utilisation.

  18. Challenges Women with Disability Face in Accessing and Using Maternal Healthcare Services in Ghana: A Qualitative Study

    Science.gov (United States)

    Ganle, John Kuumuori; Otupiri, Easmon; Obeng, Bernard; Edusie, Anthony Kwaku; Ankomah, Augustine; Adanu, Richard

    2016-01-01

    Background While a number of studies have examined the factors affecting accessibility to and utilisation of healthcare services by persons with disability in general, there is little evidence about disabled women's access to maternal health services in low-income countries and few studies consult disabled women themselves to understand their experience of care and the challenges they face in accessing skilled maternal health services. The objective of this paper is to explore the challenges women with disabilities encounter in accessing and using institutional maternal healthcare services in Ghana. Methods and Findings A qualitative study was conducted in 27 rural and urban communities in the Bosomtwe and Central Gonja districts of Ghana with a total of 72 purposively sampled women with different physical, visual, and hearing impairments who were either lactating or pregnant at the time of this research. Semi-structured in-depth interviews were used to gather data. Attride-Stirling’s thematic network framework was used to analyse the data. Findings suggest that although women with disability do want to receive institutional maternal healthcare, their disability often made it difficult for such women to travel to access skilled care, as well as gain access to unfriendly physical health infrastructure. Other related access challenges include: healthcare providers’ insensitivity and lack of knowledge about the maternity care needs of women with disability, negative attitudes of service providers, the perception from able-bodied persons that women with disability should be asexual, and health information that lacks specificity in terms of addressing the special maternity care needs of women with disability. Conclusions Maternal healthcare services that are designed to address the needs of able-bodied women might lack the flexibility and responsiveness to meet the special maternity care needs of women with disability. More disability-related cultural competence and

  19. Challenges Women with Disability Face in Accessing and Using Maternal Healthcare Services in Ghana: A Qualitative Study.

    Directory of Open Access Journals (Sweden)

    John Kuumuori Ganle

    Full Text Available While a number of studies have examined the factors affecting accessibility to and utilisation of healthcare services by persons with disability in general, there is little evidence about disabled women's access to maternal health services in low-income countries and few studies consult disabled women themselves to understand their experience of care and the challenges they face in accessing skilled maternal health services. The objective of this paper is to explore the challenges women with disabilities encounter in accessing and using institutional maternal healthcare services in Ghana.A qualitative study was conducted in 27 rural and urban communities in the Bosomtwe and Central Gonja districts of Ghana with a total of 72 purposively sampled women with different physical, visual, and hearing impairments who were either lactating or pregnant at the time of this research. Semi-structured in-depth interviews were used to gather data. Attride-Stirling's thematic network framework was used to analyse the data. Findings suggest that although women with disability do want to receive institutional maternal healthcare, their disability often made it difficult for such women to travel to access skilled care, as well as gain access to unfriendly physical health infrastructure. Other related access challenges include: healthcare providers' insensitivity and lack of knowledge about the maternity care needs of women with disability, negative attitudes of service providers, the perception from able-bodied persons that women with disability should be asexual, and health information that lacks specificity in terms of addressing the special maternity care needs of women with disability.Maternal healthcare services that are designed to address the needs of able-bodied women might lack the flexibility and responsiveness to meet the special maternity care needs of women with disability. More disability-related cultural competence and patient-centred training for

  20. Bedouin-Arab women's access to antenatal care at the interface of physical and structural barriers: A pilot study.

    Science.gov (United States)

    Gottlieb, Nora; Belmaker, Ilana; Bilenko, Natalya; Davidovitch, Nadav

    2011-01-01

    Since 2000, the Israeli Public Health Services have established eight Maternal-and-Child-Health (MCH) stations in unrecognised Bedouin-Arab villages in South Israel in order to reduce barriers to healthcare. The goals of this pilot study were: (1) to explore the new MCH stations' impact on antenatal care (ANC) accessibility; and (2) to compare access to ANC between women from villages with MCH stations and women from villages without MCH stations. The study combined quantitative and qualitative methods including structured interviews with 174 MCH service users, review of 158 ANC records and 16 in-depth interviews with Bedouin-Arab women. The establishment of MCH stations in unrecognised villages has improved physical access to ANC and secondarily diminished other barriers related to financial and sociocultural dimensions of women's access to healthcare, thus enhancing women's options for independent healthcare-seeking; yet, limited opening hours, staff shortages and communication problems hamper ANC delivery at the new MCH stations. This pilot study indicates that the MCH stations' establishment in unrecognised villages was a successful intervention, which improved women's access to ANC. Even though current service delivery challenges need to be overcome to achieve the intervention's full potential, its replication should be considered in further villages.

  1. Open Access and its impact on the Knowledge Society: Latin American Case Studies Insights

    Directory of Open Access Journals (Sweden)

    María Soledad RAMÍREZ MONTOYA

    2015-04-01

    Full Text Available In a changing society, open access may represent an alternative growth and resources to the educational community, from the opportunities given to students, to teachers, researchers and administrators of educational institutions. The aim of this paper is to analyze the opportunities and challenges that gives open access to the educational community, through the presentation of a conceptual vision and practical cases in Latin America, on the issue of open educational resources, repositories, journals and open access policies –from universities and government agencies or financing– and its link to a knowledge society. The findings are presented on three key elements: opportunities, challenges and opportunities open to access the knowledge society.

  2. Negotiating Power and Access to Second Language Resources: A Study on Short-Term Chinese MBA Students in America

    Science.gov (United States)

    Shi, Xingsong

    2011-01-01

    By looking into a group of 13 Chinese master's in business administration students' study abroad experience in the United States, this study contends that being situated in the second language (L2) communicative context does not guarantee international students complete access to language and cultural resources in the host society. Due to limited…

  3. Access to medicines in Latin America and the Caribbean (LAC): a scoping study

    Science.gov (United States)

    Emmerick, Isabel Cristina Martins; Oliveira, Maria Auxiliadora; Luiza, Vera Lucia; Azeredo, Thiago Botelho; Bigdeli, Maryam

    2013-01-01

    Objective To assess scientific publication and map research gaps on access to medicines (ATM) in Latin American and the Caribbean low-income and middle-income countries (LMIC). Design Scoping review. Two independent reviewers assessed studies for inclusion and extracted data from each study. Information sources Search strategies were developed and the following databases were searched: MEDLINE, ISI, SCOPUS and Lilacs, from 2000 to 2010. Eligibility criteria Research articles and reviews published in English, Spanish and Portuguese were included. Studies including only high-income countries were excluded, as well as those carried out in very limited settings and discussion papers. Results The 77 articles retained were categorised through consensus among the research team according to the level of the health system addressed, ATM domain and research issues covered. Publications on ATM have increased over time during the study period (r 0.93, p=0.00; R2 0.85). The top five countries covered were Brazil (68.8%), Mexico (15.6%), Colombia (11.7%), Argentina (10.4%) and Peru (10.4%). ‘Health services delivery’ and ‘patients, household and communities’ were the health system levels most frequently covered. The ATM domains ‘leadership and governance’, ‘sustainable financing, affordability and price of medicines’, ‘medicines selection and use’ and ‘availability of medicines’ were the top four explored. There are research gaps in important areas such as ‘human resources for health’, ‘global policies and human rights’, ‘production of medicines’ and ‘traditional medicine’. Conclusions The upward trend on scientific publication reflects a growing research capacity in the region, which is concentrated on research teams in selected countries. The gaps on research capacity could be overcome through research collaboration among countries. It is important to strengthen these collaborations, assuring that interests and needs from the LMIC are

  4. A study of the trends in the Maltese bovine husbandry sector following European Union accession

    OpenAIRE

    Buttigieg, Mauro

    2015-01-01

    The creation of one centralised National Livestock Database (NLD) for the islands of Malta and Gozo was of crucial importance in the identification and traceability of bovines from 2002 to date. It was also important in covering legal obligations following Malta’s accession to the European Union (EU) in May 2004. This thesis describes how the processes of identification, registration and traceability of bovines have changed following Malta’s accession to the EU. The validation and integration...

  5. Access Denied: Structural Violence, Disability and Education : A Case Study on Cambodia's Invisible Children

    OpenAIRE

    Nordenrot, Anna

    2016-01-01

    Education is one of the main priorities for both past and present global development goals, and making sure access is granted to all children is vital. However, when looking at education for children with disabilities, access is not as easily provided as for their non-disabled peers. In Cambodia, children with disabilities have a strong legislative protection despite low enrolment rates. This thesis looks further into how, and why children with disabilities in Cambodia are not in school. The ...

  6. Modelación de fenómenos metalúrgicos en laminación en caliente de acero

    Directory of Open Access Journals (Sweden)

    Zambrano, P.

    2008-02-01

    Full Text Available Modelling of hot rolling of steel strip involves metallurgical phenomena such as restoration of deformed structures, transformation to ferrite and growth of the oxide layer on top of the steel strip. The effect of composition is taken into account when restoration and phase transformation is considered, whereas it is assumed that the chemical composition of the steel substrate does not affect the oxide crust, being common place to consider the oxide just as a thermal barrier and to assume sticking conditions within the roll-gap. Observations indicate that elements such as silicon and manganese, more susceptible to oxidize than iron, affect the growth kinetics, adhesion and the behaviour during deformation of the oxide layer. This work deals with the way used to model various superficial and metallurgical phenomena, and how this knowledge is used to simulate hot rolling of steel strip.

    La modelación del proceso de laminación en caliente de acero incorpora fenómenos metalúrgicos como son la restauración de la estructura deformada, la trasformación de fase y el crecimiento de la capa de óxido sobre la superficie del acero. Se reconoce el efecto de la composición química sobre la transformación de fase y la restauración, sin embargo se considera que el crecimiento del óxido no es afectado por la presencia de elementos aleantes en el acero y es común que se maneje a la costra de óxido como una barrera térmica y que se supongan condiciones de fricción adhesivas en el entrehierro. Determinadas observaciones indican que elementos como el silicio y el manganeso, más susceptibles a oxidarse que el hierro, afectan la cinética de crecimiento, la adhesión y el comportamiento de la costra al ser deformada. En este trabajo se presenta la forma en que diversos fenómenos metalúrgicos y de superficie se modelan y se utilizan para simular el proceso de laminación en caliente.

  7. Safety zone for surgical access in the middle third of the clavicle: study on cadavers☆

    Science.gov (United States)

    Ribeiro, Fabiano Rebouças; de Marchi Bosi Porto, Fernanda; Silva, Marcio Vieira Sanches; Tenor Junior, Antonio Carlos; da Costa, Miguel Pereira; Filardi, Cantidio

    2015-01-01

    Objective The aim of this study was to establish a neurovascular safety zone for surgical access in the middle third of the clavicle, by means of dissection on cadavers. Methods Twenty shoulders were dissected in 10 cadavers, with deep dissection of the middle third of the clavicle. The following structures were identified: subclavian vein, upper trunk of the brachial plexus (anterior and posterior divisions) and suprascapular nerve. These structures were marked out in order to measure their distances from the most proximal point of the middle third of the clavicle. Results The mean distances from the middle third of the clavicle to the suprascapular nerve, subclavian vein, upper trunk, anterior division of the upper trunk and posterior division of the upper trunk were respectively, for the right side: 15.92 cm, 10.77 cm, 23.68 cm, 14.60 cm and 15.42 cm; and for the left side: 12.69 cm; 9.82 cm; 22.19 cm; 12.16 cm and 13.46 cm. Conclusion There was a statistical difference in the distances to the suprascapular nerve and anterior division of the upper trunk, in comparing between the right and left sides. The closest neurovascular structures to the middle third of the clavicle were the suprascapular nerve and subclavian vein. PMID:26229929

  8. RETROSPECTIVE STUDY OF MICROORGANISMS ASSOCIATED WITH VASCULAR ACCESS INFECTIONS IN HEMODIALYSIS PATIENTS

    Science.gov (United States)

    D’Amato-Palumbo, S; Kaplan, AA; Feinn, RS; Lalla, RV

    2013-01-01

    Objective To assess microorganisms associated with vascular access-associated infections (VAIs) in hemodialysis patients, with respect to possible origin from the mouth. Study Design A retrospective and comparative analysis of the microbes associated with VAI in hemodialysis patients treated during a 10-year period was performed using the Human Oral Microbiome Database (HOMD). Results Of 218 patient records identified, 65 patients collectively experienced 115 VAI episodes. The most common microorganisms involved were Staphylococcus aureus (49.6% of infections), Staphylococcus epidermidis (10.4%), Serratia marcescens (10.4%), Pseudomonas aeruginosa (9.6%), and Enterococcus faecalis / fecum (8.7%). None of these was found in 1% or more of HOMD clone libraries, indicating that they very rarely colonize the teeth or plaque. Conclusions Most VAIs were associated with microorganisms more likely to originate from other body sites than from the oral cavity. The risk of a VAI being caused by microorganisms originating from the oral cavity is very small. PMID:23217535

  9. Latin American immigrants have limited access to health insurance in Japan: a cross sectional study

    Directory of Open Access Journals (Sweden)

    Suguimoto S Pilar

    2012-03-01

    Full Text Available Abstract Background Japan provides universal health insurance to all legal residents. Prior research has suggested that immigrants to Japan disproportionately lack health insurance coverage, but no prior study has used rigorous methodology to examine this issue among Latin American immigrants in Japan. The aim of our study, therefore, was to assess the pattern of health insurance coverage and predictors of uninsurance among documented Latin American immigrants in Japan. Methods We used a cross sectional, mixed method approach using a probability proportional to estimated size sampling procedure. Of 1052 eligible Latin American residents mapped through extensive fieldwork in selected clusters, 400 immigrant residents living in Nagahama City, Japan were randomly selected for our study. Data were collected through face-to-face interviews using a structured questionnaire developed from qualitative interviews. Results Our response rate was 70.5% (n = 282. Respondents were mainly from Brazil (69.9%, under 40 years of age (64.5% and had lived in Japan for 9.45 years (SE 0.44; median, 8.00. We found a high prevalence of uninsurance (19.8% among our sample compared with the estimated national average of 1.3% in the general population. Among the insured full time workers (n = 209, 55.5% were not covered by the Employee's Health Insurance. Many immigrants cited financial trade-offs as the main reasons for uninsurance. Lacking of knowledge that health insurance is mandatory in Japan, not having a chronic disease, and having one or no children were strong predictors of uninsurance. Conclusions Lack of health insurance for immigrants in Japan is a serious concern for this population as well as for the Japanese health care system. Appropriate measures should be taken to facilitate access to health insurance for this vulnerable population.

  10. Improved access to life insurance after genetic diagnosis of familial hypercholesterolaemia: cross-sectional postal questionnaire study.

    Science.gov (United States)

    Huijgen, Roeland; Homsma, Sietske J M; Hutten, Barbara A; Kindt, Iris; Vissers, Maud N; Kastelein, John J P; van Rijckevorsel, Jan L A

    2012-07-01

    A decade ago, in the initial stage of genetic testing for familial hypercholesterolaemia (FH) in The Netherlands, it was reported that such screening decreased access to affordable life insurance for mutation carriers. In 2003, in order to improve access to insurance for FH mutation carriers, insurers agreed to underwrite according to a set of guidelines. In this cross-sectional study, we assessed whether access to insurance has improved since the advent of these guidelines. We approached 2825 subjects that had participated in the genetic testing for FH between 1998 and 2003. We compared unconditional acceptance rates before and after FH diagnosis and before and after the guidelines were issued by means of logistic regression analysis. Our study outcome pertains to 414 FH patients who applied for life insurance. Unconditional acceptance of a policy before DNA diagnosis and before the issue of guidelines occurred in 182 out of 255 (71%) cases, versus 27 out of 35 (77%) cases after DNA diagnosis, but before the issue of guidelines. De facto, 107 out of 124 (86%) patients received unconditional acceptance after DNA diagnosis and after the issue of guidelines (P for trend=0.002). Access to life insurance improved for FH patients after molecular diagnosis and it improved even further after the guidelines were issued. Therefore, we argue that limited access to life insurance on the basis of 'DNA discrimination' is no longer a valid argument against genetic cascade testing for FH, at least not in our country.

  11. Human resources needs for universal access to antiretroviral therapy in South Africa: a time and motion study

    Directory of Open Access Journals (Sweden)

    Hontelez Jan AC

    2012-10-01

    Full Text Available Abstract Background Although access to life-saving treatment for patients infected with HIV in South Africa has improved substantially since 2004, treating all eligible patients (universal access remains elusive. As the prices of antiretroviral drugs have dropped over the past years, availability of human resources may now be the most important barrier to achieving universal access to HIV treatment in Africa. We quantify the number of HIV health workers (HHWs required to be added to the current HIV workforce to achieve universal access to HIV treatment in South Africa, under different eligibility criteria. Methods We performed a time and motion study in three HIV clinics in a rural, primary care-based HIV treatment program in KwaZulu-Natal, South Africa, to estimate the average time per patient visit for doctors, nurses, and counselors. We estimated the additional number of HHWs needed to achieve universal access to HIV treatment within one year. Results For universal access to HIV treatment for all patients with a CD4 cell count of ≤350 cells/μl, an additional 2,200 nurses, 3,800 counselors, and 300 doctors would be required, at additional annual salary cost of 929 million South African rand (ZAR, equivalent to US$ 141 million. For universal treatment (‘treatment as prevention’, an additional 6,000 nurses, 11,000 counselors, and 800 doctors would be required, at an additional annual salary cost of ZAR 2.6 billion (US$ 400 million. Conclusions Universal access to HIV treatment for patients with a CD4 cell count of ≤350 cells/μl in South Africa may be affordable, but the number of HHWs available for HIV treatment will need to be substantially increased. Treatment as prevention strategies will require considerable additional financial and human resources commitments.

  12. Medicare immunosuppressant coverage and access to kidney transplantation: a retrospective national cohort study

    Directory of Open Access Journals (Sweden)

    Grubbs Vanessa

    2012-08-01

    Full Text Available Abstract Background In December 2000, Medicare eliminated time limitations in immunosuppressant coverage after kidney transplant for beneficiaries age ≥65 and those who were disabled. This change did not apply to younger non-disabled beneficiaries who qualified for Medicare only because of their end-stage renal disease (ESRD. We sought to examine access to waitlisting for kidney transplantation in a cohort spanning this policy change. Methods This was a retrospective cohort analysis of 241,150 Medicare beneficiaries in the United States Renal Data System who initiated chronic dialysis between 1/1/96 and 11/30/03. We fit interrupted time series Cox proportional hazard models to compare access to kidney transplant waitlist within 12 months of initiating chronic dialysis by age/disability status, accounting for secular trends. Results Beneficiaries age Conclusions The most recent extension in Medicare immunosuppressant coverage appears to have had little impact on the already increasing access to waitlisting among ≥65/ disabled beneficiaries eligible for the benefit but may have decreased access for younger, non-disabled beneficiaries who were not. The potential ramifications of policies on candidacy appeal for access to kidney transplantation should be considered.

  13. A Study on Automated Context-aware Access Control Model Using Ontology

    Science.gov (United States)

    Jang, Bokman; Jang, Hyokyung; Choi, Euiin

    Applications in context-aware computing environment will be connected wireless network and various devices. According to, recklessness access of information resource can make trouble of system. So, access authority management is very important issue both information resource and adapt to system through founding security policy of needed system. But, existing security model is easy of approach to resource through simply user ID and password. This model has a problem that is not concerned about user's environment information. In this paper, propose model of automated context-aware access control using ontology that can more efficiently control about resource through inference and judgment of context information that collect user's information and user's environment context information in order to ontology modeling.

  14. Access point analysis in smoking and nonsmoking adolescents: Findings from the European Smoking Prevention Framework Approach study

    NARCIS (Netherlands)

    Vries, H. de; Riet, J.P. van 't; Panday, S.; Reubsaet, A.

    2007-01-01

    This study analyzed possibilities to access European adolescents for tobacco control activities in out-of-school settings as part of comprehensive tobacco control programs. Data on leisure time behaviors of secondary school students were gathered during three waves from six European Union countries

  15. Grain protein concentration and harvestable protein under future climate conditions. A study of 108 spring barley accessions

    DEFF Research Database (Denmark)

    Ingvordsen, Cathrine Heinz; Gislum, René; Jørgensen, Johannes Ravn;

    2016-01-01

    In the present study a set of 108 spring barley (H. vulgare L.) accessions were cultivated under predicted future levels of temperature and [CO2] as single factors and in combination (IPCC, AR5, RCP8.5). Across all genotypes, elevated [CO2] (700 ppm day/night) slightly decreased protein...

  16. A comparative study on transradial vs transfemoral artery access for primary percutaneous coronary intervention in patients with acute myocardial infarction

    Institute of Scientific and Technical Information of China (English)

    傅向华

    2003-01-01

    A comparative study on transradial vs transfemoral artery access for primary percutaneous coronary intervention in patients with acute myocardial infarction!050000$河北医科大学第二医院河北医科大学心脏介入中心@傅向华

  17. Gender-Related Barriers and Delays in Accessing Tuberculosis Diagnostic and Treatment Services: A Systematic Review of Qualitative Studies

    Directory of Open Access Journals (Sweden)

    Lakshmi Krishnan

    2014-01-01

    Full Text Available Background. Tuberculosis (TB remains a significant global public health problem with known gender-related (male versus female disparities. We reviewed the qualitative evidence (written/spoken narrative for gender-related differences limiting TB service access from symptom onset to treatment initiation. Methods. Following a systematic process, we searched 12 electronic databases, included qualitative studies that assessed gender differences in accessing TB diagnostic and treatment services, abstracted data, and assessed study validity. Using a modified “inductive coding” system, we synthesized emergent themes within defined barriers and delays limiting access at the individual and provider/system levels and examined gender-related differences. Results. Among 13,448 studies, 28 studies were included. All were conducted in developing countries and assessed individual-level barriers; 11 (39% assessed provider/system-level barriers, 18 (64% surveyed persons with suspected or diagnosed TB, and 7 (25% exclusively surveyed randomly sampled community members or health care workers. Each barrier affected both genders but had gender-variable nature and impact reflecting sociodemographic themes. Women experienced financial and physical dependence, lower general literacy, and household stigma, whereas men faced work-related financial and physical barriers and community-based stigma. Conclusions. In developing countries, barriers limiting access to TB care have context-specific gender-related differences that can inform integrated interventions to optimize TB services.

  18. La recristalización dinámica durante la deformación en caliente de un acero calidad armco

    Directory of Open Access Journals (Sweden)

    Tafzi, K.

    2001-04-01

    Full Text Available The onset and kinetics of dynamic recrystallization of an ARMCO steel is characterised in this wok. For this purpose, uniaxial hot compression tests were carried out. The Avrami equation was employed to describe the kinetics of recrystallization. Moreover the critical strain determining the onset for dynamic recrystallization was analysed. It was observed that the latter characteristic parameters were strain rate and temperature dependent. A comparison with published results and a derivation of the possible effect of chemical composition is also offered.

    En este trabajo se caracteriza la recristalización dinámica de un acero calidad ARMCO, desde el punto de vista de su inicio y su cinética. Para este fin, se realizaron ensayos de compresión uniaxial en caliente. Se determinaron, tanto los parámetros de la ecuación de Avrami, que caracterizan la cinética de recristalización, como los que describen la denominada deformación de pico que marca el inicio de la recristalización. Se observó que estos parámetros dependían de las condiciones de deformación. Finalmente, se ofrece una comparación de los resultados obtenidos con otros resultados encontrados para diversos materiales.

  19. A late Holocene paleoenvironmental reconstruction from Agua Caliente, southern Belize, linked to regional climate variability and cultural change at the Maya polity of Uxbenká

    Science.gov (United States)

    Walsh, Megan K.; Prufer, Keith M.; Culleton, Brendan J.; Kennett, Douglas J.

    2014-07-01

    We report high-resolution macroscopic charcoal, pollen and sedimentological data for Agua Caliente, a freshwater lagoon located in southern Belize, and infer a late Holocene record of human land-use/climate interactions for the nearby prehistoric Maya center of Uxbenká. Land-use activities spanning the initial clearance of forests for agriculture through the drought-linked Maya collapse and continuing into the historic recolonization of the region are all reflected in the record. Human land alteration in association with swidden agriculture is evident early in the record during the Middle Preclassic starting ca. 2600 cal yr BP. Fire slowly tapered off during the Late and Terminal Classic, consistent with the gradual political demise and depopulation of the Uxbenká polity sometime between ca. 1150 and 950 cal yr BP, during a period of multiple droughts evident in a nearby speleothem record. Fire activity was at its lowest during the Maya Postclassic ca. 950-430 cal yr BP, but rose consistent with increasing recolonization of the region between ca. 430 cal yr BP and present. These data suggest that this environmental record provides both a proxy for 2800 years of cultural change, including colonization, growth, decline, and reorganization of regional populations, and an independent confirmation of recent paleoclimate reconstructions from the same region.

  20. Characterization of a hot dry rock reservoir at Acoculco geothermal zone, Pue.; Caracterizacion de un yacimiento de roca seca caliente en la zona geotermica de Acoculco, Pue.

    Energy Technology Data Exchange (ETDEWEB)

    Lorenzo Pulido, Cecilia; Flores Armenta, Magaly Ramirez Silva, German [Comision Federal de Electricidad, Gerencia de Proyectos Geotermoelectricos, Morelia, Michoacan (Mexico)]. E-mail: cecilia-lorenzo@cfe.gob.mx

    2011-01-15

    metamorphism due to the emplacement of intrusive rocks (hornblende granite), which was identified in the lithologic column from both wells. Based on all these features, the Acoculco geothermal zone is a candidate for development under an EGS scheme. [Spanish] Los recursos geotermicos de roca seca caliente (HDR: Hot Dry Rock), tambien conocidos actualmente como sistemas geotermicos mejorados (EGS: Enhanced Geothermal Systems), han sido investigados de tiempo atras. El concepto de HDR es muy simple. Los yacimientos mas comunes se encuentran a unos 5000 m de profundidad y estan formados por rocas impermeables que tienen una temperatura entre 150 grados centigrados y 300 grados centigrados , y no contienen ningun tipo de fluido. La temperatura es un criterio economico principal, ya que para la generacion de energia electrica se requiere una temperatura inicial mayor a los 200 grados centigrados. Para desarrollar el sistema se hacen dos perforaciones, en una de las cuales se introduce agua fria y en la otra se obtiene agua caliente. En Francia, desde junio de 2008 se encuentra en operacion una planta de 1.5 MW como parte del proyecto Soultz-sous-Forest financiado por el European Deep Geothermal Energy Programme. A fin de caracterizar los yacimientos HDR se llevo a cabo una recopilacion de informacion multidisciplinaria referente a: (1) origen de la fuente de calor, (2) informacion cuantitativa de temperatura y mecanismos de transferencia de calor natural, (3) fallas y fracturas naturales, (4) esfuerzos locales, y (5) tipo de basamento. Esta informacion se aplico a la zona geotermica de Acoculco, Pue., explorada por el Departamento de Exploracion mediante los pozos EAC-1 y EAC-2 para determinar la presencia de un yacimiento de alta temperatura (de 220 grados centigrados a mas 250 grados centigrados). Esta zona presenta las siguientes caracteristicas: (1) Origen de la fuente de calor: volcano-tectonico; (2) Los registros de temperatura mostraron valores de 263.8 grados centigrados y

  1. Computer and cell phone access for individuals with mobility impairments: an overview and case studies.

    Science.gov (United States)

    Burgstahler, Sheryl; Comden, Dan; Lee, Sang-Mook; Arnold, Anthony; Brown, Kayla

    2011-01-01

    Computers, telephones, and assistive technology hold promise for increasing the independence, productivity, and participation of individuals with disabilities in academic, employment, recreation, and other activities. However, to reach this goal, technology must be accessible to, available to, and usable by everyone. The authors of this article share computer and telephone access challenges faced by individuals with neurological and other impairments, assistive technology solutions, issues that impact product adoption and use, needs for new technologies, and recommendations for practitioners and researchers. They highlight the stories of three individuals with neurological/mobility impairments, the technology they have found useful to them, and their recommendations for future product development. PMID:21558625

  2. Maternal mortality in the rural Gambia, a qualitative study on access to emergency obstetric care

    Directory of Open Access Journals (Sweden)

    Sundby Johanne

    2005-05-01

    Full Text Available Abstract Background Maternal mortality is the vital indicator with the greatest disparity between developed and developing countries. The challenging nature of measuring maternal mortality has made it necessary to perform an action-oriented means of gathering information on where, how and why deaths are occurring; what kinds of action are needed and have been taken. A maternal death review is an in-depth investigation of the causes and circumstances surrounding maternal deaths. The objectives of the present study were to describe the socio-cultural and health service factors associated with maternal deaths in rural Gambia. Methods We reviewed the cases of 42 maternal deaths of women who actually tried to reach or have reached health care services. A verbal autopsy technique was applied for 32 of the cases. Key people who had witnessed any stage during the process leading to death were interviewed. Health care staff who participated in the provision of care to the deceased was also interviewed. All interviews were tape recorded and analyzed by using a grounded theory approach. The standard WHO definition of maternal deaths was used. Results The length of time in delay within each phase of the model was estimated from the moment the woman, her family or health care providers realized that there was a complication until the decision to seeking or implementing care was made. The following items evolved as important: underestimation of the severity of the complication, bad experience with the health care system, delay in reaching an appropriate medical facility, lack of transportation, prolonged transportation, seeking care at more than one medical facility and delay in receiving prompt and appropriate care after reaching the hospital. Conclusion Women do seek access to care for obstetric emergencies, but because of a variety of problems encountered, appropriate care is often delayed. Disorganized health care with lack of prompt response to

  3. Electricity access. Southern Africa sub-regional study: South Africa and Zimbabwe

    Energy Technology Data Exchange (ETDEWEB)

    Davidson, O.R.; Mwakasonda, S.A.

    2004-07-01

    This study focuses on the accessibility of electricity to the poor in South Africa and Zimbabwe as a means to improve understanding of the various factors that affect the provision of modern energy to the poor in these countries. The study examines the impact on the poor of power sector reforms. Specifically, it makes an assessment of the impact of the electrification programmes in the two countries. The situation in the two countries is discussed separately, followed by a comparative analysis. South Africa is the most industrialised country in Africa and it is endowed with a wide variety of natural resources. It is currently going through major changes in many spheres of its economy, including energy, following the democratic elections in 1994. An important consideration that is directing all aspects of government policy is the need to address the enormous disparities in income levels and living conditions betaveen the different racial groups, a result of apartheid. The rural areas are even more impoverished than urban ones. Alter the 1994 democratic elections, the South African Government launched the first phase of the National Electrification Programme (1994-99), aimed at increasing electrification from 36 per cent to about 66 per cent nationally by 2001 - 46 per cent rural and 80 per cent urban. By the end of 2001, 66.1 per cent of households were electrified, with more than 3.4 million connections made since 1994. Since then, several polities have been introduced in the electricity sector that are of direct relevance to this work. The most important of these concern the restructuring of the electricity supply industry and direct subsidies for the poor and disadvantaged. The South African Government established a National Electrification Fund to subsidise a portion of the capital costs of new electricity connections under the National Electrifcation Programme. The Fund derives its income not only from the electricity industry, but also from fiscal allocations

  4. Making Physical Activity Accessible to Older Adults with Memory Loss: A Feasibility Study

    Science.gov (United States)

    Logsdon, Rebecca G.; McCurry, Susan M.; Pike, Kenneth C.; Teri, Linda

    2009-01-01

    Purpose: For individuals with mild cognitive impairment (MCI), memory loss may prevent successful engagement in exercise, a key factor in preventing additional disability. The Resources and Activities for Life Long Independence (RALLI) program uses behavioral principles to make exercise more accessible for these individuals. Exercises are broken…

  5. Exploring the Design, Development and Use of Websites through Accessibility and Usability Studies

    Science.gov (United States)

    Foley, Alan

    2011-01-01

    In this paper, data obtained from a university website accessibility and usability validation process are analyzed and used to demonstrate how the design process can affect the online experience for users with disabilities. Interviews, observations, and use data (e.g. where users clicked on a page or what path taken through a site) were collected.…

  6. Patterns of Student Enrolment and Attrition in Australian Open Access Online Education: A Preliminary Case Study

    Science.gov (United States)

    Greenland, Steven J.; Moore, Catherine

    2014-01-01

    Swinburne University of Technology has experienced tremendous growth in open access online learning and as such is typical of the many Australian institutions that have ventured into online tertiary education. While research in online education continues to expand, comparatively little investigates students' enrolment and attrition. This research…

  7. Brazil Background Study for a National Rural Electrification Strategy : Aiming for Universal Access

    OpenAIRE

    World Bank

    2005-01-01

    According to data from the 2000 Census, about 27 percent of Brazil's rural population still lacks access to electricity. This represents more than 2.5 million households. In comparison, the same statistic is about 20 percent in Argentina, Chile, and Mexico. The figure includes the achievements of the Luz no Campo program, which will complete its first implementation phase with more than 60...

  8. Factors that help injecting drug users to access and benefit from services: A qualitative study

    Directory of Open Access Journals (Sweden)

    sheard Laura

    2007-10-01

    Full Text Available Abstract Background International research shows that injecting drug users (IDUs can encounter many barriers when they try to access drug treatment and other services. However, the existing literature is mostly quantitative and does not consider the kinds of factors that injectors themselves identify as enabling them to access and benefit from services. Responding to this gap in knowledge, our paper explores IDUs' own suggestions for improving service engagement and their reports of other factors enabling them to seek help. Methods Semi-structured qualitative interviews were conducted with 75 current illicit drug injectors in three geographically diverse areas of West Yorkshire, England. Recruitment was through needle exchange programmes, with additional snowball sampling to ensure inclusivity of gender, ethnicity and primary drug injected. Transcribed data were analysed thematically using Framework. Results Although participants were often satisfied with current access to services, they made three broad suggestions for improving engagement. These were: providing more services (more providers and more forms of support; better operation of existing services (including better communication systems and more flexibility around individual needs; and staffing-related improvements (particularly, less judgemental and more understanding staff attitudes. Other factors identified as important enablers of help seeking were: having supporting relationships (particularly with family members; personal circumstances/life events (especially becoming a parent; and an injector's state of mind (such as feeling motivated and positive. Conclusion A range of practical suggestions for improving IDUs' access to drug treatment and other services are identified.

  9. 76 FR 27288 - Port Access Route Study: The Atlantic Coast From Maine to Florida

    Science.gov (United States)

    2011-05-11

    ... records notice regarding our public dockets in the January 17, 2008, issue of the Federal Register (73 FR...'' column. If you do not have access to the Internet, you may view the docket online by visiting the Docket.... Deep-water route means a route within defined limits, which has been accurately surveyed for...

  10. Institutional Repositories, Open Access, and Scholarly Communication: A Study of Conflicting Paradigms

    Science.gov (United States)

    Cullen, Rowena; Chawner, Brenda

    2011-01-01

    The Open Access movement of the past decade, and institutional repositories developed by universities and academic libraries as a part of that movement, have openly challenged the traditional scholarly communication system. This article examines the growth of repositories around the world, and summarizes a growing body of evidence of the response…

  11. Access to general practitioner services amongst underserved Australians: a microsimulation study

    Directory of Open Access Journals (Sweden)

    Schofield Deborah J

    2012-01-01

    Full Text Available Abstract Background One group often identified as having low socioeconomic status, those living in remote or rural areas, are often recognised as bearing an unequal burden of illness in society. This paper aims to examine equity of utilisation of general practitioner services in Australia. Methods Using the 2005 National Health Survey undertaken by the Australian Bureau of Statistics, a microsimulation model was developed to determine the distribution of GP services that would occur if all Australians had equal utilisation of health services relative to need. Results It was estimated that those who are unemployed would experience a 19% increase in GP services. Persons residing in regional areas would receive about 5.7 million additional GP visits per year if they had the same access to care as Australians residing in major cities. This would be a 18% increase. There would be a 20% increase for inner regional residents and a 14% increase for residents of more remote regional areas. Overall there would be a 5% increase in GP visits nationally if those in regional areas had the same access to care as those in major cities. Conclusion Parity is an insufficient goal and disadvantaged persons and underserved areas require greater access to health services than the well served metropolitan areas due to their greater poverty and poorer health status. Currently underserved Australians suffer a double disadvantage: poorer health and poorer access to health services.

  12. 76 FR 76927 - Port Access Route Study: The Atlantic Coast From Maine to Florida

    Science.gov (United States)

    2011-12-09

    ... they be located? (6) What are the pros and cons to the Coast Guard designating coastwise fairways or...'' column. If you do not have access to the internet, you may view the docket online by visiting the Docket... records notice regarding our public dockets in the January 17, 2008, issue of the Federal Register (73...

  13. Interactive User Modeling for Personalized Access to Museum Collections: The Rijksmuseum Case Study

    NARCIS (Netherlands)

    Wang, Y.; Aroyo, L.; Stash, N.; Rutledge, L.; Conati, C.; McCoy, K.; Paliouras, J.

    2007-01-01

    In this paper we present an approach for personalized access to museum collections. We use a RDF/OWL specification of the Rijksmuseum Amsterdam collections as a driver for an interactive dialog. The user gives his/her judgment on the artefacts, indicating likes or dislikes. The elicited user model i

  14. Feasibility studies for accessing nucleon structure observables with the PANDA experiment at the future FAIR facility

    Energy Technology Data Exchange (ETDEWEB)

    Mora Espi, Maria Carmen

    2012-10-15

    angular distribution. Above this s limit, the low cross section will not allow the direct extraction of the electromagnetic form factors. However, the total cross section can still be measured and an extraction of the electromagnetic form factors is possible considering certain assumptions on the ratio between the electric and magnetic contributions. The transition distribution amplitudes are new non-perturbative objects describing the transition between a baryon and a meson. They are accessible in hard exclusive processes like anti pp{yields}e{sup +}e{sup -}{pi}{sup 0}. The study of this process with PANDA will test the transition distribution amplitudes approach. This work includes a feasibility study for measuring this channel with PANDA. The main background reaction is here anti pp{yields}{pi}{sup +}{pi}{sup -}{pi}{sup 0}. A background suppression factor of 10{sup 8} has been achieved while keeping a signal efficiency above 20 %. Part of this work has been published in the European Physics Journal A 44, 373-384 (2010).

  15. MEASURING LAND USES ACCESSIBILITY BY USING FUZZY MAJORITY GIS-BASED MULTICRITERIA DECISION ANALYSIS CASE STUDY: MALAYER CITY

    Directory of Open Access Journals (Sweden)

    A. Taravat

    2014-10-01

    Full Text Available Public spaces accessibility has become one of the important factors in urban planning. Therefore, considerable attention has been given to measure accessibility to public spaces on the UK, US and Canada, but there are few studies outside the anglophone world especially in developing countries such as Iran. In this study an attempt has been made to measure objective accessibility to public spaces (parks, school, library and administrative using fuzzy majority GIS-based multicriteria decision analysis. This method is for defining the priority for distribution of urban facilities and utilities as the first step towards elimination of social justice. In order to test and demonstrate the presented model, the comprehensive plan of Malayer city has been considered for ranking in three objectives and properties in view of index per capital (Green space, sport facilities and major cultural centers like library and access index. The results can be used to inform the local planning process and the GIS approach can be expanded into other local authority domains. The results shows that the distribution of facilities in Malayer city has followed on the base of cost benefit law and the human aspect of resource allocation programming of facilities (from centre to suburbs of the city.

  16. Measuring Land Uses Accessibility by Using Fuzzy Majority Gis-Based Multicriteria Decision Analysis Case Study: Malayer City

    Science.gov (United States)

    Taravat, A.; Yari, A.; Rajaei, M.; Mousavian, R.

    2014-10-01

    Public spaces accessibility has become one of the important factors in urban planning. Therefore, considerable attention has been given to measure accessibility to public spaces on the UK, US and Canada, but there are few studies outside the anglophone world especially in developing countries such as Iran. In this study an attempt has been made to measure objective accessibility to public spaces (parks, school, library and administrative) using fuzzy majority GIS-based multicriteria decision analysis. This method is for defining the priority for distribution of urban facilities and utilities as the first step towards elimination of social justice. In order to test and demonstrate the presented model, the comprehensive plan of Malayer city has been considered for ranking in three objectives and properties in view of index per capital (Green space, sport facilities and major cultural centers like library and access index). The results can be used to inform the local planning process and the GIS approach can be expanded into other local authority domains. The results shows that the distribution of facilities in Malayer city has followed on the base of cost benefit law and the human aspect of resource allocation programming of facilities (from centre to suburbs of the city).

  17. What Rural Women Want the Public Health Community to Know About Access to Healthful Food: A Qualitative Study, 2011

    Science.gov (United States)

    Zimmermann, Kristine; Peacock, Nadine R.

    2016-01-01

    Introduction Living in a rural food desert has been linked to poor dietary habits. Understanding community perspectives about available resources and feasible solutions may inform strategies to improve food access in rural food deserts. The objective of our study was to identify resources and solutions to the food access problems of women in rural, southernmost Illinois. Methods Fourteen focus groups with women (n = 110 participants) in 4 age groups were conducted in a 7-county region as part of a community assessment focused on women’s health. We used content analysis with inductive and deductive approaches to explore food access barriers and facilitators. Results Similar to participants in previous studies, participants in our study reported insufficient local food sources, which they believe contributed to poor dietary habits, high food prices, and the need to travel for healthful food. Participants identified existing local activities and resources that help to increase access, such as home and community gardens, food pantries, and public transportation, as well as local solutions, such as improving nutrition education and public transportation options. Conclusion Multilevel and collaborative strategies and policies are needed to address food access barriers in rural communities. At the individual level, education may help residents navigate geographic and economic barriers. Community solutions include collaborative strategies to increase availability of healthful foods through traditional and nontraditional food sources. Policy change is needed to promote local agriculture and distribution of privately grown food. Understanding needs and strengths in rural communities will ensure responsive and effective strategies to improve the rural food environment. PMID:27126555

  18. A suite of methods for representing activity space in a healthcare accessibility study

    Directory of Open Access Journals (Sweden)

    Gesler Wilbert M

    2005-10-01

    Full Text Available Abstract Background "Activity space" has been used to examine how people's habitual movements interact with their environment, and can be used to examine accessibility to healthcare opportunities. Traditionally, the standard deviational ellipse (SDE, a Euclidean measure, has been used to represent activity space. We describe the construction and application of the SDE at one and two standard deviations, and three additional network-based measures of activity space using common tools in GIS: the road network buffer (RNB, the 30-minute standard travel time polygon (STT, and the relative travel time polygon (RTT. We compare the theoretical and methodological assumptions of each measure, and evaluate the measures by examining access to primary care services, using data from western North Carolina. Results Individual accessibility is defined as the availability of healthcare opportunities within that individual's activity space. Access is influenced by the shape and area of an individual's activity space, the spatial distribution of opportunities, and by the spatial structures that constrain and direct movement through space; the shape and area of the activity space is partly a product of how it is conceptualized and measured. Network-derived measures improve upon the SDE by incorporating the spatial structures (roads that channel movement. The area of the STT is primarily influenced by the location of a respondent's residence within the road network hierarchy, with residents living near primary roads having the largest activity spaces. The RNB was most descriptive of actual opportunities and can be used to examine bypassing. The area of the RTT had the strongest correlation with a healthcare destination being located inside the activity space. Conclusion The availability of geospatial technologies and data create multiple options for representing and operationalizing the construct of activity space. Each approach has its strengths and limitations

  19. A Comparative Study of Multiplexing Schemes for Next Generation Optical Access Networks

    Science.gov (United States)

    Imtiaz, Waqas A.; Khan, Yousaf; Shah, Pir Mehar Ali; Zeeshan, M.

    2014-09-01

    Passive optical network (PON) is a high bandwidth, economical solution which can provide the necessary bandwidth to end-users. Wavelength division multiplexed passive optical networks (WDM PONs) and time division multiplexed passive optical networks (TDM PONs) are considered as an evolutionary step for next-generation optical access (NGOA) networks. However they fail to provide highest transmission capacity, efficient bandwidth access, and robust dispersion tolerance. Thus future PONs are considered on simpler, efficient and potentially scalable, optical code division multiplexed (OCDM) PONs. This paper compares the performance of existing PONs with OCDM PON to determine a suitable scheme for NGOA networks. Two system parameter are used in this paper: fiber length, and bit rate. Performance analysis using Optisystem shows that; for a sufficient system performance parameters i.e. bit error rate (BER) ≤ 10-9, and maximum quality factor (Q) ≥ 6, OCDMA PON efficiently performs upto 50 km with 10 Gbit/s per ONU.

  20. Providing Enhanced Access for the Oregon State University College Catalogs : A Case Study

    OpenAIRE

    Kunda, Susan A.; Nielsen, Elizabeth A.

    2011-01-01

    The academic catalog is a vital record for colleges and universities. Until the late 1980s, Oregon State University catalogs were published, distributed and archived solely in print format. With the advent of web and digital technologies, the Oregon State University Registrar’s Office also began placing an electronic version of the most recent catalogs online, while the Oregon State University Libraries provided access to earlier versions of the catalog through a subscription to College Sourc...

  1. Study of spread spectrum multiple access systems for satellite communications with overlay on current services

    Science.gov (United States)

    Ha, Tri T.; Pratt, Timothy

    1989-05-01

    The feasibility of using spread spectrum techniques to provide a low-cost multiple access system for a very large number of low data terminals was investigated. Two applications of spread spectrum technology to very small aperture terminal (VSAT) satellite communication networks are presented. Two spread spectrum multiple access systems which use a form of noncoherent M-ary FSK (MFSK) as the primary modulation are described and the throughput analyzed. The analysis considers such factors as satellite power constraints and adjacent satellite interference. Also considered is the effect of on-board processing on the multiple access efficiency and the feasibility of overlaying low data rate spread spectrum signals on existing satellite traffic as a form of frequency reuse is investigated. The use of chirp is examined for spread spectrum communications. In a chirp communication system, each data bit is converted into one or more up or down sweeps of frequency, which spread the RF energy across a broad range of frequencies. Several different forms of chirp communication systems are considered, and a multiple-chirp coded system is proposed for overlay service. The mutual interference problem is examined in detail and a performance analysis undertaken for the case of a chirp data channel overlaid on a video channel.

  2. Access to and Usage of Information among Rural Communities: a Case Study of Kilosa District Morogoro Region in Tanzania

    Directory of Open Access Journals (Sweden)

    Wulystan Pius Mtega

    2012-05-01

    Full Text Available The study investigated how rural communities in Kilosa District of Morogoro region in Tanzania accessed and used information. Specifically the study identified the information needs of rural people; determined the factors influencing the choice of information sources; and the appropriateness of the information sources basing on usefulness and preference. Three divisions were involved in the study area, choice of the study area was based on the availability of multiple information sources/channels information seekers could consulted. Simple random sampling technique was employed in selecting villages to be investigated and respondents to be interviewed. Findings showed that almost all people needed information of all types. Most of the information needed related to day to day problems. Information was accessed mainly through radio, television sets, newspapers and magazines, and also through cell phones and face to face communication. Choice of information sources was influenced by the respondents’ level of education, income, sex, age, occupation and distance from the information seeker’s residence to the information sources. Findings showed further that people accessed and used information for solving day to day problems and for leisure purposes. The study recommends that it is important to have frequent rural information needs assessments before providing information services to rural areas. Information providers should repackage information in appropriate forms suitable for rural communities. Moreover, radio and television stations should have enough rural related programmes which should be broadcasted during appropriate time.

  3. A metasynthesis of qualitative studies regarding opinions and perceptions about barriers and determinants of health services’ accessibility in economic migrants

    Directory of Open Access Journals (Sweden)

    Agudelo-Suárez Andrés A

    2012-12-01

    Full Text Available Abstract Background Access to health services is an important health determinant. New research in health equity is required, especially amongst economic migrants from developing countries. Studies conducted on the use of health services by migrant populations highlight existing gaps in understanding which factors affect access to these services from a qualitative perspective. We aim to describe the views of the migrants regarding barriers and determinants of access to health services in the international literature (1997–2011. Methods A systematic review was conducted for Qualitative research papers (English/Spanish published in 13 electronic databases. A selection of articles that accomplished the inclusion criteria and a quality evaluation of the studies were carried out. The findings of the selected studies were synthesised by means of metasynthesis using different analysis categories according to Andersen’s conceptual framework of access and use of health services and by incorporating other emergent categories. Results We located 3,025 titles, 36 studies achieved the inclusion criteria. After quality evaluation, 28 articles were definitively synthesised. 12 studies (46.2% were carried out in the U.S and 11 studies (42.3% dealt with primary care services. The participating population varied depending mainly on type of host country. Barriers were described, such as the lack of communication between health services providers and migrants, due to idiomatic difficulties and cultural differences. Other barriers were linked to the economic system, the health service characteristics and the legislation in each country. This situation has consequences for the lack of health control by migrants and their social vulnerability. Conclusions Economic migrants faced individual and structural barriers to the health services in host countries, especially those with undocumented situation and those experimented idiomatic difficulties. Strategies to

  4. Identifying strategies to improve access to credible and relevant information for public health professionals: a qualitative study

    Directory of Open Access Journals (Sweden)

    Simpson E Hatheway

    2006-04-01

    Full Text Available Abstract Background Movement towards evidence-based practices in many fields suggests that public health (PH challenges may be better addressed if credible information about health risks and effective PH practices is readily available. However, research has shown that many PH information needs are unmet. In addition to reviewing relevant literature, this study performed a comprehensive review of existing information resources and collected data from two representative PH groups, focusing on identifying current practices, expressed information needs, and ideal systems for information access. Methods Nineteen individual interviews were conducted among employees of two domains in a state health department – communicable disease control and community health promotion. Subsequent focus groups gathered additional data on preferences for methods of information access and delivery as well as information format and content. Qualitative methods were used to identify themes in the interview and focus group transcripts. Results Informants expressed similar needs for improved information access including single portal access with a good search engine; automatic notification regarding newly available information; access to best practice information in many areas of interest that extend beyond biomedical subject matter; improved access to grey literature as well as to more systematic reviews, summaries, and full-text articles; better methods for indexing, filtering, and searching for information; and effective ways to archive information accessed. Informants expressed a preference for improving systems with which they were already familiar such as PubMed and listservs rather than introducing new systems of information organization and delivery. A hypothetical ideal model for information organization and delivery was developed based on informants' stated information needs and preferred means of delivery. Features of the model were endorsed by the subjects who

  5. The effects of open access on un-published documents: A case study of economics working papers

    DEFF Research Database (Denmark)

    Faber Frandsen, Tove

    2009-01-01

    The use of scholarly publications that have not been formally published in e.g. journals is widespread in some fields. In the past they have been disseminated through various channels of informal communication. However, the Internet has enabled dissemination of these un-published and often...... unrefereed publications to a much wider audience. This is particularly interesting seen in relation to the highly disputed open access advantage as the potential advantage for lowvisibility publications has not been given much attention in the literature. The present study examines the role ofworking papers....... There is no tendency to an increase in impact during the 10 years which is the case for the high impact journals. Consequently, the result of this study does not provide evidence of an open access advantage for working papers in economics....

  6. Young people with depression and their experience accessing an enhanced primary care service for youth with emerging mental health problems: a qualitative study

    Directory of Open Access Journals (Sweden)

    McCann Terence V

    2012-08-01

    Full Text Available Abstract Background Despite the emergence of mental health problems during adolescence and early adulthood, many young people encounter difficulties accessing appropriate services. In response to this gap, the Australian Government recently established new enhanced primary care services (headspace that target young people with emerging mental health problems. In this study, we examine the experience of young people with depression accessing one of these services, with a focus on understanding how they access the service and the difficulties they encounter in the process. Method Individual, in-depth, audio-recorded interviews were used to collect data. Twenty-six young people with depression were recruited from a headspace site in Melbourne, Australia. Interpretative phenomenological analysis was used to analyse the data. Results Four overlapping themes were identified in the data. First, school counsellors as access mediators, highlights the prominent role school counsellors have in facilitating student access to the service. Second, location as an access facilitator and inhibitor. Although the service is accessible by public transport, it is less so to those who do not live near public transport. Third, encountering barriers accessing the service initially. Two main service access barriers were experienced: unfamiliarity with the service, and delays in obtaining initial appointments for ongoing therapy. Finally, the service’s funding model acts as an access facilitator and barrier. While the model provides a low or no cost services initially, it limits the number of funded sessions, and this can be problematic. Conclusions Young people have contrasting experiences accessing the service. School counsellors have an influential role in facilitating access, and its close proximity to public transport enhances access. The service needs to become more prominent in young people’s consciousness, while the appointment system would benefit from

  7. Studying on equilibriums between price and QoS in multi-provider overlay access networks

    Institute of Scientific and Technical Information of China (English)

    Wang Yufeng; Wang Wendong

    2006-01-01

    From the viewpoint of game theory, this paper proposes a model that combines QoS index with price factor in overlay access networks, and uses the multinomial logit (MNL) to model the choice behaviour of users. Each service class is considered an independent and competitive entity offered by each provider,which aims at maximizing its own utility. Based on noncooperative game, we prove the existence and uniqueness of equilibriums between QoS levels and prices among various service classes, and demonstrate the properties of equilibriums. Finally, these results are verified via numerical analysis.

  8. Dimensionado de una instalación de energía solar térmica para la producción de agua caliente sanitaria en la residencia geriátrica asistida "San Juan Grande"

    OpenAIRE

    Morión Puerto, Inmaculada

    2014-01-01

    El siguiente proyecto se centra en el estudio del dimensionado de una instalación de energía solar térmica de baja temperatura para la producción de agua caliente sanitaria en la residencia geriátrica asistida “San Juan Grande” en Jerez de la Frontera, provincia de Cádiz. Es un edificio que fue construido en 2001, en su momento no estaba la normativa actual por la que es obligatorio para todos los edificios de nueva construcción implementar, en función de la zona climática y...

  9. Diseño de una instalación solar térmica para abastecimiento de agua caliente sanitaria y calefacción por suelo radiante para un hotel

    OpenAIRE

    Moral Soria, Guillermo; Morales Butrón, Jaime

    2013-01-01

    El presente proyecto abarca el dimensionado de los componentes de un sistema solar térmico de baja temperatura así como del sistema de energía auxiliar acoplado a él para el abastecimiento de agua caliente sanitaria y apoyo a calefacción por suelo radiante de un hotel, no incluyéndose el diseño de instalaciones colaterales como pueden ser instalaciones eléctricas o las redes de distribución.

  10. Accessing characters in spoken Chinese disyllables: An ERP study on the resolution of auditory ambiguity.

    Science.gov (United States)

    Chen, Xuqian; Huang, Guoliang; Huang, Jian

    2016-01-01

    Chinese differs from most Indo-European languages in its phonological, lexical, and syntactic structures. One of its unique properties is the abundance of homophones at the monosyllabic/morphemic level, with the consequence that monosyllabic homophones are all ambiguous in speech perception. Two-morpheme Chinese words can be composed of two high homophone-density morphemes (HH words), two low homophone-density morphemes (LL words), or one high and one low homophone-density morphemes (LH or HL words). The assumption of a simple inhibitory homophone effect is called into question in the case of disyllabic spoken word recognition, in which the recognition of one morpheme is affected by semantic information given by the other. Event-related brain potentials (ERPs) were used to trace on-line competitions among morphemic homophones in accessing Chinese disyllables. Results showing significant differences in ERP amplitude when comparing LL and LH words, but not when comparing LL and HL words, suggested that the first morpheme cannot be accessed without feedback from the second morpheme. Most importantly, analyses of N400 amplitude among different densities showed a converse homophone effect in which LL words, rather than LH or HL words, triggered larger N400. These findings provide strong evidence of a dynamic integration system at work during spoken Chinese disyllable recognition. PMID:26589544

  11. SPRAY FOAM IN ACCESSIBLE SPACES:BEST PRACTICES AND CASE STUDIES FOR RETROFIT IN MIXED-HUMID CLIMATE

    Energy Technology Data Exchange (ETDEWEB)

    Christian, Jeffrey E [ORNL; Gant, Kathy [Oak Ridge National Laboratory (ORNL)

    2013-12-01

    Heating and cooling the house is one of the homeowners major expenses. Reducing these costs, saving energy, and creating a healthier, more comfortable indoor environment are good reasons to consider improving the building thermal envelope. Improvements usually consider increasing the amount of insulation, reducing the infiltration of outside air, and controlling moisture in existing buildings. This report describes the use of spray foam materials to insulate, seal, and control moisture. This discussion is limited to treating areas that are accessible. What is accessible, however, can vary depending on the type of renovation. If the building has been gutted or exterior surfaces removed, there are more options. This report will look at areas to consider for spray foam application and discuss the types of spray foams available and their uses. A number of case studies are presented to show the effectiveness of this retrofit in existing houses based on performance data.

  12. Inequalities in Educational Access in Mexico: A Study with Graduates Students of a High Performance Technical High School

    Directory of Open Access Journals (Sweden)

    Fernando Pérez-Santiago

    2016-09-01

    Full Text Available Access to the higher education system in Mexico has been characterized by educational inequalities explained by social and reproductionist currents. The phenomenon occurs in graduate students with a high school diploma and coming from different contexts (social, cultural, economic, institutional and academic ones that create a process of transition far away from equal opportunities. Therefore, the differences due to cultural diversity do not generate equitable access to higher education institutions. The aim of this study was to identify the social, cultural and academic factors affecting the access to or the abandonment of the academic education of students with expectations of entering the higher education system. The research was based on the results obtained from forty technicians who studied at a vocational high school with high academic performance in Mexico, and were supposed to enter the higher level. It was an exploratory descriptive investigation with qualitative approach, using two multiple-choice item questionnaires whose results were analyzed interpretively. The sampling was non-probability, with the technique of “snowball” and “convenience”. The results showed that the level of parents’ schooling, social relations, and academic career of graduates were decisive to enter the higher education; so it can be concluded that the students’ origin generate inequality in educational achievement.

  13. Making Statistical Data More Easily Accessible on the Web Results of the StatSearch Case Study

    CERN Document Server

    Rajman, M; Boynton, I M; Fridlund, B; Fyhrlund, A; Sundgren, B; Lundquist, P; Thelander, H; Wänerskär, M

    2005-01-01

    In this paper we present the results of the StatSearch case study that aimed at providing an enhanced access to statistical data available on the Web. In the scope of this case study we developed a prototype of an information access tool combining a query-based search engine with semi-automated navigation techniques exploiting the hierarchical structuring of the available data. This tool enables a better control of the information retrieval, improving the quality and ease of the access to statistical information. The central part of the presented StatSearch tool consists in the design of an algorithm for automated navigation through a tree-like hierarchical document structure. The algorithm relies on the computation of query related relevance score distributions over the available database to identify the most relevant clusters in the data structure. These most relevant clusters are then proposed to the user for navigation, or, alternatively, are the support for the automated navigation process. Several appro...

  14. Cognitive radio policy and regulation techno-economic studies to facilitate dynamic spectrum access

    CERN Document Server

    Holland, Oliver

    2014-01-01

    This book offers a timely reflection on how the proliferation of advanced wireless communications technologies, particularly cognitive radio (CR) can be enabled by thoroughly-considered policy and appropriate regulation. It looks at the prospects of CR from the divergent standpoints of technological development and economic market reality. The book provides a broad survey of various techno-economic and policy aspects of CR development, and provides the reader with an understanding of the complexities involved as well as a toolbox of possible solutions to enable the evolutionary leap towards successful implementation of disruptive CR technology or indeed any other novel wireless technologies. Cognitive Radio Policy and Regulation showcases the original ideas and concepts introduced into the field of CR and dynamic spectrum access policy over nearly four years of work within COST Action IC0905 TERRA, a think-tank with participants from more than 20 countries. The book’s subject matter includes: • deploymen...

  15. EU Accession and Civil Aviation Regimes: Malta and Cyprus as a Case Study

    Science.gov (United States)

    Papatheodorou, Andreas; Busuttil, Louis

    2003-01-01

    Aviation deregulation is usually a challenging and demanding task and accession to the European Union requires that all candidate states should harmonize their legislation in the context of the European Common Aviation Area. Malta and Cyprus, the small Mediterranean island-states to join the EU in 2004, will have to abandon any protectionist policies in favour of their flag-carriers and let them survive in a liberal framework. The paper discusses the implications of this regime change for civil aviation in Malta and Cyprus and in addition to the airline industry, it examines the impacts on the complementary tourism sector. Unless carrying capacity limits are understood, the islands may become victims of successful airline liberalisation. The paper concludes by stressing the need for sustainable development and active policy making. Keywords: carrying capacity, Cyprus, air transport deregulation, Malta, tourism

  16. Study on Mandatory Access Control in a Secure Database Management System

    Institute of Scientific and Technical Information of China (English)

    2001-01-01

    This paper proposes a security policy model for mandatory access control in class B1 database management system whose level of labeling is tuple. The relation-hierarchical data model is extended to multilevel relation-hierarchical data model. Based on the multilevel relation-hierarchical data model, the concept of upper-lower layer relational integrity is presented after we analyze and eliminate the covert channels caused by the database integrity. Two SQL statements are extended to process polyinstantiation in the multilevel secure environment. The system is based on the multilevel relation-hierarchical data model and is capable of integratively storing and manipulating multilevel complicated objects (e. g., multilevel spatial data) and multilevel conventional data ( e. g., integer. real number and character string).

  17. Access to HAART in HIV-infected immigrants: a retrospective multicenter Italian study.

    Science.gov (United States)

    Saracino, A; El-Hamad, I; Prato, R; Cibelli, D C; Tartaglia, A; Palumbo, E; Pezzoli, M C; Angarano, G; Scotto, G

    2005-09-01

    Since 1996, AIDS has declined in the Italian population, but cases in foreign patients, including both recent immigrants and long-term residents, have increased from 3.9% in 1995-1996 to 15.4% in 2001-2002. This increase can only be partly explained by a higher migratory flow and might reflect a delayed access to health facilities and to antiretroviral therapy in migrants. We performed a survey for the year 2003 of HIV-infected immigrants to Italy from countries outside the European Union to verify which factors might influence a lack of access to highly active antiretroviral therapy (HAART). Italian centers of infectious diseases were requested to send sociodemographic and clinical data of HIV-infected immigrant patients. A total of 553 HIV-infected immigrants (49.9% women) were evaluated, representing 6.5% of all HIV-infected patients from these centers. The mean duration of residency in Italy was 6.6 +/- 5.0 years. The country of origin was Africa (64.5%), North and South America (24.2%), Eastern Europe (7.0%), and Asia (3.8%). A total of 407 of 553 patients (73.6%) were taking antiretroviral drugs at the time of screening. Females presented a younger age (p = 0.001), a lower frequency of Centers for Disease Control (CDC) stage B/C (p = 0.008) and a more frequent heterosexual exposure to HIV (p immigrants (p = 0.018) and registered in the National Health Service (p = 0.014) were significantly more likely to receive HAART compared to illegal immigrants. PMID:16164386

  18. Access Denied

    Science.gov (United States)

    Villano, Matt

    2008-01-01

    Building access control (BAC)--a catchall phrase to describe the systems that control access to facilities across campus--has traditionally been handled with remarkably low-tech solutions: (1) manual locks; (2) electronic locks; and (3) ID cards with magnetic strips. Recent improvements have included smart cards and keyless solutions that make use…

  19. Access to Care for Multiple Sclerosis in Times of Economic Crisis in Greece – the HOPE II Study

    Directory of Open Access Journals (Sweden)

    Kyriakos Souliotis

    2016-02-01

    Full Text Available Background While there is currently no cure for multiple sclerosis (MS, treatment with biologic diseasemodifying drugs (bDMDs can reduce the impact of the condition on the lives of patients. In Greece, the regulatory change in the distribution system of bDMDs, limited their administration through the designated pharmacies of the National Organization for Healthcare Services Provision (EOPYY or the National Health System (ESY hospitals, thus potentially impacting access to MS treatment. In this context, the aim of this paper was to assess the barriers to bDMDs, by recording MS patients’ experiences. Methods A survey research was conducted between January and February 2014 in Athens and 5 other major Greek cities with the methods of personal and telephone interview. A structured questionnaire was used to elicit socio-economic and medical information, information related to obstacles in accessing bDMDs and medical treatment, from MS patients that visited EOPYY pharmacies during the study period. Results During the last year 69% of 179 participants reported that the distribution system of bDMDs has improved. Thirteen percent of participants encountered problems in accessing their medication, and 16.9% of participants in accessing their physician, with the obstacles being more pronounced for non-Athens residents. Frequent obstacles to bDMDs were the distance from EOPYY pharmacies and difficulties in obtaining a diagnosis from an EOPYY/ESY physician, while obstacles to medical care were delays in appointment booking and travel difficulties. Conclusion Even though the major weaknesses of the distribution system of bDMDs have improved, further amelioration of the system could be achieved through the home delivery of medicines to patients living in remote areas, and through the development of a national MS registry.

  20. Understanding differences in access to water fountains and sugar-sweetened beverages in children׳s environments: a pilot study in high and low deprivation neighbourhoods.

    Science.gov (United States)

    Pearson, Amber L; de Latour, Phillip; Kemp, Gabrielle; Findlay, Nohoana; Halim, Angela; Atkinson, Nicola; Chong, Mark; Cameron, Rose; Brown, Courtney; Kim, Grace; Campbell, Paul; Hills, Toby; Jayawant, Aditya; Chae, Matthew; Bhagavan, Chiranth; French, Claire; Jenkin, Gabrielle; Smith, Moira; Signal, Louise

    2014-11-01

    Access to water fountains and sugar-sweetened beverages (SSBs) in children׳s environments may impact on child obesity and may vary with neighbourhood deprivation. Our pilot analyses of access to water fountains and SSBs in Wellington, New Zealand revealed that water fountain access was high in school environments and low in recreational environments. There were also differences in water fountain and SSB access points by neighbourhood deprivation. The methods piloted in this study could be translated in a larger study, more capable of detecting significant differences in access and allowing for more sophisticated analyses. Such future studies may provide important evidence for the improvement of children׳s health and well-being.

  1. Exploring the impact of a decision support intervention on vascular access decisions in chronic hemodialysis patients: study protocol

    Directory of Open Access Journals (Sweden)

    Donnelly Sandra

    2011-02-01

    Full Text Available Abstract Background In patients with Stage 5 Chronic Kidney Disease who require renal replacement therapy a major decision concerns modality choice. However, many patients defer the decision about modality choice or they have an urgent or emergent need of RRT, which results in them starting hemodialysis with a Central Venous Catheter. Thereafter, efforts to help patients make more timely decisions about access choices utilizing education and resource allocation strategies met with limited success resulting in a high prevalent CVC use in Canada. Providing decision support tailored to meet patients' decision making needs may improve this situation. The Registered Nurses Association of Ontario has developed a clinical practice guideline to guide decision support for adults living with Chronic Kidney Disease (Decision Support for Adults with Chronic Kidney Disease. The purpose of this study is to determine the impact of implementing selected recommendations this guideline on priority provincial targets for hemodialysis access in patients with Stage 5 CKD who currently use Central Venous Catheters for vascular access. Methods/Design A non-experimental intervention study with repeated measures will be conducted at St. Michaels Hospital in Toronto, Canada. Decisional conflict about dialysis access choice will be measured using the validated SURE tool, an instrument used to identify decisional conflict. Thereafter a tailored decision support intervention will be implemented. Decisional conflict will be re-measured and compared with baseline scores. Patients and staff will be interviewed to gain an understanding of how useful this intervention was for them and whether it would be feasible to implement more widely. Quantitative data will be analyzed using descriptive and inferential statistics. Statistical significance of difference between means over time for aggregated SURE scores (pre/post will be assessed using a paired t-test. Qualitative analysis

  2. Personal continuity and access in UK general practice: a qualitative study of general practitioners' and patients' perceptions of when and how they matter

    Directory of Open Access Journals (Sweden)

    Wyke Sally

    2006-02-01

    Full Text Available Abstract Background Personal continuity is a core value for family practice, but policy and performance targets emphasise other aspects of care, particularly waiting times for consultation. This study examined patient and general practitioner (GP perceptions of the value of personal continuity and rapid access, and the relationship between them. Methods Qualitative analysis of semi-structured interviews with a purposive sample of 16 GPs and 32 patients in the Lothian region of Scotland, to identify whether, how, why and in which circumstances personal continuity and rapid access were valued. Results From the patients' perspective, what mattered was 'access to appropriate care' depending on the problem to be dealt with. For a few patients, rapid access was the only priority. For most, rapid access was balanced against greater involvement in the consultation when seeing 'their' trusted doctor, which was particularly valued for chronic, complex and emotional problems. GPs focused on the value of personal continuity in the consultation for improving the diagnosis and management of the same kinds of problem. GPs did not perceive enabling access to be a core part of their work. There was little evidence that GPs routinely discussed with patients when or how personal continuity and access should be balanced. Conclusion 'Access to appropriate care' from the patients' perspective is not fully addressed by GPs' focus on personal continuity, nor by performance targets focused only on speed of access. GPs need to make enabling access as much a part of their core values as personal continuity, and access targets need to be based on less simplistic measures that account for the appropriateness of care as well as speed of access.

  3. Migrants' access to healthcare

    DEFF Research Database (Denmark)

    Norredam, Marie

    2011-01-01

    There are strong pragmatic and moral reasons for receiving societies to address access to healthcare for migrants. Receiving societies have a pragmatic interest in sustaining migrants' health to facilitate integration; they also have a moral obligation to ensure migrants' access to healthcare...... according to international human rights principles. The intention of this thesis is to increase the understanding of migrants' access to healthcare by exploring two study aims: 1) Are there differences in migrants' access to healthcare compared to that of non-migrants? (substudy I and II); and 2) Why...... are there possible differences in migrants' access to healthcare compared to that of non-migrants? (substudy III and IV). The thesis builds on different methodological approaches using both register-based retrospective cohort design, cross-sectional design and survey methods. Two different measures of access were...

  4. Confirmation Bias and the Open Access Advantage: Some Methodological Suggestions for the Davis Citation Study

    CERN Document Server

    Harnad, Stevan

    2008-01-01

    Davis (2008) analyzes citations from 2004-2007 in 11 biomedical journals. 15% of authors paid to make them Open Access (OA). The outcome is a significant OA citation Advantage, but a small one (21%). The author infers that the OA advantage has been shrinking yearly, but the data suggest the opposite. Further analyses are necessary: (1) Not just author-choice (paid) OA but Free OA self-archiving needs to be taken into account rather than being counted as non-OA. (2) proportion of OA articles per journal per year needs to be reported and taken into account. (3) The Journal Impact Factor and the relation between the size of the OA Advantage article 'citation-bracket' need to be taken into account. (4) The sample-size for the highest-impact, largest-sample journal analyzed, PNAS, is restricted and excluded from some of the analyses. The full PNAS dataset is needed. (5) The interaction between OA and time, 2004-2007, is based on retrospective data from a June 2008 total cumulative citation count. The dates of both...

  5. How modification of accessible lysines to phenylalanine modulates the structural and functional properties of horseradish peroxidase: a simulation study.

    Directory of Open Access Journals (Sweden)

    Leila Navapour

    Full Text Available Horseradish Peroxidase (HRP is one of the most studied peroxidases and a great number of chemical modifications and genetic manipulations have been carried out on its surface accessible residues to improve its stability and catalytic efficiency necessary for biotechnological applications. Most of the stabilized derivatives of HRP reported to date have involved chemical or genetic modifications of three surface-exposed lysines (K174, K232 and K241. In this computational study, we altered these lysines to phenylalanine residues to model those chemical modifications or genetic manipulations in which these positively charged lysines are converted to aromatic hydrophobic residues. Simulation results implied that upon these substitutions, the protein structure becomes less flexible. Stability gains are likely to be achieved due to the increased number of stable hydrogen bonds, improved heme-protein interactions and more integrated proximal Ca2+ binding pocket. We also found a new persistent hydrogen bond between the protein moiety (F174 and the heme prosthetic group as well as two stitching hydrogen bonds between the connecting loops GH and F'F″ in mutated HRP. However, detailed analysis of functionally related structural properties and dynamical features suggests reduced reactivity of the enzyme toward its substrates. Molecular dynamics simulations showed that substitutions narrow the bottle neck entry of peroxide substrate access channel and reduce the surface accessibility of the distal histidine (H42 and heme prosthetic group to the peroxide and aromatic substrates, respectively. Results also demonstrated that the area and volume of the aromatic-substrate binding pocket are significantly decreased upon modifications. Moreover, the hydrophobic patch functioning as a binding site or trap for reducing aromatic substrates is shrunk in mutated enzyme. Together, the results of this simulation study could provide possible structural clues to explain

  6. Direct contrast enhanced Venography MR in the study of central venous accesses in children receiving total parenteral nutrition

    International Nuclear Information System (INIS)

    Purpose. To present direct contrast enhanced Magnetic Resonance Venography, a recently developed method for the study of central venous accesses. Materials and methods. Six patients (4 males and 2 females; age range 15-18 Years) with severe intestinal failure treated with indwelling central Venous catheter since childhood were studied by MR-angiography. The examination was carried out with a 1.5 Philips Gyroscan Intera Magnet, sequences during the simultaneous injection of about 60 ml/limb paramagnetic contrast material, Gd DTPA, diluted with saline solution at a ratio of 1:12. The images were processed with maximum intensity coronal projections and compared with the phlebographic images obtained earlier. Results. In 4 cases the method demonstrated superior vena cava occlusion, in 2 cases inferior vena cava occlusion. The examination was well tolerated by all patients and image quality was very similar to that of the gold standard Study, conventional phlebography. Conclusions. We believe direct contrast-enhanced MR-venography to be a minimally invasive, panoramic and diagnostically reliable method, which should be considered the first choice in the study of central venous accesses of patients receiving total parental nutrition for the medical treatment of intestinal failure. The method does not expose the patients to ionizing radiation or require iodinated contrast material, and is relatively short with a room lime of about 30-40 minutes

  7. Accessibility studies of ionic and non-ionic fluorophores embedded in sol-gel materials and new functionalised polyhedral silsesquioxanes

    OpenAIRE

    Ruiz Abad, David

    2009-01-01

    The knowledge about the diffusion of products and educts into and out of porous materials is of high importance for the development of new porous sol-gel processed hybrid catalysts. Therefore the accessibility of active centers embedded in sol-gel materials was studied by luminescence spectroscopy. Modified tris(2,2’- bipyridine)ruthenium(II) and pyrenemethanol were co-condensed with tetramethoxysilane (TMOS) in a buffer system. The buffer enforces the pH to remain constant during the sol-gel...

  8. Access Control List Technology Studying and Application%ACL技术研究及应用

    Institute of Scientific and Technical Information of China (English)

    杨梅; 杨平利; 宫殿庆

    2011-01-01

    Access control list (ACL) refers to the dictation list of router joint, which forms an orderly condition collection by a group of permit an deny sentences to control the data package of controlling the port turnover. ACL is a technology, which uses data stream classification and filtration to improve network's security. ACL is also a service level agreement ( SLA), which is used to enhance the quality of service in network. Introduce in detail about ACL's conception, classification, principle and function. The typical applications are discussed in some cases, which display the method of how to use ACL. It also presents the matching principle and some advice to reduce making mistakes when use the ACL.%访问控制列表是路由交换设备的一组条件控制指令列表,是实现包过滤技术的核心内容,它是一种数据流分类和过滤技术,在网络安全中发挥着重要的作用;访问控制列表也是一种服务级别协定,用于支持和提高网络的服务质量.首先介绍了访问控制列表的定义、分类、工作原理和功能,其次以实例的方式给出了访问控制列表的几种典型应用,通过应用实例说明了访问控制列表在网络安全中具体使用方法和特点,最后给配置使用时的要点、规则和使用时的建议.

  9. An exploration of on-line access by non-traditional students in higher education: a case study.

    Science.gov (United States)

    Dearnley, Chris; Dunn, Ginny; Watson, Sue

    2006-07-01

    The nature of Higher Education (HE) has seen many changes throughout the last decade. The agenda for widening participation in HE has led to an increase in the number of students with a broader range of educational backgrounds. At the same time there has been a surge in the development of digitalisation and the convergence of computing and telecommunications technologies available for use in education. This paper discusses the outcomes of a case study, conducted in a School of Health Studies within a northern English University, which identified the extent to which 'non-traditional' students access on-line learning facilities, such as virtual learning environments and library networks, and what factors enhanced or formed barriers to access. 'Non-traditional' students, for the purpose of this study, were defined as mature students who were returning to higher education after a considerable break. The outcomes indicated that skill deficit is a major obstacle for many 'non-traditional' students. The paper explores this issue in depth and suggests potential ways forward for the delivery of technology supported learning for 'non-traditional' students in Higher Education. PMID:16406621

  10. HIV/AIDS and access to water: A case study of home-based care in Ngamiland, Botswana

    Science.gov (United States)

    Ngwenya, B. N.; Kgathi, D. L.

    This case study investigates access to potable water in HIV/AIDS related home-based care households in five rural communities in Ngamiland, Botswana. Primary data collected from five villages consisted of two parts. The first survey collected household data on demographic and rural livelihood features and impacts of HIV/AIDS. A total of 129 households were selected using a two-stage stratified random sampling method. In the second survey, a total of 39 family primary and community care givers of continuously ill, bed-ridden or non-bed-ridden HIV/AIDS patients were interviewed. A detailed questionnaire, with closed and open-ended questions, was used to collect household data. In addition to using the questionnaire, data were also collected through participant observation, informal interviews and secondary sources. The study revealed that there are several sources of water for communities in Ngamiland such as off-plot, outdoor (communal) and on-plot outdoor and/or indoor (private) water connections, as well as other sources such as bowsed water, well-points, boreholes and open perennial/ephemeral water from river channels and pans. There was a serious problem of unreliable water supply caused by, among other things, the breakdown of diesel-powered water pumps, high frequency of HIV/AIDS related absenteeism, and the failure of timely delivery of diesel fuel. Some villages experienced chronic supply disruptions while others experienced seasonal or occasional water shortages. Strategies for coping with unreliability of water supply included economizing on water, reserve storage, buying water, and collection from river/dug wells or other alternative sources such as rain harvesting tanks in government institutions. The unreliability of water supply resulted in an increase in the use of water of poor quality and other practices of poor hygiene as well as a high opportunity cost of water collection. In such instances, bathing of patients was cut from twice daily to once or

  11. Access to CD4 Testing for Rural HIV Patients: Findings from a Cohort Study in Zimbabwe.

    Directory of Open Access Journals (Sweden)

    Florian Vogt

    Full Text Available CD4 cell count measurement remains an important diagnostic tool for HIV care in developing countries. Insufficient laboratory capacity in rural Sub-Saharan Africa is frequently mentioned but data on the impact at an individual patient level are lacking. Urban-rural discrepancies in CD4 testing have not been quantified to date. Such evidence is crucial for public health planning and to justify new yet more expensive diagnostic procedures that could circumvent access constraints in rural areas.To compare CD4 testing among rural and urban HIV patients during the first year of treatment.Records from 2,145 HIV positive adult patients from a Médecins sans Frontières (Doctors without Borders HIV project in Beitbridge, Zimbabwe, during 2011 and 2012 were used for a retrospective cohort analysis. Covariate-adjusted risk ratios were calculated to estimate the effects of area of residence on CD4 testing at treatment initiation, six and 12 months among rural and urban patients.While the proportion of HIV patients returning for medical consultations at six and 12 months decreased at a similar rate in both patient groups, CD4 testing during consultations dropped to 21% and 8% for urban, and 2% and 1% for rural patients at six and 12 months, respectively. Risk ratios for missing CD4 testing were 0.8 (95% CI 0.7-0.9, 9.2 (95% CI 5.5-15.3, and 7.6 (95% 3.7-17.1 comparing rural versus urban patients at treatment initiation, six and 12 months, respectively.CD4 testing was low overall, and particularly poor in rural patients. Difficulties with specimen transportation were probably a major factor underlying this difference and requires new diagnostic approaches. Our findings point to severe health system constraints in providing CD4 testing overall that need to be addressed if effective monitoring of HIV patients is to be achieved, whether by alternative CD4 diagnostics or newly-recommended routine viral load testing.

  12. Are transnational tobacco companies' market access strategies linked to economic development models? A case study of South Korea.

    Science.gov (United States)

    Lee, Sungkyu; Holden, Chris; Lee, Kelley

    2013-01-01

    Transnational tobacco companies (TTCs) have used varied strategies to access previously closed markets. Using TTCs' efforts to enter the South Korean market from the late 1980s as a case study, this article asks whether there are common patterns in these strategies that relate to the broader economic development models adopted by targeted countries. An analytical review of the existing literature on TTCs' efforts to access emerging markets was conducted to develop hypotheses relating TTCs' strategies to countries' economic development models. A case study of Korea was then undertaken based on analysis of internal tobacco industry documents. Findings were consistent with the hypothesis that TTCs' strategies in Korea were linked to Korea's export-oriented economic development model and its hostile attitude towards foreign investment. A fuller understanding of TTCs' strategies for expansion globally can be derived by locating them within the economic development models of specific countries or regions. Of foremost importance is the need for governments to carefully balance economic and public health policies when considering liberalisation.

  13. Are transnational tobacco companies' market access strategies linked to economic development models? A case study of South Korea.

    Science.gov (United States)

    Lee, Sungkyu; Holden, Chris; Lee, Kelley

    2013-01-01

    Transnational tobacco companies (TTCs) have used varied strategies to access previously closed markets. Using TTCs' efforts to enter the South Korean market from the late 1980s as a case study, this article asks whether there are common patterns in these strategies that relate to the broader economic development models adopted by targeted countries. An analytical review of the existing literature on TTCs' efforts to access emerging markets was conducted to develop hypotheses relating TTCs' strategies to countries' economic development models. A case study of Korea was then undertaken based on analysis of internal tobacco industry documents. Findings were consistent with the hypothesis that TTCs' strategies in Korea were linked to Korea's export-oriented economic development model and its hostile attitude towards foreign investment. A fuller understanding of TTCs' strategies for expansion globally can be derived by locating them within the economic development models of specific countries or regions. Of foremost importance is the need for governments to carefully balance economic and public health policies when considering liberalisation. PMID:23327486

  14. Accurate guidance for percutaneous access to a specific target in soft tissues: preclinical study of computer-assisted pericardiocentesis.

    Science.gov (United States)

    Chavanon, O; Barbe, C; Troccaz, J; Carrat, L; Ribuot, C; Noirclerc, M; Maitrasse, B; Blin, D

    1999-06-01

    In the field of percutaneous access to soft tissues, our project was to improve classical pericardiocentesis by performing accurate guidance to a selected target, according to a model of the pericardial effusion acquired through three-dimensional (3D) data recording. Required hardware is an echocardiographic device and a needle, both linked to a 3D localizer, and a computer. After acquiring echographic data, a modeling procedure allows definition of the optimal puncture strategy, taking into consideration the mobility of the heart, by determining a stable region, whatever the period of the cardiac cycle. A passive guidance system is then used to reach the planned target accurately, generally a site in the middle of the stable region. After validation on a dynamic phantom and a feasibility study in dogs, an accuracy and reliability analysis protocol was realized on pigs with experimental pericardial effusion. Ten consecutive successful punctures using various trajectories were performed on eight pigs. Nonbloody liquid was collected from pericardial effusions in the stable region (5 to 9 mm wide) within 10 to 15 minutes from echographic acquisition to drainage. Accuracy of at least 2.5 mm was demonstrated. This study demonstrates the feasibility of computer-assisted pericardiocentesis. Beyond the simple improvement of the current technique, this method could be a new way to reach the heart or a new tool for percutaneous access and image-guided puncture of soft tissues. Further investigation will be necessary before routine human application.

  15. Parental influences on adolescent video game play: a study of accessibility, rules, limit setting, monitoring, and cybersafety.

    Science.gov (United States)

    Smith, Lisa J; Gradisar, Michael; King, Daniel L

    2015-05-01

    Adolescents' video gaming is increasing at a rapid rate. Yet, little is known about what factors contribute toward more hours of gaming per week, as well as what factors may limit or protect adolescents from excessive gaming. The aim of the present study was to examine associations between adolescents' accessibility to video gaming devices, the locations played (i.e., bedroom, shared rooms), parental regulation of technology use, and the amount of hours spent video gaming during the week (weekdays vs. weekends). Adolescents (N=422; age 16.3±2.0 years, 41% male) completed an online questionnaire battery, including demographics, video gaming behaviors (e.g., hours played weekdays/weekends, time of day played, devices owned, locations played, etc.), and a questionnaire measuring aspects of parents' regulation of game playing (e.g., rules, limit setting, co-gaming). Accessibility to the adolescents' own devices, but not shared devices or device portability, was predictive of hours gaming on weekdays and weekends. Location (i.e., bedroom) was associated with increased gaming across the week. Parents discussing cybersafety was predictive of lower hours of gaming (weekdays and weekends). However, limit setting, monitoring, and co-gaming showed no significant effects. Adolescents' access to their own gaming equipped devices, as well as gaming in their bedrooms, were linked to increased hours of gaming. The findings suggest that in order to curb the increase in hours gaming, parents are advised to delay the ownership of adolescents' devices, encourage use in shared rooms, and discuss aspects of cybersafety with their teenage children. PMID:25965861

  16. Accessible Knowledge - Knowledge on Accessibility

    DEFF Research Database (Denmark)

    Kirkeby, Inge Mette

    2015-01-01

    Although serious efforts are made internationally and nationally, it is a slow process to make our physical environment accessible. In the actual design process, architects play a major role. But what kinds of knowledge, including research-based knowledge, do practicing architects make use of when...... designing accessible environments? The answer to the question is crucially important since it affects how knowledge is distributed and how accessibility can be ensured. In order to get first-hand knowledge about the design process and the sources from which they gain knowledge, 11 qualitative interviews...... were conducted with architects with experience of designing for accessibility. The analysis draws on two theoretical distinctions. The first is research-based knowledge versus knowledge used by architects. The second is context-independent knowledge versus context-dependent knowledge. The practitioners...

  17. Open access

    CERN Document Server

    Suber, Peter

    2012-01-01

    The Internet lets us share perfect copies of our work with a worldwide audience at virtually no cost. We take advantage of this revolutionary opportunity when we make our work "open access": digital, online, free of charge, and free of most copyright and licensing restrictions. Open access is made possible by the Internet and copyright-holder consent, and many authors, musicians, filmmakers, and other creators who depend on royalties are understandably unwilling to give their consent. But for 350 years, scholars have written peer-reviewed journal articles for impact, not for money, and are free to consent to open access without losing revenue. In this concise introduction, Peter Suber tells us what open access is and isn't, how it benefits authors and readers of research, how we pay for it, how it avoids copyright problems, how it has moved from the periphery to the mainstream, and what its future may hold. Distilling a decade of Suber's influential writing and thinking about open access, this is the indispe...

  18. A Review of Existing Studies Reporting the Negative Effects of Alcohol Access and Positive Effects of Alcohol Control Policies on Interpersonal Violence

    OpenAIRE

    Jessica L Fitterer; Nelson, Trisalyn A.; Stockwell, Timothy

    2015-01-01

    Alcohol consumption often leads to elevated rates of violence yet alcohol access policies continue to relax across the globe. Our review establishes the extent alcohol policy can moderate violent crime through alcohol availability restrictions. Results were informed from comprehensive selection of peer-reviewed journals from 1950 to October 2015. Our search identified 87 relevant studies on alcohol access and violence conducted across 12 countries. Seventeen studies included quasi-control des...

  19. A review of existing studies reporting the negative effects of alcohol access and positive effects of alcohol control policies on interpersonal violence

    OpenAIRE

    Jessica Laura Fitterer; Nelson, Trisalyn A.; Timothy eStockwell

    2015-01-01

    Alcohol consumption often leads to elevated rates of violence yet alcohol access policies continue to relax across the globe. Our review establishes the extent alcohol policy can moderate violent crime through alcohol availability restrictions. Results were informed from comprehensive selection of peer-reviewed journals from 1950 to October 2015. Our search identified 88 relevant studies on alcohol access and violence conducted across 12 countries. Seventeen studies included quasi-control des...

  20. Study on the dose rate upset effect of partially depleted silicon-on-insulator static random access memory

    International Nuclear Information System (INIS)

    This paper implements the study on the Dose Rate Upset effect of PDSOI SRAM (Partially Depleted Silicon-On-Insulator Static Random Access Memory) with the Qiangguang-I accelerator in Northwest Institute of Nuclear Technology. The SRAM (Static Random Access Memory) chips are developed by the Institute of Microelectronics of Chinese Academy of Sciences. It uses the full address test mode to determine the upset mechanisms. A specified address test is taken in the same time. The test results indicate that the upset threshold of the PDSOI SRAM is about 1×108 Gy(Si)/s. However, there are a few bits upset when the dose rate reaches up to 1.58 × 109 Gy(Si)/s. The SRAM circuit can still work after the high level γ ray pulse. Finally, the upset mechanism is determined to be the rail span collapse by comparing the critical charge with the collected charge after γ ray pulse. The physical locations of upset cells are plotted in the layout of the SRAM to investigate the layout defect. Then, some layout optimizations are made to improve the dose rate hardened performance of the PDSOI SRAM. (condensed matter: structure, thermal and mechanical properties)

  1. Self-Access Language Learning Programme: The Case of the English Language Voluntary Intensive Independent Catch-up Study

    Directory of Open Access Journals (Sweden)

    Salomi Papadima-Sophocleous

    2013-06-01

    Full Text Available This study investigated whether and to what extent an English Language Voluntary Intensive Independent Catch-up Study (ELVIICS, a Self-Access Language Learning (SALL programme, was effective in helping first-year Greek-Cypriot students fill in the gaps in their English language learning and come closer to the required language competence level of the Common European Framework of Reference (CEFR B1 level. It also examined students’ perceptions of such learning. The students followed the ELVIICS at their own pace, time and space until they felt they had reached the aimed level. Analysis of the achievement test results revealed that students’ language competence improved and reached the required level. Additional quantitative data also revealed that students felt ELVIICS also helped them improve their self-confidence, computer skills and autonomous learning. Moreover, students claimed that ELVIICS assisted them in getting through and successfully completing their compulsory course.

  2. Hemodialysis access - self care

    Science.gov (United States)

    Kidney failure - chronic-hemodialysis access; Renal failure - chronic-hemodialysis access; Chronic renal insufficiency - hemodialysis access; Chronic kidney failure - hemodialysis access; Chronic renal failure - hemodialysis access; dialysis - hemodialysis access

  3. The Open Access Divide

    Directory of Open Access Journals (Sweden)

    Jingfeng Xia

    2013-10-01

    Full Text Available This paper is an attempt to review various aspects of the open access divide regarding the difference between those academics who support free sharing of data and scholarly output and those academics who do not. It provides a structured description by adopting the Ws doctrines emphasizing such questions as who, what, when, where and why for information-gathering. Using measurable variables to define a common expression of the open access divide, this study collects aggregated data from existing open access as well as non-open access publications including journal articles and extensive reports. The definition of the open access divide is integrated into the discussion of scholarship on a larger scale.

  4. Access French

    CERN Document Server

    Grosz, Bernard

    2014-01-01

    Access is the major new language series designed with the needs of today's generation of students firmly in mind. Whether learning for leisure or business purposes or working towards a curriculum qualification, Access French is specially designed for adults of all ages and gives students a thorough grounding in all the skills required to understand, speak, read and write contemporary French from scratch. The coursebook consists of 10 units covering different topic areas, each of which includes Language Focus panels explaining the structures covered and a comprehensive glossary. Learning tips

  5. Acceptability – a neglected dimension of access to health care: findings from a study on childhood convulsions in rural Tanzania

    Directory of Open Access Journals (Sweden)

    Dillip Angel

    2012-05-01

    Full Text Available Abstract Background Acceptability is a poorly conceptualized dimension of access to health care. Using a study on childhood convulsion in rural Tanzania, we examined social acceptability from a user perspective. The study design is based on the premise that a match between health providers’ and clients’ understanding of disease is an important dimension of social acceptability, especially in trans-cultural communication, for example if childhood convulsions are not linked with malaria and local treatment practices are mostly preferred. The study was linked to health interventions with the objective of bridging the gap between local and biomedical understanding of convulsions. Methods The study combined classical ethnography with the cultural epidemiology approach using EMIC (Explanatory Model Interview Catalogue tool. EMIC interviews were conducted in a 2007/08 convulsion study (n = 88 and results were compared with those of an earlier 2004/06 convulsion study (n = 135. Earlier studies on convulsion in the area were also examined to explore longer-term changes in treatment practices. Results The match between local and biomedical understanding of convulsions was already high in the 2004/06 study. Specific improvements were noted in form of (1 46% point increase among those who reported use of mosquito nets to prevent convulsion (2 13% point decrease among caregivers who associated convulsion with ‘evil eye and sorcery’, 3 14% point increase in prompt use of health facility and 416% point decrease among those who did not use health facility at all. Such changes can be partly attributed to interventions which explicitly aimed at increasing the match between local and biomedical understanding of malaria. Caregivers, mostly mothers, did not seek advice on where to take an ill child. This indicates that treatment at health facility has become socially acceptable for severe febrile with convulsion. Conclusion As an important dimension

  6. Horizontal Stratification in Access to Danish University Programs by Institution and Field of Study

    DEFF Research Database (Denmark)

    Munk, Martin D.; Thomsen, Jens Peter

    2012-01-01

    In this paper we use register data to investigate social stratification within fields of study and university institutions in Denmark. We argue firstly, that it is important to utilize a relatively detailed classification of parents’ occupation, in order to single out how students are endowed...... to be important: the degree of social stratification in different fields of study − separating applied from more classical disciplines − and the degree of social stratification prevalent at the university institution − whether it has a liberal arts, classical university profile or one that favors more applied...

  7. Accessing best practice resources using mobile technology in an undergraduate nursing program: a feasibility study.

    Science.gov (United States)

    Mann, Elizabeth G; Medves, Jennifer; Vandenkerkhof, Elizabeth G

    2015-03-01

    Mobile technology presents new opportunities for nursing education and ultimately the provision of nursing care. The aim of this study was to explore the utility of mobile technology in undergraduate nursing education. In this evaluation study, undergraduate nursing students were provided with iPod Touch devices containing best practice guidelines. Computer self-efficacy was assessed, and the Theory of Planned Behavior was used to identify potential predictors of the use of mobile technology. Questionnaires were completed at baseline (n = 33) and postimplementation (n = 23). Feedback on feasibility issues was recorded throughout the study period. Students generally found the devices useful, and few technical problems were identified; however, lack of skill in using the devices and lack of support from staff in the clinical setting were commonly identified issues. Self-efficacy scores were high throughout the study. Attitudes, perceptions of the desirability of use, perceived personal control over use, and intentions of using the device were lower postimplementation than at baseline. Attitude toward the technology predicted intention to use the device after graduation. Mobile technology may promote evidence-informed practice; however, supporting students' acquisition of related skills may optimize use. Successful integration of mobile technology into practice requires attention to factors that affect student attitudes. PMID:25636042

  8. Access, Astronomy and Science Fiction. A Case Study in Curriculum Design

    Science.gov (United States)

    Saunders, Danny; Brake, Mark; Griffiths, Martin; Thornton, Rosi

    2004-01-01

    It is argued that a positive response to lifelong learning policies involves the use of imaginative curriculum design in order to attract learners from disadvantaged backgrounds who are otherwise alienated from higher education. In this article a case study is presented based on the popularity of science fiction within popular culture, beginning…

  9. The study of Sr 90 biological accessibility for vegetable cultures in condition of vegetative experiment

    International Nuclear Information System (INIS)

    Different vegetable cultures (white cabbage, carrot and beetroot) were used for study of regularities of Sr 90 accumulation by plant vegetative organs. Experiment was made on soil with artificially invested water-soluble Sr 90 (cumulative activity 746 Bq/kg). As a result vegetable tissue can be put in a row by accumulative level: leaf mesophile > tectorial tissue > xylem > phloem

  10. 75 FR 56919 - Port Access Route Study: The Approaches to San Francisco

    Science.gov (United States)

    2010-09-17

    ... is available in the lots outside the hotel. FOR FURTHER INFORMATION CONTACT: If you have questions.... Wright, Program Manager, Docket Operations, telephone 202-366-9826. SUPPLEMENTARY INFORMATION: Background and Purpose We published a notice of study in the Federal Register on December 10, 2009 (74 FR...

  11. Arabic and English during Study Abroad in Cairo, Egypt: Issues of Access and Use

    Science.gov (United States)

    Trentman, Emma

    2013-01-01

    This article provides a snapshot of the experiences of 18 students studying abroad in Cairo, Egypt. Using a modified version of the language contact profile (Freed, Segalowitz, & Dewey, 2004), I investigate their language use and find that students use English more than they use Arabic and that there is considerable individual variation in…

  12. Image Retrieval: Theoretical Analysis and Empirical User Studies on Accessing Information in Images.

    Science.gov (United States)

    Ornager, Susanne

    1997-01-01

    Discusses indexing and retrieval for effective searches of digitized images. Reports on an empirical study about criteria for analysis and indexing digitized images, and the different types of user queries done in newspaper image archives in Denmark. Concludes that it is necessary that the indexing represent both a factual and an expressional…

  13. Horizontal Stratification in Access to Danish University Programmes by Institution and Fields of Study

    DEFF Research Database (Denmark)

    Munk, Martin D.; Thomsen, Jens Peter

    2016-01-01

    In this paper we use register data to investigate social stratification within fields of study and university institutions in Denmark. We argue firstly, that it is important to utilize a relatively detailed classification of parents’ occupation, in order to single out how students are endowed...... with different resources, even when their parents would normally be characterized as belonging to the same class. Secondly, we distinguish between disciplines as well as between university institutions in explaining the dynamics of social stratification in the Danish University system. Several dimensions...... are found to be important: the degree of social stratification in different fields of study − separating classical from more vocational disciplines − and the degree of social stratification prevalent at the university institution − whether it has a liberal arts university profile or one that favours more...

  14. Open Access!: Review of Online Statistics: An Interactive Multimedia Course of Study by David Lane

    Directory of Open Access Journals (Sweden)

    Samuel L. Tunstall

    2016-01-01

    Full Text Available David M. Lane (project leader. Online Statistics Education: An Interactive Multimedia Course of Study (http://onlinestatbook.com/ Also: David M. Lane (primary author and editor, with David Scott, Mikki Hebl, Rudy Guerra, Dan Osherson, and Heidi Zimmer. Introduction to Statistics. Online edition (http://onlinestatbook.com/Online_Statistics_Education.pdf, 694 pp. It is rare that students receive high-quality textbooks for free, but David Lane's Online Statistics: An Interactive Multimedia Course of Study permits precisely that. This review gives an overview of the many features in Lane's online textbook, including the Java Applets, the textbook itself, and the resources available for instructors. A discussion of uses of the site, as well as a comparison of the text to alternative online statistics textbooks, is included.

  15. Horizontal Stratification in Access to Danish University Programmes by Institution and Field of Study

    DEFF Research Database (Denmark)

    Munk, Martin D.; Thomsen, Jens Peter

    2016-01-01

    In this paper we use register data to investigate social stratification within fields of study and university institutions in Denmark. We argue firstly, that it is important to utilize a relatively detailed classification of parents’ occupation, in order to single out how students are endowed...... with different resources, even when their parents would normally be characterized as belonging to the same class. Secondly, we distinguish between disciplines as well as between university institutions in explaining the dynamics of social stratification in the Danish University system. Several dimensions...... are found to be important: the degree of social stratification in different fields of study − separating classical from more vocational disciplines − and the degree of social stratification prevalent at the university institution − whether it has a liberal arts university profile or one that favours more...

  16. Access to specialty care in autism spectrum disorders-a pilot study of referral source

    Directory of Open Access Journals (Sweden)

    West Therese

    2011-05-01

    Full Text Available Abstract Background In the United States, a medical home model has been shown to improve the outcomes for children with special health care needs. As part of this model, primary care physicians provide comprehensive medical care that includes identification of delayed and/or atypical development in children and coordination of care with specialists. However, it is not clear if families of children with Autism Spectrum Disorder (ASD rely on the medical home model for care of their child to the same extent as families of children with other special health care needs. This study aims to add to the understanding of medical care for children with ASD by examining the referral source for specialty care. Methods This retrospective study was accomplished by evaluating parent completed intake data for children with ASD compared to those with other neurological disorders in a single physician Pediatric Neurology Practice at a major urban medical center in Northern New Jersey. To account for referral bias, a similar comparison study was conducted using a multispecialty ASD practice at the same medical center. Parent reported "source of referral" and "reason for the referral" of 189 ASD children and 108 non-ASD neurological disordered children were analyzed. Results The specialty evaluations of ASD were predominantly parent initiated. There were significantly less referrals received from primary care physicians for children with ASD compared to children with other neurodevelopmental disorders. Requirement of an insurance referral was not associated with a primary care physician prompted specialty visit.We identified different patterns of referral to our specialty clinics for children with ASD vs. children with other neurolodevelopmental disorders. Conclusion The majority of the families of children with ASD evaluated at our autism center did not indicate that a primary care physician initiated the specialty referral. This study suggests that families of

  17. Social responsibility and educational communication in communities accessed by the works: a case study. IEGA - enterprise implementations for gasene

    Energy Technology Data Exchange (ETDEWEB)

    Campos, Elisangela Assis de; Farias, Aline Marianne Magalhaes [LP Empreendimentos, Rio de janeiro, RJ (Brazil); Marques, Yanna Oliveira [Cia. Nacional de Dutos (Conduto S/A), Duque de Caxias, RJ (Brazil); Penido, Rita de Cassia [Sinopec Brasil, Rio de Janeiro, RJ (Brazil)

    2009-12-19

    Construction and assembly in a gas pipeline project is a constant study of realities and in some cases situations which involve interferences in communities, the company's interests must be wholly integrated with the primary need of the project which is to construct with Social-Environmental Responsibility, establish a good relationship, respect the communities values in which the project passes through and around and surround itself with measures guaranteeing safety, information about the activities and cause minimal impact in the day to day lives of the residents. At Spread 2A of the Pipeline project Cacimbas-Catu, the necessity to develop a specific project for the communities surrounding the access areas was elaborated principally because the topography only permitted the transportation of pipes, equipment and personnel to pass through these areas. This unique situation was drafted based on the transit of vehicles and heavy machinery, through communities with a low IDH (Human Development Index), dangerous living conditions and a high demographic density. Preventive and pacifying actions for Communities and Social responsibility were drafted and developed, involving a multidisciplinary collective effort with other sectors of the project, applying a global theme to ensure safety for the residents around the access areas, also to divulge information in regards to project activities, establish ethical and transparent communication and implement measures that assist in building a solid relationship between the enterprise and community, anticipating risky situations and possible conflicts. This Case Study has as an objective to present projects that were developed in the area of Communication and Social Responsibility in the Access Communities and that, proved effective, became standard within the entire work force's Trainings and Daily Safety, Environmental, and Occupational Health Dialoguing. During the development of the Project 'Street of Leisure

  18. Addressing barriers to perinatal care: a case study of the Access to Maternity Care Committee in Washington State.

    OpenAIRE

    Schleuning, D; Rice, G.; Rosenblatt, R. A.

    1991-01-01

    Access to obstetrical services has deteriorated in recent years, as large numbers of physicians have discontinued or restricted obstetrical practice. In Washington State, one response to this access crisis has been the establishment of the Access to Maternity Care Committee (AMCC), an ad hoc group composed primarily of private sector obstetrical providers and representatives of State government responsible for the delivery of health care to women and children. The major objectives of the AMCC...

  19. Measures of spatial accessibility to health care in a GIS environment: synthesis and a case study in the Chicago region

    OpenAIRE

    Wei Luo; Fahui Wang

    2003-01-01

    This article synthesizes two GIS-based accessibility measures into one framework, and applies the methods to examining spatial accessibility to primary health care in the Chicago ten-county region. The floating catchment area (FCA) method defines the service area of physicians by a threshold travel time while accounting for the availability of physicians by their surrounded demands. The gravity-based method considers a nearby physician more accessible than a remote one and discounts a physici...

  20. Strengthening access to restorative places: findings from a participatory study on engaging with nature in the promotion of health.

    Science.gov (United States)

    Hansen-Ketchum, Patricia A; Marck, Patricia; Reutter, Linda; Halpenny, Elizabeth

    2011-03-01

    In this paper, we examine selected research findings from a community-based study on engaging with nature to promote health. Combining participatory photographic research methods with an iterative process of dialectical analysis, we explored nature-based health promotion with community citizens, practitioners, and decision-makers from various sectors to examine the complexities of connecting with natural outdoor places in local contexts. Participants identified an array of barriers to and opportunities for everyday access to restorative outdoor places. The findings suggest that inter-sectoral governance with active citizen engagement in research, decision-making, and action may be essential to develop the ecological citizenship and communal norms and strategies that promote the health of people and their shared restorative places. PMID:21324727

  1. Effect of screw access hole preparation on fracture load of implant-supported zirconia-based crowns: an in vitro study.

    Science.gov (United States)

    Mokhtarpour, Hadi; Eftekhar Ashtiani, Reza; Mahshid, Minoo; Tabatabaian, Farhad; Alikhasi, Marzieh

    2016-01-01

    Background. Fracture load of implant-supported restorations is an important factor in clinical success. This study evaluated the effect of two techniques for screw access hole preparation on the fracture load of cement-screw-retained implant-supported zirconia-based crowns. Methods. Thirty similar cement-screw-retained implant-supported zirconia-based maxillary central incisor crowns were evaluated in three groups of 10. Group NH: with no screw access holes for the control; Group HBS: with screw access holes prepared with a machine before zirconia sintering; Group HAS: with screw access holes prepared manually after zirconia sintering. In group HBS, the access holes were virtually designed and prepared by a computer-assisted design/computer-assisted manufacturing system. In group HAS, the access holes were manually prepared after zirconia sintering using a diamond bur. The dimensions of the screw access holes were equal in both groups. The crowns were cemented onto same-size abutments and were then subjected to thermocycling. The fracture load values of the crowns were measured using a universal testing machine. Data were analyzed with ANOVA and Tukey test (P implant-supported zirconia-based crowns decreased the fracture load. PMID:27651885

  2. Effect of screw access hole preparation on fracture load of implant-supported zirconia-based crowns: an in vitro study

    Science.gov (United States)

    Mokhtarpour, Hadi; Eftekhar Ashtiani, Reza; Mahshid, Minoo; Tabatabaian, Farhad; Alikhasi, Marzieh

    2016-01-01

    Background. Fracture load of implant-supported restorations is an important factor in clinical success. This study evaluated the effect of two techniques for screw access hole preparation on the fracture load of cement-screw-retained implant-supported zirconia-based crowns. Methods. Thirty similar cement-screw-retained implant-supported zirconia-based maxillary central incisor crowns were evaluated in three groups of 10. Group NH: with no screw access holes for the control; Group HBS: with screw access holes prepared with a machine before zirconia sintering; Group HAS: with screw access holes prepared manually after zirconia sintering. In group HBS, the access holes were virtually designed and prepared by a computer-assisted design/computer-assisted manufacturing system. In group HAS, the access holes were manually prepared after zirconia sintering using a diamond bur. The dimensions of the screw access holes were equal in both groups. The crowns were cemented onto same-size abutments and were then subjected to thermocycling. The fracture load values of the crowns were measured using a universal testing machine. Data were analyzed with ANOVA and Tukey test (P zirconia-based crowns decreased the fracture load. PMID:27651885

  3. A critical study on availability and price variation between different brands: Impact on access to medicines

    Directory of Open Access Journals (Sweden)

    Das S

    2007-01-01

    Full Text Available The present study aims to present a representative view of the existing situation of availability and price variation, by comparing data about brand availability, and difference in pricing between various brands of 20 drugs under six therapeutic categories. The project involved collecting data from 10 retail outlets from the city area, 10 outlets from town area and 15 retail outlets from the rural area spread over a time span of 6 months. The drug categories studied were analgesics, antibiotics, drugs acting on cardiovascular and central nervous system, drugs acting on gastrointestinal tract and steroids. Data analysis showed that as compared to data on national availability of different brands, the number of brands available in the town, city and rural segments in general, are less. In all sectors, town, city and rural areas, almost equal number of brands is found to be available, with a slightly higher availability in the cities. Price difference between different brands (single drug or drug combinations varies up to an extent of 881% (in case of amlodipine on the higher side, and the lowest being 7% (in case of doxycycline. Out of all brands studied, it was observed that the highest priced brand was the most sold brand in cases of 5 products (single drug/combinations, and the lowest priced brand was the most sold in case of 2 products. It emerged that prices of drug molecules including those under National Essential Drug List, increased during 1996-2004 to a certain extent. It was noted, that % increment of price of drugs under Drug Price Control Order was less than those of drugs not under the purview of Drug Price Control Order. The difference in price between various brands of the same drug is too wide.

  4. After Access: Underrepresented Students' Postmatriculation Perceptions of College Access Capital

    Science.gov (United States)

    Means, Darris R.; Pyne, Kimberly B.

    2016-01-01

    This qualitative study explores the perceived impact of college-going capital gained during participation in a college access program. In three, semistructured interviews spanning the first-year college experience, 10 first-year college students who participated in a college access program articulate the value of access programming and also raise…

  5. Genome-Wide Association Study for Traits Related to Plant and Grain Morphology, and Root Architecture in Temperate Rice Accessions.

    Directory of Open Access Journals (Sweden)

    Filippo Biscarini

    Full Text Available In this study we carried out a genome-wide association analysis for plant and grain morphology and root architecture in a unique panel of temperate rice accessions adapted to European pedo-climatic conditions. This is the first study to assess the association of selected phenotypic traits to specific genomic regions in the narrow genetic pool of temperate japonica. A set of 391 rice accessions were GBS-genotyped yielding-after data editing-57000 polymorphic and informative SNPS, among which 54% were in genic regions.In total, 42 significant genotype-phenotype associations were detected: 21 for plant morphology traits, 11 for grain quality traits, 10 for root architecture traits. The FDR of detected associations ranged from 3 · 10-7 to 0.92 (median: 0.25. In most cases, the significant detected associations co-localised with QTLs and candidate genes controlling the phenotypic variation of single or multiple traits. The most significant associations were those for flag leaf width on chromosome 4 (FDR = 3 · 10-7 and for plant height on chromosome 6 (FDR = 0.011.We demonstrate the effectiveness and resolution of the developed platform for high-throughput phenotyping, genotyping and GWAS in detecting major QTLs for relevant traits in rice. We identified strong associations that may be used for selection in temperate irrigated rice breeding: e.g. associations for flag leaf width, plant height, root volume and length, grain length, grain width and their ratio. Our findings pave the way to successfully exploit the narrow genetic pool of European temperate rice and to pinpoint the most relevant genetic components contributing to the adaptability and high yield of this germplasm. The generated data could be of direct use in genomic-assisted breeding strategies.

  6. Study of split screen in shared-access scenarios- optimizing value of PCs in resource-constrained classrooms in developing countries

    OpenAIRE

    Kumar, Divya

    2008-01-01

    Cost restrictions in developing countries result in multi- user, shared-access scenarios preventing each user from having exclusive access to a computer. Increasing student enrollment raises technology demand in classrooms. Despite collaborative learning practices, skewed user-computer ratios continue to result in unequal opportunities for independent learning. This research studies students sharing a PC using a novel Split Screen User-Interface concluding that it enables students to achieve ...

  7. Universal Access in Heritage Sites: A Case Study on Historic Sites in Jaipur, India.

    Science.gov (United States)

    Vardia, Shweta; Khare, Rachna; Khare, Ajay

    2016-01-01

    A nation is recognized by a range of its significant historical, cultural and natural properties. These properties are generally preserved and maintained either by national administration or by private owners and charitable trusts due to higher value of their cultural inheritance and termed globally as heritage or historic sites. Heritage sites are a significant asset, a unique and irreplaceable resource which reflects a rich and diverse expression of past societies and forms an integral part of local, regional and national cultural identity. Today, heritage sites also play an important role in communication and knowledge exchange. Thus the rapidly increasing heritage tourism industry faces several challenges too. One of the challenges is that there is a segment of society who is not yet able to equally enjoy the visit to historic structures/sites and attractions, facilities and services. This paper aims to study the experience and develop understanding regarding the heritage structures/sites approached and interacted by diverse users. This study is an outcome of a hands on workshop conducted with diverse users at various historic sites in the city of Jaipur viz. at The City Palace Complex, Jaipur, Jaigarh Fort and the Haveli at Kanota near to Jaipur India.

  8. Access to basic sanitation and hospitalization for acute diarrheal disease: a study of child vulnerability

    Directory of Open Access Journals (Sweden)

    Raphael Mendonça Guimarães

    2013-06-01

    Full Text Available Objective: The aim of this study was to evaluate the differential vulnerability of children in relation to environmental sanitation conditions.Methods: An ecological study was conducted about the association between the trend in rates of hospitalization for acute diarrheal disease (ADD and the population covered by basic sanitation in Brazil by Brazilian states, and stratified by age. The polynomial regression model was used to assess trends. Results: Using data from sanitation coverage and hospitalization rate for ADD, an inverse correlation was found between the two variables, with the correlation having greater magnitude and statistical significance for children (adults: r = -0.259, p = 0.184; children: r = -0.406, p = 0.032. Moreover, there was a statistically significant association for the number of hospitalizations for ADD in children, including the global data for Brazil (SIR = 3.17, 95 % CI 2.95 to 3.42. Conclusions: Improved knowledge and information about children and their windows of susceptibility to environmental agents will help to identify susceptible subgroups and ages, as well as to plan specific preventive measures.

  9. Universal Access in Heritage Sites: A Case Study on Historic Sites in Jaipur, India.

    Science.gov (United States)

    Vardia, Shweta; Khare, Rachna; Khare, Ajay

    2016-01-01

    A nation is recognized by a range of its significant historical, cultural and natural properties. These properties are generally preserved and maintained either by national administration or by private owners and charitable trusts due to higher value of their cultural inheritance and termed globally as heritage or historic sites. Heritage sites are a significant asset, a unique and irreplaceable resource which reflects a rich and diverse expression of past societies and forms an integral part of local, regional and national cultural identity. Today, heritage sites also play an important role in communication and knowledge exchange. Thus the rapidly increasing heritage tourism industry faces several challenges too. One of the challenges is that there is a segment of society who is not yet able to equally enjoy the visit to historic structures/sites and attractions, facilities and services. This paper aims to study the experience and develop understanding regarding the heritage structures/sites approached and interacted by diverse users. This study is an outcome of a hands on workshop conducted with diverse users at various historic sites in the city of Jaipur viz. at The City Palace Complex, Jaipur, Jaigarh Fort and the Haveli at Kanota near to Jaipur India. PMID:27534337

  10. Hamiltonian tomography of dissipative systems under limited access: A biomimetic case study

    CERN Document Server

    Maruyama, Koji; Ishizaki, Akihito; Whaley, K Birgitta; Takui, Takeji

    2011-01-01

    The identification of parameters in the Hamiltonian that describes complex many-body quantum systems is generally a very hard task. Such problems of Hamiltonian tomography for networks formed with two-level systems have recently been studied actively. Pragmatically, however, the effect of decoherence makes the identification task even more difficult, because injected signals are likely to decay before they accumulate sufficient information for parameter estimation. In this paper, we attempt to apply our scheme of Hamiltonian tomography [PRA79, 020305(R) (2009); NJP11, 103019 (2009)] to dissipative systems with a limited set of state preparation and measurement probes. As an example, we consider a network modelling a light harvesting complex, the Fenna-Matthews-Olson complex, whose Hamiltonian recently attracts much interest and is a subject of intensive investigations. We also classify graph properties of networks for which we can and cannot estimate the Hamiltonian under the same conditions on state preparat...

  11. Women's access to managerial positions: an experimental study of leadership styles and gender.

    Science.gov (United States)

    Cuadrado, Isabel; Morales, J Francisco; Recio, Patricia

    2008-05-01

    This study attempts to test one of the explanations of the scarce representation of women in managerial positions, specifically the one advanced by "role congruity theory of prejudice toward female leaders" (Eagly & Karau, 2002), which appeals to the fact that women get unfavorable evaluations if they adopt male-stereotypical leadership styles. One-hundred and thirty-six undergraduate students participated in an experiment with a 2 (Male-stereotypical vs. Female-stereotypical leadership style) x 2 (Male vs. Female leader) design. Dependent variables were leader's competence, efficacy, and evaluation in a series of traits. It was found that, regardless of sex, the leaders were considered more competent and efficient, and were evaluated more favorably, when they adopted stereotypically feminine leadership styles. Implications of these findings for women's underrepresentation as leaders in management top positions worldwide are discussed.

  12. Superheavy Nuclei: Which Regions of Nuclear Map are Accessible for the Nearest Studies

    Science.gov (United States)

    Karpov, A. V.; Zagrebaev, V. I.; Greiner, W.

    2015-11-01

    Use of fusion reactions for synthesis and studying new superheavy nuclei is considered in the paper. Perspectives of synthesis of new elements with Z > 118 are discussed. The gap of unknown SH nuclei, located between the isotopes which were produced earlier in the cold and hot fusion reactions, can be filled in fusion reactions of 48Ca with available lighter isotopes of Pu, Am, and Cm. Cross sections for the production of these nuclei are predicted to be rather large. The found area of β+-decaying SH nuclei with 111 ≤ Z ≤ 115 located to the "right" (more neutron-rich) to those synthesized recently in Dubna in 48Ca-induced fusion reactions gives a unique chance to synthesize in fusion reactions the most stable SH nuclei located at the center of the island of stability.

  13. Women's access to managerial positions: an experimental study of leadership styles and gender.

    Science.gov (United States)

    Cuadrado, Isabel; Morales, J Francisco; Recio, Patricia

    2008-05-01

    This study attempts to test one of the explanations of the scarce representation of women in managerial positions, specifically the one advanced by "role congruity theory of prejudice toward female leaders" (Eagly & Karau, 2002), which appeals to the fact that women get unfavorable evaluations if they adopt male-stereotypical leadership styles. One-hundred and thirty-six undergraduate students participated in an experiment with a 2 (Male-stereotypical vs. Female-stereotypical leadership style) x 2 (Male vs. Female leader) design. Dependent variables were leader's competence, efficacy, and evaluation in a series of traits. It was found that, regardless of sex, the leaders were considered more competent and efficient, and were evaluated more favorably, when they adopted stereotypically feminine leadership styles. Implications of these findings for women's underrepresentation as leaders in management top positions worldwide are discussed. PMID:18630648

  14. A randomized study of internet parent training accessed from community technology centers.

    Science.gov (United States)

    Irvine, A Blair; Gelatt, Vicky A; Hammond, Michael; Seeley, John R

    2015-05-01

    Behavioral parent training (BPT) has been shown to be efficacious to improve parenting skills for problematic interactions with adolescents displaying oppositional and antisocial behaviors. Some research suggests that support group curricula might be transferred to the Internet, and some studies suggest that other curriculum designs might also be effective. In this research, a BPT program for parents of at-risk adolescents was tested on the Internet in a randomized trial (N = 307) from computer labs at six community technology centers in or near large metropolitan areas. The instructional design was based on asynchronous scenario-based e-learning, rather than a traditional parent training model where presentation of course material builds content sequentially over multiple class sessions. Pretest to 30-day follow-up analyses indicated significant treatment effects on parent-reported discipline style (Parenting Scale, Adolescent version), child behavior (Eyberg Child Behavior Inventory), and on social cognitive theory constructs of intentions and self-efficacy. The effect sizes were small to medium. These findings suggest the potential to provide effective parent training programs on the Internet. PMID:25351866

  15. Análisis comparativo de la cinética de deshidratación Osmótica y por Flujo de Aire Caliente de la Piña (Ananas Comosus, variedad Cayena lisa

    Directory of Open Access Journals (Sweden)

    Annia García Pereira

    2013-01-01

    Full Text Available Los procesos tecnológicos de deshidratación han sido algunos de los métodos más utilizados para la conservación de frutas y vegetales. El presente trabajo tiene como objetivo analizar comparativamente la cinética de la deshidratación Osmótica (DO y por Flujo de Aire Caliente (DAC de la Piña (Ananas Comosus, variedad Cayena lisa para la Agroindustria. Durante el análisis se determinaron las propiedades físico-mecánicas de las frutas frescas y de los cubos deshidratadas (masa, firmeza, talla, pH, y contenido de sólidos solubles (SSC, posteriormente las frutas fueron troceadas en cubos de 1 x 5 ±0.02 cm para ser sometidas a tratamientos de Deshidratación Osmótica (DO (60 °C durante 10 h y por Deshidratación por Flujo de Aire Caliente (DAC (60°C durante 5 h. Se monitoreó además la variación de la masa, la firmeza y el porcentaje de pérdida de peso durante ambos procesos. Para el procesamiento estadístico de los datos se utiliza el software especializado Statgraphics Plus en su versión 5.1. Como resultado se obtuvo que la variabilidad alcanzada a partir de la diferencia entre los valores iniciales y finales de la masa, firmeza y el aumento del porcentaje de pérdida de peso fue inferior para la fruta sometida al proceso tecnológico de DO con valores de 49,4; 86 y 64,17%, que para la obtenida por DAC con valores 80; 88,3; y 80%, respectivamente, resultando también el método que mayor variabilidad aportó entre las propiedades estudiadas.

  16. Mastery learning improves students skills in inserting intravenous access: a pre-post-study

    Directory of Open Access Journals (Sweden)

    Friederichs, Hendrik

    2016-08-01

    Full Text Available Objective: Inserting peripheral venous catheters (PVCs has been identified as a core competency for medical students. Because the performance – even of hygienic standards – of both students and novice physicians is frequently inadequate, medical faculties must focus on competence-based learning objectives and deliberate practice, features that are combined in mastery learning. Our aim was to determine the competency of students in inserting PVCs before and after an educational intervention. Design: This study comprised a skills assessment with pre- and post-tests of a group of third-year students who received a simulation-based intervention. A newly established curriculum involved one hour of practice at inserting PVCs on simulators. Students were required to pass a test (total 21 points, pass mark 20 points developed on the concept of mastery learning. An unannounced follow-up test was performed one week (8 days after the intervention.Setting: The simulation center of the medical faculty in Muenster.Participants: Third-year students who received the intervention.Results: One hundred and nine complete data sets were obtained from 133 students (82.5%. Most students (97.2% passed the test after the intervention (mean score increase from 15.56 to 20.50, <0.001. There was a significant decrease in students’ performance after one week (8 days: only 74.5% of participants passed this retest (mean score reduction from 20.50 to 20.06, <0.001. Conclusion: Mastery learning is an effective form of teaching practical skills to medical students, allowing a thorough preparation for the challenges of daily clinical practice.

  17. Access, quality, and costs of care at physician owned hospitals in the United States: observational study

    Science.gov (United States)

    Orav, E John; Jena, Anupam B; Dudzinski, David M; Le, Sidney T; Jha, Ashish K

    2015-01-01

    Objective To compare physician owned hospitals (POHs) with non-POHs on metrics around patient populations, quality of care, costs, and payments. Design Observational study. Setting Acute care hospitals in 95 hospital referral regions in the United States, 2010. Participants 2186 US acute care hospitals (219 POHs and 1967 non-POHs). Main outcome measures Proportions of patients using Medicaid and those from ethnic and racial minority groups; hospital performance on patient experience metrics, care processes, risk adjusted 30 day mortality, and readmission rates; costs of care; care payments; and Medicare market share. Results The 219 POHs were more often small (<100 beds), for profit, and in urban areas. 120 of these POHs were general (non-specialty) hospitals. Compared with patients from non-POHs, those from POHs were younger (77.4 v 78.4 years, P<0.001), less likely to be admitted through an emergency department (23.2% v. 29.0%, P<0.001), equally likely to be black (5.1% v 5.5%, P=0.85) or to use Medicaid (14.9% v 15.4%, P=0.75), and had similar numbers of chronic diseases and predicted mortality scores. POHs and non-POHs performed similarly on patient experience scores, processes of care, risk adjusted 30 day mortality, 30 day readmission rates, costs, and payments for acute myocardial infarction, congestive heart failure, and pneumonia. Conclusion Although POHs may treat slightly healthier patients, they do not seem to systematically select more profitable or less disadvantaged patients or to provide lower value care. PMID:26333819

  18. Some self-access principles

    Directory of Open Access Journals (Sweden)

    Lucy Cooker

    2010-06-01

    Full Text Available In this article, I will describe how the Self-Access Learning Centre (SALC at Kanda University of International Studies (KUIS was established, and discuss some of the personal philosophies of self-access centres (SACs and self-access learning that I have developed over the eight years of being associated with this centre.

  19. Increasing Access to Places for Physical Activity Through a Joint Use Agreement: A Case Study in Urban Honolulu

    Directory of Open Access Journals (Sweden)

    Lehua B. Choy, MPH

    2008-07-01

    Full Text Available BackgroundTo increase levels of physical activity (PA, interventions that create or enhance access to places for PA are recommended. Establishing a joint use agreement is one way to increase access to existing PA and recreational facilities. The purpose of this article is to present a case study of In-Motion, a pilot joint use agreement project at one urban high school in Honolulu, Hawaii.ContextResidents of urban Honolulu are underserved by the amount of parkland and recreational facilities available for their use. The Honolulu County Department of Parks and Recreation sought to implement a joint use agreement to use the facilities of one urban high school for a recreational program. The high school selected for the pilot project has a student population primarily from low-income and ethnic minority backgrounds.MethodsAn assessment of the potential of 7 urban high schools to implement a joint use agreement was conducted to select the pilot site. In-Motion developed and implemented a joint use agreement. PA preferences of students, staff, and community members were assessed to guide recreational program offerings. Various recreational classes were offered free to the school community.ConsequencesSeveral barriers to implementing the joint use agreement and recreational program were encountered. However, participants were satisfied with the recreational classes they attended and said that the In-Motion program helped them to engage in more PA. Program awareness by high school students and staff was high.InterpretationIn-Motion has successfully modeled a pilot joint use agreement and provided new opportunities for PA to the high school’s students, teachers, and staff, and to community residents.

  20. Access to infertility services in Canada for HIV-positive individuals and couples: a cross-sectional study

    Directory of Open Access Journals (Sweden)

    Loutfy Mona R

    2010-05-01

    Full Text Available Abstract Background Family and pregnancy planning issues are important among human immunodeficiency virus (HIV-positive individuals and couples. However, access to fertility services may be limited for this population. The objective of this study was to estimate the types of services available in fertility clinics in Canada for these individuals. Methods A survey was sent to all registered fertility clinics in Canada to assess the availability of services (investigations and treatment for infertility and/or viral transmission risk reduction in achieving pregnancy. The proportion and location of clinics willing to carry out investigations and treatments were determined. Logistic regression analysis was performed to assess differences in response rates, investigations, and treatments by province and by couple scenario. Results Completed surveys were received from 23/28 (82% of clinics across eight Canadian provinces. Seventy-eight per cent (18/23 were willing to accept HIV-positive individuals in consultation, and 52% had actually seen at least one HIV-positive man or woman in the previous year. Clinics in every province were willing to offer infertility investigations, but only clinics located in five provinces were willing to offer fertility treatments. The most commonly available treatment was intrauterine insemination for couples in which the female partner was HIV-positive (52%. Other techniques, such as sperm washing (26% or in vitro fertilization (17%, were less commonly offered. A smaller number of clinics were willing to offer risk reduction techniques in achieving pregnancy. Conclusions Access to infertility investigations and treatments in Canada is limited and regionally dependent. Trial Registration Registered with ClinicalTrials.gov at http://www.clinicaltrials.gov, registration number NCT00782132.

  1. Human resources needs for universal access to antiretroviral therapy in South Africa: A time and motion study

    NARCIS (Netherlands)

    J.A.C. Hontelez (Jan A.C.); M.L. Newell (Marie Louise); R.M. Bland (Ruth); K. Munnelly (Kristen); R.J. Lessells (Richard ); T. Bärnighausen (Till)

    2012-01-01

    textabstractBackground: Although access to life-saving treatment for patients infected with HIV in South Africa has improved substantially since 2004, treating all eligible patients (universal access) remains elusive. As the prices of antiretroviral drugs have dropped over the past years, availabili

  2. Human resources needs for universal access to antiretroviral therapy in South Africa: a time and motion study

    NARCIS (Netherlands)

    Hontelez, J.A.C.; Newell, M.L.; Bland, R.M.; Munnelly, K.; Lessells, R.J.; Barnighausen, T.

    2012-01-01

    ABSTRACT: BACKGROUND: Although access to life-saving treatment for patients infected with HIV patients in South Africa has improved substantially since 2004, treating all eligible patients (universal access) remains elusive. As the prices of antiretroviral drugs have dropped over the past years, ava

  3. Comparison of the Remaining Tooth Structure and Fracture Resistance between Labial and Lingual Access Cavities in Permanent Anterior Teeth with Labial Caries: An In-vitro Study

    Directory of Open Access Journals (Sweden)

    Eftekhar B.

    2012-02-01

    Full Text Available Statement of Problem: Labial access cavity preparation is a conventional method in endodontic treatment of the anterior teeth, but in some conditions labial cavity preparation is recommended.Purpose: The aim of this study was to compare labial and lingual access cavity preparation in the permanent anterior teeth with labial caries in terms of the remaining tooth structure and fracture resistance. Materials and Method: In this experimental study, 150 intact permanent human anterior teeth were selected in 5 groups each with 30 teeth including the maxillary central, maxillary lateral, maxillary canine, mandibular incisors and mandibular canine. A class V cavity with similar ratios to dimensions of each tooth was prepared on the labial surface of all specimens. The volumes of each of these teeth were measured by Penta Pycnometer before and after class V cavity preparation (V1, V2. Each group was randomly divided into 2 equal subgroups (n=15. Access cavities were prepared labially in subgroup A and lingually in subgroup B; then, the remained volume of each tooth was measured again (V3. The mean proportional volume loss of each tooth was calculated through access preparation (V2-V3/V1. Then, the specimens were embedded in acrylic resin blocks and subjected to load with a universal testing machine.Results: The differences of mean of theremained volume and fracture resistance of the two subgroups were statistically significant in all groups ( p <0.05 and those teeth with labial access showed more remained volume and fracture resistance than lingual access. Conclusion: Labial access cavity preparation can enhance the remained volume and fracture resistance as compared to lingual access in endodontic treatment of the anterior teeth with labial caries especially in mandibular incisors.

  4. Hemodialysis access procedures

    Science.gov (United States)

    Kidney failure - chronic-dialysis access; Renal failure - chronic-dialysis access; Chronic renal insufficiency-dialysis access; Chronic kidney failure-dialysis access; Chronic renal failure-dialysis access

  5. Mult-I/O - a middleware multi input and output for access devices: a case study applied the biomedical devices.

    Science.gov (United States)

    Lacerda, João M T; Bezerra, Heitor U; Valentim, Ricardo A M; Guerreiro, Ana M G; Brandão, Glaucio B; Ribeiro, Anna G D; Soares, Heliana B; Araújo, Bruno G; Leite, Cicilia R M

    2010-01-01

    The great diversity in the architecture of hardware devices allied to many communication protocols, has been hindering the implementation of systems that need to access these devices. Given these differences, it appears the need of providing the access of these devices in a transparent way. In this sense, the present work proposes a middleware, mult input and output for access the devices, as a way of abstracting the writing and reading data mechanisms in hardware devices, contributing this way, for increasing systems productivity, as the developers are just focused in their functional requirements. PMID:21097073

  6. Expanding Access to the Intrauterine Device in Public Health Facilities in Ethiopia: A Mixed-Methods Study.

    Science.gov (United States)

    Tilahun, Yewondwossen; Mehta, Sarah; Zerihun, Habtamu; Lew, Candace; Brooks, Mohamad I; Nigatu, Tariku; Hagos, Kidest Lulu; Asnake, Mengistu; Tasissa, Adeba; Ali, Seid; Desalegn, Ketsela; Adane, Girmay

    2016-03-01

    In Ethiopia, modern contraceptive prevalence among currently married women nearly tripled over the last decade, but the method mix remains skewed toward short-acting methods. Since 2011, the Integrated Family Health Program (IFHP+), jointly implemented by Pathfinder International and John Snow Inc., has supported the Federal Ministry of Health to introduce intrauterine devices (IUDs) in more than 800 health centers across 4 regions to improve access to a wider range of methods. Between March and August 2014, Pathfinder conducted a mixed-methods study in 40 purposively selected health centers to assess shifts in the contraceptive method mix following introduction of IUDs using data from family planning registers; determine the characteristics of IUD users through a cross-sectional survey of 2,943 family planning clients who accepted the IUD; explore reasons for method discontinuation among 165 clients seeking IUD removal services; and identify facilitators and barriers to IUD use through focus group discussions (N = 115 clients) and key informant interviews (N = 36 providers, facility heads, and health office heads). Introduction of IUDs into the 40 health centers participating in the study was correlated with a statistically significant increase in the contribution of all long-acting reversible contraceptives (LARCs)-both IUDs and implants-to the method mix, from 6.9% in 2011 to 20.5% in 2014 (Prange of contraceptive methods. PMID:27016541

  7. Memory architecture for efficient utilization of SDRAM: a case study of the computation/memory access trade-off

    DEFF Research Database (Denmark)

    Gleerup, Thomas Møller; Holten-Lund, Hans Erik; Madsen, Jan;

    2000-01-01

    This paper discusses the trade-off between calculations and memory accesses in a 3D graphics tile renderer for visualization of data from medical scanners. The performance requirement of this application is a frame rate of 25 frames per second when rendering 3D models with 2 million triangles, i....... to use a memory access strategy with write-only and read-only phases, and a buffering system, which uses round-robin bank write-access combined with burst read-access........e. 50 million triangles per second, sustained (not peak). At present, a software implementation is capable of 3-4 frames per second for a 1 million triangle model. By using direct evaluation of certain interpolation parameters instead of forward differencing, writing back parameters to SDRAM is avoided...

  8. Impact of accessible sexual and reproductive health care on poor and underserved adolescents in Managua, Nicaragua: a quasi-experimental intervention study.

    NARCIS (Netherlands)

    Meuwissen, L.E.; Gorter, A.C.; Knottnerus, A.J.A.

    2006-01-01

    BACKGROUND: The objective of this study was to evaluate a competitive voucher program intended to make sexual and reproductive health care (SRHC) accessible to adolescents from disadvantaged areas of Managua. METHODS: A quasi-experimental intervention study was performed in which 28,711 vouchers tha

  9. CHANGES AND PERSPECTIVES OF SLOVENIAN PIG PRODUCTION BEFORE AND AFTER ACCESSION TO THE EU: THE CASE STUDY

    Directory of Open Access Journals (Sweden)

    M. Kastelić

    2007-06-01

    Full Text Available The changes in pig production during the last six to ten years were studied in case of Farme Ihan d. d., the Slovenian pig producer. At the beginning of the period, the company produced 70 to 75 thousand slaughtering pigs per year. At the end of the period the production increased to 150 thousand. As expected, the prices of pigs were reduced during that period. According to the new legislation, the large part of facilities was reconstructed and some environment protection investments were done. The production was improved: the number of weaned pigs per sow per year increased from 19.2 in 1996 to 25.48 in 2006 and reached the Danish average. The percentage of meat was increased in the same period from 52.7 % to 58.6 %. The progress in daily gain and in feed conversion ratio was moderate. To secure the access to the market, the own slaughter facility was bought and reconstructed. For the same reason, the company became shareholder of two meat processing companies. The transition period has not been finished yet. Production results may improve faster than in old EU member countries. Investment cycle has also not been finished yet. More investments, especially in environment protection are needed.

  10. In silico study of rotavirus VP7 surface accessible conserved regions for antiviral drug/vaccine design.

    Directory of Open Access Journals (Sweden)

    Ambarnil Ghosh

    Full Text Available BACKGROUND: Rotaviral diarrhoea kills about half a million children annually in developing countries and accounts for one third of diarrhea related hospitalizations. Drugs and vaccines against the rotavirus are handicapped, as in all viral diseases, by the rapid mutational changes that take place in the DNA and protein sequences rendering most of these ineffective. As of now only two vaccines are licensed and approved by the WHO (World Health Organization, but display reduced efficiencies in the underdeveloped countries where the disease is more prevalent. We approached this issue by trying to identify regions of surface exposed conserved segments on the surface glycoproteins of the virion, which may then be targeted by specific peptide vaccines. We had developed a bioinformatics protocol for these kinds of problems with reference to the influenza neuraminidase protein, which we have refined and expanded to analyze the rotavirus issue. RESULTS: Our analysis of 433 VP7 (Viral Protein 7 from rotavirus surface protein sequences across 17 subtypes encompassing mammalian hosts using a 20D Graphical Representation and Numerical Characterization method, identified four possible highly conserved peptide segments. Solvent accessibility prediction servers were used to identify that these are predominantly surface situated. These regions analyzed through selected epitope prediction servers for their epitopic properties towards possible T-cell and B-cell activation showed good results as epitopic candidates (only dry lab confirmation. CONCLUSIONS: The main reasons for the development of alternative vaccine strategies for the rotavirus are the failure of current vaccines and high production costs that inhibit their application in developing countries. We expect that it would be possible to use the protein surface exposed regions identified in our study as targets for peptide vaccines and drug designs for stable immunity against divergent strains of the

  11. Negative pressure wound therapy: Potential publication bias caused by lack of access to unpublished study results data

    Directory of Open Access Journals (Sweden)

    Sauerland Stefan

    2008-02-01

    time these documents were generated was obtained from the manufacturer Kinetic Concepts Inc. (KCI (19 RCTs, followed by The Cochrane Library (18 and a systematic review (15. We were able to obtain some information on the methods of unpublished RCTs, but results data were either not available or requests for results data were not answered; the results of unpublished RCTs could therefore not be considered in the review. One manufacturer, KCI, sponsored the majority of RCTs (19/28; 68%. The sponsorship of the remaining trials was unclear. Conclusion Multi-source comprehensive searches identify unpublished RCTs. However, lack of access to unpublished study results data raises doubts about the completeness of the evidence base on NPWT.

  12. A qualitative study of the impact of the implementation of advanced access in primary healthcare on the working lives of general practice staff

    Directory of Open Access Journals (Sweden)

    Offredy Maxine

    2005-09-01

    Full Text Available Abstract Background The North American model of 'advanced access' has been emulated by the National Primary Care Collaborative in the UK as a way of improving patients' access in primary care. The aim of this study was to explore the impact of the implementation of advanced access on the working lives of general practice staff. Methods A qualitative study design, using semi-structured interviews, was conducted with 18 general practice staff: 6 GPs, 6 practice managers and 6 receptionists. Two neighbouring boroughs in southeast England were used as the study sites. NUD*IST computer software assisted in data management to identify concepts, categories and themes of the data. A framework approach was used to analyse the data. Results Whilst practice managers and receptionists saw advanced access as having a positive effect on their working lives, the responses of general practitioners (GPs were more ambivalent. Receptionists reported improvements in their working lives with a change in their role from gatekeepers for appointments to providing access to appointments, fewer confrontations with patients, and greater job satisfaction. Practice managers perceived reductions in work stress from fewer patient complaints, better use of time, and greater flexibility for contingency planning. GPs recognised benefits in terms of improved consultations, but had concerns about the impact on workload and continuity of care. Conclusion AA has improved working conditions for receptionists, converting their perceived role from gatekeeper to access facilitator, and for practice managers as patients were more satisfied. GP responses were more ambivalent, as they experienced both positive and negative effects.

  13. Open Access to Physics and Astronomy Theses: A Case Study of the Raman Research Institute Digital Repository

    Science.gov (United States)

    Nagaraj, M. N.; Manjunath, M.; Savanur, K. P.; Sheshadri, G.

    2010-10-01

    With the introduction of information technology (IT) and its applications, libraries have started looking for ways to promote their institutes' research output. At the Raman Research Institute (RRI), we have showcased research output such as research papers, newspaper clippings, annual reports, technical reports, and the entire collection of C.V. Raman through the RRI digital repository, using DSpace. Recently, we have added doctoral dissertations to the repository and have made them accessible with the author's permission. In this paper, we describe the challenges and problems encountered in this project. The various stages including policy decisions, the scanning process, getting permissions, metadata standards and other related issues are described. We conclude by making a plea to other institutions also to make their theses available open-access so that this valuable information resource is accessible to all.

  14. Means to improve access to justice and legally empower victims of domestic violence: An empirical legal study on legislation and legal offices in Buenos Aires, Argentina

    NARCIS (Netherlands)

    Marotta, J.

    2014-01-01

    The purpose of this study is to understand how recent legal reforms and the creation of legal offices in Argentina may improve access to justice and legally empower victims of domestic violence. The paper looks into the way the judicial system developed to provide suitable options for victims of dom

  15. A short note on integrated assessment modeling approaches : Rejoinder to the review of "Making or breaking climate targets - The AMPERE study on staged accession scenarios for climate policy"

    NARCIS (Netherlands)

    Kriegler, Elmar; Riahi, Keywan; Bauer, Nico; Schwanitz, Valeria Jana; Petermann, Nils; Bosetti, Valentina; Marcucci, Adriana; Otto, Sander; Paroussos, Leonidas; Rao-Skirbekk, Shilpa; Currás, Tabaré Arroyo; Ashina, Shuichi; Bollen, Johannes; Eom, Jiyong; Hamdi-Cherif, Meriem; Longden, Thomas; Kitous, Alban; Méjean, Aurélie; Sano, Fuminori; Schaeffer, Michiel; Wada, Kenichi; Capros, Pantelis; van Vuuren, Detlef P.; Edenhofer, Ottmar; Bertram, Christoph; Bibas, Ruben; Edmonds, Jae; Johnson, Nils; Krey, Volker; Luderer, Gunnar; McCollum, David; Jiang, Kejun

    2015-01-01

    We provide a rejoinder to a review (Rosen, 2015) of our original article "Making or breaking climate targets - the AMPERE study on staged accession scenarios for climate policy" (Kriegler et al., 2015a). We have a substantial disagreement with the content of the review, and feel that it is plagued b

  16. Factors Influencing Webmasters and the Level of Web Accessibility and Section 508 Compliance at SACS Accredited Postsecondary Institutions: A Study Using the Theory of Planned Behavior

    Science.gov (United States)

    Freeman, Misty Danielle

    2013-01-01

    The purpose of this research was to explore Webmasters' behaviors and factors that influence Web accessibility at postsecondary institutions. Postsecondary institutions that were accredited by the Southern Association of Colleges and Schools were used as the population. The study was based on the theory of planned behavior, and Webmasters'…

  17. Evaluating Web Accessibility Metrics for Jordanian Universities

    Directory of Open Access Journals (Sweden)

    Israa Wahbi Kamal

    2016-07-01

    Full Text Available University web portals are considered one of the main access gateways for universities. Typically, they have a large candidate audience among the current students, employees, and faculty members aside from previous and future students, employees, and faculty members. Web accessibility is the concept of providing web content universal access to different machines and people with different ages, skills, education levels, and abilities. Several web accessibility metrics have been proposed in previous years to measure web accessibility. We integrated and extracted common web accessibility metrics from the different accessibility tools used in this study. This study evaluates web accessibility metrics for 36 Jordanian universities and educational institute websites. We analyze the level of web accessibility using a number of available evaluation tools against the standard guidelines for web accessibility. Receiver operating characteristic quality measurements is used to evaluate the effectiveness of the integrated accessibility metrics.

  18. In vitro and genetic diversity studies of twelve accessions of aerial yams (D. bulbifera and D. alata) in Ghana

    International Nuclear Information System (INIS)

    Aerial yams (D. bulbifera and D. alata) are usually among the dioscoreaceae, in that they are cultivated not only for their tubers but also for the bulbils that develop at the leaf axils of the vine. Twelve accessions collected from five geographic regions were evaluated for morphological characteristics. The results indicate that the 12 accessions exhibited similarity with respect to 11 traits but were variable with respect to 5. Bulbils from the twelve accessions of aerial yams collected from the experimental field, were analysed for proximate composition including moisture, crude protein, crude ash, crude fat, crude fibre and carbohydrate content using the Association of Official Analytical Chemist (AOAC) method. Elemental composition of the bulbils was also determined through instrumental neutron activation analysis (INAA). Accession S recorded the highest crude protein (6.77 %), crude fibre (3.38 %) and carbohydrate (25.39 %) contents. Bulbils from D, G and T recorded the highest crude fat (0.56 %), moisture (72.97 %) and crude ash (7.96 %) content respectively. Accession V recorded the highest amount of magnesium (143.43 mg/100g), potassium (2644.4 mg/100g), chlorine (3272.2 mg/100g) and copper (1.116 mg/100g). Bulbils from accession F also recorded the highest amount of aluminum (5.26 mg/100g) and manganese (0.43 mg/100g), while accession B, C, E and R also recorded highest percentages of vanadium (0.037 mg/100g), sodium (26.63 mg/100g), calcium (333.5 mg/100g) and zinc (4.53 mg/100g) respectively. Nodal explants of 12 accessions of the aerial yam were cultured in vitro on Murashige and Skoog (MS) medium supplemented with varying concentrations of kinetin with or without activated charcoal, as assessed for ability to regenerate plantlets with distinct shoots, leaves and roots. The highest regeneration of plantlets was achieved at kinetin concentration of 2.0 mg/l with activated charcoal. Kinetin concentration beyond 2.0 mg/l proved to be phytotoxic and

  19. Aplicación de los mapas de procesado en la optimización de los parámetros de un proceso de conformado en caliente. I parte. Revisión teórica

    Directory of Open Access Journals (Sweden)

    Al Omar, A.

    1997-04-01

    Full Text Available The hot working processes constitute an important step in the manufacture of components for engineering applications. In the past, the mechanical processing have been used to impart a shape to the engineering materials. More recently, however, the hot working processes are used not only to achieve the required shape but also to impart desirable mechanical and microstructural characteristics by an adequate design of the thermomechanical process. The aim of the present paper is to summarize the general characteristics of the Dynamic Materials Model. In this model, the workpiece material under hot working conditions is considered to be a dissipater of power. Also, the extreme principles of irreversible thermodynamics applied to large plastic flow are described to develop a continuum criterion capable to predict the metallurgical instabilities in a hot worked material.

    Los procesos de conformado en caliente de materiales constituyen un paso muy importante en la fabricación de los componentes mecánicos. Durante siglos estos procesos fueron utilizados para dar a los metales la forma deseada. Hoy en día, sin embargo, la deformación en caliente no sólo proporciona la geometría deseada sino las características mecánicas y microestructurales necesarias mediante un adecuado diseño del proceso de termoconformado. En el presente trabajo se presentan, a modo de revisión, las características generales del llamado "modelo dinámico de materiales" mediante el cual se optimizan los parámetros de conformación de un material usando los mapas de disipación de energía. En este modelo, la pieza conformada a alta temperatura se considera como la única parte de todo el sistema del proceso capaz de disipar energía. Se describe, también, la termodinámica irreversible aplicada a la mecánica continua de la fluencia plástica en las grandes deformaciones para desarrollar un criterio capaz de predecir las inestabilidades metalúrgicas en un material

  20. Efecto de la velocidad de deformación en la recristalización dinámica de un cobre ETP durante su compresión en caliente con temperatura descendente

    Directory of Open Access Journals (Sweden)

    Torrente, G.

    2011-12-01

    Full Text Available The main purpose of this project is to establish the effect of strain rate in the dynamic recrystallization of an ETP copper during its hot deformation with descending temperature. For this, there were made some tests of hot compression until true deformations close to one, with four strain rates while the temperature was descending. The tests that were made to the two lowest strain rates, showed a multiple peaks dynamic recrystallization with a rise of the tension instead it reaches the steady state, maybe due a continuous decline of the temperature.With the increase of rate the rest of the tests showed simple peak recrystallization and recovering respectively. The experimental results were compared with the results of a simulation based on the Damped Cosine Avrami Model. The simulation produced results closed to those measured during the multiple peaks dynamic recrystallization. These suggest that the application of this Model may be extended to multiple peaks dynamic recrystallization processes with changeable temperature.

    En el presente trabajo se estudia el efecto de la velocidad de deformación en la recristalización dinámica de un cobre electrolítico puro durante su deformación en caliente con temperatura descendente. Para ello, se realizaron ensayos de compresión en caliente hasta deformaciones verdaderas cercanas a uno, con cuatro velocidades de deformación, mientras descendía la temperatura. Los ensayos realizados a las dos velocidades de deformación más bajas mostraron recristalización dinámica de picos múltiples con un ascenso de la tensión en lugar del estado de saturación, debido probablemente al continuo descenso de la temperatura. Con el aumento de la velocidad, los ensayos restantes mostraron recristalización de pico simple y solo restauración, respectivamente. Los resultados experimentales se compararon con los de una simulación basada en el modelo cosenoidal amortiguado de Avrami. La simulación arroj

  1. Interaction Problems Accessing E-Learning Environments in Multi-Touch Mobile Devices: A Case Study in TelEduc

    Science.gov (United States)

    da Silva, André Constantino; Freire, Fernanda Maria Pereira; de Arruda, Alan Victor Pereira; da Rocha, Heloísa Vieira

    2013-01-01

    e-Learning environments offer content, such text, audio, video, animations, using the Web infrastructure and they are designed to users interacting with keyboard, mouse and a medium-sized screen. Mobile devices, such as smartphones and tablets, have enough computation power to render Web pages, allowing browsing the Internet and access e-Learning…

  2. Towards Establishing an Open Access Repository of Indian Publications in Astronomy -- a Case Study of Indian Institute of Astrophysics Repository

    Science.gov (United States)

    Birdie, C.; Vagiswari, A.

    2007-10-01

    The continued escalation of journal prices, and inadequate access to scholarly journals along with a consistent reduction in library resources and the advent of new technologies have all contributed to a change in the present scholarly communication. The initiative towards establishing Open Access communication has been advocated among scholars and researchers. An Institutional Archive for holding pre- and post-prints of articles written by academic and research staff increases the accessibility, visibility and impact of research output. The Indian Institute of Astrophysics (IIA) is one of the astronomical research institutes in India pioneering the Open Access movement. The institute has set up a pilot project to store the institute's publications in an institutional repository (IR). The library at IIA plays an important role in setting up this archive. While the authors and publishers are the key players in this endeavor, the role of librarians needs to be redefined in the present paradigm shift of publishing. When the Institutes decide to develop their own repositories, the skills and expertise of librarians are needed to design, develop, manage and maintain a successful repository. These and the knowledge of copyright issues relevant to the digital content of IRs are highlighted in this paper. This paper also discusses the various opportunities and tools available for librarians to learn the procedures and involve themselves in establishing their institutional repositories.

  3. Teaching Poverty with Geographic Visualization and Geographic Information Systems (GIS): A Case Study of East Buffalo and Food Access

    Science.gov (United States)

    Gjesfjeld, Christopher D.; Jung, Jin-Kyu

    2014-01-01

    Although various methods have been used to teach about poverty in the social work classroom (e.g., quantitative, historical, and qualitative), the use of geographic visualization and geographic information systems (GIS) has become a relatively new method. In our analysis of food access on the East Side of Buffalo, New York, we demonstrate the…

  4. Decrease in Suicide Rates after a Change of Policy Reducing Access to Firearms in Adolescents: A Naturalistic Epidemiological Study

    Science.gov (United States)

    Lubin, Gad; Werbeloff, Nomi; Halperin, Demian; Shmushkevitch, Mordechai; Weiser, Mark; Knobler, Haim Y.

    2010-01-01

    The use of firearms is a common means of suicide. We examined the effect of a policy change in the Israeli Defense Forces reducing adolescents' access to firearms on rates of suicide. Following the policy change, suicide rates decreased significantly by 40%. Most of this decrease was due to decrease in suicide using firearms over the weekend.…

  5. Access to health care for Roma children in Central and Eastern Europe: findings from a qualitative study in Bulgaria

    Directory of Open Access Journals (Sweden)

    Spencer Nick J

    2009-06-01

    Full Text Available Abstract Background Despite the attention the situation of the Roma in Central and Eastern Europe has received in the context of European Union enlargement, research on their access to health services is very limited, in particular with regard to child health services. Methods 50 qualitative in-depth interviews with users, providers and policy-makers concerned with child health services in Bulgaria, conducted in two villages, one town of 70,000 inhabitants, and the capital Sofia. Results Our findings provide important empirical evidence on the range of barriers Roma children face when accessing health services. Among the most important barriers are poverty, administrative and geographical obstacles, low levels of parental education, and lack of ways to accommodate the cultural, linguistic and religious specifics of this population group. Conclusion Our research illustrates the complexity of the problems the Roma face. Access to health care cannot be discussed in isolation from other problems this population group experiences, such as poverty, restricted access to education, and social exclusion.

  6. Does the choice of neighbourhood supermarket access measure influence associations with individual-level fruit and vegetable consumption? A case study from Glasgow

    Science.gov (United States)

    2012-01-01

    Background Previous studies have provided mixed evidence with regards to associations between food store access and dietary outcomes. This study examines the most commonly applied measures of locational access to assess whether associations between supermarket access and fruit and vegetable consumption are affected by the choice of access measure and scale. Method Supermarket location data from Glasgow, UK (n = 119), and fruit and vegetable intake data from the ‘Health and Well-Being’ Survey (n = 1041) were used to compare various measures of locational access. These exposure variables included proximity estimates (with different points-of-origin used to vary levels of aggregation) and density measures using three approaches (Euclidean and road network buffers and Kernel density estimation) at distances ranging from 0.4 km to 5 km. Further analysis was conducted to assess the impact of using smaller buffer sizes for individuals who did not own a car. Associations between these multiple access measures and fruit and vegetable consumption were estimated using linear regression models. Results Levels of spatial aggregation did not impact on the proximity estimates. Counts of supermarkets within Euclidean buffers were associated with fruit and vegetable consumption at 1 km, 2 km and 3 km, and for our road network buffers at 2 km, 3 km, and 4 km. Kernel density estimates provided the strongest associations and were significant at a distance of 2 km, 3 km, 4 km and 5 km. Presence of a supermarket within 0.4 km of road network distance from where people lived was positively associated with fruit consumption amongst those without a car (coef. 0.657; s.e. 0.247; p0.008). Conclusions The associations between locational access to supermarkets and individual-level dietary behaviour are sensitive to the method by which the food environment variable is captured. Care needs to be taken to ensure robust and conceptually appropriate measures of

  7. Does the choice of neighbourhood supermarket access measure influence associations with individual-level fruit and vegetable consumption? A case study from Glasgow

    Directory of Open Access Journals (Sweden)

    Thornton Lukar E

    2012-07-01

    Full Text Available Abstract Background Previous studies have provided mixed evidence with regards to associations between food store access and dietary outcomes. This study examines the most commonly applied measures of locational access to assess whether associations between supermarket access and fruit and vegetable consumption are affected by the choice of access measure and scale. Method Supermarket location data from Glasgow, UK (n = 119, and fruit and vegetable intake data from the ‘Health and Well-Being’ Survey (n = 1041 were used to compare various measures of locational access. These exposure variables included proximity estimates (with different points-of-origin used to vary levels of aggregation and density measures using three approaches (Euclidean and road network buffers and Kernel density estimation at distances ranging from 0.4 km to 5 km. Further analysis was conducted to assess the impact of using smaller buffer sizes for individuals who did not own a car. Associations between these multiple access measures and fruit and vegetable consumption were estimated using linear regression models. Results Levels of spatial aggregation did not impact on the proximity estimates. Counts of supermarkets within Euclidean buffers were associated with fruit and vegetable consumption at 1 km, 2 km and 3 km, and for our road network buffers at 2 km, 3 km, and 4 km. Kernel density estimates provided the strongest associations and were significant at a distance of 2 km, 3 km, 4 km and 5 km. Presence of a supermarket within 0.4 km of road network distance from where people lived was positively associated with fruit consumption amongst those without a car (coef. 0.657; s.e. 0.247; p0.008. Conclusions The associations between locational access to supermarkets and individual-level dietary behaviour are sensitive to the method by which the food environment variable is captured. Care needs to be taken to ensure robust and conceptually

  8. The acceptability and impact of a randomised controlled trial of welfare rights advice accessed via primary health care: qualitative study

    Directory of Open Access Journals (Sweden)

    Howel Denise

    2006-06-01

    Full Text Available Abstract Background Qualitative research is increasingly used alongside randomised controlled trials (RCTs to study a range of factors including participants' experiences of a trial. The need for a sound evidence base within public health will increase the need for RCTs of non-clinical interventions. Welfare rights advice has been proposed as an intervention with potential to reduce health inequalities. This qualitative study, nested within an RCT of the impact of welfare rights advice, examined the acceptability of the intervention, the acceptability of the research process and the perceived impact of the intervention. Methods 25 men and women aged 60 years or over were recruited from four general practices in Newcastle upon Tyne (UK, a sub-sample of those who consented to be contacted (n = 96 during the RCT baseline interview. Semi-structured interviews were undertaken and analysed using the Framework Method. Results Participants viewed the trial positively although, despite agreeing that the information leaflet was clear, some had agreed to participate without being fully aware of what was involved. Some participants were unaware of the implications of randomisation. Most thought it fair, but a few concerns were raised about the control condition. The intervention was acceptable and made participants feel confident about applying for benefit entitlements. 14 out of 25 participants received some financial award; median weekly income gain was £57 (€84, $101. The perceived impact of additional finances was considerable and included: increased affordability of necessities and occasional expenses; increased capacity to deal with emergencies; and a reduction in stress related to financial worries. Overall, perceived independence and ability to participate in society increased. Most participants perceived benefits to their mental well-being, but no-one reported an improvement in physical health. The RCT showed little or no effect on a wide range

  9. Less than full-time training in surgery: a cross-sectional study evaluating the accessibility and experiences of flexible training in the surgical trainee workforce

    OpenAIRE

    Harries, Rhiannon L; Gokani, Vimal J; Smitham, Peter; Fitzgerald, J Edward F

    2016-01-01

    Objectives Generational changes in lifestyle expectations, working environments and the feminisation of the medical workforce have seen an increased demand in postgraduate less than full-time training (LTFT). Despite this, concerns remain regarding access to, and information about, flexible training for surgeons. This study aimed to assess the opinions and experiences of LTFT for surgical trainees. Design Prospective, questionnaire-based cross-sectional study. Setting/participants An electron...

  10. Using shared goal setting to improve access and equity: a mixed methods study of the Good Goals intervention in children’s occupational therapy

    OpenAIRE

    Kolehmainen Niina; MacLennan Graeme; Ternent Laura; Duncan Edward AS; Duncan Eilidh M; Ryan Stephen B; McKee Lorna; Francis Jill J

    2012-01-01

    Abstract Background Access and equity in children’s therapy services may be improved by directing clinicians’ use of resources toward specific goals that are important to patients. A practice-change intervention (titled ‘Good Goals’) was designed to achieve this. This study investigated uptake, adoption, and possible effects of that intervention in children’s occupational therapy services. Methods Mixed methods case studies (n = 3 services, including 46 therapists and 558 children) were condu...

  11. Perceptions of journalists on women access, employment and participation in news production: A case study of Uganda's print media-The New Vision

    OpenAIRE

    2009-01-01

    Abstract The thesis, “Perceptions of journalists on women access, employment and participation in news production” constitutes an assessment of the situation of female journalists in one of Uganda’s print media, The New Vision. The study connects the problematic relationship that women have with news media, both as subjects and sources of news stories as well as their experiences and status as practitioners within the news industries. The study was concerned over what in this profession...

  12. Cross-Cultural Study into the use of Text to Speech with Electronic Files to aid access to Textbooks

    OpenAIRE

    E A Draffan; Wald, Mike; Iwabuchi, Mamoru; Takahashi, Maiko; Nakamura, Kenryu

    2011-01-01

    Objective. At present, pupils, teachers and parents struggle with the lack of textbooks and supporting materials in accessible formats that can be used by pupils with visual or print impairment including specific reading difficulties such as dyslexia. Independent projects in Japan and the UK were conceived to assess whether the provision of textbooks and teaching materials as electronic files, along with technologies to convert and ‘read’ them could provide a new and sustainable model and enh...

  13. Improving access to primary care for Aboriginal babies in Western Australia: study protocol for a randomized controlled trial

    OpenAIRE

    McAullay, Daniel; McAuley, Kimberley; Marriott, Rhonda; Pearson, Glenn; Jacoby, Peter; Ferguson, Chantal; Geelhoed, Elizabeth; Coffin, Juli; Green, Charmaine; Sibosado, Selina; Henry, Barbara; Doherty, Dorota; Edmond, Karen

    2016-01-01

    Background Despite a decade of substantial investments in programs to improve access to primary care for Aboriginal mothers and infants, more than 50 % of Western Australian Aboriginal babies are still not receiving primary and preventative care in the early months of life. Western Australian hospitals now input birth data into the Western Australian electronic clinical management system within 48 hours of birth. However, difficulties have arisen in ensuring that the appropriate primary care ...

  14. The social determinants of health and health service access: an in depth study in four poor communities in Phnom Penh Cambodia

    Directory of Open Access Journals (Sweden)

    Soeung Sann

    2012-08-01

    Full Text Available Abstract Background Increasing urbanization and population density, and persisting inequities in health outcomes across socioeconomic groupings have raised concerns internationally regarding the health of the urban poor. These concerns are also evident in Cambodia, which prompted the design of a study to identify and describe the main barriers to access to health services by the poor in the capital city, Phnom Penh. Sources and Methods Main sources of data were through a household survey, followed by in-depth qualitative interviews with mothers, local authorities and health centre workers in four very poor communities in Phnom Penh. Main findings Despite low incomes and education levels, the study communities have moderate levels of access to services for curative and preventive care. However, qualitative findings demonstrate that households contextualize poor health and health access in terms of their daily living conditions, particularly in relation to environmental conditions and social insecurity. The interactions of low education, poor living conditions and high food costs in the context of low and irregular incomes reinforce a pattern of “living from moment to moment” and results in a cycle of disadvantage and ill health in these communities. There were three main factors that put poor communities at a health disadvantage; these are the everyday living conditions of communities, social and economic inequality and the extent to which a society assesses and acts on inequities in their health care access. Conclusions In order to improve access to health and health services for the urban poor, expansion of public health functions and capacities will be required, including building partnerships between health providers, municipal authorities and civil society.

  15. NMR-Based Metabolomic Study on Isatis tinctoria: Comparison of Different Accessions, Harvesting Dates, and the Effect of Repeated Harvesting.

    Science.gov (United States)

    Guldbrandsen, Niels; Kostidis, Sarantos; Schäfer, Hartmut; De Mieri, Maria; Spraul, Manfred; Skaltsounis, Alexios-Leandros; Mikros, Emmanuel; Hamburger, Matthias

    2015-05-22

    Isatis tinctoria is an ancient dye and medicinal plant with potent anti-inflammatory and antiallergic properties. Metabolic differences were investigated by NMR spectroscopy of accessions from different origins that were grown under identical conditions on experimental plots. For these accessions, metabolite profiles at different harvesting dates were analyzed, and single and repeatedly harvested plants were compared. Leaf samples were shock-frozen in liquid N2 immediately after being harvested, freeze-dried, and cryomilled prior to extraction. Extracts were prepared by pressurized liquid extraction with ethyl acetate and 70% aqueous methanol. NMR spectra were analyzed using a combination of different methods of multivariate data analysis such as principal component analysis (PCA), canonical analysis (CA), and k-nearest neighbor concept (k-NN). Accessions and harvesting dates were well separated in the PCA/CA/k-NN analysis in both extracts. Pairwise statistical total correlation spectroscopy (STOCSY) revealed unsaturated fatty acids, porphyrins, carbohydrates, indole derivatives, isoprenoids, phenylpropanoids, and minor aromatic compounds as the cause of these differences. In addition, the metabolite profile was affected by the repeated harvest regime, causing a decrease of 1,5-anhydroglucitol, sucrose, unsaturated fatty acids, porphyrins, isoprenoids, and a flavonoid. PMID:25946005

  16. Health, healthcare access, and use of traditional versus modern medicine in remote Peruvian Amazon communities: a descriptive study of knowledge, attitudes, and practices.

    Science.gov (United States)

    Williamson, Jonathan; Ramirez, Ronald; Wingfield, Tom

    2015-04-01

    There is an urgent need for healthcare research, funding, and infrastructure in the Peruvian Amazon. We performed a descriptive study of health, health knowledge and practice, and healthcare access of 13 remote communities of the Manatí and Amazon Rivers in northeastern Peru. Eighty-five adults attending a medical boat service were interviewed to collect data on socioeconomic position, health, diagnosed illnesses, pain, healthcare access, and traditional versus modern medicine use. In this setting, poverty and gender inequality were prevalent, and healthcare access was limited by long distances to the health post and long waiting times. There was a high burden of reported pain (mainly head and musculoskeletal) and chronic non-communicable diseases, such as hypertension (19%). Nearly all participants felt that they did not completely understand their diagnosed illnesses and wanted to know more. Participants preferred modern over traditional medicine, predominantly because of mistrust or lack of belief in traditional medicine. Our findings provide novel evidence concerning transitional health beliefs, hidden pain, and chronic non-communicable disease prevalence in marginalized communities of the Peruvian Amazon. Healthcare provision was limited by a breach between health education, knowledge, and access. Additional participatory research with similar rural populations is required to inform regional healthcare policy and decision-making.

  17. Simulación de la fluencia en caliente de un acero microaleado con un contenido medio de carbono. II parte. Recristalización dinámica: inicio y cinética

    Directory of Open Access Journals (Sweden)

    Cabrera, J. M.

    1997-06-01

    Full Text Available According to the part 1 of this work, in this second part the dynamic recrystallization of a commercial medium carbon microalloyed steel is characterized from the point of view of its onset and kinetics. For this purpose uniaxial hot compression tests were carried out over a range of five orders of magnitude in strain rate and 300 °C of temperature. Experimental results are compared with those reported in the literature and the possible effect of dynamic precipitation is also analyzed. It is verified that the kinetics of dynamic recrystallization can faithfully be described by the classical Avrami equation.

    Siguiendo el planteamiento efectuado en la I parte de este trabajo, en esta II parte se caracteriza la recristalización dinámica de un acero comercial microaleado con un contenido medio de carbono desde el punto de vista de su inicio y de su cinética. Con este objeto se efectuaron ensayos de compresión uniaxial en caliente en un intervalo de cinco órdenes de magnitud en velocidad de deformación y 300 °C de temperatura. Los resultados experimentales se comparan con los resultados reportados por diversos autores y se analizan los posibles efectos de precipitación dinámica. Se verifica que la cinética de la recristalización dinámica puede representarse fielmente por la ecuación de Avrami.

  18. Simulación de la fluencia en caliente de un acero microaleado con un contenido medio de carbono. I parte. Aproximación teórica

    Directory of Open Access Journals (Sweden)

    Cabrera, J. M.

    1997-04-01

    Full Text Available The constitutive equations to model the hot flow behaviour of metallic materials in general, and of microalloyed steels in particular (see part 2 of this work are established in this work. Special emphasis is done on the dynamic softening mechanisms, i.e., dynamic recovery and recrystallization phenomena. The equations developed are physic-based, not empirical, and the modeling allows an easy implementation in an analysis by numerical methods. The resulting equations are even able to predict the final grain size.

    En la presente revisión se plantean las ecuaciones constitutivas necesarias para efectuar la modelización de la fluencia en caliente de materiales metálicos y, en particular, de un acero microaleado (Véase la II parte de este trabajo. Se hace especial hincapié en la simulación de los fenómenos de restauración y recristalización dinámica. Las ecuaciones propuestas son de base física, no empírica, y el modelo resultante es relativamente sencillo de utilizar y de implementar en un análisis por métodos numéricos. El estudio no queda circunscrito al comportamiento a fluencia sino que es capaz de predecir el tamaño de grano final.

  19. Managing access block.

    Science.gov (United States)

    Cameron, Peter; Scown, Paul; Campbell, Donald

    2002-01-01

    There is pessimism regarding the ability of the Acute Health Sector to manage access block for emergency and elective patients. Melbourne Health suffered an acute bed crisis in 2001 resulting in record ambulance diversions and emergency department (ED) delays. We conducted an observational study to reduce access block for emergency patients whilst maintaining elective throughput at Melbourne Health. This involved a clinician-led taskforce using previously proven principles for organisational change to implement 51 actions to improve patient access over a three-month period. The primary outcome measures were ambulance diversion, emergency patients waiting more than 12 hours for an inpatient bed, elective throughput and theatre cancellations. Despite a reduction in multi-day bed numbers all primary objectives were met, ambulance diversion decreased to minimal levels, 12-hour waits decreased by 40% and elective throughput was maintained. Theatre cancellations were also minimised. We conclude that access block can be improved by clinician-led implementation of proven process improvements over a short time frame. The ability to sustain change over the longer term requires further study.

  20. Access to Scientific Publications: The Scientist's Perspective

    OpenAIRE

    Yegor Voronin; Askar Myrzahmetov; Alan Bernstein

    2011-01-01

    BACKGROUND: Scientific publishing is undergoing significant changes due to the growth of online publications, increases in the number of open access journals, and policies of funders and universities requiring authors to ensure that their publications become publicly accessible. Most studies of the impact of these changes have focused on the growth of articles available through open access or the number of open-access journals. Here, we investigated access to publications at a number of insti...

  1. Justice: greater access, lower costs

    NARCIS (Netherlands)

    M. Saraceno

    2014-01-01

    Litigation imposes large costs on society; this justifies settlement considerations. In any case, access to justice is critical to socioeconomic development; as such, it needs to be balanced with litigation minimization. This study examines the tradeoff between litigation and access to justice and e

  2. Subsidized optimal ART for HIV-positive temporary residents of Australia improves virological outcomes: results from the Australian HIV Observational Database Temporary Residents Access Study

    OpenAIRE

    Kathy Petoumenos; Jo Watson; Bill Whittaker; Jennifer Hoy; Don Smith; Lisa Bastian; Robert Finlayson; Andrew Sloane; Wright, Stephen T.; Hamish McManus; Law, Matthew G.

    2015-01-01

    Introduction: HIV-positive (HIV+) temporary residents living in Australia legally are unable to access government subsidized antiretroviral treatment (ART) which is provided via Medicare to Australian citizens and permanent residents. Currently, there is no information systematically being collected on non-Medicare eligible HIV+ patients in Australia. The objectives of this study are to describe the population recruited to the Australian HIV Observational Database (AHOD) Temporary Residents A...

  3. The quest to make accessibility a corporate article of faith at Microsoft: case study of corporate culture and human resource dimensions.

    Science.gov (United States)

    Sandler, Leonard A; Blanck, Peter

    2005-01-01

    This case study examines efforts by Microsoft Corporation to enhance the diversity of its workforce and improve the accessibility and usability of its products and services for persons with disabilities. The research explores the relation among the Americans with Disabilities Act of 1990, corporate leadership, attitudes and behaviors towards individuals with disabilities, and dynamics that shape organizational culture at Microsoft. Implications for Microsoft, other employers, researchers, and the disability community are discussed. PMID:15706606

  4. Assessing Program Efficiency: A Time and Motion Study of the Mental Health Emergency Care — Rural Access Program in NSW Australia

    OpenAIRE

    Emily Saurman; David Lyle; Sue Kirby; Russell Roberts

    2014-01-01

    The Mental Health Emergency Care-Rural Access Program (MHEC-RAP) is a telehealth solution providing specialist emergency mental health care to rural and remote communities across western NSW, Australia. This is the first time and motion (T&M) study to examine program efficiency and capacity for a telepsychiatry program. Clinical services are an integral aspect of the program accounting for 6% of all activities and 50% of the time spent conducting program activities, but half of this time ...

  5. Social determinants of equity in access to healthcare for tuberculosis patients in Republic of Macedonia – results from a case-control study

    OpenAIRE

    Dance Gudeva Nikovska; Fimka Tozija

    2014-01-01

    Background Health is a complex phenomenon and equity as a basic human right an integral part of constitutions in almost all countries in the world. In Republic of Macedonia (RM), Tuberculosis (TB) is clustered regionally and in certain ethnic groups. The main objective of this study was to analyze Social Determinants of Health (SDH) and equity in access to healthcare services for TB patients in RM, aimed at complex analysis of factors that cause inequities. Methods Case-cont...

  6. Barriers in access to healthcare in countries with different health systems. A cross-sectional study in municipalities of central Colombia and north-eastern Brazil.

    Science.gov (United States)

    Garcia-Subirats, Irene; Vargas, Ingrid; Mogollón-Pérez, Amparo Susana; De Paepe, Pierre; da Silva, Maria Rejane Ferreira; Unger, Jean Pierre; Vázquez, María Luisa

    2014-04-01

    There are few comprehensive studies available on barriers encountered from the initial seeking of healthcare through to the resolution of the health problem; in other words, on access in its broad domain. For Colombia and Brazil, countries with different healthcare systems but common stated principles, there have been no such analyses to date. This paper compares factors that influence access in its broad domain in two municipalities of each country, by means of a cross-sectional study based on a survey of a multistage probability sample of people who had had at least one health problem within the last three months (2163 in Colombia and 2155 in Brazil). The results reveal important barriers to healthcare access in both samples, with notable differences between and within countries, once differences in sociodemographic characteristics and health needs are accounted for. In the Colombian study areas, the greatest barriers were encountered in initial access to healthcare and in resolving the problem, and similarly when entering the health service in the Brazilian study areas. Differences can also be detected in the use of services: in Colombia greater geographical and economic barriers and the need for authorization from insurers are more relevant, whereas in Brazil, it is the limited availability of health centres, doctors and drugs that leads to longer waiting times. There are also differences according to enrolment status and insurance scheme in Colombia, and between areas in Brazil. The barriers appear to be related to the Colombian system's segmented, non-universal nature, and to the involvement of insurance companies, and to chronic underfunding of the public system in Brazil. Further research is required, but the results obtained reveal critical points to be tackled by health policies in both countries.

  7. The effects of socioeconomic status, accessibility to services and patient type on hospital use in Western Australia: a retrospective cohort study of patients with homogenous health status

    OpenAIRE

    Holman C D'Arcy J; Moorin Rachael E

    2006-01-01

    Abstract Background This study aimed to investigate groups of patients with a relatively homogenous health status to evaluate the degree to which use of the Australian hospital system is affected by socio-economic status, locational accessibility to services and patient payment classification. Method Records of all deaths occurring in Western Australia from 1997 to 2000 inclusive were extracted from the WA mortality register and linked to records from the hospital morbidity data system (HMDS)...

  8. The quest to make accessibility a corporate article of faith at Microsoft: case study of corporate culture and human resource dimensions.

    Science.gov (United States)

    Sandler, Leonard A; Blanck, Peter

    2005-01-01

    This case study examines efforts by Microsoft Corporation to enhance the diversity of its workforce and improve the accessibility and usability of its products and services for persons with disabilities. The research explores the relation among the Americans with Disabilities Act of 1990, corporate leadership, attitudes and behaviors towards individuals with disabilities, and dynamics that shape organizational culture at Microsoft. Implications for Microsoft, other employers, researchers, and the disability community are discussed.

  9. The Caregiver as Gatekeeper for Accessing Health Care for Children in Foster Care: A Qualitative Study of Kinship and Unrelated Caregivers

    OpenAIRE

    Schneiderman, Janet U.; Smith, Caitlin; Palinkas, Lawrence A

    2012-01-01

    The objective of this qualitative study was to examine issues that unrelated and kinship foster caregivers in Los Angeles, CA, have in seeking help and accessing and using health care for children in foster care. There were four themes identified for all caregivers: (1) “Doing Our Best” (caregivers advocated persistently and creatively for health care); (2) “Support from Others Helped” (caregivers relied on caseworkers, organizations, and their social network); (3) “Child has Complicated, Ser...

  10. Overall satisfaction of health care users with the quality of and access to health care services: a cross-sectional study in six Central and Eastern European countries

    OpenAIRE

    Stepurko, Tetiana; Pavlova, Milena; Groot, Wim

    2016-01-01

    Background: The measurement of consumer satisfaction is an essential part of the assessment of health care services in terms of service quality and health care system responsiveness. Studies across Europe have described various strategies health care users employ to secure services with good quality and quick access. In Central and Eastern European countries, such strategies also include informal payments to health care providers. This paper analyzes the satisfaction of health care users with...

  11. Access and use of interventions to prevent and treat malaria among pregnant women in Kenya and Mali: a qualitative study.

    Directory of Open Access Journals (Sweden)

    Jenny Hill

    Full Text Available Coverage of malaria in pregnancy interventions in sub-Saharan Africa is suboptimal. We undertook a systematic examination of the operational, socio-economic and cultural constraints to pregnant women's access to intermittent preventive treatment (IPTp, long-lasting insecticide-treated nets (LLINs and case management in Kenya and Mali to provide empirical evidence for strategies to improve coverage.Focus group discussions (FGDs were held as part of a programme of research to explore the delivery, access and use of interventions to control malaria in pregnancy. FGDs were held with four sub-groups: non-pregnant women of child bearing age (aged 15-49 years, pregnant women or mothers of children aged <1 year, adolescent women, and men. Content analysis was used to develop themes and sub-themes from the data.Women and men's perceptions of the benefits of antenatal care were generally positive; motivation among women consisted of maintaining a healthy pregnancy, disease prevention in mother and foetus, checking the position of the baby in preparation for delivery, and ensuring admission to a facility in case of complications. Barriers to accessing care related to the quality of the health provider-client interaction, perceived health provider skills and malpractice, drug availability, and cost of services. Pregnant women perceived themselves and their babies at particular risk from malaria, and valued diagnosis and treatment from a health professional, but cost of treatment at health facilities drove women to use herbal remedies or drugs bought from shops. Women lacked information on the safety, efficacy and side effects of antimalarial use in pregnancy.Women in these settings appreciated the benefits of antenatal care and yet health services in both countries are losing women to follow-up due to factors that can be improved with greater political will. Antenatal services need to be patient-centred, free-of-charge or highly affordable and accountable

  12. A Study of the Essential Oils of Four Sudanese Accessions of Basil (Ocimum basilicum L. Against Anopheles Mosquito Larvae

    Directory of Open Access Journals (Sweden)

    Azhari H. Nour

    2009-01-01

    Full Text Available Problem statement: Certain basil essential oils were claimed to have a larvicidal activity towards mosquito's larvae. To test this claim the essential oils of four accessions of basil grown in Sudan were selected and tested for Anopheles larvae. Malaria is the major health problem in the Sudan and the whole country is now considered endemic, with varying degrees, about 35,000 deaths every year due to malaria. Anopheles mosquito is the major vector of malaria disease in Sudan. Search for larvicidal active compound(s is one of several attempts to fine effective and affordable ways to control this mosquito. To determine the toxic effects of basil essential oils extracted by steam distillation against Anopheles larvae. Approach: For the larvicidal bioassay, three concentrations (100, 300, 500 ppm of essential oil solutions of four basil accessions were prepared; 1 mL of ethanol was used to solubilize the oil in water (999 mL. In each concentration of oil solution were inserted 20 larvae (third instars. A set of controls using 0.1% ethanol and untreated sets of larvae in (tap water, were also run for comparison. Data were evaluated through regression analysis, from the regression line; the LC50 values were read. The active ingredients were separated and/ or identified by TLC, IR and GC-MS. Results: Larvicidal activity of the essential oils is varied, lasted for about 9 h and thereafter decreased, LC50 values ranging from 190-300 ppm. Linalool, geraniol and eugenol are active components of basil essential oil against Anopheles larvae. Two accessions were caused 100% mortality at a concentration range 300-500 ppm for 3 h. Conclusion: These results indicated that basil essential oils have larvicidal activity towards Anopheles larvae. Therefore, could be affordable way to control this mosquito.

  13. ACCESSIBILITY AND CRYSTALLINITY OF CELLULOSE

    Directory of Open Access Journals (Sweden)

    Michael Ioelovich

    2009-08-01

    Full Text Available The accessibility of cellulose samples having various degrees of crystallinity was studied with respect to molecules of water, lower primary alcohols, and lower organic acids. It was found that small water molecules have full access to non-crystalline domains of cellulose (accessibility coefficient α = 1. Molecules of the lowest polar organic liquids (methanol, ethanol, and formic acid have partial access into the non-crystalline domains (α<1, and with increasing diameter of the organic molecules their accessibility to cellulose structure decreases. Accessibility of cellulose samples to molecules of various substances is a linear function of the coefficient α and the content of non-crystalline domains. The relationship between crystallinity (X and accessibility (A of cellulose to molecules of some liquids has been established as A = α (1-X. The water molecules were found to have greater access to cellulose samples than the molecules of the investigated organic liquids. The obtained results permit use of accessibility data to estimate the crystallinity of cellulose, to examine the structural state of non-crystalline domains, and to predict the reactivity of cellulose samples toward some reagents.

  14. Materials Data Infrastructure: A Case Study of the Citrination Platform to Examine Data Import, Storage, and Access

    Science.gov (United States)

    O'Mara, Jordan; Meredig, Bryce; Michel, Kyle

    2016-08-01

    Considerations are presented around the design of a materials data infrastructure including import of structured and unstructured data, storage of that data for archival and retrieval, and access to that data through programmatic and graphical interfaces. In particular, the choices around technologies used in such an infrastructure, the benefits and drawbacks of those technologies, and their impact on the experience of users of that system are presented. The Citrination platform is used as an example of a materials data infrastructure and the choices made around architecture are discussed.

  15. An analysis on domestic users’ awareness towards Open Access resources:A case study of university users in Nanjing

    Institute of Scientific and Technical Information of China (English)

    SHEN; Kun; HUANG; Shuiqing

    2009-01-01

    Based on a survey of university teachers and students in Nanjing area of 2007,this article analyzes domestic users’awareness towards Open Access(OA),and the changes by comparing the corresponding data of 2006.The survey shows that the research evaluation system,the quality of literature and the payment for OA publications are the important factors for university users to choose OA or not.The authors finally suggest that the current research evaluation system should be reformed to accommodate OA journals.Meanwhile,great efforts should be devoted to improve the quality of OA literatures,and the governments and research institutions should provide stronger support than before.

  16. Materials Data Infrastructure: A Case Study of the Citrination Platform to Examine Data Import, Storage, and Access

    Science.gov (United States)

    O'Mara, Jordan; Meredig, Bryce; Michel, Kyle

    2016-06-01

    Considerations are presented around the design of a materials data infrastructure including import of structured and unstructured data, storage of that data for archival and retrieval, and access to that data through programmatic and graphical interfaces. In particular, the choices around technologies used in such an infrastructure, the benefits and drawbacks of those technologies, and their impact on the experience of users of that system are presented. The Citrination platform is used as an example of a materials data infrastructure and the choices made around architecture are discussed.

  17. Persistence, how do they do it? A case study of Access to Higher Education learners on a U.K. Diploma/BSc nursing programme.

    Science.gov (United States)

    Hinsliff-Smith, Kathryn; Gates, Peter; Leducq, Marion

    2012-01-01

    In 2006, the United Kingdom (U.K.) Department of Health (DoH) produced guidelines, requiring institutions to address the attrition rates for student nurses and midwives. This issue is not only a concern in the U.K. but has gained prominence in other Schools of Nursing including the U.S.A., Australia, and developing countries. Many Schools of Nursing have witnessed a change in their student population with a growing prominence of mature entrants (those over 21). Studies that focus on learner persistence, in particular mature students are relatively rare and very scarce on entrants with an Access to Higher Education (HE) qualification. This study, using focus group interviews, involved Access to HE learners who successfully progressed to a Diploma of Higher Education (DipHE)/Bachelor of Science (BSc) in Nursing at one U.K. University. The study findings indicated that Access to HE learners are able to develop a range of coping strategies in relation to academic demands and caring responsibilities, which are drawn upon in their DipHE/BSc programme. The findings have relevance for all Schools of Nursing as we face new and difficult challenges not least the global shortage of qualified nurses and the pressures placed on educators to retain student nurses.

  18. Green open access in computer science – an exploratory study on author-based self-archiving awareness, practice, and inhibitors

    Directory of Open Access Journals (Sweden)

    Daniel Graziotin

    2014-06-01

    Full Text Available Access to the work of others is something that is too often taken for granted, yet problematic and difficult to be obtained unless someone pays for it. Green and gold open access are claimed to be a solution to this problem. While open access is gaining momentum in some fields, there is a limited and seasoned knowledge about self-archiving in computer science. In particular, there is an inadequate understanding of author-based self-archiving awareness, practice, and inhibitors. This article reports an exploratory study of the awareness of self-archiving, the practice of self-archiving, and the inhibitors of self-archiving among authors in an Italian computer science faculty. Forty-nine individuals among interns, PhD students, researchers, and professors were recruited in a questionnaire (response rate of 72.8%. The quantitative and qualitative responses suggested that there is still work needed in terms of advocating green open access to computer science authors who seldom self-archive and when they do, they often infringe the copyright transfer agreements (CTAs of the publishers. In addition, tools from the open-source community are needed to facilitate author-based self-archiving, which should comprise of an automatic check of the CTAs. The study identified nine factors inhibiting the act of self-archiving among computer scientists. As a first step, this study proposes several propositions regarding author-based self-archiving in computer science that can be further investigated. Recommendations to foster self-archiving in computer science, based on the results, are provided.

  19. A review of existing studies reporting the negative effects of alcohol access and positive effects of alcohol control policies on interpersonal violence

    Directory of Open Access Journals (Sweden)

    Jessica Laura Fitterer

    2015-11-01

    Full Text Available Alcohol consumption often leads to elevated rates of violence yet alcohol access policies continue to relax across the globe. Our review establishes the extent alcohol policy can moderate violent crime through alcohol availability restrictions. Results were informed from comprehensive selection of peer-reviewed journals from 1950 to October 2015. Our search identified 88 relevant studies on alcohol access and violence conducted across 12 countries. Seventeen studies included quasi-control design, and 23 conducted intervention analysis. Seventy-two (82% reported a significant relationship between alcohol access and violent offences. Alcohol outlet studies reported the greatest percentage of significant results (93%, with trading hours (63%, and alcohol price following (58%. Results from baseline studies indicated the effectiveness of increasing the price of commonly consumed alcohol, restricting the hours of alcohol trading, and limiting the number of alcohol outlets per region to prevent violent offences. Unclear are the effects of tax reductions, restriction of on-premises re-entry, and different outlet types on violent crime. Further, the generalization of statistics over broad areas and the low number of control/intervention studies poses some concern for confounding or correlated effects on study results, and amount of information for local level prevention of interpersonal violence. Future studies should focus on gathering longitudinal data, validating models, limiting crime data to peak drinking days and times, and wherever possible collecting the joint distribution between violent crime, intoxication, and place. A greater up take of local level analysis will benefit studies comparing the influence of multiple alcohol establishment types by relating the location of a crime to establishment proximity. Despite, some uncertainties particular studies showed that even modest policy changes such as 1% increases in alcohol price, one hour changes

  20. A Review of Existing Studies Reporting the Negative Effects of Alcohol Access and Positive Effects of Alcohol Control Policies on Interpersonal Violence.

    Science.gov (United States)

    Fitterer, Jessica L; Nelson, Trisalyn A; Stockwell, Timothy

    2015-01-01

    Alcohol consumption often leads to elevated rates of violence yet alcohol access policies continue to relax across the globe. Our review establishes the extent alcohol policy can moderate violent crime through alcohol availability restrictions. Results were informed from comprehensive selection of peer-reviewed journals from 1950 to October 2015. Our search identified 87 relevant studies on alcohol access and violence conducted across 12 countries. Seventeen studies included quasi-control design, and 23 conducted intervention analysis. Seventy-one (82%) reported a significant relationship between alcohol access and violent offenses. Alcohol outlet studies reported the greatest percentage of significant results (93%), with trading hours (63%), and alcohol price following (58%). Results from baseline studies indicated the effectiveness of increasing the price of commonly consumed alcohol, restricting the hours of alcohol trading, and limiting the number of alcohol outlets per region to prevent violent offenses. Unclear are the effects of tax reductions, restriction of on-premises re-entry, and different outlet types on violent crime. Further, the generalization of statistics over broad areas and the low number of control/intervention studies poses some concern for confounding or correlated effects on study results, and amount of information for local-level prevention of interpersonal violence. Future studies should focus on gathering longitudinal data, validating models, limiting crime data to peak drinking days and times, and wherever possible collecting the joint distribution between violent crime, intoxication, and place. A greater uptake of local-level analysis will benefit studies comparing the influence of multiple alcohol establishment types by relating the location of a crime to establishment proximity. Despite, some uncertainties particular studies showed that even modest policy changes, such as 1% increases in alcohol price, 1 h changes to closing times

  1. Development and Validation of Project Management Constructs of Security Door Access Control Systems: A Pilot Study in Macau

    Directory of Open Access Journals (Sweden)

    Chan Brenda Wing Han

    2016-06-01

    Full Text Available A Security Door Access Control System (SDACS project involves a number of teams from different organizations with diverse project goals. One of the main challenges of such projects is the lack of a standard approach or common understanding to achieve a common goal among project parties. This research examines various management concerns for SDACS projects, highlights the expected common understanding for project participants, develops the project management constructs, and emphasizes on the resulting value of the project to all participants. A two-stage process of scale development and validation was conducted. First, six generic constructs were identified based on the Security Access Control System Framework. Next, a multi-item scale for each construct was developed with reference to the Result-Oriented Management Framework. Expert judges were invited to conduct manual sorting of the items iteratively until reliability and validity was reached. In the next stage, further refinement and validation were carried out with a synthesized survey instrument and a series of statistical testing followed. The finalized SDACS project management constructs and the related findings help reinforce the importance of a standardized management practice for SDACS projects. The value of this research not only benefits SDACS project managers but everyone who works on the project.

  2. Lexical access in children with and without specific language impairment: a cross-modal picture-word interference study.

    Science.gov (United States)

    Seiger-Gardner, Liat; Schwartz, Richard G

    2008-01-01

    Two experiments examined the time course of lexical information availability in 20 adults, 20 children (8;0-10;0) with typical language development, and in 20 children (8;0-10;0) with specific language impairment. A cross-modal picture-word interference paradigm was used in which participants named the pictures as quickly as possible while ignoring the phonologically and semantically related interfering words. A novel early phonological interference effect appeared in all groups. Similar temporal patterns were revealed for the adults and the typical language development group, supporting the notion of similar underlying lexicalization mechanisms. Parametric differences were found in overall response times and errors, with children responding slower and producing more errors than adults. The presence of a phonological facilitation effect suggests that children with specific language impairment utilize phonological primes to ease lexical access. Children with specific language impairment exhibited lingering semantic inhibition and a late semantic inhibition effect suggesting difficulty in processing semantic information. Data from all participants support the cascaded processing model of lexical access.

  3. Embedding a randomized clinical trial into an ongoing registry infrastructure: Unique opportunities for efficiency in design of the Study of Access site For Enhancement of Percutaneous Coronary Intervention for Women (SAFE-PCI for Women)

    OpenAIRE

    Hess, Connie N.; Rao, Sunil V.; Kong, David F.; Aberle, Laura H.; Anstrom, Kevin J.; Gibson, C. Michael; Gilchrist, Ian C.; Jacobs, Alice K.; Jolly, Sanjit S.; Mehran, Roxana; Messenger, John C.; Newby, L. Kristin; Waksman, Ron; Krucoff, Mitchell W.

    2013-01-01

    Women are at higher risk than men for bleeding and vascular complications after percutaneous coronary intervention (PCI). Compared with femoral access, radial access reduces these complications but may be more challenging in women because of higher rates of radial artery spasm, tortuosity, and occlusion as well as lower rates of procedure success. Whether the safety advantages of radial versus femoral access in women undergoing PCI are outweighed by reduced effectiveness has not been studied....

  4. Complication with intraosseous access

    DEFF Research Database (Denmark)

    Hallas, Peter; Brabrand, Mikkel; Folkestad, Lars

    2013-01-01

    INTRODUCTION: Intraosseous access (IO) is indicated if vascular access cannot be quickly established during resuscitation. Complication rates are estimated to be low, based on small patient series, model or cadaver studies, and case reports. However, user experience with IO use in real......-life emergency situations might differ from the results in the controlled environment of model studies and small patient series. We performed a survey of IO use in real-life emergency situations to assess users' experiences of complications. METHODS: An online questionnaire was sent to Scandinavian emergency...... the willingness of medical staff to use IO. Therefore, user experience should be addressed both in education of how to use, and research and development of IOs....

  5. Experimental study on radiation effects in floating gate read-only-memories and static random access memories

    Science.gov (United States)

    He, Chao-Hui; Li, Yong-Hong

    2007-09-01

    Radiation effects of the floating gate read-only-memory (FG ROM) and the static random access memory (SRAM) have been evaluated using the 14 MeV neutron and 31.9MeV proton beams and Co-60 γ-rays. The neutron fluence, when the first error occurs in the FG ROMs, is at least 5 orders of magnitude higher than that in the SRAMs, and the proton fluence, 4 orders of magnitude higher. The total dose threshold for Co-60 γ-ray irradiation is about 104 rad (Si) for both memories. The difference and similarity are attributed to the structure of the memory cells and the mechanism of radiation effects. It is concluded that the FG ROMs are more reliable as semiconductor memories for storing data than the SRAMs, when they are used in the satellites or space crafts exposed to high energy particle radiation.

  6. Experimental study on radiation effects in floating gate read-only-memories and static random access memories

    Institute of Scientific and Technical Information of China (English)

    He Chao-Hui; Li Yong-Hong

    2007-01-01

    Radiation effects of the floating gate read-only-memory (FG ROM) and the static random access memory (SRAM)have been evaluated using the 14 MeV neutron and 31.9MeV proton beams and Co-60 γ-rays. The neutron fluence,when the first error occurs in the FG ROMs, is at least 5 orders of magnitude higher than that in the SRAMs, and the proton fluence, 4 orders of magnitude higher. The total dose threshold for Co-60 γ-ray irradiation is about 104 rad (Si)for both memories. The difference and similarity are attributed to the structure of the memory cells and the mechanism of radiation effects. It is concluded that the FG ROMs are more reliable as semiconductor memories for storing data than the SRAMs, when they are used in the satellites or space crafts exposed to high energy particle radiation.

  7. Facilities for external radiation accessible for investigation on biological studies - progress report may 2004; Les installations d'irradiation externe accessibles aux etudes de biologie - etat d'avancement mai 2004

    Energy Technology Data Exchange (ETDEWEB)

    Gaillard-Lecanu, E. [CEA Fontenay aux Roses (DSV/Carmin), 92 (France); Authier, N.; Verrey, B. [CEA Valduc, Dept. Recherche sur les Materiaux Nucleaires, 21 - Is-sur-Tille (France); Bailly, I. [CEA Bruyeres le Chatel, 91 (France). Dept. de Physique Theorique et Appliquee; Baldacchino, G.; Pin, S.; Pommeret, S.; Renault, J.Ph. [CEA Saclay, Dept. de Recherche sur Etat Condense, les Atomes et les Molecules, 91 - Gif sur Yvette (France); Bordy, J.M. [CEA Saclay, Dir. de la Recherche Technologique (DRT/DETECS/LNHB/LMD), 91 - Gif sur Yvette (France); Coffigny, H. [CEA Fontenay aux Roses, Dept. de Radiobiologie et de Radiopathologie, 92 (France); Cortela, L. [CEA Grenoble, ARC-Nucleart, 38 (France); Duval, D. [CEA Saclay, Schering - CIS bio International, 91 - Gif sur Yvette (France); Leplat, J.J. [CEA Saclay (DSV/DRR/LREG), 91 - Gif sur Yvette (France); Poncy, J.L. [CEA Fontenay aux Roses (DSV/DRR/SRCA), 92 (France); Testard, I. [CEA Caen (DSV/DRR/LRO-LARIA), 14 - Caen (France); Thuret, J.Y. [CEA Saclay (DSV/DBJC/SBGM), 91 - Gif sur Yvette (France)

    2004-07-01

    The Life Science Division of the Atomic Energy Commission is making an inventory of the various radiation sources accessible for investigation on the biological effects of ionizing radiation. In this field, a wide range of studies is being carried out at the Life Science Division, attempting to characterize the kind of lesions with their early biological consequences (on the various cell compartments) and their late biological consequences (deterministic or stochastic effects), in relation to the radiation type and dose, especially at low doses. Several experimental models are available: plants, bacteria, eukaryotic cells from yeast up to mammalian cells and in vivo studies, mostly on rodents, in order to characterize the somatic late effects and the hereditary effects. Due to the significant cost of these facilities, also to their specific properties (nature of the radiation, dose and dose rate, possible accuracy of the irradiation at the molecular level), the closeness is no longer the only criteria for biologists to make a choice. The current evolution is to set up irradiation infrastructures combining ionizing radiation sources themselves and specific tools dedicated to biological studies: cell or molecular biology laboratories, animal facilities. The purpose, in this new frame, is to provide biologists with the most suitable facilities, and, if possible, to change these facilities according to requirements in radiobiology. In this report, the basics of interactions of ionizing radiation with biological tissues are briefly introduced, followed by a presentation of some of the facilities available at the CEA for radiobiological studies. This panorama is not a comprehensive one, new data will be included as they advance, whether reporting existing facilities or if a new one is developed. (authors)

  8. Community health centers and primary care access and quality for chronically-ill patients – a case-comparison study of urban Guangdong Province, China

    OpenAIRE

    Shi, Leiyu; Lee, De-Chih; Liang, Hailun; Zhang, Luwen; Makinen, Marty; Blanchet, Nathan; Kidane, Ruth; Lindelow, Magnus; Wang, Hong; Wu, Shaolong

    2015-01-01

    Objective Reform of the health care system in urban areas of China has prompted concerns about the utilization of Community Health Centers (CHC). This study examined which of the dominant primary care delivery models, i.e., the public CHC model, the ‘gate-keeper’ CHC model, or the hospital-owned CHC models, was most effective in enhancing access to and quality of care for patients with chronic illness. Methods The case-comparison design was used to study nine health care organizations in Guan...

  9. Evaluating a Human Rights-Based Advocacy Approach to Expanding Access to Pain Medicines and Palliative Care: Global Advocacy and Case Studies from India, Kenya, and Ukraine.

    Science.gov (United States)

    Lohman, Diederik; Amon, Joseph J

    2015-12-10

    Palliative care has been defined as care that is person-centered and attentive to physical symptoms and psychological, social, and existential distress in patients with severe or life-threatening illness. The identification of access to palliative care and pain treatment as a human rights issue first emerged among palliative care advocates, physicians, and lawyers in the 1990s, with a basis in the right to health and the right to be free from cruel, inhuman, and degrading treatment. Using a case study approach, we evaluate the results of a human rights-based advocacy approach on access to pain medicine and palliative care in India, Kenya, and Ukraine. In each country, human rights advocacy helped raise awareness of the issue, identify structural barriers to care, define government obligations, and contribute to the reform of laws, policies, and practices impeding the availability of palliative care services. In addition, advocacy efforts stimulated civil society engagement and high-level political leadership that fostered the implementation of human rights-based palliative care programs. Globally, access to palliative care was increasingly recognized by human rights bodies and within global health and drug policy organizations as a government obligation central to the right to health.

  10. Evaluating a Human Rights-Based Advocacy Approach to Expanding Access to Pain Medicines and Palliative Care: Global Advocacy and Case Studies from India, Kenya, and Ukraine.

    Science.gov (United States)

    Lohman, Diederik; Amon, Joseph J

    2015-01-01

    Palliative care has been defined as care that is person-centered and attentive to physical symptoms and psychological, social, and existential distress in patients with severe or life-threatening illness. The identification of access to palliative care and pain treatment as a human rights issue first emerged among palliative care advocates, physicians, and lawyers in the 1990s, with a basis in the right to health and the right to be free from cruel, inhuman, and degrading treatment. Using a case study approach, we evaluate the results of a human rights-based advocacy approach on access to pain medicine and palliative care in India, Kenya, and Ukraine. In each country, human rights advocacy helped raise awareness of the issue, identify structural barriers to care, define government obligations, and contribute to the reform of laws, policies, and practices impeding the availability of palliative care services. In addition, advocacy efforts stimulated civil society engagement and high-level political leadership that fostered the implementation of human rights-based palliative care programs. Globally, access to palliative care was increasingly recognized by human rights bodies and within global health and drug policy organizations as a government obligation central to the right to health. PMID:26766856

  11. 网络化HRM系统访问权限控制方法研究%Study of Access Control Method of HRM Svstem Based on Network

    Institute of Scientific and Technical Information of China (English)

    邱占芝; 马海瀚

    2011-01-01

    研究了网络化人力资源管理(HRM)系统中功能模块和页面的访问权限控制方法与实现问题.采用基于角色的访问控制(RBAC,Role-Based Access Control)模型,实现网络化HRM系统的访问权限控制,其最大特点是:通过引入角色(R)的概念,建立用户(U)和权限(P)之间的关联,通过为用户分配角色、为角色分配权限,达到控制用户访问权限的目的.某大型跨地域HRM系统的成功实施表明:基于RBAC模型的访问权限控制方法,不仅简化用户权限配置工作量,而且大大提高系统与数据的安全性和可靠性,使得系统具有方便性、灵活性、安全性和易扩展性.%Access control of the HRM system is studied based on role-based access control model to establish the relationship between the user and the permissions by bring in the role. The model controls the permissions by assigning the task to the roles and giving roles to users. The HRM system proves that the role-based access control model is a good solution of the access control by reducing the complexity and cost of security administration in large network applications, and protecting the data at the same time.

  12. Factors Affecting Access to Healthcare: An Observational Study of Children under 5 Years of Age Presenting to a Rural Gambian Primary Healthcare Centre

    Science.gov (United States)

    Hawkesworth, Sophie; Moore, Sophie E.; Dondeh, Bai L.; Unger, Stefan A.

    2016-01-01

    Main Objective Prompt access to primary healthcare before onset of severe illness is vital to improve morbidity and mortality rates. The Gambia has high rates of child mortality and research is needed to investigate contributing factors further. This study aimed to identify factors affecting access to primary healthcare for children <5 years (y) in rural Gambia focusing on delayed presentation and severe illness at presentation as indicators in a setting where primary healthcare is delivered free of charge. Methods Data were extracted from an electronic medical records system at a rural primary healthcare clinic in The Gambia for children (0–5y) between 2009 and 2012. First clinic attendances with malaria, lower respiratory tract infections (LRTI) and diarrhoeal disease, the main contributors to mortality in this setting, were identified and categorized as delayed/non-delayed and severe/non-severe representing our two main outcome measures. Potential explanatory variables, identified through a comprehensive literature review were obtained from an ongoing demographic surveillance system for this population. Variables associated with either delayed/non-delayed and/or with severe/non-severe presentations identified by univariate analysis (p<0.1) were assessed in multivariate models using logistic regression (p<0.05). Results Out of 6554 clinic attendances, 571 relevant attendances were identified. Delayed presentation was common (45% of all presentations) and there was a significantly reduced risk associated with being from villages with free regular access to transport (OR 0.502, 95%CI[0.310, 0.814], p = 0.005). Children from villages with free regular transport were also less likely to present with severe illness (OR 0.557, 95%CI[0.325, 0.954], p = 0.033). Conclusions Transport availability rather than distance to health clinic is an important barrier to accessing healthcare for children in The Gambia, and public health interventions should aim to reduce this

  13. Access to Local Agriculture and Weight Outcomes

    OpenAIRE

    Berning, Joshua P.

    2012-01-01

    Recent studies examine the impact of the built environment on health outcomes such as obesity. Several studies find for certain populations that access to unhealthy food has a positive effect on obesity, whereas access to healthy choices has a negative effect. Given the growth and popularity of locally grown food, we examine how individual weight outcomes are affected by access to direct-to-consumer local food. After controlling for potential endogeneity, we find that greater access to local ...

  14. Retención y Penetración en Estacones de Eucalyptus Saligna. Sometidos a Tratamiento con CuSO4 y Sal CCC, en Baño Caliente y frio y Vacio-Presión

    Directory of Open Access Journals (Sweden)

    Escobar C. Oscar

    1987-09-01

    Full Text Available Este trabajo describe y da los resultados obtenidos con el pretratamiento de estacones de Eucalyptus saligna a tres soluciones de CUS04 y su posterior tratamiento con sales CCA (OSMOSE K-33. El sulfato de cobre se aplicó por el método de baño caliente y frío, seguido por el proceso de difusión durante una semana; para los anteriores tratamientos se usó madera verde o parcialmente seca al aire; las sales CCA se aplicaron a madera seca por el método de vacío-presión. Una de las razones para llevar a cabo este refuerzo de las sales CCA, es haber encontrado postes de eucalipto severamente atacados por hongos, en especial con pudrición blanda. Los estacones fueron tratados inicialmente con soluciones de sulfato de cobre a 1 %, 2% y 3% de concentración; luego los estacones fueron tratados con una solución de sal CCA al 2.5% de concentración por vacío-presión. Se usaron 40 estacones distribuídos en 4 grupos de 10: tres (3 grupos fueron usados para el tratamiento con las soluciones de CUS04 y solución de CCA; el grupo restante fue tratado con la sal CCA únicamente, el cual fue usado como grupo testigo para fines de comparación en los ensayos de campo (cementerios.

  15. Cinética de secado de fruta bomba (Carica papaya L., cv. Maradol Roja mediante los métodos de deshidratación osmótica y por flujo de aire caliente

    Directory of Open Access Journals (Sweden)

    Daybelis Fernández Valdés

    2015-01-01

    Full Text Available La deshidratación es uno de los métodos más utilizados para la conservación de frutas y vegetales, mediante su uso se logra extender los períodos de almacenamiento preservando siempre la calidad de los productos. El presente trabajo tiene como objetivo evaluar el comportamiento cinético de las principales propiedades de la fruta bomba (Carica papaya L, cv. Maradol Roja durante los procesos agroindustriales de deshidratación osmótica (DO y por flujo de aire caliente (DAC. Las frutas se cortaron en cubos (trozos de 2,5 x 2,5 x 1,0±0,02 cm (ancho, largo y espesor y se deshidrataron mediante DO (60 °C durante 10 horas y DAC (60 °C durante 5 horas. Durante la deshidratación se monitoreó la variación de la masa, la firmeza y el porciento de pérdida de peso (Pp de las frutas en ambos procesos y para el procesamiento estadístico se utilizó el software Startgraphics Plus versión 5,1. Como resultado no se hallaron diferencias significativas de las propiedades evaluadas (masa, pérdida de peso y firmeza entre los procesos de DO y DAC por lo que se obtienen resultados similares por ambos métodos; sin embargo, con respecto al tiempo de deshidratación para ambos métodos si se encontraron diferencias significativas entre dichas propiedades.

  16. Accessibility for persons with mobility impairments within an informal trading site: A case study on the markets of Warwick, South Africa

    Directory of Open Access Journals (Sweden)

    Pragashnie Naidoo

    2014-04-01

    Full Text Available Background: There are a number of informal trading sites across cities in sub-Saharan Africa,of which the markets of Warwick is one example. Since the informal economy is an important contributor to a city’s economy as well as a source of employment, it is important for these sites to be accessible for all persons. Whilst the South African government has put structures in place to identify and remove environmental barriers in order to meet the individual needs of persons with mobility impairments and improve their quality of life, persons with mobility impairments still face barriers and restricting environments that prevent them from participating in society and its social and economic activities.Objectives: This case study aimed at exploring accessibility within the markets of Warwick for persons with mobility impairments by an ergonomic assessment, augmented by voices of participants within the market.Method: A qualitative, instrumental, single case study design was utilised with purposive sampling of the markets of Warwick as the study setting. Multiple sources of data were gathered, such as semi-structured interviews, direct observations of an environmental survey supported by photographs, and the authors’ review of relevant documents. Transcriptions were analysed using NVivo 10 software programme with inductive coding.Results: Whilst policies have been in place since 1996 to adjust infrastructure, the markets of Warwick still remain inaccessible to persons with mobility impairments and do not meet the standardised infrastructural design.Conclusion: The findings of this study may offer a significant understanding of the complexity of accessibility within an informal trading site and create an awareness of the limitations this has for persons with mobility impairments. Additionally, these findings may assist in effecting a positive change in terms of the infrastructure of the Markets and in continuous advocating for the rights of persons

  17. Process quality of diabetes care under favorable access to healthcare: a 2-year longitudinal study using claims data in Japan

    Science.gov (United States)

    Tanaka, Hirokazu; Tomio, Jun; Sugiyama, Takehiro; Kobayashi, Yasuki

    2016-01-01

    Objective To investigate the process quality of diabetes care provided to patients under universal health insurance coverage. Research design and methods Using claim data for 570 363 beneficiaries aged 20–69 years who were covered by Health Insurance Societies between April 2010 and March 2012, we identified patients with type 2 diabetes who made follow-up visits at least every 3 months in the first year (subject-identification year). We assessed patient adherence to follow-up visits in the second year (quality-reporting year), calculated the proportion of patients that completed routine examinations for glycemic control and complications, and evaluated associations between characteristics of patients and quality indicators using multivariable logistic regression models. Results We identified 12 909 patients with diabetes; in the subject-identification year, 1415 (11.0%) had prescriptions for insulin injections, 6049 (46.9%) had prescriptions for oral antihyperglycemic agents, and 5445 (42.2%) had no diabetes-related prescriptions. Among patients using medication, 474 (6.4%) dropped out in the quality-reporting year. The adjusted percentages of quality indicators among patients using oral antihyperglycemic agents were 95.8% for glycated hemoglobin, 35.6% for eye examinations, 15.4% for urine microalbumin excretion, and 90.6% for serum lipids; the percentages among patients taking insulin were the same or higher. Annual testing for glycated hemoglobin was less frequent in patients aged 40–49 years than in patients aged 60–69 years (OR 0.77; 95% CI 0.66 to 0.91). Fewer men than women (OR 0.59; 95% CI 0.54 to 0.64), and fewer patients aged 40–49 years than those aged 60–69 years (OR 0.56; 95% CI 0.50 to 0.63) tended to complete routine eye examinations. Conclusions Screening for retinopathy and nephropathy was less frequent than required despite favorable conditions for access to healthcare in Japan. Suboptimal quality of care appeared to

  18. CERN Access Cards and Access Authorisations

    CERN Multimedia

    2003-01-01

    From the 01/05/2003, all problems relating to access cards and refusal of access to any zone, building or experiment within CERN must be addressed to the Centrale de Surveillance des Accès (CSA building 120) on 78877 or send an e-mail to Access.Surveillance@cern.ch. The responsibles for CERN access control have put into place a procedure with the CSA, Service Enregistrement and the Technical Control Room, to make sure that all problems get resolved in a proper and timely manner.

  19. Case studies in open access publishing. Number one. The Electronic Journal of Information Technology in Construction (ITcon: an open access journal using an un-paid, volunteer-based organization.

    Directory of Open Access Journals (Sweden)

    Bo-Christer Bjoerk

    2006-01-01

    Full Text Available This case study is based on the experiences with the Electronic Journal of Information Technology in Construction (ITcon, founded in 1995. This journal is an example of a particular category of open access journals, which use neither author charges nor subscriptions to finance their operations, but rely largely on unpaid voluntary work in the spirit of the open source movement. The journal has, after some initial struggle, survived its first decade and is now established as one of half-a-dozen peer reviewed journals in its field. The journal publishes articles as they become ready, but creates virtual issues through alerting messages to “subscribers”. It has also started to publish special issues, since this helps to attract submissions, and also helps in sharing the work-load of review management. From the start the journal adopted a rather traditional layout of the articles. After the first few years the HTML version was dropped and papers are only published in PDF format. The journal has recently been benchmarked against the competing journals in its field. Its acceptance rate of 53% is slightly higher and its average turnaround time of seven months almost a year faster compared to those journals in the sample for which data could be obtained. The server log files for the past three years have also been studied. Our overall experience demonstrates that it is possible to publish this type of OA journal, with a yearly publishing volume equal to a quarterly journal and involving the processing of some fifty submissions a year, using a networked volunteer-based organization.

  20. Accessibility and sensory experiences

    DEFF Research Database (Denmark)

    Ryhl, Camilla

    2010-01-01

    This article introduces a new design concept; sensory accessibility. While acknowledging the importance of sensory experiences in architectural quality, as well as the importance of accommodating user needs the concept combines three equally important factors; architecture, the senses...... and accessibility. Sensory accessibility accommodates aspects of a sensory disability and describes architectural design requirements needed to ensure access to architectural experiences. In the context of architecture accessibility has become a design concept of its own. It is generally described as ensuring...

  1. Access to Difficult-to-reach Population Subgroups: A Family Midwife Based Home Visiting Service for Implementing Nutrition-related Preventive Activities - A Mixed Methods Explorative Study

    Directory of Open Access Journals (Sweden)

    Helena Walz

    2015-08-01

    Full Text Available Health and social inequality are tightly linked and still pose an important public health problem. However, vulnerable and disadvantaged populations are difficult to reach for health-related interventions. Given the long-lasting effects of an adverse, particular nutrition-related, intrauterine and neonatal environment on health development (perinatal programming, an early and easy access is essential for sustainable interventions. The goal of this explorative study was therefore to elucidate whether an existing access of family midwives (FMs to families in need of support could be an option to implement effective public health and nutrition interventions. To that end three research objectives were formulated: (1 to determine whether a discernible impact of home visits by FMs can be described; (2 to identify subgroups among these families in need of more specific interventions; (3 to determine how relevant nutrition-related topics are for both FMs and the supported families. For addressing these objectives a mixed methods design was used: Routine documentation data from 295 families visited by a family midwife (FM were analyzed (secondary analysis, and structured expert interviews with FMs were conducted and analyzed. Study reporting followed the STROBE (STrengthening the Reporting of OBservational studies in Epidemiology statement. Based on the FMs reports, a significant improvement (p < 0.001 regarding psycho-social variables could be determined after the home visits. Single mothers, however, seemed to benefit less from the FMs service compared to their counterparts (p = 0.015. Nutritional counseling was demanded by 89% of the families during the home visits. In addition, nutrition-related topics were reported in the interviews to be of high interest to both families and the FMs. Based on the obtained results it is concluded that FMs home visits offer a promising access to vulnerable and disadvantaged families for implementing nutrition

  2. Timing of access to secondary healthcare services for diabetes management and lower extremity amputation in people with diabetes: a protocol of a case-control study.

    LENUS (Irish Health Repository)

    Buckley, Claire M

    2013-09-03

    Lower extremity amputation (LEA) is a complication of diabetes and a marker of the quality of diabetes care. Clinical and sociodemographic determinants of LEA in people with diabetes are well known. However, the role of service-related factors has been less well explored. Early referral to secondary healthcare is assumed to prevent the occurrence of LEA. The objective of this study is to investigate a possible association between the timing of patient access to secondary healthcare services for diabetes management, as a key marker of service-related factors, and LEA in patients with diabetes.

  3. Random Access Game and Medium Access Control Design

    OpenAIRE

    Chen, Lijun; Low, Steven H.; Doyle, John C.

    2010-01-01

    Motivated partially by a control-theoretic viewpoint, we propose a game-theoretic model, called random access game, for contention control. We characterize Nash equilibria of random access games, study their dynamics, and propose distributed algorithms (strategy evolutions) to achieve Nash equilibria. This provides a general analytical framework that is capable of modeling a large class of system-wide quality-of-service (QoS) models via the specification of per-node util...

  4. Open Access Publishing: What Authors Want

    Science.gov (United States)

    Nariani, Rajiv; Fernandez, Leila

    2012-01-01

    Campus-based open access author funds are being considered by many academic libraries as a way to support authors publishing in open access journals. Article processing fees for open access have been introduced recently by publishers and have not yet been widely accepted by authors. Few studies have surveyed authors on their reasons for publishing…

  5. Differences and determinants in access to essential public health services in China: a case study with hypertension people and under-sixes as target population

    Institute of Scientific and Technical Information of China (English)

    Niu Hongli; Tian Miaomiao; Ma Anning; Wang Chunping; Zhang Liang

    2014-01-01

    Background Since 2009,health reform had launched in China and essential public health services were provided for all residents to ensure service equity and accessibility,and to achieve sustained population-wide health improvement.This study aimed to investigate the differences and determinants among populations with different characteristics access to essential public health services in China,especially hypertension people and children aged 0-6 years.Methods A cross-sectional study with socio-demographic data analysis was undertaken to estimate distribution characteristics of receiving essential public health services of hypertension patients and children.Regular follow-ups and effective blood pressure control reflected the effective management for hypertension patients,and for children,public services provided were vaccination on schedule and regular physical check-up.Logistic regression was used to determine the predictors for effective management.Results A total of 1 505 hypertension patients and 749 children were involved; 39.14% of hypertension participants could control their blood pressure in the normal range,and the rate in urban areas (43.61%) was higher than that in rural (31.88%).And 34.68% of them could receive more than 4 times follow-ups by the medical technician.Of 754 children,79.84% could receive the periodic physical examination and 98.40% had vaccinated regularly.Children living in rural areas were more likely to have regular check-ups (83.96%) and regular vaccination (nearly 99%).Overall,geographic location and education level were the determinants of people access to essential public health services.Conclusions Implementation of the health reform since 2009 has headed China's public health system in the right direction and promoted the improvement of public health system development.Our study highlights the growing needs for more public health services in China,and China's public health system needs to be greatly improved in

  6. “Where to find those doctors?” A qualitative study on barriers and facilitators in access to and utilization of health care services by Polish migrants in Norway

    OpenAIRE

    Czapka, Elżbieta Anna; Sagbakken, Mette

    2016-01-01

    Background Poles constitute the largest group of migrants in Norway. Research confirms a steady inflow and a minimal outflow of Polish migrants. One of the key aspects of migrants’ structural integration is access to health care services. This study explored barriers to and facilitators of Polish migrants’ access to Norwegian health care services. Methods A qualitative interview-based study was carried out between November 2013 and July 2014. The study is part of a larger, ongoing mixed-metho...

  7. Professional Access 2013 programming

    CERN Document Server

    Hennig, Teresa; Hepworth, George; Yudovich, Dagi (Doug)

    2013-01-01

    Authoritative and comprehensive coverage for building Access 2013 Solutions Access, the most popular database system in the world, just opened a new frontier in the Cloud. Access 2013 provides significant new features for building robust line-of-business solutions for web, client and integrated environments.  This book was written by a team of Microsoft Access MVPs, with consulting and editing by Access experts, MVPs and members of the Microsoft Access team. It gives you the information and examples to expand your areas of expertise and immediately start to develop and upgrade projects. Exp

  8. Heat pumping using the thermal earth gradient to produce air conditioned and hot water with savings of up to 70%; Bombeo de calor utilizando el gradiente termico de la tierra para producir aire acondicionado y agua caliente con ahorros de hasta un 70%

    Energy Technology Data Exchange (ETDEWEB)

    Alvarez Ramirez, Alejandro [Novaenergia de Mexico S.A. de C.V. (Mexico)

    2003-07-01

    The pumping of heat using the Earth heat as partial energy source bases its principle on which the energy of the ground is constant and the energy efficiency to produce air conditioning and hot water simultaneously is important, obtaining savings up to 70%, comparing itself with the traditional equipment and what these operate of separated way to produce each one of them the cold air and the hot water. The use of this technology presents an opportunity to reduce the energy costs of and the demand of the company. [Spanish] El bombeo de calor utilizando el calor de la tierra como fuente parcial de energia basa su principio en que la energia del suelo es constante y el rendimiento energetico para producir simultaneamente aire acondicionado y agua caliente es importante, obteniendose ahorros hasta de un 70%, comparandose con los equipos tradicionales y que estos operan de manera separada para producir cada uno de ellos el aire frio y el agua caliente. El uso de esta tecnologia presenta una oportunidad para reducir los costos de energia y demanda de la empresa.

  9. Unidades habitacionais hoteleiras na Ilha de Santa Catarina: um estudo sobre acessibilidade espacial Habitational units in hotels of the Island of Santa Catarina: a study about Spatial accessibility

    Directory of Open Access Journals (Sweden)

    Vera Helena Moro Bins Ely

    2009-01-01

    Full Text Available Este artigo trata da avaliação das condições de acessibilidade espacial em unidades habitacionais (UHs, ditas acessíveis, de hotéis residenciais na ilha de Santa Catarina. Para tanto, visitas exploratórias permitiram o levantamento arquitetônico das UHs escolhidas e a análise de sua adequação aos parâmetros técnicos estabelecidos pela NBR 9050/2004. Entrevistas com diferentes usuários complementam o estudo na medida em que apontam as reais dificuldades enfrentadas por eles, devido às inadequadas soluções de acessibilidade presentes nos ambientes da rede hoteleira. Os métodos utilizados permitiram classificar os problemas de acessibilidade espacial segundo quatro componentes - orientação espacial, deslocamento, uso e comunicação - e relacioná-los às deficiências e habilidades dos diversos usuários. Encontrou-se maior prevalência de problemas ligados ao uso de mobiliários e equipamentos, os quais afetam a realização de atividades com conforto e independência. Verifica-se, também, que a NBR 9050/2004 ainda direciona seus parâmetros técnicos para atender principalmente deficientes físico-motores.This paper deals with the evaluation of the conditions of spatial accessibility in habitation units (UHs considered accessible in residential hotels on the Island of Santa Catarina. For this purpose, exploratory visits allowed an architectonic survey of the chosen UHs and an analysis of their adjustment to the technical parameters established by NBR 9050/2004. Interviews with different users completed the study which highlighted the real difficulties faced by them due to inadequate solutions of accessibility present in the hotel network environments. The methods facilitated a classification of the problems of spatial accessibility according to four components - spatial orientation, displacement, use and communication - and related them to the abilities and disabilities of the various users. A higher prevalence of problems

  10. Physical Access Control Database

    Data.gov (United States)

    Department of Transportation — This data set contains the personnel access card data (photo, name, activation/expiration dates, card number, and access level) as well as data about turnstiles and...

  11. Student's Plagiarisms in Higher Learning Institutions in the Era of Improved Internet Access: Case Study of Developing Countries

    Science.gov (United States)

    Anney, Vicent Naano; Mosha, Mary Atanas

    2015-01-01

    This study investigated students' plagiarism practices in Tanzania higher learning institutions by involving two universities-one public and one private university as a case study. The universities involved have honour code and policies for plagiarism detection however they do not employ software for checking students' plagiarism. The study…

  12. Strategic Planning for a Data-Driven, Shared-Access Research Enterprise: Virginia Tech Research Data Assessment and Landscape Study

    Science.gov (United States)

    Shen, Yi

    2016-01-01

    The data landscape study at Virginia Tech addresses the changing modes of faculty scholarship and supports the development of a user-centric data infrastructure, management, and curation system. The study investigates faculty researchers' current practices in organizing, describing, and preserving data and the emerging needs for services and…

  13. Analysis of E-Mail Produced by Middle School Students with Disabilities Using Accessible Interfaces: An Exploratory Study

    Science.gov (United States)

    Sohlberg, McKay Moore; Todis, Bonnie; Fickas, Stephen; Ehlhardt, Laurie

    2011-01-01

    The goal of this exploratory study was to investigate electronic communication as a potential method to enhance social communication in a range of students with disabilities. This study investigated the usability of an adapted e-mail interface, TeenMail, for 11 middle school students with significant learning and communication impairments who…

  14. Access Customized Forms

    OpenAIRE

    Cosma Emil; Jeflea Victor

    2010-01-01

    By using Word, Excel or PowerPoint one can automate routine operations using the VBA language (Visual Basic for Applications). This language is also used in Access, allowing access to data stored in tables or queries. Thus, Access and VBA resources can be used together. Access is designed for programming forms and reports (among other things), so there won’t be found any of the VBA editor’s specific forms.

  15. The Accessibility Quotient: A New Measure of Open Access

    Directory of Open Access Journals (Sweden)

    Mathew A. Willmott

    2012-05-01

    Full Text Available INTRODUCTION The Accessibility Quotient (AQ, a new measure for assisting authors and librarians in assessing and characterizing the degree of accessibility for a group of papers, is proposed and described. The AQ offers a concise measure that assesses the accessibility of peer-reviewed research produced by an individual or group, by incorporating data on open availability to readers worldwide, the degree of financial barrier to access, and journal quality. The paper reports on the context for developing this measure, how the AQ is calculated, how it can be used in faculty outreach, and why it is a useful lens to use in assessing progress towards more open access to research. METHODS Journal articles published in 2009 and 2010 by faculty members from one department in each of MIT’s five schools were examined. The AQ was calculated using economist Ted Bergstrom’s Relative Price Index to assess affordability and quality, and data from SHERPA/RoMEO to assess the right to share the peer-reviewed version of an article. RESULTS The results show that 2009 and 2010 publications by the Media Lab and Physics have the potential to be more open than those of Sloan (Management, Mechanical Engineering, and Linguistics & Philosophy. DISCUSSION Appropriate interpretation and applications of the AQ are discussed and some limitations of the measure are examined, with suggestions for future studies which may improve the accuracy and relevance of the AQ. CONCLUSION The AQ offers a concise assessment of accessibility for authors, departments, disciplines, or universities who wish to characterize or understand the degree of access to their research output, capturing additional dimensions of accessibility that matter to faculty.

  16. Open Access Alternatives

    Science.gov (United States)

    Tenopir, Carol

    2004-01-01

    Open access publishing is a hot topic today. But open access publishing can have many different definitions, and pros and cons vary with the definitions. Open access publishing is especially attractive to companies and small colleges or universities that are likely to have many more readers than authors. A downside is that a membership fee sounds…

  17. Current/temperature measurements near the Sigsbee Escarpment from the MMS Desoto Canyon Intrusion Study, 19990829 - 20010906 (NODC Accession 0002569)

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — During this study in-situ measurement of currents,temperature, conductivity were made on a series of tautline moorings near the base of and on the Sigsbee...

  18. Regional Geologic Map of San Andreas and Related Faults in Carrizo Plain, Temblor, Caliente and La Panza Ranges and Vicinity, California; A Digital Database

    Science.gov (United States)

    Dibblee, T. W.; Digital database compiled by Graham, S. E.; Mahony, T.M.; Blissenbach, J.L.; Mariant, J.J.; Wentworth, C.M.

    1999-01-01

    This Open-File Report is a digital geologic map database. The report serves to introduce and describe the digital data. There is no paper map included in the Open-File Report. The report includes PostScript and PDF plot files that can be used to plot images of the geologic map sheet and explanation sheet. This digital map database is prepared from a previously published map by Dibblee (1973). The geologic map database delineates map units that are identified by general age, lithology, and clast size following the stratigraphic nomenclature of the U.S. Geological Survey. For descriptions of the units, their stratigraphic relations, and sources of geologic mapping, consult the explanation sheet (of99-14_4b.ps or of99-14_4d.pdf), or the original published paper map (Dibblee, 1973). The scale of the source map limits the spatial resolution (scale) of the database to 1:125,000 or smaller. For those interested in the geology of Carrizo Plain and vicinity who do not use an ARC/INFO compatible Geographic Information System (GIS), but would like to obtain a paper map and explanation, PDF and PostScript plot files containing map images of the data in the digital database, as well as PostScript and PDF plot files of the explanation sheet and explanatory text, have been included in the database package (please see the section 'Digital Plot Files', page 5). The PostScript plot files require a gzip utility to access them. For those without computer capability, we can provide users with the PostScript or PDF files on tape that can be taken to a vendor for plotting. Paper plots can also be ordered directly from the USGS (please see the section 'Obtaining Plots from USGS Open-File Services', page 5). The content and character of the database, methods of obtaining it, and processes of extracting the map database from the tar (tape archive) file are described herein. The map database itself, consisting of six ARC/INFO coverages, can be obtained over the Internet or by magnetic tape

  19. Out-of-pocket costs and other determinants of access to healthcare for children with febrile illnesses: a case-control study in rural Tanzania.

    Directory of Open Access Journals (Sweden)

    Joëlle Castellani

    Full Text Available To study private costs and other determinants of access to healthcare for childhood fevers in rural Tanzania.A case-control study was conducted in Tanzania to establish factors that determine access to a health facility in acute febrile illnesses in children less than 5 years of age. Carers of eligible children were interviewed in the community; cases were represented by patients who went to a facility and controls by those who did not. A Household Wealth Index was estimated using principal components analysis. A multivariable logistic regression analysis was performed to understand the factors which influenced attendance of healthcare facility including severity of the illness and household wealth/socio-demographic indicators. To complement the data on costs from community interviews, a hospital-based study obtained details of private expenditures for hospitalised children under the age of 5.Severe febrile illness is strongly associated with health facility attendance (OR: 35.76, 95%CI: 3.68-347.43, p = 0.002 compared with less severe febrile illness. Overall, the private costs of an illness for patients who went to a hospital were six times larger than private costs of controls ($5.68 vs. $0.90, p<0.0001. Household wealth was not significantly correlated with total costs incurred. The separate hospital based cost study indicated that private costs were three times greater for admissions at the mission versus public hospital: $13.68 mission vs. $4.47 public hospital (difference $ 9.21 (95% CI: 7.89 -10.52, p<0.0001. In both locations, approximately 50% of the cost was determined by the duration of admission, with each day in hospital increasing private costs by about 12% (95% CI: 5% - 21%.The more severely ill a child, the higher the probability of attending hospital. We did not find association between household wealth and attending a health facility; nor was there an association between household wealth and private cost.

  20. Evaluación del grado de adecuación del proceso de forja en caliente para la fabricación de piezas estampadas: criterios de viabilidad y optimización

    Directory of Open Access Journals (Sweden)

    Arenas Reina, José Manuel

    2000-10-01

    Full Text Available The design of industrial parts is a clear example of integrative effort that, with a focus of several disciplines, requires a detailed analysis of the different scientific and technological knowledge implied in its conception and development. Inside this performance context, the present work approaches the problem of the project of hot forging parts, proposing the use of criteria of viability and optimization that, based in technical and economical considerations, allow to value the adjusting degree of various alternative to the forge process, facilitating with it the selection of the most appropriate. Fixed these bases and with object of shortening times of answer and analysis in an application corresponding to parts with revolution symmetry, a computerized system has been introduced that, taking as started data the design of the part, geometrically simulates the forge process, allowing to calculate the adaptation coefficients in those morphologing that are possible according to the criteria of viability criteria. This system also provides a graphic representation of machined part, the forged part and the finished stamp.

    El diseño de piezas industriales supone un claro ejemplo de esfuerzo integrador que, con un enfoque interdisciplinar, requiere un análisis detallado de los diferentes conocimientos científicos y tecnológicos implicados en su concepción y desarrollo. Dentro de este marco de actuación, el presente trabajo aborda la problemática del proyecto de piezas estampadas en caliente, proponiendo la utilización de criterios de viabilidad y optimización que, fundamentados en consideraciones técnico-económicas, permiten valorar el grado de adecuación de las diferentes alternativas al proceso de forja, facilitando con ello la selección de la más adecuada. Fijadas estas bases y con objeto de acortar tiempos de respuesta y análisis en una aplicación correspondiente a piezas axisimétricas, se ha introducido un sistema

  1. Un nuevo modelo fenomenológico y diferencial para predecir la respuesta mecánica de materiales metálicos policristalinos sometidos a deformación en caliente

    Directory of Open Access Journals (Sweden)

    Castellanos, J.

    2012-10-01

    Full Text Available This paper presents a new phenomenological and differential model (that use differential equations to predict the flow stress of a metallic polycrystalline material under hot working. The model, called MCC, depends on six parameters and uses two internal variables to consider the strain hardening, dynamic recovery and dynamic recrystallization processes that occur under hot working. The experimental validation of the MCC model has been carried out by means of stress-strain curves from torsion tests at high temperature (900 ºC a 1200 ºC and moderate high strain rate (0.005 s-1 to 5 s-1 in a high nitrogen steel. The results reveal the very good agreement between experimental and predicted stresses. Furthermore, the Garofalo a-parameter and the strain to reach 50 % of recrystallized volume fraction have been employed as a control check being a first step to the physical interpretation of variables and parameters of the MCC model.

    Este trabajo presenta un nuevo modelo fenomenológico y diferencial (que emplea ecuaciones diferenciales para predecir la respuesta mecánica de un material metálico policristalino sometido a deformación en caliente. El modelo, llamado MCC, depende de seis parámetros y utiliza dos variables internas para considerar los procesos de endurecimiento por deformación, restauración y recristalización dinámicas. La validación experimental del modelo MCC se ha realizado empleando curvas tensión-deformación procedentes de ensayos de torsión a alta temperatura (900 ºC a 1.200 ºC y moderadamente alta velocidad de deformación (0,005 s-1 a 5 s-1 sobre un acero de alto contenido en nitrógeno. Los resultados obtenidos revelan la concordancia significativa entre las tensiones experimentales y predichas. Además el parámetro a de Garofalo y la deformación para el 50 % de volumen recristalizado se han utilizado como elementos de control para realizar un primer paso en la

  2. Pro Access 2010 Development

    CERN Document Server

    Collins, Mark

    2011-01-01

    Pro Access 2010 Development is a fundamental resource for developing business applications that take advantage of the features of Access 2010 and the many sources of data available to your business. In this book, you'll learn how to build database applications, create Web-based databases, develop macros and Visual Basic for Applications (VBA) tools for Access applications, integrate Access with SharePoint and other business systems, and much more. Using a practical, hands-on approach, this book will take you through all the facets of developing Access-based solutions, such as data modeling, co

  3. Access 2013 for dummies

    CERN Document Server

    Ulrich Fuller, Laurie

    2013-01-01

    The easy guide to Microsoft Access returns with updates on the latest version! Microsoft Access allows you to store, organize, view, analyze, and share data; the new Access 2013 release enables you to build even more powerful, custom database solutions that integrate with the web and enterprise data sources. Access 2013 For Dummies covers all the new features of the latest version of Accessand serves as an ideal reference, combining the latest Access features with the basics of building usable databases. You'll learn how to create an app from the Welcome screen, get support

  4. Android Access Control Extension

    Directory of Open Access Journals (Sweden)

    Anton Baláž

    2015-12-01

    Full Text Available The main objective of this work is to analyze and extend security model of mobile devices running on Android OS. Provided security extension is a Linux kernel security module that allows the system administrator to restrict program's capabilities with per-program profiles. Profiles can allow capabilities like network access, raw socket access, and the permission to read, write, or execute files on matching paths. Module supplements the traditional Android capability access control model by providing mandatory access control (MAC based on path. This extension increases security of access to system objects in a device and allows creating security sandboxes per application.

  5. Expanding Access for Training of Science Teachers through ODL: A Case Study of University of Lagos, Nigeria

    Science.gov (United States)

    Okunuga, A. O.; Olaoluniyi, O.; Opara, A. I.

    2013-01-01

    Rising up to the challenge of shortage of middle manpower in Nigeria, the University of Lagos established the Correspondence and Open Studies Unit (COSU), now Distance Learning Institute DLI). Accounting, Business Administration and Science-Education were the pilot courses at the B.Sc. level. The Special Entry Preparatory Programme (SEPP) was…

  6. The Impact of Premature Birth: A Correlational Study Assessing the Need for Children to Access Educational Support Services

    Science.gov (United States)

    Jensen, Laura M.; Miller, Rebecca

    2009-01-01

    Accumulating evidence suggests children born premature are at increased risk of lower cognitive abilities, poor academic performance, low social competence and behavioral problems, compared with individuals born full-term (e.g., Whitside-Mansell, Barrett, Bradley & Gargus, 2006; Litt, Taylor, Klein, & Hack, 2005). The goal of the current study was…

  7. Muslim Women in Graduate Studies: Some Insights into the Accessibility of Higher Education for Minority Women Students

    Science.gov (United States)

    Oplatka, Izhar; Lapidot, Orit

    2012-01-01

    Based on semi-structured interviews with 11 Muslim women graduate students in Israel, the current study provides insight into the determinants enabling this group of women in the Arab sector to apply for a second degree and succeed. Among these determinants are the family, the high school, the individual's personal drive for learning, the…

  8. Urban Railway Accessibility

    Institute of Scientific and Technical Information of China (English)

    GUAN Hongzhi; YIN Yuanfei; YAN Hai; HAN Yan; QIN Huanmei

    2007-01-01

    Effective use of urban rapid railway systems requires that the railway systems be effectively connected with other transportation modes so that they are accessible. This paper uses the logit model and data to analyze the factors influencing railway access choices in a railway choice access model. The results indicate that access time, access cost, and access distance are factors significantly affecting railway access choices. The user's income significantly affects the probability of choosing to walk rather than to take a taxi,but is not related to choosing buses or bicycles. Vehicle ownership significantly affects the probability of choosing a taxi, but is not significantly related to the other modes. The conclusions provide an analysis tool for urban railway planning and construction.

  9. Open Access @ DTU

    DEFF Research Database (Denmark)

    Ekstrøm, Jeannette

    Open Access is high on the agenda in Denmark and internationally. Denmark has announced a national strategy for Open Access that aims to achieve Open Access to 80% in 2017 and 100% in 2022 to peer review research articles. All public Danish funders as well as H2020 requires that all peer review...... articles that is an outcome of their funding will be Open Access. Uploading your full texts (your final author manuscript after review ) to DTU Orbit is a fundamental part of providing Open Access to your research. We are here to answer all your questions with regards to Open Access and related topics...... such as copyright, DTU Orbit, Open Access journals, APCs, Vouchers etc....

  10. Professional Perceptions and Reasons for Access to Journalism Studies. The Case of Journalism Students at Complutense University of Madrid

    Directory of Open Access Journals (Sweden)

    Miriam RODRÍGUEZ PALLARES

    2015-12-01

    Full Text Available In the academic year 2013-2014, the MediaCom UCM research group conducted a study among students in the first and fourth year of the Degree in Journalism at UCM with the pretention to know the reasons that they decided to pursue these studies, their perceptions of journalism and media influence. From a quantitative analysis model relatively vocational criteria among students are perceived; generally they believe that journalists are not very independent and that political and economic factors influence in the activity of the media sector, whose influence on policy choices and consumption is subject to debate. This article is part of an academic project, whose results are intended to work with universities to improve their teaching and training model of students according to their perception of journalism as a profession.

  11. Assuring access to topical mosquito repellents within an intensive distribution scheme: a case study in a remote province of Cambodia

    OpenAIRE

    Heng, Somony; Durnez, Lies; Gryseels, Charlotte; Van Roey, Karel; Mean, Vanna; Uk, Sambunny; Siv, Sovannaroth; Grietens, Koen Peeters; Sochantha, Tho; COOSEMANS Marc; Sluydts, Vincent

    2015-01-01

    Background The public health value of a vector control tool depends on its epidemiological efficacy, but also on its ease of implementation. This study describes an intensive distribution scheme of a topical repellent implemented in 2012 and 2013 for the purpose of a cluster-randomized trial using the existing public health system. The trial aimed to assess the effectiveness of repellents in addition to long-lasting insecticidal nets (LLIN) and occurred in a province of Cambodia. Determinants...

  12. Assuring access to topical mosquito repellents within an intensive distribution scheme: a case study in a remote province of Cambodia

    OpenAIRE

    Heng, Somony; Durnez, Lies; Gryseels, Charlotte; Van Roey, Karel; Mean, Vanna; Uk, Sambunny; Siv, Sovannaroth; Peeters Grietens, Koen; Sochantha, Tho; COOSEMANS Marc; Sluydts, Vincent

    2015-01-01

    Background The public health value of a vector control tool depends on its epidemiological efficacy, but also on its ease of implementation. This study describes an intensive distribution scheme of a topical repellent implemented in 2012 and 2013 for the purpose of a cluster-randomized trial using the existing public health system. The trial aimed to assess the effectiveness of repellents in addition to long-lasting insecticidal nets (LLIN) and occurred in a province of Cambodia. Determina...

  13. Access to Grey Content: An Analysis of Grey Literature based on Citation and Survey Data, A Follow-up Study

    OpenAIRE

    Farace, Dominic J.; Frantzen, Jerry; Boekhorst, Albert K. (UvA); Schöpfel, Joachim; Stock, Christiane; GreyNet, Grey Literature Network Service

    2005-01-01

    Grey literature, an area of interest to special librarians and information professionals, can be traced back a half-century. However, grey literature as a specialized field in information studies is less than a decade old. At GL'97 in Luxembourg, grey literature was redefined "as information produced on all levels of government, academics, business and industry in electronic and print formats not controlled by commercial publishers (i.e. where publishing is not the primary activity of the pro...

  14. A Case Study on E - Banking Security – When Security Becomes Too Sophisticated for the User to Access Their Information

    Directory of Open Access Journals (Sweden)

    Aaron M. French

    2012-08-01

    Full Text Available While eBanking security continues to increase in sophistication to protect against threats, the usability of the eBanking decreases resulting in poor security behaviors by the users. The current research evaluates se curity risks and measures taken for eBanking solutions. A case study is presented describing how increased complexity decreases vulnerabilities online but increases vulnerabilities from internal threats and eBanking users

  15. Access to alcohol and heart disease among patients in hospital: observational cohort study using differences in alcohol sales laws

    OpenAIRE

    Dukes, Jonathan W.; Dewland, Thomas A.; Vittinghoff, Eric; Olgin, Jeffrey E.; Pletcher, Mark J.; Hahn, Judith A.; Gladstone, Rachel A; Marcus, Gregory M.

    2016-01-01

    Objective To investigate the relation between alcohol consumption and heart disease by using differences in county level alcohol sales laws as a natural experiment. Design Observational cohort study using differences in alcohol sales laws. Setting Hospital based healthcare encounters in Texas, USA. Population 1 106 968 patients aged 21 or older who were residents of “wet” (no alcohol restrictions) and “dry” (complete prohibition of alcohol sales) counties and admitted to hospital between 2005...

  16. Access to therapy and therapy outcomes in the Swiss Hepatitis C Cohort Study: a person-centred approach.

    Science.gov (United States)

    Giudici, F; Bertisch, B; Negro, F; Stirnimann, G; Müllhaupt, B; Moradpour, D; Cerny, A; Keiser, O

    2016-09-01

    Socio-demographic and behavioural characteristics are associated with delayed diagnosis and disease progression in HCV-infected persons. However, many analyses focused on single variables rather than groups defined by several variables. We used latent class analysis to study all 4488 persons enrolled in the Swiss Hepatitis C Cohort Study. Groups were identified using predefined variables at enrolment. The number of groups was selected using the Bayesian information criterion. Mortality, loss to follow-up, cirrhosis, treatment status and response to antivirals were analysed using Laplace and logistic regressions. We identified five groups and named them according to their characteristics: persons who inject drugs, male drinkers, Swiss employees, foreign employees and retirees. Two groups did not conform to common assumptions about persons with chronic hepatitis C and were already in an advanced stage of the disease at enrolment: 'male drinkers' and 'retirees' had a high proportion of cirrhosis at enrolment (15% and 16% vs 9.0). 'Male drinkers' also had high substance use, but they were well educated and were likely to be employed. This analysis may help identifying high-risk groups which may benefit from targeted interventions. PMID:27006320

  17. Open access to novel dual flow chamber technology for in vitro cell mechanotransduction, toxicity and pharamacokinetic studies

    Directory of Open Access Journals (Sweden)

    Knothe Tate Melissa L

    2007-12-01

    Full Text Available Abstract Background A major stumbling block for researchers developing experimental models of mechanotransduction is the control of experimental variables, in particular the transmission of the mechanical forces at the cellular level. A previous evaluation of state of the art commercial perfusion chambers showed that flow regimes, applied to impart a defined mechanical stimulus to cells, are poorly controlled and that data from studies in which different chambers are utilized can not be compared, even if the target stress regimes are comparable. Methods This study provides a novel chamber design to provide both physiologically-based flow regimes, improvements in control of experimental variables, as well as ease of use compared to commercial chambers. This novel design achieves controlled stresses through five gasket designs and both single- and dual-flow regimes. Results The imparted shear stress within the gasket geometry is well controlled. Fifty percent of the entire area of the 10 × 21 mm universal gasket (Gasket I, designed to impart constant magnitude shear stresses in the center of the chamber where outcome measures are taken, is exposed to target stresses. In the 8 mm diameter circular area at the center of the chamber (where outcome measures are made, over 92% of the area is exposed to the target stress (± 2.5%. In addition, other gasket geometries provide specific gradients of stress that vary with distance from the chamber inlet. Bench-top testing of the novel chamber prototype shows improvements, in the ease of use as well as in performance, compared to the other commercial chambers. The design of the chamber eliminates flow deviations due to leakage and bubbles and allows actual flow profiles to better conform with those predicted in computational models. Conclusion The novel flow chamber design provides predictable and well defined mechanical forces at the surface of a cell monolayer, showing improvement over previously tested

  18. Retention in a public health care system with free access to treatment: a Danish nationwide HIV cohort study

    DEFF Research Database (Denmark)

    Helleberg, Marie; Engsig, Frederik N; Kronborg, Gitte;

    2012-01-01

    OBJECTIVE:: We aimed to assess retention of HIV infected individuals in the Danish health care system over a 15-year period. METHODS:: Loss to follow-up (LTFU) was defined as 365 days without contact to the HIV care system. Data were obtained from the nationwide Danish HIV Cohort study, The Danish...... National Hospital Registry and The Danish Civil Registration System. Incidence rates (IR), risk factors for LTFU and return to care and mortality rate ratios (MRR) were estimated using Poisson regression analyses. RESULTS:: We included 4,745 HIV patients who were followed for 36,692 person-years. Patients...... were retained in care 95.0% of person-years under observation, increasing to 98.1% after initiation of antiretroviral treatment (HAART). The overall IR/100 person-years for first episode of LTFU was 2.6 (95% CI: 2.5-2.8) and was significantly lower after initiation of HAART (1.2 (95% CI: 1...

  19. [Experiences of undocumented Mexican migrant women when accessing sexual and reproductive health services in California, USA: a case study].

    Science.gov (United States)

    Deeb-Sossa, Natalia; Díaz Olavarrieta, Claudia; Juárez-Ramírez, Clara; García, Sandra G; Villalobos, Aremis

    2013-05-01

    This study focuses on the experience of Mexican women migrants in California, USA, with the use of formal health services for sexual and reproductive health issues. The authors used a qualitative interpretative approach with life histories, interviewing eight female users of healthcare services in California and seven key informants in Mexico and California. There were three main types of barriers to healthcare: immigration status, language, and gender. Participants reported long waiting times, discriminatory attitudes, and high cost of services. A combination of formal and informal healthcare services was common. The assessment of quality of care was closely related to undocumented immigration status. Social support networks are crucial to help solve healthcare issues. Quality of care should take intercultural health issues into account. PMID:23703003

  20. Beverage consumption in an Alaska Native village: a mixed-methods study of behaviour, attitudes and access

    Directory of Open Access Journals (Sweden)

    Deena Elwan

    2016-02-01

    Full Text Available Background: American Indians/Alaska Natives (AI/AN have the highest prevalence of obesity for any racial/ethnic group. Previous studies examining risk factors for obesity have identified excessive sugar-sweetened beverage (SSB and inadequate water consumption as major risk factors for this population group. The historical scarcity of water in rural Alaska may explain consumption patterns including reliance on SSBs and other packaged drinks. Methods: Our study was designed to assess SSB, water and other beverage consumption and attitudes towards consumption in Alaska Native children and adults residing in rural Alaska. During summer 2014, 2 focus groups were conducted employing community members in a small rural village more than 200 air miles west of Fairbanks, Alaska. Interviews were completed with shop owners, Early Head Start and Head Start program instructors (n=7. SSB and total beverage intakes were measured using a modified version of the BEVQ-15, (n=69. Results: High rates of SSB consumption (defined as sweetened juice beverages, soda, sweet tea, energy drink or sports drinks and low rates of water consumption were reported for all age groups in the village. All adolescents and 81% of children reported drinking SSBs at least once per week in the last month, and 48% of adolescents and 29% of younger children reported daily consumption. Fifty-two per cent of adults reported consuming SSBs at least once per week and 20% reported daily consumption. Twenty-five per cent of adolescents reported never drinking water in the past month, and 19% of younger children and 21% of adults did not consume water daily. Conclusion: Alaska Native children and adults living in the Interior Alaska consume high amounts of SSBs including energy drinks and insufficient amounts of water. Interventions targeting beverage consumption are urgently needed for the Alaska Native population in rural Alaska.

  1. Simulation with TRACE5 of a small break of 1% in the hot branch; Simulacion con TRACE5 de una Rotura Pequena del 1% en la Rama Caliente

    Energy Technology Data Exchange (ETDEWEB)

    Querol, A.; Gallardo, S.; Verdu, G.

    2013-07-01

    This work has been simulated, Thermo-hydraulic-coded TRACE5, the 1-2 Test of the OECD/NEA ROSA project that reproduces a break of 1% in the hot field of a water pressurized (PWR) reactor. The results are compared with the experimental values for studying the effect of the stratification of the liquid into hot branch, the geometry and the size of the break and flow injected by the HPI system.

  2. Improving the accessibility and re-use of environmental models through provision of model metadata - a scoping study

    Science.gov (United States)

    Riddick, Andrew; Hughes, Andrew; Harpham, Quillon; Royse, Katherine; Singh, Anubha

    2014-05-01

    There has been an increasing interest both from academic and commercial organisations over recent years in developing hydrologic and other environmental models in response to some of the major challenges facing the environment, for example environmental change and its effects and ensuring water resource security. This has resulted in a significant investment in modelling by many organisations both in terms of financial resources and intellectual capital. To capitalise on the effort on producing models, then it is necessary for the models to be both discoverable and appropriately described. If this is not undertaken then the effort in producing the models will be wasted. However, whilst there are some recognised metadata standards relating to datasets these may not completely address the needs of modellers regarding input data for example. Also there appears to be a lack of metadata schemes configured to encourage the discovery and re-use of the models themselves. The lack of an established standard for model metadata is considered to be a factor inhibiting the more widespread use of environmental models particularly the use of linked model compositions which fuse together hydrologic models with models from other environmental disciplines. This poster presents the results of a Natural Environment Research Council (NERC) funded scoping study to understand the requirements of modellers and other end users for metadata about data and models. A user consultation exercise using an on-line questionnaire has been undertaken to capture the views of a wide spectrum of stakeholders on how they are currently managing metadata for modelling. This has provided a strong confirmation of our original supposition that there is a lack of systems and facilities to capture metadata about models. A number of specific gaps in current provision for data and model metadata were also identified, including a need for a standard means to record detailed information about the modelling

  3. Evaluation of an open access echocardiography service in the Netherlands: a mixed methods study of indications, outcomes, patient management and trends

    Directory of Open Access Journals (Sweden)

    Streppel Marjolijn

    2010-02-01

    Full Text Available Abstract Background In our region (Eastern South Limburg, The Netherlands an open access echocardiography service started in 2002. It was the first service of this kind in The Netherlands. Our study aims were: (1 to evaluate demand for the service, participation, indications, echocardiography outcomes, and management by the general practitioner (GP; (2 to analyse changes in indications and outcomes over the years. Methods (1 Data from GP request forms, echocardiography reports and a retrospective GP questionnaire on management (response rate 83% of 625 consecutive patients (Dec. 2002 - March 2007 were analysed cross-sectionally. (2 For the analysis of changes over the years, data from GP request forms and echocardiography reports of the first and last 250 patients that visited the service between Dec. 2002 and Feb. 2008 (n = 1001 were compared. Results The echocardiography service was used by 81% of the regional GPs. On average, a GP referred one patient per year to the service. Intended indications for the service were dyspnoea (32%, cardiac murmur (59%, and peripheral oedema (17%. Of the other indications (22%, one-third was for evaluation of suspected left ventricular hypertrophy (LVH. Expected outcomes were left ventricular dysfunction (LVD (43%, predominantly diastolic and valve disease (25%. We also found a high proportion of LVH (50%. Only 24% of all echocardiograms showed no relevant disease. The GP followed the cardiologist's advice to refer the patient for further evaluation in 71%. In recent patients, more echocardiography requests were done for 'cardiac murmur' and 'other' indications, but less for 'dyspnoea'. The proportions of patients with LVD, LVH and valve disease decreased and the proportion of patients with no relevant disease increased. The number of advices by the cardiologists increased. Conclusion Overall, GPs used the open access echocardiography service efficiently (i.e. with a high chance of finding relevant pathology

  4. Preventing AVF thrombosis: the rationale and design of the Omega-3 fatty acids (Fish Oils and Aspirin in Vascular access OUtcomes in REnal Disease (FAVOURED study

    Directory of Open Access Journals (Sweden)

    Rosman Johan

    2009-01-01

    Full Text Available Abstract Background Haemodialysis (HD is critically dependent on the availability of adequate access to the systemic circulation, ideally via a native arteriovenous fistula (AVF. The Primary failure rate of an AVF ranges between 20–54%, due to thrombosis or failure of maturation. There remains limited evidence for the use of anti-platelet agents and uncertainty as to choice of agent(s for the prevention of AVF thrombosis. We present the study protocol for a randomised, double-blind, placebo-controlled, clinical trial examining whether the use of the anti-platelet agents, aspirin and omega-3 fatty acids, either alone or in combination, will effectively reduce the risk of early thrombosis in de novo AVF. Methods/Design The study population is adult patients with stage IV or V chronic kidney disease (CKD currently on HD or where HD is planned to start within 6 months in whom a planned upper or lower arm AVF is to be the primary HD access. Using a factorial-design trial, patients will be randomised to aspirin or matching placebo, and also to omega-3 fatty acids or matching placebo, resulting in four treatment groups (aspirin placebo/omega-3 fatty acid placebo, aspirin/omega-3 fatty acid placebo, aspirin placebo/omega-3 fatty acid, aspirin/omega-3 fatty acid. Randomisation will be achieved using a dynamic balancing method over the two stratification factors of study site and upper versus lower arm AVF. The medication will be commenced pre-operatively and continued for 3 months post surgery. The primary outcome is patency of the AVF at three months after randomisation. Secondary outcome measures will include functional patency at six and twelve months, primary patency time, secondary (assisted patency time, and adverse events, particularly bleeding. Discussion This multicentre Australian and New Zealand study has been designed to determine whether the outcome of surgery to create de novo AVF can be improved by the use of aspirin and/or omega-3 fatty

  5. Artificial reefs and marine protected areas: a study in willingness to pay to access Folkestone Marine Reserve, Barbados, West Indies.

    Science.gov (United States)

    Kirkbride-Smith, Anne E; Wheeler, Philip M; Johnson, Magnus L

    2016-01-01

    Artificial reefs in marine protected areas provide additional habitat for biodiversity viewing, and therefore may offer an innovative management solution for managing for coral reef recovery and resilience. Marine park user fees can generate revenue to help manage and maintain natural and artificial reefs. Using a stated preference survey, this study investigates the present consumer surplus associated with visitor use of a marine protected area in Barbados. Two hypothetical markets were presented to differentiate between respondents use values of either: (a) natural reefs within the marine reserve or (b) artificial reef habitat for recreational enhancement. Information was also collected on visitors' perceptions of artificial reefs, reef material preferences and reef conservation awareness. From a sample of 250 visitors on snorkel trips, we estimate a mean willingness to pay of US$18.33 (median-US$15) for natural reef use and a mean value of US$17.58 (median-US$12.50) for artificial reef use. The number of marine species viewed, age of respondent, familiarity with the Folkestone Marine Reserve and level of environmental concern were statistically significant in influencing willingness to pay. Regression analyses indicate visitors are willing to pay a significant amount to view marine life, especially turtles. Our results suggest that user fees could provide a considerable source of income to aid reef conservation in Barbados. In addition, the substantial use value reported for artificial reefs indicates a reef substitution policy may be supported by visitors to the Folkestone Marine Reserve. We discuss our findings and highlight directions for future research that include the need to collect data to establish visitors' non-use values to fund reef management.

  6. Artificial reefs and marine protected areas: a study in willingness to pay to access Folkestone Marine Reserve, Barbados, West Indies.

    Science.gov (United States)

    Kirkbride-Smith, Anne E; Wheeler, Philip M; Johnson, Magnus L

    2016-01-01

    Artificial reefs in marine protected areas provide additional habitat for biodiversity viewing, and therefore may offer an innovative management solution for managing for coral reef recovery and resilience. Marine park user fees can generate revenue to help manage and maintain natural and artificial reefs. Using a stated preference survey, this study investigates the present consumer surplus associated with visitor use of a marine protected area in Barbados. Two hypothetical markets were presented to differentiate between respondents use values of either: (a) natural reefs within the marine reserve or (b) artificial reef habitat for recreational enhancement. Information was also collected on visitors' perceptions of artificial reefs, reef material preferences and reef conservation awareness. From a sample of 250 visitors on snorkel trips, we estimate a mean willingness to pay of US$18.33 (median-US$15) for natural reef use and a mean value of US$17.58 (median-US$12.50) for artificial reef use. The number of marine species viewed, age of respondent, familiarity with the Folkestone Marine Reserve and level of environmental concern were statistically significant in influencing willingness to pay. Regression analyses indicate visitors are willing to pay a significant amount to view marine life, especially turtles. Our results suggest that user fees could provide a considerable source of income to aid reef conservation in Barbados. In addition, the substantial use value reported for artificial reefs indicates a reef substitution policy may be supported by visitors to the Folkestone Marine Reserve. We discuss our findings and highlight directions for future research that include the need to collect data to establish visitors' non-use values to fund reef management. PMID:27547521

  7. Accessing HIV testing and treatment among men who have sex with men in China: a qualitative study.

    Science.gov (United States)

    Wei, Chongyi; Yan, Hongjing; Yang, Chuankun; Raymond, H Fisher; Li, Jianjun; Yang, Haitao; Zhao, Jinkou; Huan, Xiping; Stall, Ron

    2014-01-01

    Barriers to HIV testing and HIV care and treatment pose significant challenges to HIV prevention among men who have sex with men (MSM) in China. We carried out a qualitative study to identify barriers and facilitators to HIV testing and treatment among Chinese MSM. In 2012, seven focus group (FG) discussions were conducted with 49 MSM participants in Nanjing, China. Purposive sampling was used to recruit a diverse group of MSM participants. Semi-structured interviews were conducted to collect FG data. Major barriers to testing included gay- and HIV-related stigma and discrimination, relationship type and partner characteristics, low perception of risk or threat, HIV is incurable or equals death, concerns of confidentiality, unaware that testing is offered for free, and name-based testing. Key facilitators of testing included engaging in high-risk sex, sense of responsibility for partner, collectivism, testing as a part of standard/routine medical care, MSM-friendly medical personnel, increased acceptance of gay/bisexual men by the general public, legal recognition and protection of homosexuals, and home self-testing. Barriers to treatment included negative coping, nondisclosure to families, misconceptions of domestically produced antiretroviral drugs (ARVs) and the benefits of treatment, and costs associated with long-term treatment. Facilitators of treatment included sense of hopefulness that a cure would be found, the cultural value of longevity, peer social support and professional psychological counseling, affordable and specialized treatment and care, and reduced HIV-related stigma and discrimination. Finally, for both testing and treatment, more educational and promotional activities within MSM communities and among the general public are needed. PMID:23909807

  8. An Access Control Framework for Reflective Middleware

    Institute of Scientific and Technical Information of China (English)

    Gang Huang; Lian-Shan Sun

    2008-01-01

    Reflective middleware opens up the implementation details of middleware platform and applications at runtime for improving the adaptability of middleware-based systems. However, such openness brings new challenges to access control of the middleware-based systems.Some users can access the system via reflective entities, which sometimes cannot be protected by access control mechanisms of traditional middleware. To deliver high adaptability securely, reflective middleware should be equipped with proper access control mechanisms for potential access control holes induced by reflection. One reason of integrating these mechanisms in reflective middleware is that one goal of reflective middleware is to equip applications with reflection capabilities as transparent as possible. This paper studies how to design a reflective J2EE middlewarePKUAS with access control in mind. At first, a computation model of reflective system is built to identify all possible access control points induced by reflection. Then a set of access control mechanisms, including the wrapper of MBeans and a hierarchy of Java class loaders, are equipped for controlling the identified access control points. These mechanisms together with J2EE access control mechanism form the access control framework for PKUAS. The paper evaluates the security and the performance overheads of the framework in quality and quantity.

  9. Successful Access Rate and Risk Factor of Vascular Access Surgery in Arm for Dialysis

    OpenAIRE

    Yoo, Dae Woo; Yoon, Myunghee; Jun, Hee Jae

    2014-01-01

    Purpose: Preservation of adequate vascular access is of vital importance for patients undergoing chronic dialysis in renal failure. The aim of this study is to evaluate the successful access rate and risk factors of arteriovenous fistula (AVF) in the arm for dialysis at a single center. Materials and Methods: Patients undergoing vascular access operation between January 2006 and December 2011 were retrospectively identified. Results: A total of 362 vascular access operations were performed. T...

  10. The effects of socioeconomic status, accessibility to services and patient type on hospital use in Western Australia: a retrospective cohort study of patients with homogenous health status

    Directory of Open Access Journals (Sweden)

    Holman C D'Arcy J

    2006-06-01

    Full Text Available Abstract Background This study aimed to investigate groups of patients with a relatively homogenous health status to evaluate the degree to which use of the Australian hospital system is affected by socio-economic status, locational accessibility to services and patient payment classification. Method Records of all deaths occurring in Western Australia from 1997 to 2000 inclusive were extracted from the WA mortality register and linked to records from the hospital morbidity data system (HMDS via the WA Data Linkage System. Adjusted incidence rate ratios of hospitalisation in the last, second and third years prior to death were modelled separately for five underlying causes of death. Results The independent effects of socioeconomic status on hospital utilisation differed markedly across cause of death. Locational accessibility was generally not an independent predictor of utilisation except in those dying from ischaemic heart disease and lung cancer. Private patient status did not globally affect utilisation across all causes of death, but was associated with significantly decreased utilisation three years prior to death for those who died of colorectal, lung or breast cancer, and increased utilisation in the last year of life in those who died of colorectal cancer or cerebrovascular disease. Conclusion It appears that the Australian hospital system may not be equitable since equal need did not equate to equal utilisation. Further it would appear that horizontal equity, as measured by equal utilisation for equal need, varies by disease. This implies that a 'one-size-fits-all' approach to further improvements in equity may be over simplistic. Thus initiatives beyond Medicare should be devised and evaluated in relation to specific areas of service provision.

  11. Determination of the hot rolling stress by means of tensile tests; Determinacion de la tension de laminacion en caliente a partir de ensayos de traccion

    Energy Technology Data Exchange (ETDEWEB)

    Monsalve, A.; Artigas, A.; Celentano, D.; Guzman, A.; Colas, R.; Houbaert, Y.

    2013-03-01

    Prediction of mechanical behavior of hot rolled steels is an important aspect during industrial processing. The rolling stress needed to the process were estimated using three methods, the first of which is related to the Sellars's model that takes into account the friction coefficient and the yield stress. The second method estimates the rolling stress as the average stress obtained during the tensile tests. The third method, estimates the rolling stress from the data of power consumed by the rolling equipment. This methodology was applied in this study to a carbon steel. The conclusion of the work is that results obtained by Sellars's and consumed power, are coincident. The method based on the average tensile stress predicts stresses lower than those obtained with other two methods. (Author) 26 refs.

  12. Access Data Analysis Cookbook

    CERN Document Server

    Bluttman, Ken

    2008-01-01

    This book offers practical recipes to solve a variety of common problems that users have with extracting Access data and performing calculations on it. Whether you use Access 2007 or an earlier version, this book will teach you new methods to query data, different ways to move data in and out of Access, how to calculate answers to financial and investment issues, how to jump beyond SQL by manipulating data with VBA, and more.

  13. Usability and accessibility curricula

    OpenAIRE

    Luján Mora, Sergio; Cachero Castro, Cristina

    2012-01-01

    Presentation of existing curricula connected with usability and accessibility at the University of Alicante for the Leonardo da Vinci project "GUI Usability and Accessibility: Exchanging Knowledge and Experiences" (Grenoble, France, 27 November 2012). Presentación del currículo actual relacionado con la usabilidad y la accesibilidad en la Universidad de Alicante para el proyecto Leonardo da Vinci "GUI Usability and Accessibility: Exchanging Knowledge and Experiences" (Grenoble, Francia, 27...

  14. Web Accessibility and Guidelines

    Science.gov (United States)

    Harper, Simon; Yesilada, Yeliz

    Access to, and movement around, complex online environments, of which the World Wide Web (Web) is the most popular example, has long been considered an important and major issue in the Web design and usability field. The commonly used slang phrase ‘surfing the Web’ implies rapid and free access, pointing to its importance among designers and users alike. It has also been long established that this potentially complex and difficult access is further complicated, and becomes neither rapid nor free, if the user is disabled. There are millions of people who have disabilities that affect their use of the Web. Web accessibility aims to help these people to perceive, understand, navigate, and interact with, as well as contribute to, the Web, and thereby the society in general. This accessibility is, in part, facilitated by the Web Content Accessibility Guidelines (WCAG) currently moving from version one to two. These guidelines are intended to encourage designers to make sure their sites conform to specifications, and in that conformance enable the assistive technologies of disabled users to better interact with the page content. In this way, it was hoped that accessibility could be supported. While this is in part true, guidelines do not solve all problems and the new WCAG version two guidelines are surrounded by controversy and intrigue. This chapter aims to establish the published literature related to Web accessibility and Web accessibility guidelines, and discuss limitations of the current guidelines and future directions.

  15. OGIS Access System

    Data.gov (United States)

    National Archives and Records Administration — The OGIS Access System (OAS) provides case management, stakeholder collaboration, and public communications activities including a web presence via a web portal.

  16. ALGUNAS LECCIONES SOBRE EL ACCESO A RECURSOS GENÉTICOS EN COLOMBIA. DOS ESTUDIOS DE CASO. Some lessons about Access to Genetic Resources in Colombia. Two case studies

    Directory of Open Access Journals (Sweden)

    GABRIEL RICARDO NEMOGÁ SOTO

    information and interest of researchers and research institutions. With the purpose to extract lessons from the processes of access applications and to promote an appropriate answer from the environmental authorities, two case studies are examined. The data was taken from public files N.º 2571 and RGE0018, at the Ministry of Environment, House and Land Development (MAVDT. The application of the Biotechnology Institute of the National University of Colombia, has last for 7 years for the authorization of an ARG without success; unexpectedly the MAVDT has initiated a sanction process on grounds of illegal access. The application presented by the 'Temporary Union Colombian Center for Bioinformatic and Genomics on Extreme Environments -GeBix' the ARG was granted and signed after 406 days of proceeding. In the end, the application and negotiation of a contract for ARG, requires researcher’s knowledge regarding the ARG procedure and appropriate implementation of the access legislation by the MAVDT. Although the application process is less troublesome for the researcher at the moment, institutional and regulatory adjustments are still required in order to establish an ARG procedure that facilitates, instead of preventing, the scientific research.

  17. Men Who Have Sex With Men in Kisumu, Kenya: Comfort in Accessing Health Services and Willingness to Participate in HIV Prevention Studies

    Science.gov (United States)

    OKALL, DANCUN O.; ONDENGE, KEN; NYAMBURA, MONICAH; OTIENO, FREDRICK O.; HARDNETT, FELICIA; TURNER, KYLE; MILLS, LISA A.; MASINYA, KENNEDY; CHEN, ROBERT T.; GUST, DEBORAH A.

    2016-01-01

    Men who have sex with men (MSM) are a crucial and marginalized at risk population for HIV in Africa but are poorly studied. Like other areas of Africa, homosexuality is illegal in Kenya. We assessed MSM comfort in accessing health services and willingness to participate in HIV prevention research in Kisumu, Kenya—an area of high HIV prevalence. We conducted a two-phase formative study with individual interviews (n = 15) and a structured survey (n = 51). Peer contact or snowball method (n = 43, 84.3%) was the primary recruitment strategy used to locate MSM. Exact logistic regression models were used for survey data analysis. Over 60% (32/51) of survey participants were not very comfortable seeking health services from a public hospital. Almost all MSM (49/51; 96.1%) reported willingness to be contacted to participate in future HIV research studies. Efforts to provide facilities that offer safe and confidential health services and health education for MSM is required. Continued community engagement with the MSM population in Kenya is needed to guide best practices for involving them in HIV prevention research. PMID:25089554

  18. Assessing Program Efficiency: A Time and Motion Study of the Mental Health Emergency Care — Rural Access Program in NSW Australia

    Directory of Open Access Journals (Sweden)

    Emily Saurman

    2014-07-01

    Full Text Available The Mental Health Emergency Care-Rural Access Program (MHEC-RAP is a telehealth solution providing specialist emergency mental health care to rural and remote communities across western NSW, Australia. This is the first time and motion (T&M study to examine program efficiency and capacity for a telepsychiatry program. Clinical services are an integral aspect of the program accounting for 6% of all activities and 50% of the time spent conducting program activities, but half of this time is spent completing clinical paperwork. This finding emphasizes the importance of these services to program efficiency and the need to address variability of service provision to impact capacity. Currently, there is no efficiency benchmark for emergency telepsychiatry programs. Findings suggest that MHEC-RAP could increase its activity without affecting program responsiveness. T&M studies not only determine activity and time expenditure, but have a wider application assessing program efficiency by understanding, defining, and calculating capacity. T&M studies can inform future program development of MHEC-RAP and similar telehealth programs, both in Australia and overseas.

  19. Scanning transmission X-ray microscopy probe for in situ mechanism study of graphene-oxide-based resistive random access memory.

    Science.gov (United States)

    Nho, Hyun Woo; Kim, Jong Yun; Wang, Jian; Shin, Hyun-Joon; Choi, Sung-Yool; Yoon, Tae Hyun

    2014-01-01

    Here, an in situ probe for scanning transmission X-ray microscopy (STXM) has been developed and applied to the study of the bipolar resistive switching (BRS) mechanism in an Al/graphene oxide (GO)/Al resistive random access memory (RRAM) device. To perform in situ STXM studies at the C K- and O K-edges, both the RRAM junctions and the I0 junction were fabricated on a single Si3N4 membrane to obtain local XANES spectra at these absorption edges with more delicate I0 normalization. Using this probe combined with the synchrotron-based STXM technique, it was possible to observe unique chemical changes involved in the BRS process of the Al/GO/Al RRAM device. Reversible oxidation and reduction of GO induced by the externally applied bias voltages were observed at the O K-edge XANES feature located at 538.2 eV, which strongly supported the oxygen ion drift model that was recently proposed from ex situ transmission electron microscope studies.

  20. Time consumption and productivity of skidding Silver fir (Abies alba Mill. round wood in reduced accessibility conditions: a case study in windthrow salvage logging form Romanian Carpathians

    Directory of Open Access Journals (Sweden)

    Stelian Alexandru Borz

    2013-12-01

    Full Text Available Natural calamities (especially windthrows may generate difficult work conditions in timber harvesting operations. When associated with the reduced accessibility conditions, the work conditions become even harder. This study investigates the time consumptions on specific work elements in timber skidding, develops time prediction models for timber skidding work elements and assesses the production rates for timber skidding in reduced accessibility stands where windthrow salvage cuttings were applied. Following a time study done for two skidders (TAF 690 OP and TAF 657 operating simultaneously in the same felling area, it has been found that, in average, in a delay free skidding cycle time, lateral winching accounted for a share of 26-33%, on-trail skidding accounted for a share of 64-71% and landing operations accounted for a share of 3%.Total delays accounted for 51% and 43% of the total work time in the case of TAF 690 OP skidder and TAF 657skidder respectively. Regression models for lateral winching (both skidders revealed that the winching distance and the number of logs were the relevant predictors for the time consumption estimation (p<0.01, whereas in the case of on-trail skidding only the skidding distance was relevant (p<0.01. For the overall skidding operation (excluding landing operations winching and skidding distances were found as relevant predictors (p<0.01 in case of TAF 690 OP, whereas the number of logs became an additional relevant predictor in case of TAF 657.In conditions of an average winching distance of 19.90 m and an average on-trail skidding distance of 980.32 m, the time study yielded a net production rate of 7.70 m3h-1 and a gross production rate of 3.75 m3h-1 in the case of TAF 690 OP skidder. By comparison, in the case of TAF 657 skidder, for an average winching distance of 22.86 m and an average on-trail skidding distance of 871.00 m, the net and gross production rates were of 5.61 m3h-1 and 3.20 m3h-1 respectively.

  1. COORDINATE MEASURING MACHINE PROBING ACCESSIBILITY

    Institute of Scientific and Technical Information of China (English)

    2001-01-01

    The accessibility of coordinate measuring machines (CMMs) in dimensional inspection is studied. The problem of computing the global accessibility cone is solved using a method of angle representation. Otherwise, the length and volume of probe are considered sufficiently so that all the feasible probe orientations could be determined for the inspection of a workpiece when a touch trigger probe is used and the shortcoming of abstracting a probe as an infinite half-line could be overcome completely. In the end, an example is given to explain the method.

  2. Coded Random Access

    DEFF Research Database (Denmark)

    Paolini, Enrico; Stefanovic, Cedomir; Liva, Gianluigi;

    2015-01-01

    as waste. However, if the common receiver (e.g., base station) is capable to store the collision slots and use them in a transmission recovery process based on successive interference cancellation, the design space for access protocols is radically expanded. We present the paradigm of coded random access...

  3. Market Access and Welfare

    DEFF Research Database (Denmark)

    Raimondos-Møller, Pascalis; Woodland, Alan D.

    2015-01-01

    Well known tariff reform rules that are guaranteed to increase welfare will not necessarily increase market access, while rules that are guaranteed to increase market access will not necessarily increase welfare. The present paper proposes a new set of tariff reforms that can achieve both...

  4. Intellectual Access to Images.

    Science.gov (United States)

    Chen, Hsin-Liang; Rasmussen, Edie M.

    1999-01-01

    The increased availability of digital images is accompanied by a need for solutions to the problems inherent in indexing them for retrieval. Problems in image description and access are discussed, with a perspective on traditional and new solutions. Recent developments in intellectual access to images are surveyed and contrasted with…

  5. Five years' experience of transverse groin incision for femoral artery access in arterial reconstructive surgery: parallel observational longitudinal group comparison study.

    LENUS (Irish Health Repository)

    Beirne, Christopher

    2008-07-01

    Vertical groin incisions (VGIs) have been used to access femoral vessels, but reports allude to wound complications. Our aim was to compare VGI with transverse groin incision (TGI) for femoral artery exposure. Over a 5-year interval, 196 patients with 284 femoral artery exposures for supra- and infrainguinal procedures were studied. Primary endpoints were surgical skin site wound infection, seroma, haematoma formation, and major lower limb amputation. Secondary endpoints were graft patency, wound paresthesias, and length of hospital stay. There were 160 TGIs and 124 VGIs. The demographics and risk factor profile were not statistically different between groups. Seroma developed in 4.4% of TGIs and 13.7% of VGIs (p= .005). The complicated skin and soft tissue infection rate was five times greater with VGI (p= .001). The VGI group had a significantly higher rate of major amputation (p= .0005). Significantly higher graft failure rates were observed in the VGI group (p= .011). No paresthesia was reported in any TGI wound. The mean hospital stay was also significantly shorter in the TGI group (p= .006). The study data support and expound on the theory that an alternative incision to VGI offers lower short- and long-term morbidity. Our findings sustain the selection of the TGI in femoral artery surgery for both supra- and infrainguinal procedures without compromise of vessel exposure.

  6. Performance Study of Hybrid DS/FFH Spread-Spectrum Systems in the Presence of Frequency-Selective Fading and Multiple-Access Interference

    Energy Technology Data Exchange (ETDEWEB)

    Olama, Mohammed M [ORNL; Smith, Stephen Fulton [ORNL; Kuruganti, Phani Teja [ORNL; Ma, Xiao [ORNL

    2012-01-01

    Hybrid spread-spectrum (HSS) systems have recently received considerable interest in commercial, Smart Grid, and military communication systems because they accommodate high data rates with high link integrity, even in the presence of significant multipath effects and interfering signals. A highly useful form of this modulation scheme is the specific code-related combination of standard direct-sequence spread spectrum (DSSS) with fast frequency-hopping (FFH) spread spectrum, denoted hybrid DS/FFH, wherein multiple frequency hops occur within a single data-bit time. In this paper we perform a simulation-based study of the DS/FFH performance as compared to the existing standard DSSS and FHSS wireless networks. The performance metrics are bit-error probability and multiple-access capability. The parameter space of DS/FFH, including the DS spreading rate, frequency hopping rate, carrier frequencies, and numbers of users, is explored to show its performance under frequency-selective Rayleigh fading environments and multiuser interference. Direct digital synthesizers to achieve fast hopping speeds are also considered in our study.

  7. Access to Preventive Health Care for Undocumented Migrants: A Comparative Study of Germany, The Netherlands and Spain from a Human Rights Perspective

    Directory of Open Access Journals (Sweden)

    Veronika Flegar

    2016-02-01

    Full Text Available The present study analyzes the preventive health care provisions for nationals and undocumented migrants in Germany, the Netherlands and Spain in light of four indicators derived from the United Nations Committee on Economic, Social and Cultural Rights’ General Comment 14 (GC 14. These indicators are (i immunization; (ii education and information; (iii regular screening programs; and (iv the promotion of the underlying determinants of health. It aims to answer the question of what preventive health care services for undocumented migrants are provided for in Germany, the Netherlands and Spain and how this should be evaluated from a human rights perspective. The study reveals that the access to preventive health care for undocumented migrants is largely insufficient in all three countries but most extensive in the Netherlands and least extensive in Germany. The paper concludes that a human rights-based approach to health law and policy can help to refine and concretize the individual rights and state obligations for the preventive health care of undocumented migrants. While the human rights framework is still insufficiently clear in some respects, the research concedes the added value of a rights-based approach as an evaluation tool, advocacy framework and moral principle to keep in mind when adopting or evaluating state policies in the health sector.

  8. Five years' experience of transverse groin incision for femoral artery access in arterial reconstructive surgery: parallel observational longitudinal group comparison study.

    Science.gov (United States)

    Beirne, Christopher; Martin, Fiachra; Hynes, Niamh; Sultan, Sherif

    2008-01-01

    Vertical groin incisions (VGIs) have been used to access femoral vessels, but reports allude to wound complications. Our aim was to compare VGI with transverse groin incision (TGI) for femoral artery exposure. Over a 5-year interval, 196 patients with 284 femoral artery exposures for supra- and infrainguinal procedures were studied. Primary endpoints were surgical skin site wound infection, seroma, haematoma formation, and major lower limb amputation. Secondary endpoints were graft patency, wound paresthesias, and length of hospital stay. There were 160 TGIs and 124 VGIs. The demographics and risk factor profile were not statistically different between groups. Seroma developed in 4.4% of TGIs and 13.7% of VGIs (p= .005). The complicated skin and soft tissue infection rate was five times greater with VGI (p= .001). The VGI group had a significantly higher rate of major amputation (p= .0005). Significantly higher graft failure rates were observed in the VGI group (p= .011). No paresthesia was reported in any TGI wound. The mean hospital stay was also significantly shorter in the TGI group (p= .006). The study data support and expound on the theory that an alternative incision to VGI offers lower short- and long-term morbidity. Our findings sustain the selection of the TGI in femoral artery surgery for both supra- and infrainguinal procedures without compromise of vessel exposure. PMID:18845101

  9. Subsidized optimal ART for HIV-positive temporary residents of Australia improves virological outcomes: results from the Australian HIV Observational Database Temporary Residents Access Study

    Directory of Open Access Journals (Sweden)

    Kathy Petoumenos

    2015-02-01

    Full Text Available Introduction: HIV-positive (HIV+ temporary residents living in Australia legally are unable to access government subsidized antiretroviral treatment (ART which is provided via Medicare to Australian citizens and permanent residents. Currently, there is no information systematically being collected on non-Medicare eligible HIV+ patients in Australia. The objectives of this study are to describe the population recruited to the Australian HIV Observational Database (AHOD Temporary Residents Access Study (ATRAS and to determine the short- and long-term outcomes of receiving (subsidized optimal ART and the impact on onwards HIV transmission. Methods: ATRAS was established in 2011. Eligible patients were recruited via the AHOD network. Key HIV-related characteristics were recorded at baseline and prospectively. Additional visa-related information was also recorded at baseline, and updated annually. Descriptive statistics were used to describe the ATRAS cohort in terms of visa status by key demographic characteristics, including sex, region of birth, and HIV disease status. CD4 cell count (mean and SD and the proportion with undetectable (<50 copies/ml HIV viral load are reported at baseline, 6 and 12 months of follow-up. We also estimate the proportion reduction of onward HIV transmission based on the reduction in proportion of people with detectable HIV viral load. Results: A total of 180 patients were recruited to ATRAS by June 2012, and by July 2013 39 patients no longer required ART via ATRAS, 35 of whom became eligible for Medicare-funded medication. At enrolment, 63% of ATRAS patients were receiving ART from alternative sources, 47% had an undetectable HIV viral load (<50 copies/ml and the median CD4 cell count was 343 cells/µl (IQR: 222–479. At 12 months of follow-up, 85% had an undetectable viral load. We estimated a 75% reduction in the risk of onward HIV transmission with the improved rate of undetectable viral load. Conclusions: The

  10. A case study of the Secure Anonymous Information Linkage (SAIL) Gateway: a privacy-protecting remote access system for health-related research and evaluation.

    Science.gov (United States)

    Jones, Kerina H; Ford, David V; Jones, Chris; Dsilva, Rohan; Thompson, Simon; Brooks, Caroline J; Heaven, Martin L; Thayer, Daniel S; McNerney, Cynthia L; Lyons, Ronan A

    2014-08-01

    With the current expansion of data linkage research, the challenge is to find the balance between preserving the privacy of person-level data whilst making these data accessible for use to their full potential. We describe a privacy-protecting safe haven and secure remote access system, referred to as the Secure Anonymised Information Linkage (SAIL) Gateway. The Gateway provides data users with a familiar Windows interface and their usual toolsets to access approved anonymously-linked datasets for research and evaluation. We outline the principles and operating model of the Gateway, the features provided to users within the secure environment, and how we are approaching the challenges of making data safely accessible to increasing numbers of research users. The Gateway represents a powerful analytical environment and has been designed to be scalable and adaptable to meet the needs of the rapidly growing data linkage community.

  11. STUDY ON ACCESS CONTROL FOR WEB SERVICES BASED ON ABAC%基于ABAC的Web Services访问控制研究

    Institute of Scientific and Technical Information of China (English)

    夏春涛; 杨艳丽; 曹利峰

    2012-01-01

    为解决Web Services访问控制问题,分析了传统访问控制模型在Web Services应用中的不足,给出了面向Web Services 的基于属性的访问控制模型ABAC(Attribute Based Access Control)的定义,设计了ABAC访问控制架构,并利用可扩展的访问控制标记语言XACML( eXtensible Access Control Markup Language)实现了细粒度的Web Services访问控制系统.系统的应用有效保护了Web Services资源.%To deal with access control for web services, the problem of application of traditional access control model in web services is analysed, then the definition of web services-oriented attribute-based access control ( ABAC) model is presented, and the architecture of ABAC is designed. Furthermore, the fine-grained access control system for web services is implemented with XACML, the application of the system has effectively protected the resources of web services.

  12. Holistic approaches to e-learning accessibility

    Directory of Open Access Journals (Sweden)

    Lawrie Phipps

    2006-12-01

    Full Text Available The importance of accessibility to digital e-learning resources is widely acknowledged. The World Wide Web Consortium Web Accessibility Initiative has played a leading role in promoting the importance of accessibility and developing guidelines that can help when developing accessible web resources. The accessibility of e-learning resources provides additional challenges. While it is important to consider the technical and resource related aspects of e-learning when designing and developing resources for students with disabilities, there is a need to consider pedagogic and contextual issues as well. A holistic framework is therefore proposed and described, which in addition to accessibility issues takes into account learner needs, learning outcomes, local factors, infrastructure, usability and quality assurance. The practical application and implementation of this framework is discussed and illustrated through the use of examples and case studies.

  13. Care seeking behaviour and barriers to accessing services for sexually transmitted infections among female sex workers in Laos: a cross-sectional study

    Directory of Open Access Journals (Sweden)

    Phrasisombath Ketkesone

    2012-02-01

    Full Text Available Abstract Background Prompt, correct diagnosis and treatment with health information are essential components of reproductive tract infection (RTI and sexually transmitted infection (STI services. This study aims to describe care seeking behaviour and barriers to accessing RTI/STI services among female sex workers (FSWs in Laos. Methods A cross-sectional survey using closed and open-ended questions was performed in six districts along Road 9, traversing Savannakhet province from Thailand to Vietnam. In total, 407 FSWs were interviewed. The data were analyzed and presented descriptively. Multiple logistic regression analysis was applied to assess associations between respondents' background characteristics and care seeking behaviour. Results About half of the respondents (49% were less than or equal to 19 years of age, and 50% had started or completed secondary school. Fifty-eight percent had been engaged in sex work for less than 1 year. Eighty-six percent of the respondents reported RTI/STI signs or symptoms currently or in the last 3 months but only two-thirds of those with symptoms sought treatment. Source of treatment for the last RTI/STI episode was the drop-in centre (53% followed by a public hospital (23%, private clinic (12%, private pharmacy (9%, and herbalist (2%. The main barriers to service use were long waiting time, inconvenient location of the clinic, not knowing where to get the services needed, and negative attitudes among healthcare providers. Care seeking behaviour was associated with longer duration of sex work (OR = 2.6, 95%CI 1.52-5.36. Forty-four percent received health information from peer educators, 34% from fellow friends, 26% from a pimp, and 26% had received information from a healthcare provider during the visit. Conclusion There were several barriers to accessing RTI/STI services and they were related to both structural and individual factors. Innovative STI service strategies to inform FSWs about the importance of

  14. Access to Bacteriologic-Based Diagnosis in Smear Positive Retreatment Tuberculosis Patients in Rural China: A Cross-Sectional Study in Three Geographic Varied Provinces.

    Directory of Open Access Journals (Sweden)

    Changming Zhou

    Full Text Available To determine factors influencing the utilization and accessibility to bacteriologic-based tuberculosis (TB diagnosis among sputum smear positive (SS+ retreatment TB patients, and to develop strategies for improving the case detection rate of MDR-TB in rural China.A cross-sectional study of SS+ TB retreatment patients was conducted in eight counties from three provinces with different implementation period and strategy of MDR-TB program in China. Demographic and socioeconomic parameters were collected by self-reporting questionnaires. Sputum samples were collected and cultured by the laboratory of county-designated TB clinics and delivered to prefectural Centers for Disease Prevention and Control (CDC labs for DST with 4 first-line anti-TB drugs.Among the 196 SS+ retreatment patients, 61.22% received culture tests during current treatment. Patients from more developed regions (OR = 24.0 and 3.6, 95% CI: 8.6-67.3 and 1.1-11.6, with better socio-economic status (OR = 3. 8, 95% CI: 1.3-10.7, who had multiple previous anti-TB treatments (OR = 5.0, 95% CI: 1.6-15.9, and who failed in the most recent anti-TB treatment (OR = 2.6, 95% CI: 1.0-6.4 were more likely to receive culture tests. The percentage of isolates resistant to any of first-line anti-TB drugs and MDR-TB were 50.0% (95% CI: 39.8%-60.2% and 30.4% (95% CI: 21.0%-39.8% respectively.Retreatment SS+ TB patients, high risk MDR-TB population, had poor utilization of access to bacteriologic-based TB diagnosis, which is far from optimal. The next step of anti-TB strategy should be focused on how to make bacteriological-based diagnosis cheaper, safer and more maneuverable, and how to assure the DST-guided treatment for these high-risk TB patients.

  15. Surveillance and Monitoring of Dialysis Access

    Directory of Open Access Journals (Sweden)

    Lalathaksha Kumbar

    2012-01-01

    Full Text Available Vascular access is the lifeline of a hemodialysis patient. Currently arteriovenous fistula and graft are considered the permanent options for vascular access. Monitoring and surveillance of vascular access are an integral part of the care of hemodialysis patient. Although different techniques and methods are available for identifying access dysfunction, the scientific evidence for the optimal methodology is lacking. A small number of randomized controlled trials have been performed evaluating different surveillance techniques. We performed a study of the recent literature published in the PUBMED, to review the scientific evidence on different methodologies currently being used for surveillance and monitoring and their impact on the care of the dialysis access. The limited randomized studies especially involving fistulae and small sample size of the published studies with conflicting results highlight the need for a larger multicentered randomized study with hard clinical end points to evaluate the optimal surveillance strategy for both fistula and graft.

  16. Pediatric vascular access

    International Nuclear Information System (INIS)

    Pediatric interventional radiologists are ideally suited to provide vascular access services to children because of inherent safety advantages and higher success from using image-guided techniques. The performance of vascular access procedures has become routine at many adult interventional radiology practices, but this service is not as widely developed at pediatric institutions. Although interventional radiologists at some children's hospitals offer full-service vascular access, there is little or none at others. Developing and maintaining a pediatric vascular access service is a challenge. Interventionalists skilled in performing such procedures are limited at pediatric institutions, and institutional support from clerical staff, nursing staff, and technologists might not be sufficiently available to fulfill the needs of such a service. There must also be a strong commitment by all members of the team to support such a demanding service. There is a slippery slope of expected services that becomes steeper and steeper as the vascular access service grows. This review is intended primarily as general education for pediatric radiologists learning vascular access techniques. Additionally, the pediatric or adult interventional radiologist seeking to expand services might find helpful tips. The article also provides education for the diagnostic radiologist who routinely interprets radiographs containing vascular access devices. (orig.)

  17. Pediatric vascular access

    Energy Technology Data Exchange (ETDEWEB)

    Donaldson, James S. [Northwestern University, Feinberg School of Medicine, Department of Medical Imaging, Children' s Memorial Hospital, Chicago, IL (United States)

    2006-05-15

    Pediatric interventional radiologists are ideally suited to provide vascular access services to children because of inherent safety advantages and higher success from using image-guided techniques. The performance of vascular access procedures has become routine at many adult interventional radiology practices, but this service is not as widely developed at pediatric institutions. Although interventional radiologists at some children's hospitals offer full-service vascular access, there is little or none at others. Developing and maintaining a pediatric vascular access service is a challenge. Interventionalists skilled in performing such procedures are limited at pediatric institutions, and institutional support from clerical staff, nursing staff, and technologists might not be sufficiently available to fulfill the needs of such a service. There must also be a strong commitment by all members of the team to support such a demanding service. There is a slippery slope of expected services that becomes steeper and steeper as the vascular access service grows. This review is intended primarily as general education for pediatric radiologists learning vascular access techniques. Additionally, the pediatric or adult interventional radiologist seeking to expand services might find helpful tips. The article also provides education for the diagnostic radiologist who routinely interprets radiographs containing vascular access devices. (orig.)

  18. Clinical outcomes of HER2-positive metastatic breast cancer patients with brain metastasis treated with lapatinib and capecitabine: an open-label expanded access study in Korea

    Directory of Open Access Journals (Sweden)

    Ro Jungsil

    2012-07-01

    Full Text Available Abstract Background To evaluate efficacy in patients with brain metastasis (BM on entry into the lapatinib expanded access program (LEAP. Methods LEAP is a worldwide, single-arm, open-label study. HER2-positive, locally-advanced or metastatic breast cancer patients with progression after an anthracycline, taxane, and trastuzumab were eligible. Patients received capecitabine 2000 mg/m2 daily in two divided doses, days 1–14, every 21 days and lapatinib 1250 mg once daily. Results Among 186 patients enrolled in 6 Korean centers, 58 had BM. Progression-free survival (PFS was 18.7 weeks in patients with BM and 19.4 weeks without BM (P = 0.88. In patients with BM, brain response was synchronized with systemic responses (P = 0.0001. Overall survival (OS was 48.9 weeks in patients with BM and 64.6 weeks without BM (P = 0.23. Multivariable analysis found hormone receptor positivity (P = 0.003 and clinical benefit rate (CBR of combined systemic and brain disease (P  Conclusion Lapatinib plus capecitabine is equally effective in patients with or without BM. Trial registration ClinicalTrials.gov (NCT00338247

  19. Using shared goal setting to improve access and equity: a mixed methods study of the Good Goals intervention in children’s occupational therapy

    Directory of Open Access Journals (Sweden)

    Kolehmainen Niina

    2012-08-01

    Full Text Available Abstract Background Access and equity in children’s therapy services may be improved by directing clinicians’ use of resources toward specific goals that are important to patients. A practice-change intervention (titled ‘Good Goals’ was designed to achieve this. This study investigated uptake, adoption, and possible effects of that intervention in children’s occupational therapy services. Methods Mixed methods case studies (n = 3 services, including 46 therapists and 558 children were conducted. The intervention was delivered over 25 weeks through face-to-face training, team workbooks, and ‘tools for change’. Data were collected before, during, and after the intervention on a range of factors using interviews, a focus group, case note analysis, routine data, document analysis, and researchers’ observations. Results Factors related to uptake and adoptions were: mode of intervention delivery, competing demands on therapists’ time, and leadership by service manager. Service managers and therapists reported that the intervention: helped therapists establish a shared rationale for clinical decisions; increased clarity in service provision; and improved interactions with families and schools. During the study period, therapists’ behaviours changed: identifying goals, odds ratio 2.4 (95% CI 1.5 to 3.8; agreeing goals, 3.5 (2.4 to 5.1; evaluating progress, 2.0 (1.1 to 3.5. Children’s LoT decreased by two months [95% CI −8 to +4 months] across the services. Cost per therapist trained ranged from £1,003 to £1,277, depending upon service size and therapists’ salary bands. Conclusions Good Goals is a promising quality improvement intervention that can be delivered and adopted in practice and may have benefits. Further research is required to evaluate its: (i impact on patient outcomes, effectiveness, cost-effectiveness, and (ii transferability to other clinical contexts.

  20. Market Access and Welfare

    DEFF Research Database (Denmark)

    Raimondos-Møller, Pascalis; Woodland, Alan D.

    According to the literature, well known tariff reform rules that are guaranteed to increase welfare will not necessarily increase market access, while rules that are guaranteed to increase market access will not necessarily increase welfare. Such conflict between welfare and market access...... objectives of trade policy is problematic and calls for finding alternative tariff reform rules that can achieve both objectives at the same time. The present paper contributes to this aim by using a new set of tariff reforms that are based on local optimality. Using such reforms it is shown that market...

  1. Access 2010 for dummies

    CERN Document Server

    Ulrich Fuller, Laurie

    2010-01-01

    A friendly, step-by-step guide to the Microsoft Office database application Access may be the least understood and most challenging application in the Microsoft Office suite. This guide is designed to help anyone who lacks experience in creating and managing a database learn to use Access 2010 quickly and easily. In the classic For Dummies tradition, the book provides an education in Access, the interface, and the architecture of a database. It explains the process of building a database, linking information, sharing data, generating reports, and much more.As the Micr

  2. A Case Study in Balancing Protection, Interpretation, and Public Access in the Treasure Hunting Capital of the World: The Management of the HMS Fowey Shipwreck in Biscayne National Park

    Science.gov (United States)

    Marano, Joshua

    2015-08-01

    The management of the HMS Fowey shipwreck site in Biscayne National Park is a unique case study in the development of an interpretation and outreach program for the sensitive and now inaccessible site. Decades of restricted access and recent stabilization activities completed at the site have effectively closed archaeological access to it for the foreseeable future. The National Park Service did not come lightly to the decision to physically remove access the site. However, after several decades of monitoring significant loss, due to both erosion and looting, few options remained. This article utilizes the management of HMS Fowey as a case study in the development and modification of an interpretation and outreach program that can be applied to resources in similar peril and specifically to those located within the Florida Keys. Following a discussion of the archaeological history of the wreck site and the difficulties of regulating public access to HMS Fowey, this article addresses some of the difficulties associated with interpreting a closed and inaccessible archaeological site while detailing the Park's attempts to balance the protection, interpretation, and public access to sensitive archaeological sites in what could be described as the treasure hunting capital of the world.

  3. Implementation of the Broad—band User Access Network and the Study of the Key Algorithm for Improving the Performance of Asymmetrical Networks

    Institute of Scientific and Technical Information of China (English)

    LIHui-lin; HUZheng-ming; 等

    2001-01-01

    This thesis is based on the design and develop-ment of ADSL access networks.We have completed the hardware and software functions in two main ADSL equipments:ATU-C and ATU-R .With the system design, we carry out researches to find out effective methods to improved performance in the following aspects:(a)how to allocate limited band-with among services with different QoS require-ments and (b)what is the effect of asymmetric links on TCP end-to-end flow control mechanism.We make detailed analyses and propose useful solutions to those problems we find.The main contents of this thesis are as follows :(1)the design and realize-tion of ADSL access system.This part includes the principles of ADSL access technology, ADSL broad-band access network architecture, and ATM over ADSL protocol models that we use in our system.We give detailed hardware and software design steps in this part, and list system testing results to show the system performance .In our hardware, the CPU is a RISC microprocessor.Combined with a high-speed digital signal processor, the whole system can hold high reliability.Our software design platform is a pSOS multi-task real-time operation system.We have developred a series of hardware drivers besides other tasks for high level control and interruption processing.Currently, our system has reached the expected performance under test environment.Our next step is the development of DSLAM and in this part we give a feasible design scheme.(2)Packet scheduling policy in ADSL system.In order to opti-mize ATU-R performance, we need a scheduling policy to regulate the order and number of packet output to the uplink.For this purpose, we study the scheduling algorithm design methods in a single net-work node and their performance.After studying the existing algorithms carefully, we first conclude certain important design principles and criterions for scheduling policy evaluation.And then by using ser-vice curve function, we make detailed performance analysis of a

  4. How to avoid risks for patients in minimal-access trials: Avoiding complications in clinical first-in-human studies by example of the ADBEE study.

    Science.gov (United States)

    Cezar, Cristina; Korell, Matthias; Tchartchian, Garri; Ziegler, Nicole; Senshu, Kazuhisa; Herrmann, Anja; Larbig, Angelika; De Wilde, Rudy Leon

    2016-08-01

    A clinical trial is a prospective study designed to establish the safety and efficacy of investigational devices in humans, in accordance with the strict guidelines of the Food and Drug Administration (FDA; USA) or European Medicines Agency (EMA; Europe). Before a clinical first-in-human study is initiated, preclinical studies of the investigational product are mandatory, and the results should be sufficient to indicate that the investigational device is acceptably safe for the proposed evaluation in human subjects. The present paper describes an experience of clinical trials, highlighting ways of avoiding possible complications in clinical first-in-human studies. For a better approach to our aim, we exemplified a prospective, randomized, single-blind study, ADBEE. The primary objective was to assess the safety of the ADBLOCK system when used as an adjunct to laparoscopic primary removal of myomas in women wishing to improve pregnancy outcomes.

  5. On Flat Objects of Finitely Accessible Categories

    Directory of Open Access Journals (Sweden)

    Septimiu Crivei

    2013-01-01

    Full Text Available Flat objects of a finitely accessible additive category are described in terms of some objects of the associated functor category of , called strongly flat functors. We study closure properties of the class of strongly flat functors, and we use them to deduce the known result that every object of a finitely accessible abelian category has a flat cover.

  6. Correlates of Access to Business Research Databases

    Science.gov (United States)

    Gottfried, John C.

    2010-01-01

    This study examines potential correlates of business research database access through academic libraries serving top business programs in the United States. Results indicate that greater access to research databases is related to enrollment in graduate business programs, but not to overall enrollment or status as a public or private institution.…

  7. Health Care Access among Deaf People

    Science.gov (United States)

    Kuenburg, Alexa; Fellinger, Paul; Fellinger, Johannes

    2016-01-01

    Access to health care without barriers is a clearly defined right of people with disabilities as stated by the UN Convention on the Rights of People with Disabilities. The present study reviews literature from 2000 to 2015 on access to health care for deaf people and reveals significant challenges in communication with health providers and gaps in…

  8. Extra- and intrathoracic access.

    Science.gov (United States)

    Lazarides, Miltos K; Georgakarakos, Efstratios I; Schoretsanitis, Nikolaos

    2014-01-01

    The most complex patients requiring vascular access are those with bilateral central vein occlusions. Endovascular repair of the central lesions when feasible allow upper extremity use for access. When endovascular repair is not feasible, femoral vein transposition should be the next choice. When lower limb access sites have been exhausted or are contraindicated as in obese patients and in patients with peripheral arterial obstructive disease, a range of extrathoracic "exotic" extra-anatomic access procedures as the necklace cross-chest arteriovenous (AV) grafts, the ipsilateral axillo-axillary loops, the brachial-jugular AV grafts, the axillo-femoral AV grafts or even intra-thoracic ones as the right atrial AV bypasses represent the vascular surgeon's last resort. The selection among those extra-anatomical chest-wall procedures should be based upon each patient's anatomy or patient-specific factors. PMID:24817469

  9. Access cavity preparation.

    Science.gov (United States)

    Adams, N; Tomson, P L

    2014-03-01

    Each stage of root canal treatment should be carried out to the highest possible standard. The access cavity is arguably the most important technical stage, as subsequent preparation of the root canal(s) can be severely comprised if this is not well executed. Inadequate access can lead to canals being left untreated, poorly disinfected, difficult to shape and obturate, and may ultimately lead to the failure of the treatment. This paper highlights common features in root canal anatomy and outlines basic principles for locating root canals and producing a good access cavity. It also explores each phase of the preparation in detail and offers suggestions of instruments that have been specifically designed to overcome potential difficulties in the process. Good access design and preparation will result in an operative environment which will facilitate cleaning, shaping and obturation of the root canal system in order to maximise success.

  10. Accessibility and assistive products

    Science.gov (United States)

    Rodríguez-Porrero, Cristina

    2009-01-01

    Introduction Accessibility and assistive products and technologies are needed to ensure the rights of persons with disabilities and older persons. Many developments have been implemented in laws, standards, markets and from the consumers perspective, at international, European and national levels. The real issue is that not all the potential users benefit from the use of assistive products or accessible measures. Discussion Innovative methods are needed to allow all potential users to have real advantage of assistive technologies and accessible and design for all facilities. Best practices will be presented and existing gaps and recommendations will be discussed. Cost-benefits aspects will also be presented. Conclusion In order to get advantages from opportunities of globalization, hard work and responsibilities of all stakeholders are needed, so that assistive products and accessibility reach a whole range of situations and environments and contribute to ensure quality of life in a society for all.

  11. Access/AML

    Data.gov (United States)

    Department of Transportation — The AccessAML is a web-based internet single application designed to reduce the vulnerability associated with several accounts assinged to a single users. This is a...

  12. Normal myocardial perfusion scan portends a benign prognosis independent from the pretest probability of coronary artery disease. Sub-analysis of the J-ACCESS study

    International Nuclear Information System (INIS)

    We assessed the usefulness of gated stress/rest 99mTc-tetrofosmin myocardial perfusion single photon emission computed tomography (SPECT) to predict ischemic cardiac events in Japanese patients with various estimated pretest probabilities of coronary artery disease (CAD). Of the 4031 consecutively registered patients for a J-ACCESS (Japanese Assessment of Cardiac Events and Survival Study by Quantitative Gated SPECT) study, 1904 patients without prior cardiac events were selected. Gated stress/rest myocardial perfusion SPECT was performed and segmental perfusion scores and quantitative gated SPECT results were derived. The pretest probability for having CAD was estimated using the American College of Cardiology/American Heart Association/American College of Physicians- American Society of Internal Medicine guideline data for the management of patients with chronic stable angina, which includes age, gender, and type of chest discomfort. The patients were followed up for three years. During the three-year follow-up period, 96 developed ischemic cardiac events: 17 cardiac deaths, 8 nonfatal myocardial infarction, and 71 clinically driven revascularization. The summed stress score (SSS) was the most powerful independent predictor of all ischemic cardiac events (hazard ratio 1.077, confidence interval (CI) 1.045-1.110). Abnormal SSS (>3) was associated with a significantly higher cardiac event rate in patients with an intermediate to high pretest probability of CAD. Normal SSS (≤3) was associated with a low event rate in patients with any pretest probability of CAD. Myocardial perfusion SPECT is useful for further risk-stratification of patients with suspected CAD. The abnormal scan result (SSS>3) is discriminative for subsequent cardiac events only in the groups with an intermediate to high pretest probability of CAD. The salient result is that normal scan results portend a benign prognosis independent from the pretest probability of CAD. (author)

  13. The universal access handbook

    CERN Document Server

    Stephanidis, Constantine

    2009-01-01

    In recent years, the field of Universal Access has made significant progress in consolidating theoretical approaches, scientific methods and technologies, as well as in exploring new application domains. Increasingly, professionals in this rapidly maturing area require a comprehensive and multidisciplinary resource that addresses current principles, methods, and tools. Written by leading international authorities from academic, research, and industrial organizations and nonmarket institutions, The Universal Access Handbook covers the unfolding scientific, methodological, technological, and pol

  14. CERN access cards

    CERN Multimedia

    HR Department

    2007-01-01

    Holders of CERN access cards are reminded that the card is an official document. It is important to carry it with you at all times when you are on the site. This applies also to those on standby duty who are called out for emergency interventions. As announced in Weekly Bulletin 13/2006, any loss or theft of access cards must be declared to the competent external authorities.

  15. Children's access to medicines

    OpenAIRE

    Alkahtani, Saad Ahmed

    2013-01-01

    Access to health care for children is important. It is dependent on access to health professionals and also parental attitudes towards illness. Children have the right to receive medicines that are scientifically evaluated for both efficacy and safety. Counterfeit and substandard medicines unfortunately result in the death of many children worldwide. There have been particular problems with diethylene glycol which has been used as a solvent in counterfeit medicines. It has also been foun...

  16. IMPROVING ACCESS TO DRUGS

    OpenAIRE

    Max Joseph Herman

    2012-01-01

    Although essentially not all therapies need drug intervention, drugs is still an important components in health sector, either in preventive, curative, rehabilitative or promotion efforts. Hence the access to drugs is a main problem, either in international or national scale even to the smallest unit. The problem on access to drugs is very complicated and cannot be separated especially from pharmacy management problems; moreover in general from the overall lack of policy development and effec...

  17. Lexical semantic access and letter access are involved in different aspects of reading

    DEFF Research Database (Denmark)

    Poulsen, Mads

    Purpose: This study investigated the effects of lexical access speed and letter access speed on reading fluency and reading comprehension. We hypothesized that 1) letter access speed would correlate with reading fluency but not comprehension, while 2) lexical access speed would influence reading...... comprehension. For readers who are struggling with recoding, most of the reading effort is probably tied up with recoding, leaving little to be explained by lexical access. Therefore we expected that 3) lexical access speed would primarily predict reading fluency for readers who were no longer struggling...... with recoding. Method: 85 Grade 5 students completed tasks of reading accuracy, fluency, and comprehension. In addition they were tested on isolated letter naming and isolated picture naming tasks as measures of letter and lexical access speed. All items in both naming tasks were unique. Parallel serial rapid...

  18. Does Internet Reporting Improve the Accessibility of Financial Information in a Global World? A Comparative Study of New Zealand and Indian Companies

    Directory of Open Access Journals (Sweden)

    Bikram Chatterjee

    2008-12-01

    Full Text Available The accessibility of business reporting, including financial reports on companywebsites is not necessarily increased by providing more information on websites. Thequality of Internet-based information is affected by both the accessibility and quantityof information provided. However, the accessibility of the information is an underresearched area. This paper contributes to the existing body of knowledge on webbasedbusiness reporting, by considering the dimension of accessibility in terms ofwebsite appearance and visual design from four different perspectives. The aim is toconsider the differences that occur in website organisation as a way of considering theaccessibility of information provided on company websites. The paper considers thedifferences in the accessibility of website information between New Zealand andIndian companies as a means of demonstrating the variation that can occur acrosscountries as well as within the same reporting structure. We conclude that Internetfinancial reporting does provide the illusion of comparability but without a moresustained focus on the harmonisation of terminology and attributes included inInternet reporting, the potential for comparison is reduced.

  19. Access of children with cerebral palsy to the physical, social and attitudinal environment they need: a cross-sectional European study

    DEFF Research Database (Denmark)

    Colver, Allan F; Dickinson, Heather O; Parkinson, Kathryn;

    2011-01-01

    sources. Researchers visited these 818 children and administered the European Child Environment Questionnaire, which records parents' perceptions of availability of the physical, social and attitudinal environment needed in home, school and community. Multilevel, multivariable regression related child......Purpose. The UN Convention on the Rights of Persons with Disabilities requires states 'to ensure to persons with disabilities access, on an equal basis with others, to the physical environment, transportation, information and communications.' We explored whether this convention was respected...... access on these domains to their impairments and socio-demographic characteristics. Results. Children with more impaired walking ability had less access to the physical environment, transport and social support they needed than other children. They also experienced less favourable attitudes from family...

  20. How Accessible Are the Geosciences? a Study of Professionally Held Perceptions and What They Mean for the Future of Geoscience Workforce Development

    Science.gov (United States)

    Atchison, C.; Libarkin, J. C.

    2014-12-01

    Individuals with disabilities are not entering pathways leading to the geoscience workforce; the reasons for which continue to elude access-focused geoscience educators. While research has focused on barriers individuals face entering into STEM disciplines, very little research has considered the role that practitioner perceptions play in limiting access and accommodation to scientific disciplines. The authors argue that changing the perceptions within the geoscience community is an important step to removing barriers to entry into the myriad fields that make up the geosciences. This paper reports on an investigation of the perceptions that geoscientist practitioners hold about opportunities for engagement in geoscience careers for people with disabilities. These perspectives were collected through three separate iterations of surveys at three professional geoscience meetings in the US and Australia between 2011 and 2012. Respondents were asked to indicate the extent to which individuals with specific types of disabilities would be able to perform various geoscientific tasks. The information obtained from these surveys provides an initial step in engaging the larger geoscience community in a necessary discussion of minimizing the barriers of access to include students and professionals with disabilities. The results imply that a majority of the geoscience community believes that accessible opportunities exist for inclusion regardless of disability. This and other findings suggest that people with disabilities are viewed as viable professionals once in the geosciences, but the pathways into the discipline are prohibitive. Perceptions of how individuals gain entry into the field are at odds with perceptions of accessibility. This presentation will discuss the common geoscientist perspectives of access and inclusion in the geoscience discipline and how these results might impact the future of the geoscience workforce pathway for individuals with disabilities.

  1. Facilitators and barriers to accessing reproductive health care for migrant beer promoters in Cambodia, Laos, Thailand and Vietnam: A mixed methods study

    Directory of Open Access Journals (Sweden)

    Webber Gail

    2012-07-01

    Full Text Available Abstract Background The purpose of the research was to assess access to sexual and reproductive health services for migrant women who work as beer promoters. This mixed methods research was conducted in Phnom Penh, Cambodia, Bangkok, Thailand, Vientiane, Laos, and Hanoi, Vietnam during 2010 to 2011. Methods Focus groups were held with beer promoters and separate focus groups or interviews with key informants to explore the factors affecting beer promoters’ access to health care institutions for reproductive health care. The findings of the focus groups were used to develop a survey for beer promoters. This survey was conducted in popular health institutions for these women in each of the four Asian cities. Results Several common themes were evident. Work demands prevented beer promoters from accessing health care. Institutional factors affecting care included cost, location, environmental factors (e.g. waiting times, cleanliness and confidentiality and service factors (e.g. staff attitudes, clinic hours, and availability of medications. Personal factors affecting access were shyness and fear, lack of knowledge, and support from family and friends. The survey of the beer promoters confirmed that cost, location and both environmental and service factors impact on access to health care services for beer promoters. Many beer promoters are sexually active, and a significant proportion of those surveyed rely on sex work to supplement their income. Many also drink with their clients. Despite a few differences amongst the surveyed population, the findings were remarkably similar across the four research sites. Conclusions Recommendations from the research include the provision of evening and weekend clinic hours to facilitate access, free or low cost clinics, and health insurance through employer or government plans which are easy to access for migrants. Other improvements that would facilitate the access of beer promoters to these services include

  2. Erbium-doped yttrium aluminium garnet laser–assisted access osteotomy for maxillary sinus elevation: a human and animal cadaver study

    OpenAIRE

    Stübinger, S; Nuss, Katja M; Sebesteny, T; Saldamli, B; Sader, R; von Rechenberg, Brigitte

    2010-01-01

    OBJECTIVE: To evaluate the usability of a variable square pulse (VSP) erbium-doped yttrium aluminium garnet (Er:YAG) laser for a lateral access osteotomy to the maxillary sinus in the course of a sinus elevation procedure. MATERIALS AND METHODS: In six formalin-fixed human heads and six fresh sheep heads, a VSP Er:YAG laser was used to perform a bilateral maxillary access osteotomy. For the osteotomies, the Er:YAG laser was applied with a pulse energy of 1000 mJ, a pulse duration of 300 mu...

  3. Effect of Restricting Access to Health Care on Health Expenditures among Asylum-Seekers and Refugees: A Quasi-Experimental Study in Germany, 1994-2013.

    Directory of Open Access Journals (Sweden)

    Kayvan Bozorgmehr

    Full Text Available Access to health care for asylum-seekers and refugees (AS&R in Germany is initially restricted before regular access is granted, allegedly leading to delayed care and increasing costs of care. We analyse the effects of (a restricted access; and (b two major policy reforms (1997, 2007 on incident health expenditures for AS&R in 1994-2013.We used annual, nation-wide, aggregate data of the German Federal Statistics Office (1994-2013 to compare incident health expenditures among AS&R with restricted access (exposed to AS&R with regular access (unexposed. We calculated incidence rate differences (∆IRt and rate ratios (IRRt, as well as attributable fractions among the exposed (AFe and the total population (AFp. The effects of between-group differences in need, and of policy reforms, on differences in per capita expenditures were assessed in (segmented linear regression models. The exposed and unexposed groups comprised 4.16 and 1.53 million person-years. Per capita expenditures (1994-2013 were higher in the group with restricted access in absolute (∆IRt = 375.80 Euros [375.77; 375.89] and relative terms (IRR = 1.39. The AFe was 28.07% and the AFp 22.21%. Between-group differences in mean age and in the type of accommodation were the main independent predictors of between-group expenditure differences. Need variables explained 50-75% of the variation in between-group differences over time. The 1997 policy reform significantly increased ∆IRt adjusted for secular trends and between-group differences in age (by 600.0 Euros [212.6; 986.2] and sex (by 867.0 Euros [390.9; 1342.5]. The 2007 policy reform had no such effect.The cost of excluding AS&R from health care appears ultimately higher than granting regular access to care. Excess expenditures attributable to the restriction were substantial and could not be completely explained by differences in need. An evidence-informed discourse on access to health care for AS&R in Germany is needed; it

  4. Open Access e Pubblica Amministrazione

    OpenAIRE

    Galimberti, Paola

    2007-01-01

    The speech tries to analyze how the tools offered by OA, open archives in particolar, can fulfil to the needs of accessibility and publicity of documents of the public administration, with reference to those surveys and those studies (grey literature) that now cannot find a chance for dissemination and remain invisible. Instead documents in open archives are electronics from their origin, especially with associated metadata that assure harvesting, searchability and interoperability.

  5. IVOA Simple Image Access

    CERN Document Server

    Dowler, Patrick; Bonnarel, François

    2016-01-01

    The Simple Image Access protocol (SIA) provides capabilities for the discovery, description, access, and retrieval of multi-dimensional image datasets, including 2-D images as well as datacubes of three or more dimensions. SIA data discovery is based on the ObsCore Data Model (ObsCoreDM), which primarily describes data products by the physical axes (spatial, spectral, time, and polarization). Image datasets with dimension greater than 2 are often referred to as datacubes, cube or image cube datasets and may be considered examples of hypercube or n-cube data. In this document the term "image" refers to general multi-dimensional datasets and is synonymous with these other terms unless the image dimensionality is otherwise specified. SIA provides capabilities for image discovery and access. Data discovery and metadata access (using ObsCoreDM) are defined here. The capabilities for drilling down to data files (and related resources) and services for remote access are defined elsewhere, but SIA also allows for dir...

  6. Access and Quality in Education in Resettlement Schools: The Case Study of Zvivingwi Secondary School in Gutu District, Masvingo Province in Zimbabwe

    Science.gov (United States)

    Jenjekwa, Vincent

    2013-01-01

    In Zimbabwe, the discourse on access and quality in education has been a raging one since the colonial days of bottlenecks and outright discrimination against black Zimbabweans in education. The doors to education were declared open to all at independence in 1980 with the new Zimbabwe government's enunciated policy of education for all. It is an…

  7. Study of Technique of Web Database Accessing%基于WEB的数据库访问技术的研究

    Institute of Scientific and Technical Information of China (English)

    余光华

    2011-01-01

    WEB-based database access technology is the combination of Web technology and database,accessing the database service system created in the B/S structure through a browser.Based on Web database access process,this paper describes the Web database architecture and implementation,moreover,the advantages and disadvantages of several major Web database access technologies are compared and discussed detailedly.All these will help to select the most suitable implementation technology under different applied conditions.%基于WEB的数据库访问技术就是将Web技术和数据库相结合,在B/S结构下建立的通过浏览器去访问数据库的服务系统.本文根据Web数据库的访问流程描述了Web数据库的体系结构与实现,对几种主要的Web数据库访问技术,进行了优缺点及用处进行了较详细的比较和讨论.有助于在不同应用下选择最适合的技术去实现.

  8. "There's no kind of respect here" A qualitative study of racism and access to maternal health care among Romani women in the Balkans

    NARCIS (Netherlands)

    Janevic, Teresa; Sripad, Pooja; Bradley, Elizabeth; Dimitrievska, Vera

    2011-01-01

    Introduction: Roma, the largest minority group in Europe, face widespread racism and health disadvantage. Using qualitative data from Serbia and Macedonia, our objective was to develop a conceptual framework showing how three levels of racism-personal, internalized, and institutional-affect access t

  9. Open For Business? An Historical, Comparative Study of Public Access to Information about Two Controversial Coastal Developments in North-East Scotland

    Science.gov (United States)

    Baxter, Graeme

    2014-01-01

    Introduction: This paper compares public access to information about two controversial coastal developments in North-east Scotland: the construction of a gas terminal by the British Gas Council and Total in the 1970s, and the current development of "the world's greatest golf course" by the tycoon Donald Trump. Method: Data has been…

  10. Increasing equity of access to point-of-use water treatment products through social marketing and entrepreneurship: a case study in western Kenya.

    Science.gov (United States)

    Freeman, Matthew C; Quick, Robert E; Abbott, Daniel P; Ogutu, Paul; Rheingans, Richard

    2009-09-01

    Point-of-use water chlorination reduces diarrhoea risk by 25-85%. Social marketing has expanded access to inexpensive sodium hypochlorite for water treatment, at a cost of less than US$0.01 per day, in Kenya. To increase product access, women's groups in western Kenya were trained to educate neighbours and sell health products to generate income. We evaluated this programme's impact on equity of access to water treatment products in a cross-sectional survey. We surveyed 487 randomly selected households in eight communities served by the women's groups. Overall, 20% (range 5-39%) of households in eight communities purchased and used chlorine, as confirmed by residual chlorine observed in stored water. Multivariate models using illiteracy and the poorest socioeconomic status as a referent showed that persons with at least some primary education (OR 2.5, 95% CI 1.8, 3.5) or secondary education (OR 5.4, 95% CI 1.6, 17.5) and persons in the four wealthiest quintiles (OR 2.5, 95% CI 1.0, 6.0) were more likely to chlorinate stored water. While this implementation model was associated with good product penetration and use, barriers to access to inexpensive water treatment remained among the very poor and less educated. PMID:19491503

  11. Medication errors with the use of allopurinol and colchicine : A retrospective study of a national, anonymous Internet-accessible error reporting system

    NARCIS (Netherlands)

    Mikuls, TR; Curtis, [No Value; Allison, JJ; Hicks, RW; Saag, KG

    2006-01-01

    Objectives. To more closely assess medication errors in gout care, we examined data from a national, Internet-accessible error reporting program over a 5-year reporting period. Methods. We examined data from the MEDMARX (TM) database, covering the period from January 1, 1999 through December 31, 200

  12. Support open access publishing

    DEFF Research Database (Denmark)

    Ekstrøm, Jeannette

    2013-01-01

    Projektet Support Open Access Publishing har til mål at få opdateret Sherpa/Romeo databasen (www.sherpa.ac.uk/romeo) med fagligt relevante, danske tidsskrifter. Projektet skal endvidere undersøge mulighederne for at få udviklet en database, hvor forskere på tværs af relevante tidsskriftsinformati......Projektet Support Open Access Publishing har til mål at få opdateret Sherpa/Romeo databasen (www.sherpa.ac.uk/romeo) med fagligt relevante, danske tidsskrifter. Projektet skal endvidere undersøge mulighederne for at få udviklet en database, hvor forskere på tværs af relevante...... tidsskriftsinformationer (faglig disciplin, BFI niveau, Impact Factor, Open Access) vil kunne danne sig et hurtigt overblik, for derved at kunne træffe et kvalificeret valg om, hvor og hvordan man skal publicere sine forskningsresultater....

  13. Prognostic study of risk stratification among Japanese patients with ischemic heart disease using gated myocardial perfusion SPECT: J-ACCESS study

    Energy Technology Data Exchange (ETDEWEB)

    Nishimura, Tsunehiko [Kyoto Prefectural University of Medicine, Department of Radiology, Graduate School of Medical Science, Kyoto (Japan); Nakajima, Kenichi [Kanazawa University Graduate School of Medical Science, Department of Biotracer Medicine, Kanazawa (Japan); Kusuoka, Hideo [Osaka National Hospital, Osaka (Japan); Yamashina, Akira [Tokyo Medical University Hospital, Second Department of Internal Medicine, Tokyo (Japan); Nishimura, Shigeyuki [Saitama Medical School Hospital, Division of Cardiology, Saitama (Japan)

    2008-02-15

    Although the prognostic value of myocardial perfusion imaging using gated single photon emission computed tomography (SPECT) for predicting major cardiac events has been evaluated, little is known about the relevance of this procedure to the Japanese population. A total of 4,031 consecutive Japanese patients with suspected or confirmed ischemic heart diseases were registered at 117 hospitals in the Japanese Assessment of Cardiac Events and Survival Study by Quantitative Gated SPECT investigation. Gated stress/rest myocardial perfusion SPECT was performed and the patients were followed up for 3 years. Segmental perfusion scores and quantitative gated SPECT results were calculated. Major cardiac events were defined as cardiac death, nonfatal myocardial infarction, and severe heart failure. During the 3-year follow-up, cardiac death (n = 57) and nonfatal myocardial infarction (n = 39) occurred in 96 patients (2.4%/3 years) when hard events were the endpoints. When severe heart failure was included as an endpoint, major cardiac events that developed in 175 patients (4.3%/3 years) comprised cardiac death (n = 45), nonfatal myocardial infarction (n = 37), and severe heart failure (n = 93). Normal and severely abnormal summed stress score values were associated with low (2.31%/3 years) and high (9.21%/3 years) rates of major cardiac events, respectively. Rates of major cardiac events were significantly higher in patients with ejection fraction (EF) <45% than in those with EF 45% or higher (16.55 vs 2.94%/3 years; P < 0.001). The incidence of major cardiac events within 3 years was also significantly higher among patients with high end-systolic volumes. The major event rates were similar among nondiabetic patients with and diabetic patients without prior myocardial infarction at 5.06% and 5.73%/3 years, respectively. Cardiac event rates were significantly lower in the Japanese than in the USA and European populations. However, large myocardial perfusion defects and

  14. Disruption - Access cards service

    CERN Multimedia

    2014-01-01

    We would like to inform you that between 10 November and 15 December 2014, the access cards service in Building 55 will be disrupted, as the GS Department has decided to improve the facilities for users of this building. During the work, you will find the registration, biometric registration and dosimeter exchange services on the second floor of Building 55 and the vehicle sticker service on the ground floor along with the access cards service. We thank you for your understanding and apologise for any inconvenience caused.

  15. Sprawl and Accessibility

    Directory of Open Access Journals (Sweden)

    Robert Bruegmann

    2008-07-01

    Full Text Available This essay argues that many of the assumptions that have been made about sprawl are misleading or just wrong. Nowhere has this been more the case than in debates about transportation and access. Because of this, it is not surprising that a good many of the policies advocated by proponents of Smart Growth would almost certainly lead to reduced mobility and impaired accessibility for a large part of the population. At very least, the debates over sprawl have pitted private vs. public transportation in a way that has contributed to serious underfunding of transportation infrastructure of all kinds.

  16. Quantum random access memory

    OpenAIRE

    Giovannetti, Vittorio; Lloyd, Seth; Maccone, Lorenzo

    2007-01-01

    A random access memory (RAM) uses n bits to randomly address N=2^n distinct memory cells. A quantum random access memory (qRAM) uses n qubits to address any quantum superposition of N memory cells. We present an architecture that exponentially reduces the requirements for a memory call: O(log N) switches need be thrown instead of the N used in conventional (classical or quantum) RAM designs. This yields a more robust qRAM algorithm, as it in general requires entanglement among exponentially l...

  17. Understanding differences in access and use of healthcare between international immigrants to Chile and the Chilean-born: a repeated cross-sectional population-based study in Chile

    OpenAIRE

    Cabieses Baltica; Tunstall Helena; Pickett Kate E; Gideon Jasmine

    2012-01-01

    Abstract Introduction International evidence indicates consistently lower rates of access and use of healthcare by international immigrants. Factors associated with this phenomenon vary significantly depending on the context. Some research into the health of immigrants has been conducted in Latin America, mostly from a qualitative perspective. This population-based study is the first quantitative study to explore healthcare provision entitlement and use of healthcare services by immigrants in...

  18. Public coastal access in Nova Scotia's coastal strategy

    OpenAIRE

    Joshua Kelly Mackintosh

    2011-01-01

    Public coastal access is an issue that affects coastal communities and coastal populations worldwide. One such place where public coastal access is of particular relevance is the Province of Nova Scotia, Canada where the government is developing a provincial Coastal Strategy to address priority coastal management issues, one of which is public coastal access. This study examines best practices in public coastal access in selected US States and their potential application in study areas in Nov...

  19. UCL preparations for Federated Access Management

    OpenAIRE

    Stone, M

    2008-01-01

    A case study on UCL's preparations for federated access to electronic library resources using Shibboleth technology. Describes the context of UCL Library Services, the decision-making process, practical considerations, current plans, and the user experience

  20. Web Accessibility Theory and Practice: An Introduction for University Faculty

    Directory of Open Access Journals (Sweden)

    David A. Bradbard

    2010-01-01

    Full Text Available Web accessibility is the practice of making Web sites accessible to all, particularly those with disabilities. As the Internet becomes a central part of post-secondary instruction, it is imperative that instructional Web sites be designed for accessibility to meet the needs of disabled students. The purpose of this article is to introduce Web accessibility to university faculty in theory and practice. With respect to theory, this article first reviews empirical studies, highlights legal mandates related to Web accessibility, overviews the standards related to Web accessibility, and reviews authoring and evaluation tools available for designing accessible Web sites. With respect to practice, the article presents two diaries representing the authors’ experiences in making their own Web sites accessible. Finally, based on these experiences, we discuss the implications of faculty efforts to improve Web accessibility.

  1. Accès aux ressources documentaires en situation d’autonomie: pratiques et représentations Autonomous accessing of study documents: student practices and perceptions

    Directory of Open Access Journals (Sweden)

    Christine Develotte

    2003-06-01

    Full Text Available L’intégration de la Toile dans les pratiques socio-culturelles des étudiants de certains pays est telle que leurs recherches documentaires à l’université s’effectuent, dans certains domaines, autant par le biais de données en ligne que des livres. La classe de langue a, elle aussi, la possibilité de jouer sur la diversité des supports accessibles en toute autonomie par les apprenants. Cependant les pratiques de recherche et de construction du savoir s’avèrent différentes en fonction du support à partir duquel elles s’exercent. Les représentations qui y sont associées varient également. Nous chercherons ici à préciser la nature des opérations que recouvrent ces différentes démarches de recherche à partir d’un dispositif méthodologique élaboré dans le but de rendre compte des pratiques d’apprenants de français de niveau avancé. À partir de ce protocole méthodologique, nous donnerons les résultats d’une étude menée en 2001, en Australie, auprès d’étudiants de l’université de Sydney.In some countries, the incorporation of the Internet into the socio-cultural practices of students is such that on-line documents are used alongside traditional written documents. Language classrooms also benefit from this diversity of educational supports that allow students to work autonomously. However, the information gathering and learning processes employed differ greatly according to the supports used. The values that students attach to these mediums vary greatly. We propose a methodology which will illustrate the practices of advanced French language learners. Using this protocol we will present the results of a study which was undertaken in 2001 with the students of the university of Sydney, Australia.

  2. Closing the access barrier for effective anti-malarials in the private sector in rural Uganda: consortium for ACT private sector subsidy (CAPSS pilot study

    Directory of Open Access Journals (Sweden)

    Talisuna Ambrose O

    2012-10-01

    Full Text Available Abstract Background Artemisinin-based combination therapy (ACT, the treatment of choice for uncomplicated falciparum malaria, is unaffordable and generally inaccessible in the private sector, the first port of call for most malaria treatment across rural Africa. Between August 2007 and May 2010, the Uganda Ministry of Health and the Medicines for Malaria Venture conducted the Consortium for ACT Private Sector Subsidy (CAPSS pilot study to test whether access to ACT in the private sector could be improved through the provision of a high level supply chain subsidy. Methods Four intervention districts were purposefully selected to receive branded subsidized medicines - “ACT with a leaf”, while the fifth district acted as the control. Baseline and evaluation outlet exit surveys and retail audits were conducted at licensed and unlicensed drug outlets in the intervention and control districts. A survey-adjusted, multivariate logistic regression model was used to analyse the intervention’s impact on: ACT uptake and price; purchase of ACT within 24 hours of symptom onset; ACT availability and displacement of sub-optimal anti-malarial. Results At baseline, ACT accounted for less than 1% of anti-malarials purchased from licensed drug shops for children less than five years old. However, at evaluation, “ACT with a leaf” accounted for 69% of anti-malarial purchased in the interventions districts. Purchase of ACT within 24 hours of symptom onset for children under five years rose from 0.8% at baseline to 26.2% (95% CI: 23.2-29.2% at evaluation in the intervention districts. In the control district, it rose modestly from 1.8% to 5.6% (95% CI: 4.0-7.3%. The odds of purchasing ACT within 24 hours in the intervention districts compared to the control was 0.46 (95% CI: 0.08-2.68, p=0.4 at baseline and significant increased to 6.11 (95% CI: 4.32-8.62, p Conclusions These data demonstrate that a supply-side subsidy and an intensive communications campaign

  3. Analysis of Open Access Landscape

    Institute of Scientific and Technical Information of China (English)

    Helen Doyle; Andy Gass; Debra Lappin; Rebecca Kennison

    2005-01-01

    This paper is created by bounding 5 editorials of Public Library of Science (PLoS ) which have written on various aspects of open access. It covers wide range topics of important open access issues, such as from paying for open access to copyright to open access as a public issue, which may be more or less of interest of our audience.

  4. Open access journals – what publishers offer, what researchers want

    CERN Document Server

    Dallmeier-Tiessen, Suenje; Goerner, Bettina; Hyppoelae, Jenni; Igo-Kemenes, Peter; Kahn, Deborah; Lamber, Simon; Lengenfelder, Anja; Leonard, Chris; Mele, Salvatore; Nowicka, Malgorzata; Polydoratou, Panayiota; Ross, David; Ruiz-Perez, Sergio; Schimmer, Ralf; Swaisland, Mark; van der Stelt, Wim

    2011-01-01

    The SOAP (Study of Open Access Publishing) project has analyzed the current supply and demand situation in the open access journal landscape. Starting from the Directory of Open Access Journals, several sources of data were considered, including journal websites and direct inquiries within the publishing industry to comprehensively map the present supply of online peer-reviewed OA journals. The demand for open access publishing is summarised, as assessed through a large-scale survey of researchers' opinions and attitudes. Some forty thousand answers were collected across disciplines and around the world, reflecting major support for the idea of open access, while highlighting drivers of and barriers to open access publishing.

  5. Open access and scholarly communication, part 4

    CERN Document Server

    Eden, Brad

    2009-01-01

    This fourth e-book on the subject of open access in the academic field includes a Latin American case study on open access penetration, a paper from Germany on the promotion of OA illustrated by a project at the University of Konstanz, and a case study on OA at Bioline International, a non-profit scholarly publications aggregator, distributor, publisher and publishing assistance service.

  6. Access to telecommunications networks

    OpenAIRE

    Canoy, M.F.M.; de Bijl, P.W.J.; Kemp, R.

    2003-01-01

    Contributing to a convergence of legal and economic approaches, The Economics of Antitrust and Regulation in Telecommunications integrates economic theory into current EU antitrust policy within the sector. The book addresses the role of competition and regulatory policies on a number of key issues in telecommunications, such as market definition, collective dominance, access to networks, and allocation of scarce resources.

  7. Access to effective healthcare

    DEFF Research Database (Denmark)

    Høy, Bente

    2015-01-01

    Access to effective healthcare is in particular challenging for vulnerable and socially disadvantaged patients. Patients with chronic conditions are over-represented in these lower socioeconomic (LSES) groups. No generic review integrating the evidence on Self-Management support interventions in ...

  8. ACCESS Project: Final Report

    Energy Technology Data Exchange (ETDEWEB)

    Weller, Heiko [Robert Bosch, LLC, Farmington Hills, MI (United States)

    2015-04-01

    The ACCESS project addressed the development, testing, and demonstration of the proposed advanced technologies and the associated emission and fuel economy improvement at an engine dynamometer and on a full-scale vehicle. Improve fuel economy by 25% with minimum performance penalties Achieve SULEV level emissions with gasoline Demonstrate multi-mode combustion engine management system

  9. Funding scientific open access

    International Nuclear Information System (INIS)

    In order to reduce the knowledge divide, more Open Access Journals (OAJ) are needed in all languages and scholarly subject areas that exercise peer-review or editorial quality control. To finance needed costs, it is discussed why and how to sell target specific advertisement by associating ads to given scientific keywords. (author)

  10. Efficient Distributed Medium Access

    CERN Document Server

    Shah, Devavrat; Tetali, Prasad

    2011-01-01

    Consider a wireless network of n nodes represented by a graph G=(V, E) where an edge (i,j) models the fact that transmissions of i and j interfere with each other, i.e. simultaneous transmissions of i and j become unsuccessful. Hence it is required that at each time instance a set of non-interfering nodes (corresponding to an independent set in G) access the wireless medium. To utilize wireless resources efficiently, it is required to arbitrate the access of medium among interfering nodes properly. Moreover, to be of practical use, such a mechanism is required to be totally distributed as well as simple. As the main result of this paper, we provide such a medium access algorithm. It is randomized, totally distributed and simple: each node attempts to access medium at each time with probability that is a function of its local information. We establish efficiency of the algorithm by showing that the corresponding network Markov chain is positive recurrent as long as the demand imposed on the network can be supp...

  11. Analysing Access Control Specifications

    DEFF Research Database (Denmark)

    Probst, Christian W.; Hansen, René Rydhof

    2009-01-01

    When prosecuting crimes, the main question to answer is often who had a motive and the possibility to commit the crime. When investigating cyber crimes, the question of possibility is often hard to answer, as in a networked system almost any location can be accessed from almost anywhere. The most...

  12. College Access Marketing

    Science.gov (United States)

    Tremblay, Christopher W.

    2011-01-01

    College Access Marketing (CAM) is a relatively new phenomenon that seeks to positively influence the college-going rate. This report defines CAM, describes CAM examples, and discusses how CAM seeks to counter barriers to college. It explores four main elements of CAM: information, marketing, advocacy, and social mobilization. Further, it…

  13. Access as justice

    OpenAIRE

    FITZPATRICK, Peter

    2005-01-01

    With the considerable help of Derrida, aptly aided by Mandela, this paper advances an idea of justice as integral to law. Thence, by way of an homology with such justice, access also is shown to be integral to law. What impels the overall argument is the primacy accorded to law in the constitution of the social bond.

  14. Open Access: Soziologische Aspekte

    OpenAIRE

    Herb, Ulrich

    2007-01-01

    Die Forderung nach Open Access wird wissenschaftslogisch (Beschleunigung der wissenschaftlichen Kommunikation), finanziell (Linderung der Zeitschriftenkrise), sozial (Verringerung des Digital Divide), demokratietheoretisch (Zugang zu Informationen ermöglicht Partizipation) und sozialpolitisch (freier Zugang zu Informationen nivelliert Ungleichheiten) begründet. Dieser Beitrag untersucht einige dieser Annahmen mittels sozialwissenschaftlicher Modelle. Von Befunden aus der Bildungssoziologie un...

  15. Kinds of access

    DEFF Research Database (Denmark)

    Overgaard, Morten; Sandberg, Kristian

    2012-01-01

    that there is not only a theoretical, but also an empirical difference between different methods of reporting. We hypothesize that differences in the sensitivity of different scales may reveal that different types of access are used to issue direct reports about experiences and metacognitive reports about...

  16. Kinds of Access

    DEFF Research Database (Denmark)

    Overgaard, Morten; Sandberg, Kristian

    2014-01-01

    that there is not only a theoretical, but also an empirical difference between different methods of reporting. We hypothesise that differences in the sensitivity of different scales may reveal that different types of access are used to issue direct reports about experiences and metacognitive reports about...

  17. Current use of ultrasound for central vascular access in children and infants in the Nordic countries--a cross-sectional study

    DEFF Research Database (Denmark)

    Olsen, Thomas C Risom; Rimstad, Ivan Jonassen; Tarpgaard, Mona;

    2015-01-01

    widespread across the Nordic countries. Close to 80% of respondents were using it "almost always" or "frequently" across all paediatric age groups for internal jugular vein cannulation. US was least frequently used when catheterizing the subclavian vein. The two most common reasons given when not using US....... METHODS: A cross-sectional survey using an online questionnaire was distributed to one anaesthesiologist at every hospital in the Nordic countries; a total of 177 anaesthesiologists were contacted from July till August 2012. RESULTS: The use of US for placing central venous catheters (CVCs) seems......PURPOSE: The use of ultrasound (US) guidance for central vascular access in children has been advocated as a safer approach compared to traditional landmark techniques. We therefore collected data on the current use of US for central vascular access in children and infants in the Nordic countries...

  18. 1-Methylpyridinium-4-(4-phenylmethanethiosulfonate) iodide, MTS-MPP+, a novel scanning cysteine accessibility method (SCAM) reagent for monoamine transporter studies

    OpenAIRE

    Gallardo-Godoy, Alejandra; Torres-Altoro, Melissa I.; White, Kellie J.; Barker, Eric L.; Nichols, David E.

    2006-01-01

    A novel substituted cysteine accessibility method (SCAM) reagent was developed for monoamine uptake transporters. The new reagent, MTS-MPP+, was a derivative of the neurotoxin and transporter substrate MPP+. MTS-MPP+ labeled cysteine residues introduced into the serotonin transporter protein. Although it did not prove to be a substrate, as is MPP+, it appears to label cysteine residues lining the permeation pore of the transporter more readily than currently-available nonspecific SCAM reagents.

  19. THE IMPACT OF HEALTH INSURANCE ON THE ACCESS TO HEALTH CARE AND FINANCIAL PROTECTION IN RURAL AREAS OF DEVELOPING COUNTRIES: CASE STUDY SENEGAL

    OpenAIRE

    Jutting, Johannes Paul

    2002-01-01

    Access to public and private health insurance in rural areas of low income countries is severely constrained by high unit cost of transaction per contract due to information asymmetries between insurance sellers and buyers. This leads to a situation in which the majority of the poor have to rely on out-of-pocket expenditures when they are ill, resulting in a high vulnerability for health shocks which negatively affect the overall risk management of the household, investment and resource alloc...

  20. "There's no kind of respect here" A qualitative study of racism and access to maternal health care among Romani women in the Balkans

    Directory of Open Access Journals (Sweden)

    Janevic Teresa

    2011-11-01

    Full Text Available Abstract Introduction Roma, the largest minority group in Europe, face widespread racism and health disadvantage. Using qualitative data from Serbia and Macedonia, our objective was to develop a conceptual framework showing how three levels of racism--personal, internalized, and institutional--affect access to maternal health care among Romani women. Methods Eight focus groups of Romani women aged 14-44 (n = 71, as well as in-depth semi-structured interviews with gynecologists (n = 8 and key informants from NGOs and state institutions (n = 11 were conducted on maternal health care seeking, experiences during care, and perceived health care discrimination. Transcripts were coded, and analyzed using a grounded theory approach. Themes were categorized into domains. Results Twenty-two emergent themes identified barriers that reflected how racism affects access to maternal health care. The domains into which the themes were classified were perceptions and interactions with health system, psychological factors, social environment and resources, lack of health system accountability, financial needs, and exclusion from education. Conclusions The experiences of Romani women demonstrate psychosocial and structural pathways by which racism and discrimination affect access to prenatal and maternity care. Interventions to address maternal health inequalities should target barriers within all three levels of racism.