Réflexion et méthodologie: autour d’une prise d’empreinte en papier

Directory of Open Access Journals (Sweden)

Cyril Benoît

2011-05-01

Full Text Available Un gisant gravé de la fin du XIIIe siècle a été découvert sous le chœur de la basilique Notre-Dame de Fribourg. Les questions éthiques liées à la prise d’empreinte et à la reproduction de biens culturels sont soulignées. Les auteurs portent un regard critique sur les reproductions et voient la prise d’empreinte comme un support documentaire. L’importance de la découverte de Notre-Dame a conduit à sa dépose. Le moulage de la pièce a été effectué pour assurer sa documentation. Une méthode de moulage empruntée aux épigraphistes a été utilisée: l‘estampage avec du papier buvard. L’adaptation de cette technique de prise d’empreinte a ��té nécessaire. Le démoulage a été favorisé par l’ajout de cyclododécane sous une stratification de papier, plâtre renforcé, mousse expansée et bois.A stone recumbent figure from the end of the 13th century has been discovered in the chancel of the Notre Dame basilica in Fribourg. In this article, the ethical questions related to the replication or casting of cultural heritage witnesses are underscored. The authors raise their skepticism about reproductions and consider molds as a simple documentary support. The discovered figure has been lifted from its original location. A mold has been applied for documentary purposes. The molding method has been inspired by the epigraphist’s method: a stamping with blotting paper. This technology has been adapted to the current circumstances. The mold removal has been enhanced by adding cyclododecan under an overall compound made of plaster paper, expanded foam and wooden structure.

Evaluation de la prise en charge du paludisme chez les enfants de ...

African Journals Online (AJOL)

Devant l'ampleur du paludisme en pays intertropicaux le rôle du personnel soignant dans la réduction de la fréquence des cas de paludisme grave et de son taux de létalité devient évident. Nous avons alors voulu évaluer la qualité de la prise en charge de cette affection chez l'enfant de moins de cinq ans dans un hôpital ...

Prise en charge de l'hematurie au chu Sylvanus Olympio de Lome ...

African Journals Online (AJOL)

Une transfusion sanguine avait été réalisée dans 64,8% des cas et nous avions enregistré 4 cas de décès. Conclusion : Les hématuries sont relativement fréquentes au Togo et souvent de causes tumorales. Elles nécessitent une prise en charge précoce pour un meilleur pronostic. Mots clés : hématurie, épidémiologie, ...

Prise en compte des répercussions socioéconomiques de la culture ...

International Development Research Centre (IDRC) Digital Library (Canada)

Prise en compte des répercussions socioéconomiques de la culture du coton génétiquement modifié sur les petits agriculteurs du Mercosur. L'Argentine, le Brésil et le Paraguay, membres du Marché commun du cône sud (Mercosur), sont les cinquièmes producteurs de coton au monde, devancés uniquement par la Chine, ...

Prise en charge des plaies du périnée en post partum: faut-il prescrire systématiquement un antibiotique?

Science.gov (United States)

Fouelifack, Florent Ymele; Eko, Filbert Eko; Ko’A, Claude Odile Vanessa Ebode; Fouedjio, Jeanne Hortence; Mbu, Robinson Enow

2017-01-01

Résumé Introduction L'intégrité des voies génitales n'est pas toujours respectée au cours de l'accouchement. Aucun protocole de prise en charge des plaies périnéales du post-partum (déchirures et épisiotomies) n'existant dans nos services, la prise en charge reste praticien dépendant. Nous avons entrepris cette étude dans le but d'établir l'intérêt de l'antibiotique dans le traitement des plaies périnéales du post-partum. Notre objectif était d'évaluer l'impact de l'antibioprophylaxie sur le processus de cicatrisation et dans la prévention des complications infectieuses après réparation. Méthodes Il s'agissait d'une étude de cohorte prospective sur une durée de 6 mois, soit du 1er janvier au 31 mai 2016, menée dans l'Unité de Gynécologie et Obstétriques de l'Hôpital Central de Yaoundé. Deux groupes A et B d'accouchées avec déchirure périnéale et/ou épisiotomie étaient suivies. Le groupe A était composé de 85 accouchées à qui on avait prescrit le protocole compresse imbibée de Bétadine® (placebo). Le groupe B (ou groupe test) était composé d'accouchées qui en plus du placebo, avaient la prescription d'un antibiotique (association 1000mg d'amoxicilline et 125mg d'acide clavulanique à raison de 1000mg 2fois par jour par voie orale pendant 05 jours). Les 2 groupes étaient suivis à J0, J2 et J9. Nos critères d'évaluation de la prise en charge étaient: la douleur, l'infection, la tuméfaction, la propreté de la plaies et le delai de cicatrisation complete. Les données étaient saisies et analysées à l'aide des logiciels Epidata analysis version 3.2 et STATA version 12.0 (Texas USA 2001). Les corrélations entre les variables étaient recherchées selon le cas par le chi carré, l'Odds ratio et avec la valeur de P (significatif pour toute valeur ≤ 0.05). Résultats La moyenne d'âge était de 26.32 ± 6.5 ans avec des extrêmes de 15 et 43 ans. Les primipares représentaient 55.9% de la population d'étude. La

Profil épidémiologique et prise en charge de l’éclampsie au Sénégal: à propos de 62 cas

OpenAIRE

Diouf, Abdoul Aziz; Diallo, Moussa; Mbaye, Magatte; Sarr, Sokhna Diarra; Faye-Diémé, Marie Edouard; Moreau, Jean Charles; Diouf, Alassane

2013-01-01

Introduction L'objectif de cette étude etait d'apprécier les caractéristiques épidémiologiques et cliniques de l’éclampsie et d’évaluer la prise en charge et le pronostic maternel et périnatal. Méthodes Étude descriptive rétrospective sur 3 années (2007-2010) dans un service de Gynécologie Obstétrique de Dakar (Sénégal). Le critère d'inclusion était toute crise convulsive en période gravido-puerpérale dans un contexte de prééclampsie. Résultats Sur un total de 4587 accouchements, 62 cas d’écl...

Prise en charge de l’infection gonococcique chez les adultes et les jeunes

Science.gov (United States)

Pogany, Lisa; Romanowski, Barbara; Robinson, Joan; Gale-Rowe, Margaret; Latham-Carmanico, Cathy; Weir, Christine; Wong, Tom

2015-01-01

Résumé Objectif Présenter des recommandations sur la prise en charge de l’infection gonococcique chez les adultes et les jeunes. Qualité des données Les recommandations thérapeutiques des lignes directrices canadiennes sur les infections transmissibles sexuellement reposent sur une recherche documentaire de même que sur des catégories de recommandations et des niveaux de qualité de données déterminés par au moins 2 évaluateurs. Les recommandations ont été revues par des pairs et sont en instance d’approbation par le groupe de travail d’experts. Message principal Les nouvelles recommandations portant sur la prise en charge de l’infection gonococcique chez les adultes et les jeunes préconisent les cultures à titre d’outil diagnostique lorsqu’elles sont pratiques, le traitement par antibiothérapie combinée (ceftriaxone associée à l’azithromycine) et le signalement sans délai de tous les cas dont le traitement a échoué aux autorités de santé publique. Conclusion Si elles sont suivies, ces nouvelles recommandations pourraient réduire l’échec thérapeutique, contribuer à une surveillance plus étroite des tendances à la résistance de Neisseria gonorrhoeae aux antibiotiques et contribuer à prévenir la transmission de gonorrhée résistante à plusieurs médicaments.

Les murs ont la parole. Un exemple de prise de parole sur le mur. Les peintures murales d’Orgosolo

Directory of Open Access Journals (Sweden)

Francesca Cozzolino

2008-06-01

Full Text Available Souvent les murs ont été le support où se jouent la visibilité et la prise de parole d’un groupe ou d’individus d’un milieu social précis. La matérialisation de cette prise de parole peut se présenter sous forme de tag, de graffiti, ou encore sous forme de peinture murale, ou mieux toute forme d’écriture exposée1. Toutes ces formes ne sont pas que le résultat écrit d’un énoncé linguistique ou visuel (dans le cas d’un dessin, il s’agit bien sur d’actes d’écriture, dont bien souvent le but est l’affirmation d’une identité, d’un individu dans le cas d’un tag, plus souvent d’un groupe dans le cas de la peinture murale.

Prise en charge des RCIU d'origine placentaire avant 32 semaines d'aménorrhée. Enquête nationale sur les pratiques françaises

OpenAIRE

Patte , Charlotte

2013-01-01

Non disponible / Not available; Introduction : Bien qu'étant la première cause de morbidité et de mortalité périnatale, leRetard de Croissance Intra Utérin (RCIU) reste une pathologie obstétricale complexe dans son diagnostic et sa prise en charge. Le RCIU d'origine placentaire est un processus pathologique consistant en une altération de la croissance due à un dysfonctionnement placentaire, avec défaut chronique d'apports au foetus. Il n'existe actuellement pas de possibilité de prise en cha...

78 FR 41954 - TA-W-82,634, Prudential Global Business Technology Solutions Central Security Services Dresher...

Science.gov (United States)

2013-07-12

... Business Technology Solutions Central Security Services Iselin, New Jersey; TA-W-82,634B, Prudential Global Business Technology Solutions Central Security Services Plymouth, Minnesota; TA- W-82,634C, Prudential Global Business Technology Solutions Central Security Services Scottsdale, Arizona; TA-W-82,634D...

ATLAS Distributed Computing: Its Central Services core

CERN Document Server

Lee, Christopher Jon; The ATLAS collaboration

2018-01-01

The ATLAS Distributed Computing (ADC) Project is responsible for the off-line processing of data produced by the ATLAS experiment at the Large Hadron Collider (LHC) at CERN. It facilitates data and workload management for ATLAS computing on the Worldwide LHC Computing Grid (WLCG). ADC Central Services operations (CSops)is a vital part of ADC, responsible for the deployment and configuration of services needed by ATLAS computing and operation of those services on CERN IT infrastructure, providing knowledge of CERN IT services to ATLAS service managers and developers, and supporting them in case of issues. Currently this entails the management of thirty seven different OpenStack projects, with more than five thousand cores allocated for these virtual machines, as well as overseeing the distribution of twenty nine petabytes of storage space in EOS for ATLAS. As the LHC begins to get ready for the next long shut-down, which will bring in many new upgrades to allow for more data to be captured by the on-line syste...

L'impact de la relation soignant-soigné dans la prise en soin de la douleur aigüe en post-opératoire chez l'adulte: travail de Bachelor

OpenAIRE

Ferrero, Mathilde; Gaspar, Catherine; Pacini, Wendy

2017-01-01

Contexte : L’incidence de la douleur post-opératoire (DPO) n’a cessé d’augmenter ces dernières années. Elle constitue une préoccupation majeure au vu de ses effets délétères sur la qualité de vie et sur le système de santé. Les infirmiers-ères occupent une place centrale dans la gestion de l’antalgie. Objectif : L’objectif de cette revue de littérature est d'identifier l’impact de l’interaction soignant-soigné dans la prise en soin de la douleur post-opératoire. La revue de la littérature est...

L'évaluation et la prise en compte des sexospécificités dans les ...

International Development Research Centre (IDRC) Digital Library (Canada)

L'évaluation et la prise en compte des sexospécificités dans les politiques - mettre en lumière l'exclusion et s'attaquer aux inégalités en Inde. Le contexte socioéconomique de l'Inde est caractérisé par des disparités et des inégalités persistantes entre les sexes; par une demande croissante de transparence et de reddition ...

BOWS (bioinformatics open web services) to centralize bioinformatics tools in web services.

Science.gov (United States)

Velloso, Henrique; Vialle, Ricardo A; Ortega, J Miguel

2015-06-02

Bioinformaticians face a range of difficulties to get locally-installed tools running and producing results; they would greatly benefit from a system that could centralize most of the tools, using an easy interface for input and output. Web services, due to their universal nature and widely known interface, constitute a very good option to achieve this goal. Bioinformatics open web services (BOWS) is a system based on generic web services produced to allow programmatic access to applications running on high-performance computing (HPC) clusters. BOWS intermediates the access to registered tools by providing front-end and back-end web services. Programmers can install applications in HPC clusters in any programming language and use the back-end service to check for new jobs and their parameters, and then to send the results to BOWS. Programs running in simple computers consume the BOWS front-end service to submit new processes and read results. BOWS compiles Java clients, which encapsulate the front-end web service requisitions, and automatically creates a web page that disposes the registered applications and clients. Bioinformatics open web services registered applications can be accessed from virtually any programming language through web services, or using standard java clients. The back-end can run in HPC clusters, allowing bioinformaticians to remotely run high-processing demand applications directly from their machines.

Nuclear Electric's central dose record service

International Nuclear Information System (INIS)

Goldfinch, E.P.; Mullarkey, D.T.; McWhan, A.W.; Risk, G.; Vaughan, L.

1991-01-01

This paper describes the conception, development and operation of the Nuclear Electric Central Dose Record Service, including the initial philosophy considered necessary for a database for a large multi-site organisation, the setting up of the data and current routine operation. Lessons learned are briefly described. CDRS holds 35,000 records in a high security environment. The database includes records of radiation doses received by contractor's employees working at Nuclear Electric sites as well as dose records and dose histories for classified and non classified Nuclear Electric employees. (Author)

CENTRALIZATION OF SERVICE MANAGEMENT WORK EXPERIENCE OJSC «BSW – MANAGEMENT COMPANY OF HOLDING «BMC»

Directory of Open Access Journals (Sweden)

A. A. Tsidrenkov

2017-01-01

Full Text Available The advantages and disadvantages of centralization of the labor service division in the enterprise are considered in the article. Optimization of the number of labor service division of enterprise, tasks of the centralization of labor service are studied. 

Rheumatologic services in Central Asian countries: current state of development of rheumatology in Central Asia.

Science.gov (United States)

Omurzakova, Nazgul A; Yamano, Yoshihisa; Saatova, Guli M; Shukurova, Surayo M; Mirzakhanova, Mavliuda I; Kydyralieva, Ryskul B; Jumagulova, Aynagul S; Mirrakhimov, Erkin M; Seisenbaev, Askar Sh; Nishioka, Kusuki; Nakajima, Toshihiro

2009-12-01

Rheumatologic and public health services of Central Asia's republics have suffered hugely as a result of social and economic declines following the dissolution of the Union of Soviet Socialist Republics (USSR) and transition of these republics to market economies. Between 1990 and 2000 there was a mass outflow of highly skilled rheumatologists and teachers and researchers in rheumatology to countries abroad, leading to significant deprivation of rheumatological service in Central Asian countries. During this time, there was continued growth of various rheumatic diseases (RDs) including rheumatic fever, and musculoskeletal and connective tissue disorders. The medical and social burden of RDs imposed on society was strongly underestimated until recent times. There is an urgent need to define the epidemiology of RDs and their impact on the quality of life of people afflicted by these conditions, and to improve the diagnostics and treatment of these conditions.

77 FR 59679 - Central Vermont Public Service Corporation (Millstone Power Station, Unit 3); Order Approving...

Science.gov (United States)

2012-09-28

... NUCLEAR REGULATORY COMMISSION [NRC-2012-0044; Docket No. 50-423] Central Vermont Public Service Corporation (Millstone Power Station, Unit 3); Order Approving Application Regarding Corporate Restructuring and Conforming Amendment I Dominion Nuclear Connecticut, Inc. (DNC), Central Vermont Public Service...

Enhancing Experiment Central Service Reliability: from delivery to security and virtualization

CERN Document Server

Donno, Flavia; Buzykaev, Alexey; Saiz Santos, Maria Dolores

2011-01-01

The four LHC experiments rely on experiment specific services running on machines mainly located at CERN. Some of these services have been rated by the experiments as very critical: any loss or degradation of performance has a major impact on the experiment's production and analysis activities. It is therefore important to provide a reliable and robust operational environment. In this work we describe the strategy based on service deployment, security and virtualization adopted to enhance the reliability of ATLAS and CMS central services.

Integrated centralized utility services to a chemical complex on Jurong Island, Singapore.

Science.gov (United States)

Yan, Y G; Wong, P C Y; Tan, C G; Tang, K F

2003-01-01

SUT pioneered centralized utility services for the chemical industry on Jurong Island, which are cost-effective due to economies of scale, reliable due to inter-connection of satellite operations, and customer tailored for special requirements. The utility services range from the supply of steam and water, wastewater treatment, incineration, terminalling, service corridor to fire fighting. Among the services, water management achieves the complete cycle from wastewater treatment to effluent recycling.

13 CFR 120.1710 - Central servicing of the Program.

Science.gov (United States)

2010-01-01

... 13 Business Credit and Assistance 1 2010-01-01 2010-01-01 false Central servicing of the Program. 120.1710 Section 120.1710 Business Credit and Assistance SMALL BUSINESS ADMINISTRATION BUSINESS LOANS Establishment of SBA Secondary Market Guarantee Program for First Lien Position 504 Loan Pools § 120.1710...

Centralized TLD service and record keeping in Canada

International Nuclear Information System (INIS)

Grogan, D.; Ashmore, J.P.; Bradley, R.P.

1979-01-01

A centralized automated TLD service operated by the Department of National Health and Welfare went into operation in May 1977 to monitor radiation workers throughout Canada. Twenty-thousand employees from a wide range of disciplines are enrolled and the number will be increased to fifty thousand by September l978. A prototype of the system, operational from September 1976 to May 1977 for three-thousand people, has already been described. A description of technical and operational highlights is presented as well as a description of problems experienced during the first full year of operation. Details of costs, conversion logistics, operational performance and technical problems are included. A comparison of the advantages and disadvantages of changing from film dosimetry to TLD in a nationwide context is detailed. The dose meter read-out unit is interfaced, through video terminals, with a time-sharing computer system programmed to provide direct access to the Canadian National Dose Registry. Details of this linkage are described, as are the computer programmes for routine processing of raw batch data. The centralized TLD service interactively linked with the National Dose Registry provides a comprehensive occupational monitoring programme invaluable for regulatory control. (author)

Consensus formalisé: recommandations de pratiques cliniques pour la prise en charge de la migraine du patient adulte africain

Science.gov (United States)

Ahmed, Mahmoud Ait Kaci; Haddad, Monia; Kouassi, Beugré; Ouhabi, Hamid; Serrie, Alain

2016-01-01

La migraine est une céphalée primaire (selon les derniers critères de l'International Headache Society) qui affecte environ 8% de la population africaine. Les femmes sont plus fréquemment touchées que les hommes et les crises apparaissent le plus souvent avant l’âge de 40 ans. Bien qu'un certain nombre de traitements, de mesure hygiéno-diététiques, et d'autres méthodes non pharmacologiques permettent de limiter l'intensité et la fréquence des crises, la prise en charge médicamenteuse de la crise de migraine est très souvent nécessaire. La disponibilité des traitements et l'accès aux soins diffèrent sur le continent africain et ont conduit à la réalisation du 1er consensus d'experts pour la prise en charge du patient adulte africain. Destiné aux praticiens, ce travail collaboratif multinational a pour objectif de fournir 16 recommandations de pratiques cliniques simples, fondées sur les preuves, et adaptées aux conditions de l'exercice médical en Afrique. PMID:27642420

La prise en charge des suicides par précipitation en traumatologie

Directory of Open Access Journals (Sweden)

Abdelmajid Elmrini

2010-09-01

Full Text Available OBJECTIFS: A travers ce travail, l’épidémiologie et la psychopathologie du suicide par précipitation seront rappelées, le rôle du chirurgien traumatologue dans la restauration physique et psychique sera démontré. METHODES: Nous rapportons une étude rétrospective de 15 suicidants par précipitation admis pour des traumatismes complexes de l’appareil locomoteur entre 2004 et 2007. RESULTATS: Il s’agissait de primosuicidants, comprenant 10 femmes et 5 hommes. L’âge moyen des hommes est de 26,5 ans (24-34 ans et celui des femmes de 40,7 ans (17-45 ans. Le bilan lésionnel des suicidants a retrouvé 14 fractures des membres inférieurs, 4 traumatisme du rachis avec compression médullaire dans 1 cas, une fracture du bassin; deux traumatismes du membre supérieur. Aucun de ces patients n’a présenté de lésions viscérales ni de traumatismes crâniofacial. 80% (n = 12 des patients souffraient d’une affection psychiatrique avant leur passage à l’acte suicidaire : 8 pour une pathologie dépressive et 4 pour une schizophrénie. Chaque suicidant a subi au moins un acte chirurgical. Tous les patients avaient poursuivi la prise en charge psychiatrique en ambulatoire. Nos résultats fonctionnels étaient satisfaisants sans complications. Aucun des patients n’a récidivé. La pathologie suicidaire représente un problème de santé publique. Le suicide par précipitation représente 5 % de l’ensemble des modalités suicidaires. Les traumatismes occasionnés par ce mode suicidaire sont complexes et graves. Leur prise en charge nécessite une collaboration multidisciplinaire. CONCLUSION: La réparation chirurgicale permet à la fois le rétablissement de la fonction et l’amélioration psychique du sujet prévenant contre une rechute dépressive ou une récidive suicidaire.

Mapping Ecosystem Services for Land Use Planning, the Case of Central Kalimantan

Science.gov (United States)

Sumarga, Elham; Hein, Lars

2014-07-01

Indonesia is subject to rapid land use change. One of the main causes for the conversion of land is the rapid expansion of the oil palm sector. Land use change involves a progressive loss of forest cover, with major impacts on biodiversity and global CO2 emissions. Ecosystem services have been proposed as a concept that would facilitate the identification of sustainable land management options, however, the scale of land conversion and its spatial diversity pose particular challenges in Indonesia. The objective of this paper is to analyze how ecosystem services can be mapped at the provincial scale, focusing on Central Kalimantan, and to examine how ecosystem services maps can be used for a land use planning. Central Kalimantan is subject to rapid deforestation including the loss of peatland forests and the provincial still lacks a comprehensive land use plan. We examine how seven key ecosystem services can be mapped and modeled at the provincial scale, using a variety of models, and how large scale ecosystem services maps can support the identification of options for sustainable expansion of palm oil production.

Implementation of CMS Central DAQ monitoring services in Node.js

CERN Document Server

Vougioukas, Michail

2015-01-01

This report summarizes my contribution to the CMS Central DAQ monitoring system, in my capacity as a CERN Summer Students Programme participant, from June to September 2015. Specifically, my work was focused on rewriting – from Apache/PHP to Node.js/Javascript - and optimizing real-time monitoring web services (mostly Elasticsearch-based but also some Oracle-based) for the CMS Data Acquisition (Run II Filterfarm). Moreover, it included an implementation of web server caching, for better scalability when simultaneous web clients use the services. Measurements confirmed that the software developed during this project has indeed a potential to provide scalable services.

CATHARE-2 prediction of large primary to secondary leakage (PRISE) at PSB-VVER experimental facility

Energy Technology Data Exchange (ETDEWEB)

Sabotinov, L.; Chevrier, P. [Institut de Radioprotection et de Surete Nucleaire, 92 - Fontenay aux Roses (France)

2007-07-01

The large primary to secondary leakage (PRISE) is a specific loss-of-coolant accident in VVER reactors, related to the break of the steam generator collector cover, leading to loss of primary mass inventory and possible direct radioactive release to atmosphere. The best estimate thermal-hydraulic computer code CATHARE-2 Version 2.5-1 was used for post-test analysis of a PRISE experiment, conducted at the large scale test facility PSB-VVER in Russia. The PSB rig is 1:300 scaled model of VVER-1000 NPP. The accident is calculated with a 1.4% break size, which corresponds to 100 mm leak from primary to secondary side in the real NPP. A computer model has been developed for CATHARE-2 V2.5-1, taking into account all important components of the PSB facility: reactor model (lower plenum, core, bypass, upper plenum, downcomer), 4 separate loops, pressurizer, horizontal multi-tube steam generators, break section. The secondary side is presented by recirculation model. A large number of sensitivity calculations has been performed regarding break modeling, reactor pressure vessel modeling, counter current flow modeling, hydraulic losses, heat losses, steam generator level regulation. Comparison between calculated and experimental results shows good prediction of the basic thermal-hydraulic phenomena and parameters such as primary and secondary pressures, temperatures, loop flows, etc. Some discrepancies were observed in the calculations of primary mass inventory and loop seal clearance. Nevertheless the final core heat up, which is one of the most important safety criteria, was correctly predicted. (authors)

Pricing, subsidies, and the poor : demand for improved water services in Central America

OpenAIRE

Walker, Ian; Ordonez, Fidel; Serrano, Pedro; Halpern, Jonathan

2000-01-01

Reformulating tariff and subsidy policies is central to improving water and sanitation services in developing countries. The traditional model of state enterprise service provision, coupled with residential tariffs set well below the cost of service, has generally delivered unsatisfactory results. Low internal generation of funds has impeded expansion of networks into poor communities and ...

17 CFR 256.01-4 - Construction or service contracts, and centralized procurement accounting.

Science.gov (United States)

2010-04-01

... contracts, and centralized procurement accounting. 256.01-4 Section 256.01-4 Commodity and Securities... § 256.01-4 Construction or service contracts, and centralized procurement accounting. (a) Specific accounts have not been provided in which to classify expenditures made in the performance of construction...

Consensus formalisé: recommandations de pratiques cliniques pour la prise en charge de la lombalgie aiguë du patient africain

Science.gov (United States)

Elleuch, Mohamed; El Maghraoui, Abdellah; Griene, Brahim; Nejmi, Mati; Ndongo, Souhaibou; Serrie, Alain

2015-01-01

La lombalgie aiguë est la pathologie rhumatismale la plus fréquente en Afrique. L’épidémiologie et la présentation clinique ne diffèrent pas de celles observées sur les autres continents. En revanche, les aspects psycho-sociaux, la disponibilité des traitements, l'accès aux soins et le poids culturel des médecines traditionnelles sont autant de spécificités qui ont conduit à la réalisation du 1er consensus d'experts en rhumatologie pour la prise en charge du patient africain. Destiné aux praticiens, ce travail collaboratif multinational a pour objectif de fournir 11 recommandations de pratiques cliniques simples, fondées sur les preuves, et adaptées aux conditions de l'exercice médical en Afrique. Leur ambition est d'améliorer la prise en charge de la lombalgie aigue par une évaluation initiale clinique pertinente, une diminution des examens radiologiques inutiles, une prescription médicamenteuse adéquate et l'abandon de procédures invasives inappropriées. PMID:26955427

Problématique de la prise en charge des cancers du sein au Sénégal: une approche transversale

Science.gov (United States)

Gueye, Serigne Modou Kane; Gueye, Mamour; Coulbary, Sophie Aminata; Diouf, Alassane; Moreau, Jean Charles

2016-01-01

L’heure où les thérapeutiques innovantes se multiplient dans le cancer du sein, des pays moins nantis comme le Sénégal accusent encore un retard considérable dans la prise en charge globale de ce type de cancer. Au Sénégal, même si la prise en charge des cancers du sein avancés est actuellement bien codifiée, les résultats en terme de survie et de morbidités sont encore médiocres vu les retards diagnostiques et les traitements mutilants, parfois onéreux et mal tolérés, devenus nécessaires. Pour ces cancers avancés, les défis qui restent à relever résident dans l’érection de centres de soins palliatifs et le développement de la pluridisciplinarité pour améliorer la qualité de vie et l’accompagnement des malades. En revanche, pour les cancers infracliniques ou potentiellement guérissables, les défis restent immenses car il s’agira de les dépister, de bien les localiser et les diagnostiquer aussitôt (biopsie écho guidée ou stéréotaxique) mais également de les opérer de façon précise et entière (repérage – exérèse in sano et radiographie de pièce opératoire) tout en limitant les complications comme celles du curage classique (biopsie du ganglion sentinelle). Il s’agit là autant d’objectifs auxquels nos structures de santé ne sont pas toujours préparées. Cette mise au point est une analyse situationnelle sur les écueils contextuels qui grèvent encore la prise en charge globale des cancers du sein au Sénégal. PMID:28154696

Forecasting the Future Food Service World of Work. Final Report. Volume II. Centralized Food Service Systems. Service Management Reports.

Science.gov (United States)

Powers, Thomas F., Ed.; Swinton, John R., Ed.

Volume II of a three-volume study on the future of the food service industry considers the effects that centralized food production will have on the future of food production systems. Based on information from the Fair Acres Project and the Michigan State University Vegetable Processing Center, the authors describe the operations of a centralized…

La modalisation: un mode paradoxal de prise en charge

Directory of Open Access Journals (Sweden)

Robert Vion

2012-12-01

Full Text Available Définie comme un dédoublement énonciatif, permettant au locuteur de porter un commentaireréflexif sur l’énoncé qu’il produit, la modalisation se présente comme un phénomènecomplexe et paradoxal. Le commentaire réflexif permet au sujet de s’investir davantage alorsmême que, par distanciation vis-à-vis de l’énoncé, il en diminue son degré de prise en charge.Nous avons constaté que les modalisateurs opacifiaient le sémantisme de l’énoncé en mêmetemps qu’ils complexifiaient la relation construite avec le(s partenaire(s. Enfin, les modalisateursancrent l’énoncé modalisé sur des extérieurs discursifs, relevant parfois du cotexte, maiss’appuyant toujours, en même temps, sur des discours non explicités, exprimant alors la dimensiondialogique du langage. Cet ancrage dialogique contribue également à créer l’impressionparadoxale d’une présence renforcée d’un sujet, qui présente son énoncé comme résultant deconsidérations extérieures, et d’un retrait de sa part derrière des discours qu’il n’éprouve pasle besoin de verbaliser.

The effect of centralization of health care services on travel time and its equality.

Science.gov (United States)

Kobayashi, Daisuke; Otsubo, Tetsuya; Imanaka, Yuichi

2015-03-01

To analyze the regional variations in travel time between patient residences and medical facilities for the treatment of ischemic heart disease and breast cancer, and to simulate the effects of health care services centralization on travel time and equality of access. We used medical insurance claims data for inpatients and outpatients for the two target diseases that had been filed between September 2008 and May 2009 in Kyoto Prefecture, Japan. Using a geographical information system, patient travel times were calculated based on the driving distance between patient residences and hospitals via highways and toll roads. Locations of residences and hospital locations were identified using postal codes. We then conducted a simulation analysis of centralization of health care services to designated regional core hospitals. The simulated changes in potential spatial access to care were examined. Inequalities in access to care were examined using Gini coefficients, which ranged from 0.4109 to 0.4574. Simulations of health care services centralization showed reduced travel time for most patients and overall improvements in equality of access, except in breast cancer outpatients. Our findings may contribute to the decision-making process in policies aimed at improving the potential spatial access to health care services. Copyright © 2014 Elsevier Ireland Ltd. All rights reserved.

TENDANCES ACTUELLES EN MARKETING DES SERVICES

Directory of Open Access Journals (Sweden)

George NICULESCU

2010-09-01

Full Text Available Les activités de services sont difficiles à gérer dans le cadre du marketing-mix traditionnel car, contrairement aux biens tangibles produits la qualité des services est très dépendante de facteurs personnels. De même, la nature intangible des services n’est pas prise en compte dans la plupart des analyses du marketing-mix. Par exemple, la distribution physique ne coïncide pas avec la distribution d’éléments invisibles et la politique de communication de l’approche traditionnelle du marketingmix (4P’s ne reconnaît pas la communication des services établie sur le lieu de rencontre entre le personnel de contact de la firme et les clients. Même si les opinions sont partagées et que le débat n’est pas clos, on peut considérer que des éléments supplémentaires s’imposent pour élaborer un marketing qui permette de satisfaire les attentes des parties contractantes de la façon la plus satisfaisante possible

78 FR 57922 - American Energy Production, Inc., Best Energy Services, Inc., Community Central Bank Corporation...

Science.gov (United States)

2013-09-20

... SECURITIES AND EXCHANGE COMMISSION [File No. 500-1] American Energy Production, Inc., Best Energy Services, Inc., Community Central Bank Corporation, Explortex Energy, Inc., HemoBioTech, Inc., Larrea... concerning the securities of Community Central Bank Corporation because it has not filed any periodic reports...

Les barrières à une bonne prise en charge des diabétiques dans les structures de première ligne de la province de Khouribga (MAROC)

Science.gov (United States)

Hassoune, Samira; Badri, Soufiane; Nani, Samira; Belhadi, Leila; Maaroufi, Abderrahmane

2012-01-01

Introduction Le diabète constitue un important enjeu de santé publique au Maroc et représente un défi auquel les médecins généralistes sont confrontés dans leur pratique quotidienne. Le but de ce travail était de décrire les barrières entravant une bonne prise en charge des patients diabétiques dans les structures de 1ère ligne de la province de khouribga. Méthodes Il s'agit d'une étude transversale menée de décembre 2010 à mars 2011, chez les 54 médecins généralistes (MG) exerçants dans les centres de santé de la province. La collecte des données a été réalisée à l'aide d'un questionnaire prétesté et auto administré et la saisie et l'analyse effectuées sur le logiciel SPSS 16. Résultats Huit pourcent des MG disposaient de registre informatisé pour le suivi des diabétiques. Les principales barrières à une prise en charge correcte des patients étaient le statut socio-économique faible des patients (94%), leur niveau scolaire bas (86%), le manque de moyens de traitement et de suivi (80%), le nombre insuffisant de diabétologues (80%), le manque de coordination avec les structures de 2ème ligne (74%) et l'insuffisance des séminaires de formation continue (58%). Conclusion Les médecins généralistes sont confrontés à de nombreux obstacles concernant la prise en charge des patients diabétiques. L’équipement des centres de santé en moyens diagnostiques et thérapeutiques suffisants, l'amélioration de l'accessibilité des diabétiques aux soins et la formation continue des médecins pourraient être des solutions pour améliorer cette prise en charge surtout devant la pénurie de spécialistes dans notre pays. PMID:23330033

Interventions on central computing services during the weekend of 21 and 22 August

CERN Multimedia

2004-01-01

As part of the planned upgrade of the computer centre infrastructure to meet the LHC computing needs, approximately 150 servers, hosting in particular the NICE home directories, Mail services and Web services, will need to be physically relocated to another part of the computing hall during the weekend of the 21 and 22 August. On Saturday 21 August, starting from 8:30a.m. interruptions of typically 60 minutes will take place on the following central computing services: NICE and the whole Windows infrastructure, Mail services, file services (including home directories and DFS workspaces), Web services, VPN access, Windows Terminal Services. During any interruption, incoming mail from outside CERN will be queued and delivered as soon as the service is operational again. All Services should be available again on Saturday 21 at 17:30 but a few additional interruptions will be possible after that time and on Sunday 22 August. IT Department

Centralization of a Regional Clinical Microbiology Service: The Calgary Experience

Directory of Open Access Journals (Sweden)

Deirdre L Church

1999-01-01

Full Text Available Diagnostic laboratory services in Alberta have been dramatically restructured over the past five years. In 1994, Alberta Health embarked on an aggressive laboratory restructuring that cut back approximately 30% of the overall monies previously paid to the laboratory service sector in Calgary. A unique service delivery model consolidated all institutional and community-based diagnostic testing in a company called Calgary Laboratory Services (CLS in late 1996. CLS was formed by a public/private partnership between the Calgary Regional Health Care Authority (CRHA and MDS-Kasper Laboratories. By virtue of its customer service base and scope of testing, CLS provides comprehensive regional laboratory services to the entire populace. Regional microbiology services within CLS have been successfully consolidated over the past three years into a centralized high volume laboratory (HVL. Because the HVL is not located in a hospital, rapid response laboratories (RRLs are operated at each acute care site. Although the initial principle behind the proposed test menus for the RRLs was that only procedures requiring a clinical turnaround time of more than 2 h stay on-site, many other principles had to be used to develop and implement an efficient and clinically relevant RRL model for microbiology. From these guiding principles, a detailed assessment of the needs of each institution and extensive networking with user groups, the functions of the microbiology RRLs were established and a detailed implementation plan drawn up. The experience at CLS with regards to restructuring a regional microbiology service is described herein. A post-hoc analysis provides the pros and cons of directing and operating a regionalized microbiology service.

Assessing the value of the Central Everglades Planning Project (CEPP) in Everglades restoration: an ecosystem service approach

Science.gov (United States)

Richardson, Leslie A.; Keefe, Kelly; Huber, Christopher C.; Racevskis, Laila; Gregg, Reynolds; Thourot, Scott; Miller, Ian

2014-01-01

This study identifies a full range of ecosystem services that could be affected by a restoration project in the central Everglades and monetizes the economic value of a subset of these services using existing data. Findings suggest that the project will potentially increase many ecosystem services that have considerable economic value to society. The ecosystem services monetized within the scope of this study are a subset of the difference between the future-with the Central Everglades Planning Project (CEPP) and the future-without CEPP, and they totaled ~ $1.8 billion USD at a 2.5% discount rate. Findings suggest that the use of ecosystem services in project planning and communications may require acknowledgment of the difficulty of monetizing important services and the limitations associated with using only existing data and models. Results of this study highlight the need for additional valuation efforts in this region, focused on those services that are likely to be impacted by restoration activities but were notably challenging to value in this assessment due to shortages of data.

Prise en charge thérapeutique de la rectocolite hémorragique et analyse de cohorte au CHU Timone

OpenAIRE

Alhilali , Rizlaine

2017-01-01

La RCH s’inscrit comme étant une pathologie très invalidante pouvant, dans certains cas, se révéler très grave dans certains cas et dont les malades ont souvent du mal à parler ou même à aller consulter. D’ailleurs, la quasi-totalité des patients est suivie en médecine de ville, seuls les cas graves ou les formes multi-récidivantes sont prises en charge à l’hôpital. Le traitement médicamenteux d’une forme « classique » de RCH suit une chronologie bien particulière : il commence généralement p...

Exploring the central characteristics of HR shared services: evidence from a critical case study in the Netherlands

NARCIS (Netherlands)

Meijerink, Jeroen Gerard; Bondarouk, Tatiana

2012-01-01

Human resource shared service centers (HR SSCs) are foreseen as improving HR service delivery for their end-users: employees, line managers and decentralized HR professionals. Although the concept expects the benefits of HR SSCs to come from centralizing knowledge and decentralizing the control

The French Central Service for Protection against ionizing radiations (SCPRI), its activity

International Nuclear Information System (INIS)

Pellerin, P.; Moroni, J.P.

1979-01-01

The French Central Service for Protection against Ionizing Radiations (SCPRI), a service of Public Health and Labour departments, is entrusted by the French radioprotection regulations, of the control on a national scale, of all activities involving the use of ionizing radiations. It uses on this purpose, 4000 square meters of laboratories equiped with important radioanalyze and counting facilities (among them, a 100 low background β counters room). The SCPRI has also been nominated by WHO, as International Reference Center for radioactivy measurements in the environment. These duties have led the SCPRI to develop a drastic quality control of the techniques of preparation and verification of standard sources and reference samples [fr

N° 341-Diagnostic et prise en charge de la torsion annexielle chez les filles, les adolescentes et les femmes adultes.

Science.gov (United States)

Kives, Sari; Gascon, Suzy; Dubuc, Élise; Van Eyk, Nancy

2017-02-01

Passer en revue les connaissances scientifiques actuelles et formuler des recommandations relatives au diagnostic et à la prise en charge de la torsion annexielle chez les filles, les adolescentes et les femmes adultes. L'étude porte sur les facteurs de risque, la précision diagnostique, les options de prise en charge et les issues de la torsion annexielle. RéSULTATS: Nous avons examiné les études publiées en faisant des recherches dans MEDLINE, Embase, CINAHL et la Bibliothèque Cochrane à l'aide d'une terminologie contrôlée et de mots-clés appropriés (« adnexal torsion », « ovarian torsion »). Nous avons limité les résultats aux revues systématiques, aux essais contrôlés aléatoires, aux essais cliniques contrôlés et aux études d'observation. Nous avons refait les recherches de façon régulière et intégré de nouvelles données à la directive jusqu'en décembre 2014. Nous avons également étudié la littérature grise (non publiée) trouvée sur les sites Web d'organismes d'évaluation des technologies de la santé et d'autres organismes connexes, dans des collections de directives cliniques et dans des registres d'essais cliniques, et obtenue auprès d'associations nationales et internationales de médecins spécialistes. Les résultats ont été examinés et évalués par le comité CANPAGO de la Société des obstétriciens et gynécologues du Canada (SOGC), sous la direction des auteures principales. Les recommandations ont été classées selon les critères établis par le Groupe d'étude canadien sur les soins de santé préventifs. AVANTAGES, DéSAVANTAGES ET COûTS: L'application de la directive devrait aider les praticiens à adopter une approche de diagnostic et de prise en charge optimale en matière de torsion annexielle, à réduire au minimum les effets néfastes et à améliorer l'issue qui attend les patientes. La présente directive a été évaluée et approuvée par le Comité de pratique - gynécologie de la SOGC

Who Benefits from Ecosystem Services? A Case Study for Central Kalimantan, Indonesia

Science.gov (United States)

Suwarno, Aritta; Hein, Lars; Sumarga, Elham

2016-02-01

There is increasing experience with the valuation of ecosystem services. However, to date, less attention has been devoted to who is actually benefiting from ecosystem services. This nevertheless is a key issue, in particular, if ecosystem services analysis and valuation is used to support environmental management. This study assesses and analyzes how the monetary benefits of seven ecosystem services are generated in Central Kalimantan Province, Indonesia, are distributed to different types of beneficiaries. We analyze the following ecosystem services: (1) timber production; (2) rattan collection; (3) jelutong resin collection; (4) rubber production (based on permanent agroforestry systems); (5) oil palm production on three management scales (company, plasma farmer, and independent smallholder); (6) paddy production; and (7) carbon sequestration. Our study shows that the benefits generated from these services differ markedly between the stakeholders, which we grouped into private, public, and household entities. The distribution of these benefits is strongly influenced by government policies and in particular benefit sharing mechanisms. Hence, land-use change and policies influencing land-use change can be expected to have different impacts on different stakeholders. Our study also shows that the benefits generated by oil palm conversion, a main driver for land-use change in the province, are almost exclusively accrued by companies and at this point in time are shared unequally with local stakeholders.

Who Benefits from Ecosystem Services? A Case Study for Central Kalimantan, Indonesia.

Science.gov (United States)

Suwarno, Aritta; Hein, Lars; Sumarga, Elham

2016-02-01

There is increasing experience with the valuation of ecosystem services. However, to date, less attention has been devoted to who is actually benefiting from ecosystem services. This nevertheless is a key issue, in particular, if ecosystem services analysis and valuation is used to support environmental management. This study assesses and analyzes how the monetary benefits of seven ecosystem services are generated in Central Kalimantan Province, Indonesia, are distributed to different types of beneficiaries. We analyze the following ecosystem services: (1) timber production; (2) rattan collection; (3) jelutong resin collection; (4) rubber production (based on permanent agroforestry systems); (5) oil palm production on three management scales (company, plasma farmer, and independent smallholder); (6) paddy production; and (7) carbon sequestration. Our study shows that the benefits generated from these services differ markedly between the stakeholders, which we grouped into private, public, and household entities. The distribution of these benefits is strongly influenced by government policies and in particular benefit sharing mechanisms. Hence, land-use change and policies influencing land-use change can be expected to have different impacts on different stakeholders. Our study also shows that the benefits generated by oil palm conversion, a main driver for land-use change in the province, are almost exclusively accrued by companies and at this point in time are shared unequally with local stakeholders.

"Feed from the Service": Corruption and Coercion in State-University Relations in Central Eurasia

Science.gov (United States)

Osipian, Ararat L.

2009-01-01

Education in Central Eurasia has become one of the services most affected by corruption. Corruption in academia, including bribery, extortion, embezzlement, nepotism, fraud, cheating, and plagiarism, is reflected in the region's media and addressed in a few scholarly works. This article considers corruption in higher education as a product of…

Socio-economic and Demographic Determinants of Antenatal Care Services Utilization in Central Nepal

Directory of Open Access Journals (Sweden)

Srijana Pandey, PhD

2014-09-01

Full Text Available Background/Objective: The importance of maternal health services in lessening maternal mortality and morbidity as well as neonatal deaths has received substantial recognition in the past decade. The lack of antenatal care has been identified as a risk factor for maternal mortality and other adverse pregnancy outcomes. The purpose of this study was to determine the factors affecting attendance of antenatal care services in Nepal. Methods: This is a cross-sectional descriptive study carried out in Central Nepal. Using semi-structured questionnaire, interviews were conducted with married women aged between 15-49 years, who had delivered their babies within one year. Systematic random sampling method was used to select the sample. Results were obtained by frequency distribution and cross-tabulation of the variables. Results: More than half of the women were not aware of the consequences of lack of antenatal care. Age, education, income, type of family were strongly associated with the attendance at antenatal care service. Conclusions and Public Health Implications: In Nepal and in other developing countries, maternal mortality and morbidity continue to pose challenges to the health care delivery system. Variety of factors including socio-demographic, socio-economic, cultural and service availability as well as accessibility influences the use of maternal health services.

75 FR 64303 - Vermont Marble Power, Division of Omya Inc.; Central Vermont Public Service Corporation; Notice...

Science.gov (United States)

2010-10-19

...-029; 2445-023; 2558-029] Vermont Marble Power, Division of Omya Inc.; Central Vermont Public Service... Soliciting Comments and Motions To Intervene October 12, 2010. On August 31, 2010, Vermont Marble Power... relicensing. Applicant Contacts: For transferor: Todd Allard, Operations Engineer Omya, Inc., Vermont Marble...

Development of a Centralized Automated Scientific and Technical Information Service in the People's Republic of Bulgaria.

Science.gov (United States)

Kiratsov, P.

1983-01-01

Discusses the design and organization of the Automated Information Centre, a centralized automated scientific and technical information service established within the main organ of Bulgaria's National System for Scientific and Technical Information, with UNESCO and United Nations Development Program assistance. Problems and perspectives for…

Etude critique de la prise en charge de 159 personnes âgées en consultation de psychiatrie

Science.gov (United States)

Ben Thabet, Jihène; Ammar, Yousra; Charfi, Nada; Zouari, Lobna; Zouari, Nasreddine; Gaha, Lotfi; Maalej, Mohamed

2014-01-01

Introduction Le phénomène de vieillissement des populations est associé à une augmentation de la prévalence de la morbidité liée à l’âge. La prescription des psychotropes chez le sujet âgé est de plus en plus fréquente dans les institutions, les doses sont de plus en plus élevées, avec un recours fréquent à une poly pharmacothérapie. Nous nous sommes proposé de décrire les conduites thérapeutiques chez le sujet âgé consultant en psychiatrie, en vue de les confronter aux dernières recommandations en la matière. Méthodes L’étude était de type rétrospectif et descriptif. Elle a concerné les sujets âgés d'au moins 60 ans ayant consulté pour la première fois en psychiatrie, au CHU Hédi Chaker à Sfax, en 2010 ou 2011. Résultats Nous avons colligé 159 dossiers. L’âge moyen était de 73 ans. La démence et les troubles de l'humeur étaient les diagnostics les plus fréquents. Sur le plan thérapeutique, une poly thérapie faite d'au moins deux psychotropes de familles différentes a été prescrite pour 55,9%. Chez 60.3% des sujets, le traitement a été prescrit d'emblée à dose complète. Aucun dossier ne faisait état d'une prise en charge psychothérapeutique. Conclusion La prise en charge des malades de notre étude n’était pas conforme aux recommandations, notamment en matière d'association médicamenteuse, de progression des doses et d'association de la psychothérapie à la pharmacothérapie. L'information des médecins et leur sensibilisation aux particularités du sujet âgé contribuerait à optimiser les soins qui leur sont prodigués, y compris en psychiatrie. PMID:25120873

Survey of otolaryngology services in Ukraine and neighbouring Central and Eastern European countries.

Science.gov (United States)

Verkerk, M M; Wagner, R; Fishchuk, R; Fagan, J J

2017-11-01

The present humanitarian crisis in Ukraine is putting strains on its healthcare system. This study aimed to assess services and training in otolaryngology, audiology and speech therapy in Ukraine and its geographical neighbours. Survey study of 327 otolaryngologists from 19 countries. Fifty-six otolaryngologists (17 per cent) from 15 countries responded. Numbers of otolaryngologists varied from 3.6 to 12.3 per 100 000 population (Ukraine = 7.8). Numbers of audiologists varied from 0, in Ukraine, to 2.8 per 100 000, in Slovakia, and numbers of speech therapists varied from 0, in Bulgaria, to 4.0 per 100 000, in Slovenia (Ukraine = 0.1). Ukraine lacks newborn and school hearing screening, good availability of otological drills and microscopes, and a cochlear implant programme. There is wide variation in otolaryngology services in Central and Eastern Europe. All countries surveyed had more otolaryngologists per capita than the UK, but availability of audiology and speech and language therapy is poor. Further research on otolaryngology health outcomes in the region will guide service improvement.

NIDDK Central Repository

Data.gov (United States)

U.S. Department of Health & Human Services — The NIDDK Central Repository stores biosamples, genetic and other data collected in designated NIDDK-funded clinical studies. The purpose of the NIDDK Central...

Access to Supplemental Educational Services in the Central Region States. Issues & Answers. REL 2007-No. 007

Science.gov (United States)

Barley, Zoe; Wegner, Sandra K.

2007-01-01

The Central Region states (Colorado, Kansas, Missouri, Nebraska, North Dakota, South Dakota, and Wyoming) lag behind the nation in the rate of participation in supplemental educational services that schools failing to make adequate progress for three consecutive years must offer to eligible students under the No Child Left Behind Act. This study…

Le Domaine des Co-infections et des Maladies Concomitantes du Réseau Canadien pour les Essais VIH des IRSC : Lignes Directrices Canadiennes pour la Prise en Charge et le Traitement de la Co-Infection par le VIH et l’Hépatite C chez les Adultes

Directory of Open Access Journals (Sweden)

Mark Hull

2014-01-01

Full Text Available HISTORIQUE: De 20 % à 30 % des Canadiens qui vivent avec le VIH sont co-infectés par le virus de l’hépatite C (VHC, lequel est responsable d’une morbidité et d’une mortalité importantes. La prise en charge du VIH et du VHC est plus complexe en raison de l’évolution accélérée de la maladie hépatique, du choix et des critères d’initiation de la thérapie antirétrovirale et du traitement anti-VHC, de la prise en charge de la santé mentale et des toxicomanies, des obstacles socioéconomiques et des interactions entre les nouvelles thérapies antivirales à action directe du VHC et les antirétroviraux

Automated read-out of thermoluminescence dosemeters in a centralized individual monitoring service

International Nuclear Information System (INIS)

Toivonen, M.

The organizational problems in maintaining centralized individual monitoring service with erasable and re-usable dosemeters are evaluated. Design criteria for an automated thermoluminescence reader are laid down. It is characteristic for the planning of the monitoring system that the issuing of dosemeters can be arranged without having two dosemeters for each worker. A home made reader designed to fullfil these criteria is presented. The use of a standard barcode and a standard optical barcode reader in identification of dosemeters is described. A method of using a minicomputer in preparing the self-fastening identification labels, in printing mailing lists and in printing results is described

Prise en charge des hypertendus dans la ville de Cotonou (Bénin) en 2011: connaissances attitudes et pratiques des médecins généralistes

Science.gov (United States)

Houenassi, Martin Dèdonougbo; David, Dokoui; Codjo, Léopold Houétondji; Attinsounon, Angelo Cossi; Alassani, Adebayo; Ahoui, Séraphin; Dovonou, Albert Comlan; Adoukonou, Thierry Armel; Dohou, Serge Hugues Mahougnon; Wanvoegbe, Armand; Agbodande, Anthelme

2016-01-01

Summary But: Ce travail vise à évaluer les connaissances, attitudes et pratiques des médecins généralistes sur la prise en charge de l’hypertension artérielle à Cotonou. Méthodes: L’étude était transversale et descriptive basée sur une enquête multicentrique du 1er Mai 2011 au 31 Juillet 2011. Un recrutement de tous les médecins généralistes, volontaires exerçant dans les centres de santé privés, publics et confessionnels de la ville de Cotonou, ayant autorisé l’étude, a été fait. Le 7ème rapport de Joint National Committee (JNC7) a été utilisé comme référentiel pour l’évaluation de la prise en charge des hypertendus. Un auto-questionnaire adressé aux généralistes, testé et validé, a été utilisé pour recueillir ces données. Résultats: Au total, 41 médecins généralistes dans huit établissements sanitaires ont été inclus. Près de la moitié des généralistes (48.8%) ne connaissaient pas la définition de l’HTA. Seulement 25 généralistes (61.0%) pouvaient décrire les conditions de mesure de la pression artérielle. Dix généralistes (24.4%) étaient incapables de lister la moitié des examens du bilan minimum de l’hypertension artérielle (HTA). La majorité (92.7%) ne connaissait pas la notion de risque cardiovasculaire global. L’objectif tensionnel (TA ≤ 140/90 mmHg) n’était connu que par 18 (43.9%) médecins. Les mesures hygiéno-diététiques seules (82.9%) et la monothérapie seule (70.7%) étaient les modalités thérapeutiques les plus prescrites. Les classes pharmacologiques antihypertensives prescrites étaient surtout les inhibiteurs calciques (82.9%), les inhibiteurs de l’enzyme de conversion (53.7%) et les diurétiques (36.6%). Les généralistes référaient les hypertendus aux cardiologues principalement pour non-maitrise du chiffres tensionnels (63,4%) et l’apparition de complications aigues (56.1%). Conclusion: Les connaissances des généralistes sur la prise en charge de l�

Use of health services in Hill villages in central Nepal.

Science.gov (United States)

Niraula, B B

1994-10-01

This paper reports the use and non-use of health care facilities in the Hill villages in central Nepal. The health behaviour model (HBM) is applied to test the significance of socioeconomic variables on the use of the modern health care system. The study finds that all three characteristics of the HBM model, predisposing, enabling and need, are significantly related to use and non-use of the modern health care system. The analysis shows that number of living children, respondent's education, nearness to the road and service centre, value of land, knowledge about health workers and experience of child loss are some of the variables that are positively and significantly related to the use of modern health care. Age of the respondents and household size were found to be negatively associated with health-care use. Contrary to expectation, caste is unimportant. Making use of the qualitative data, this paper argues that the health care system is unnecessarily bureaucratic and patriarchal, which favours the socio-economically well-off.

Impact écotoxicologique de mélanges de pesticides sur des fonctions microbiennes des sols : apport d’une prise en compte écologique dans l’évaluation des risques

OpenAIRE

Devers-Lamrani, Marion; Rouard, Nadine; Cheviron, Nathalie; Grondin, Virginie; Martin-Laurent, Fabrice

2015-01-01

L’utilisation de pesticides permet d’assurer la qualité de la production végétale mais elle contribue à la contamination des sols et des eaux et produit des effets sur des organismes noncibles. L’évaluation des risques requièrent actuellement une meilleure prise en compte des effets des pesticides sur le fonctionnement des écosystèmes. Or, les démarches et indicateurs classiques manquent de représentativité écologique. La fonction microbienne de biodégradation des pesticides est essentielle c...

Health and health services in Central America.

Science.gov (United States)

Garfield, R M; Rodriguez, P F

1985-08-16

Despite rapid economic growth since World War II, health conditions improved only slowly in most of Central America. This is a result of poor medical, social, and economic infrastructure, income maldistribution, and the poor utilization of health investments. The economic crisis of the 1980s and civil strife have further endangered health in the region. Life expectancy has fallen among men in El Salvador and civil strife has become the most common cause of death in Guatemala, Nicaragua, and El Salvador. Large-scale US assistance has done little to improve conditions, and refugees continue to pour into North America. It is estimated that there are more than a million refugees within Central America, while a million have fled to the United States. Costa Rica and Nicaragua are partial exceptions to this dismal health picture. An effective approach to the many health problems in Central America will require joint planning and cooperation among all countries in the region.

Les évolutions de la norme électrique

CERN Document Server

Gallauziaux, Thierry

2014-01-01

Découvrez pièce par pièce les évolutions de la norme électrique (NF C 15-100 applicable depuis le 1er juin 2003), et les équipements minimaux requis : nombre de socles de prises de courant, emplacement des points d'éclairages, prises de communication... Sachez choisir les nouveaux dispositifs de protection des circuits, désormais obligatoires : les interrupteurs différentiels de type A, les dispositifs de coupure du fil pilote des chauffages électriques, le parafoudre... Ce qu'il faut savoir sur les nouvelles prises téléphoniques et le réseau de communication domestique pour accueillir les nouveaux services multimédias et de communication (téléphonie, TV, Internet...).

Improving Accessibility to Services and Increasing Efficiency Through Merger and Centralization in Québec

Directory of Open Access Journals (Sweden)

Amélie Quesnel-Vallée

2018-03-01

Full Text Available On 25 September 2014, Bill 10 was tabled to reorganize Québec’s health and social services network through the abolition of an administrative layer at the regional health authority level and institutional mergers of health and social services facilities under a new governance structure. Thus, the province’s 182 health and social services facilities were merged into 34 Centre intégré de santé et des services sociaux (CISSS / Centre intégré universitaire de santé et des services sociaux (CIUSSS. CISSS/CIUSSS are responsible for delivering a range of health and social services in a designated territory through the administrative integration of facilities including: local community health centres, generalized and specialized hospitals, psychiatric hospitals, child and youth protection centres, residential and long-term care centres, and rehabilitation centres. These mergers were operationalized notably by a new governance structure whereby the minister-appointed board of directors in each CISSS/CIUSSS reports directly to the Minister of Health and Social Services. As such, a centralization of powers was also achieved. While formal evaluations of reform performance have yet to be completed, analyses projecting potential difficulties of the reform were presented during special consultation hearings. Among the key concerns identified was whether there was evidence to support claims that administrative mergers increased efficiency by achieving economies of scale. Additionally, implicit to Bill 10 is the assumption that continuity of care will follow from administrative mergers. Strategic mergers through professional networks can promote more streamlined approaches to information sharing.

Ecosystem services from a degraded peatland of Central Kalimantan: implications for policy, planning, and management.

Science.gov (United States)

Law, Elizabeth A; Bryan, Bretr A; Meijaard, Erik; Mallawaarachchi, Thilak; Struebig, Matthew; Wilson, Kerrie A

2015-01-01

Increasingly, landscapes are managed for multiple objectives to balance social, economic, and environmental goals. The Ex-Mega Rice Project (EMRP) peatland in Central Kalimantan, Indonesia provides a timely example with globally significant development, carbon, and biodiversity concerns. To inform future policy, planning, and management in the EMRP, we quantified and mapped ecosystem service values, assessed their spatial interactions, and evaluated the potential provision of ecosystem services under future land-use scenarios. We focus on key policy-relevant regulating (carbon stocks and the potential for emissions reduction), provisioning (timber, crops from smallholder agriculture, palm oil), and supporting (biodiversity) services. We found that implementation of existing land-use plans has the potential to improve total ecosystem service provision. We identify a number of significant inefficiencies, trade-offs, and unintended outcomes that may arise. For example, the potential development of existing palm oil concessions over one-third of the region may shift smallholder agriculture into low-productivity regions and substantially impact carbon and biodiversity outcomes. While improved management of conservation zones may enhance the protection of carbon stocks, not all biodiversity features will be represented, and there will be a reduction in timber harvesting and agricultural production. This study highlights how ecosystem service analyses can be structured to better inform policy, planning, and management in globally significant but data-poor regions.

A Climate Information Portal for Copernicus: a central portal for European climate services?

Science.gov (United States)

Juckes, Martin; Swart, Rob; Thysse, Peter; Som de Cerff, Wim; Groot, Annemarie; Bennett, Victoria; Costa, Luis; Lückenkötter, Johannes; Callaghan, Sarah

2015-04-01

The FP7 project "Climate Information Portal for Copernicus" (CLIPC) is developing a demonstration portal for the Copernicus Climate Change Service (C3S). This project is one of a suite of FP7 research activities which are administratively independent of Copernicus, focussed on creating the technical and scientific building blocks needed for the service. It is to be expected that at EGU 2015 there will be many presentations describing portals delivering new and innovative ranges of services. It would be unwise to seek to replace all this creative activity with a single portal -- instead CLIPC is designing a portal to make distributed resources more accessible through flexible discovery systems. CLIPC needs to deliver more than a directory of resources: resources need to be presented in common protocols so that users can access multiple datasets. More information about the project objectives is available at www.clipc.eu. The gulf between the climate science communities and the end user communities is a central challenge being addressed in the project. It is important to understand that there is significant diversity and multiple communication barriers within these two sets of communities as well as between them. The CLIPC services must presentation will provide a review of progress towards this ambitious goal, through a discussion of user requirements activities, an overview of the proposed architecture, work on assessing and adjusting model biasses, and a discussion of the climate impact indicators which will be provided through the portal. When looking at the usability of data for the various users, CLIPC will implement a set of services functioning as a "knowledge base" supplying information to users about the data, including definitions of terminology used, quality of datasets, versioning, and user annotations.

Socio-cultural and service delivery dimensions of maternal mortality in rural central India: a qualitative exploration using a human rights lens.

Science.gov (United States)

Jat, Tej Ram; Deo, Prakash R; Goicolea, Isabel; Hurtig, Anna-Karin; San Sebastian, Miguel

2015-01-01

Despite the avoidable nature of maternal mortality, unacceptably high numbers of maternal deaths occur in developing countries. Considering its preventability, maternal mortality is being increasingly recognised as a human rights issue. Integration of a human rights perspective in maternal health programmes could contribute positively in eliminating avertable maternal deaths. This study was conducted to explore socio-cultural and service delivery-related dimensions of maternal deaths in rural central India using a human rights lens. Social autopsies were conducted for 22 maternal deaths during 2011 in Khargone district in central India. The data were analysed using thematic analysis. The factors associated with maternal deaths were classified by using the 'three delays' framework and were examined by using a human rights lens. All 22 women tried to access medical assistance, but various factors delayed their access to appropriate care. The underestimation of the severity of complications by family members, gender inequity, and perceptions of low-quality delivery services delayed decisions to seek care. Transportation problems and care seeking at multiple facilities delayed reaching appropriate health facilities. Negligence by health staff and unavailability of blood and emergency obstetric care services delayed receiving adequate care after reaching a health facility. The study highlighted various socio-cultural and service delivery-related factors which are violating women's human rights and resulting in maternal deaths in rural central India. This study highlights that, despite the health system's conscious effort to improve maternal health, normative elements of a human rights approach to maternal health (i.e. availability, accessibility, acceptability, and quality of maternal health services) were not upheld. The data and analysis suggest that the deceased women and their relatives were unable to claim their entitlements and that the duty bearers were not

Socio-cultural and service delivery dimensions of maternal mortality in rural central India: a qualitative exploration using a human rights lens

Directory of Open Access Journals (Sweden)

Tej Ram Jat

2015-04-01

Full Text Available Background: Despite the avoidable nature of maternal mortality, unacceptably high numbers of maternal deaths occur in developing countries. Considering its preventability, maternal mortality is being increasingly recognised as a human rights issue. Integration of a human rights perspective in maternal health programmes could contribute positively in eliminating avertable maternal deaths. This study was conducted to explore socio-cultural and service delivery–related dimensions of maternal deaths in rural central India using a human rights lens. Design: Social autopsies were conducted for 22 maternal deaths during 2011 in Khargone district in central India. The data were analysed using the matic analysis. The factors associated with maternal deaths were classified by using the ‘three delays’ framework and were examined by using a human rights lens. Results: All 22 women tried to access medical assistance, but various factors delayed their access to appropriate care. The underestimation of the severity of complications by family members, gender inequity, and perceptions of low-quality delivery services delayed decisions to seek care. Transportation problems and care seeking at multiple facilities delayed reaching appropriate health facilities. Negligence by health staff and unavailability of blood and emergency obstetric care services delayed receiving adequate care after reaching a health facility. Conclusions: The study highlighted various socio-cultural and service delivery–related factors which are violating women's human rights and resulting in maternal deaths in rural central India. This study highlights that, despite the health system's conscious effort to improve maternal health, normative elements of a human rights approach to maternal health (i.e. availability, accessibility, acceptability, and quality of maternal health services were not upheld. The data and analysis suggest that the deceased women and their relatives were

Alimentation du nouveau-ne et du nourrisson dans la region ...

African Journals Online (AJOL)

Alimentation du nouveau-ne et du nourrisson dans la region centrale du togo : pratiques familiales et communautaires avant la mise en oeuvre de la strategie « prise en charge integree des maladies de l'enfant »

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.

Science.gov (United States)

Stepurko, Tetiana; Pavlova, Milena; Groot, Wim

2016-08-02

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 the quality of and access to health care services. The study focuses on six Central and Eastern European countries (Bulgaria, Hungary, Lithuania, Poland, Romania and Ukraine). We use data on past experience with health care use collected in 2010 through uniform national surveys in these countries. Based on these data, we carry out a multi-country analysis to investigate factors associated with the satisfaction of health care users in the six countries. The results indicate that about 10-14 % of the service users are not satisfied with the quality of, or access to health care services they used in the preceding year. However, significant differences across countries and services are observed, e.g. the highest level of dissatisfaction with access to outpatient services (16.4 %) is observed among patients in Lithuania, while in Poland, the level of dissatisfaction with quality of outpatient and inpatient services are much lower than dissatisfaction with access. The study also analyses the association of users' satisfaction with factors such as making informal payments, inability to pay and relative importance of service attributes stated by the service users. These multi-country findings provide evidence for health policy making in the Central and Eastern European countries. Although the average rates of satisfactions per country are relatively high, the results suggest that there is ample room for improvements. Specifically, many service-users still report dissatisfaction especially those

Prise en charge des dyades mère traumatisée-bébé: une contrainte à la pensée et à la pratique

OpenAIRE

Feldman, Marion; Mouchenik, Yoram; Moro, Marie Rose

2015-01-01

Dans le champ de la protection de l’enfance, la prise en charge de certaines dyades mère-bébé met en difficultés les professionnels et on constate une mise en échec des suivis. L’objectif est de montrer qu’il faut penser un soin plus adapté pour ces dyades. Au travers de la présentation d’une situation clinique et de son suivi, les auteurs montrent l’impact des traumas vécus par une mère dans son pays d’origine sur le développement de son bébé né en France, et de quelles façons ces traumas co...

Bureaucrats as Innovators? Statistical Analysis on Innovative Capacity within the Hungarian Central Civil Service

Directory of Open Access Journals (Sweden)

Marton GELLÉN

2016-12-01

Full Text Available What makes a public administration innovative if it is strongly legalistic and profoundly bureaucratic? Are there innovators in such a setting who would be able to elaborate strategies in accordance with public demands? If yes, who are the innovators and what are they like? Are they among the leaders? The article offers an answer to these questions based on an empirical research conducted in Hungary where public administration is not only legalistic but has a strong culture of topdown domination. The current study targets the key element of innovativeness namely: managerial and cultural prerequisites of innovation within central public administration. The empirical research was carried out in the Hungarian central civil service. The article also discusses whether such an environment would have an impact on innovations. According to the fi ndings of the article, certain prerequisites of an innovative environment exist in the given strictly hierarchic, traditionally stiff setting; however, traits of innovativeness can be identifi ed in innovators who are genuine bureaucrats at the same time.

Model-Atmosphere Spectra of Central Stars of Planetary Nebulae - Access via the Virtual Observatory Service TheoSSA

Science.gov (United States)

Rauch, T.; Reindl, N.

2014-04-01

In the framework of the Virtual Observatory (VO), the German Astrophysical Virtual Observatory GAVO project provides easy access to theoretical spectral energy distributions (SEDs) within the registered GAVO service TheoSSA (http://dc.g-vo.org/theossa). TheoSSA is based on the well established Tübingen NLTE Model-Atmosphere Package (TMAP) for hot, compact stars. This includes central stars of planetary nebulae. We show examples of TheoSSA in operation.

autonomisation économique des femmes et économie du soin des ...

International Development Research Centre (IDRC) Digital Library (Canada)

Alanna Karpa

dépend en grande partie d'un financement versé par des bailleurs de fonds et qui est aux prises avec ... services dont leurs enfants ont besoin et à intégrer le marché du travail. ..... roulement, qui produit des services de soins de faible qualité.

Author Details

African Journals Online (AJOL)

phosphate déhydrogénase au CHU de Lomé ... Alimentation du nouveau-ne et du nourrisson dans la region centrale du togo : pratiques familiales et communautaires avant la mise en oeuvre de la strategie « prise en charge integree des maladies ...

SERVICE PROVISIONING IN MANETS USING SERVICE PROVIDER’S METRICS

Directory of Open Access Journals (Sweden)

K. Ponmozhi

2012-09-01

Full Text Available Service discovery technologies are exploited to enable services to advertise their existence in a dynamic way and can be discovered, configured and used by other devices with minimum of manual efforts. Automatic service discovery plays an important role in future network scenarios. Service discovery in distributed environment is difficult that too if the availability information of the services cannot be in a centralized node. The complexity is increased even further in the case of MANETs in which there will not be central intelligence also, the nodes involved may be on the move. The mobility issue leads to the situation of uncertainty about the service availability of the service provider. In this paper we propose a decentralized discovery mechanism. The basic idea is, distributing service information along with the availability metrics to the nodes. The metrics will give us the information to evaluate the goodness of the service provider. Every node will form multi-layered overlays of service providers sorted based on the metrics. When we send a query, each node will identify the service provider from the overlay with the good metric among the available providers (i.e. the one in the first position in the overlay. We define the message structures and methods needed for this proposal. The simulation result shows that in the high mobile environment too we could have a better convergence. We believe that the architecture presented here is a necessary component of any service provision framework.

Centrality and Creativity:

DEFF Research Database (Denmark)

Andersen, Kristina Vaarst; Lorenzen, Mark

2009-01-01

To provide new insights into urban hierarchy, this article brings together one of economic geography’s oldest and most well-established notions with one of its newest and most disputed notions: Christäller’s centrality and Florida’s creative class. Using a novel original database, the article...... compares the distribution of the general population and the creative class across 444 city regions in 8 European countries. It finds that the two groups are both distributed according to the rank-size rule, but exhibit different distinct phases with different slopes. The article argues that the two...... distributions are different because market thresholds for creative services and jobs are lower than thresholds for less specialized services and jobs. The article hence concludes that centrality exerts a strong influence upon urban hierarchies of creativity and that the study of creative urban city hierarchies...

Analysis of expected ATM processes changes in Central Europe

Directory of Open Access Journals (Sweden)

Tomislav MIHETEC

2012-01-01

Full Text Available This paper evaluates feasibility of the new Air Traffic Management (ATM organisation in Functional Airspace Block Central Europe (FAB CE and specifies the implementation scenarios that are proposed by Central European Air Traffic Services Coordination Group (CEATS CG. The paper elaborates elements of required Functional Airspace Block Central Europe implementation and identifies and assesses the implementation blockers. Provision of air navigation services in European Civil Aviation Conference (ECAC area is diversely regulated and highly fragmented.

Prise en charge en soins primaires des troubles liés à l’usage d’alcool et de la consommation à risque

Science.gov (United States)

Spithoff, Sheryl; Kahan, Meldon

2015-01-01

Résumé Objectif Présenter aux médecins de soins primaires des renseignements et des conseils fondés sur des données probantes concernant la prise en charge de la consommation à risque et des troubles liés à l’usage d’alcool (TUA). Sources des données Nous avons entrepris une recherche documentaire non systématique à l’aide d’expressions de recherche en anglais, notamment primary care; screening, interventions, management et treatment; et at-risk drinking, alcohol use disorders, alcohol dependence et alcohol abuse; ainsi que des interventions spécifiques en médecine et en counseling pertinentes aux soins primaires. Principaux messages Dans le cas de patients ayant une consommation à risque ou un TUA, les médecins devraient offrir du counseling et, au besoin (p. ex. les patients dont le TUA est de modéré à grave), prescrire et connecter. Counseling : Offrir à tous les patients ayant une consommation à risque une brève séance de counseling et un suivi. Offrir à tous les patients ayant un TUA des séances de counseling et un suivi constant (fréquent et régulier). Prescrire : Offrir des médicaments (disulfiram, naltrexone, acamprosate) à tous les patients ayant un TUA de modéré à grave. Connecter : Encourager les patients souffrant d’un TUA à suivre des programmes de counseling de jour ou en résidence et d’adhérer à des groupes d’entraide. S’il est indiqué de le faire, demander une consultation pour le patient auprès d’un spécialiste en médecine des dépendances, de services concurrents en santé mentale et en toxicomanie ou une thérapie spécialisée pour traumatisme. Conclusion Les médecins de famille peuvent prendre en charge efficacement les patients qui ont une consommation à risque ou des TUA.

Service Learning for Improvement of Customer Service Education in LIS

Science.gov (United States)

Colón-Aguirre, Mónica

2017-01-01

This work explores the ways in which academic librarians specializing in areas related to user services consider the courses they took as part of obtaining their library and information science (LIS) degree prepared them to deal with issues of customer service in their current work. Effective customer service is a central aspect of accomplishing…

Applying an ecosystem service approach to unravel links between ecosystems and society in the coast of central Chile.

Science.gov (United States)

de Juan, Silvia; Gelcich, Stefan; Ospina-Alvarez, Andres; Perez-Matus, Alejandro; Fernandez, Miriam

2015-11-15

Ecosystem-based management implies understanding feedbacks between ecosystems and society. Such understanding can be approached with the Drivers-Pressures-State change-Impacts-Response framework (DPSIR), incorporating stakeholders' preferences for ecosystem services to assess impacts on society. This framework was adapted to six locations in the central coast of Chile, where artisanal fisheries coexist with an increasing influx of tourists, and a set of fisheries management areas alternate with open access areas and a no-take Marine Protected Area (MPA). The ecosystem services in the study area were quantified using biomass and species richness in intertidal and subtidal areas as biological indicators. The demand for ecosystem services was elicited by interviews to the principal groups of users. Our results evidenced decreasing landings and a negative perception of fishermen on temporal trends of catches. The occurrence of recreational fishing was negligible, although the consumption of seafood by tourists was relatively high. Nevertheless, the consumption of organisms associated to the study system was low, which could be linked, amongst other factors, to decreasing catches. The comparison of biological indicators between management regimens provided variable results, but a positive effect of management areas and the MPA on some of the metrics was observed. The prioritising of ecosystem attributes by tourists was highly homogenous across the six locations, with "scenic beauty" consistently selected as the preferred attribute, followed by "diversity". The DPSIR framework illustrated the complex interactions existing in these locations, with weak linkages between society's priorities, existing management objectives and the state of biological communities. Overall, this work improved our knowledge on relations between components of coastal areas in central Chile, of paramount importance to advance towards an ecosystem-based management in the area. Copyright © 2015

Application des TIC à l'atténuation des effets des catastrophes dans ...

International Development Research Centre (IDRC) Digital Library (Canada)

L'Amérique centrale est souvent aux prises avec des inondations et des ... (SIG) et de traitement des images, afin de cartographier les dangers et de modéliser les ... de l'Institut d'étude du développement international de l'Université McGill.

Central Venous Access

International Nuclear Information System (INIS)

Ganeshan, Arul; Warakaulle, Dinuke R.; Uberoi, Raman

2007-01-01

Central venous access plays an important role in the management of an ever-increasing population of patients ranging from those that are critically ill to patients with difficult clinical access. Interventional radiologists are key in delivering this service and should be familiar with the wide range of techniques and catheters now available to them. A comprehensive description of these catheters with regard to indications, technical aspects of catheterization, success rates, and associated early and late complications, as well as a review of various published guidelines on central venous catheter insertion are given in this article

UPGRADE OF THE CENTRAL WEB SERVERS

CERN Multimedia

WEB Services

2000-01-01

During the weekend of the 25-26 March, the infrastructure of the CERN central web servers will undergo a major upgrade.As a result, the web services hosted by the central servers (that is, the services the address of which starts with www.cern.ch) will be unavailable Friday 24th, from 17:30 to 18:30, and may suffer from short interruptions until 20:00. This includes access to the CERN top-level page as well as the services referenced by this page (such as access to the scientific program and events information, or training, recruitment, housing services).After the upgrade, the change will be transparent to the users. Expert readers may however notice that when they connect to a web page starting with www.cern.ch this address is slightly changed when the page is actually displayed on their screen (e.g. www.cern.ch/Press will be changed to Press.web.cern.ch/Press). They should not worry: this behaviour, necessary for technical reasons, is normal.web.services@cern.chTel 74989

Ecosystem Services Evaluation and Its Spatial Characteristics in Central Asia’s Arid Regions: A Case Study in Altay Prefecture, China

Directory of Open Access Journals (Sweden)

Qi Fu

2015-06-01

Full Text Available Ecosystem services are important foundations to realize the sustainable development of economy and society. The question of how to quantitatively evaluate ecosystem services in a scientific way is a hot topic among international researchers. Studying the spatial characteristics of ecosystem services in arid regions can provide the theoretical and practical basis for coordinating a sustainable man-land relationship. Altay Prefecture of China, a typical arid region in Central Asia, was taken as the study area. It is on the Silk Road economic belt, which is a key region in the program of developing Western China. Three ecosystem services: water yield, soil conservation, and net primary productivity were quantitatively evaluated. The results show that (1 the spatial distribution pattern has a distinct characteristic of zonality; (2 mountain zone and mountain-oasis ecotone are the hotspots of ecosystem services; and (3 the correlation between water yield and net primary productivity shows a gradual increasing trend as altitude decreases. Objective analysis from the aspect of mechanism is given by discussing the causes of this particular pattern. It is found that altitude and slope have great influence on spatial distributions of ecosystem services, zones with the most amount of services are distributed in 1.5–2 km-altitude and 15–25°-slope. Different human activities in different regions and spatial distance decay of ecosystem services also contribute to the formation of spatial pattern. Thus, overgrazing, logging and mining are prohibited in mountain zones and mountain-oasis ecotones. Scholars are encouraged to focus on desert-ecosystem services in the future.

Comment les différences entre consommateurs francophones et néerlandophones sont-elles perçues et prises en compte par les professionnels du marketing en Belgique, dans le domaine du B2C ?

OpenAIRE

Willems, Robin

2015-01-01

L'objectif du mémoire est de comprendre comment les différences entre les consommateurs francophones et néerlandophones de Belgique sont perçues et prises en compte par les professionnels du marketing dans le domaine du B2C. La méthodologie d'étude consiste premièrement en une revue de la littérature sur les thèmes du marketing multiculturel et des différences entre francophones et néerlandophones de Belgique. Sur base de cette revue de littérature et d'interviews, des hypothèses de recherche...

Assessment of veterinary services in central Ethiopia: A case study ...

African Journals Online (AJOL)

services, and black-market drug dealers were found to be challengers associated .... veterinary service, private veterinarians, traditional healers and NGOs mainly ... timeliness, effectiveness and affordability of the veterinary service providers.

Exploring the potential offered by legacy soil databases for ecosystem services mapping of Central African soils

Science.gov (United States)

Verdoodt, Ann; Baert, Geert; Van Ranst, Eric

2014-05-01

Central African soil resources are characterised by a large variability, ranging from stony, shallow or sandy soils with poor life-sustaining capabilities to highly weathered soils that recycle and support large amounts of biomass. Socio-economic drivers within this largely rural region foster inappropriate land use and management, threaten soil quality and finally culminate into a declining soil productivity and increasing food insecurity. For the development of sustainable land use strategies targeting development planning and natural hazard mitigation, decision makers often rely on legacy soil maps and soil profile databases. Recent development cooperation financed projects led to the design of soil information systems for Rwanda, D.R. Congo, and (ongoing) Burundi. A major challenge is to exploit these existing soil databases and convert them into soil inference systems through an optimal combination of digital soil mapping techniques, land evaluation tools, and biogeochemical models. This presentation aims at (1) highlighting some key characteristics of typical Central African soils, (2) assessing the positional, geographic and semantic quality of the soil information systems, and (3) revealing its potential impacts on the use of these datasets for thematic mapping of soil ecosystem services (e.g. organic carbon storage, pH buffering capacity). Soil map quality is assessed considering positional and semantic quality, as well as geographic completeness. Descriptive statistics, decision tree classification and linear regression techniques are used to mine the soil profile databases. Geo-matching as well as class-matching approaches are considered when developing thematic maps. Variability in inherent as well as dynamic soil properties within the soil taxonomic units is highlighted. It is hypothesized that within-unit variation in soil properties highly affects the use and interpretation of thematic maps for ecosystem services mapping. Results will mainly be based

Principal factors of soil spatial heterogeneity and ecosystem services at the Central Chernozemic Region of Russia

Science.gov (United States)

Vasenev, Ivan; Valentini, Riccardo

2013-04-01

The essential spatial heterogeneity is mutual feature for most natural and man-changed soils at the Central Chernozemic Region of Russia which is not only one of the biggest «food baskets» in RF but very important regulator of ecosystem principal services at the European territory of Russia. The original spatial heterogeneity of dominated here forest-steppe and steppe Chernozems and the other soils has been further complicated by a specific land-use history and different-direction soil successions due to environmental changes and more than 1000-year history of human impacts. The carried out long-term researches of representative natural, rural and urban landscapes in Kursk, Orel, Tambov and Voronezh oblasts give us the regional multi-factorial matrix of elementary soil cover patterns (ESCP) with different land-use practices and history, soil-geomorphologic features, environmental and microclimate conditions. The validation and ranging of the limiting factors of ESCP regulation and development, ecosystem principal services, land functional qualities and agroecological state have been done for dominating and most dynamical components of ESCP regional-typological forms - with application of regional and local GIS, soil spatial patterns mapping, traditional regression kriging, correlation tree models. The outcomes of statistical modeling show the essential amplification of erosion, dehumification and CO2 emission, acidification and alkalization, disaggregation and overcompaction processes due to violation of agroecologically sound land-use systems and traditional balances of organic matter, nutrients, Ca and Na in agrolandscapes. Due to long-term intensive and out-of-balance land-use practices the famous Russian Chernozems begin to lose not only their unique natural features of (around 1 m of humus horizon, 4-6% of Corg and favorable agrophysical features), but traditional soil cover patterns, ecosystem services and agroecological functions. Key-site monitoring

7 CFR 1032.2 - Central marketing area.

Science.gov (United States)

2010-01-01

... 7 Agriculture 9 2010-01-01 2009-01-01 true Central marketing area. 1032.2 Section 1032.2 Agriculture Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (Marketing Agreements and Orders; Milk), DEPARTMENT OF AGRICULTURE MILK IN THE CENTRAL MARKETING AREA Order Regulating...

Monitoring Changes of Ecosystem Services Supply and Demand Pattern in Central and Southern Liaoning Urban Agglomerations, China Using Landsat Images

Science.gov (United States)

Li, B.; Huang, F.; Chang, S.; Qi, H.; Zhai, H.

2018-04-01

Indentifying the spatio-temporal patterns of ecosystem services supply and demand and the driving forces is of great significance to the regional ecological security and sustainable socio-economic development. Due to long term and high-intensity development, the ecological environment in central and southern Liaoning urban agglomerations has been greatly destroyed thereafter has restricted sustainable development in this region. Based on Landsat ETM and OLI images, land use of this urban agglomeration in 2005, 2010 and 2015 was extracted. The integrative index of multiple-ecosystem services (IMES) was used to quantify the supply (IMESs), demand (IMESd) and balance (IMESb) of multiple-ecosystem services, The spatial patterns of ecosystem services and its dynamics for the period of 2005-2015 were revealed. The multiple regression and stepwise regression analysis were used to explore relationships between ecosystem services and socioeconomic factors. The results showed that the IMESs of the region increased by 2.93 %, whereas IMESd dropped 38 %. The undersupplied area was reduced to 2. The IMESs and IMESb were mainly negatively correlated with gross domestic product (GDP), population density, foreign investment and industrial output, while GDP per capita and the number of teachers had significant positive impacts on ecosystem services supply. The positive correlation between IMESd and GDP, population density and foreign investment were found. The ecosystem services models were established. Supply and balance of multiple-ecosystem services were positively correlated with population density, but the demand was the opposite. The results can provide some reference value for the coordinately economic and ecological development in the study area.

Ecosystem service trade-offs, perceived drivers, and sustainability in contrasting agroecosystems in central Mexico

Directory of Open Access Journals (Sweden)

Carlos E. González-Esquivel

2015-03-01

Full Text Available The ability of agroecosystems to provide food ultimately depends on the regulating and supporting ecosystem services that underpin their functioning, such as the regulation of soil quality, water quality, soil erosion, pests, and pollinators. However, there are trade-offs between provisioning and regulating or supporting services, whose nature at the farm and plot scales is poorly understood. We analyzed data at the farm level for two agroecosystems with contrasting objectives in central Mexico: one aimed at staple crop production for self-subsistence and local markets, the other directed to a cash crop for export markets. Bivariate and multivariate trade-offs were analyzed for different crop management strategies (conventional, organic, traditional, crop rotation and their underpinning socioeconomic drivers. There was a clear trade-off between crop yield and soil quality in self-subsistence systems. However, other expected trade-offs between yields and soil quality did not always occur, likely because of the overall good soils of the region and the low to medium input profile of most farms. Trade-offs were highly dependent on farm-specific agricultural practices; organic, traditional, and rotation management systems generally showed smaller trade-offs between yield and soil quality, pest control, and biodiversity than did conventional management systems. Perceived drivers reported by farmers included increasing prices for cash crops, rising costs of inputs, and extreme climatic events (e.g., drought, hail, frost. Farmers did not identify the regulation of soil quality, water quality, soil erosion, pests, or pollinators as important constraints. Although acceptable yields could be maintained irrespective of key regulating and supporting services according to these perceptions, current levels of soil erosion and nutrient runoff are likely to have important negative effects at the watershed scale. Sustainability in both agroecosystems could be

A nurse led peripherally inserted central catheter line insertion service is effective with radiological support

International Nuclear Information System (INIS)

Barber, Jonathan M.; Booth, Doris M.; King, Julia A.; Chakraverty, Sam

2002-01-01

AIM: Peripherally inserted central catheters (PICC) are increasingly used as a route of chemotherapy administration. Our aims were to assess a collaborative approach to PICC placement, with radiological support for a nurse led line insertion service in a minority of cases, and to determine whether PICC provided a safe and reliable method of chemotherapy administration. MATERIALS AND METHODS: Prospective data on 100 consecutive patients undergoing PICC placement for chemotherapy were collected. Lines were inserted by ward based nurses or under ultrasound guidance by radiologists. End points were successful completion of treatment or patient death. RESULTS: One hundred and forty-four lines were placed for 118 courses of chemotherapy. 107 (74%) were placed by nurses and 37 (26%) by radiologists. Ninety-five percent of patients completed therapy with either one or two lines. Seventy percent of lines were removed on achieving the primary end points. In two additional patients PICC could not be placed radiologically. Twelve patients were unable to complete treatment with PICC alone, nine of these required an alternative administration route. The catheter related sepsis rate was 4.9%. CONCLUSION: The majority of PICC can be successfully placed by trained nurses, reserving image guidance only for more difficult cases. PICC have an acceptable complication profile, and decrease the need for tunnelled central lines. Barber, J.M. et al. (2002)

Decree no 77-623 of 6 June 1977 amending Decree no 73-278 of 13 March 1973 setting up a Superior Council for Nuclear Safety and a Central Service for the Safety of Nuclear Installations

International Nuclear Information System (INIS)

1977-01-01

Under this Decree, the Central Service for the Safety of Nuclear Installations is placed from now onwards within the Directorate of Mines which comes under the Ministry of Industry, Trade and Crafts. The Head of the Central Service for the Safety of Nuclear Installations and his deputy are appointed by Order of the Minister of Industry, Trade and Crafts, on the proposal of the Director of Mines. (NEA) [fr

Challenges to Providing a Successful Central Configuration Service to Support CERN’s New Controls Diagnostics and Monitoring System

CERN Document Server

Makonnen, Z; Zaharieva, Z

2014-01-01

The Controls Diagnostic and Monitoring service (DIAMON) provides monitoring and diagnostics tools to the operators in the CERN Control Centre. A recent reengineering presented the opportunity to restructure its data management and to integrate it with the central Controls Configuration Service (CCS). The CCS provides the Configuration Management for the Controls System for all accelerators at CERN. The new facility had to cater for the configuration management of all agents monitored by DIAMON, (>3000 computers of different types), provide deployment information, relations between metrics, and historical information. In addition, it had to be integrated into the operational CCS, while ensuring stability and data coherency. An important design decision was to largely reuse the existing infrastructure in the CCS and adapt the DIAMON data management to it e.g. by using the device/property model through a Virtual Devices framework to model the DIAMON agents. This article will show how these challenging requiremen...

Effect of an Advanced Pharmacy Practice Experience on Medication Therapy Management Services in a Centralized Retail Pharmacy Program.

Science.gov (United States)

Vande Griend, Joseph P; Rodgers, Melissa; Nuffer, Wesley

2017-05-01

Medication therapy management (MTM) delivery is increasingly important in managed care. Successful delivery positively affects patient health and improves Centers for Medicare & Medicaid Services star ratings, a measure of health plan quality. As MTM services continue to grow, there is an increased need for efficient and effective care models. The primary objectives of this project were to describe the delivery of MTM services by fourth-year Advanced Pharmacy Practice Experience (APPE) students in a centralized retail pharmacy system and to evaluate and quantify the clinical and financial contributions of the students. The secondary objective was to describe the engagement needed to complete comprehensive medication reviews (CMRs) and targeted interventions. From May 2015 to December 2015, thirty-five APPE students from the University of Colorado Skaggs School of Pharmacy provided MTM services at Albertsons Companies using the OutcomesMTM and Mirixa platforms. Students delivered patient care services by phone at the central office and provided face-to-face visits at pharmacies in the region. With implementation of the MTM APPE in 2015, the team consisted of 2 MTM pharmacists and pharmacy students, as compared with 1 MTM pharmacist in 2014. The number of CMRs and targeted interventions completed and the estimated additional revenue generated during the 2015 time period were compared with those completed from May through December 2014. The patient and provider engagement needed to complete the CMRs and targeted interventions was summarized. 125 CMRs and 1,918 targeted interventions were billed in 2015, compared with 13 CMRs and 767 targeted interventions in 2014. An estimated $16,575-$49,272 of additional revenue was generated in 2015. To complete the interventions in 2015, the team engaged in 1,714 CMR opportunities and 4,686 targeted intervention opportunities. In this MTM rotation, students provided real-life care to patients, resulting in financial and clinical

INTERRUPTION TO COMPUTING SERVICES, SATURDAY 9 FEBRUARY

CERN Multimedia

2002-01-01

In order to allow the rerouting of electrical cables which power most of the B513 Computer Room, there will be a complete shutdown of central computing services on Saturday 9th February. This shutown affects all Central Computing services, including all NICE services (for Windows 95, Windows NT and Windows 2000), Mail and Web services, sitewide printing services, all Unix interactive and batch services, the ACB service, all AIS services and databases (such as EDH, BHT, CFU and HR), dedicated Engineering services, and general purpose database services. Services will be run down progressively from early on Saturday morning and reestablished as soon as possible, starting in the afternoon. However, it is unlikely that full computing services will be available before the Saturday evening. For operational reasons, some services may be shutdown on the evening of Friday 8th February and restarted on Monday 11th February. More detailed information about the stoppage and restart schedules will be given nearer...

INTERRUPTION TO COMPUTING SERVICES, SATURDAY 9 FEBRUARY

CERN Multimedia

2002-01-01

In order to allow the rerouting of electrical cables which power most of the B513 Computer Room, there will be a complete shutdown of central computing services on Saturday 9th February. This shutown affects all Central Computing services, including all NICE services (for Windows 95, Windows NT and Windows 2000), Mail and Web services, sitewide printing services, all Unix interactive and batch services, the ACB service, all AIS services and databases (such as EDH, BHT, CFU and HR) dedicated Engineering services, and general purpose database services. Services will be run down progressively from early on Saturday morning and reestablished as soon as possible, starting in the afternoon. However, it is unlikely that full computing services will be available before the Saturday evening. For operational reasons, some services may be shutdown on the evening of Friday 8th February and restarted on Monday 11th February. More detailed information about the stoppage and restart schedules will be given nearer ...

Cross-sectional description of nursing and midwifery pre-service education accreditation in east, central, and southern Africa in 2013.

Science.gov (United States)

McCarthy, Carey F; Gross, Jessica M; Verani, Andre R; Nkowane, Annette M; Wheeler, Erica L; Lipato, Thokozire J; Kelley, Maureen A

2017-07-24

In 2013, the World Health Organization issued guidelines, Transforming and Scaling Up Health Professional Education and Training, to improve the quality and relevance of health professional pre-service education. Central to these guidelines was establishing and strengthening education accreditation systems. To establish what current accreditation systems were for nursing and midwifery education and highlight areas for strengthening these systems, a study was undertaken to document the pre-service accreditation policies, approaches, and practices in 16 African countries relative to the 2013 WHO guidelines. This study utilized a cross-sectional group survey with a standardized questionnaire administered to a convenience sample of approximately 70 nursing and midwifery leaders from 16 countries in east, central, and southern Africa. Each national delegation completed one survey together, representing the responses for their country. Almost all countries in this study (15; 94%) mandated pre-service nursing education accreditation However, there was wide variation in who was responsible for accrediting programs. The percent of active programs accredited decreased by program level from 80% for doctorate programs to 62% for masters nursing to 50% for degree nursing to 35% for diploma nursing programs. The majority of countries indicated that accreditation processes were transparent (i.e., included stakeholder engagement (81%), self-assessment (100%), evaluation feedback (94%), and public disclosure (63%)) and that the processes were evaluated on a routine basis (69%). Over half of the countries (nine; 56%) reported limited financial resources as a barrier to increasing accreditation activities, and seven countries (44%) noted limited materials and technical expertise. In line with the 2013 WHO guidelines, there was a strong legal mandate for nursing education accreditation as compared to the global average of 50%. Accreditation levels were low in the programs that produce

77 FR 43078 - Federal Acquisition Regulation; Information Collection; Central Contractor Registration

Science.gov (United States)

2012-07-23

...; Information Collection; Central Contractor Registration AGENCY: Department of Defense (DOD), General Services... requirement concerning the Central Contractor Registration database. Public comments are particularly invited... Information Collection 9000- 0159, Central Contractor Registration, by any of the following methods...

Écoulement polyphasique dans un milieu poreux stratifié. Résultats expérimentaux et interprétation par la méthode de prise de moyenne à grande échelle Multiphase Flow in Stratified Porous Media Experimental Results and Interpretation by the Large-Scale Averaging Method

Directory of Open Access Journals (Sweden)

Bertin H.

2006-11-01

Full Text Available Nous abordons l'étude des écoulements polyphasiques en milieu poreux hétérogène d'un point de vue théorique (méthodologie de la prise de moyenne à grande échelle et expérimental. Dans une première partie nous présentons la méthodologie permettant d'obtenir les équations à grande échelle. Le point de départ de l'étude est les équations locales, analogues aux équations de Darcy généralisées obtenues par prise de moyenne des équations de Stokes à l'échelle du pore. La prise de moyenne à grande échelle de ces équations permet d'écrire un système d'équations où les coefficients de transport équivalents sont calculés à partir des données locales, par la résolution d'un problème de fermeture explicité dans le cas quasi-statique (effets capillaires dominants. La seconde partie de notre travail concerne l'étude expérimentale d'un écoulement eau-huile dans un milieu poreux stratifié constitué de deux régions de caractéristiques physiques différentes. Les champs de saturation bidimensionnels sont mesurés tout au long de l'imbibition par absorption d'un rayonnement gamma. Les résultats expérimentaux, évolution de la fraction volumique moyenne par section en fonction du temps, sont comparés aux résultats d'une simulation numérique des équations de transport où les coefficients utilisés ont été déterminés par la méthode de prise de moyenne à grande échelle. Two-phase flow in heterogeneous porous media is studied from a theoretical point of view (the large-scale averaging method and experimentally. In the first part, we present the methodology leading to the large-scale equations. The starting point of the study is the local equation, analogous to the generalized Darcy's law obtained by averaging the Stokes equation at the pore level. The large-scale averaging of these equations leads to a system where the equivalent transport coefficients are computed from the local data by solving a closure

41 CFR 105-56.027 - Centralized salary offset computer match.

Science.gov (United States)

2010-07-01

... 41 Public Contracts and Property Management 3 2010-07-01 2010-07-01 false Centralized salary... Services Administration 56-SALARY OFFSET FOR INDEBTEDNESS OF FEDERAL EMPLOYEES TO THE UNITED STATES Centralized Salary Offset (CSO) Procedures-GSA as Paying Agency § 105-56.027 Centralized salary offset...

41 CFR 105-56.017 - Centralized salary offset computer match.

Science.gov (United States)

2010-07-01

... 41 Public Contracts and Property Management 3 2010-07-01 2010-07-01 false Centralized salary... Services Administration 56-SALARY OFFSET FOR INDEBTEDNESS OF FEDERAL EMPLOYEES TO THE UNITED STATES Centralized Salary Offset (CSO) Procedures-GSA as Creditor Agency § 105-56.017 Centralized salary offset...

Author Details

African Journals Online (AJOL)

Pratique de la transfusion sanguine perioperatoire au Togo: etude multicentrique nationale. Abstract · Vol 19, No 1 (2017) - Articles Prise en charge des urgences au service d'accueil des urgences Chirurgicales du CHU Sylvanus Olympio de Lome (Togo) : difficultes, solutions et perspectives. Abstract. ISSN: 2413-354X.

Koeajossa EBSCO Discovery Service versus Primo Central Index

OpenAIRE

Jokiranta, Hannu; Kivikoski, Kaija

2015-01-01

Laurean ja Metropolian kirjastot aloittivat lokakuussa 2015 EBSCO Discovery Servicen (EDS) koekäyttöjakson. Kirjastot tutkivat omalle organisaatiolle lisensioitujen artikkelitietokantojen sisältöjen löytyvyyttä EDS:ssä ja vertailivat tuloksia omien Finna-näkymiensä Primo Central Index (PCI) -haun kautta saatuihin tuloksiin. Löytyikö eroja ja kuinka finnat pärjäsivät EDS:lle?

Soil and water related forest ecosystem services and resilience of social ecological system in the Central Highlands of Ethiopia

Science.gov (United States)

Tekalign, Meron; Muys, Bart; Nyssen, Jan; Poesen, Jean

2014-05-01

In the central highlands of Ethiopia, deforestation and forest degradation are occurring and accelerating during the last century. The high population pressure is the most repeatedly mentioned reason. However, in the past 30 years researchers agreed that the absence of institutions, which could define the access rights to particular forest resources, is another underlying cause of forest depletion and loss. Changing forest areas into different land use types is affecting the biodiversity, which is manifested through not proper functioning of ecosystem services. Menagesha Suba forest, the focus of this study has been explored from various perspectives. However the social dimension and its interaction with the ecology have been addressed rarely. This research uses a combined theoretical framework of Ecosystem Services and that of Resilience thinking for understanding the complex social-ecological interactions in the forest and its influence on ecosystem services. For understanding the history and extent of land use land cover changes, in-depth literature review and a GIS and remote sensing analysis will be made. The effect of forest conversion into plantation and agricultural lands on soil and above ground carbon sequestration, fuel wood and timber products delivery will be analyzed with the accounting of the services on five land use types. The four ecosystem services to be considered are Supporting, Provisioning, Regulating, and Cultural services as set by the Millennium Ecosystem Assessment. A resilience based participatory framework approach will be used to analyze how the social and ecological systems responded towards the drivers of change that occurred in the past. The framework also will be applied to predict future uncertainties. Finally this study will focus on the possible interventions that could contribute to the sustainable management and conservation of the forest. An ecosystem services trade-off analysis and an environmental valuation of the water

THE IMPORTANCE OF BUREAUCRACY STRUCTURE FACTOR IN THE IMPLEMENTATION OF MINIMUM STANDARD OF HEALTH SERVICE IN CENTRAL JAVA PROVINCE, INDONESIA

Directory of Open Access Journals (Sweden)

Mardianti N.I.

2017-11-01

Full Text Available This paper examines the phenomenon of incompatibility of the institutional structure of Regional Public Hospital which causes the disruption of the achievement of Minimum Service Standards (MSS indicator in the health sector, especially maternal health in the Provincial Government of Central Java. In Central Java, the largest number of maternal mortality rate was in the hospital in 2015 amounted to 85.71%. Meanwhile, the coverage rate of delivery assisted by health personnel in accordance with the indicator of MSS is 98.09%. In 2015, Central Java is the province with the second highest national of maternal mortality rate case amounted to 619 cases. The Provincial Government as the coordinator of MSS implementation in the region through the Bureau of Pemotda and the Cooperation of Regional Secretariat of Central Java has a significant role in the successful implementation of the Regulation of Minister of Health 43/2016 on MSS in Health Sector. In which MSS has a function to observe the implementation of health program in the region. This research uses a qualitative approach, the type of research is a case study and interactive model analysis from Miles, Huberman, and Saldana. The results of the analysis show that the implementation process of the policy in Bureau of Pemotda and the Cooperation of Regional Secretariat of Central Java has not run well obstructed by bureaucratic structure factor. It can be seen from the unfulfilled policy objective which is to provide convenience to local government in the preparation of planning document on the achievement of health MSS indicator. Although health MSS is achieved, it will not be able to reduce the maternal mortality rate.

Social determinants of workers' health in Central America.

Science.gov (United States)

Aragón, Aurora; Partanen, Timo; Felknor, Sarah; Corriols, Marianela

2011-01-01

This communication summarizes the available data on work-related determinants of health in Central America. The Central American working population is young and moving from agriculture toward industry and services. Ethnicity, gender, migration, subemployment and precarious work, informality, rural conditions, low-level educational, poverty, ubiquitous worksite health hazards, insufficient occupational health services, low labor inspection density, and weak unions define the constellation of social determinants of workers' health in Central America. Data are, however, scanty both for hazards and work-related illnesses and injuries. Governments and industries have the responsibility of opening decent work opportunities, especially for those facing multiple inequalities in social determinants of health. A first step would be the ratification and implementation of the ILO Convention (187) on occupational safety and health by the seven national governments of the region.

Introducing Pathways to Resilience in Semi-Arid Economies (PRISE ...

International Development Research Centre (IDRC) Digital Library (Canada)

rlarbey

Equitable, climate resilient economic development in semi-arid .... manufacturing or services (apart from health, insurance and tourism). Further research ... evaluated, particularly economic impact assessments of adaptation both on existing.

MyOcean Central Information System - Achievements and Perspectives

Science.gov (United States)

Claverie, Vincent; Loubrieu, Thomas; Jolibois, Tony; de Dianous, Rémi; Blower, Jon; Romero, Laia; Griffiths, Guy

2013-04-01

Since 2009, MyOcean (http://www.myocean.eu) is providing an operational service, for forecasts, analysis and expertise on ocean currents, temperature, salinity, sea level, primary ecosystems and ice coverage. The production of observation and forecasting data is done by 42 Production Units (PU). Product download and visualisation are hosted by 25 Dissemination Units (DU). All these products and associated services are gathered in a single catalogue hiding the intricate distributed organization of PUs and DUs. Besides applying INSPIRE directive and OGC recommendations, MyOcean overcomes technical choices and challenges. This presentation focuses on 3 specific issues met by MyOcean and relevant for many Spatial Data Infrastructures: user's transaction accounting, large volume download and stream line the catalogue maintenance. Transaction Accounting: Set up powerful means to get detailed knowledge of system usage in order to subsequently improve the products (ocean observations, analysis and forecast dataset) and services (view, download) offer. This subject drives the following ones: Central authentication management for the distributed web services implementations: add-on to THREDDS Data Server for WMS and NETCDF sub-setting service, specific FTP. Share user management with co-funding projects. In addition to MyOcean, alternate projects also need consolidated information about the use of the cofunded products. Provide a central facility for the user management. This central facility provides users' rights to geographically distributed services and gathers transaction accounting history from these distributed services. Propose a user-friendly web interface to download large volume of data (several GigaBytes) as robust as basic FTP but intuitive and file/directory independent. This should rely on a web service drafting the INSPIRE to-be specification and OGC recommendations for download taking into account that FTP server is not enough friendly (need to know

Le syndrome de cushing chez l'adolescent: à propos de 18 patients ...

African Journals Online (AJOL)

adolescent. Elle diffère de la pathologie adulte par le mode de présentation et la prise en charge. Il s'agit d'une étude rétrospective des dossiers de patients suivis pour syndrome de Cushing au service d'endocrinologie de Casablanca entre ...

Role and organization of a centralized radiopharmacy in developing countries

International Nuclear Information System (INIS)

Callahan, R.J.; Mather, S.J.

1991-01-01

The concept of sharing radiopharmacy services among several users in a particular geographical region has gained widespread acceptance in many countries, particularly in the United States, as a viable way of reducing costs and increasing efficiency of resource utilization. This has been exemplified by the successful commercialization of this concept by several corporations. This concept is also viable when centralization originates from a public or government institution such as a nuclear research center or university hospital. In developing countries with limited resources, shared radiopharmacy services are especially attractive. The International Atomic Energy Agency has been playing a pivotal role in the implementation of centralized radiopharmacies in developing Member States. This document presents some goals, requirements for space, personnel and equipment for various levels of radiopharmacy service along with a general cost analysis. It is intended that this document be a guide to basic concepts and planning strategies in establishing centralized radiopharmacy services. The diversity of available resources and government regulations must be considered in establishing a specific facility. (author). 3 tabs

INTERRUPTION TO COMPUTING SERVICES, SATURDAY 9 FEBRUARY

CERN Multimedia

2002-01-01

In order to allow the rerouting of electrical cables which power most of the B513 Computer Room, there will be a complete shutdown of central computing services on Saturday 9 February. This shutdown affects all Central Computing services as well as the general purpose site wide network (137.138), and hence desktop connectivity will also be cut. In order for the physical intervention to start at 07:30, services will be run down as follows (which has been planned to allow the completion of the Friday night backups of AFS and Oracle): Friday 08/02 17:00 Scheduling of batch jobs suspended 18:00 HPSS services shutdown Saturday 09/02 01:00 Any batch jobs that have not ended will be terminated 04:00 Rundown of general purpose services including Mail, Web, NICE, Unix interactive services, ACB, CASTOR, Tape Service and finally Oracle 06:30 AIS services shutdown (including EDH, BHT and HRT) 07:00 AFS service shutdown 07:30 End of guaranteed service on the general purpose site-wide network (137.138) Services will be res...

The use of a policy dialogue to facilitate evidence-informed policy development for improved access to care: the case of the Winnipeg Central Intake Service (WCIS).

Science.gov (United States)

Damani, Zaheed; MacKean, Gail; Bohm, Eric; DeMone, Brie; Wright, Brock; Noseworthy, Tom; Holroyd-Leduc, Jayna; Marshall, Deborah A

2016-10-18

Policy dialogues are critical for developing responsive, effective, sustainable, evidence-informed policy. Our multidisciplinary team, including researchers, physicians and senior decision-makers, comprehensively evaluated The Winnipeg Central Intake Service, a single-entry model in Winnipeg, Manitoba, to improve patient access to hip/knee replacement surgery. We used the evaluation findings to develop five evidence-informed policy directions to help improve access to scheduled clinical services across Manitoba. Using guiding principles of public participation processes, we hosted a policy roundtable meeting to engage stakeholders and use their input to refine the policy directions. Here, we report on the use and input of a policy roundtable meeting and its role in contributing to the development of evidence-informed policy. Our evidence-informed policy directions focused on formal measurement/monitoring of quality, central intake as a preferred model for service delivery, provincial scope, transparent processes/performance indicators, and patient choice of provider. We held a policy roundtable meeting and used outcomes of facilitated discussions to refine these directions. Individuals from our team and six stakeholder groups across Manitoba participated (n = 44), including patients, family physicians, orthopaedic surgeons, surgical office assistants, Winnipeg Central Intake team, and administrators/managers. We developed evaluation forms to assess the meeting process, and collected decision-maker partners' perspectives on the value of the policy roundtable meeting and use of policy directions to improve access to scheduled clinical services after the meeting, and again 15 months later. We analyzed roundtable and evaluation data using thematic analysis to identify key themes. Four key findings emerged. First, participants supported all policy directions, with revisions and key implementation considerations identified. Second, participants felt the policy roundtable

Prise en charge d'une menace d'accouchement prématuré sur béance cervico-utérine au moyen d'un pessaire-cerclage obstétrical

Science.gov (United States)

Nohuz, Erdogan; Albaut, Maël; Brunel, Angélique; Champel, Nadine; Pellizzaro, Julie; Gallot, Denis; Lemery, Didier; Vendittelli, Françoise

2015-01-01

Nous rapportons le recours efficace à un pessaire dans la prise en charge d'une menace d'accouchement prématuré. Une patiente de 28 ans, G2P1, ayant présenté une fausse-couche tardive à 20 semaines d'aménorrhée (SA) un an auparavant, bénéficiait d'un cerclage cervical à 15 SA. L’échographie endovaginale réalisée à 24 SA (sensation de pesanteur pelvienne) révélait un funnelling majeur et une longueur cervicale à 7 mm. Un pessaire obstétrical permettait la poursuite de la grossesse jusqu'au terme de 36 SA. Ce dispositif semble intéressant chez des patientes présentant une béance cervico-isthmique et chez qui un cerclage cervical s'est révélé inefficace. PMID:26161207

JAliEn - A new interface between the AliEn jobs and the central services

CERN Document Server

Grigoras, A G; Pedreira, M M; Saiz, P; Schreiner, S

2014-01-01

Since the ALICE experiment began data taking in early 2010, the amount of end user jobs on the AliEn Grid has increased signif icantly. Presently 1/3 of the 40K CPU cores available to ALICE are occupied by jobs submitted by about 400 distinct users, individually or in organized analysis trains. The overall stability of the AliEn middleware has been excellent throughout the 3 years of running, but the massive amount of end-user analysis and its specific requirements and load has revealed few components which can be improved. One of them is the interface between users and central AliEn services (catalogue, job submission system) which we are currently re-implementing in Java . The interface provides persistent connection with enhanced data and job submission authenticity. In this paper we will describe the architecture of the new interface, the ROOT binding which enables the use of a single interface in addition to the standard UN IX-like access shell and the new security-related features.

JAliEn – A new interface between the AliEn jobs and the central services

International Nuclear Information System (INIS)

Grigoras, A G; Grigoras, C; Pedreira, M M; Saiz, P; Schreiner, S

2014-01-01

Since the ALICE experiment began data taking in early 2010, the amount of end user jobs on the AliEn Grid has increased significantly. Presently 1/3 of the 40K CPU cores available to ALICE are occupied by jobs submitted by about 400 distinct users, individually or in organized analysis trains. The overall stability of the AliEn middleware has been excellent throughout the 3 years of running, but the massive amount of end-user analysis and its specific requirements and load has revealed few components which can be improved. One of them is the interface between users and central AliEn services (catalogue, job submission system) which we are currently re-implementing in Java. The interface provides persistent connection with enhanced data and job submission authenticity. In this paper we will describe the architecture of the new interface, the ROOT binding which enables the use of a single interface in addition to the standard UNIX-like access shell and the new security-related features

Qualitative needs assessment of HIV services among Dominican, Mexican and Central American immigrant populations living in the New York City area.

Science.gov (United States)

Shedlin, M G; Shulman, L

2004-05-01

This paper reports on research designed to assess access to care by Latino immigrant populations in the New York area. A qualitative approach and methods were employed, involving focus groups with PLWAs (persons living with AIDS) and affected men and women from Mexico, the Dominican Republic and Central America to explore the perceptions, beliefs, experiences and knowledge of HIV care issues. A total of 57 men and women participated, ranging in age from 19-61. Results included detailed information on cultural meanings of HIV/AIDS; experience of stigma and rejection; gendered health-seeking behaviour; testing issues; and satisfaction with services. Data support the conclusion that to be effective in reaching and providing services to these immigrant groups, it is crucial to understand the environment from which they come and the impact of immigration. Poverty, repressive governments, lack of education/literacy, ethnicity, class, colour-based stigma and cultural norms are crucial factors in determining their attitudes, motivations, decisions and behaviour. AIDS agencies were seen to play a crucial role in connecting PLWAs to services and resources. The key elements for the provision of services to this population appear to be those that build on cultural norms and network human and institutional resources.

Ecosystem Services Mapping for Sustainable Agricultural Water Management in California's Central Valley.

Science.gov (United States)

Matios, Edward; Burney, Jennifer

2017-03-07

Accurate information on agricultural water needs and withdrawals at appropriate spatial and temporal scales remains a key limitation to joint water and land management decision-making. We use InVEST ecosystem service mapping to estimate water yield and water consumption as functions of land use in Fresno County, a key farming region in California's Central Valley. Our calculations show that in recent years (2010-2015), the total annual water yield for the county has varied dramatically from ∼0.97 to 5.37 km 3 (all ±17%; 1 MAF ≈ 1.233 km 3 ), while total annual water consumption has changed over a smaller range, from ∼3.37 to ∼3.98 km 3 (±20%). Almost all of the county's water consumption (∼96% of total use) takes place in Fresno's croplands, with discrepancy between local annual surface water yields and crop needs met by surface water allocations from outside the county and, to a much greater extent, private groundwater irrigation. Our estimates thus bound the amount of groundwater needed to supplement consumption each year (∼1.76 km 3 on average). These results, combined with trends away from field crops and toward orchards and vineyards, suggest that Fresno's land and water management have become increasingly disconnected in recent years, with the harvested area being less available as an adaptive margin to hydrological stress.

Instruction of 27 March 1973 concerning implementation of Decree No 73-278 of 13 March 1973 setting up a Higher Council for Nuclear Safety and a Central Service for the Safety of Nuclear Installations

International Nuclear Information System (INIS)

1973-01-01

This Instruction specifies, on the basis of the 1973 Decree, the duties, in particular regarding licensing, of the Central Service for the Safety of Nuclear Installations. The Service is assisted in its work by the Atomic Energy Commission (CEA) and advisory groups.(NEA) [fr

Sociodemographic Correlates of Choice of Health Care Services in Six Rural Communities in North Central Nigeria

Directory of Open Access Journals (Sweden)

Onyemocho Audu

2014-01-01

Full Text Available Household expenditure on health has increasingly remained a major source of health care financing in Nigeria despite the introduction of several social health scheme policies provided by the government for meeting the health care costs of patients. Recognizing these limitations, this study assessed the type of health care services people commonly use in various illnesses and the sociodemographic correlates of the preferred health care services by household heads in six rural communities of North Central Nigeria. A cross-sectional community-based descriptive study design was used to study 154 household heads in the settlements using a multistage sampling method. Multiple logistic regressions were performed to investigate independent predictors that had significant chi-square at P<0.05. The leading causes of illness experienced by respondents were medical conditions (42.0% and 41.7% of them sought treatment from patent medicine vendors. The dominant reasons for health-seeking preferences were financial access (53.7% and proximity (48.6%. Age had a higher impact (Beta = 0.892 on the health-seeking preferences of the respondents as compared to their occupation and religion (Beta = 0.368 and −0.746, resp.. Therefore, in order to meet the health care of patients, it is pertinent that the unmet needs of patients are properly addressed by appropriate agencies.

Welfare service in rural areas

DEFF Research Database (Denmark)

Nørgaard, Helle

Many rural municipalities are challenged due to overall population decline and demographic changes and thus need to make adjustment to municipal services. Demographic profiles are central for assessing both needs, place bound resources and development potential of individual localities.Assessment......Many rural municipalities are challenged due to overall population decline and demographic changes and thus need to make adjustment to municipal services. Demographic profiles are central for assessing both needs, place bound resources and development potential of individual localities.......Assessment of development potential for individual localities using a place-based approach is in line with EU policies for rural development thereby setting a competitive framework for local development. This paper addresses place bound approaches in relation to service adjustment and discusses how local resources...... and place bound potentials are identified and how they are addressed in plans for future development. The paper draws on a study on service adjustments in rural municipalities in Denmark examining how service adjustments e.g. closing of local schools are decided, how they are managed by rural communities...

Centralized Fabric Management Using Puppet, Git, and GLPI

CERN Multimedia

CERN. Geneva

2012-01-01

Managing the infrastructure of a large and complex data center can be extremely difficult without taking advantage of automated services. Puppet is a seasoned, open-source tool designed for enterprise-class centralized configuration management. At the RHIC/ATLAS Computing Facility at Brookhaven National Laboratory, we have adopted Puppet as part of a suite of tools, including Git, GLPI, and some custom scripts, that comprise our centralized configuration management system. In this paper, we discuss the use of these tools for centralized configuration management of our servers and services; change management, which requires authorized approval of production changes; a complete, version-controlled history of all changes made; separation of production, testing, and development systems using Puppet environments; semi-automated server inventory using GLPI; and configuration change monitoring and reporting via the Puppet dashboard. We will also discuss scalability and performance results from using these tools on a...

Management of health care services for flood victims: the case of the shelter at Nakhon Pathom Rajabhat University Central Thailand.

Science.gov (United States)

Buajaroen, Hathaichanok

2013-08-01

In Central Thailand basic health care services were affected by a natural disaster in the form of a flood situation. Flood Relief Operations Centers were established from the crisis. Nakhon Pathom Rajabhat University and including the faculty of nursing volunteered to care for those affected and assist in re-establishing a functioning health care system. The aim of this study was to make explicit knowledge of concept, lesson learned, and the process of management for re-establishing a health care service system at a flood victims at Relief Operations Center, Nakhon Pathom Rajabhat University. We used a qualitative design with mixed methods. This involved in-depth interviews, focus group, observational participation and non-observational participation. Key informants included university administrators, instructors, leaders of flood victims and the flood victims. Data was collected during October-December, 2010. Data were analysed using content analysis and compared matrix. We found that the concept and principle of health care services management were community based and involved home care and field hospital services. We had prepared a management system that placed emphasise on a community based approach and holistic caring such as 24h Nursing Clinic Home, visits with family, a referral system, field hospital. The core of management was to achieve integrated instruction started from nursing students were practiced skills as Health promotion and nursing techniques practicum. Rules were established regarding the health care service system. The outcomes of Health Care Service at the Flood Relief Operations Center were direct and sincere help without conditions, administrations concerned and volunteer nursing students instructors, University Officer have sympathetic and charitable with flood victims and environment. Copyright © 2013 College of Emergency Nursing Australasia Ltd. Published by Elsevier Ltd. All rights reserved.

77 FR 11582 - Notice of Inventory Completion: Central Washington University Department of Anthropology...

Science.gov (United States)

2012-02-27

...: Central Washington University Department of Anthropology, Ellensburg, WA AGENCY: National Park Service, Interior. ACTION: Notice. SUMMARY: The Central Washington University Department of Anthropology has... Central Washington University Department of Anthropology. Repatriation of the human remains and associated...

Worrying about ‘Vertical Landscapes’: Terraced Olive Groves and Ecosystem Services in Marginal Land in Central Italy

Directory of Open Access Journals (Sweden)

Elena Brunori

2018-04-01

Full Text Available Terraced Mediterranean areas are distinctive man-made landscapes with historical and cultural relevance. Terraced land abandonment driven by physical and economic constraints had important ecological consequences. This study focuses on a marginal agricultural district in southern Latium, central Italy, where terracing dated back to the Roman period and olive groves are the main agricultural use. A diachronic assessment of land-use transformations was carried out to identify landscape dynamics and drivers of change around terraced land. Terraced landscape systems (TLS, derived from spatial aggregation of neighboring terraced patches, have been analyzed for landscape transformations considering slope as the main stratification variable. Structural and functional characteristics of TLS were analyzed using a landscape ecology approach. Soil bio-chemical indicators were finally assessed to study the impact of terraced olive agro-ecosystems on soil-related ecosystems services. The empirical findings outlined that TLS in central Italy are sensitive to urbanization and land abandonment. Cultivated terraces prevailed up to gentle-medium slope land, uncultivated and wooded areas dominated terraces on steep slopes. In this context, poly-cultural olive groves proved to be a cropping system particularly resilient to global change, irrespective of land slope. Terraced systems and extensive poly-cultural olive groves play a role in preserving ecosystem integrity, landscape quality, soil functionality and, therefore, environmental sustainability.

77 FR 15802 - Notice of Inventory Completion: Central Washington University Department of Anthropology...

Science.gov (United States)

2012-03-16

...: Central Washington University Department of Anthropology, Ellensburg, WA AGENCY: National Park Service, Interior. ACTION: Notice. SUMMARY: The Central Washington University Department of Anthropology has... contact the Central Washington University Department of Anthropology. Repatriation of the human remains to...

Impact on continuity of care of decentralized versus partly centralized mental health care in Northern Norway

Directory of Open Access Journals (Sweden)

Lars Henrik Myklebust

2011-12-01

Full Text Available Background: The issue of continuity of care is central in contemporary psychiatric services research. In Norway, inpatient admissions are mainly to take place locally, in a system of small bed-units that represent an alternative to traditional central psychiatric hospitals. This type of organization may be advantageous for accessibility and cooperation, but has been given little scientific attention.Aims: To study whether inpatients' utilization of outpatient services differ between an area with a decentralized care model in comparison to an adjacent area with a partly centralized model.  Method: The study was based on data from a one-year registered prevalence sample, drawing on routinely sampled data supplemented with data from medical records. Service-utilization for 247 inpatients was analyzed. The results were controlled for diagnosis, demographic variables, type of service system, localization of inpatient admissions, and length of hospitalization. Results: Most inpatients in the area with the decentralized care model also utilized outpatient consultations, whereas a considerable number of inpatients in the area with a partly centralized model did not enter outpatient care at all. Type of service system, localization of inpatient admission, and length of hospitalization predicted inpatients' utilization of outpatient consultations. The results are discussed in the light of systems integration, particularly management-arrangements and clinical bridging over the transitional phase from inpatient to outpatient care. Conclusion: Inpatients' utilization of outpatient services differed between an area with a decentralized care model in comparison to an adjacent area with a partly centralized care model. In the areas studied, extensive decentralization of the psychiatric services positively affected coordination of inpatient and outpatient services for people with severe psychiatric disorders. Small, local-bed units may therefore represent a

Impact on continuity of care of decentralized versus partly centralized mental health care in Northern Norway

Directory of Open Access Journals (Sweden)

Lars Henrik Myklebust

2011-12-01

Full Text Available Background: The issue of continuity of care is central in contemporary psychiatric services research. In Norway, inpatient admissions are mainly to take place locally, in a system of small bed-units that represent an alternative to traditional central psychiatric hospitals. This type of organization may be advantageous for accessibility and cooperation, but has been given little scientific attention. Aims: To study whether inpatients' utilization of outpatient services differ between an area with a decentralized care model in comparison to an adjacent area with a partly centralized model.   Method: The study was based on data from a one-year registered prevalence sample, drawing on routinely sampled data supplemented with data from medical records. Service-utilization for 247 inpatients was analyzed. The results were controlled for diagnosis, demographic variables, type of service system, localization of inpatient admissions, and length of hospitalization.  Results: Most inpatients in the area with the decentralized care model also utilized outpatient consultations, whereas a considerable number of inpatients in the area with a partly centralized model did not enter outpatient care at all. Type of service system, localization of inpatient admission, and length of hospitalization predicted inpatients' utilization of outpatient consultations. The results are discussed in the light of systems integration, particularly management-arrangements and clinical bridging over the transitional phase from inpatient to outpatient care.  Conclusion: Inpatients' utilization of outpatient services differed between an area with a decentralized care model in comparison to an adjacent area with a partly centralized care model. In the areas studied, extensive decentralization of the psychiatric services positively affected coordination of inpatient and outpatient services for people with severe psychiatric disorders. Small, local-bed units may therefore

Impact on continuity of care of decentralized versus partly centralized mental health care in Northern Norway

Science.gov (United States)

Myklebust, Lars Henrik; Olstad, Reidun; Bjorbekkmo, Svein; Eisemann, Martin; Wynn, Rolf; Sørgaard, Knut

2011-01-01

Background The issue of continuity of care is central in contemporary psychiatric services research. In Norway, inpatient admissions are mainly to take place locally, in a system of small bed-units that represent an alternative to traditional central psychiatric hospitals. This type of organization may be advantageous for accessibility and cooperation, but has been given little scientific attention. Aims To study whether inpatients’ utilization of outpatient services differ between an area with a decentralized care model in comparison to an adjacent area with a partly centralized model. Method The study was based on data from a one-year registered prevalence sample, drawing on routinely sampled data supplemented with data from medical records. Service-utilization for 247 inpatients was analyzed. The results were controlled for diagnosis, demographic variables, type of service system, localization of inpatient admissions, and length of hospitalization. Results Most inpatients in the area with the decentralized care model also utilized outpatient consultations, whereas a considerable number of inpatients in the area with a partly centralized model did not enter outpatient care at all. Type of service system, localization of inpatient admission, and length of hospitalization predicted inpatients’ utilization of outpatient consultations. The results are discussed in the light of systems integration, particularly management-arrangements and clinical bridging over the transitional phase from inpatient to outpatient care. Conclusion Inpatients’ utilization of outpatient services differed between an area with a decentralized care model in comparison to an adjacent area with a partly centralized care model. In the areas studied, extensive decentralization of the psychiatric services positively affected coordination of inpatient and outpatient services for people with severe psychiatric disorders. Small, local-bed units may therefore represent a favourable alternative

Pollution and International Trade in Services

OpenAIRE

Arik Levinson

2009-01-01

Two central topics in recent rounds of international trade negotiations have been environmental concerns, and services trade. While each is undoubtedly important, they are unrelated. In this paper I show that the services-environment link is small, for two reasons. First, services account for only a small fraction of overall pollution. For none of five major air pollutants does the service sector account for even four percent of total emissions; for three of the five services account for less...

Central Institute for Nuclear Research (1956 - 1979)

International Nuclear Information System (INIS)

Flach, G.; Bonitz, M.

1979-12-01

The Central Institute for Nuclear Research (ZfK) of the Academy of Sciences of the GDR is presented. This first overall survey covers the development of the ZfK since 1956, the main research activities and results, a description of the departments responsible for the complex implementation of nuclear research, the social services for staff and the activities of different organizations in the largest central institute of the Academy of Sciences of the GDR. (author)

Modéliser et quantifier les services écosystémiques forestiers à l’échelle des petits territoires

Directory of Open Access Journals (Sweden)

CORDONNIER, Thomas

2016-12-01

Full Text Available La forêt occupe près de 30 % du territoire français et fournit de nombreux services de production, de régulation et culturels. L’évaluation de ces services écosystémiques et de leurs évolutions pose des défis majeurs pour les scientifiques et les décideurs, qui plus est à l’échelle des petits territoires pour lesquels les données ou indicateurs élaborés à l’échelle nationale ne sont guère transposables. Des progrès importants ont toutefois été réalisés ces dernières années, reposant le plus souvent sur l’utilisation conjointe de bases de données, d’outils de télédétection et de modèles démographiques appliqués à différentes échelles. Cet article illustre, au travers de trois cas d’étude qui concernent la forêt de montagne, les avantages et limites de certaines de ces approches et propose ensuite des voies d'amélioration dans l'objectif d'appuyer les prises de décision pour des projets de développement territorial.

Prise en charge diagnostique et thérapeutique de la tuberculose ganglionnaire en Tunisie

Science.gov (United States)

Ben Brahim, Hajer; Kooli, Ikbel; Aouam, Abir; Toumi, Adnene; Loussaief, Chawki; Koubaa, Jamel; Chakroun, Mohamed

2014-01-01

La tuberculose ganglionnaire est la localisation extra-pulmonaire la plus fréquente de la tuberculose. Nous nous proposons dans ce travail d’étudier les modalités diagnostiques, thérapeutiques et évolutives de cette localisation. Il s'agit d'une étude rétrospective portant sur 100 cas de tuberculose ganglionnaire. L’âge moyen était de 35 ± 15 ans (15-85 ans). Aucun malade n’était VIH positif. L'aire cervicale était la plus touchée (93 cas). L'intradermo-réaction à la tuberculine était positive dans 76/91 cas (83,5%). L'examen bactériologique des prélèvements au niveau des ganglions atteints avait mis en évidence des bacilles acido-alcoolo-résistants à l'examen direct dans 2/31 cas (6,4%) et la culture avait isolé Mycobacteruim tuberculosis dans 1/31 cas (3,2%). La cytoponction ganglionnaire (FNAC) était évocatrice de tuberculose dans 35/42 cas (83,3%). La biopsie ganglionnaire était réalisée dans 69 cas et avait permis de retenir le diagnostic de tuberculose dans tous les cas. La FNAC, comparativement à la biopsie, avait permis de raccourcir significativement le délai de la prise en charge (15,1 vs 22,8 jours; p=0,001) et la durée d'hospitalisation (17,3 vs 24,6; p=0,004). La durée moyenne du traitement antituberculeux était de 9,8 ± 4,6 mois (7 à 44 mois). Le traitement chirurgical initial avait raccourci significativement la durée du traitement médical. Il n'avait pas d'impact sur le taux de guérison. Nous avons noté 10 cas de réponse paradoxale aux antituberculeux, quatre cas de résistance clinique et une rechute dans deux cas. La tuberculose ganglionnaire pose un problème diagnostique et thérapeutique. La microbiologie est d'un faible apport. La FNAC est un moyen diagnostique très utiles dans les pays endémiques et à faibles ressources. Un traitement médical seul permet d’éviter les inconvénients de la chirurgie. PMID:25829976

Toward Understanding Non-Centralized Technology Support in Higher Education

Science.gov (United States)

Jackson, Robert Jonathan

2009-01-01

The focus of this research is an examination of service quality provided by non-centralized technology personnel, Local Technical Support Providers (LSPs), at a southern research university. The SERVQUAL instrument was selected to measure service quality of LSPs within the Academic Affairs Division. The rationale for selecting and testing SERVQUAL…

A Robust Optimization Approach for Improving Service Quality

OpenAIRE

Andreas C. Soteriou; Richard B. Chase

2000-01-01

Delivering high quality service during the service encounter is central to competitive advantage in service organizations. However, achieving such high quality while controlling for costs is a major challenge for service managers. The purpose of this paper is to present an approach for addressing this challenge. The approach entails developing a model linking service process operational variables to service quality metrics to provide guidelines for service resource allocation. The approach en...

The Association Between Gender Inequalities and Women's Utilization of Maternal Health Services: A Cross-Sectional Survey in Eight South Central Coast Provinces, Vietnam.

Science.gov (United States)

Bui, Ha Thi Thu; Le, Thi Minh; Van Pham, Tac; Doan, Duong Thi Thuy; Nguyen, Duy Anh; Nguyen, Canh Chuong; Duong, Duc Minh

Gender inequalities influence the utilization of maternal health services in Vietnam, but little research has been published. This study, therefore, aimed to explore the association between gender inequalities and women's utilization of maternal health services in Vietnam. The study was conducted in 8 provinces in the South Central Coast region of Vietnam during August 2013 to May 2014. A total of 907 women who delivered a year prior to the date of interview participated in the study. A multiple logistic regression model was used to examine the association between gender inequalities (including sociodemographic determinants of health) and utilization of 4 or more antenatal care (ANC4+) services, institutional delivery, and ever used contraceptive methods. The utilization rate of maternal health services was varied, from 53.9% for ANC4+ to 87.7% for ever used a contraceptive method and 97% for institutional delivery. Ethnicity was identified as the most influential variable out of all sociodemographic determinants of health. Regarding gender inequalities, couple communication was the only variable having significant association with women's utilization of maternal health services. Women's equal role within context of their daily life and relations with their husbands (discussing maternal care with husband and having equal income to husband) supported their use of maternal health services. Therefore, there should be concerted efforts from all relevant stakeholders including the health system to focus on disadvantaged women in planning and delivery of maternal health services, especially to ethnic minority women. Male involvement strategy should be implemented to promote maternal health care, especially during the prenatal and postpartum period. To provide more culturally sensitive and right-based approaches in delivery of maternal health services to disadvantaged women in Vietnam, interventions are recommended that promote male involvement, that is, to engage men in

Pengaruh Kualitas Pelayanan Terhadap Kepuasan Nasabah Di Pt. Bank Central Asia (Bca Tbk Cabang Undaan Surabaya

Directory of Open Access Journals (Sweden)

Yulian Belinda Rahmawati

2014-10-01

Full Text Available This study aims to determine the effect of Quality of Service Characteristics on Customer Satisfaction in the PT. Bank Central Asia (BCA Branch Surabaya Undaan. The sampling in this study using stratified sampling (Stratified Random Sampling. Analysis techniques that are used are double linear regression. The calculation result shows that the quality of services simultaneous effect on customer satisfaction in PT. Bank Central Asia (BCA Branch Surabaya Undaaan. The quality of services that include variables Responsiveness, Tangibles, Empathy, Assurance, and Reliability in a partial effect on customer satisfaction in PT. Bank Central Asia (BCA Branch Surabaya undaaan.

Lignes directrices sur la prise en charge en soins primaires des céphalées chez l’adulte

Science.gov (United States)

Becker, Werner J.; Findlay, Ted; Moga, Carmen; Scott, N. Ann; Harstall, Christa; Taenzer, Paul

2015-01-01

Résumé Objectif Accroître l’utilisation d’approches éclairées par des données probantes pour diagnostiquer, investiguer et traiter en soins primaires les céphalées des patients. Qualité des données Une recherche documentaire exhaustive a été effectuée pour trouver des lignes directrices et des révisions systématiques publiées entre janvier 2000 et mai 2011. La grille d’évaluation de la qualité des recommandations pour la pratique clinique AGREE a servi à l’analyse critique des lignes directrices. Les 6 guides de pratique clinique de la plus grande qualité ont servi de base dans le processus d’adaptation. Message principal Un groupe d’élaboration multidisciplinaire de professionnels des soins primaires ont formulé 91 recommandations précises à l’aide d’un processus consensuel. Les recommandations portent sur le diagnostic, l’investigation et la prise en charge de la migraine, de la céphalée de tension, de la céphalée due à une surmédication et de la céphalée vasculaire de Horton. Conclusion Un guide de pratique clinique adapté au contexte des soins de santé au Canada a été produit en suivant un processus d’adaptation de lignes directrices dans le but d’aider les professionnels de toutes les disciplines des soins primaires à dispenser des soins éclairés par des données probantes aux patients souffrant de céphalées.

Graduate Student Services: A Study of the Delivery of Services at the Location Where Students Matriculate

Science.gov (United States)

Burlison, John G.

2010-01-01

This dissertation investigates and explores the best method for the delivery of graduate student services. Essentially, there are two methods for delivery of these services. They can be delivered by virtue of centralization or decentralization. Decentralized delivery, for the purpose of this dissertation is the delivery of graduate student…

Two-echelon logistics service supply chain decision game considering quality supervision

Science.gov (United States)

Shi, Jiaying

2017-10-01

Due to the increasing importance of supply chain logistics service, we established the Stackelberg game model between single integrator and single subcontractors under decentralized and centralized circumstances, and found that logistics services integrators as a leader prefer centralized decision-making but logistics service subcontractors tend to the decentralized decision-making. Then, we further analyzed why subcontractor chose to deceive and rebuilt a principal-agent game model to monitor the logistics services quality of them. Mixed Strategy Nash equilibrium and related parameters were discussed. The results show that strengthening the supervision and coordination can improve the quality level of logistics service supply chain.

Profil épidémiologique et prise en charge de l’éclampsie au Sénégal: à propos de 62 cas

Science.gov (United States)

Diouf, Abdoul Aziz; Diallo, Moussa; Mbaye, Magatte; Sarr, Sokhna Diarra; Faye-Diémé, Marie Edouard; Moreau, Jean Charles; Diouf, Alassane

2013-01-01

Introduction L'objectif de cette étude etait d'apprécier les caractéristiques épidémiologiques et cliniques de l’éclampsie et d’évaluer la prise en charge et le pronostic maternel et périnatal. Méthodes Étude descriptive rétrospective sur 3 années (2007-2010) dans un service de Gynécologie Obstétrique de Dakar (Sénégal). Le critère d'inclusion était toute crise convulsive en période gravido-puerpérale dans un contexte de prééclampsie. Résultats Sur un total de 4587 accouchements, 62 cas d’éclampsie étaient enregistrés représentant une incidence de 1,35%. Le profil retrouvé était celui d'une jeune femme (24 ans), primipare (58.1%), habitant la banlieue dakaroise (83.8%), porteuse d'une grossesse à terme (56.5%), mal suivie (82.3%) et référée par un poste de santé environnant (82.3%). La crise était survenue en antépartum et en post-partum dans 72.5 et 27,5% respectivement. Toutes les patientes présentaient une HTA ; l’‘dème et la protéinurie étaient retrouvés dans 72.5 et 84% respectivement. La majorité des patientes (88%) avait présenté plus de deux crises et l’état de mal éclamptique concernait 14.5% des cas. Le sulfate de magnésium était utilisé chez toutes les patientes. La césarienne était le mode d'accouchement largement adopté (75.5%) pour les patientes reçues en antépartum. Le pronostic maternel était marqué par un cas de décès. La mortalité périnatale était de 130%. Conclusion L’éclampsie est un problème de santé publique dans les pays en développement. Les principaux facteurs de risque sont la primiparité et l’âge jeûne. L'administration du sulfate de magnésium et la césarienne permettent d'améliorer le pronostic maternel et foetal. La prévention passe nécessairement par un suivi prénatal de qualité. PMID:24711873

7 CFR 1032.86 - Deduction for marketing services.

Science.gov (United States)

2010-01-01

... 7 Agriculture 9 2010-01-01 2009-01-01 true Deduction for marketing services. 1032.86 Section 1032... SERVICE (Marketing Agreements and Orders; Milk), DEPARTMENT OF AGRICULTURE MILK IN THE CENTRAL MARKETING AREA Order Regulating Handling Administrative Assessment and Marketing Service Deduction § 1032.86...

Possible pressurized thermal shock events during large primary to secondary leakage. The Hungarian AGNES project and PRISE accident scenarios in VVER-440/V213 type reactor

Energy Technology Data Exchange (ETDEWEB)

Perneczky, L. [KFKI Atomic Energy Research Inst., Budabest (Hungary)

1997-12-31

Nuclear power plants of WWER-440/213-type have several special features. Consequently, the transient behaviour of such a reactor system should be different from the behaviour of the PWRs of western design. The opening of the steam generator (SG) collector cover, as a specific primary to secondary circuit leakage (PRISE) occurring in WWER-type reactors happened first time in Rovno NPP Unit I on January 22, 1982. Similar accident was studied in the framework of IAEA project RER/9/004 in 1987-88 using the RELAP4/mod6 code. The Hungarian AGNES (Advanced General and New Evaluation of Safety) project was performed in the period 1991-94 with the aim to reassess the safety of the Paks NPP using state-of-the-art techniques. The project comprised three type of analyses for the primary to secondary circuit leakages: Design Basis Accident (DBA) analyses, Pressurized Thermal Shock (PTS) study and deterministic analyses for Probabilistic Safety Analysis (PSA). Major part of the thermohydraulic analyses has been performed by the RELAP5/mod2.5/V251 code version with two input models. 32 refs.

Possible pressurized thermal shock events during large primary to secondary leakage. The Hungarian AGNES project and PRISE accident scenarios in VVER-440/V213 type reactor

Energy Technology Data Exchange (ETDEWEB)

Perneczky, L [KFKI Atomic Energy Research Inst., Budabest (Hungary)

1998-12-31

Nuclear power plants of WWER-440/213-type have several special features. Consequently, the transient behaviour of such a reactor system should be different from the behaviour of the PWRs of western design. The opening of the steam generator (SG) collector cover, as a specific primary to secondary circuit leakage (PRISE) occurring in WWER-type reactors happened first time in Rovno NPP Unit I on January 22, 1982. Similar accident was studied in the framework of IAEA project RER/9/004 in 1987-88 using the RELAP4/mod6 code. The Hungarian AGNES (Advanced General and New Evaluation of Safety) project was performed in the period 1991-94 with the aim to reassess the safety of the Paks NPP using state-of-the-art techniques. The project comprised three type of analyses for the primary to secondary circuit leakages: Design Basis Accident (DBA) analyses, Pressurized Thermal Shock (PTS) study and deterministic analyses for Probabilistic Safety Analysis (PSA). Major part of the thermohydraulic analyses has been performed by the RELAP5/mod2.5/V251 code version with two input models. 32 refs.

78 FR 34428 - Missouri Central Railroad Company-Abandonment Exemption-in Cass, Henry, Johnson, and Pettis...

Science.gov (United States)

2013-06-07

... No. AB 1070; (Sub-No. 1X)] Missouri Central Railroad Company--Abandonment Exemption--in Cass, Henry, Johnson, and Pettis Counties, MO; Central Midland Railway Company--Discontinuance of Service Exemption--in Cass, Henry, Johnson, and Pettis Counties, MO Missouri Central Railroad Company (MCRR) and Central...

CRAB3: Establishing a new generation of services for distributed analysis at CMS

CERN Document Server

Spiga, Daniele

2012-01-01

In CRAB3 all work is centrally injected and managed in a global queue. A pool of agents, which can be geographically distributed, consumes work from the central services, servicing the user tasks. The new gener...

The EMBRACE web service collection

DEFF Research Database (Denmark)

Pettifer, S.; Ison, J.; Kalas, M.

2010-01-01

The EMBRACE (European Model for Bioinformatics Research and Community Education) web service collection is the culmination of a 5-year project that set out to investigate issues involved in developing and deploying web services for use in the life sciences. The project concluded that in order...... for web services to achieve widespread adoption, standards must be defined for the choice of web service technology, for semantically annotating both service function and the data exchanged, and a mechanism for discovering services must be provided. Building on this, the project developed: EDAM......, an ontology for describing life science web services; BioXSD, a schema for exchanging data between services; and a centralized registry (http://www.embraceregistry.net) that collects together around 1000 services developed by the consortium partners. This article presents the current status of the collection...

Fire protection for telecommunications central offices

International Nuclear Information System (INIS)

McKenna, L.A. Jr.

1990-01-01

The provision of continuous, uninterrupted telecommunications service is vital to modern life. In order to provide uninterrupted service to customers, a service continuity program has been in place with AT and T for many years. This program integrates many different protection strategies and plans, each designed to mitigate one of the many threats to service continuity. The fire protection program implemented within AT and T is a part of this service continuity program. In the design of this program, a number of unusual problems had to be addressed due to the service continuity requirements. Typical solutions to fire protection problems (ignition prevention, detection, and suppression) which are embodied in building and fire prevention codes are inadequate to provide service continuity. This presentation outlines the basic arrangement of a telecommunications central office, the specific fire protection problems encountered, the fire protection philosophy developed through the use of a systems approach, and the implementation of the fire protection program. Special emphasis is placed on the strategies employed in lieu of more traditional fire protection schemes and the stimuli for selecting them

Determinants of Demand in the Public Dental Emergency Service.

Science.gov (United States)

Matsumoto, Maria Sa; Gatti, Marcia An; de Conti, Marta Hs; de Ap Simeão, Sandra F; de Oliveira Braga Franzolin, Solange; Marta, Sara N

2017-02-01

Although dental emergencies are primarily aimed at pain relief, in practice, dental emergency services have been overwhelmed by the massive inflow of patients with less complex cases, which could be resolved at basic levels of health care. They frequently become the main gateway to the system. We investigated the determinant factors of demand at the Central Dental Emergency Unit in Bauru, São Paulo, Brazil. The questionnaire was applied to 521 users to evaluate sociodemographic profile; factors that led users to seek the service at the central dental emergency; perception of service offered. About 80.4% of users went directly to the central dental emergency, even before seeking basic health units. The reasons were difficulty to be attended (34.6%) and incompatible time (9.8%). To the perception of the necessity of the service, responses were problem as urgent (78.3%) and pain was the main complaint (69.1%). The profile we found was unmarried (41.5%), male (52.2%), white (62.8%), aged 30 to 59 (52.2%), incomplete basic education (41.6%), family income up to 2 minimum wages (47.4%), and no medical/dental plan (88.9%). It was concluded that the users of central dental emergency come from all sectors of the city, due to difficult access to basic health units; they consider their complaint urgent; and they are satisfied with the service offered. To meet the profile of the user urgency's service so that it is not overloaded with demand that can be fulfilled in basic health units.

Integrating complementary and alternative medicine into mainstream healthcare services: the perspectives of health service managers.

Science.gov (United States)

Singer, Judy; Adams, Jon

2014-05-22

Complementary and alternative medicine (CAM) is increasingly included within mainstream integrative healthcare (IHC) services. Health service managers are key stakeholders central to ensuring effective integrative health care services. Yet, little research has specifically investigated the role or perspective of health service managers with regards to integrative health care services under their management. In response, this paper reports findings from an exploratory study focusing exclusively on the perspectives of health service managers of integrative health care services in Australia regarding the role of CAM within their service and the health service managers rational for incorporating CAM into clinical care. Health service managers from seven services were recruited using purposive and snowball sampling. Semi-structured interviews were conducted with the health service managers. The services addressed trauma and chronic conditions and comprised: five community-based programs including drug and alcohol rehabilitation, refugee mental health and women's health; and two hospital-based specialist services. The CAM practices included in the services investigated included acupuncture, naturopathy, Western herbal medicine and massage. Findings reveal that the health service managers in this study understand CAM to enhance the holistic capacity of their service by: filling therapeutic gaps in existing healthcare practices; by treating the whole person; and by increasing healthcare choices. Health service managers also identified CAM as addressing therapeutic gaps through the provision of a mind-body approach in psychological trauma and in chronic disease management treatment. Health service managers describe the addition of CAM in their service as enabling patients who would otherwise not be able to afford CAM to gain access to these treatments thereby increasing healthcare choices. Some health service managers expressly align the notion of treating the whole person

Implementing a multifaceted intervention to decrease central line-associated bloodstream infections in SEHA (Abu Dhabi Health Services Company) intensive care units: the Abu Dhabi experience.

Science.gov (United States)

Latif, Asad; Kelly, Bernadette; Edrees, Hanan; Kent, Paula S; Weaver, Sallie J; Jovanovic, Branislava; Attallah, Hadeel; de Grouchy, Kristin K; Al-Obaidli, Ali; Goeschel, Christine A; Berenholtz, Sean M

2015-07-01

OBJECTIVE To determine whether implementation of a multifaceted intervention would significantly reduce the incidence of central line-associated bloodstream infections. DESIGN Prospective cohort collaborative. SETTING AND PARTICIPANTS Intensive care units of the Abu Dhabi Health Services Company hospitals in the Emirate of Abu Dhabi. INTERVENTIONS A bundled intervention consisting of 3 components was implemented as part of the program. It consisted of a multifaceted approach that targeted clinician use of evidence-based infection prevention recommendations, tools that supported the identification of local barriers to these practices, and implementation ideas to help ensure patients received the practices. Comprehensive unit-based safety teams were created to improve safety culture and teamwork. Finally, the measurement and feedback of monthly infection rate data to safety teams, senior leaders, and staff in participating intensive care units was encouraged. The main outcome measure was the quarterly rate of central line-associated bloodstream infections. RESULTS Eighteen intensive care units from 7 hospitals in Abu Dhabi implemented the program and achieved an overall 38% reduction in their central line-associated bloodstream infection rate, adjusted at the hospital and unit level. The number of units with a quarterly central line-associated bloodstream infection rate of less than 1 infection per 1,000 catheter-days increased by almost 40% between the baseline and postintervention periods. CONCLUSION A significant reduction in the global morbidity and mortality associated with central line-associated bloodstream infections is possible across intensive care units in disparate settings using a multifaceted intervention.

Service-Learning from the Perspective of Community Organizations

Science.gov (United States)

Petri, Alexis

2015-01-01

As a central construct in the theory of service-learning, reciprocity for community partners is not often the subject of scholarship, especially scholarship that seeks to understand the benefits and opportunity costs of service-learning. This article explores how reciprocity works in higher education service-learning from the perspective of…

Central index of dose information

International Nuclear Information System (INIS)

1991-01-01

The Central Index of Dose Information (CIDI) is a national database of occupational exposure to radiation operated by the NRPB as agent for the Health and Safety Executive. It receives summarised information on the radiation doses to classified persons in Great Britain annually from Approved Dosimetry Services. This document is the first annual CIDI summary of the data, giving statistics for 1986. (UK)

Community Resources Guide for Central Florida = Una Guia de Recursos en la Comunidad de Florida Central.

Science.gov (United States)

Medina, Linda, Comp.

Designed to orient Hispanic refugees to the services that are available in Central Florida, this bilingual guide consists of a section of general information on living and working in the United States and a section devoted to various public and private agencies. Provided first are addresses and phone numbers of various government agencies:…

[Modern referral-information service in the Central Medical Library of the University of Zagreb Medical School].

Science.gov (United States)

Hadjina, G; Granić, D; Bekavac, A

1990-01-01

New technologies in information and retrieval services of the Central Medical Library are presented, as well as comparison between traditional search of biomedical literature and search of biomedical bases available on CD-ROM and on-line. MeSH thesaurus represents the basis for all modes of searches, either through published indexes (Index Medicus, Biomedicina Iugoslavica), searches through on-line, or via CD-ROM technology. Experience in indexing according to MeSH structure helps us to search and retrieve biomedical literature on new media too. Great interest in new media for search and retrieval of biomedical literature among our users (100%) justifies their introduction into the Library. In the period of four months, 75% of our users chose CD-ROM technology in their search, 25% chose on-line search, and both technologies were combined by 33% of the users. Having these new media in our library we have reached the point from which we join the world biomedical information network and successfully meet the growing need for information in the field of biomedicine.

An integrated outsourcing solution at York Central Hospital.

Science.gov (United States)

Marr, Jo-Anne; Tam, Richard; Simms, Stephen; Bacchus, Feria

2011-01-01

Canadian hospitals struggle to balance the need to increase and improve operational services and quality with diminishing resources. Many realize that sustaining their organization depends on how well they focus their resources and talents on their core business, clinical care delivery. Outsourcing of non-core, non-clinical support services is a solution for many organizations. Most often, this is put into action one service provider at a time. In 2007, however, York Central Hospital (YCH) implemented Sodexo's integrated Comprehensive Service Solutions (CSS) for all its support service functions. In doing so, YCH achieved significant improvements in patient and staff satisfaction rates, substantial cost savings through improved operational efficiency from process improvements and leveraging technology investments, and increased retail food revenue.

Central Asia Water (CAWa) - A visualization platform for hydro-meteorological sensor data

Science.gov (United States)

Stender, Vivien; Schroeder, Matthias; Wächter, Joachim

2014-05-01

Water is an indispensable necessity of life for people in the whole world. In central Asia, water is the key factor for economic development, but is already a narrow resource in this region. In fact of climate change, the water problem handling will be a big challenge for the future. The regional research Network "Central Asia Water" (CAWa) aims at providing a scientific basis for transnational water resources management for the five Central Asia States Kyrgyzstan, Uzbekistan, Tajikistan, Turkmenistan and Kazakhstan. CAWa is part of the Central Asia Water Initiative (also known as the Berlin Process) which was launched by the Federal Foreign Office on 1 April 2008 at the "Water Unites" conference in Berlin. To produce future scenarios and strategies for sustainable water management, data on water reserves and the use of water in Central Asia must therefore be collected consistently across the region. Hydro-meteorological stations equipped with sophisticated sensors are installed in Central Asia and send their data via real-time satellite communication to the operation centre of the monitoring network and to the participating National Hydro-meteorological Services.[1] The challenge for CAWa is to integrate the whole aspects of data management, data workflows, data modeling and visualizations in a proper design of a monitoring infrastructure. The use of standardized interfaces to support data transfer and interoperability is essential in CAWa. An uniform treatment of sensor data can be realized by the OGC Sensor Web Enablement (SWE) , which makes a number of standards and interface definitions available: Observation & Measurement (O&M) model for the description of observations and measurements, Sensor Model Language (SensorML) for the description of sensor systems, Sensor Observation Service (SOS) for obtaining sensor observations, Sensor Planning Service (SPS) for tasking sensors, Web Notification Service (WNS) for asynchronous dialogues and Sensor Alert Service

Caries experience and use of dental services in rural and urban adults and older adults from central Chile.

Science.gov (United States)

Quinteros, Maria E; Cáceres, Dante D; Soto, Alex; Mariño, Rodrigo J; Giacaman, Rodrigo A

2014-10-01

To determine whether there is a relationship between the use of dental services and caries experience in adults and older adults from central Chile. A sample of 453 adults, 35-44 years of age, and 438 older adults, 65-74 years of age, was interviewed and examined using World Health Organisation (WHO) methods. Sociodemographic variables were also registered. Caries experience was assessed using the Decayed, Missing and Filled teeth (DMFT) index. Multiple linear regression models were used to determine whether there was an association between the independent variables and caries experience. Caries prevalence was 99.6% for adults [DMFT score = 14.89 (±6.16)] and 99.8% for older adults [DMFT score = 25.68 (±6.49)]. Less than half of the population - 41.7% of adults and 31.5% of older adults - received dental care. Regardless of the age group, there were no differences in the DMFT score between those who received and those who did not receive attention (P > 0.05). When the DMFT findings were analysed in greater detail, people who received dental care and urban participants had more fillings (P dental damage from caries. Although rurality and use of services do not seem to affect caries experience, they are associated with differences in fillings and missing teeth. © 2014 FDI World Dental Federation.

La cardiomyopathie dilatee au centre hospitalier Universitaire ...

African Journals Online (AJOL)

But : Afin d'améliorer la prise en charge, d'éviter l'évolution rapide vers une insuffisance cardiaque réfractaire au traitement, nous avons entrepris cette étude en milieu hospitalier. Méthode : il s'est agi d'une étude rétrospective et descriptive dans le service de cardiologie du Centre Hospitalier Universitaire Tokoin de Lomé.

Models of Public Service Provision

DEFF Research Database (Denmark)

Andersen, Lotte Bøgh; Kristensen, Nicolai; Pedersen, Lene Holm

2013-01-01

This article extends the framework of Le Grand (2003, 2010) to encompass responsiveness, and the main argument is that the combination of employee motivation, user capacity, and models of public service provision potentially has serious implications for responsiveness across service areas. Although...... research on employee motivation thrives, especially in the public service motivation (PSM) literature, few studies have investigated user capacity empirically, and we know little about the combination of PSM, user capacity and models of service provision. Analyzing four central service areas (day care......, schools, hospitals, and universities), we find variations in both user capacity and PSM. Taking this variation as a point of departure we discuss what implications different combinations of employee motivation, user capacity, and models of public service provision may have for responsiveness....

Cooperation for Innovation in Services

DEFF Research Database (Denmark)

Pyka, Andreas; Schön, Benjamin; Windrum, Paul

the development in service industries include the increasing modularization of services, the increasing importance of the introduction of novelties as well as new organizational forms for the division of labour between private and public actors in service innovation processes. In economics research so far...... is strongly biased towards innovation in manufacturing, only a few attempts exist to develop a self-contained economic theory of innovation for the service industries. The same can be said on economic research on the organization of innovation processes in the service industries. In public sector economics......PPin-Project places collaboration between public and private actors in service innovation processes central. To do this we develop in this working package a theory of public-private service innovation networks. For this purpose the literature on innovation processes and innovation networks is surveyed...

Energizing Local Values For Tourism Services Improvement

Directory of Open Access Journals (Sweden)

Budi Purnomo

2012-06-01

Full Text Available People in most cultures would probably agree that politeness is needed during their interaction. However there may be differing opinions as to when they should be polite. In tourism industry, tourism service providers’ act as hosts and tourists act as guests. Typically hosts will try to act politely and use appropriate politeness norms when serving guests to ensure their satisfaction. The research findings show that the tourism service providers in Central Java use various unggah-ungguh ‘politeness norms’ when serving English speaking tourists and Indonesian speaking tourists. Besides that, there are some violations made by the tourism service providers in using unggah-ungguh ‘politeness norms’. The research findings also show that there are similar and different perspectives on unggah-ungguh ‘politeness norms’ between English speaking tourists with Western culture backgrounds and Indonesian speaking tourists with Indonesian culture backgrounds towards the politeness norms used by the tourism service providers in Central Java. The findings imply the needs of energizing unggah-ungguh ‘politeness norms’ which is discovered from well known noble Javanese values used by the tourism service providers for tourism service improvement.

A área central e sua dinâmica:uma discussão

Directory of Open Access Journals (Sweden)

Vitor Ribeiro Filho

2004-12-01

Full Text Available This document aims to understand the Central Area as it is nowadays as well as its late dynamics. During the twentieth century, that area has faced several and significant trasformations, which have affected the whole town, causing its commercial and service activities spatial structures to modify. Admist such process, one can claerly see a redesigning of the core, which no longer mopolizes commercial or service activities, sharing them with the other non-central areas from the town.

Implementation of a new personal dosimetry service by the French Army

International Nuclear Information System (INIS)

Perks, C.A.; Castagnet, X.

2006-01-01

This paper will describe the motivation of the Service de Protection Radiologique des Armees (S.P.R.A.) for replacing their existing dosimetry service based on photographic films with one centralized at Clamart, near Paris, and adopting dosemeters based on Optically Stimulated Luminescence (O.S.L.). The advantages of centralization and of the new technology adopted will be discussed. (authors)

Use Of ProductionService Work In Enhancing Skill Acquisition In Technical Colleges In North Central Nigeria

Directory of Open Access Journals (Sweden)

Peter Ashlame Agu

2015-08-01

Full Text Available Skill acquisition is a critical component of any vocational or technical training program. When this component is missing or falls below expectation it tends to defeat the objectives or the essence of the program. In Nigeria many skill acquisition institutions experience great challenges in trying to provide the necessary facilities required for effective vocational training of those enrolled in their programs because of paucity of funds. The result is that students graduate from the programs without adequate employability skills for meaningful productiveservice work after leaving school. In realization of this shortfall government has directed technical colleges to establish what is called ProductionService Work PSW into its curriculum. This is with the view that in the event that there is shortfall in the supply of training facilities by sponsors of the programs jobs could be brought in from inside or outside the school which could provide opportunity for students to acquire hands-on experience that would equip them with requisite skills for post-graduation work. As laudable as this initiative appears to be many schools in the North Central Nigeria are yet to implement the directive of the federal government in their schools and even where this has been done its implementation does not appear to be viable. Over the years different technical colleges have adopted different approaches toward the establishment and management of productionservice work in their schools. While some have recorded appreciable success in its implementation others seem to exist only in name. The present study therefore sought to identify the current practices employed in the use of PSW in technical colleges the appropriateness of the practices in use and the alternative practices that could be adopted to improve and guide the implementation of the program with a view to enhancing the acquisition of employability skills in technical colleges in North Central Nigeria.

Development of the Centralized Reliability Data Organization (CREDO)

International Nuclear Information System (INIS)

Haas, P.M.; Bott, T.F.; Knee, H.E.; Manning, J.J.; Hudson, S.D.; Greene, N.M.; Woodside, M.A.

1979-01-01

CREDO has been established to meet the needs of the US Breeder Reactor Program and the advanced reactor community for a centralized source of accurate reliability/maintainability data and data-related services. The center provides for a comprehensive program of collection, evaluation, and dissemination of data and for necessary user services. A steering committee of nationally recognized experts has been formed to guide CREDO development and operation. Historic data have been collected, analyzed, and published. Routine, continuous data collection and processing has been initiated at US sites. Interfaces with existing data bases have been established. Special user services are under development

Agent-based Personal Network (PN) service architecture

DEFF Research Database (Denmark)

Jiang, Bo; Olesen, Henning

2004-01-01

In this paper we proposte a new concept for a centralized agent system as the solution for the PN service architecture, which aims to efficiently control and manage the PN resources and enable the PN based services to run seamlessly over different networks and devices. The working principle...

Creative pricing strategies for medical services.

Science.gov (United States)

Tellis, G J

1987-01-01

This paper discusses the strategic role of the pricing of medical services. Strategic pricing is a creative process that can be a vital means of defining marketing segments, differentiating services, and gaining a competitive advantage. The central issue in strategic pricing is creatively using the principle of cross-subsidies or shared economies over consumer groups, service sets, or competitors. This principle yields a rich set of pricing strategies that can be used in response to various environments.

The number of service per conception of Indonesian Friesian Holstein with artificial insemination in Selo, Boyolali, Central Java, Indonesia

Science.gov (United States)

Wicaksono, A. M.; Pramono, A.; Susilowati, A.; Sutarno; Widyas, N.; Prastowo, S.

2018-03-01

Boyolali is an area in Central Java Indonesia, it has large number of Indonesian Friesian Holstein (IFH; dairy cattle). To improve its population as well as genetic quality of milk production, artificial insemination (AI) is widely applied as mating program. The success of AI can be evaluated from the number of service per conception (S/C), represent a number of service using AI to achieve one pregnancy. Its mirroring mating management and reproductive efficiency in dairy cattle, estimated in herd during specific time and location. For that, this study aims to estimate S/C in Selo, Boyolali during October 2016 to January 2017. Data were gathered with 95% confidence level. Sample size were 367 IFH, visited and selected purposively based on criteria one-time partus, 3 y.o and have complete AI record. Animal data were collected in reproduction and mating management. In addition, 124 dairy farmer who have minimum 5 years experiences in rearing IFH cow were interviewed as respondent in estrus detection, followed with 2 skilled inseminators for AI performing time data. Result shows that S/C is 1.71, this mean one pregnancy need 1.71 times AI services. In the estrus detection, most of dairy farmers were able to observe estrus sign in vulva color, size and the present of mucus by visual. Moreover, AI was performed in 9 to 12 hours after the sign of estrus observed. It is concluded that AI of IFH in Selo, Boyolali has been successfully applied, however there are still rooms to improve the reproduction efficiency through mating management in regard to lower S/C.

Ensuring services to the poor : learning from LLPMS

International Development Research Centre (IDRC) Digital Library (Canada)

fajardojp

necessary steps to delivery services to ensure providing basic facilities but poverty remains central ... services, technological transfer, imparting training, input supply within reasonable ... Providing education, ensuring health facility, safe ..... a workshop organised to get feedback on the methodology of LLPMS the officials of.

Geospatial Services in Special Libraries: A Needs Assessment Perspective

Science.gov (United States)

Barnes, Ilana

2013-01-01

Once limited to geographers and mapmakers, Geographic Information Systems (GIS) has taken a growing central role in information management and visualization. Geospatial services run a gamut of different products and services from Google maps to ArcGIS servers to Mobile development. Geospatial services are not new. Libraries have been writing about…

Pour une éthique du discours : prise de position et rationalité axiologique Arguing on behalf of an Ethics of Discourse: Taking a Stand and Axiological Rationality

Directory of Open Access Journals (Sweden)

Roselyne Koren

2008-09-01

Full Text Available Cet article se situe à la croisée de l’analyse du discours, de la rhétorique argumentative et du concept philosophique d’éthique. Il a pour fin de problématiser la question du « positionnement » discursif. Je tenterai de réexaminer cette notion au prisme du concept argumentatif de « jugement » - et par « jugement » j’entends prise de position discursive - afin de contribuer à la conceptualisation de la notion d’éthique du discours. Cette démarche a pour fin de tenter de répondre à des questions épistémologiques comme : Pourquoi la prise de parole dans l’espace public implique-t-elle que le locuteur recoure, dans de nombreux genres de discours et même si les contraintes du genre ne l’exigent pas, à l’effacement énonciatif et donne à ses opinions les apparences du jugement de fait ? Pourquoi est-il encore nécessaire aujourd’hui de rappeler que le lexique de la langue comprend des masses de termes subjectifs axiologiques et que des questions comme « Que pense X de cette question ? Est-il pour ou contre ? Est-ce bien ou mal à ses yeux ? » constituent des réactions spontanées inéluctables aux dires des autres ? Troisième et dernière question : Pourquoi un analyste du discours que préoccupe, certes, la question de la « véridiction », mais tout autant celle de la « rectitude éthique » et d’une rationalité axiologique, se trouve-t-il contraint de recourir à une théorie de l’argumentation pour pouvoir aborder les tenants et aboutissants de l’acte de juger hors de contextes polémiques aporétiques, alors que son objet de recherche est la mise en mots et la mise en scène discursives sous toutes leurs formes ? Cet article commencera par l’élaboration d’un cadre théorique où seront traitées les questions suivantes : la nécessité de penser aux côtés de la prise en charge de la vérité référentielle et en interaction avec elle, la prise en charge des jugements

A tiered approach for ecosystem services mapping

OpenAIRE

Grêt-Regamey, Adrienne; Weibel, Bettina; Rabe, Sven-Erik; Burkhard, Benjamin

2017-01-01

Mapping ecosystem services delivers essential insights into the spatial characteristics of various goods’ and services’ flows from nature to human society. It has become a central topic of science, policy, business and society – all belonging on functioning ecosystems. This textbook summarises the current state-of-the-art of ecosystem services mapping, related theory and methods, different ecosystem service quantification and modelling approaches as well as practical applications. The book...

Safety Regulations in organizations and enterprises under supervision of Federal environmental, industrial and nuclear supervision service of Russia (Rostechnadzor), Central Region. Short overview of sites which potentially are dangerous for terrorist threat

International Nuclear Information System (INIS)

Gasselblat, A.D.

2010-01-01

Full text: Federal environmental, industrial and nuclear supervision service of Russia carries out inspections over safety of atomic energy sites on the territory of Russian Federation, which are used for peaceful purposes. Currently under control of Supervision Service on the whole territory of Russia 2000 (2179) (1.) organizations (enterprises), business entities in the field of atomic energy use (industry, medicine, scientific research, agriculture, geological survey, education and etc.) using in their activity radionuclide sources. Approximately 6000 (5955) territorially separated or technologically independent radiation-dangerous sites are counted in their structure, which are dealing with radionuclides. The total number of sealed radionuclide sources is more than 1000 pieces. More than thousands radiation-dangerous entities are dealing with unsealed radionuclide sources and radioactive wastes. At such scales of activity, when evident dynamic of source movement is observed, it is very important for regulatory authority to update information on source location, condition, safe use and security, as well as physical protection and prevention of its use in terrorist purposes. In its structure industrial and nuclear supervision service of Russia has 7 big subdivisions (according to directions regulation in the field of atomic energy use) - inter regional territory administrations on control over nuclear and radiation safety, ensuring control over whole territory of Russian Federation, each in within its border of Federal region of Russian Federation. Central inter regional territory administration on control over nuclear and radiation safety is the biggest according to its personnel and number of controlled sites by territorial subdivision of Federal environmental, industrial and nuclear supervision service of Russia (in the field of atomic energy use, according to Federal Law dated 21.11.1995, №170-Federal Low On atomic energy use) and carries out its activity

User services in the central library of Juelich Research Center

International Nuclear Information System (INIS)

Lapp, E.

1993-01-01

The central library is a sci/tech special library providing information for the KFA researchers and staff. The library has a large collection of sci/tech materials to meet the information demands of the KFA employees and over 3.000 external users. Among the outside users are students fromthe universities and polytechnics of the region Aachen, Cologne, Duesseldorf, and industry. The library acquires about 8.000 volumes per year and subscribes to 2000 journals. (orig.)

Granuloma central de células gigantes Giant cells central granuloma

Directory of Open Access Journals (Sweden)

Ayelén María Portelles Massó

2011-03-01

Full Text Available El granuloma reparativo central de células gigantes es una lesión proliferativa no neoplásica de etiología desconocida. Se presenta un paciente masculino de 40 años de edad, portador de prótesis parcial superior. Fue remitido al Servicio de Cirugía Maxilofacial del Hospital "V. I. Lenin" por presentar aumento de volumen en reborde alveolar superior, de color rojo grisáceo y que provocaba expansión de corticales óseas. Una vez analizados los exámenes clínicos, radiográficos e histopatológicos se diagnosticó un granuloma reparativo central de células gigantes Se realizó exéresis quirúrgica de la lesión y extracción de dientes adyacentes con una evolución satisfactoria sin señales de recidivas luego de tres años del tratamiento. El granuloma reparativo central de células gigantes se presentó como respuesta a un trauma. La correcta interpretación de los datos clínicos, radiográficos e histopatológicos nos permitió llegar al correcto diagnóstico y plan de tratamiento.Giant-cell central reparative granuloma is non neoplastic proliferative lesion of unknown etiology. We report a 40 years old male patient who was admitted at the Maxillofacial Service of the "V. I. Lenin" Hospital. The patient had partial upper prosthesis and was complaining of red-grey volume increase lesion in upper alveolar ridge which led to the expansion of cortical bone. Having analyzed clinical, radiographic and histopathological findings the case was concluded as a giant-cell central reparative granuloma. Surgical exeresis and adjunct tooth extraction were done. After three years of treatment, satisfactory follow up without recurrence is reported.

Institute for Communication, General Services, Administration

International Nuclear Information System (INIS)

Legrain, C.

2007-01-01

The article describes the key activities of the Institute for Communication, General Services and Administration (CSA) of the Belgian Nuclear Research Centre SCK-CEN. CSA deals with communication and knowledge management and co-ordinates courses on the fundamentals and applications of nuclear research. CSA also comprises the administrative, financial, logistic and central technical services, as well as human resources and ICT

Information from the central stores

CERN Multimedia

GS Department

2010-01-01

All items sold in the CERN shop (Bldg. 33) are now available in the central stores (Bldg. 73) and can be purchased on-line via EDH “Material Request” or at the “Emergency Desk” of the stores on the ground floor of Bldg. 73. These items are visible in the CERN catalogue under the “SCEM” codes beginning with 92. Department of General Infrastructure Services (GS) GS-SEM Group

An exploratory study of the health harms and utilisation of health services of frequent legal high users under the interim regulated legal high market in central Auckland.

Science.gov (United States)

Wilkins, Chris; Prasad, Jitesh; Wong, K C; Rychert, Marta; Graydon-Guy, Thomas

2016-03-11

To explore health problems and the accessing of health services by frequent legal high users under an interim regulated legal market in central Auckland. Frequent legal high users (monthly+) were recruited from outside eight randomly-selected, licensed, legal high stores in central Auckland from 23 April-7 May, 2014. Eligible participants were emailed a unique invitation to complete an on-line survey; 105 completed the survey. Twenty-seven percent had suffered mental illness during their lifetimes. Eighty percent used synthetic cannabinoids (SC), and 20% 'party pills'. Forty-seven percent of SC users used daily or more often. Other drugs used included alcohol (80%), cannabis (59%), 'ecstasy' (18%) and methamphetamine (15%). Fifty-eight percent of SC users were classified as SC dependent. The most common problems reported from SC use were: insomnia (29%); 'vomiting/nausea' (25%); 'short temper/agitation' (21%); 'anxiety' (21%); 'strange thoughts' (16%); and 'heart palpitations' (14%). The health services most commonly accessed by SC users were: a 'doctor/GP' (9%); 'counsellor' (9%); 'DrugHelp/MethHelp' websites (7%); 'Alcohol & Drug Helpline' (4%); 'ambulance' (3%); 'A&E' (3%); and hospitalisation (3%). Frequent use of interim licensed SC products was associated with health problems, including dependency. Further research is required to determine the health risks of these products.

Case series

African Journals Online (AJOL)

abp

1 mai 2014 ... acidocétose diabétique dans le service de Médecine Interne de l'hôpital Jason Sendwe de Lubumbashi (République Démocratique du Congo). L'échantillon était exhaustif ... métabolique à trou anionique augmenté [1,2]. Son incidence dans le .... aura évolué vers l'installation d'un coma, faute de prise en ...

Le drainage pelvien après adénometomie prostatique transvésicale ...

African Journals Online (AJOL)

O. Ghoundale

Service d'Urologie, Hôpital Militaire Avicenne, Marrakech 40 000, Maroc. Reçu le 26 septembre 2012; reçu sous la forme révisée le 22 avril 2014; accepté le 29 avril 2014. MOTS CLÉS prostate; hyperplasie; adénomectomie; drainage; complication. Résumé. Objectif: La chirurgie ouverte garde encore sa place dans la prise ...

Information Technology Service

International Nuclear Information System (INIS)

Ageron, M.; Boninchi, V.; Chartoire, M.; Combroux, A.; Giraud, N.; Jacquet, G.; Lagrange, B.; Malleret, S.; Martin, C.; Mas, J.; Morgue, M.; Ollivier, T.

1998-01-01

The information technology service works out the choices concerning the information technology systems of general use in the laboratory: computers, network, peripherals, workstations, software. It intervenes at the same time in the definition of the procedures and equipment specific to the research groups. The entire data acquisition is centralized by the service. The personnel is sharing the following two large directions of activities: - management of information technology park (setup, configuration and maintenance of the materials and soft ensemble, training and assistance afforded to users); - participation in software projects either in elaboration of applications or in realization and maintenance of specific tools

Integrating reproductive and child health and HIV services in Tanzania

African Journals Online (AJOL)

Integrating reproductive and child health and HIV services in Tanzania: Implication to policy, systems and services. ... Experts around the world recognize the central role of Sexual and Reproductive Health (SRH) services in preventing HIV infection. Evidence suggests that improving access to contraception for women to ...

Mathematical Verification for Transmission Performance of Centralized Lightwave WDM-RoF-PON with Quintuple Services Integrated in Each Wavelength Channel

Directory of Open Access Journals (Sweden)

Shuai Chen

2015-01-01

Full Text Available Wavelength-division-multiplexing passive-optical-network (WDM-PON has been recognized as a promising solution of the “last mile” access as well as multibroadband data services access for end users, and WDM-RoF-PON, which employs radio-over-fiber (RoF technique in WDM-PON, is even a more attractive approach for future broadband fiber and wireless access for its strong availability of centralized multiservices transmission operation and its transparency for bandwidth and signal modulation formats. As for multiservices development in WDM-RoF-PON, various system designs have been reported and verified via simulation or experiment till now, and the scheme with multiservices transmitted in each single wavelength channel is believed as the one that has the highest bandwidth efficiency; however, the corresponding mathematical verification is still hard to be found in state-of-the-art literature. In this paper, system design and data transmission performance of a quintuple services integrated WDM-RoF-PON which jointly employs carrier multiplexing and orthogonal modulation techniques, have been theoretically analyzed and verified in detail; moreover, the system design has been duplicated and verified experimentally and the theory system of such WDM-RoF-PON scheme has thus been formed.

User-Aware Location Management of Prosumed Micro-services

OpenAIRE

Klein, Bernhard; López-de-Ipiña, Diego; Guggenmos, Christian; Pérez-Velasco, Jorge

2014-01-01

The MUGGES mobile service prosuming platform aims at enabling user-aware service provision and consumption from the very mobile devices in a true peer-to-peer manner, still providing centralized support to user- and location-aware micro-service searching. Thus, users will not only provide contents but also launch and host services from their own mobile devices. Explorative field trials in Spain and Finland assessing the potential of the ‘prosuming concept' were carried out for several weeks w...

Health challenges in Kazakhstan and Central Asia.

Science.gov (United States)

Adambekov, Shalkar; Kaiyrlykyzy, Aiym; Igissinov, Nurbek; Linkov, Faina

2016-01-01

The Central Asian region, which encompasses Kazakhstan, Uzbekistan, Tajikistan, Turkmenistan and Kyrgyzstan, is an interesting geographic region with a rich history dating back to the Silk Road, Mongol conquests and expansion of the Russian Empire. However, from a public health viewpoint, the Central Asian region is under-investigated, and many public health challenges exist, as countries of Central Asia inherited the centralised medical systems practiced in the Soviet Union, and are currently undergoing rapid transitions. A large number of low and middle-income countries around the world, including countries of Central Asia, face a double burden of chronic and infectious disease. This essay focuses on the exploration of the most important public health challenges in the Central Asian region, including limited scientific productivity, the double burden of chronic and infectious disease, the need for healthcare reform and the reduction in care variation. Central Asia has a large number of medical schools, medical centres, and emerging research institutes that can be used to foster a change in medical and public health practice in the region. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/

ASSESSMENT OF LOGISTICS MANAGEMENT IN GHANA HEALTH SERVICE

Directory of Open Access Journals (Sweden)

john frimpong manso

2013-08-01

Full Text Available Ghana Public Health Sector runs a three-tier system of managing health commodities. Suppliers, the Central Medical Store, The Regional Medical Store, Service Delivery Points and the transportation system form the supply chain.  Ghana Health Service logistics system is centralized and the health care delivery system is decentralized. Logistics management in the health system is crucial. This is because there are instances where medicines and health commodities are not available at the Central Medical Stores and the Regional Medical Stores. Consequently, there is no commodity security at the service delivery points. Upon this backdrop the study seeks to assess the logistics management system in order to bring efficiency in the system. The study adopts a multi-case study approach to assess the practices of logistics management, the causes of inadequacy of logistics and the strengths and weaknesses in Ghana Health Service logistics system.  Two categories of participants that is, the key players of health logistics management and end-users were involved in the study.  Four variables; finance for procurement of health commodities, evenly distribution of health commodities, effective supervision and constant monitoring and evaluation were found crucial in effective and efficient logistics management. Moreover, it was found that poor procurement planning and budgeting, lack of financial resources for procurement, poor quantification and forecasting, delay in procurement process and order processing, and delay in receiving insurance claims are some of the causes of inadequacy of logistics in the health systems. It is recommended that Ghana Health Service logistics or supply system must receive constant monitoring and evaluation. Further, Ghana Health Service must ensure that there is effective top-down supervision in the system to bring up efficiency. Again, Ghana Health Service and Ministry of Health must ensure enough funds are secured from the

Decree No 82-1050 of 13 December 1982 creating a Central Service for repression of illicit trading in weapons, munitions, explosive products and nuclear, biological and chemical materials

International Nuclear Information System (INIS)

1982-01-01

The Central Service was set up within the Ministry of the Interior and is responsible for the protection of the State and the national territory against criminal attempts, conspiracies and acts of terrorism and is vested with the necessary powers to discharge its duties. It co-operates with the other departments concerned in the study of measures to prevent unlawful use of weapons and nuclear materials. (NEA) [fr

Examining Primary Pre-Service Teachers' Perspectives on Teaching Practice Courses

Science.gov (United States)

Basturk, Savas

2016-01-01

The courses "school experience" and "teaching practice" are undoubtedly among the central courses to be received by pre-service teachers who will be future teachers. Through them, pre-service teachers obtain the realistic information about their profession. Therefore, the aim of this study was to examine pre-service teachers'…

[Central purchasing bodies and spending review in health sector].

Science.gov (United States)

Spampinato, Luigi

2017-01-01

The aim of this paper is to analyze the new model of centralization of purchases in Italy after the approval of the 2016 Stability Law, with particular reference to the health sector. In fact, the spending review process in Italy in the health sector has had a strong evolution with the 2016 Stability Law, which has introduced the obligation for the institutions of the National Health Service to obtain supplies, exclusively, from aggregators subjects, for certain product categories of the health sector. The legislature, over the years, was mainly characterized by measures to reduce the spending limits for purchases of goods and services or by resetting the fees, including the provision of an obligation for the renegotiation of health goods and services contracts, in order to ensure the effective implementation of the expenditure rationalization by aggregation of goods and services. From 2016, the legislature has provided an innovative model of centralization of purchases based on a new network governance model on several levels, national and regional, which should ensure an efficiency of procurement processes. The proper functioning of the governance model adopted can be an important driver of economic policy in order to understand that it is important not only to spend less, but to spend better. This can be realized in the public administration with a strong innovation process in this administration and also with a strong investment in skills, in order to ensure the same service quality throughout the national territory to the health sector.

Implementation and quality assessment of a pharmacy services call center for outpatient pharmacies and specialty pharmacy services in an academic health system.

Science.gov (United States)

Rim, Matthew H; Thomas, Karen C; Chandramouli, Jane; Barrus, Stephanie A; Nickman, Nancy A

2018-05-15

The implementation and quality assessment of a pharmacy services call center (PSCC) for outpatient pharmacies and specialty pharmacy services within an academic health system are described. Prolonged wait times in outpatient pharmacies or hold times on the phone affect the ability of pharmacies to capture and retain prescriptions. To support outpatient pharmacy operations and improve quality, a PSCC was developed to centralize handling of all outpatient and specialty pharmacy calls. The purpose of the PSCC was to improve the quality of pharmacy telephone services by (1) decreasing the call abandonment rate, (2) improving the speed of answer, (3) increasing first-call resolution, (4) centralizing all specialty pharmacy and prior authorization calls, (5) increasing labor efficiency and pharmacy capacities, (6) implementing a quality evaluation program, and (7) improving workplace satisfaction and retention of outpatient pharmacy staff. The PSCC centralized pharmacy calls from 9 pharmacy locations, 2 outpatient clinics, and a specialty pharmacy. Since implementation, the PSCC has achieved and maintained program goals, including improved abandonment rate, speed of answer, and first-call resolution. A centralized 24-7 support line for specialty pharmacy patients was also successfully established. A quality calibration program was implemented to ensure service quality and excellent patient experience. Additional ongoing evaluations measure the impact of the PSCC on improving workplace satisfaction and retention of outpatient pharmacy staff. The design and implementation of the PSCC have significantly improved the health system's patient experiences, efficiency, and quality. Copyright © 2018 by the American Society of Health-System Pharmacists, Inc. All rights reserved.

41 CFR 105-53.143 - Information Resources Management Service.

Science.gov (United States)

2010-07-01

... 41 Public Contracts and Property Management 3 2010-07-01 2010-07-01 false Information Resources... FUNCTIONS Central Offices § 105-53.143 Information Resources Management Service. (a) Creation and authority. The Information Resources Management Service (IRMS), headed by the Commissioner, Information Resources...

Presence Management and Merging Presence Information for NGN Services

Science.gov (United States)

Schumann, Sebastian; Mikoczy, Eugen; Podhradsky, Pavol; Muruchi, Feliciano; Maruschke, Michael

This paper describes an approach for interworking scenarios between Session Initiation Protocol (SIP) based and non SIP based frameworks (e.g. web services) in case of the presence management service. The characteristics of the concept of a centralized presence management will be introduced.

Access to facility delivery and caesarean section in north-central Liberia: a cross-sectional community-based study

Science.gov (United States)

Gartland, Matthew G; Taryor, Victor D; Norman, Andy M; Vermund, Sten H

2012-01-01

Objective Rural north-central Liberia has one of the world's highest maternal mortality ratios. We studied health facility birthing service utilisation and the motives of women seeking or not seeking facility-based care in north-central Liberia. Design Cross-sectional community-based structured interviews and health facility medical record review. Setting A regional hospital and the surrounding communities in rural north-central Liberia. Participants A convenience sample of 307 women between 15 and 49 years participated in structured interviews. 1031 deliveries performed in the regional hospital were included in the record review. Primary outcomes Delivery within a health facility and caesarean delivery rates were used as indicators of direct utilisation of care and as markers of availability of maternal health services. Results Of 280 interview respondents with a prior childbirth, only 47 (16.8%) delivered their last child in a health facility. Women who did not use formal services cited cost, sudden labour and family tradition or religion as their principal reasons for home delivery. At the regional hospital, the caesarean delivery rate was 35.5%. Conclusions There is an enormous unmet need for maternal health services in north-central Liberia. Greater outreach and referral services as well as community-based education among women, family members and traditional midwives are vital to improve the timely utilisation of care. PMID:23117566

76 FR 44595 - Peripheral and Central Nervous System Drugs Advisory Committee; Notice of Meeting

Science.gov (United States)

2011-07-26

... DEPARTMENT OF HEALTH AND HUMAN SERVICES Food and Drug Administration [Docket No. FDA-2011-N-0002] Peripheral and Central Nervous System Drugs Advisory Committee; Notice of Meeting AGENCY: Food and Drug... Committee: Peripheral and Central Nervous System Drugs Advisory Committee. General Function of the Committee...

Identification et prise en charge des femmes ayant des antécédents familiaux de cancer du sein

Science.gov (United States)

Heisey, Ruth; Carroll, June C.

2016-01-01

Résumé Objectif Résumer les meilleures données portant sur les stratégies d’identification et de prise en charge des femmes qui présentent des antécédents familiaux de cancer du sein. Sources d’information Une recherche a été effectuée sur PubMed à l’aide des mots-clés anglais suivants : breast cancer, guidelines, risk, family history, management et magnetic resonance imaging screening, entre 2000 et 2016. La plupart des données sont de niveau II. Message principal Une bonne anamnèse familiale est essentielle lors de l’évaluation du risque de cancer du sein afin d’identifier les femmes qui sont candidates à une recommandation en counseling génétique pour un éventuel test génétique. On peut sauver des vies en offrant aux femmes porteuses d’une mutation au gène BRCA des interventions chirurgicales de réduction des risques (mastectomie bilatérale prophylactique, salpingo-ovariectomie bilatérale). Il faut encourager toutes les femmes qui présentent des antécédents familiaux de cancer du sein à demeurer actives et à limiter leur consommation d’alcool à moins de 1 verre par jour; certaines femmes sont admissibles à la chimioprévention. Il faut offrir aux femmes dont le risque à vie de cancer du sein est de 20 à 25 % ou plus un dépistage poussé par imagerie par résonance magnétique en plus d’une mammographie. Conclusion Une vie saine et la chimioprévention (chez les candidates) pourraient réduire l’incidence du cancer du sein; le dépistage poussé pourrait entraîner une détection plus précoce. Le fait d’aiguiller des femmes porteuses d’une mutation au BRCA vers la chirurgie de réduction des risques sauve des vies. PMID:27737991

Database Aspects of Location-Based Services

DEFF Research Database (Denmark)

Jensen, Christian Søndergaard

2004-01-01

in the databases underlying high-quality services. Several integrated representations - which capture different aspects of the same infrastructure - are needed. Further, all other content that can be related to geographical space must be integrated with the infrastructure representations. The chapter describes...... the general concepts underlying one approach to data modeling for location-based services. The chapter also covers techniques that are needed to keep a database for location-based services up to date with the reality it models. As part of this, caching is touched upon briefly. The notion of linear referencing......Adopting a data management perspective on location-based services, this chapter explores central challenges to data management posed by location-based services. Because service users typically travel in, and are constrained to, transportation infrastructures, such structures must be represented...

Community mental health services in Southern Gauteng: An audit ...

African Journals Online (AJOL)

Background: Community mental health services (CMHS) are a central objective of the National Mental Health Policy Framework and Strategic Plan. Three core components are described: residential facilities, day care and outpatient services. Primary mental health care with specialist support is required according to an ...

Utilization of institutional delivery service at Wukro and Butajera districts in the Northern and South Central Ethiopia

Science.gov (United States)

2014-01-01

Background Ethiopia has one of the highest maternal mortality in the world. Institutional delivery is the key intervention in reducing maternal mortality and complications. However, the uptake of the service has remained low and the factors which contribute to this low uptake appear to vary widely. Our study aims to determine the magnitude and identify factors affecting delivery at health institution in two districts in Ethiopia. Methods A community based cross sectional household survey was conducted from January to February 2012 in 12 randomly selected villages of Wukro and Butajera districts in the northern and south central parts of Ethiopia, respectively. Data were collected using a pretested questionnaire from 4949 women who delivered in the two years preceding the survey. Results One in four women delivered the index child at a health facility. Among women who delivered at health facility, 16.1% deliveries were in government hospitals and 7.8% were in health centers. The factors that significantly affected institutional delivery in this study were district in which the women lived (AOR: 2.21, 95% CI: 1.28, 3.82), women age at interview (AOR: 1.96, 95% CI: 1.05, 3.62), women’s education (AOR: 3.53, 95% CI: 1.22, 10.20), wealth status (AOR: 16.82, 95% CI: 7.96, 35.54), women’s occupation (AOR: 1.50, 95% CI: 1.01, 2.24), antenatal care (4+) use (AOR: 1.77, 95% CI: 1.42, 2.20), and number of pregnancies (AOR: 0.25, 95% CI: 0.18,0.35). We found that women who were autonomous in decision making about place of delivery were less likely to deliver in health facility (AOR: 0.38, 95% CI: 0.23,0.63). Conclusions Institutional delivery is still low in the Ethiopia. The most important factors that determine use of institutional delivery appear to be women education and household economic status. Women’s autonomy in decision making on place of delivery did not improve health facility delivery in our study population. Actions targeting the disadvantaged, improving

Cost containment in laundry and linen service.

Science.gov (United States)

Ellis, B

1978-03-16

One major problem looms among all others in the area of laundry and linen service, whether a hospital has an in-house operation, is part of a shared or central laundry, or uses a commercial service. That is the costly problem of controling linen consumption and replacement. A recent seminar offers some insight into reasons for the problem and some possible solutions.

EPA Linked Open Data: Substance Registry Service

Data.gov (United States)

U.S. Environmental Protection Agency — Substance Registry Services (SRS) is the Environmental Protection Agency's (EPA) central system for information about substances that are tracked or regulated by EPA...

1800-IJBCS-Article-Richard Ouedraogo

African Journals Online (AJOL)

hp

Conclusion : Il convient de prioriser les mesures préventives et la prise en charge précoce .... Heslop, 2006). Dans notre contexte, la faible accessibilité aux services de santé spécialisés, pourrait expliquer en partie l'importance de cette incidence. En effet, la ... contrefaçon « médicaments de la rue », se sont révélées peu ...

Case report

African Journals Online (AJOL)

abp

5 sept. 2013 ... uricémie; le reste du bilan était normal, notamment le MMS >23. Le. NIHSS n'était pas de pratique courante dans le service. La prise en charge de J S a consisté en un traitement de l'hypertension artérielle par nifédipine 20 mg/jour, un traitement antiagrégant plaquettaire par acide salicylique 250 mg/jour ...

Ndos: nuclear data online services

International Nuclear Information System (INIS)

Fan, T.S.; Guo, Z.Y.; Ye, W.G.; Liu, W.L.; Feng, Y.Q.; Song, X.X.; Huang, G.; Liu, T.J.; Hong, Y.J.; Liu, C.; Chen, J.X.; Tang, G.Y.; Shi, Z.M.; Huang, X.L.; Chen, J.E.

2004-01-01

A Nuclear Data Online Services, Ndos software, has been developed to extract and present nuclear data from various available libraries. Using relational databases the present web-based software offers online data services of a centralized repository of data including eight major international nuclear data libraries for nuclear reaction data, nuclear structure and decay data. A data plotting software package, NDVS (Nuclear Data Viewing Software), which is included in NDOS, facilitates the visualization and manipulation of nuclear data. The NDOS is developed on the Linux implementation of PHP and the MySQL software. The relational nuclear databases and data services are platform independent in a wide sense

Ndos: nuclear data online services

Energy Technology Data Exchange (ETDEWEB)

Fan, T.S. E-mail: tsfan@nst.pku.edu.cn; Guo, Z.Y.; Ye, W.G.; Liu, W.L.; Feng, Y.Q.; Song, X.X.; Huang, G.; Liu, T.J.; Hong, Y.J.; Liu, C.; Chen, J.X.; Tang, G.Y.; Shi, Z.M.; Huang, X.L.; Chen, J.E

2004-07-01

A Nuclear Data Online Services, Ndos software, has been developed to extract and present nuclear data from various available libraries. Using relational databases the present web-based software offers online data services of a centralized repository of data including eight major international nuclear data libraries for nuclear reaction data, nuclear structure and decay data. A data plotting software package, NDVS (Nuclear Data Viewing Software), which is included in NDOS, facilitates the visualization and manipulation of nuclear data. The NDOS is developed on the Linux implementation of PHP and the MySQL software. The relational nuclear databases and data services are platform independent in a wide sense.

75 FR 12768 - Peripheral and Central Nervous System Drugs Advisory Committee; Notice of Meeting

Science.gov (United States)

2010-03-17

... DEPARTMENT OF HEALTH AND HUMAN SERVICES Food and Drug Administration [Docket No. FDA-2010-N-0001] Peripheral and Central Nervous System Drugs Advisory Committee; Notice of Meeting AGENCY: Food and Drug...: Peripheral and Central Nervous System Drugs Advisory Committee. General Function of the Committee: To provide...

78 FR 20328 - Peripheral and Central Nervous System Drugs Advisory Committee; Notice of Meeting

Science.gov (United States)

2013-04-04

... DEPARTMENT OF HEALTH AND HUMAN SERVICES Food and Drug Administration [Docket No. FDA-2013-N-0001] Peripheral and Central Nervous System Drugs Advisory Committee; Notice of Meeting AGENCY: Food and Drug...: Peripheral and Central Nervous System Drugs Advisory Committee. General Function of the Committee: To provide...

78 FR 63478 - Peripheral and Central Nervous System Drugs Advisory Committee; Notice of Meeting

Science.gov (United States)

2013-10-24

... DEPARTMENT OF HEALTH AND HUMAN SERVICES Food and Drug Administration [Docket No. FDA-2013-N-0001] Peripheral and Central Nervous System Drugs Advisory Committee; Notice of Meeting AGENCY: Food and Drug...: Peripheral and Central Nervous System Drugs Advisory Committee. General Function of the Committee: To provide...

75 FR 36428 - Peripheral and Central Nervous System Drugs Advisory Committee; Notice of Meeting

Science.gov (United States)

2010-06-25

... DEPARTMENT OF HEALTH AND HUMAN SERVICES Food and Drug Administration [Docket No. FDA-2010-N-0001] Peripheral and Central Nervous System Drugs Advisory Committee; Notice of Meeting AGENCY: Food and Drug...: Peripheral and Central Nervous System Drugs Advisory Committee. General Function of the Committee: To provide...

77 FR 20037 - Peripheral and Central Nervous System Drugs Advisory Committee; Notice of Meeting

Science.gov (United States)

2012-04-03

... DEPARTMENT OF HEALTH AND HUMAN SERVICES Food and Drug Administration [Docket No. FDA-2012-N-0001] Peripheral and Central Nervous System Drugs Advisory Committee; Notice of Meeting AGENCY: Food and Drug...: Peripheral and Central Nervous System Drugs Advisory Committee. General Function of the Committee: To provide...

76 FR 3912 - Peripheral and Central Nervous System Drugs Advisory Committee; Notice of Meeting

Science.gov (United States)

2011-01-21

... DEPARTMENT OF HEALTH AND HUMAN SERVICES Food and Drug Administration [Docket No. FDA-2011-N-0002] Peripheral and Central Nervous System Drugs Advisory Committee; Notice of Meeting AGENCY: Food and Drug...: Peripheral and Central Nervous System Drugs Advisory Committee. General Function of the Committee: To provide...

75 FR 17417 - Peripheral and Central Nervous System Drugs Advisory Committee; Notice of Meeting

Science.gov (United States)

2010-04-06

... DEPARTMENT OF HEALTH AND HUMAN SERVICES Food and Drug Administration [Docket No. FDA-2010-N-0001] Peripheral and Central Nervous System Drugs Advisory Committee; Notice of Meeting AGENCY: Food and Drug...: Peripheral and Central Nervous System Drugs Advisory Committee. General Function of the Committee: To provide...

78 FR 63481 - Peripheral and Central Nervous System Drugs Advisory Committee; Notice of Meeting

Science.gov (United States)

2013-10-24

... DEPARTMENT OF HEALTH AND HUMAN SERVICES Food and Drug Administration [Docket No. FDA-2013-N-0001] Peripheral and Central Nervous System Drugs Advisory Committee; Notice of Meeting AGENCY: Food and Drug...: Peripheral and Central Nervous System Drugs Advisory Committee. General Function of the Committee: To provide...

prise en charge des complications de la chirurgie partielle du larynx

African Journals Online (AJOL)

... type de la chirurgie partielle pratiquée et du type d'antibiothérapie utilisée. ... S. Touati, S. Gritli. Service d'ORL et de chirurgie cervico-faciale Institut Salah Azaiez .... tée par corticothérapie et une photo coagulation au laser. CO2. Aussi, un ...

Locational Strategies of International Hotel Corporations in Eastern Central Europe

OpenAIRE

Johnson, Colin; Dembinski, Paul; Vanetti, Maurizio

2004-01-01

This study investigated expansion strategies of international hotel operators in Eastern Central Europe. Due to the growing importance of services in economic development, there is an impressive body of knowledge on the process of internationalization and service industries. The last comprehensive academic study on internationalization and the hotel industry was undertaken at the beginning of the 1990’s, however, and we believed that with the major changes impacting upon the industry due to t...

A methodological comparison of customer service analysis techniques

Science.gov (United States)

James Absher; Alan Graefe; Robert Burns

2003-01-01

Techniques used to analyze customer service data need to be studied. Two primary analysis protocols, importance-performance analysis (IP) and gap score analysis (GA), are compared in a side-by-side comparison using data from two major customer service research projects. A central concern is what, if any, conclusion might be different due solely to the analysis...

Assessment of health services for people who use drugs in Central Asia: findings of a quantitative survey in Kazakhstan and Kyrgyzstan.

Science.gov (United States)

Rosenkranz, Moritz; Kerimi, Nina; Takenova, Madina; Impinen, Antti; Mamyrov, Mirlan; Degkwitz, Peter; Zurhold, Heike; Martens, Marcus-Sebastian

2016-01-27

In Central Asia, there is a need to update information about the situation of people who use (opioid) drugs (PWUD), especially regarding their access to and utilization of health care services. The aim of the study was to gather information about two different groups of drug users in Kazakhstan and Kyrgyzstan. In 2013, two groups of PWUD were recruited in Kazakhstan and in Kyrgyzstan in order to gather quantitative data via interviewer-administered questionnaires. PWUD registered with the Narcological Register were allocated to group A while non-registered PWUD were allocated to group B. Interviews were conducted in the office of the Narcological Register as well as in low-threshold facilities. Participants reported about their drug use patterns, health status, and utilization of health services as well as barriers to utilization. The sample consisted of N = 600 PWUD (301 registered and 299 non-registered PWUD) from Kazakhstan and N = 900 PWUD (450 registered and 450 non-registered PWUD) from Kyrgyzstan. Both groups-registered (group A) and non-registered (group B)-consisted of mainly male long-term intravenous opioid users. We found high rates of current (last 30 days) opioid use (group A up to 70%; group B up to 84%). Most PWUD were burdened with poor physical and mental health. The prevalence of infectious diseases added up to 19% (group A) or 13% (group B) regarding HIV, 56% (group A) or 30% (group B) regarding HCV, and 24% (group A) or 20% (group B) regarding tuberculosis. Registered and non-registered PWUD reported high rates (95 or 82%) of lifetime use of health services for PWUD. Drug-related services were utilized less often, especially among the non-registered PWUD (13%). The most important barriers preventing PWUD from accessing services were the belief not to need treatment, doubts about the effectiveness of treatment, mistrust of treatment regime/staff, and fear of being registered with the Narcological Register (mainly group B). Results show

Introduction to the LaRC central scientific computing complex

Science.gov (United States)

Shoosmith, John N.

1993-01-01

The computers and associated equipment that make up the Central Scientific Computing Complex of the Langley Research Center are briefly described. The electronic networks that provide access to the various components of the complex and a number of areas that can be used by Langley and contractors staff for special applications (scientific visualization, image processing, software engineering, and grid generation) are also described. Flight simulation facilities that use the central computers are described. Management of the complex, procedures for its use, and available services and resources are discussed. This document is intended for new users of the complex, for current users who wish to keep appraised of changes, and for visitors who need to understand the role of central scientific computers at Langley.

Assessment of the potential consequences of a large primary to secondary leakage accident. Final report

International Nuclear Information System (INIS)

D'Auria, F.S.; Sartmadjiev, A.; Spalj, S.; Macek, J.; Kantee, H.; Elter, J.; Kostka, P.; Bukin, N.; Alexandrov, A.G.; Kristof, M.; Kvizda, B.; Matejovic, P.; Makihara, Y.

2006-01-01

The present paper discusses one of the IAEA's Coordinated Research Projects (CRPs). The CRP was started in 2003 to evaluate complex phenomena of primary to secondary leakage (PRISE) accidents for WWER-440 reactors. The first Research Coordination Meeting (RCM), held in March 2003, identified the possible consequences of PRISE accidents (radioactive release to the atmosphere, pressurized thermal shock, boron dilution, loss of integrity of secondary systems and severe accidents) and designated six task groups to evaluate these, as well as uncertainties associated with PRISE analyses. The second RCM, held in March 2004, discussed the preliminary results of each task group and addressed the main safety concerns related to PRISE phenomena as well as providing recommendations on modelling for PRISE analyses and on operator actions. The third RCM, held in March 2005, discussed the results of the work performed in 2004. The CRP was concluded in 2005. Publication of the final results of the CRP is planned as an IAEA TECDOC. The paper provides a review of the final results of the project. (author)

New applications for the EUTELTRACS service

Science.gov (United States)

Colcy, Jean-Noel; Vanderbrouck, Laurent

1995-01-01

The EUTELTRACS two-way Mobile Satellite Messaging and Automatic Satellite Position Reporting (ASPR) service is Europe's first commercially operated Mobile Satellite Service. It was introduced by the European Telecommunications Satellite Organization (EUTELSAT) for commercial service in 1991. The system is based on a centralized network architecture organized around a single hub station operated by EUTELSAT. Initially the system was designed with a close user group architecture enabling a mobile user to communicate exclusively with its own headquarters. This paper describes the new applications (design and tests prior to their introduction into service) especially developed for the European market and particularly the Double Hop Services opening the system to authorized external entities. In addition, the European Commission (EC) pilot demonstrations in which the EUTELTRACS system is involved are described.

Balance between automation and human actions in nuclear power plant operation. Results of international cooperation; Equilibre entre automatisation et action humaine dans la conduite des centrale nucleaires, resultats de la cooperation internationale

Energy Technology Data Exchange (ETDEWEB)

Sun, B [CEA Centre d' Etudes Nucleaires de Fontenay-aux-Roses, 92 (France). Dept. d' Analyse de Surete; Bastl, W [Gesellschaft fuer Reaktorsicherheit m.b.H. (GRS), Garching (Germany); Olmstead, R [Atomic Energy of Canada Ltd, Mississauga (Canada); Oudiz, A [Electric Power Research Inst., Palo Alto, CA (United States); Jenkinson, J [Nuclear Electric PLC, Gloucester (United Kingdom); Kossilov, A [International Atomic Energy Agency, Vienna (Austria)

1990-07-01

'est portee sur le concept de reacteurs 'intrinsequement surs', ce qui pourrait simplifier les equipements de securite, et reduire la complexite des systemes d'information et de controle. La repartition des taches entre homme et machine pourrait bien etre l'une des etapes les plus critiques dans la conception d'une centrale nucleaire et l'un des progres les plus sensibles; de ce fait, elle garantit une approche dans la conception qui est commensurable en qualite avec les hauts niveaux de securite et de qualite de production recherches pour les centrales nucleaires. C'est dans ce climat que l'Agence Internationale pour l'Energie Atomique (AIEA) a constitue en 1989 un groupe de recherche auquel participent les pays membres, lequel groupe possede une experience etendue dans le domaine de l'automatisation des centrales nucleaires. La tache de ce groupe etait d'evaluer ou se situait le juste equilibre entre actions manuelles et automatiques dans la conduite des centrales. Se basant sur des recherches anterieures et sur l'experience de ses membres, le groupe a determine que toute solution unique, totalement deterministe, au probleme de la repartition des taches est impossible. Cependant, dans la mesure ou le role de l'operateur est appele progressivement a se transformer, avec le temps, en un role de gestionnaire du systeme, il est imperatif qu'une procedure systematique de repartition des taches soit utilisee par l'equipe chargee de la conception. Le groupe a propose une methodologie qui s'appuie sur des travaux deja publies, mais il adopte une approche pragmatique, adaptee aux besoins reels des projets. Cette methodologie caracterise un certain nombre de facteurs qui relevent des processus de prise de decision, guide une telle prise de decision, et identifie les secteurs dont il considere qu'ils doivent devenir l'objet de recherches ulterieures. (author)

Assessing Child Welfare Outcomes in Central and Eastern Europe.

Science.gov (United States)

Herczog, Maria

1998-01-01

Discusses the need to examine effectiveness of services to children and families in central and eastern Europe, focusing on programs in Hungary. Notes that financial considerations and differences in objectives have increased the importance of outcomes measurement. Reports that the pilot implementation of "Looking After Children"…

76 FR 78950 - FBI Criminal Justice Information Services Division; Revised User Fee Schedule

Science.gov (United States)

2011-12-20

... amounts for volunteers, as explained at 75 FR 18752, and Centralized Billing Service Providers (CBSPs), as... Information Services Division; Revised User Fee Schedule AGENCY: Federal Bureau of Investigation (FBI.... Enourato, Section Chief, Resources Management Section, Criminal Justice Information Services Division, FBI...

Enterprise interoperability with SOA: a survey of service composition approaches

NARCIS (Netherlands)

Mantovaneli Pessoa, Rodrigo; Goncalves da Silva, Eduardo; van Sinderen, Marten J.; Quartel, Dick; Ferreira Pires, Luis

Service-oriented architecture (SOA) claims to facilitate the construction of flexible and loosely coupled business applications, and therefore is seen as an enabling factor for enterprise interoperability. The concept of service, which is central to SOA, is very convenient to address the matching of

PLANNING NATIONAL RADIOTHERAPY SERVICES

Directory of Open Access Journals (Sweden)

Eduardo eRosenblatt

2014-11-01

Full Text Available Countries, states and island nations often need forward planning of their radiotherapy services driven by different motives. Countries without radiotherapy services sponsor patients to receive radiotherapy abroad. They often engage professionals for a feasibility study in order to establish whether it would be more cost-beneficial to establish a radiotherapy facility. Countries where radiotherapy services have developed without any central planning, find themselves in situations where many of the available centres are private and thus inaccessible for a majority of patients with limited resources. Government may decide to plan ahead when a significant exodus of cancer patients travel to another country for treatment, thus exposing the failure of the country to provide this medical service for its citizens. In developed countries the trigger has been the existence of highly visible waiting lists for radiotherapy revealing a shortage of radiotherapy equipment.This paper suggests that there should be a systematic and comprehensive process of long-term planning of radiotherapy services at the national level, taking into account the regulatory infrastructure for radiation protection, planning of centres, equipment, staff, education pr

Willingness to pay for publicly financed health care services in Central and Eastern Europe: evidence from six countries based on a contingent valuation method.

Science.gov (United States)

Tambor, Marzena; Pavlova, Milena; Rechel, Bernd; Golinowska, Stanisława; Sowada, Christoph; Groot, Wim

2014-09-01

The increased interest in patient cost-sharing as a measure for sustainable health care financing calls for evidence to support the development of effective patient payment policies. In this paper, we present an application of a stated willingness-to-pay technique, i.e. contingent valuation method, to investigate the consumer's willingness and ability to pay for publicly financed health care services, specifically hospitalisations and consultations with specialists. Contingent valuation data were collected in nationally representative population-based surveys conducted in 2010 in six Central and Eastern European (CEE) countries (Bulgaria, Hungary, Lithuania, Poland, Romania and Ukraine) using an identical survey methodology. The results indicate that the majority of health care consumers in the six CEE countries are willing to pay an official fee for publicly financed health care services that are of good quality and quick access. The consumers' willingness to pay is limited by the lack of financial ability to pay for services, and to a lesser extent by objection to pay. Significant differences across the six countries are observed, though. The results illustrate that the contingent valuation method can provide decision-makers with a broad range of information to facilitate cost-sharing policies. Nevertheless, the intrinsic limitations of the method (i.e. its hypothetical nature) and the context of CEE countries call for caution when applying its results. Copyright © 2014 Elsevier Ltd. All rights reserved.

Les corps étrangers de l'oesophage : place de l'endoscopie au tube ...

African Journals Online (AJOL)

Objectif : Déterminer la place de l'endoscopie au tube rigide dans la prise en charge des CEO. Méthodologie : Il s'agit d'une étude prospective menée chez des patients reçus pour corps étrangers de l'oesophage et qui ont été pris en charge dans le service ; du 1er janvier 2004 au 31 décembre 2008 .78 patients ont été ...

Les accidents aux AVK: étude rétrospective à propos de 30 cas ...

African Journals Online (AJOL)

Le but de cette étude est de ressortir les caractéristiques des patients présentant des accidents hémorragiques graves sous AVK et de mettre le point sur la prise en charge. Nous avons réalisé une étude rétrospective portant sur 30 malades, réalisée au service de réanimation de l'hôpital militaire Avicenne de Marrakech.

Reciprocal Exchange: Understanding the Community Partner Perspective in Higher Education Service-Learning

Science.gov (United States)

Petri, Alexis Nicolle

2012-01-01

This study investigates service-learning from the community partners' perspective, especially in terms of reciprocity. As a central construct in the theory of service-learning, reciprocity for community partners is virtually unknown. Little scholarship exists that explains or explores the benefits and opportunity costs of service-learning. One…

Le domaine des co-infections et des maladies concomitantes du Réseau canadien pour les essais VIH des IRSC : lignes directrices canadiennes pour la prise en charge et le traitement de la co-infection par le VIH et l’hépatite C chez les adultes

Science.gov (United States)

Hull, Mark; Giguère, Pierre; Klein, Marina; Shafran, Stephen; Tseng, Alice; Côté, Pierre; Poliquin, Marc; Cooper, Curtis

2014-01-01

HISTORIQUE : De 20 % à 30 % des Canadiens qui vivent avec le VIH sont co-infectés par le virus de l’hépatite C (VHC), lequel est responsable d’une morbidité et d’une mortalité importantes. La prise en charge du VIH et du VHC est plus complexe en raison de l’évolution accélérée de la maladie hépatique, du choix et des critères d’initiation de la thérapie antirétrovirale et du traitement anti-VHC, de la prise en charge de la santé mentale et des toxicomanies, des obstacles socioéconomiques et des interactions entre les nouvelles thérapies antivirales à action directe du VHC et les antirétroviraux OBJECTIF : Élaborer des normes nationales de prise en charge des adultes co-infectés par le VHC et le VIH dans le contexte canadien. MÉTHODOLOGIE : Le Réseau canadien pour les essais VIH des Instituts de recherche en santé du Canada a réuni un groupe d’experts possédant des compétences cliniques en co-infection par le VIH et le VHC pour réviser les publications à jour ainsi que les lignes directrices et les protocoles en place. Après une vaste sollicitation afin d’obtenir des points de vue, le groupe de travail a approuvé des recommandations consensuelles, qu’il a caractérisées au moyen d’une échelle de qualité des preuves fondée sur la classe (bienfaits par rapport aux préjudices) et sur la catégorie (degré de certitude). RÉSULTATS : Toutes les personnes co-infectées par le VIH et le VHC devraient subir une évaluation en vue de recevoir un traitement du VHC. Les personnes qui ne sont pas en mesure d’entreprendre un traitement du VHC devraient être soignées pour le VIH afin de ralentir l’évolution de la maladie hépatique. La norme de traitement du VHC de génotype 1 est un régime comprenant de l’interféron pégylé et de la ribavirine dosée en fonction du poids, associés à un inhibiteur de la protéase du VHC. Pour les génotypes 2 ou 3, une bithérapie classique est recommandée pendant 24 semaines s�

Understanding the Adolescent Gap in HIV Testing Among Clients of Antenatal Care Services in West and Central African Countries.

Science.gov (United States)

Helleringer, Stephane

2017-09-01

New HIV infections among children have declined significantly more slowly in West and central African countries (WCA) than in eastern and southern African countries between 2009 and 2015. Since adolescent fertility is particularly high in WCA countries, frequent mother-to-child transmission (MTCT) of HIV may in part be due to low coverage of HIV testing among adolescents during antenatal care (ANC). We investigated this adolescent gap in HIV testing using survey data from the demographic and health surveys and multiple indicators cluster surveys collected in 21 WCA countries since 2009. We found significant adolescent gaps in HIV testing in 12 out of 21 WCA countries, with the largest gap observed in Nigeria. In countries with a significant adolescent gap in HIV testing, we used Fairlie decompositions to assess what proportion of these gaps were explained by age-related differences in the distribution of (a) marital status, (b) socioeconomic status (SES), (c) MTCT-related knowledge, and (d) patterns of ANC utilization. Differences in SES and MTCT-related knowledge were the most consistent determinants of adolescent gaps in HIV testing during ANC. Differences in ANC utilization (e.g., fewer and possibly delayed ANC visits) also contributed to the adolescent gap in 8 out of 12 countries. Interventions that improve knowledge of MTCT risks, and/or promote the sustained use of ANC services, could help engage HIV-infected adolescents who become pregnant in PMTCT services. Targeting these interventions at the most disadvantaged households will be crucial in further reducing HIV infections among children.

Impact of water management interventions on hydrology and ecosystem services in Garhkundar-Dabar watershed of Bundelkhand region, Central India

Science.gov (United States)

Singh, Ramesh; Garg, Kaushal K.; Wani, Suhas P.; Tewari, R. K.; Dhyani, S. K.

2014-02-01

Bundelkhand region of Central India is a hot spot of water scarcity, land degradation, poverty and poor socio-economic status. Impacts of integrated watershed development (IWD) interventions on water balance and different ecosystem services are analyzed in one of the selected watershed of 850 ha in Bundelkhand region. Improved soil, water and crop management interventions in Garhkundar-Dabar (GKD) watershed of Bundelkhand region in India enhanced ET to 64% as compared to 58% in untreated (control) watershed receiving 815 mm annual average rainfall. Reduced storm flow (21% vs. 34%) along with increased base flow (4.5% vs. 1.2%) and groundwater recharge (11% vs. 7%) of total rainfall received were recorded in treated watershed as compared to untreated control watershed. Economic Water productivity and total income increased from 2.5 to 5.0 INR m-3 and 11,500 to 27,500 INR ha-1 yr-1 after implementing integrated watershed development interventions in GKD watershed, respectively. Moreover IWD interventions helped in reducing soil loss more than 50% compared to control watershed. The results demonstrated that integrated watershed management practices addressed issues of poverty in GKD watershed. Benefit to cost ratio of project interventions was found three and pay back period within four years suggest economic feasibility to scale-up IWD interventions in Bundelkhend region. Scaling-up of integrated watershed management in drought prone rainfed areas with enabling policy and institutional support is expected to promote equity and livelihood along with strengthening various ecosystem services, however, region-specific analysis is needed to assess trade-offs for downstream areas along with onsite impact.

Local inpatient units may increase patients’ utilization of outpatient services: a comparative cohort-study in Nordland County, Norway

Science.gov (United States)

Myklebust, Lars Henrik; Sørgaard, Knut; Wynn, Rolf

2015-01-01

Objectives In the last few decades, there has been a restructuring of the psychiatric services in many countries. The complexity of these systems may represent a challenge to patients that suffer from serious psychiatric disorders. We examined whether local integration of inpatient and outpatient services in contrast to centralized institutions strengthened continuity of care. Methods Two different service-systems were compared. Service-utilization over a 4-year period for 690 inpatients was extracted from the patient registries. The results were controlled for demographic variables, model of service-system, central inpatient admission or local inpatient admission, diagnoses, and duration of inpatient stays. Results The majority of inpatients in the area with local integration of inpatient and outpatient services used both types of care. In the area that did not have beds locally, many patients that had been hospitalized did not receive outpatient follow-up. Predictors of inpatients’ use of outpatient psychiatric care were: Model of service-system (centralized vs decentralized), a diagnosis of affective disorder, central inpatient admission only, and duration of inpatient stays. Conclusion Psychiatric centers with local inpatient units may positively affect continuity of care for patients with severe psychiatric disorders, probably because of a high functional integration of inpatient and outpatient care. PMID:26604843

Local inpatient units may increase patients' utilization of outpatient services: a comparative cohort-study in Nordland County, Norway.

Science.gov (United States)

Myklebust, Lars Henrik; Sørgaard, Knut; Wynn, Rolf

2015-01-01

In the last few decades, there has been a restructuring of the psychiatric services in many countries. The complexity of these systems may represent a challenge to patients that suffer from serious psychiatric disorders. We examined whether local integration of inpatient and outpatient services in contrast to centralized institutions strengthened continuity of care. Two different service-systems were compared. Service-utilization over a 4-year period for 690 inpatients was extracted from the patient registries. The results were controlled for demographic variables, model of service-system, central inpatient admission or local inpatient admission, diagnoses, and duration of inpatient stays. The majority of inpatients in the area with local integration of inpatient and outpatient services used both types of care. In the area that did not have beds locally, many patients that had been hospitalized did not receive outpatient follow-up. Predictors of inpatients' use of outpatient psychiatric care were: Model of service-system (centralized vs decentralized), a diagnosis of affective disorder, central inpatient admission only, and duration of inpatient stays. Psychiatric centers with local inpatient units may positively affect continuity of care for patients with severe psychiatric disorders, probably because of a high functional integration of inpatient and outpatient care.

Decentralization and centralization in a federal system: the case of democratic Brazil

Directory of Open Access Journals (Sweden)

Maria Hermínia Tavares de Almeida

2006-01-01

Full Text Available This paper discusses the contradictory impulses towards decentralization and centralization in Brazil during the 1990s and early 2000s. After discussing the analytical issues related to the specific nature of decentralization in federal systems, the paper examines two sets of policy issues: those regulating the fiscal relations between national and sub-national governments and those redefining responsibilities for social services provision (basic education, health care, social assistance. Against conventional academic wisdom, it sustains that although there has been some re-centralization of fiscal decisions and of targeted income transfer programs, a clear re-centralization tendency cannot be siad to exist. Decentralization and centralization trends coexist propelled by different forces, with different motives and different outcomes.

77 FR 47918 - Chicago Central and Pacific Railroad Company-Abandonment Exemption-in Cook County, IL

Science.gov (United States)

2012-08-10

... Central and Pacific Railroad Company--Abandonment Exemption--in Cook County, IL Chicago Central and... North Riverside, Cook County, Ill. The line traverses United States Postal Service Zip Codes 60546 and... system. A copy of any petition filed with the Board should be sent to CCP's representative: Thomas J...

Driving up Standards: Civil Service Management and Decentralization: Case Study of Uganda

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Lazarus Nabaho

2012-12-01

Full Text Available There is a consensus that decentralization by devolution leads to improved service delivery, but debate on the appropriate type of personnel arrangements for delivering decentralized services is far from over. Put differently, the discourse on whether civil service management should be decentralized or devolved still rages on. Little wonder that countries which started off with decentralized civil service management models in the 1990s are currently centralizing some aspects of personnel management while others are having centralized and decentralized personnel arrangements operating side by side in sub-national governments. The paper argues that civil service management should be decentralized whenever a country chooses the path of decentralization by devolution. Using Uganda’s example, the paper highlights two major challenges of managing the civil service under separate personnel arrangements: civil service appointments devoid of merit, and the perennial failure to attract and retain qualified human resource. The paper presents proposals on how to ensure meritocracy in appointments and how to bolster attraction and retention of human capital in local governments.

THE IMPLICATIONS OF THE IMPROVEMENT OF MARKETING ACTIVITY ON THE PERFORMANCE OF CENTRAL UNIVERSITY LIBRARY IN BUCHAREST

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Ruxandra Irina POPESCU

2010-01-01

Full Text Available After a prolonged and complex process of reconstruction, extension and modernization, Central University Library "Carol I" in Bucharest has re-opened to public access in November 2001, bringing a new concept on what library services should mean. Under these auspicious circumstances, the library's offer has widened, the quality of services offered has improved, gradually displaying an interest in developing a closer relationship with its customers. The necessity of being more oriented to the marketing tools and techniques has become more apparent. Therefore, the top managers of the Central University Library have included in their three general development strategies produced so far, specific objectives, such as: an increase of the volume of paid serviced provided, promoting the services and work elaborated by its specialists through leaflets, presentations, albums, folders with press extracts. Beyond these actions with positive effects, the efforts of Central University Library for strengthening its position on the market of the providers of information services are diminished by the various malfunctions that characterize the marketing activity of this institution. Therefore, this work intends to contribute to the improvement of the marketing activity of the library by coming up with some solutions that could remove or at least diminish these weak points.

The cost of antiretroviral treatment service for patients with HIV/AIDS in a central outpatient clinic in Vietnam

Directory of Open Access Journals (Sweden)

Nguyen LT

2014-02-01

Full Text Available Long Thanh Nguyen,1 Bach Xuan Tran,2 Cuong Tuan Tran,1 Huong Thi Le,1 Son Van Tran1 1Authority of HIV/AIDS Control, Ministry of Health, Hanoi, Vietnam; 2Institute for Preventive Medicine and Public Health, Hanoi Medical University, Hanoi, Vietnam Introduction: Antiretroviral treatment (ART services are estimated to account for 30% of the total resources needed for human immunodeficiency virus (HIV/acquired immunodeficiency syndrome (AIDS control and prevention in Vietnam during the 2011–2020 timeframe. With international funding decreasing, determining the total cost of HIV/AIDS treatment is necessary in order to develop a master plan for the transition of ART services delivery and management. We analyzed the costs of HIV/AIDS treatment paid by both HIV programs and patients in a central outpatient clinic, and we explored factors associated with the capacity of patients to pay for this service. Methods: Patients (n=315 receiving ART in the Department of Infectious Diseases at Bach Mai Hospital, Hanoi, Vietnam, were interviewed. Patient records and expenses were reviewed. Results: The total cost of ART per patient was US$611 (75% from health care providers, 25% from patients or their families. The cost of a second-line regimen was found to be 2.7 times higher than the first-line regimen cost. Most outpatients (73.3% were able to completely pay for all of their ART expenses. Capacity to pay for ART was influenced by five factors, including marital status, distance from house to clinic, patient's monthly income, household economic condition, and health insurance status. Most of the patients (84.8% would have been willing to pay for health insurance if a copayment scheme for ART were to be introduced. Conclusion: This study provides evidence on payment capacity of HIV/AIDS patients in Vietnam and supplies information on ART costs from both provider and patient perspectives. In particular, results from this study suggest that earlier access to ART

Variability of Compet itive Factors in Air Transportation and Improving Customer Satisfaction with Service Innovation: A New "Mile + Time Score" Application

Directory of Open Access Journals (Sweden)

Süleyman Can Yıldırır

2015-03-01

Full Text Available As in all the world, airlines transportation in our country is increasing every day. Rapid transport, reasonable price and high quality service is the reaso n for this increase. Both local and foreign airline companies have accelerated their activities as result of this rapid growth in air transportation sector. Over the time, these enterprises reached a level to go head to head with each other about the quality, price, transport network and they have begun to use similar applications as element of competition. The aim of this study is; to determinate the factors that influence to the customer’s preferences about airline companies and to be a source for enter prises to increase customer satisfaction. For this reason, in addition to “bonus miles” application which is used of almost all airline companies, example of “miles+time score” application was made and evaluated the impact of eliminating in terms of custom er victimization. As a result of the survey applied to 444 people; it is also identified that the impact of the “miles + time” application at the preferences of customers as well as positive and negative factors affecting the enterprises of preferences.

Decentralized Services Orchestration Using Intelligent Mobile Agents with Deadline Restrictions

OpenAIRE

Magalhães , Alex; Lung , Lau Cheuk; Rech , Luciana

2010-01-01

International audience; The necessity for better performance drives service orchestration towards decentralization. There is a recent approach where the integrator - that traditionally centralizes all corporative services and business logics - remains as a repository of interface services, but now lacks to know all business logics and business workflows. There are several techniques using this recent approach, including hybrid solutions, peer-to-peer solutions and trigger-based mechanisms. A ...

Integration of leprosy services into the General Health Service in Sri Lanka: overcoming challenges to implementation in a remote district.

Science.gov (United States)

Wijesinghe, Thushanthi S; Wijesinghe, Pushpa Ranjan

2013-01-01

Sri Lanka took a policy decision to integrate leprosy services into the general health services (GHS) in 1999. This paper aims to summarize the emergence of new, specific challenges and how they were overcome during the integration of leprosy services to the GHS in a remote, leprosy endemic district in Sri Lanka. In this article, the regional epidemiologist as the team leader describes the principles used for transition to an effective integrated model of leprosy services from a centralized leprosy control model in the district. In addition, rationale for integration is viewed from the epidemiological and operational perspectives. National and district leprosy epidemiological data from secondary sources are also reviewed for corroborating the effectiveness of integration. Challenges surfaced were mainly related to the transfer of ownership of the programme, selection of appropriate service providing institutions easily accessible to clients, sustainability of leprosy services at the GHS, ensuring participation of all stakeholders in capacity building programmes and co-ordination of patient care in the absence of a dermatologist in the district. An empowered district team leader with specified roles and responsibilities, his sound technical and managerial know how and ability to translate 'team work' concept to practice were found to be essential for successful implementation of integration. Decision-making powers at the district level and flexibility to introduce new, area-specific changes to the centrally prepared core activities of integration were also vital to overcome locally surfaced challenges.

Public Service Motivation

Directory of Open Access Journals (Sweden)

Raluca-Marilena Mihalcioiu

2011-05-01

Full Text Available Public Service Motivation concept was developed in North America and focuses on specific motivations of public servants, such as employee satisfaction, organizational commitment, reward preferences, organizational and individual performance. Other types of motivation, as financial consideration, are relevant but have less important influences with regard to this kind of work outcomes. This strengthen the assertion for a diversified motivational strategy, which affect various types of motivation, while not losing sight of the public value that one organization shows and therefore valuing public service motivation as a specific contribution to work outcomes. The concept has been increasingly applied in European public administration. This paper presents Status Quo of international Public Service Motivation research and locates in them empirical evidences from contries that are already working with this concept, like Austria. It also analyses implications for central questions of public management. The main focus of this article is general appropriateness and possible applications for Romanian public management research.

DECENTRALIZED SOCIAL NETWORK SERVICE USING THE WEB HOSTING SERVER FOR PRIVACY PRESERVATION

Directory of Open Access Journals (Sweden)

Yoonho Nam

2013-10-01

Full Text Available In recent years, the number of subscribers of the social network services such as Facebook and Twitter has increased rapidly. In accordance with the increasing popularity of social network services, concerns about user privacy are also growing. Existing social network services have a centralized structure that a service provider collects all the user’s profile and logs until the end of the connection. The information collected typically useful for commercial purposes, but may lead to a serious user privacy violation. The user’s profile can be compromised for malicious purposes, and even may be a tool of surveillance extremely. In this paper, we remove a centralized structure to prevent the service provider from collecting all users’ information indiscriminately, and present a decentralized structure using the web hosting server. The service provider provides only the service applications to web hosting companies, and the user should select a web hosting company that he trusts. Thus, the user’s information is distributed, and the user’s privacy is guaranteed from the service provider.

Do efforts to standardize, assess and improve the quality of health service provision to adolescents by government-run health services in low and middle income countries, lead to improvements in service-quality and service-utilization by adolescents?

Science.gov (United States)

Chandra-Mouli, Venkatraman; Chatterjee, Subidita; Bose, Krishna

2016-02-06

Researchers and implementers working in adolescent health, and adolescents themselves question whether government-run health services in conservative and resource-constrained settings can be made adolescent friendly. This paper aims to find out what selected low and middle income country (LMIC) governments have set out to do to improve the quality of health service provision to adolescents; whether their efforts led to measurable improvements in quality and to increased health service-utilization by adolescents. We gathered normative guidance and reports from eight LMICs in Asia, Africa, Central and Eastern Europe and the Western Pacific. We analysed national quality standards for adolescent friendly health services, findings from the assessments of the quality of health service provision, and findings on the utilization of health services. Governments of LMICs have set out to improve the accessibility, acceptability, equity, appropriateness and effectiveness of health service provision to adolescents by defining standards and actions to achieve them. Their actions have led to measurable improvements in quality and to increases in health service utilisation by adolescents. With support, government-run health facilities in LMICs can improve the quality of health services and their utilization by adolescents.

Paying Personal Property Transportation Contracts at the Defense Finance and Accounting Service-Indianapolis Center

National Research Council Canada - National Science Library

Bridges, W

1997-01-01

...; procuring those services using Federal Acquisition Regulation (FAR) contracts. It also plans to centralize the payment process at the Defense Finance and Accounting Service-Indianapolis Center (DFAS...

Patient satisfaction regarding eye care services at tertiary hospital of central India

Directory of Open Access Journals (Sweden)

Anand Sudhan

2011-01-01

Study Design : Descriptive study. Materials and Methods : This study was conducted between September 2005 and June 2006. Patients attending the eye clinic of Sadguru Netra Chikitsalaya, Chitrakoot, Madhya Pradesh, India, and admitted as in-patients in this hospital were our study population. Randomly selected patients were interviewed by trained staff. Close-ended questionnaire was used to conduct these structured interviews. Their responses were grouped into one of five categories and evaluated to determine satisfaction for different components of eye care services. Results : Three hundred and twenty persons were interviewed. The satisfaction was of excellent grade among 77 (48.1% patients attending clinic and 156 (97.5% patients who were admitted in the hospital. The participants expressed dissatisfaction for the long waiting period in clinics, poor cleanliness, and insufficient toilet facilities. Those admitted in the hospital felt that food facilities were less than the expected quality. Child-friendly facilities received high satisfaction scores. Conclusion : Although eye care services both in clinics and in the wards were satisfactory according to the end-users, there are scopes for improvement. Patient satisfaction surveys should be encouraged in hospitals for better accountability and also for strengthening the quality of eye care services.

Network-Based Coordination of Civil-Service Training: Lessons from the Case of Estonia

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Metsma Merilin

2017-06-01

Full Text Available The focus of this article is on the coordination of civil-service training in a decentralized civil-service system. The Estonian case is studied. The article investigates network-based coordination, analyzes the power sources of the central coordinator and discusses the opportunities and limitations of creating coherence through network-type cooperation. The article concludes that the key power sources for the central coordinator are financial, human and technical resources paired with knowledge, leadership and commitment. The case study shows that, in a decentralized civil service system, a common understanding on training and development can be fostered by intense collaboration through networks.

Performance of centralized versus decentralized tuberculosis treatment services in Southern Brazil, 2006-2015.

Science.gov (United States)

Scheffer, Mara Cristina; Prim, Rodrigo Ivan; Wildner, Leticia Muraro; Medeiros, Taiane Freitas; Maurici, Rosemeri; Kupek, Emil; Bazzo, Maria Luiza

2018-04-25

Tuberculosis (TB) control programs face the challenges of decreasing incidence, mortality rates, and drug resistance while increasing treatment adherence. The Brazilian TB control program recommended the decentralization of patient care as a strategy for combating the disease. This study evaluated the performance of this policy in an area with high default rates, comparing epidemiological and operational indicators between two similar municipalities. This study analyzed epidemiological and operational indicators on new cases of pulmonary tuberculosis reported in the Brazilian Notifiable Diseases Information System between 2006 and 2015. In addition, to characterize differences between the populations of the two studied municipalities, a prospective cohort study was conducted between 2014 and 2015, in which patients with new cases of culture-confirmed pulmonary tuberculosis were interviewed and monitored until the disease outcome. A descriptive analysis, the chi-square test, and a Poisson regression model were employed to compare TB treatment outcomes and health care indicators between the municipalities. Two thousand three hundred nine cases were evaluated, of which 207 patients were interviewed. Over the 2006-2015 period, TB incidence per 100,000 population in the municipality with decentralized care was significantly higher (39%, 95% CI 27-49%) in comparison to that of the municipality with centralized care. TB treatment default rate (45%, 95% CI 12-90%) was also higher in the municipality with decentralized care. During the two-year follow-up, significant differences were found between patients in centralized care and those in decentralized care regarding treatment success (84.5 vs. 66.1%), treatment default (10.7 vs. 25.8%), illicit drug use (27.7 vs. 45.9%), and homelessness (3.6 vs. 12.9%). The operational indicators revealed that the proportion of control smear tests, medical imaging, and HIV tests were all significantly higher in the centralized care

Reconceptualising Shared Services

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Peter McKinlay

2011-12-01

Full Text Available Endeavours to improve the efficiency and effectiveness of local government have been a persistent theme both of politicians in higher tiers of government and of interest groups, especially business. The two contenders for improvement which receive most coverage both in the research literature and in popular discussion are amalgamation and shared services. Arguments from the literature have generally favoured shared services over amalgamation. Bish (2001 in a comprehensive review of North American research dismisses the argument for amalgamation as a product of flawed nineteenth-century thinking and a bureaucratic urge for centralized control. He does so making the very reasonable point that the presumed economies of scale which will result from amalgamation are a function not of the size and scale of individual local authorities, but of the services for which those local authorities are responsible, and the point at which economies of scale will be optimised will be very different for different services. The case against amalgamation is also reinforced by the absence of any significant post-facto evidence that amalgamation achieves either the promised savings or the anticipated efficiency gains (McKinlay 2006.

Transitions between child and adult mental health services: service design, philosophy and meaning at uncertain times.

Science.gov (United States)

Murcott, W J

2014-09-01

A young person's transition of care from child and adolescent mental health services to adult mental health services can be an uncertain and distressing event that can have serious ramifications for their recovery. Recognition of this across many countries and recent UK media interest in the dangers of mental health services failing young people has led practitioners to question the existing processes. This paper reviews the current theories and research into potential failings of services and encourages exploration for a deeper understanding of when and how care should be managed in the transition process for young people. Mental health nurses can play a vital role in this process and, by adopting the assumptions of this paradigm, look at transition from this unique perspective. By reviewing the current ideas related to age boundaries, service thresholds, service philosophy and service design, it is argued that the importance of the therapeutic relationship, the understanding of the cultural context of the young person and the placing of the young person in a position of autonomy and control should be central to any decision and process of transfer between two mental health services. © 2014 John Wiley & Sons Ltd.

Heating being put into service

CERN Multimedia

2016-01-01

The SMB-SE group would like to inform you that, the central heating will start this year, on Monday 3 October 2016, and will be progressively and depending on the weather forecast put into service throughout. All buildings will have heating within the following few days. Thank you for your understanding. The CERN heating team SMB-SE

Remote controlled ultrasonic pre-service and in-service inspections of reactor pressure vessels

International Nuclear Information System (INIS)

Mueller, G.

1990-01-01

The first mechanised in-service inspection of the reactor pressure vessel on unit one of Eskom's Koeberg nuclear power station has been carried out. Since 1968 a whole range of manipulators to carry out remote controlled ultrasonic inspections of nuclear power station equipment has been developed. The inspection of a reactor pressure vessel using a central mast manipulator is described. 3 figs., 1 ill

Determining habitat potential and surveying for nine rare plant species in south-central Utah

Science.gov (United States)

Deborah J. Clark; Christine M. Groebner

2001-01-01

In south-central Utah, lands within and adjacent to Capitol Reef National Park contain populations of nine rare plant species. In an effort to enhance the combined knowledge about these species, the Bureau of Land Management, the USDA Forest Service, and the National Park Service signed an Interagency Agreement and hired an interagency biologist and field crew to...

Seismic activity of northern and central Switzerland

International Nuclear Information System (INIS)

Deichmann, N.; Ballarin Dolfin, D.; Kastrup, U.

2000-12-01

The present report is part of an ongoing study by the Swiss Seismological Service, that was initiated by Nagra almost 20 years ago. It is devoted to the detailed monitoring of the earthquake activity in northern and central Switzerland. The main objective of this study is to provide information about the locations of active deformation and the state of stress in the Earth's crust and to relate these to the geological features visible at the surface. Originally, this seismotectonic investigation was restricted to the northern part of Switzerland; later it was extended also to the central part. Concerning the seismotectonics of northern Switzerland, this report constitutes a continuation of earlier publications. Here we review the seismic activity and earthquake focal mechanisms of the last 10 years and subsequently derive a comprehensive picture of the deformation and stress in the Earth's crust of northern Switzerland, based on all data available up to the end of 1999. Concerning the seismotectonics of central Switzerland, this publication constitutes the first publicly available report. (author) [de

Geospatial database for regional environmental assessment of central Colorado.

Science.gov (United States)

Church, Stan E.; San Juan, Carma A.; Fey, David L.; Schmidt, Travis S.; Klein, Terry L.; DeWitt, Ed H.; Wanty, Richard B.; Verplanck, Philip L.; Mitchell, Katharine A.; Adams, Monique G.; Choate, LaDonna M.; Todorov, Todor I.; Rockwell, Barnaby W.; McEachron, Luke; Anthony, Michael W.

2012-01-01

In conjunction with the future planning needs of the U.S. Department of Agriculture, Forest Service, the U.S. Geological Survey conducted a detailed environmental assessment of the effects of historical mining on Forest Service lands in central Colorado. Stream sediment, macroinvertebrate, and various filtered and unfiltered water quality samples were collected during low-flow over a four-year period from 2004–2007. This report summarizes the sampling strategy, data collection, and analyses performed on these samples. The data are presented in Geographic Information System, Microsoft Excel, and comma-delimited formats. Reports on data interpretation are being prepared separately.

COMPUTING SERVICES DURING THE ANNUAL CERN SHUTDOWN

CERN Multimedia

2000-01-01

As in previous years, computing services run by IT division will be left running unattended during the annual shutdown. The following points should be noted. No interruptions are scheduled for local and wide area networking and the ACB, e-mail and unix interactive services. Maintenance work is scheduled for the NICE home directory servers and the central Web servers. Users must, therefore, expect service interruptions. Unix batch services will be available but without access to HPSS or to manually mounted tapes. Dedicated Engineering services, general purpose database services and the Helpdesk will be closed during this period. An operator service will be maintained and can be reached at extension 75011 or by email to: computer.operations@cern.ch Users should be aware that, except where there are special arrangements, any major problems that develop during this period will most likely be resolved only after CERN has reopened. In particular, we cannot guarantee backups for Home Directory files for eithe...

Centralized Fabric Management Using Puppet, Git, and GLPI

Science.gov (United States)

Smith, Jason A.; De Stefano, John S., Jr.; Fetzko, John; Hollowell, Christopher; Ito, Hironori; Karasawa, Mizuki; Pryor, James; Rao, Tejas; Strecker-Kellogg, William

2012-12-01

Managing the infrastructure of a large and complex data center can be extremely difficult without taking advantage of recent technological advances in administrative automation. Puppet is a seasoned open-source tool that is designed for enterprise class centralized configuration management. At the RHIC and ATLAS Computing Facility (RACF) at Brookhaven National Laboratory, we use Puppet along with Git, GLPI, and some custom scripts as part of our centralized configuration management system. In this paper, we discuss how we use these tools for centralized configuration management of our servers and services, change management requiring authorized approval of production changes, a complete version controlled history of all changes made, separation of production, testing and development systems using puppet environments, semi-automated server inventory using GLPI, and configuration change monitoring and reporting using the Puppet dashboard. We will also discuss scalability and performance results from using these tools on a 2,000+ node cluster and 400+ infrastructure servers with an administrative staff of approximately 25 full-time employees (FTEs).

Centralized Fabric Management Using Puppet, Git, and GLPI

International Nuclear Information System (INIS)

Smith, Jason A; De Stefano, John S Jr; Fetzko, John; Hollowell, Christopher; Ito, Hironori; Karasawa, Mizuki; Pryor, James; Rao, Tejas; Strecker-Kellogg, William

2012-01-01

Managing the infrastructure of a large and complex data center can be extremely difficult without taking advantage of recent technological advances in administrative automation. Puppet is a seasoned open-source tool that is designed for enterprise class centralized configuration management. At the RHIC and ATLAS Computing Facility (RACF) at Brookhaven National Laboratory, we use Puppet along with Git, GLPI, and some custom scripts as part of our centralized configuration management system. In this paper, we discuss how we use these tools for centralized configuration management of our servers and services, change management requiring authorized approval of production changes, a complete version controlled history of all changes made, separation of production, testing and development systems using puppet environments, semi-automated server inventory using GLPI, and configuration change monitoring and reporting using the Puppet dashboard. We will also discuss scalability and performance results from using these tools on a 2,000+ node cluster and 400+ infrastructure servers with an administrative staff of approximately 25 full-time employees (FTEs).

Specialty-service lines: salvos in the new medical arms race.

Science.gov (United States)

Berenson, Robert A; Bodenheimer, Thomas; Pham, Hoangmai H

2006-01-01

Hospitals and physicians are developing and marketing discrete and profitable specialty-service lines. Although closely affiliated specialist physicians are central to hospitals' service-line products, other physicians compete directly with hospitals via physician-owned specialty facilities. Specialty-service lines may be provided in a variety of settings, both inside and outside traditional hospital walls. Thus far, the escalating battle between hospitals and physicians for control over specialty services has not affected hospital profitability. However, as the scope of care that can be safely performed in the outpatient arena expands, physician competition for control over specialty services may threaten hospitals' financial health.

The Impact of Community Service Involvement on Three Measures of Undergraduate Self-Concept.

Science.gov (United States)

Berger, Joseph B.; Milem, Jeff F.

2002-01-01

The central purpose of this study is to increase our understanding of how community service involvement affects the development of undergraduate self-concept. The findings from this study suggest that the quality of service involvement is more important than the amount of service performed by students. (Contains 23 references and 2 tables.)…

Centralized vs. de-centralized multinationals and taxes

OpenAIRE

Nielsen, Søren Bo; Raimondos-Møller, Pascalis; Schjelderup, Guttorm

2005-01-01

The paper examines how country tax differences affect a multinational enterprise's choice to centralize or de-centralize its decision structure. Within a simple model that emphasizes the multiple conflicting roles of transfer prices in MNEs – here, as a strategic pre-commitment device and a tax manipulation instrument –, we show that (de-)centralized decisions are more profitable when tax differentials are (small) large. Keywords: Centralized vs. de-centralized decisions, taxes, MNEs. ...

Forest Owners’ Organizations in North and Central Portugal – Assessment of Success

Directory of Open Access Journals (Sweden)

Diana Feliciano

2011-06-01

Full Text Available Background and Purpose: The emergence of forest owners’ organizations (FOOs in Portugal occurred in the 1990s. Fifteen years later there were 173 FOOs providing services to the private forest owners and also to the whole of society. This study aims to evaluate the success of FOOs in increasing their membership and the quantity of services provided. Material and Methods: Eight FOOs from the North and Central Portugal were chosen as case studies. Quantitative data on membership numbers and number of services provided by the eight case studies were collected from the archives of FORESTIS or directly at the FOOs headquarters. Qualitative data from newsletters, annual reports, local newspapers and letters were also collected to be further analysed. Secondary data collected cover a period of ten years (1994-2005. In addition, eight interviews to members of staff or FOOs directors were conducted in 2005. It was hypothesised that the number of members and the quantity of services provided may be interrelated and that the turnover of staff and their productivity influence the success of FOOs in increasing their membership and providing technical advice services. Results and Conclusion: The study showed that although most FOOs were successful in making their membership grow, there were big differences in the number of members, in the forest area covered by them and in the quantity of services provided. It was concluded that human capital, financial capital and path dependence were the factors that most constrained the success FOOs in North and Central Portugal.

Misplaced Inventory and Lead-Time in the Supply Chain: Analysis of Decision-Making on RFID Investment with Service Level

Directory of Open Access Journals (Sweden)

Li-Hao Zhang

2014-01-01

Full Text Available Radio-frequency identification (RFID, as the key technology of Internet of Things (IoT, has been hailed as a major innovation to solve misplaced inventory and reduce lead-time. Many retailers have been pushing their suppliers to invest this technology. However, its associated costs seem to prohibit its widespread application. This paper analyzes the situation of service level in a retail supply chain, which has resulted from misplaced inventory and lead-time. By newsvendor model, we analyze the difference between with- and without-RFID technologies in service level of centralized and decentralized supply chains, respectively. Then with different service levels, we determine the tag cost thresholds at which RFID technology investment becomes profitable in centralized and decentralized supply chains, respectively. Furthermore, we apply a linear transfer payment coefficient strategy to coordinate with the decentralized supply chain. It is found that whether the adoption of RFID technology improves the service level depends on the cost of RFID tag in the centralized system, but it improves the service level in the decentralized system when only the supplier bears the cost of RFID tag. Moreover, the same cost thresholds of RFID tag with different service levels exist in both the centralized and the decentralized cases.

Leadership: a central tenet for postgraduate dementia services curricula development in Australia.

Science.gov (United States)

Angus, Jocelyn

2009-04-01

In the next decades of the twenty-first century, the global aging of populations will challenge every nation's ability to provide leadership by qualified health professionals to reshape and improve health care delivery systems. The challenge for educators is to design and deliver courses that will give students the knowledge and skills they need to fill that leadership role confidently in dementia care services. This paper explores the ways in which a curriculum can develop graduates who are ready to become leaders in shaping their industry. The Master of Health Science-Aged Services (MHSAS) program at Victoria University, Melbourne, Australia is applied as a case study to describe the process by which the concept of leadership is applied as the key driver in curriculum development, teaching practices and learning outcomes. Evaluation instruments employed in a variety of purposes including teaching, curriculum planning and unit appraisal are discussed. Challenges for the future are proposed including the need for postgraduate programs in dementia to seek stronger national and international benchmarks and associations with other educational institutions to promote leadership and a vision of what is possible and desirable in dementia care provision. In the twenty-first century, effective service provision in the aged health care sector will require postgraduate curricula that equip students for dementia care leadership. The MHSAS program provides an established template for such curricula.

DISTRIBUTED COMPUTING SUPPORT SERVICE USER SURVEY

CERN Multimedia

2001-01-01

IT Division operates a Distributed Computing Support Service, which offers support to owners and users of all variety of desktops throughout CERN as well as more dedicated services for certain groups, divisions and experiments. It also provides the staff who operate the central and satellite Computing Helpdesks, it supports printers throughout the site and it provides the installation activities of the IT Division PC Service. We have published a questionnaire, which seeks to gather your feedback on how the services are seen, how they are progressing and how they can be improved. Please take a few minutes to fill in this questionnaire. Replies will be treated in confidence if desired although you may also request an opportunity to be contacted by CERN's service management directly. Please tell us if you met problems but also if you had a successful conclusion to your request for assistance. You will find the questionnaire at the web site http://wwwinfo/support/survey/desktop-contract There will also be a link...

PhEDEx Data Service

International Nuclear Information System (INIS)

Egeland, Ricky; Wildish, Tony; Huang, Chih-Hao

2010-01-01

The PhEDEx Data Service provides access to information from the central PhEDEx database, as well as certificate-authenticated managerial operations such as requesting the transfer or deletion of data. The Data Service is integrated with the 'SiteDB' service for fine-grained access control, providing a safe and secure environment for operations. A plug-in architecture allows server-side modules to be developed rapidly and easily by anyone familiar with the schema, and can automatically return the data in a variety of formats for use by different client technologies. Using HTTP access via the Data Service instead of direct database connections makes it possible to build monitoring web-pages with complex drill-down operations, suitable for debugging or presentation from many aspects. This will form the basis of the new PhEDEx website in the near future, as well as providing access to PhEDEx information and certificate-authenticated services for other CMS dataflow and workflow management tools such as CRAB, WMCore, DBS and the dashboard. A PhEDEx command-line client tool provides one-stop access to all the functions of the PhEDEx Data Service interactively, for use in simple scripts that do not access the service directly. The client tool provides certificate-authenticated access to managerial functions, so all the functions of the PhEDEx Data Service are available to it. The tool can be expanded by plug-ins which can combine or extend the client-side manipulation of data from the Data Service, providing a powerful environment for manipulating data within PhEDEx.

A Services-Oriented Architecture for Water Observations Data

Science.gov (United States)

Maidment, D. R.; Zaslavsky, I.; Valentine, D.; Tarboton, D. G.; Whitenack, T.; Whiteaker, T.; Hooper, R.; Kirschtel, D.

2009-04-01

Water observations data are time series of measurements made at point locations of water level, flow, and quality and corresponding data for climatic observations at point locations such as gaged precipitation and weather variables. A services-oriented architecture has been built for such information for the United States that has three components: hydrologic information servers, hydrologic information clients, and a centralized metadata cataloging system. These are connected using web services for observations data and metadata defined by an XML-based language called WaterML. A Hydrologic Information Server can be built by storing observations data in a relational database schema in the CUAHSI Observations Data Model, in which case, web services access to the data and metadata is automatically provided by query functions for WaterML that are wrapped around the relational database within a web server. A Hydrologic Information Server can also be constructed by custom-programming an interface to an existing water agency web site so that responds to the same queries by producing data in WaterML as do the CUAHSI Observations Data Model based servers. A Hydrologic Information Client is one which can interpret and ingest WaterML metadata and data. We have two client applications for Excel and ArcGIS and have shown how WaterML web services can be ingested into programming environments such as Matlab and Visual Basic. HIS Central, maintained at the San Diego Supercomputer Center is a repository of observational metadata for WaterML web services which presently indexes 342 million data measured at 1.75 million locations. This is the largest catalog water observational data for the United States presently in existence. As more observation networks join what we term "CUAHSI Water Data Federation", and the system accommodates a growing number of sites, measured parameters, applications, and users, rapid and reliable access to large heterogeneous hydrologic data repositories

County Library Service to Rural Schools. Bulletin, 1930, No. 20

Science.gov (United States)

Lathrop, Edith A.

1930-01-01

An efficient county library contemplates maximum service for money expended. Situated at the county seat or at some other centrally located place within the county, its book stock is carried to every resident of the county through a system branches, stations, and school deposits, and the services of an automobile and the parcel post. A trained…

Services for prisoners with alcohol-related problems: a survey of U.K. prisons.

Science.gov (United States)

McMurran, M; Baldwin, S

1989-09-01

Offenders have been identified as heavy drinkers who admit to a relationship between drinking and offending. Many prisoners express a desire to reduce their alcohol consumption. The extent of alcohol interventions in U.K. prisons was unknown and so a postal survey was conducted to gather basic information about current work. Of all responding establishments, 91% claimed to provide services for prisoners with alcohol-related problems and 58% gave details of these services. Services are provided mainly by probation officers/social workers, prison officers and Alcoholics Anonymous. Group and individual interventions are described. Service development has been haphazard, lacking central co-ordination. A case is made for appointment of a central facilitator responsible for staff training, establishing a communications network, encouraging new interventions to match clients' needs, encouraging closer links with community workers and guiding evaluative research.

Verification of a primary-to-secondary leaking safety procedure in a nuclear power plant using coloured Petri nets

International Nuclear Information System (INIS)

Nemeth, E.; Bartha, T.; Fazekas, Cs.; Hangos, K.M.

2009-01-01

This paper deals with formal and simulation-based verification methods of a PRImary-to-SEcondary leaking (abbreviated as PRISE) safety procedure. The PRISE safety procedure controls the draining of the contaminated water in a faulty steam generator when a non-compensable leaking from the primary to the secondary circuit occurs. Because of the discrete nature of the verification, a Coloured Petri Net (CPN) representation is proposed for both the procedure and the plant model. We have proved by using a non-model-based strategy that the PRISE safety procedure is safe, there are no dead markings in the state space, and all transitions are live; being either impartial or fair. Further analysis results have been obtained using a model-based verification approach. We created a simple, low dimensional, nonlinear dynamic model of the primary circuit in a VVER-type pressurized water nuclear power plant for the purpose of the model-based verification. This is in contrast to the widely used safety analysis that requires an accurate detailed model. Our model also describes the relevant safety procedures, as well as all of the major leaking-type faults. We propose a novel method to transform this model to a CPN form by discretization. The composed plant and PRISE safety procedure system has also been analysed by simulation using CPN analysis tools. We found by the model-based analysis-using both single and multiple faults-that the PRISE safety procedure initiates the draining when the PRISE event occurs, and no false alarm will be initiated

Local inpatient units may increase patients' utilization of outpatient services: a comparative cohort-study in Nordland County, Norway

Directory of Open Access Journals (Sweden)

Myklebust LH

2015-10-01

Full Text Available Lars Henrik Myklebust,1 Knut Sørgaard,1,2 Rolf Wynn21Psychiatric Research Centre of North Norway, Nordland Hospital Trust, Bodø, 2Department of Clinical Medicine, Faculty of Health Sciences, UiT The Arctic University of Norway, Tromsø, NorwayObjectives: In the last few decades, there has been a restructuring of the psychiatric services in many countries. The complexity of these systems may represent a challenge to patients that suffer from serious psychiatric disorders. We examined whether local integration of inpatient and outpatient services in contrast to centralized institutions strengthened continuity of care.Methods: Two different service-systems were compared. Service-utilization over a 4-year period for 690 inpatients was extracted from the patient registries. The results were controlled for demographic variables, model of service-system, central inpatient admission or local inpatient admission, diagnoses, and duration of inpatient stays.Results: The majority of inpatients in the area with local integration of inpatient and outpatient services used both types of care. In the area that did not have beds locally, many patients that had been hospitalized did not receive outpatient follow-up. Predictors of inpatients' use of outpatient psychiatric care were: Model of service-system (centralized vs decentralized, a diagnosis of affective disorder, central inpatient admission only, and duration of inpatient stays.Conclusion: Psychiatric centers with local inpatient units may positively affect continuity of care for patients with severe psychiatric disorders, probably because of a high functional integration of inpatient and outpatient care.Keywords: psychiatry, hospitalization, decentralization, outpatients, continuity of care, health service research, affective

Diagnostic ?tiologique du diab?te insipide central: ? propos de 41 cas

OpenAIRE

Chaker, Fatma; Chihaoui, Melika; Yazidi, Meriem; Slimane, Hedia

2016-01-01

La survenue d'un syndrome polyuro-polydipsiqueavec des urines hypotoniques n?cessite une strat?gie diagnostique rigoureuse. Le but de cette ?tude ?tait d??tudier les modalit?s de diagnostic du diab?te insipide central. A travers une ?tude r?trospective de 41 cas de diab?te insipide central(DIC) collig?s au service d'Endocrinologie ? l'h?pital de la Rabta de Tunis, allant de l'ann?e 1990 ? l'an 2013, nous avons relev? les circonstances de d?couverte du DIC, les anomalies du bilan ant?-hypophys...

RESTful M2M Gateway for Remote Wireless Monitoring for District Central Heating Networks

Directory of Open Access Journals (Sweden)

Bo Cheng

2014-11-01

Full Text Available In recent years, the increased interest in energy conservation and environmental protection, combined with the development of modern communication and computer technology, has resulted in the replacement of distributed heating by central heating in urban areas. This paper proposes a Representational State Transfer (REST Machine-to-Machine (M2M gateway for wireless remote monitoring for a district central heating network. In particular, we focus on the resource-oriented RESTful M2M gateway architecture, and present an uniform devices abstraction approach based on Open Service Gateway Initiative (OSGi technology, and implement the resource mapping mechanism between resource address mapping mechanism between RESTful resources and the physical sensor devices, and present the buffer queue combined with polling method to implement the data scheduling and Quality of Service (QoS guarantee, and also give the RESTful M2M gateway open service Application Programming Interface (API set. The performance has been measured and analyzed. Finally, the conclusions and future work are presented.

Building web information systems using web services

NARCIS (Netherlands)

Frasincar, F.; Houben, G.J.P.M.; Barna, P.; Vasilecas, O.; Eder, J.; Caplinskas, A.

2006-01-01

Hera is a model-driven methodology for designing Web information systems. In the past a CASE tool for the Hera methodology was implemented. This software had different components that together form one centralized application. In this paper, we present a distributed Web service-oriented architecture

Administrative Services Division - Alaska Department of Law

Science.gov (United States)

accounting practices and procedures. JoAnn Pelayo Finance Officer Email: joann.pelayo@alaska.gov Tel: (907 @alaska.gov Tel: (907) 465-3674 Fiscal and Accounting Provide centralized fiscal and accounting functions for , inter-departmental payments for core services, payroll accounting adjustments and oversight, and grant

Running and testing GRID services with Puppet at GRIF- IRFU

Science.gov (United States)

Ferry, S.; Schaer, F.; Meyer, JP

2015-12-01

GRIF is a distributed Tiers 2 centre, made of 6 different centres in the Paris region, and serving many VOs. The sub-sites are connected with 10 Gbps private network and share tools for central management. One of the sub-sites, GRIF-IRFU held and maintained in the CEA- Saclay centre, moved a year ago, to a configuration management using Puppet. Thanks to the versatility of Puppet/Foreman automation, the GRIF-IRFU site maintains usual grid services, with, among them: a CREAM-CE with a TORQUE+Maui (running a batch with more than 5000 jobs slots), a DPM storage of more than 2 PB, a Nagios monitoring essentially based on check_mk, as well as centralized services for the French NGI, like the accounting, or the argus central suspension system. We report on the actual functionalities of Puppet and present the last tests and evolutions including a monitoring with Graphite, a HT-condor multicore batch accessed with an ARC-CE and a CEPH storage file system.

MicroMAIS: executing and orchestrating Web services on constrained mobile devices

OpenAIRE

Plebani, Pierluigi; Cappiello, Cinzia; Comuzzi, Marco; Pernici, Barbara; Yadav, Sandeep

2012-01-01

Mobile devices with their more and more powerful resources allow the development of mobile information systems in which services are not only provided by traditional systems but also autonomously executed and controlled in the mobile devices themselves. Services distributed on autonomous mobile devices allow both the development of cooperative applications without a back-end infrastructure and the development of applications blending distributed and centralized services. In this paper, we pro...

Upper Mantle Discontinuities Underneath Central and Southern Mexico

Science.gov (United States)

Perez-Campos, X.; Clayton, R. W.

2011-12-01

Central and southern Mexico are affected by the subduction of Cocos plate beneath North American plate. The MesoAmerican Subduction Experiment (MASE) and the Veracruz-Oaxaca (VEOX) project have mapped the geometry of the Cocos slab. It is characterized in central Mexico by a shallow horizontal geometry up to ~300 km from the trench, then it dives steeply (70°) into the mantle, to its apparent end at 500 km depth. In contrast, some 400 km to the south, the slab subducts smoothly, with a dip angle of ~26° to a depth of 150 km. We use receiver functions from teleseismic events, recorded at stations from MASE, VEOX, and the Servicio Sismológico Nacional (SSN, Mexican National Seismological Service) to map the upper mantle discontinuities and properties of the transition zone in central and southern Mexico. We also use data from the Mapping the Rivera Subduction Zone (MARS) Experiment to get a complete picture of the subduction regime in central Mexico and compare the mantle transition zone in a slab tear regime. The 410 discontinuity shows significant variation in topography in central Mexico, particularly where the slab is expected to reach such depth. The 660 discontinuity shows a smoother topography, indicating that the slab does not penetrate this far down. The results will be compared with a ridge regime in the Gulf of California.

Quality assessment of child care services in primary health care settings of Central Karnataka (Davangere District

Directory of Open Access Journals (Sweden)

Rashmi

2010-01-01

Full Text Available Background: Infectious disease and malnutrition are common in children. Primary health care came into being to decrease the morbidity. Quality assessment is neither clinical research nor technology assessment. It is primarily an administrative device used to monitor performance to determine whether it continues to remain within acceptable bounds. Aims and Objectives: To assess the quality of service in the delivery of child health care in a primary health care setting. To evaluate client satisfaction. To assess utilization of facilities by the community. Materials and Methods: Study Type: Cross-sectional community-based study. Quality assessment was done by taking 30-50%, of the service provider. Client satisfaction was determined with 1 Immunization and child examination-90 clients each. Utilization of services was assessed among 478 households. Statistical Analysis: Proportions, Likert′s scale to grade the services and Chi-square. Results: Immunization service: Identification of needed vaccine, preparation and care was average. Vaccination technique, documentation, EPI education, maintenance of cold chain and supplies were excellent. Client satisfaction was good. Growth monitoring: It was excellent except for mother′s education andoutreach educational session . Acute respiratory tract infection care: History, physical examination, ARI education were poor. Classification, treatment and referral were excellent. Client satisfaction was good. Diarrheal disease care: History taking was excellent. But examination, classification, treatment, ORT education were poor. Conclusion: Mothers education was not stressed by service providers. Service providers′ knowledge do not go with the quality of service rendered. Physical examination of the child was not good. Except for immunization other services were average.

Performance Analysis of Trans-Jakarta Bus Suburban Service Move-Across Greater Jakarta

Science.gov (United States)

Tangkudung, ESW; Widyadayinta, C.

2018-03-01

Trans-Jakarta have developed their services scope as Suburban Service or Feeder move-across service that operate from greater Jakarta into Jakarta central vice versa. One of the route is Ciputat – Bundaran Hotel Indonesia (Tosari) and integrated with corridor 1 (one) and 8 (eight). This service is not travel on the exclusive lane or bus-way. Objective of Government Jakarta to provide this service is to decrease private car to enter the central of Jakarta. The objective of this study is to find the performance of the service. Survey have conducted static and dynamic on work day to get variable of travel time and delay, waiting time of passenger at the bus stop, headway and ridership of the bus. Service Standard Minimum of Trans-Jakarta have compared with the result of variable headway, travel speed, and waiting time at bus stop as concern of all the passengers. Analysis use correlation test method and linear regression model have done. The performance of Trans-Jakarta bus suburban service, based on travel speed indicator is fairly bad, only 8.1% of trip could comply with Minimum Service Standard. Bus performance based on the indicator of density in the bus is good, where all points are below the maximum limit i.e. 8 people/m2 at peak hour and 5 people/m2 at off-peak hour.

Proximity-Based Asynchronous Messaging Platform for Location-Based Internet of Things Service

Directory of Open Access Journals (Sweden)

Hyeong gon Jo

2016-07-01

Full Text Available The Internet of Things (IoT opens up tremendous opportunities to provide location-based applications. However, despite the services around a user being physically adjacent, common IoT platforms use a centralized structure, like a cloud-computing architecture, which transfers large amounts of data to a central server. This raises problems, such as traffic concentration, long service latency, and high communication cost. In this paper, we propose a physical distance-based asynchronous messaging platform that specializes in processing personalized data and location-based messages. The proposed system disperses traffic using a location-based message-delivery protocol, and has high stability.

Central Asia’s Shrinking Connectivity Gap: Implications for U.S. Strategy

Science.gov (United States)

2014-11-01

regional integration and protectionism often centered around a number of economic poles represented by established and rising powers like Brazil , Russia...Central Asia, with major investments in construction, food production, hotel management, financial servic- es, energy, information technology (IT), and

On-Site Field Services

International Nuclear Information System (INIS)

Rodriguez Aycart, M.; Bobo, E.; Pascual, L.; Merino, A.; Martinez Gozalo, I.; Ruiz, J. T.; Soto, M.; Vilanova, S.

2013-01-01

The Spanish nuclear industry has extensive experience in the development of services for nuclear power plants. The moratorium on new projects in the decade of the 1980s led these nuclear industry companies to find and enter new markets. The quality of their services, along with the long experience gained in the support of the Spanish plants, has enabled a significant number of companies to win relevant contracts in competition with leading corporation around the world. European countries are an important market. The first experiments to support the operation in Central and Eastern Europe are being extended with work in neighboring countries. Meanwhile, Latin America is a nearby market for reasons of language and historical proximity, which is also present in the industry. It emphasizes the participation of Spanish companies in projects in countries of the Asia-Pacific region. This article describes the experiences of four Spanish-owned companies and of the services division of Westinghouse in spain. (Author)

Managing Community Services in a Multicollege District

Science.gov (United States)

Johnson, Ray

1976-01-01

Describes the conflict between the pull toward greater centralization due to the increase in multi-institutional governance systems in community colleges, and the pull toward decentralization in order to make community services responsive to local needs. Presents a management model designed to resolve this conflict. (NHM)

Challenges for extension service to render efficient post-transformer ...

African Journals Online (AJOL)

LPhidza

production practices and economic viability in order to align extension and farmer ... 1 FSD, Extension and Advisory Services, Central Karoo, Western Cape ..... making, banks, accountants and fellow farmers are playing an important role as.

75 FR 56548 - Joint Meeting of the Peripheral and Central Nervous System Drugs Advisory Committee and the Drug...

Science.gov (United States)

2010-09-16

... DEPARTMENT OF HEALTH AND HUMAN SERVICES Food and Drug Administration [Docket No. FDA-2010-N-0001] Joint Meeting of the Peripheral and Central Nervous System Drugs Advisory Committee and the Drug Safety... and Central Nervous System Drugs Advisory Committee and the Drug Safety and Risk Management Advisory...

Enhancing the AliEn Web Service Authentication

International Nuclear Information System (INIS)

Zhu Jianlin; Zhou Daicui; Zhang Guoping; Saiz, Pablo; Carminati, Federico; Betev, Latchezar; Lorenzo, Patricia Mendez; Grigoras, Alina Gabriela; Grigoras, Costin; Furano, Fabrizio; Schreiner, Steffen; Datskova, Olga Vladimirovna; Banerjee, Subho Sankar

2011-01-01

Web Services are an XML based technology that allow applications to communicate with each other across disparate systems. Web Services are becoming the de facto standard that enable inter operability between heterogeneous processes and systems. AliEn2 is a grid environment based on web services. The AliEn2 services can be divided in three categories: Central services, deployed once per organization; Site services, deployed on each of the participating centers; Job Agents running on the worker nodes automatically. A security model to protect these services is essential for the whole system. Current implementations of web server, such as Apache, are not suitable to be used within the grid environment. Apache with the mod s sl and OpenSSL only supports the X.509 certificates. But in the grid environment, the common credential is the proxy certificate for the purpose of providing restricted proxy and delegation. An Authentication framework was taken for AliEn2 web services to add the ability to accept X.509 certificates and proxy certificates from client-side to Apache Web Server. The authentication framework could also allow the generation of access control policies to limit access to the AliEn2 web services.

Impact of service quality management (SQM) practices on Indian railways : study of South Central Railways.

Science.gov (United States)

2010-09-01

The main objective of this study is to present a framework developed for assisting Railways to monitor and : control the quality of services provided to passengers. The study evaluated the passenger Rail Service quality of : Indian Railways by develo...

Organizational change for services integration in public human service organizations: experiences in seven counties.

Science.gov (United States)

Packard, Thomas; Patti, Rino; Daly, Donna; Tucker-Tatlow, Jennifer

2012-01-01

This is a study of organizational change strategies employed in seven county human service agencies to improve the coordination of services through the structural integration of previously free standing organizations or the development of voluntary interagency collaborative service delivery systems. The central question involves the identification of organizational change tactics which contributed to the success of the organizational change initiatives. The literature on organizational change is reviewed, with particular attention to a framework developed by Fernandez and Rainey based on their extensive review and synthesis of the research on successful change strategies in the public and business sectors. Qualitative and quantitative data were gathered from over 250 individuals and from agency documents. Findings are compared with the success factors identified by Fernandez and Rainey, and refinements to their propositions are suggested. More precise methods for measuring successful and unsuccessful change initiatives are suggested. Implications for practice and research are presented.

Collaboration with Community Mental Health Service Providers: A Necessity in Contemporary Schools

Science.gov (United States)

Villarreal, Victor; Castro-Villarreal, Felicia

2016-01-01

Schools have played an increasingly central role in providing mental health services to youth, but there are limitations to the services that are available through school-based mental health professionals. Thus, collaboration with non-school-based community mental health providers is oftentimes necessary. As collaboration can address limitations…

Efficient Business Service Consumption by Customization with Variability Modelling

Directory of Open Access Journals (Sweden)

Michael Stollberg

2010-07-01

Full Text Available The establishment of service orientation in industry determines the need for efficient engineering technologies that properly support the whole life cycle of service provision and consumption. A central challenge is adequate support for the efficient employment of komplex services in their individual application context. This becomes particularly important for large-scale enterprise technologies where generic services are designed for reuse in several business scenarios. In this article we complement our work regarding Service Variability Modelling presented in a previous publication. There we presented an approach for the customization of services for individual application contexts by creating simplified variants, based on model-driven variability management. That work presents our revised service variability metamodel, new features of the variability tools and an applicability study, which reveals that substantial improvements on the efficiency of standard business service consumption under both usability and economic aspects can be achieved.

Closure of connection to off-site DNS services from within CERN

CERN Multimedia

IT Department

2008-01-01

The internet Domain Name System (DNS) service is a mechanism which translates the names of computers into IP addresses (a sort of telephone book). For reasons of security, users of computers on the CERN site are required to use only the DNS services supported centrally by IT. This is in order to avoid possible breaches of the CERN Central Firewall as well as assorted vulnerabilities which have recently been exploited in DNS code by criminals. The DNS service uses IP port 53, which is already blocked coming into CERN, and which will be blocked in the outward direction from 28 October. For correctly configured CERN machines or any portable using automatic configuration (via the DHCP protocol), this change will be transparent. However, portable machines brought onto the CERN site which are not set up to use DHCP will need to have the IP address of the CERN DNS services correctly set in their configuration. How to do this is explained in http://cern.ch/dns. In case of questions...

The Agua Salud Project, Central Panama

Science.gov (United States)

Stallard, R. F.; Elsenbeer, H.; Ogden, F. L.; Hall, J. S.

2007-12-01

The Agua Salud Project utilizes the Panama Canal's central role in world commerce to focus global attention on the ecosystem services provided by tropical forests. It will be the largest field experiment of its kind in the tropics aimed at quantifying the environmental services (water, carbon, and biodiversity) provided by tropical forests. The Agua Salud Watershed is our principal field site. This watershed and the headwaters of several adjacent rivers include both protected mature forests and a wide variety of land uses that are typical of rural Panama. Experiments at the scale of entire catchments will permit complete water and carbon inventories and exchanges for different landscape uses. The following questions will be addressed: (1) How do landscape treatments and management approaches affect ecosystem services such as carbon storage, water quality and quantity, dry- season water supply, and biodiversity? (2) Can management techniques be designed to optimize forest production along with ecosystem services during reforestation? (3) Do different tree planting treatments and landscape management approaches influence groundwater storage, which is thought to be critical to maintaining dry-season flow, thus insuring the full operation of the Canal during periods of reduced rainfall and severe climatic events such as El Niño. In addition we anticipate expanding this project to address biodiversity, social, and economic values of these forests.

The Central Asian Journal of Global Health to Increase Scientific Productivity

Directory of Open Access Journals (Sweden)

Kyle Freese

2014-01-01

Full Text Available The WHO Collaborating Center at the University of Pittsburgh, USA partnering with Nazarbayev University, developed the Central Asian Journal of Global Health (CAJGH, cajgh.pitt.edu in order to increase scientific productivity in Kazakhstan and Central Asia. Scientists in this region often have difficulty publishing in upper tier English language scientific journals due to language barriers, high publication fees, and a lack of access to mentoring services. CAJGH seeks to help scientists overcome these challenges by providing peer-reviewed publication free of change with English and research mentoring services available to selected authors. CAJGH began as a way to expand the Supercourse scientific network (www.pitt.edu/~super1 in the Central Asian region in order to rapidly disseminate educational materials. The network began with approximately 60 individuals in five Central Asian countries and has grown to over 1,300 in a few short years. The CAJGH website receives nearly 900 visits per month. The University of Pittsburgh's “open access publishing system” was utilized to create CAJGH in 2012. There are two branches of the CAJGH editorial board: Astana (at the Center for Life Sciences, Nazarbayev University and Pittsburgh (WHO Collaborating Center. Both are comprised of leading scientists and expert staff who work together throughout the review and publication process. Two complete issues have been published since 2012 and a third is now underway. Even though CAJGH is a new journal, the editorial board uses a rigorous review process; fewer than 50% of all submitted articles are forwarded to peer review or accepted for publication. Furthermore, in 2014, CAJGH will apply to be cross referenced in PubMed and Scopes. CAJGH is one of the first English language journals in the Central Asian region that reaches a large number of scientists. This journal fills a unique niche that will assist scientists in Kazakhstan and Central Asia publish their

The Central Asian Journal of Global Health to Increase Scientific Productivity.

Science.gov (United States)

Freese, Kyle; Shubnikov, Eugene; LaPorte, Ron; Adambekov, Shalkar; Askarova, Sholpan; Zhumadilov, Zhaxybay; Linkov, Faina

2013-01-01

The WHO Collaborating Center at the University of Pittsburgh, USA partnering with Nazarbayev University, developed the Central Asian Journal of Global Health (CAJGH, cajgh.pitt.edu) in order to increase scientific productivity in Kazakhstan and Central Asia. Scientists in this region often have difficulty publishing in upper tier English language scientific journals due to language barriers, high publication fees, and a lack of access to mentoring services. CAJGH seeks to help scientists overcome these challenges by providing peer-reviewed publication free of change with English and research mentoring services available to selected authors. CAJGH began as a way to expand the Supercourse scientific network (www.pitt.edu/~super1) in the Central Asian region in order to rapidly disseminate educational materials. The network began with approximately 60 individuals in five Central Asian countries and has grown to over 1,300 in a few short years. The CAJGH website receives nearly 900 visits per month. The University of Pittsburgh's "open access publishing system" was utilized to create CAJGH in 2012. There are two branches of the CAJGH editorial board: Astana (at the Center for Life Sciences, Nazarbayev University) and Pittsburgh (WHO Collaborating Center). Both are comprised of leading scientists and expert staff who work together throughout the review and publication process. Two complete issues have been published since 2012 and a third is now underway. Even though CAJGH is a new journal, the editorial board uses a rigorous review process; fewer than 50% of all submitted articles are forwarded to peer review or accepted for publication. Furthermore, in 2014, CAJGH will apply to be cross referenced in PubMed and Scopes. CAJGH is one of the first English language journals in the Central Asian region that reaches a large number of scientists. This journal fills a unique niche that will assist scientists in Kazakhstan and Central Asia publish their research findings and

Two-tier charging in Maputo Central Hospital: costs, revenues and effects on equity of access to hospital services.

Science.gov (United States)

McPake, Barbara; Hongoro, Charles; Russo, Giuliano

2011-06-02

Special services within public hospitals are becoming increasingly common in low and middle income countries with the stated objective of providing higher comfort services to affluent customers and generating resources for under funded hospitals. In the present study expenditures, outputs and costs are analysed for the Maputo Central Hospital and its Special Clinic with the objective of identifying net resource flows between a system operating two-tier charging, and, ultimately, understanding whether public hospitals can somehow benefit from running Special Clinic operations. A combination of step-down and bottom-up costing strategies were used to calculate recurrent as well as capital expenses, apportion them to identified cost centres and link costs to selected output measures. The results show that cost differences between main hospital and clinic are marked and significant, with the Special Clinic's cost per patient and cost per outpatient visit respectively over four times and over thirteen times their equivalent in the main hospital. While the main hospital cost structure appeared in line with those from similar studies, salary expenditures were found to drive costs in the Special Clinic (73% of total), where capital and drug costs were surprisingly low (2 and 4% respectively). We attributed low capital and drug costs to underestimation by our study owing to difficulties in attributing the use of shared resources and to the Special Clinic's outsourcing policy. The large staff expenditure would be explained by higher physician time commitment, economic rents and subsidies to hospital staff. On the whole it was observed that: (a) the flow of capital and human resources was not fully captured by the financial systems in place and stayed largely unaccounted for; (b) because of the little consideration given to capital costs, the main hospital is more likely to be subsidising its Special Clinic operations, rather than the other way around. We conclude that the

Two-tier charging in Maputo Central Hospital: Costs, revenues and effects on equity of access to hospital services

Directory of Open Access Journals (Sweden)

Russo Giuliano

2011-06-01

Full Text Available Abstract Background Special services within public hospitals are becoming increasingly common in low and middle income countries with the stated objective of providing higher comfort services to affluent customers and generating resources for under funded hospitals. In the present study expenditures, outputs and costs are analysed for the Maputo Central Hospital and its Special Clinic with the objective of identifying net resource flows between a system operating two-tier charging, and, ultimately, understanding whether public hospitals can somehow benefit from running Special Clinic operations. Methods A combination of step-down and bottom-up costing strategies were used to calculate recurrent as well as capital expenses, apportion them to identified cost centres and link costs to selected output measures. Results The results show that cost differences between main hospital and clinic are marked and significant, with the Special Clinic's cost per patient and cost per outpatient visit respectively over four times and over thirteen times their equivalent in the main hospital. Discussion While the main hospital cost structure appeared in line with those from similar studies, salary expenditures were found to drive costs in the Special Clinic (73% of total, where capital and drug costs were surprisingly low (2 and 4% respectively. We attributed low capital and drug costs to underestimation by our study owing to difficulties in attributing the use of shared resources and to the Special Clinic's outsourcing policy. The large staff expenditure would be explained by higher physician time commitment, economic rents and subsidies to hospital staff. On the whole it was observed that: (a the flow of capital and human resources was not fully captured by the financial systems in place and stayed largely unaccounted for; (b because of the little consideration given to capital costs, the main hospital is more likely to be subsidising its Special Clinic

Depolarization in Delivering Public Services? Impacts of Minimum Service Standards (MSS on the Quality of Health Services in Indonesia

Directory of Open Access Journals (Sweden)

Mohammad Roudo

2016-03-01

Full Text Available Abstract. Some scholars argue that decentralization policy tends to create polarization, i.e. an increase of inequality/disparity among districts. To deal with this problem, Minimum Service Standards (MSS were introduced as a key strategy in decentralizing Indonesia. In this research, we tried to find out through MSS performance measurements whether imposing standards can be effective in a decentralized system by seeking its impacts on polarization/depolarization in the delivery of public services, specifically in the health sector. This question is basically a response to the common criticism that decentralization is good to create equality between central government and local governments but often does not work to achieve equality among local governments. Using self-assessment data from a sample of 54 districts from 534 districts in Indonesia, from 2010 to 2013, we found that the existence of depolarization in the delivery of public services could potentially occur among regions by reducing the gap between their public service performance and the targets of MSS. We acknowledge that there are weaknesses in the validity of the self-assessment data, caused by a lack of knowledge and skills to execute the self-assessment according to the official guidelines, by the overrating of target achievements, as well as the lack of data from independent sources to confirm the self-assessment outcomes. We also acknowledge that differences in financial capacity are still the main determinant why one district is more successful in achieving the MSS targets compared to other districts. Keywords. Decentralization, Public Service, Minimum Standard Service

Trust-based Service Management of Internet of Things Systems and Its Applications

OpenAIRE

Guo, Jia

2018-01-01

A future Internet of Things (IoT) system will consist of a huge quantity of heterogeneous IoT devices, each capable of providing services upon request. It is of utmost importance for an IoT device to know if another IoT service is trustworthy when requesting it to provide a service. In this dissertation research, we develop trust-based service management techniques applicable to distributed, centralized, and hybrid IoT environments. For distributed IoT systems, we develop a trust protocol...

Managing Inadvertent Arterial Catheterization During Central Venous Access Procedures

International Nuclear Information System (INIS)

Nicholson, Tony; Ettles, Duncan; Robinson, Graham

2004-01-01

Purpose: Approximately 200,000 central venous catheterizations are carried out annually in the National Health Service in the United Kingdom. Inadvertent arterial puncture occurs in up to 3.7%. Significant morbidity and death has been reported. We report on our experience in the endovascular treatment of this iatrogenic complication. Methods: Retrospective analysis was carried out of 9 cases referred for endovascular treatment of inadvertent arterial puncture during central venous catheterization over a 5 year period. Results: It was not possible to obtain accurate figures on the numbers of central venous catheterizations carried out during the time period. Five patients were referred with carotid or subclavian pseudoaneurysms and hemothorax following inadvertent arterial catheter insertion and subsequent removal. These patients all underwent percutaneous balloon tamponade and/or stent-graft insertion. More recently 4 patients were referred with the catheter still in situ and were successfully treated with a percutaneous closure device. Conclusion: If inadvertent arterial catheterization during central venous access procedures is recognized and catheters removed, sequelae can be treated percutaneously. However, once the complication is recognized it is better to leave the catheter in situ and seal the artery percutaneously with a closure device

18 CFR 367.58 - Property record system required for service company property.

Science.gov (United States)

2010-04-01

... to show the nature of each addition to or retirement of service company property, the related total... required for service company property. 367.58 Section 367.58 Conservation of Power and Water Resources... COMPANY ACT OF 2005, FEDERAL POWER ACT AND NATURAL GAS ACT UNIFORM SYSTEM OF ACCOUNTS FOR CENTRALIZED...

Life cycle assessment of central softening of very hard drinking water

DEFF Research Database (Denmark)

Godskesen, Berit; Hauschild, Michael Zwicky; Rygaard, Martin

2012-01-01

Life Cycle Assessment (LCA) to quantify the environmental impacts of central softening of drinking water considering both the negative effects at the waterworks and the positive effects imposed by the changed water quality in the households. The LCA modeling considered central softening of drinking......Many consumers prefer softened water due to convenience issues such as avoidance of removing limescale deposits from household appliances and surfaces, and to reduce consumption of cleaning agents and laundry detergents leading to lower household expenses. Even though central softening of drinking...... water entailed an increased use of energy, sand and chemicals at the waterworks, the distributed and softened drinking water supported a decrease in consumption of energy and chemical agents in the households along with a prolonged service life of household appliances which heat water. This study used...

Limits to Decentralization in Mozambique: Leadership, Politics and Local Government Capacities for Service Delivery

NARCIS (Netherlands)

A.P.J. Machohe (Antonio)

2011-01-01

textabstractMozambique has been a centralized State since its independence in 1975. During this time, local government has depended on the Central Government and has lacked autonomy in both local policy decisions and resource management in addition to the complete failure of effective local services

[Centralized management strategy of the infant incubators in NICUs].

Science.gov (United States)

Liu, Hong-cheng

2005-07-01

There are many problems existing at present in the incubator applications and management. Among them, the prominent problems are their cleaning and disinfection. We hope to find, through the centralized management and clinical engineering, an efficient strategy in order to get more reasonable and better maintenance, cleaning and training for infant incubators in NICUs. Scientific management will provide an excellent service to infant patients.

Implementasi Web-Service Untuk Pengembangan Layanan Pariwisata Terpadu

OpenAIRE

Priyambodo, Tri Kuntoro

2005-01-01

This paper describes an integrated tourism information system developed using web-service technology. In order to give a clear picture of multi-tier system used for developing web-services, two cases (“WisataBudayaJawa web-service” for giving recommendations for users to select tourism objects to visit in the areas of the Province of Central Java and the Province of Yogyakarta; and “Kurs web-service” for delivering information on foreign currency exchange rate) are presented. The results of t...

Centralization vs. Decentralization in Medical School Libraries

Science.gov (United States)

Crawford, Helen

1966-01-01

Does the medical school library in the United States operate more commonly under the university library or the medical school administration? University-connected medical school libraries were asked to indicate (a) the source of their budgets, whether from the central library or the medical school, and (b) the responsibility for their acquisitions and cataloging. Returns received from sixtyeight of the seventy eligible institutions showed decentralization to be much the most common: 71 percent of the libraries are funded by their medical schools; 79 percent are responsible for their own acquisitions and processing. The factor most often associated with centralization of both budget and operation is public ownership. Decentralization is associated with service to one or two rather than three or more professional schools. Location of the medical school in a different city from the university is highly favorable to autonomy. Other factors associated with these trends are discussed. PMID:5945568

Centralization vs. decentralization in medical school libraries.

Science.gov (United States)

Crawford, H

1966-07-01

Does the medical school library in the United States operate more commonly under the university library or the medical school administration? University-connected medical school libraries were asked to indicate (a) the source of their budgets, whether from the central library or the medical school, and (b) the responsibility for their acquisitions and cataloging. Returns received from sixtyeight of the seventy eligible institutions showed decentralization to be much the most common: 71 percent of the libraries are funded by their medical schools; 79 percent are responsible for their own acquisitions and processing. The factor most often associated with centralization of both budget and operation is public ownership. Decentralization is associated with service to one or two rather than three or more professional schools. Location of the medical school in a different city from the university is highly favorable to autonomy. Other factors associated with these trends are discussed.

THE IMPACT OF CENTRALIZATION, CORRUPTION AND INSTITUTIONAL QUALITY ON PROCUREMENT PRICES: AN APPLICATION TO PHARMACEUTICAL PURCHASING IN ITALY

OpenAIRE

Simona, Baldi; Davide, Vannoni

2014-01-01

This paper deals with the open issue about the choice between a centralized versus a decentralized public procurement strategy. Using a unique dataset on tender prices of selected drugs for hospital usage awarded by a sample of 52 Italian local health service providers (ASLs) between 2009 and 2012, we test which procurement system (centralized, decentralized or hybrid) performs better. Controlling for several covariates, we always find that centralized and hybrid procurers pay lower prices as...

Étude du comportement de smolts de saumon atlantique (Salmo salar L. au niveau de la prise d'eau de l'usine hydroélectrique de Pointis sur la Garonne et estimation de la dévalaison au niveau du barrage de Rodère

Directory of Open Access Journals (Sweden)

CROZE O.

1999-04-01

Full Text Available Une expérimentation a été menée en 1998 au niveau de la prise d'eau de l'usine hydroélectrique de Pointis, sur la Garonne, de manière à déterminer, grâce à la technique de radio-pistage, le meilleur emplacement d'un futur dispositif de dévalaison. Le suivi des déplacements de 28 smolts radiomarqués a mis en évidence que, dans des conditions hydrauliques peu marquées (vitesses de courant 1 jour et dépendent du débit du cours d'eau. Les vitesses de dévalaison dans les canaux d'amenée de Pointis (1,9 à 4,2 km/h et de Camon (2,5 à 7 km/h sont positivement corrélées aux vitesses de l'écoulement.

Evaluation of Patients' Satisfaction with Services Accessed under ...

African Journals Online (AJOL)

Background: The evaluation of patient satisfaction provides an indicator of quality of care and contributes to strategies towards improvement of healthcare delivery. Objective: To assess patient satisfaction with services accessed under the National Health Insurance Scheme at a tertiary health facility in North central, Nigeria.

Finding the Right Fit: Helping Students Apply Theory to Service-Learning Contexts

Science.gov (United States)

Ricke, Audrey

2018-01-01

Background: Although past studies of service-learning focus on assessing student growth, few studies address how to support students in applying theory to their service-learning experiences. Yet, the task of applying theory is a central component of critical reflections within the social sciences in higher education and often causes anxiety among…

Honeywell starts energy-management service: savings guaranteed; BOSS replaced

Energy Technology Data Exchange (ETDEWEB)

Schwartz, R.

1983-01-24

Honeywell Inc. guarantees that its new Honeywell Service Link Operation (HSLO), a time-sharing service, will produce greater energy savings than its monthly fees. There are no front-end costs because the central computer is located at the supplier's Atlanta site, making energy management cost-affordable for facilities as small as 25,000 square feet. HSLO replaces Honeywell's Building Operations Service System (BOSS) that has a minimum-size requirement of 100,000 square feet. BOSS customers will be automatically changed to HSLO at no charge. All 21 regional computer centers will be available to users. Johnson Controls, Inc. also operates a time-sharing operation called Total Automated Building Services (TABS). (DCK)

IoT in Action: Design and Implementation of a Building Evacuation Service

Directory of Open Access Journals (Sweden)

Selahattin Gokceli

2017-01-01

Full Text Available With the development of sensor technologies, various application areas have emerged. The usage of these technologies and exploitation of recent improvements have clear benefits on building applications. Such use-cases can improve smart functions of buildings and can increase the end-user comfort. As a similar notion, building automation systems (BAS are smart systems that target to provide automated management of various control services and to improve resource usage efficiency. However, buildings generally contain hardware and control services from a diverse set of characteristics. The automated and central management of such functions can be challenging. In order to overcome such issues, an Emergency Evacuation Service is proposed for BAS, where requirements of such central management model are analyzed and model content and subservice definitions are prepared. A crucial scenario, which could be a necessity for future BAS, is defined and an approach for evacuation of people in the buildings at emergency situations is proposed. For real-life scenarios, the Evacuation Service is implemented by using a low-cost design, which is appropriate for Internet of Things (IoT based BAS applications. As demonstrated, the proposed service model can provide effective performance in real-life deployments.

Coherent detection passive optical access network enabling converged delivery of broadcast and dedicated broadband services

DEFF Research Database (Denmark)

Osadchiy, Alexey Vladimirovich; Prince, Kamau; Guerrero Gonzalez, Neil

2011-01-01

We propose a passive optical network architecture based on coherent detection for converged delivery of broadcast services from a dedicated remote broadcast server and user-specific services from a local central office. We experimentally demonstrate this architecture with mixed traffic types....... The broadcast channels were transmitted over 78 km of single mode fiber to a central office where they were multiplexed with the unicast channels for further fiber transmission over 34-km to reach the access network. Successful detection of all channels is demonstrated....

Illegal Migration and Human Smuggling in Central and Eastern Europe

Directory of Open Access Journals (Sweden)

Peter Futo

2005-06-01

Full Text Available The analytical and statistical services of border management organizations in Central and Eastern European countries have registered and accumulated a vast body of knowledge on the demographics and mechanisms of illegal migration over the last one-and-a-half decade. This paper attempts to tap this resource by summarising the results of a yearly survey among border guards of 17 countries. A set of quantitative indicators of illegal migration is developed, presented and interpreted, based on the answers of the border services to a series of quantitative and qualitative questions. This empirical material is used to evaluate the dynamics and pattern of illegal migration in Central and Eastern Europe on the one hand, and to examine the development of border management strategies on the other. The impacts of legal and institutional reforms are investigated in light of the temporal and spatial variations of border apprehension statistics. The interdependence of the two processes is reviewed from the point of view of national border management authorities, perhaps the most authoritative source of information on the issue. The results of the authors’ annual survey indicate that the progressive development of migration control mechanisms at national and international levels seems to have a significant impact on irregular migration flows as most indicators of illegal migration have significantly decreased after the turn of the century. At the same time, the geographical distribution of illegal migration flows in Central and Eastern European countries has become more complex over the years.

Why a well-designed HR shared service provider fails to create end-user value?

NARCIS (Netherlands)

Meijerink, Jeroen Gerard; Bondarouk, Tatiana; Looise, Jan C.

2011-01-01

Human resource shared services centres (HR SSCs) are foreseen as improving HR service delivery for their end-users: employees, line managers and decentralized HR professionals. Although the concept expects the benefits of HR SSCs to come from centralizing knowledge and decentralizing the control

[Semantic Network Analysis of Online News and Social Media Text Related to Comprehensive Nursing Care Service].

Science.gov (United States)

Kim, Minji; Choi, Mona; Youm, Yoosik

2017-12-01

As comprehensive nursing care service has gradually expanded, it has become necessary to explore the various opinions about it. The purpose of this study is to explore the large amount of text data regarding comprehensive nursing care service extracted from online news and social media by applying a semantic network analysis. The web pages of the Korean Nurses Association (KNA) News, major daily newspapers, and Twitter were crawled by searching the keyword 'comprehensive nursing care service' using Python. A morphological analysis was performed using KoNLPy. Nodes on a 'comprehensive nursing care service' cluster were selected, and frequency, edge weight, and degree centrality were calculated and visualized with Gephi for the semantic network. A total of 536 news pages and 464 tweets were analyzed. In the KNA News and major daily newspapers, 'nursing workforce' and 'nursing service' were highly rated in frequency, edge weight, and degree centrality. On Twitter, the most frequent nodes were 'National Health Insurance Service' and 'comprehensive nursing care service hospital.' The nodes with the highest edge weight were 'national health insurance,' 'wards without caregiver presence,' and 'caregiving costs.' 'National Health Insurance Service' was highest in degree centrality. This study provides an example of how to use atypical big data for a nursing issue through semantic network analysis to explore diverse perspectives surrounding the nursing community through various media sources. Applying semantic network analysis to online big data to gather information regarding various nursing issues would help to explore opinions for formulating and implementing nursing policies. © 2017 Korean Society of Nursing Science

Mapping Ecosystem Services for Land Use Planning, the Case of Central Kalimantan

NARCIS (Netherlands)

Sumarga, E.; Hein, L.G.

2014-01-01

Indonesia is subject to rapid land use change. One of the main causes for the conversion of land is the rapid expansion of the oil palm sector. Land use change involves a progressive loss of forest cover, with major impacts on biodiversity and global CO2 emissions. Ecosystem services have been

LYNX community advocacy & service engagement (CASE) project final report.

Science.gov (United States)

2009-05-14

This report is a final assessment of the Community Advocacy & Service Engagement (CASE) project, a LYNX-FTA research project designed : to study transit education and public engagement methods in Central Florida. In the Orlando area, as in other part...

The Challenges of Designing Digital Services for Multiple Mobile Platforms

DEFF Research Database (Denmark)

Ghazawneh, Ahmad

2016-01-01

on a multiple case study of three mobile application development firms from Sweden, Denmark and Norway, we synthesize the digital service design taxonomy to understand the challenges faced by third-party developers. Our study identifies a set of challenges in four different levels: user level, platform level...... to tap into and join the digital ecosystem. However, while there is an emerging literature on designing digital services, little empirical evidence exists about challenges faced by third-party developers while designing digital services, and in particular for multiple mobile platforms. Drawing......The value of digital services is increasingly recognized by owners of digital platforms. These services have central role in building and sustaining the business of the digital platform. In order to sustain the design of digital services, owners of digital platforms encourage third-party developers...

78 FR 53158 - Notice of Public Meeting; Central Montana Resource Advisory Council

Science.gov (United States)

2013-08-28

..., Central Montana District Manager, Lewistown Field Office, 920 NE Main, Lewistown, MT 59457, (406) 538-1900... Information Relay Service (FIRS) at 1-800-677-8339 to contact the above individual during normal business... individual. You will receive a reply during normal business hours. SUPPLEMENTARY INFORMATION: This 15-member...

The Marketisation of Guidance Services in Germany, France and Britain.

Science.gov (United States)

Rees, Teresa; Bartlett, Will; Watts, A. G.

1999-01-01

Compares developments in Britain, France, and Germany, focusing on the trends toward marketing adult career guidance services. Describes how Germany's centralized system and the quasi-market based system in France might apply in Britain. (JOW)

The International Gravity Field Service (IGFS): Present Day Activities And Future Plans

Science.gov (United States)

Barzaghi, R.; Vergos, G. S.

2016-12-01

IGFS is a unified "umbrella" IAG service that coordinates the servicing of the geodetic and geophysical community with gravity field related data, software and information. The combined data of the IGFS entities will include global geopotential models, terrestrial, airborne, satellite and marine gravity observations, Earth tide data, GPS/levelling data, digital models of terrain and bathymetry, as well as ocean gravity field and geoid from satellite altimetry. The IGFS structure is based on the Gravity Services, the "operating arms" of IGFS. These Services related to IGFS are: BGI (Bureau Gravimetrique International), Toulouse, France ISG (International Service for the Geoid), Politecnico di Milano, Milano, Italy IGETS (International Geodynamics and Earth Tides Service), EOST, Strasbourg, France ICGEM (International Center for Global Earth Models), GFZ, Potsdam, Germany IDEMS (International Digital Elevation Model Service), ESRI, Redlands, CA, USA The Central Bureau, hosted at the Aristotle Thessaloniki University, is in charge for all the interactions among the services and the other IAG bodies, particularly GGOS. In this respect, connections with the GGOS Bureaus of Products and Standards and of Networks and Observations have been recently strengthened in order to align the Gravity services to the GGOS standards. IGFS is also strongly involved in the most relevant projects related to the gravity field such as the establishment of the new Global Absolute Gravity Reference System and of the International Height Reference System. These projects, along with the organization of Geoid Schools devoted to methods for gravity and geoid estimate, will play a central role in the IGFS future actions in the framework of GGOS.

Retail Services and Pricing Decisions in a Closed-Loop Supply Chain with Remanufacturing

Directory of Open Access Journals (Sweden)

Zhen-Zheng Zhang

2015-02-01

Full Text Available Environmental and social responsibilities have led many manufacturers to used products recovery. Meanwhile, many manufacturers nowadays sell products via indirect retailer channels and direct Internet channels. This paper models a dual-channel closed-loop supply chain to improve the sustainability of products. We apply the two-stage optimization technique and the Nash game to examine the impacts of the retail services and the degree of customer loyalty to the retail channel on the pricing of players in a centralized and a decentralized dual-channel supply chain. Our results show that the retail services have a great impact on the manufacturer and the retailer’s pricing strategies. We also compare the differences of pricing strategies between a centralized and a decentralized dual-channel supply chain and suggest the optimal retail services and pricing decisions for the players in the supply chain.

Centralisation, décentralisation et accès aux services urbains : le cas de l’enlèvement des ordures ménagères à Abidjan Centralization, decentralization, access to urban public services : waste collection in Abidjan

Directory of Open Access Journals (Sweden)

Amandine Henry

2013-03-01

Full Text Available Cet article traite de l’inégalité d’accès aux services publics urbains dans les pays en développement et, plus particulièrement, de la question de l’accès au service d’enlèvement des ordures ménagères à Abidjan. Cette question est étroitement liée au mouvement de centralisation, décentralisation et recentralisation qui a affecté la gestion de ce service au cours des dernières décennies. Chaque étape de l’avancée de la Côte d’Ivoire dans le processus de décentralisation a provoqué des changements institutionnels dans la gestion des ordures ménagères à Abidjan ; tous ont eu des effets spécifiques sur l’accès de la population à ce service. Ces effets sont étudiés à l’échelle des communes et des quartiers à travers une enquête de terrain, et sont liés aux caractéristiques socio-économiques des quartiers. Une analyse comparative entre deux communes de standing opposé, ainsi que l’examen des aspects historiques de la problématique, s’attachent à identifier les facteurs-clés d’une telle inégalité d’accès au service d’enlèvement des ordures ménagères à Abidjan.This paper deals with the inequality of access to the urban public utilities in developing countries, and more accurately with the issue of the access to the waste collection in Abidjan. This question is closely linked with the centralization, decentralization and recentralization movements that affected this service management for the last decades. Each stage of the decentralization process in Ivory Coast brought institutional changes in waste collection management in Abidjan. Each of them had specific consequences on the access of people to this service. These consequences are investigated on a local scale and are linked to the socio-economic characteristics of the studied areas. Together with the focus on the historical aspects of the problematic, a comparative analysis between two districts of opposite standing attempts

Sunflower (Helianthus annuus) pollination in California's Central Valley is limited by native bee nest site location.

Science.gov (United States)

Sardiñas, Hillary S; Tom, Kathleen; Ponisio, Lauren Catherine; Rominger, Andrew; Kremen, Claire

2016-03-01

The delivery of ecosystem services by mobile organisms depends on the distribution of those organisms, which is, in turn, affected by resources at local and landscape scales. Pollinator-dependent crops rely on mobile animals like bees for crop production, and the spatial relationship between floral resources and nest location for these central-place foragers influences the delivery of pollination services. Current models that map pollination coverage in agricultural regions utilize landscape-level estimates of floral availability and nesting incidence inferred from expert opinion, rather than direct assessments. Foraging distance is often derived from proxies of bee body size, rather than direct measurements of foraging that account for behavioral responses to floral resource type and distribution. The lack of direct measurements of nesting incidence and foraging distances may lead to inaccurate mapping of pollination services. We examined the role of local-scale floral resource presence from hedgerow plantings on nest incidence of ground-nesting bees in field margins and within monoculture, conventionally managed sunflower fields in California's Central Valley. We tracked bee movement into fields using fluorescent powder. We then used these data to simulate the distribution of pollination services within a crop field. Contrary to expert opinion, we found that ground-nesting native bees nested both in fields and edges, though nesting rates declined with distance into field. Further, we detected no effect of field-margin floral enhancements on nesting. We found evidence of an exponential decay rate of bee movement into fields, indicating that foraging predominantly occurred in less than 1% of medium-sized bees' predicted typical foraging range. Although we found native bees nesting within agricultural fields, their restricted foraging movements likely centralize pollination near nest sites. Our data thus predict a heterogeneous distribution of pollination services

32 CFR 1900.13 - Fees for record services.

Science.gov (United States)

2010-07-01

... 32 National Defense 6 2010-07-01 2010-07-01 false Fees for record services. 1900.13 Section 1900.13 National Defense Other Regulations Relating to National Defense CENTRAL INTELLIGENCE AGENCY PUBLIC...-printed (if available) Per 100 pages 5.00 Published (if available) Per item NTIS (2) Application of...

Entrepreneurship Opportunities after Military Career: Practice in Central and Eastern versus Western Europe

Directory of Open Access Journals (Sweden)

Rasa SMALIUKIENĖ

2014-12-01

differences between Central and Eastern Europe (CEE and Western Europe (WE practice. The results indicate the lack of entrepreneurship development policies for early retired servicemen, while service in military often provides highly specific competencies that can be adapted as transferable expertise and knowledge for entrepreneurship.

An ontology-based collaborative service framework for agricultural information

Science.gov (United States)

In recent years, China has developed modern agriculture energetically. An effective information framework is an important way to provide farms with agricultural information services and improve farmer's production technology and their income. The mountain areas in central China are dominated by agri...

Incorporating Service-Learning, Technology, and Research Supportive Teaching Techniques into the University Chemistry Classroom

Science.gov (United States)

Saitta, E. K. H.; Bowdon, M. A.; Geiger, C. L.

2011-01-01

Technology was integrated into service-learning activities to create an interactive teaching method for undergraduate students at a large research institution. Chemistry students at the University of Central Florida partnered with high school students at Crooms Academy of Information Technology in interactive service learning projects. The…

18 CFR 367.1110 - Account 111, Accumulated provision for amortization of service company property.

Science.gov (United States)

2010-04-01

... THE PUBLIC UTILITY HOLDING COMPANY ACT OF 2005, FEDERAL POWER ACT AND NATURAL GAS ACT UNIFORM SYSTEM OF ACCOUNTS FOR CENTRALIZED SERVICE COMPANIES SUBJECT TO THE PROVISIONS OF THE PUBLIC UTILITY HOLDING... (§ 367.4040), for the current amortization of limited-term service company property investments. (2...

Multiple access protocol for supporting multimedia services in wireless ATM networks

DEFF Research Database (Denmark)

Liu, Hong; Dittmann, Lars; Gliese, Ulrik Bo

1999-01-01

The furture broadband wireless asynchronous transfer mode (ATM) networks must provide seamless extension of multimedia services from the wireline ATM networks. This requires an effecient wireless access protocol to fulfill varying Quality-og-Service (QoS) requirements for multimedia applications....... In this paper, we propose a multiple access protocol using centralized and distributed channel access control techniques to provide QoS guarantees for multimedia services by taking advantage of the characteristics of different kinds of ATM traffics. Multimedia traffic, including constant bit rate (CBR...

Interactions between payments for hydrologic services, landowner decisions, and ecohydrological consequences: synergies and disconnection in the cloud forest zone of central Veracruz, Mexico

Directory of Open Access Journals (Sweden)

Heidi Asbjornsen

2017-06-01

hydrologic services and people's decisions, behavior, and knowledge regarding forest conservation and water. Using central Veracruz as our case study, we identify areas of both synchrony and disconnection between PHS goals and outcomes. Mature and regenerating cloud forests (targeted by PHS were found to produce enhanced hydrologic services relative to areas converted to pasture, including reduced peak flows during large rain events and maintenance of dry-season base flows. However, unexpectedly, these hydrologic benefits from cloud forests were not necessarily greater than those from other vegetation types. Consequently, the location of forests in strategic watershed positions (e.g., where deforestation risk or hydrologic recharge are high may be more critical than forest type in promoting hydrologic functions within watersheds and should be considered when targeting PHS payments. While our results suggest that participation in PHS improved the level of knowledge among watershed inhabitants about forest-water relationships, a mismatch existed between payment amounts and landowner opportunity costs, which may contribute to the modest success in targeting priority areas within watersheds. Combined, these findings underscore the complexity of factors that influence motivations for PHS participation and land use decisions and behavior, and the importance of integrating understanding of both ecohydrological and socioeconomic dynamics into PHS design and implementation. We conclude by identifying opportunities for improving the design of PHS programs and recommending priority areas for future research and monitoring, both in Mexico and globally.

The National Oceanic and Atmospheric Administration (NOAA) Climate Services Portal: A New Centralized Resource for Distributed Climate Information

Science.gov (United States)

Burroughs, J.; Baldwin, R.; Herring, D.; Lott, N.; Boyd, J.; Handel, S.; Niepold, F.; Shea, E.

2010-09-01

With the rapid rise in the development of Web technologies and climate services across NOAA, there has been an increasing need for greater collaboration regarding NOAA's online climate services. The drivers include the need to enhance NOAA's Web presence in response to customer requirements, emerging needs for improved decision-making capabilities across all sectors of society facing impacts from climate variability and change, and the importance of leveraging climate data and services to support research and public education. To address these needs, NOAA (during fiscal year 2009) embarked upon an ambitious program to develop a NOAA Climate Services Portal (NCS Portal). Four NOAA offices are leading the effort: 1) the NOAA Climate Program Office (CPO), 2) the National Ocean Service's Coastal Services Center (CSC), 3) the National Weather Service's Climate Prediction Center (CPC), and 4) the National Environmental Satellite, Data, and Information Service's (NESDIS) National Climatic Data Center (NCDC). Other offices and programs are also contributing in many ways to the effort. A prototype NCS Portal is being placed online for public access in January 2010, http://www.climate.gov. This website only scratches the surface of the many climate services across NOAA, but this effort, via direct user engagement, will gradually expand the scope and breadth of the NCS Portal to greatly enhance the accessibility and usefulness of NOAA's climate data and services.

Water Related Health Problems in Central Asia—A Review

Directory of Open Access Journals (Sweden)

Zakir Bekturganov

2016-05-01

Full Text Available The present paper provides an extensive literature review on water related health issues in Central Asia. Even though the per capita amount of available freshwater is substantial in all Central Asian states the uneven distribution in time and space creates problems for water availability. Due to this, the Central Asian economies are developing under increasing water deficiency. The degradation of water supply systems and sewage treatment plants is often severe leading to potentially high water loss rates and inadequate accessibility to safe water supply. In this context, rural areas are the most affected. Low tariffs in combination with absent metering and low collection rates for water fees mean that operation and maintenance costs for basic services of water supply and sanitation are not covered. Unsafe water supply contains both microbiological and non-microbiological contaminants. Helminthiasis and intestinal protozoa infections are of considerable public health importance in Central Asia. Agricultural and industrial pollution is especially affecting downstream areas of Amu Darya and Syr Darya rivers. In large areas copper, zinc, and chromium concentrations in water exceed maximum permissible concentration. Thus, there is an urgent need to strengthen the environmental monitoring system. Small-scale water supply and sanitation systems need to be developed in line with more efficient public spending on these.

Performance Evaluation of Public Services: A Development of Public Services Quality Measurement and Customer Satisfaction Model on Three Cities in Java

Directory of Open Access Journals (Sweden)

Gita Gayatri

2009-12-01

Full Text Available Decentralization in Indonesia was meant to aid in the shifting of power from the central government to local governments, with the main aim to increase public services towards a more expeditious, efficient, flexible, and high quality of services, changing the paradigm from a ‘served bureaucracy’ towards a ‘bureaucracy that serves’. This research will evaluate: first, the perception of public service consumers towards the quality of public/government services, second, the perceived value received from public services, as well as third, the measurement of their satisfaction level resulting from the quality of services delivered by local governments at city level in the three areas of the Java Island. The research will use triangulation methods: qualitative research will be conducted using focus group discussions whereas quantitative research will be conducted using surveys.The findings are: first, the ten dimensions of service quality for the public sector -i.e. tangibility, reliability, responsiveness, credibility, competence, understanding customers, access, security, communication, and courtesy- were all proven to form the service quality construct in the public service quality. Moreover the proposed model that depicts the relationship between public service quality, perceived value and satisfaction was also confirmed; hence provide an evaluation tool for public services in city level.

How Do Pre-Service Teachers' Reflective Processes Differ in Relation to Different Contexts?

Science.gov (United States)

Kaasila, Raimo; Lauriala, Anneli

2012-01-01

Reflective practice represents a central theme in teacher education. The focus of this study is to look at pre-service teachers' reflection processes and their breadth and depth in four different contexts. Our research data consist of 53 pre-service teachers' mathematics portfolios, from which three were selected for closer scrutiny. The chosen…

Effect of an innovative community based health program on maternal health service utilization in north and south central Ethiopia: a community based cross sectional study.

Science.gov (United States)

Afework, Mesganaw Fantahun; Admassu, Kesteberhan; Mekonnen, Alemayehu; Hagos, Seifu; Asegid, Meselech; Ahmed, Saifuddin

2014-04-04

Among Millennium Development Goals, achieving the fifth goal (MDG-5) of reducing maternal mortality poses the greatest challenge in Sub-Saharan Africa. Ethiopia has one of the highest maternal mortality ratios in the world with unacceptably low maternal health service utilization. The Government of Ethiopia introduced an innovative community-based intervention as a national strategy under the Health Sector Development Program. This new approach, known as the Health Extension Program, aims to improve access to and equity in essential health services through community based Health Extension Workers. The objective of the study is to assess the role of Health Extension Workers in improving women's utilization of antenatal care, delivery at health facility and postnatal care services. A cross sectional household survey was conducted in early 2012 in two districts of northern and south central parts of Ethiopia. Data were collected from 4949 women who had delivered in the two years preceding the survey. Logistic regression analysis was performed to determine the association between visit by Health Extension Workers during pregnancy and use of maternal health services, controlling for the effect of other confounding factors. The non-adjusted analysis showed that antenatal care attendance at least four times during pregnancy was significantly associated with visit by Health Extension Workers [Odds Ratio 3.46(95% CI 3.07,3.91)], whereas health facility delivery (skilled attendance at birth) was not significantly associated with visit by Health Extension Workers during pregnancy [Odds Ratio 0.87(95% CI 0.25,2.96)]. When adjusted for other factors the association of HEWs visit during pregnancy was weaker for antenatal care attendance [Adjusted Odds Ratio: 1.35(95% CI: 1.05, 1.72)] but positively and significantly associated with health facility delivery [Adjusted Odds Ratio 1.96(1.25,3.06)]. In general HEWs visit during pregnancy improved utilization of maternal health

Case report

African Journals Online (AJOL)

abp

17 nov. 2017 ... diminué compte tenu de la prise en charge médicale plus agressive diminuant la fréquence à 0.2%, cependant la mortalité reste très élevée [2]. C'est une urgence extrême imposant une prise en charge multidisciplinaire associant les urgentistes, les cardiologues et les chirurgiens cardiovasculaires.

Towards Emulation-as-a-Service: Cloud Services for Versatile Digital Object Access

Directory of Open Access Journals (Sweden)

Dirk von Suchodoletz

2013-06-01

Full Text Available The changing world of IT services opens the chance to more tightly integrate digital long-term preservation into systems, both for commercial and end users. The emergence of cloud offerings re-centralizes services, and end users interact with them remotely through standardized (web-client applications on their various devices. This offers the chance to use partially the same concepts and methods to access obsolete computer environments and allows for more sustainable business processes. In order to provide a large variety of user-friendly remote emulation services, especially in combination with authentic performance and user experience, a distributed system model and architecture is required, suitable to run as a cloud service, allowing for the specialization both of memory institutions and third party service providers.The shift of the usually non-trivial task of the emulation of obsolete software environments from the end user to specialized providers can help to simplify digital preservation and access strategies. Besides offering their users better access to their holdings, libraries and archives may gain new business opportunities to offer services to a third party, such as businesses requiring authentic reproduction of digital objects and processes for legal reasons. This paper discusses cloud concepts as the next logical step for accessing original digital material. Emulation-as-a-Service (EaaS fills the gap between the successful demonstration of emulation strategies as a long term access strategy and it’s perceived availability and usability. EaaS can build upon the ground of research and prototypical implementations of previous projects, and reuse well established remote access technology.In this article we develop requirements and a system model, suitable for a distributed environment. We will discuss the building blocks of the core services as well as requirements regarding access management. Finally, we will try to present a

The importance of servicing for the safety and economic efficiency of nuclear installations

International Nuclear Information System (INIS)

Wild, E.

1991-01-01

Experience-oriented preventive maintenance is the central and decisive instrument for plant safety. Preventive maintenance, in the overriding sense of the entire system consisting of man and machine, is identical with service. Such service must be readily available, efficient, purposeful, innovative and of high quality. The high quality of German nuclear power plants and their reliability are the result of a constructive cooperation between producer, supplier, service enterprise and operator. (DG) [de

Den præhospitale service i Danmark

DEFF Research Database (Denmark)

Trier, H; Larsen, C F

1993-01-01

In Denmark, emergency ambulances are dispatched by 41 centres manned either by trained firemen (in Copenhagen) or policemen (outside Copenhagen). In 1990, emergency ambulance calls totalled 284,000. Utilisation of emergency ambulance services increases with urbanisation. A doctor-manned ambulance...... is in operation in Copenhagen, and in some other large towns anaesthesiology and intensive care teams can be dispatched from hospital to give on-the-spot care. In less populated areas, some general practitioners give advanced life-support. Although many areas are serviced by ambulances equipped...... with defibrillators, the majority of patients receive only basic life-support from ambulance personnel. New initiatives resulting from a recent report by a commission appointed by central authorities, and focused on prehospital treatment, are expected to improve the service by raising the level of training given...

Student Services and their Influence to Student Development

Directory of Open Access Journals (Sweden)

Charlito P. Cadag

2017-05-01

Full Text Available he study assessed the effectiveness of student services and their influen ce on student development in the four campuses of Central Bicol State University of Agriculture (CBSUA, SY 2013 - 2014. Descriptive, evaluative, comparative and correlational methods of research were employed. Respondents were administrators, faculty membe rs and student leaders. Data were gathered through questionnaire, interview, documentary analysis and ocular inspection and were treated statistically using weighted mean, ranking, one - way ANOVA, Pearson R correlation analysis and DMRT. Findings revealed t hat the four campuses of CBSUA were ”very effective” in managing the different student services. The social, cultural, political and intellectual aspects of students in the four campuses of CBSUA were “highly developed” through the various student services provided. Student services such as sports development, library, student organizations, arts and culture development, guidance and counseling, scholarship and financial assistance, campus ministry and health services did not vary among campuses.

KEPUASAN MAHASISWA TERHADAP “SERVICE QUALITY” DI FAKULTAS TEKNIK UNIVERSITAS DIPONEGORO MENGGUNAKAN METODE “STUDENT SATISFACTION INVENTORY”

OpenAIRE

Zainal Fanani R; Haryo Santoso; Ina Lusiana

2012-01-01

College is a service industry providing service activities of higher education, where quality of service andproduct have must be committed to customer satisfaction orientation. Diponegoro University as one of TheState University which is located in Semarang Central Java become research object at this research about thequality of service education.This research uses Student Satisfaction Inventory method which was developed by Noel Levitz. This methodmeasure service quality based on eleven dime...

Kepuasan Mahasiswa Terhadap “Service Quality” Di Fakultas Teknik Universitas Diponegoro Menggunakan Metode “Student Satisfaction Inventory”

OpenAIRE

Fanani R, Zainal; Santoso, Haryo; Lusiana, Ina

2007-01-01

College is a service industry providing service activities of higher education, where quality of service andproduct have must be committed to customer satisfaction orientation. Diponegoro University as one of TheState University which is located in Semarang Central Java become research object at this research about thequality of service education.This research uses Student Satisfaction Inventory method which was developed by Noel Levitz. This methodmeasure service quality based on eleven dime...

An Analysis of Introduction of Cloud Computing Affects the Corporate IT Shared Services Business Model

OpenAIRE

Liew, Chin Hoi

2013-01-01

I.T. Shared Services is a global trend that is adopted by many companies’ especially global multi-national companies. The initial drivers of such services company setup is to around standardizing, consolidating and centrally manage I.T, this move would eventually bring cost reduction and saving to the company in long run. Today, business organizations are increasingly leveraging Shared Services to manage their I.T Infrastructure and application services with expectation further cost reduction...

Perinatal staff perceptions of safety and quality in their service.

Science.gov (United States)

Sinni, Suzanne V; Wallace, Euan M; Cross, Wendy M

2014-11-28

Ensuring safe and appropriate service delivery is central to a high quality maternity service. With this in mind, over recent years much attention has been given to the development of evidence-based clinical guidelines, staff education and risk reporting systems. Less attention has been given to assessing staff perceptions of a service's safety and quality and what factors may influence that. In this study we set out to assess staff perceptions of safety and quality of a maternity service and to explore potential influences on service safety. The study was undertaken within a new low risk metropolitan maternity service in Victoria, Australia with a staffing profile comprising midwives (including students), neonatal nurses, specialist obstetricians, junior medical staff and clerical staff. In depth open-ended interviews using a semi-structured questionnaire were conducted with 23 staff involved in the delivery of perinatal care, including doctors, midwives, nurses, nursing and midwifery students, and clerical staff. Data were analyzed using naturalistic interpretive inquiry to identify emergent themes. Staff unanimously reported that there were robust systems and processes in place to maintain safety and quality. Three major themes were apparent: (1) clinical governance, (2) dominance of midwives, (3) inter-professional relationships. Overall, there was a strong sense that, at least in this midwifery-led service, midwives had the greatest opportunity to be an influence, both positively and negatively, on the safe delivery of perinatal care. The importance of understanding team dynamics, particularly mutual respect, trust and staff cohesion, were identified as key issues for potential future service improvement. Senior staff, particularly midwives and neonatal nurses, play central roles in shaping team behaviors and attitudes that may affect the safety and quality of service delivery. We suggest that strategies targeting senior staff to enhance their performance in

Central sleep apnea

Science.gov (United States)

Sleep apnea - central; Obesity - central sleep apnea; Cheyne-Stokes - central sleep apnea; Heart failure - central sleep apnea ... Central sleep apnea results when the brain temporarily stops sending signals to the muscles that control breathing. The condition ...

Geographic distribution of phlebotomine sandfly species (Diptera: Psychodidae) in Central-West Brazil

Science.gov (United States)

de Almeida, Paulo Silva; de Andrade, Andrey José; Sciamarelli, Alan; Raizer, Josué; Menegatti, Jaqueline Aparecida; Hermes, Sandra Cristina Negreli Moreira; de Carvalho, Maria do Socorro Laurentino; Gurgel-Gonçalves, Rodrigo

2015-01-01

This study updates the geographic distributions of phlebotomine species in Central-West Brazil and analyses the climatic factors associated with their occurrence. The data were obtained from the entomology services of the state departments of health in Central-West Brazil, scientific collections and a literature review of articles from 1962-2014. Ecological niche models were produced for sandfly species with more than 20 occurrences using the Maxent algorithm and eight climate variables. In all, 2,803 phlebotomine records for 127 species were analysed. Nyssomyia whitmani, Evandromyia lenti and Lutzomyia longipalpis were the species with the greatest number of records and were present in all the biomes in Central-West Brazil. The models, which were produced for 34 species, indicated that the Cerrado areas in the central and western regions of Central-West Brazil were climatically more suitable to sandflies. The variables with the greatest influence on the models were the temperature in the coldest months and the temperature seasonality. The results show that phlebotomine species in Central-West Brazil have different geographical distribution patterns and that climate conditions in essentially the entire region favour the occurrence of at least one Leishmania vector species, highlighting the need to maintain or intensify vector control and surveillance strategies. PMID:26018450

Nouvelle approche à la prise en charge des condylomes

Science.gov (United States)

Lopaschuk, Catharine C.

2013-01-01

Résumé Objectif Faire le résumé des anciens et des nouveaux moyens de traitement des verrues génitales ou condylomes et déterminer comment les utiliser de manière appropriée. Sources des données Une recherche documentaire a été effectuée dans les bases de données suivantes: MEDLINE, PubMed, EMBASE, base de données des synthèses systématiques et registre central des études contrôlées de la Collaboration Cochrane (en anglais), ACP Journal Club et Trip. Les bibliographies des articles extraits ont aussi été examinées. Les études cliniques, les articles de révision qualitative, les rapports consensuels et les guides de pratique clinique ont été retenus. Message principal Les verrues symptomatiques sont présentes chez au moins 1 % des personnes âgées entre 15 et 49 ans et on estime que jusqu’à 50 % des gens sont infectés par le virus du papillome humain à un moment donné de leur vie. L’imiquimod et la podophyllotoxine sont 2 nouveaux traitements pour les verrues génitales externes qui sont moins douloureux et peuvent être appliqués par les patients à la maison. De plus, il a été démontré que le vaccin quadrivalent contre le virus du papillome humain est efficace pour prévenir les condylomes et le cancer du col. Les plus anciennes méthodes thérapeutiques ont aussi leur place dans certaines situations, comme les verrues intravaginales, urétrales, anales ou récalcitrantes ou encore pour les patientes enceintes. Conclusion Les nouveaux traitements des verrues génitales externes peuvent réduire la douleur causée par la thérapie et le nombre de visites au cabinet. Les autres méthodes thérapeutiques demeurent utiles dans certaines situations.

The Impact of Amalgamations on Services in Icelandic Municipalities

Directory of Open Access Journals (Sweden)

Grétar Thór Eythórsson

2018-03-01

Full Text Available This article deals with answering the question whether municipal amalgamations can meet the wishes at the root of the most common motives behind them: to gain cost-efficiency and more quality in the municipal services. The analysis is partly based on a survey among Icelandic local leaders in 2015 and partly on survey among citizens in 8 recently amalgamated municipalities collected with a snowball method through Facebook in the spring and summer 2013. The main results are that the impact of amalgamations on municipal services seems to depend on whether we look at the central or peripheral parts of the municipality. Both leaders and citizens seem to perceive developments of services differently depending on the position in the municipality. In the peripheries, they have significantly more negative view than in the service centres. This has to do with both their evaluation of specific services and their general evaluation of service development. However, in the general evaluation the difference is significantly larger.

77 FR 69715 - Federal Acquisition Regulation; Updates to Contract Reporting and Central Contractor Registration

Science.gov (United States)

2012-11-20

... Contractor Registration AGENCY: Department of Defense (DoD), General Services Administration (GSA), and... changes the clauses requiring contractor registration in the Central Contractor Registration (CCR... unique identifier for contractors. It is used (1) to uniquely identify a contractor entity, and (2) to...

Centralized optical-frequency-comb-based RF carrier generator for DWDM fiber-wireless access systems

DEFF Research Database (Denmark)

Pang, Xiaodan; Beltran, Marta; Sanchez, Jose

2014-01-01

In this paper, we report on a gigabit capacity fiber-wireless system that enables smooth integration between high-speed wireless networks and dense wavelength-division-multiplexing (DWDM) access networks. By employing a centralized optical frequency comb, both the wireline and the wireless services...

Service differentiation in spare parts supply through dedicated stocks

NARCIS (Netherlands)

Alvarez, Elisa; van der Heijden, Matthijs C.; Zijm, Willem H.M.

2012-01-01

We investigate keeping dedicated stocks at customer sites in addition to stock kept at some central location as a tool for applying service differentiation in spare parts supply. We study the resulting two-echelon system in a multi-item setting, both under backordering and under emergency shipments

A study on the effects of remote working on quality of services: A SERVQUAL survey on central office of Tehran municipality

Directory of Open Access Journals (Sweden)

Hassan Darvish

2013-06-01

Full Text Available During the past few years, there have been tremendous efforts on developing remote working among women in an attempt to help females take care of their family related responsibilities. In this paper, we study the impact of remote working on quality of services in central office of Tehran municipality of Iran. The proposed study designs a standard questionnaire to survey remote working and using an existing standard SERVQUAL questionnaire measure the level of quality of work because of remote working. The survey indicates that women who participated in remote working program were satisfied from this program in terms of personal, social as well as organizational productivity. Remote workers were highly satisfied from financial advantage of this program. Managers were, however, highly satisfied from the results of their female’s remote working. In our survey, remote contract workers were more satisfied than remote formal workers were. The surveyed people believed organizational structure was the most important challenge for remote working followed by economical, personal and social issues. The results of SERVQUAL also indicate there were some meaningful relationship between remote working and quality of work.

Decentralized vs. centralized economic coordination of resource allocation in grids

OpenAIRE

Eymann, Torsten; Reinicke, Michael; Ardáiz Villanueva, Óscar; Artigas Vidal, Pau; Díaz de Cerio Ripalda, Luis Manuel; Freitag, Fèlix; Meseguer Pallarès, Roc; Navarro Moldes, Leandro; Royo Vallés, María Dolores; Sanjeevan, Kanapathipillai

2003-01-01

Application layer networks are software architectures that allow the provisioning of services requiring a huge amount of resources by connecting large numbers of individual computers, like in Grid or Peer-to-Peer computing. Controlling the resource allocation in those networks is nearly impossible using a centralized arbitrator. The network simulation project CATNET will evaluate a decentralized mechanism for resource allocation, which is based on the economic paradigm of th...

A Determination Method of Optimal Customization Degree of Logistics Service Supply Chain with Mass Customization Service

Directory of Open Access Journals (Sweden)

Weihua Liu

2014-01-01

Full Text Available Customization degree is a very important field of mass customization. Its improvement could enhance customer satisfaction and further increase customer demand while correspondingly it will increase service price and decrease customer satisfaction and demand. Therefore this paper discusses how to deal with such issues in logistics service supply chain (LSSC with a logistics service integrator (LSI and a customer. With the establishment of customer demand function for logistics services and profit functions of the LSI and the customer, three different decision modes are proposed (i.e., customization degree dominated by LSI, customization degree dominated by customer, and customization degree decided by concentrated supply chain; many interesting findings are achieved. Firstly, to achieve customization cooperation between LSI and customer, measures should be taken to make the unit increase cost of the customized logistics services lower than a certain value. Secondly, there are differences between the optimal customization degree dominated by LSI and that dominated by customer. And in both cases, the dominator could realize more profit than the follower. Thirdly, with the profit secondary distribution strategy, the modified decentralized decision mode could accomplish the maximum profit achieved in centralized decision mode and meanwhile get the optimal customization degree.

The cloud storage service bwSync&Share at KIT

CERN Multimedia

CERN. Geneva

2014-01-01

The Karlsruhe Institute of Technology introduced the bwSync&Share collaboration service in January 2014. The service is an on-premise alternative to existing public cloud storage solutions for students and scientists in the German state of Baden-Württemberg, which allows the synchronization and sharing of documents between multiple devices and users. The service is based on the commercial software PowerFolder and is deployed on a virtual environment to support high reliability and scalability for potential 450,000 users. The integration of the state-wide federated identity management system (bwIDM) and a centralized helpdesk portal allows the service to be used by all academic institutions in the state of Baden-Württemberg. Since starting, approximately 15 organizations and 8,000 users joined the service. The talk gives an overview of related challenges, technical and organizational requirements, current architecture and future development plans.

Trends in health surveillance and joint service delivery for pastoralists in West and Central Africa.

Science.gov (United States)

Abakar, M F; Schelling, E; Béchir, M; Ngandolo, B N; Pfister, K; Alfaroukh, I O; Hassane, H M; Zinsstag, J

2016-11-01

In most sub-Saharan African countries, pastoralism represents an important economic resource and contributes significantly to national growth; however, challenges remain, particularly in providing social services to pastoralists (especially health and education) and in avoiding conflict with local sedentary communities and local authorities. All of this takes place while pastoralists try to maintain their mobile lifestyle within a rapidly changing ecosystem. Transdisciplinary approaches, such as 'One Health', which covers both human and animal health, have proven effective in delivering services and reaching mobile pastoralists in remote areas. The pastoralist way of life could be described as being linked to both their livestock and their environment, which makes social science an important element when researching the delivery and adaptation of social services to pastoralists. Early or pre-diagnostic detection of emerging and endemic infectious disease remains a vital aspect of health surveillance targeted at preventing further transmission and spread. Community-based syndromic surveillance, coupled with visual mobile phone technology, adapted to the high levels of illiteracy among nomads, could offer an alternative to existing health surveillance systems. Such an approach could contribute to accelerated reporting, which could in turn lead to targeted intervention among mobile pastoralists in sub-Saharan Africa. Although considerable efforts have been made towards integrating mobile pastoralists into social services, obstacles remain to the adoption of a clear, specific and sustainable policy on pastoralism in sub-Saharan Africa.

Le recours aux catégories dans la gestion du choix au cours d’un repas au restaurant

Directory of Open Access Journals (Sweden)

Hugol-Gential Clémentine

2012-07-01

Full Text Available Ce travail, ancré dans le champ de l’Analyse Conversationnelle (Sacks, 1992, s’intéresse à une question centrale à laquelle les clients sont perpétuellement confrontés lors de la prise d’un repas au restaurant : le choix. Plus précisément, nous nous intéressons à son caractère situé et à son déploiement en interaction en nous basant sur un corpus audiovisuel collecté en situation « naturelle » de production, lors de repas au restaurant, afin d’étudier la parole-en-interaction telle qu’elle est localement produite et organisée par les participants (Heath, Hindmarsch & Luff, 2010. Après avoir exposé le lien entre identité et alimentation et la notion de catégorisation telle qu’elle a été développée en Analyse Conversationnelle, nous proposerons deux analyses de séquences de prise de commande pendant lesquelles les choix des clients sont discutés et négociés avec le sommelier ou le serveur. Grâce à des analyses séquentielles basées sur des transcriptions fines, nous soulignerons que les participants à l’interaction manifestent de façon reconnaissable qui ils sont (clients experts, non experts, habitués... afin d’organiser de façon intelligible leurs actions et de permettre à leurs partenaires de s’y ajuster. Nous analyserons finement les catégories utilisées par les participants, et nous décrirons les différents procédés mobilisés afin d’organiser et d’orienter la prise de commande. Ainsi, dans un premier extrait, nous verrons que les clients s’orientent, tout d’abord, vers l’exhibition de leur propre identité, tandis que dans un deuxième extrait, c’est le plat à la carte qui fait l’objet d’une première catégorisation. L’ensemble de ce travail nous permettra de montrer que les catégories sont structurantes pour l’organisation du choix et que leur déploiement séquentiel au cours de l’interaction est constitutif des affiliations ou des désaffiliations lors

[Medical specialization in Chile. A centralized vision].

Science.gov (United States)

Clouet-Huerta, Diego E; González, Bárbara; Correa, Katherine

2017-11-01

Medical graduates face different postgraduate training options, but their priority is to obtain a primary medical specialty, defined as a specialty that does not derive from other. There are different specialty training programs in Chile, which can be dependent or independent of the Ministry of Health. The information about these programs is available in different Internet sites. However a centralized information service that groups and synthetize these programs is lacking, hampering graduate choice decisions. This article aims to review all specialization program modalities, providing a general vision of the institutional structure and implications that govern the specialization process in Chile.

Exploiting peer group concept for adaptive and highly available services

CERN Document Server

Jan, M A; Fraz, M M; Ali, A; Ali, Arshad; Fraz, Mohammad Moazam; Jan, Muhammad Asif; Zahid, Fahd Ali

2003-01-01

This paper presents a prototype for redundant, highly available and fault tolerant peer to peer framework for data management. Peer to peer computing is gaining importance due to its flexible organization, lack of central authority, distribution of functionality to participating nodes and ability to utilize unused computational resources. Emergence of GRID computing has provided much needed infrastructure and administrative domain for peer to peer computing. The components of this framework exploit peer group concept to scope service and information search, arrange services and information in a coherent manner, provide selective redundancy and ensure availability in face of failure and high load conditions. A prototype system has been implemented using JXTA peer to peer technology and XML is used for service description and interfaces, allowing peers to communicate with services implemented in various platforms including web services and JINI services. It utilizes code mobility to achieve role interchange amo...

The National Terminology Services: a new paradigm | Jordaan ...

African Journals Online (AJOL)

The new dispensation in South Africa necessitated a paradigm shift at the National Terminology Services (NTS). Being part of the Central Government, the NTS has to implement policy as laid down by the government of the day. Former policy, processes and products are described as well as the vision and objectives for the ...

"Feed from the Service": Corruption and Coercion in the State--University Relations in Central Eurasia

Science.gov (United States)

Osipian, Ararat L.

2007-01-01

Education in Central Eurasia has become one of the industries, most affected by corruption. Corruption in academia, including bribery, extortions, embezzlement, nepotism, fraud, cheating, and plagiarism, is reflected in the region's media and addressed in few scholarly works. This paper considers corruption in higher education as a product of…

Service-sector Competition, Innovation and R&D

DEFF Research Database (Denmark)

Tingvall, Patrick Gustavsson; Karpaty, Patrik

2011-01-01

The central prediction of the Aghion, Bloom, Blundell and Howitt model is an inverted U-shaped relationship between innovation and competition. The model is built on the assumption of a product market and has not yet been tested on the service sector. Using detailed firm-level data on Swedish...... service-sector firms, we find evidence of an inverse U-shaped relationship for exporting service-sector firms. A further breakdown of innovation expenditures shows that the inverse U-shaped pattern holds for intramural R&D and training, but not for extramural R&D. Finally, the results indicate...... that as competition increases, small firms tend to seek strategic alliances with competitors, whereas large firms tend to reduce collaboration with competitors. The behavior of large firms can partly be due to their superior capacity to handle innovation projects internally, which will become more important...

[To the 90th anniversary of State Sanitary Epidemiologic Service Formation in Russian Federation].

Science.gov (United States)

Beliaev, E N; Podunova, L G

2012-01-01

State Educational Institution of Higher Professional Training of the Ministry of Health Care and Social Development Foundation of Russian Sanitary Epidemiologic Service dates back to September, 15, 1922, when a Decree on Sanitary Institutions of the Republic was signed. Afterwards the institutions of Sanitary Epidemiologic Service were improved: foundation of State Sanitary Inspectorate (1933-1951), approval of new concept of the Service and intensification of State Sanitary Inspectorate (1951-1991), foundation of State Sanitary Epidemiologic Service, centralization of management and financing of the Service, formation of Sanitary Epidemiologic Legislation (1991-2004), further restructurization of Sanitary Epidemiologic Service in accordance with administrative changes in Russia (2004 until now).

CERN'S TECHNICAL CONTROL ROOM (TCR) A CENTRAL SERVICE FOR EVERYONE

CERN Multimedia

Mario Batz / TCR Responsible

2000-01-01

The Technical Control Room (TCR) monitors and operates the entire technical infrastructure of CERN 24 hours a day, 365 days a year. It registers and dispatches troubleshooting requests to the appropriate equipment services. In addition, the TCR executes first-line interventions on the entire CERN site. Troubleshooting requests are transmitted to the TCR either via a computerised control system or via the phone number 72201. More than 10'000 such requests are dispatched and dealt with every year. The TCR's diverse field of activity concerns the following systems: electrical and fluid distribution networks, heating, cooling, ventilation, air-conditioning and gas equipment, safety and communication installations, electromechanical systems (e.g. lifts, cranes, machine tools, motorised doors), sanitary systems (leaks, sewage), control and monitoring infrastructure equipment, buildings. These systems can either be part of the administrative infrastructure, such as offices or restaurants, or part of the tec...

CERN'S TECHNICAL CONTROL ROOM (TCR) A CENTRAL SERVICE FOR EVERYONE

CERN Document Server

Mario Batz

2002-01-01

The Technical Control Room (TCR) monitors and operates the entire technical infrastructure of CERN 24 hours a day, 365 days a year. It registers and dispatches troubleshooting requests to the appropriate equipment services. In addition, the TCR executes first-line interventions on the entire CERN site. Troubleshooting requests are transmitted to the TCR either via a computerised control system or via the phone number '72201'. More than 10'000 such requests are dispatched and dealt with every year. The TCR's diverse field of activity concerns the following systems: electrical and fluid distribution networks, heating, cooling, ventilation, air-conditioning and gas equipment, safety and communication installations, electromechanical systems (e.g. lifts, cranes, machine tools, motorised doors), sanitary systems (leaks, sewage), control and monitoring infrastructure equipment, buildings. These systems can either be part of the administrative infrastructure, such as offices or restaurants, or part of the t...

CERN'S TECHNICAL CONTROL ROOM (TCR) A CENTRAL SERVICE FOR EVERYONE

CERN Multimedia

Mario Batz (TCR Responsible)

2001-01-01

The Technical Control Room (TCR) monitors and operates the entire technical infrastructure of CERN 24 hours a day, 365 days a year. It registers and dispatches troubleshooting requests to the appropriate equipment services. In addition, the TCR executes first-line interventions on the entire CERN site. Troubleshooting requests are transmitted to the TCR either via a computerised control system or via the phone number '72201'. More than 10'000 such requests are dispatched and dealt with every year. The TCR's diverse field of activity concerns the following systems: electrical and fluid distribution networks, heating, cooling, ventilation, air-conditioning and gas equipment, safety and communication installations, electromechanical systems (e.g. lifts, cranes, machine tools, motorised doors), sanitary systems (leaks, sewage), control and monitoring infrastructure equipment, buildings. These systems can either be part of the administrative infrastructure, such as offices or restaurants, or part of the t...

CERN'S TECHNICAL CONTROL ROOM (TCR) A CENTRAL SERVICE FOR EVERYONE

CERN Document Server

Mario Batz

2002-01-01

The Technical Control Room (TCR) monitors and operates the entire technical infrastructure of CERN 24 hours a day, 365 days a year. It registers and dispatches troubleshooting requests to the appropriate CERN equipment services or contractors. In addition, the TCR executes first-line interventions on the entire CERN site. Troubleshooting requests are transmitted to the TCR either via a computerised control system or via the phone number '72201'. More than 10'000 such requests are dispatched and dealt with every year. The TCR's diverse field of activity covers the following systems: electrical and fluid distribution networks, heating, cooling, ventilation, air-conditioning and gas equipment, safety and communication installations, electromechanical systems (e.g. lifts, cranes, machine tools, motorised doors), sanitary systems (leaks, sewage), control and monitoring infrastructure equipment, and buildings. These systems can either be part of the administrative infrastructure, such as offices or restaur...

CERN's Technical Control Room (TCR) A Central Service for Everyone

CERN Document Server

Mario Batz

2001-01-01

The Technical Control Room (TCR) monitors and operates the entire technical infrastructure of CERN 24 hours a day, 365 days a year. It registers and dispatches troubleshooting requests to the appropriate equipment services. In addition, the TCR executes first-line interventions on the entire CERN site. Troubleshooting requests are transmitted to the TCR either via a computerised control system or via the phone number '72201'. More than 10'000 such requests are dispatched and dealt with every year. The TCR's diverse field of activity concerns the following systems: electrical and fluid distribution networks, heating, cooling, ventilation, air-conditioning and gas equipment, safety and communication installations, electromechanical systems (e.g. lifts, cranes, machine tools, motorised doors), sanitary systems (leaks, sewage), control and monitoring infrastructure equipment, buildings. These systems can either be part of the administrative infrastructure, such as offices or restaurants, or part of the t...

CERN'S TECHNICAL CONTROL ROOM (TCR) A CENTRAL SERVICE FOR EVERYONE

CERN Multimedia

Mario Batz (TCR Responsible)

2001-01-01

The Technical Control Room (TCR) monitors and operates the entire technical infrastructure of CERN 24 hours a day, 365 days a year. It registers and dispatches troubleshooting requests to the appropriate equipment services. In addition, the TCR executes first-line interventions on the entire CERN site. Troubleshooting requests are transmitted to the TCR either via a computerised control system or via the phone number 72201. More than 10'000 such requests are dispatched and dealt with every year. The TCR's diverse field of activity concerns the following systems: electrical and fluid distribution networks, heating, cooling, ventilation, air-conditioning and gas equipment, safety and communication installations, electromechanical systems (e.g. lifts, cranes, machine tools, motorised doors), sanitary systems (leaks, sewage), control and monitoring infrastructure equipment, buildings. These systems can either be part of the administrative infrastructure, such as offices or restaurants, or part of the tec...

North Central Project: Environment act proposal

International Nuclear Information System (INIS)

1992-05-01

Manitoba Hydro proposes to construct a power transmission and distribution line system to connect 12 northern Manitoba communities to the utility's central power grid. The purpose of this North Central Project (NCP) is to provide reliable and unrestricted electric service to remote communities now largely receiving limited diesel-generated power. The NCP is composed of a 138-kV transmission line running ca 350 km from the Kelsey Generating Station, ca 160 km of 25-kV distribution lines, new transformer stations at four communities, upgraded internal distribution systems within the communities, removal of existing diesel stations and restoration of the sites, modifications and additions to the Kelsey switchyard, and a communications system. The NCP is described in detail, including proposed line routes and transformer station locations, rationales for site and route selection, projected impacts on the environment and local societies, and consultations with the communities to be affected. Potential impacts are expected to be modest, with few unmitigable adverse impacts and a number of potentially significant positive benefits. Impact management measures are proposed to prevent or mitigate adverse effects and to create or enhance positive impacts such as local employment of native peoples. 49 figs., 1 tab

Orden monetario y bancos centrales Monetary order and Central Banks

Directory of Open Access Journals (Sweden)

Aglietta Michel

1996-06-01

Full Text Available Con el enfoque evolucionista e institucionalista de la economía de las convenciones francesa, este trabajo analiza el surgimiento histórico de la banca central y la creación institucional del 'arte de la banca central'. El artículo estudia los modelos formales del orden monetario, la banca libre y la banca central, y analiza los eventos históricos que llevaron a que el Banco de Inglaterra inventara el arte de manejar los bancos centrales en conjunción con el aprendizaje colectivo e institucional que lo hizo posible. Aglietta muestra que la banca central no es una creación del Estado sino una creación institucional endógena al sistema de mercado.With the evolutionist and institutionalist focus of the economics of the French conventions, this paper analyzes the historical rise of the central bank and the institutional creation of the 'art of the central bank'. The article studies formal models of the monetary order, free banking and the central bank, and analyzes the historie events that led to the Bank of England inventing the art of managing the central banks, in conjunction with the collective and institutional learning that made it possible. Aglietta shows that the central bank is not a creation of the State, but rather aninstitutional creation endogenous to the market system.

A study on relational ENSDF databases and online services

International Nuclear Information System (INIS)

Fan Tieshuan; Song Xiangxiang; Ye Weiguo; Liu Wenlong; Feng Yuqing; Chen Jinxiang; Tang Guoyou; Shi Zhaoming; Guo Zhiyu; Huang Xiaolong; Liu Tingjin; China Inst. of Atomic Energy, Beijing

2007-01-01

A relational ENSDF library software is designed and released. Using relational databases, object-oriented programming and web-based technology, this software offers online data services of a centralized repository of data, including international ENSDF files for nuclear structure and decay data. The software can easily reconstruct nuclear data in original ENSDF format from the relational database. The computer programs providing support for database management and online data services via the Internet are based on the Linux implementation of PHP and the MySQL software, and platform independent in a wider sense. (authors)

The Regional Centrality of Vietnam’s Central Highlands

DEFF Research Database (Denmark)

Salemink, Oscar

2018-01-01

strategic value turned it into a battleground among various Vietnamese parties, France, and the United States. It was here that the outcome of the Indochina wars was determined, but at a terrible price for the local population. After the adoption of economic reforms in reunified Vietnam the Central......Vietnam’s Central Highlands—or Tây Nguyên—area is usually described as remote, backward, and primitive, but this region has played a central role in the history of the surrounding states and the wider East and Southeast Asia region. Far from isolated, the Central Highlands engaged in trade...... various rivalrous polities now known as Vietnam, Champa, Cambodia, Laos, and Thailand, the area occupied a strategic position in the wider mainland Southeast Asia region. With the emergence of a unified, neo-Confucianist Vietnamese state the region lost its centrality until the late colonial era, when its...

A demonstration program to evaluate centralized LLW Incineration

International Nuclear Information System (INIS)

Burian, R.J.

1984-01-01

Dramatic increases in low level waste burial charges in the last five years have spurred interest in achieving higher volume reduction than currently achieved by compaction. Battelle has completed a planning study to demonstrate the technical and economic feasibility of central site incineration for dry active waste to service several generators within a geographical area. We initiated licensing by the USNRC and Ohio EPA and developed plans, procedures, and estimated costs for licensing, construction, operation, and decommissioning of a central site incinerator. In addition, acceptance criteria were established for incoming waste. Response from the NRC and Ohio EPA indicated that no major obstacles existed toward obtaining licenses. The economic study indicated that a commercial incineration operation lasting 20 years or more was economically advantageous over direct burial of compacted waste, assuming that burial costs continue to escalate at their current rates. However, a 5-year demonstration period was not economically advantageous because of the short period to recover the fixed capital investment

Formulation de cas dans la psychose débutante : Quels outils pour le travail en équipe?

Science.gov (United States)

Elowe, Julien; Mebdouhi, Nadir; Solida, Alessandra; Conus, Philippe

2017-01-01

Nous présentons d’abord brièvement le programme TIPP et les concepts généraux de la prise en charge précoce dans la psychose débutante. Un des objectifs de l’intervention dans la phase précoce des troubles psychotiques est notamment de proposer des soins spécifiques adaptés à cette phase de la maladie. En début de prise en charge, l’équipe de soins et en particulier le gestionnaire de cas (case manager), chef d’orchestre de la prise en charge, sont confrontés à une quantité importante d’information dont il faut dégager les lignes de forces pour mettre en place une prise en charge adaptée. Cet article propose un modèle qui peut constituer un outil de travail précieux pour les équipes travaillant dans l’intervention précoce pour faire émerger une formulation de cas et synthétiser les situations cliniques des patients, en extraire une histoire qui fasse sens et ainsi faciliter la mise en place d’un projet thérapeutique. PMID:28558256

On the Role of Service Concept in IT

Directory of Open Access Journals (Sweden)

DESPI Ioan

2009-12-01

Full Text Available Hard times affecting world-wide economy have strong consequences and are challenging IT departments from all sorts of enterprises. Expensive software projects are replaced by component-based agile systems and paradigms like SOA, REST, cloud computing are the new buzz-words. Behind the canvas, the service concept plays a central role, which we try to reveal.

Geographic delivery models for radiotherapy services

International Nuclear Information System (INIS)

Roberts, G.H.; Dunscombe, P.B.; Samant, R.S.

2002-01-01

The study described here was undertaken to quantify the societal cost of radiotherapy in idealized urban and rural populations and, hence, to generate a measure of impediment to access. The costs of centralized, distributed comprehensive and satellite radiotherapy delivery formats were examined by decomposing them into institutional, productivity and geographical components. Our results indicate that centralized radiotherapy imposes the greatest financial burden on the patient population in both urban and rural scenarios. The financial burden faced by patients who must travel for radiotherapy can be interpreted as one component of the overall impediment to access. With advances in remote-monitoring systems, it is possible to maintain technical quality while enhancing patient access. However, the maintenance of professional competence will remain a challenge with a distributed service-delivery format. Copyright (2002) Blackwell Science Pty Ltd

User Privacy and Empowerment: Trends, Challenges, and Opportunities

DEFF Research Database (Denmark)

Dhotre, Prashant Shantaram; Olesen, Henning; Khajuria, Samant

2018-01-01

to the service providers. Considering business models that are slanted towards service provid-ers, privacy has become a crucial issue in today’s fast growing digital world. Hence, this paper elaborates personal information flow between users, service providers, and data brokers. We also discussed the significant...... privacy issues like present business models, user awareness about privacy and user control over per-sonal data. To address such issues, this paper also identified challenges that com-prise unavailability of effective privacy awareness or protection tools and the ef-fortless way to study and see the flow...... of personal information and its manage-ment. Thus, empowering users and enhancing awareness are essential to compre-hending the value of secrecy. This paper also introduced latest advances in the domain of privacy issues like User Managed Access (UMA) can state suitable requirements for user empowerment...

The impact of social franchising on the use of reproductive health and family planning services at public commune health stations in Vietnam

OpenAIRE

Pham Van; Alden Dana L; Ngo Anh D; Phan Ha

2010-01-01

Abstract Background Service franchising is a business model that involves building a network of outlets (franchisees) that are locally owned, but act in coordinated manner with the guidance of a central headquarters (franchisor). The franchisor maintains quality standards, provides managerial training, conducts centralized purchasing and promotes a common brand. Research indicates that franchising private reproductive health and family planning (RHFP) services in developing countries improves...

Continuing the promise: Recruiting and preparing Hmong-American educators for Central Wisconsin

Directory of Open Access Journals (Sweden)

Leslie McClain-Ruelle

2006-01-01

Full Text Available The state of Wisconsin, and in the broader context, the middle states of the United States experienced a large influx of Hmong families starting in the early 1980’s and into the 1990’s. With this influx a large number of young, Southeast Asian children entered the PK-12 classrooms, often with the support of bilingual aides. While many of the children flourished within this newer context, they were mostly guided in their classrooms by white, Anglo educators. Although theseeducators work to meet the needs of all children, there were few to no Hmong educators working with these same children in the PK-12 setting. At the same time, a number of Hmong young adults were serving as bilingual aides in these classrooms. Project Forward, a federally funded Title VII grant, has worked to create a shift in these roles, preparing Hmong college students to become educators in the PK-12 settings. In 1999, Central Wisconsin enrolled approximately3,200 Hmong children in the PK-12 schools; at the same time, Central Wisconsin employed merely seven Hmong teachers in the classrooms. The goal of the grant program described in this paper is to prepare teachers of Southeast Asian background for early childhood, elementary, secondary and K-12 classrooms. The Central Wisconsin grant has supported a total of 35 Southeast Asian students in their pursuit of teaching careers. Fulfilling the goal of preparingteachers who can serve as role models for Southeast Asian children in our schools has met with successes and struggles. This article presents consideration of the central factors affectingrecruitment, retention and preparation of Hmong pre-service teachers in Central Wisconsin. The article includes a brief historical examination of the immigration of the Hmong population intothe United States, a consideration of the Hmong culture as it affects recruitment and retention of pre-service teachers and evidence related to successes and struggles experienced by Project

Prising open the markets

International Nuclear Information System (INIS)

Anon.

1998-01-01

Enron, the US power and gas marketer, well known for its aggressive market reputation now seeks to enter the European arena, but the company is finding the slow pace of energy liberalisation there frustrating. The company's progress into European markets, outside the UK and Scandinavia, is viewed as piecemeal and is widely dispersed. Unwilling to reveal the turnover of its European operations, the company is finding it difficult to meet its ambitious promises to shareholders. Nevertheless Enron has committed itself to remaining in the European market for at least the next fifteen years. (UK)

Health services reform in Bangladesh: hearing the views of health workers and their professional bodies

OpenAIRE

Cockcroft, Anne; Milne, Deborah; Oelofsen, Marietjie; Karim, Enamul; Andersson, Neil

2011-01-01

Abstract Background In Bangladesh, widespread dissatisfaction with government health services did not improve during the Health and Population Sector Programme (HPSP) reforms from 1998-2003. A 2003 national household survey documented public and health service users' views and experience. Attitudes and behaviour of health workers are central to quality of health services. To investigate whether the views of health workers influenced the reforms, we surveyed local health workers and held evide...

Temporary services for patients in need of chronic care

DEFF Research Database (Denmark)

Hesse, Morten

2008-01-01

Background A project is a temporary endeavour undertaken to create a product or service. Projects are frequently used for the testing and development of new approaches in social work. Projects can receive grants from central, often national or international institutions, and allow for more...... experimentation than work placed within existing institutions. Discussion For socially marginalized groups who need continuing support and care, receiving help in a project means that the clients will have to be transferred to other services when the project ends. There is also a risk that clients will experience...... a decline in services, as staff members have to seek new employment towards the end of the project, or begin to focus more on the evaluation than the services. This raises some ethical issues concerning the use of human subjects in projects. Conclusion Project managers should consider ethical issues...

Blood banking services in India.

Science.gov (United States)

Sardana, V N

1996-01-01

India's health care sector has made impressive strides toward providing health for all by the year 2000. That progress, however, has not been supported by a modern transfusion services network which continues to improve itself. In India, blood collection, storage, and delivery occur mainly in blood banks attached to hospitals, most of which are under central and state government controls. A significant portion of blood banking activity is also done by voluntary agencies and private sector blood banks. A study found the blood transfusion services infrastructure to be highly decentralized and lacking of many critical resources; an overall shortage of blood, especially from volunteer donors; limited and erratic testing facilities; an extremely limited blood component production/availability/use; and a shortage of health care professionals in the field of transfusion services. Infrastructural modernization and the technical upgrading of skills in the blood banks would, however, provide India with a dynamic transfusion services network. The safety of blood transfusion, the national blood safety program, HIV testing facilities, modernization of blood banks, the rational use of blood, program management, manpower development, the legal framework, voluntary blood donation, and a 1996 Supreme Court judgement on the need to focus greater attention upon the blood program are discussed.

Successful and unsuccessful attempts to resolve caribou management and timber harvesting issues in west central Alberta

Directory of Open Access Journals (Sweden)

David Hervieux

1996-01-01

Full Text Available Research studies of woodland caribou in west central Alberta began in 1979 in response to proposed timber harvesting on their winter ranges. Using results from initial studies, timber harvest guidelines were developed. A recent review of these guidelines, and the assumptions on which they were based, has resulted in a renegotiation by government and industry of timber harvesting on caribou range in west central Alberta. Caribou range in west central Alberta overlaps many jurisdictional boundaries: federal and provincial lands, four Forest Management Agreement Areas, three Alberta Land and Forest Service Regions and two Alberta Fish and Wildlife Service Regions. This jurisdictional complexity in combination with other factors such as total allocation of the timber resources, high levels of petroleum, natural gas and coal extraction activities, a high level of concern by public groups for caribou conservation and recent understanding of woodland caribou needs for abundant space has made resolution of caribou/timber harvest conflicts exceedingly slow and often relatively unproductive. This paper reviews 10 years of trying to resolve conflicts between timber harvesting and caribou conservation through meetings, committees, integrated resource planning, policy papers and public consultation. We describe what might be learned by other jurisdictions that are trying to resolve similar caribou/timber harvesting issues. We conclude with an overview of recent timber harvest planning initiatives on caribou range in west central Alberta.

Designing pharmacy services based on grocery store patron preferences.

Science.gov (United States)

Lindstrom, Nicolette S Raya; Casper, Kristin A; Green, Tara R; Pedersen, Craig A

2007-01-01

To assess preferences of grocery store patrons concerning pharmacy services and identify study participant characteristics that may predict the success of pharmacy services in the community setting. Self-administered survey. Central Ohio from December 16, 2005, to January 12, 2006. 163 grocery store patrons. Eight grocery store survey events. Responses to survey items about (1) perceived importance of 28 pharmacy services, (2) identification of the 3 most important services, (3) frequency of grocery store and pharmacy use, (4) preferred methods of advertising pharmacy services, and (5) socioeconomic demographics. Preferred services delineated by various demographics also were analyzed. A total of 163 surveys were returned from study participants. Nine services appeared in both the top 12 overall preferred services and the 12 highest-ranked services. Statistically significant differences were observed among services ranked as important or very important by age, race, employment, income, caregiver status, and prescription drug coverage status. The three advertising tools selected most frequently included: weekly grocery store ads (68.6%), in-store signs (51.0%), and flyers attached to prescription bags (36.0%). Grocery store patrons would like a wide range of nontraditional pharmacy services that could be implemented into community pharmacies. Pharmacies in grocery stores need to provide both traditional and expanded pharmacy services to meet the desires and expectations of current and potential patients, and expanded marketing methods should be considered.

MaROS: Information Management Service

Science.gov (United States)

Allard, Daniel A.; Gladden, Roy E.; Wright, Jesse J.; Hy, Franklin H.; Rabideau, Gregg R.; Wallick, Michael N.

2011-01-01

This software is provided by the Mars Relay Operations Service (MaROS) task to a variety of Mars projects for the purpose of coordinating communications sessions between landed spacecraft assets and orbiting spacecraft assets at Mars. The Information Management Service centralizes a set of functions previously distributed across multiple spacecraft operations teams, and as such, greatly improves visibility into the end-to-end strategic coordination process. Most of the process revolves around the scheduling of communications sessions between the spacecraft during periods of time when a landed asset on Mars is geometrically visible by an orbiting spacecraft. These relay sessions are used to transfer data both to and from the landed asset via the orbiting asset on behalf of Earth-based spacecraft operators. This software component is an application process running as a Java virtual machine. The component provides all service interfaces via a Representational State Transfer (REST) protocol over https to external clients. There are two general interaction modes with the service: upload and download of data. For data upload, the service must execute logic specific to the upload data type and trigger any applicable calculations including pass delivery latencies and overflight conflicts. For data download, the software must retrieve and correlate requested information and deliver to the requesting client. The provision of this service enables several key advancements over legacy processes and systems. For one, this service represents the first time that end-to-end relay information is correlated into a single shared repository. The software also provides the first multimission latency calculator; previous latency calculations had been performed on a mission-by-mission basis.

Public Service Motivation and Paternalism

DEFF Research Database (Denmark)

Holm Pedersen, Lene; Qvistgaard, Lars

holds a potential to improve public service provision (Belle, 2013, Andersen et al., 2014), it also has dark sides (Van Loon et al., 2015, forthcoming). The aim of this paper is to analyze and discuss how one type of public service motivated individuals (paternalistic knights) and constitute a problem...... of democratic accountability. The setting of this discussion is unusual for the PSM literature, and takes PSM into the analysis and discussion of motivation and paternalism in trade unions. This setting is relevant and interesting as the election of representatives is based on elections, and hence trade unions...... variables are two dimensions of the PSM construct; namely self-sacrifice and commitment to the public interest, whereas the central independent variable is paternalistic orientation. All three variables are measured with survey constructs in a cross sectional survey design. The survey is made among...

Institutional Innovation and Public Extension Services Provision: The Marche Regional Administration Reform in Central Italy

Science.gov (United States)

Pascucci, Stefano; De Magistris, Tiziana

2011-01-01

This paper describes how Marche Regional Administration (MRA) introduced an innovative institutional reform of an Agricultural Knowledge and Information System (AKIS) in central Italy. In order to study the main features of the MRA reform we used a methodological approach based on three steps: (i) first we applied a desk analysis to sketch the…

A Standardization Framework for Electronic Government Service Portals

Science.gov (United States)

Sarantis, Demetrios; Tsiakaliaris, Christos; Lampathaki, Fenareti; Charalabidis, Yannis

Although most eGovernment interoperability frameworks (eGIFs) cover adequately the technical aspects of developing and supporting the provision of electronic services to citizens and businesses, they do not exclusively address several important areas regarding the organization, presentation, accessibility and security of the content and the electronic services offered through government portals. This chapter extends the scope of existing eGIFs presenting the overall architecture and the basic concepts of the Greek standardization framework for electronic government service portals which, for the first time in Europe, is part of a country's eGovernment framework. The proposed standardization framework includes standards, guidelines and recommendations regarding the design, development and operation of government portals that support the provision of administrative information and services to citizens and businesses. By applying the guidelines of the framework, the design, development and operation of portals in central, regional and municipal government can be systematically addressed resulting in an applicable, sustainable and ever-expanding framework.

Recidivism at the Kumasi Central Prison: A Look into Guidance and Counselling Services

Science.gov (United States)

Afari, Sarah Aba; Osei, Mavis; Adu-Agyem, Joe

2015-01-01

Recidivism is on the increase as ex-convicts who are expected by the society to be reformed in prison and reintegrated to lead meaningful lives, only return to crime shortly after their release and find themselves back into prison in spite of the harsh punishment and counselling services received while incarcerated. The study aimed to identify the…

Centralized vs. De-centralized Multinationals and Taxes

DEFF Research Database (Denmark)

Nielsen, Søren Bo; Raimondos-Møller, Pascalis; Schjelderup, Guttorm

2005-01-01

The paper examines how country tax differences affect a multinational enterprise's choice to centralize or de-centralize its decision structure. Within a simple model that emphasizes the multiple conflicting roles of transfer prices in MNEs - here, as a strategic pre-commitment device and a tax...

Service Oriented Middleware for the Internet of Things: A Perspective

OpenAIRE

Teixeira , Thiago; Hachem , Sara; Issarny , Valérie; Georgantas , Nikolaos

2011-01-01

International audience; The Internet of Things plays a central role in the foreseen shift of the Internet to the Future Internet, as it incarnates the drastic expansion of the In- ternet network with non-classical ICT devices. It will further be a major source of evolution of usage, due to the penetration in the user's life. As such, we en- vision that the Internet of Things will cooperate with the Internet of Services to provide users with services that are aware of their surrounding environ...

Mandatory waiting periods and biased abortion counseling in Central and Eastern Europe.

Science.gov (United States)

Hoctor, Leah; Lamačková, Adriana

2017-11-01

Several Central and Eastern European countries have recently enacted retrogressive laws and policies introducing new preconditions that women must fulfill before they can obtain legal abortion services. Mandatory waiting periods and biased counseling and information requirements are particularly common examples of these new prerequisites. The present article considers these requirements in light of international human rights standards and public health guidelines, and outlines the manner in which, by imposing regressive barriers on women's access to legal abortion services, these new laws and policies undermine women's health and well-being, fail to respect women's human rights, and reinforce harmful gender stereotypes and abortion stigma. © 2017 International Federation of Gynecology and Obstetrics.

Appraisal of the Effectiveness of CODE; The Coordinated Delivery System for the South Central Research Library Council, January to December 1970.

Science.gov (United States)

Faibisoff, Sylvia G.

A major concern of the South Central Research Library Council in establishing an interlibrary loan network was the development of a Coordinated Delivery system (CODE). Several means of delivery were considered--the U.S. mails, commercial trucking (Greyhound, United Parcel Service), and use of the public library system's delivery services. A…

Effects of Centralizing Acute Stroke Services on Stroke Care Provision in Two Large Metropolitan Areas in England

Science.gov (United States)

Morris, Stephen; Hoffman, Alex; Hunter, Rachael M.; Boaden, Ruth; McKevitt, Christopher; Perry, Catherine; Pursani, Nanik; Rudd, Anthony G.; Turner, Simon J.; Tyrrell, Pippa J.; Wolfe, Charles D.A.; Fulop, Naomi J.

2015-01-01

Background and Purpose— In 2010, Greater Manchester and London centralized acute stroke care into hyperacute units (Greater Manchester=3, London=8), with additional units providing ongoing specialist stroke care nearer patients’ homes. Greater Manchester patients presenting within 4 hours of symptom onset were eligible for hyperacute unit admission; all London patients were eligible. Research indicates that postcentralization, only London’s stroke mortality fell significantly more than elsewhere in England. This article attempts to explain this difference by analyzing how centralization affects provision of evidence-based clinical interventions. Methods— Controlled before and after analysis was conducted, using national audit data covering Greater Manchester, London, and a noncentralized urban comparator (38 623 adult stroke patients, April 2008 to December 2012). Likelihood of receiving all interventions measured reliably in pre- and postcentralization audits (brain scan; stroke unit admission; receiving antiplatelet; physiotherapist, nutrition, and swallow assessments) was calculated, adjusting for age, sex, stroke-type, consciousness, and whether stroke occurred in-hospital. Results— Postcentralization, likelihood of receiving interventions increased in all areas. London patients were overall significantly more likely to receive interventions, for example, brain scan within 3 hours: Greater Manchester=65.2% (95% confidence interval=64.3–66.2); London=72.1% (71.4–72.8); comparator=55.5% (54.8–56.3). Hyperacute units were significantly more likely to provide interventions, but fewer Greater Manchester patients were admitted to these (Greater Manchester=39%; London=93%). Differences resulted from contrasting hyperacute unit referral criteria and how reliably they were followed. Conclusions— Centralized systems admitting all stroke patients to hyperacute units, as in London, are significantly more likely to provide evidence-based clinical

Implications of the Central America-Dominican Republic-Free Trade Agreement for the nutrition transition in Central America.

Science.gov (United States)

Hawkes, Corinna; Thow, Anne Marie

2008-11-01

To identify potential impacts of the Central America-Dominican Republic-Free Trade Agreement (CAFTA-DR) on food consumption patterns associated with the nutrition transition, obesity, and diet-related chronic diseases. Examination of CAFTA-DR agreement to identify measures that have the potential to affect food availability and retail prices. CAFTA-DR includes agreements on tariffs, tariff-rate quotas (TRQs), and sanitary and phytosanitary regulations with direct implications for the availability and prices of various foods. Agreements on investment, services, and intellectual property rights (IPR) are also relevant because they create a business climate more conducive to long-term investment by the transnational food industry. Trade liberalization under CAFTA-DR is likely to increase availability and lower relative prices of two food groups associated with the nutrition transition: meat and processed foods. These outcomes are expected to occur as the direct result of increased imports from the United States and increased production by U.S. companies based in Central America, and the indirect result of increased domestic meat production (due to increased availability of cheaper animal feed) and increased production of processed foods by domestic companies (due to a more competitive market environment). CAFTA-DR is likely to further the nutrition transition in Central America by increasing the consumption of meat; highly processed foods; and new, non-traditional foods. The public health community should be more aware of the implications of trade agreements for dietary health. Governments and related stakeholders should assess the coherence between changes fostered by specific trade agreements with national policies on diet and nutrition.

Public service of radioactive waste management for small producers

International Nuclear Information System (INIS)

Zeleznik, N.; Mele, I.

2001-01-01

By Governmental decree of May 1999, the Agency for radwaste management (ARAO) was authorized as a state public service for managing radioactive waste from small producers. By this decree the ARAO also became the operator of the Central Interim Storage intended for radioactive waste from industry, medicine and research, located in Brinje near Ljubljana. In this paper the current situation will be presented, together with plans for improving public service and the necessary refurbishment and modernization of the storage facility. Execution of the proposed measures, modifications and a modernization will ensure proper and safe storing of all radioactive waste from small producers produced in Slovenia, thus fulfilling the requirements for full operation of the public service of radioactive waste management.(author)

Indico central - events organisation, ergonomics and collaboration tools integration

International Nuclear Information System (INIS)

Gonzalez Lopez, Jose Benito; Ferreira, Jose Pedro; Baron, Thomas

2010-01-01

While the remote collaboration services at CERN slowly aggregate around the Indico event management software, its new version which is the result of a careful maturation process includes improvements which will set a new reference in its domain. The presentation will focus on the description of the new features of the tool, the user feedback process which resulted in a new record of usability. We will also describe the interactions with the worldwide community of users and server administrators and the impact this has had on our development process, as well as the tools set in place to streamline the work between the different collaborating sites. A last part will be dedicated to the use of Indico as a central hub for operating other local services around the event organisation (registration epayment, audiovisual recording, webcast, room booking, and videoconference support)

Indico central - events organisation, ergonomics and collaboration tools integration

Energy Technology Data Exchange (ETDEWEB)

Gonzalez Lopez, Jose Benito; Ferreira, Jose Pedro; Baron, Thomas, E-mail: jose.benito.gonzalez@cern.c, E-mail: jose.pedro.ferreira@cern.c, E-mail: thomas.baron@cern.c [CERN IT-UDS-AVC, 1211 Geneve 23 (Switzerland)

2010-04-01

While the remote collaboration services at CERN slowly aggregate around the Indico event management software, its new version which is the result of a careful maturation process includes improvements which will set a new reference in its domain. The presentation will focus on the description of the new features of the tool, the user feedback process which resulted in a new record of usability. We will also describe the interactions with the worldwide community of users and server administrators and the impact this has had on our development process, as well as the tools set in place to streamline the work between the different collaborating sites. A last part will be dedicated to the use of Indico as a central hub for operating other local services around the event organisation (registration epayment, audiovisual recording, webcast, room booking, and videoconference support)

Indico Central - Events Organisation, Ergonomics and Collaboration Tools Integration

CERN Document Server

Gonzalez Lopez, J B; Baron, T; CERN. Geneva. IT Department

2010-01-01

While the remote collaboration services at CERN slowly aggregate around the Indico event management software, its new version which is the result of a careful maturation process includes improvements which will set a new reference in its domain. The presentation will focus on the description of the new features of the tool, the user feedback process which resulted in a new record of usability. We will also describe the interactions with the worldwide community of users and server administrators and the impact this has had on our development process, as well as the tools set in place to streamline the work between the different collaborating sites. A last part will be dedicated to the use of Indico as a central hub for operating other local services around the event organisation (registration epayment, audiovisual recording, webcast, room booking, and videoconference support)

La prise en compte des innovations en matière de mobilité dans la planification urbaine : le cas des Services de transports personnalisés (STP)

OpenAIRE

Castex, Élodie; Frère, Séverine; Groux, Annette

2017-01-01

Cet article s’intéresse à la façon dont la planification peut ou non permettre aux politiques de déplacements d’innover, de prendre en compte des nouveaux besoins et formes de mobilité. S’appuyant sur un travail de recherche qui porte sur la place des modes de transports alternatifs que sont le covoiturage, l’autopartage, le vélo-en-libre-service et le transport à la demande dans les politiques publiques, cet article tentera de comprendre comment les modes de déplacement innovants sont pris e...

Evidence of central and peripheral vestibular pathology in blast-related traumatic brain injury.

Science.gov (United States)

Scherer, Matthew R; Burrows, Holly; Pinto, Robin; Littlefield, Philip; French, Louis M; Tarbett, Aaron K; Schubert, Michael C

2011-06-01

To prospectively assay the vestibular and oculomotor systems of blast-exposed service members with traumatic brain injury (TBI). Prospective, nonblinded, nonrandomized descriptive study. Tertiary care facility (Department of Defense Medical Center). Twenty-four service members recovering from blast-related TBI sustained in Iraq or Afghanistan. Focused history and physical, videonystagmography (VNG), rotational chair, cervical vestibular-evoked myogenic potentials, computerized dynamic posturography, and self-report measures. Vestibular testing confirms a greater incidence of vestibular and oculomotor dysfunction in symptomatic (vestibular-like dizziness) personnel with blast-related TBI relative to asymptomatic group members. VNG in the symptomatic group revealed abnormal nystagmus or oculomotor findings in 6 of 12 subjects tested. Similarly, rotational chair testing in this group revealed evidence of both peripheral (4/12) and central (2/12) vestibular pathology. By contrast, the asymptomatic group revealed less vestibular impairment with 1 of 10 rotational chair abnormalities. The asymptomatic group was further characterized by fewer aberrant nystagmus findings (4/12 abnormal VNGs). Computerized dynamic posturography testing revealed no significant differences between groups. Self-report measures demonstrated differences between groups. Vestibular function testing confirms a greater incidence of peripheral vestibular hypofunction in dizzy service members with blast-related TBI relative to those who are asymptomatic. Additionally, oculomotor abnormalities and/or nystagmus consistent with central involvement were present in 10 of the 24 study participants tested. The precise cause of these findings remains unknown.

Planting the Seeds of a New Agriculture: Living with the Land in Central America.

Science.gov (United States)

Adriance, Jim

1995-01-01

Central America's macroeconomics, land tenure patterns, and population growth are forcing small-scale farmers to alternatives based on farmer-to-farmer teaching and farming in concert with the environment. Discusses major schools of thought that have fueled this phenomenon, and how extension services and isolated groups are joining to form a…

DESIGN AND PRACTICE ON METADATA SERVICE SYSTEM OF SURVEYING AND MAPPING RESULTS BASED ON GEONETWORK

Directory of Open Access Journals (Sweden)

Z. Zha

2012-08-01

Full Text Available Based on the analysis and research on the current geographic information sharing and metadata service，we design, develop and deploy a distributed metadata service system based on GeoNetwork covering more than 30 nodes in provincial units of China.. By identifying the advantages of GeoNetwork, we design a distributed metadata service system of national surveying and mapping results. It consists of 31 network nodes, a central node and a portal. Network nodes are the direct system metadata source, and are distributed arround the country. Each network node maintains a metadata service system, responsible for metadata uploading and management. The central node harvests metadata from network nodes using OGC CSW 2.0.2 standard interface. The portal shows all metadata in the central node, provides users with a variety of methods and interface for metadata search or querying. It also provides management capabilities on connecting the central node and the network nodes together. There are defects with GeoNetwork too. Accordingly, we made improvement and optimization on big-amount metadata uploading, synchronization and concurrent access. For metadata uploading and synchronization, by carefully analysis the database and index operation logs, we successfully avoid the performance bottlenecks. And with a batch operation and dynamic memory management solution, data throughput and system performance are significantly improved; For concurrent access, , through a request coding and results cache solution, query performance is greatly improved. To smoothly respond to huge concurrent requests, a web cluster solution is deployed. This paper also gives an experiment analysis and compares the system performance before and after improvement and optimization. Design and practical results have been applied in national metadata service system of surveying and mapping results. It proved that the improved GeoNetwork service architecture can effectively adaptive for

Centrally managed name resolution schemes for EPICS

International Nuclear Information System (INIS)

Jun, D.

1997-01-01

The Experimental Physics and Industrial Control System (EPICS) uses a broadcast method to locate resources and controls distributed across control servers. There are many advantages offered by using a centrally managed name resolution method, in which resources are located using a repository. The suitability of DCE Directory Service as a name resolution method is explored, and results from a study involving DCE are discussed. An alternative nameserver method developed and in use at the Thomas Jefferson national Accelerator Facility (Jefferson Lab) is described and results of integrating this new method with existing EPICS utilities presented. The various methods discussed in the paper are compared

Sunflower (Helianthus annuus) pollination in California's Central Valley is limited by native bee nest site location

OpenAIRE

Sardiï as, HS; Tom, K; Ponisio, LC; Rominger, A; Kremen, C

2016-01-01

� 2016 by the Ecological Society of America. The delivery of ecosystem services by mobile organisms depends on the distribution of those organisms, which is, in turn, affected by resources at local and landscape scales. Pollinator-dependent crops rely on mobile animals like bees for crop production, and the spatial relationship between floral resources and nest location for these central-place foragers influences the delivery of pollination services. Current models that map pollination cove...

Demonstrating appropriate silviculture for sustainable forestry in central Siberia: a Russian - American partnership

Science.gov (United States)

J. C. Brissette; S. T. Eubanks; A. J. R. Gillespie; R. J. Lasko; A. V. Rykoff

1997-01-01

A joint Northeastern Forest Experiment Station - Eastern Region team is working with Russian counterparts on a Forests for the Future Initiative in the Krasnoyarsk region of central Siberia. Russian team members include scientists from the Sukachev Institute of the Russian Academy of Sciences, managers from a number of units of the Federal Forest Service of Russia, and...

Forest products cluster development in central Arizona—implications for landscape-scale forest restoration

Science.gov (United States)

David. Nicholls

2014-01-01

Since 2004, close to 50,000 ac of hazardous fuels have been mechanically treated in east-central Arizona as part of the USDA Forest Service's first 10-year stewardship project on national forest lands. The need for coordinated wood products and biomass utilization in Arizona is likely to increase as broad-scale restoration treatments across Arizona's national...

The appropriateness of health services for adolescents: youth's opinions and attitudes.

Science.gov (United States)

Resnick, M; Blum, R W; Hedin, D

1980-12-01

Minnesota high school students were surveyed about their attitudes, beliefs, and opinions about health, illness, and medical care. Data were obtained from small group discussions conducted by the adolescents themselves in schools and agencies throughout the state. This paper reports their views toward adolescent medical services. Teenagers emphasized the idea of service appropriateness as central to promoting service utilization. Key to the concept of appropriateness were the components of staff, cost and confidentiality. Each of these dimensions is examined from the view of youth as to implications for increased appropriateness of services for both utilization and improved health. Findings are discussed in terms of differences in problem definition between the adolescent and professional, and their implications for medical care in conventional and alternative settings.

Towards a Location-based Service for Early Mental Health Interventions in Disaster Response Using Minimalistic Tele-operated Android Robots Technology

Science.gov (United States)

Vahidi, H.; Mobasheri, A.; Alimardani, M.; Guan, Q.; Bakillah, M.

2014-04-01

Providing early mental health services during disaster is a great challenge in the disaster response phase. Lack of access to adequate mental-health professionals in the early stages of large-scale disasters dramatically influences the trend of a successful mental health aid. In this paper, a conceptual framework has been suggested for adopting cellphone-type tele-operated android robots in the early stages of disasters for providing the early mental health services for disaster survivors by developing a locationbased and participatory approach. The techniques of enabling GI-services in a Peer-to-Peer (P2P) environment were studied to overcome the limitations of current centralized services. Therefore, the aim of this research study is to add more flexibility and autonomy to GI web services (WMS, WFS, WPS, etc.) and alleviate to some degree the inherent limitations of these centralized systems. A P2P system Architecture is presented for the location-based service using minimalistic tele-operated android robots, and some key techniques of implementing this service using BestPeer were studied for developing this framework.

SMART CITY SERVICES DRIVEN BY IOT: A SYSTEMATIC REVIEW

Directory of Open Access Journals (Sweden)

Marko Mijac

2017-09-01

Full Text Available The central role in development of information society is taken by smart cities and their novel services through the use of modern technology and smart solutions. The key enabler and driver of smart cities is Internet of Things (IoT. In this paper, we have conducted a systematic literature review in order to investigate proposed smart city services driven by IoT. We have formulated the review protocol to define the research question/s, search strategy, selection criteria, study quality assessment, and data extraction strategy. We have defined the following main research question: What are the reported applications of Internet of Things in the development of smart city services? The papers were categorized by the smart city services they proposed or described. We have recognized the following categories: traffic and transport; environment monitoring; accessibility & healthcare; waste management; public lighting; energy management; city infrastructure; and other.

Issue des accouchements sur utérus cicatriciel dans un hôpital ...

African Journals Online (AJOL)

Certains auteurs ont tendance à privilégier la césarienne comme méthode de prise en charge d'une parturiente porteuse d'un utérus cicatriciel. D'autres auteurs préconisent un accouchement par voie basse quand des paramètres cliniques précis sont observés. Le but de cette étude est d'analyser la prise en charge et ...

Spatial Evolution of Producer Service Sectors and Its Influencing Factors in Cities: A Case Study of Hangzhou, China

Directory of Open Access Journals (Sweden)

Yizhou Wu

2018-03-01

Full Text Available Producer service industries are an important feature in the current development of a metropolis. Researchers from different countries are increasingly concerned about location changes and the motives of producer service sectors in cities. Given the rapid development of producer service sectors in developing countries, this study examines changes in the distribution of producer service sectors over the past decade and factors influencing them in a case study using the city of Hangzhou in China. Results show that Hangzhou’s producer service sector is still mainly concentrated in the central business district (CBD. However, a distinct trend of diffusion to suburban areas was observed, which formed several secondary clusters on the periphery of the city. Locations of the CBD, sub-centers, and professional clusters of producer service sectors established by the government are the most important factors that affect the spatial distribution of producer service sectors. The main influencing factors for the spatial evolution of producer service sectors are: (1 the high development cost and residential suburbanization of the central areas of the city promote the development of producer service sectors toward the periphery; (2 city planning has guided the clustering of producer service sectors on the city’s CBD and secondary city centers; (3 city renewal has provided personalized and diversified development space for producer service sectors; (4 incentive policies introduced by the government, such as rentals, and taxes have enhanced the orderly aggregation of producer service sectors.

Design of photovoltaic central power station concentrator array

Energy Technology Data Exchange (ETDEWEB)

1984-02-01

A design for a photovoltaic central power station using tracking concentrators has been developed. The 100 MW plant is assumed to be located adjacent to the Saguaro Power Station of Arizona Public Service. The design assumes an advanced Martin Marietta two-axis tracking fresnel lens concentrator. The concentrators are arrayed in 5 MW subfields, each with its own power conditioning unit. The photovoltaic plant output is connected to the existing 115 kV switchyard. The site specific design allows detailed cost estimates for engineering, site preparation, and installation. Collector and power conditioning costs have been treated parametrically.

SKODA JS in Central and Eastern European markets

International Nuclear Information System (INIS)

Luptacik, P.

2006-01-01

During the past decade, SKODA JS a.s. gained a leading position in the manufacture of equipment for the nuclear power sector in Central and Eastern Europe. The company benefited from its experience accumulated during the construction of VVER 440 and VVER 1000 NPPs at a time that saw a global decrease in popularity of the nuclear power sector. The company is building its success on a comprehensive understanding of the function of the primary coolant circuit and efforts to upgrade the equipment and processes so as to reflect new requirements in terms of safety and reactor unit service life. (orig.)

Central intake to improve access to physiotherapy for children with complex needs: a mixed methods case report.

Science.gov (United States)

Wittmeier, Kristy D M; Restall, Gayle; Mulder, Kathy; Dufault, Brenden; Paterson, Marie; Thiessen, Matthew; Lix, Lisa M

2016-08-31

Children with complex needs can face barriers to system access and navigation related to their need for multiple services and healthcare providers. Central intake for pediatric rehabilitation was developed and implemented in 2008 in Winnipeg Manitoba Canada as a means to enhance service coordination and access for children and their families. This study evaluates the process and impact of implementing a central intake system, using pediatric physiotherapy as a case example. A mixed methods instrumental case study design was used. Interviews were completed with 9 individuals. Data was transcribed and analyzed for themes. Quantitative data (wait times, referral volume and caregiver satisfaction) was collected for children referred to physiotherapy with complex needs (n = 1399), and a comparison group of children referred for orthopedic concerns (n = 3901). Wait times were analyzed using the Kruskal-Wallis test, caregiver satisfaction was analyzed using Fisher exact test and change point modeling was applied to examine referral volume over the study period. Interview participants described central intake implementation as creating more streamlined processes. Factors that facilitated successful implementation included 1) agreement among stakeholders, 2) hiring of a central intake coordinator, 3) a financial commitment from the government and 4) leadership at the individual and organization level. Mean (sd) wait times improved for children with complex needs (12.3(13.1) to 8.0(6.9) days from referral to contact with family, p physiotherapy (i.e., decreasing wait times) for families of children with complex needs. Future research is needed to build on this single discipline case study approach to examine changes in wait times, therapy coordination and stakeholder satisfaction within the context of continuing improvements for pediatric therapy services within the province.

Health services research related to performance indicators and benchmarking in Europe

NARCIS (Netherlands)

Klazinga, Niek; Fischer, Claudia; ten Asbroek, Augustinus

2011-01-01

Measuring quality of care through performance indicators and subsequently using these to compare, learn, and improve (benchmarking) has become a central component of health care policy. This paper aims to identify the main themes of health services research in this area and focuses on opportunities

EPA guidance on building trust in mental health services.

Science.gov (United States)

Gaebel, W; Muijen, M; Baumann, A E; Bhugra, D; Wasserman, D; van der Gaag, R J; Heun, R; Zielasek, J

2014-02-01

To advance mental health care use by developing recommendations to increase trust from the general public and patients, those who have been in contact with services, those who have never been in contact and those who care for their families in the mental health care system. We performed a systematic literature search and the retrieved documents were evaluated by two independent reviewers. Evidence tables were generated and recommendations were developed in an expert and stakeholder consensus process. We developed five recommendations which may increase trust in mental health care services and advance mental health care service utilization. Trust is a mutual, complex, multidimensional and dynamic interrelationship of a multitude of factors. Its components may vary between individuals and over time. They may include, among others, age, place of residence, ethnicity, culture, experiences as a service user, and type of disorder. For mental health care services, issues of knowledge about mental health services, confidentiality, continuity of treatment, dignity, safety and avoidance of stigma and coercion are central elements to increase trust. Evidence-based recommendations to increase mutual trust of service users and psychiatrists have been developed and may help to increase mental health care service utilization. Copyright © 2014 Elsevier Masson SAS. All rights reserved.

Memory Management of Multimedia Services in Smart Homes

Science.gov (United States)

Kamel, Ibrahim; Muhaureq, Sanaa A.

Nowadays there is a wide spectrum of applications that run in smart home environments. Consequently, home gateway, which is a central component in the smart home, must manage many applications despite limited memory resources. OSGi is a middleware standard for home gateways. OSGi models services as dependent components. Moreover, these applications might differ in their importance. Services collaborate and complement each other to achieve the required results. This paper addresses the following problem: given a home gateway that hosts several applications with different priorities and arbitrary dependencies among them. When the gateway runs out of memory, which application or service will be stopped or kicked out of memory to start a new service. Note that stopping a given service means that all the services that depend on it will be stopped too. Because of the service dependencies, traditional memory management techniques, in the operating system literatures might not be efficient. Our goal is to stop the least important and the least number of services. The paper presents a novel algorithm for home gateway memory management. The proposed algorithm takes into consideration the priority of the application and dependencies between different services, in addition to the amount of memory occupied by each service. We implement the proposed algorithm and performed many experiments to evaluate its performance and execution time. The proposed algorithm is implemented as a part of the OSGi framework (Open Service Gateway initiative). We used best fit and worst fit as yardstick to show the effectiveness of the proposed algorithm.

Provision of oncology services in remote rural areas: a Scottish perspective.

Science.gov (United States)

Smith, S M; Campbell, N C

2004-05-01

There is a paucity of research into rural health care services. In particular little is known about the provision of specialist cancer services for patients who live in remote rural areas of the UK. This study set out to investigate current models of medical and clinical oncology care in Scotland. A national survey with key health professionals was conducted to identify rural oncology schemes currently in operation. Detailed quantitative data about the schemes together with qualitative data on how health professionals view current models of care were collected by a computer-assisted telephone survey. Schemes that currently provide outpatient and chemotherapy oncology services for remote rural patients fell into three categories: central clinics (5); shared care outreach clinics with chemotherapy provision (11); and shared care outreach clinics without chemotherapy provision (7). All radiotherapy was conducted at central clinics (5). Widely varying practices in delivery of cancer care were found across the country. The main issues for professionals about current models of care involved expertise, travelling and accessibility (for patients), communication and expansion of the rural service. Nation-wide consistency in cancer care has still to be achieved. Travelling for treatment was seen to take its toll on all patients but particularly for the very remote, elderly and poor. Most professionals believe that an expansion of rural services would be of benefit to these patients. It is clear, however, that the proper infrastructure needs to be in place in terms of local expertise, ensured quality of care, and good communication links with cancer centres before this could happen.

42 CFR 418.66 - Condition of participation: Nursing services-Waiver of requirement that substantially all nursing...

Science.gov (United States)

2010-10-01

... 42 Public Health 3 2010-10-01 2010-10-01 false Condition of participation: Nursing services-Waiver.... 418.66 Section 418.66 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND... central office. The hospice must provide evidence to CMS that it has made a good faith effort to hire a...

Incidence of Central Vein Stenosis and Occlusion Following Upper Extremity PICC and Port Placement

International Nuclear Information System (INIS)

Gonsalves, Carin F.; Eschelman, David J.; Sullivan, Kevin L.; DuBois, Nancy; Bonn, Joseph

2003-01-01

The purpose of this study was to determine the incidence of central vein stenosis and occlusion following upper extremity placement of peripherally inserted central venous catheters(PICCs) and venous ports. One hundred fifty-four patients who underwent venography of the ipsilateral central veins prior to initial and subsequent venous access device insertion were retrospectively identified. All follow-up venograms were interpreted at the time of catheter placement by one interventional radiologist over a 5-year period and compared to the findings on initial venography. For patients with central vein abnormalities, hospital and home infusion service records and radiology reports were reviewed to determine catheter dwelltime and potential alternative etiologies of central vein stenosis or occlusion. The effect of catheter caliber and dwell time on development of central vein abnormalities was evaluated. Venography performed prior to initial catheter placement showed that 150 patients had normal central veins. Three patients had central vein stenosis, and one had central vein occlusion. Subsequent venograms (n = 154)at the time of additional venous access device placement demonstrated 8 patients with occlusions and 10 with stenoses. Three of the 18 patients with abnormal follow-up venograms were found to have potential alternative causes of central vein abnormalities. Excluding these 3 patients and the 4 patients with abnormal initial venograms, a 7% incidence of central vein stenosis or occlusion was found in patients with prior indwelling catheters and normal initial venograms. Catheter caliber showed no effect on the subsequent development of central vein abnormalities. Patients who developed new or worsened central vein stenosis or occlusion had significantly (p =0.03) longer catheter dwell times than patients without central vein abnormalities. New central vein stenosis or occlusion occurred in 7% of patients following upper arm placement of venous access devices

Organisation de la transfusion Sanguine Thérapeutique : Etude des modalités alternatives de la transfusion sanguine hérapeutique organisable en ambulatoire

OpenAIRE

Buthion, Valérie; Denechaud, Clémence; Remonnay, Raphaël

2009-01-01

233p; Ce rapport présente les résultats d'une recherche pilote sur l'organisation d'un soin de santé, la transfusion sanguine thérapeutique. Majoritairement organisée au sein des services hospitalier, elle peut être assurer dans des conditions de sécurité satisfaisante dans des centres de santé ou à domicile avec des équipes mobile. Pourtant, les grands centres hospitaliers sont majoritaires dans sa prise en charge, malgré des demandes répétées, notamment de l'Etablissement Français du Sang, ...

The National Health Service (NHS) at 70: some comparative reflections.

Science.gov (United States)

Tuohy, Carolyn H

2018-03-16

As the National Health Service (NHS) turns 70, it bears comparison with another universal system celebrating an anniversary this year: Canada's 50-year-old medicare model. Each system is iconically popular, and each revolves around a profession-state accommodation. Both the popularity and the central axis of each system have been tested by external shocks in the form of periodic fiscal cycles of investment and austerity, and internal stresses generating organizational cycles of centralization and decentralization. In addition, the English NHS has undergone periodic bursts of major policy change, which have arguably moved the system closer to the Canadian single-payer model.

La mise en œuvre de démarches qualité dans les services publics : une difficile transition

OpenAIRE

Barouch, Gilles

2011-01-01

Les démarches d’amélioration de la qualité du service public occupent désormais une place centrale dans les politiques de modernisation des services publics. Cet article propose une analyse des origines, du développement, des contenus et des résultats des principales démarches dans ce domaine. Il esquisse une analyse transversale des démarches qualité actuelles évaluées à l’aulne des principes du management de la qualité. Quality management plays a central part in the modernization of publ...

The Cuban National Healthcare System: Characterization of primary healthcare services.

Directory of Open Access Journals (Sweden)

Keli Regina DAL PRÁ

2015-10-01

Full Text Available This article presents a report on the experience of healthcare professionals in Florianópolis, who took the course La Atención Primaria de Salud y la Medicina Familiar en Cuba [Primary Healthcare and Family Medicine in Cuba], in 2014. The purpose of the study is to characterize the healthcare units and services provided by the Cuban National Healthcare System (SNS and to reflect on this experience/immersion, particularly on Cuba’s Primary Healthcare Service. The results found that in comparison with Brazil’s Single Healthcare System (SUS Cuba’s SNS Family Healthcare (SF service is the central organizing element of the Primary Healthcare Service. The number of SF teams per inhabitant is different than in Brazil; the programs given priority in the APS are similar to those in Brazil and the intersectorial nature and scope of the services prove to be effective in the resolution of healthcare problems.

Middle Tier Services Accessing the Chandra X-Ray Center Data Archive

Science.gov (United States)

Patz, A.; Harbo, P.; Moran, J.; van Stone, D.; Zografou, P.

The Chandra Data Archive team at the Chandra X-ray Center has developed middle tier services that are used by both our search and retrieval applications to uniformly access our data repository. Accessible through an HTTP URL interface, these services can be called by our J2EE web application (WebChaser) and our Java Swing application (Chaser), as well as any other HTTP client. Programs can call the services to retrieve observation data such as a single FITS file, a proposal abstract or a detailed report of observation parameters. Having a central interface to the archive, shared by client applications, facilitates code reusability and easier maintenance. These middle tier services have been written in Java and packaged into a single J2EE application called the Search and Retrieval (SR) Services. The package consists of a web application front-end and an Enterprise Java Beans back-end. This paper describes the design and use of the SR Services.

Multi-modal exercise training and protein-pacing enhances physical performance adaptations independent of growth hormone and BDNF but may be dependent on IGF-1 in exercise-trained men.

Science.gov (United States)

Ives, Stephen J; Norton, Chelsea; Miller, Vincent; Minicucci, Olivia; Robinson, Jake; O'Brien, Gabe; Escudero, Daniela; Paul, Maia; Sheridan, Caitlin; Curran, Kathryn; Rose, Kayla; Robinson, Nathaniel; He, Feng; Arciero, Paul J

2017-02-01

Protein-pacing (P; 5-6meals/day @ 2.0g/kgBW/day) and multi-mode exercise (RISE; resistance, interval, stretching, endurance) training (PRISE) improves muscular endurance, strength, power and arterial health in exercise-trained women. The current study extends these findings by examining PRISE on fitness, growth hormone (GH), insulin-like growth factor-1 (IGF-1), and brain-derived neurotrophic factor (BDNF) response, cardiometabolic health, and body composition in exercise-trained men. Twenty active males (>4daysexercise/week) completed either: PRISE (n=11) or RISE (5-6meals/day @ 1.0g/kgBW/day; n=9) for 12weeks. Muscular strength (1-repetition maximum bench and leg press, 1-RM BP, and 1-RM LP), endurance (sit-ups, SU; push-ups, PU), power (squat jump, SJ, and bench throw, BT), flexibility (sit-and-reach, SR), aerobic performance (5km cycling time-trial, TT), GH, IGF-1, BDNF, augmentation index, (AIx), and body composition, were assessed at weeks 0 (pre) and 13 (post). At baseline, no differences existed between groups except for GH (RISE, 230±13 vs. PRISE, 382±59pg/ml, pIGF-1 (12%, pIGF-1 response. Copyright © 2016 The Author(s). Published by Elsevier Ltd.. All rights reserved.

About opportunities of the sharing of city infrastructure centralized warmly - and water supply

Science.gov (United States)

Zamaleev, M. M.; Gubin, I. V.; Sharapov, V. I.

2017-11-01

It is shown that joint use of engineering infrastructure of centralized heat and water supply of consumers will be the cost-efficient decision for municipal services of the city. The new technology for regulated heating of drinking water in the condenser of steam turbines of combined heat and power plant is offered. Calculation of energy efficiency from application of new technology is executed.

78 FR 56266 - Consent Based Social Security Number Verification (CBSV) Service

Science.gov (United States)

2013-09-12

... developed CBSV as a user- friendly, internet-based application with safeguards that protect the public's information. In addition to the benefit of providing high volume, centralized SSN verification services to users in a secure manner, CBSV provides us with cost and workload management benefits. New Information...

Human dimensions in ecosystem management: a USDA Forest Service perspective

Science.gov (United States)

Deborah S. Carr

1995-01-01

For many decades, the natural resource profession has approached the management of public lands as exclusively a natural science endeavor requiring purely technical solutions. With the adoption of an ecosystem management philosophy, the USDA Forest Service has acknowledged the centrality of people in land management policy and decision-making. This paper explores the...

Sense of community, organizational commitment and quality of services.

Science.gov (United States)

Lampinen, Mai-Stiina; Suutala, ElinaAnnikki; Konu, Anne Irmeli

2017-10-02

Purpose The purpose of this paper is to examine how factors associated with a sense of community in the workplace are connected with organizational commitment and the quality of services among frontline managers and middle managers in social and health care services in Finland. Design/methodology/approach A questionnaire designed specifically for this research was sent to 241 lower-level and middle-level managers in social and health care services in central Finland. A total of 136 managers completed the questionnaire (response rate 56 per cent). The results were analyzed using descriptive statistics, exploratory factor analysis, Spearman's rank-order correlation coefficient and multiple linear regression analyses. Findings The study showed that feeling a sense of belonging, mutual trust and appreciation, and open interaction among colleagues were connected to organizational commitment for frontline managers and middle managers in social and health care services in Finland. Correspondingly, an open flow of information in the organization, job meaningfulness and appreciation received from managers' superiors were connected to the quality of services. Originality/value This study provides information on the factors that influence social and health care managers' organizational commitment and on items connected to their experience of the quality of services.

Case report

African Journals Online (AJOL)

abp

10 nov. 2015 ... 3j pour prise en charge de son accouchement. L'examen général trouve une patiente en bon état général ... clinique faite à l'admission pour la prise en charge de son accouchement à terme. .... être plus rapidement proposée (avortement tardif mais aussi précoce), parfois même en l'absence d'antécédent ...

Research

African Journals Online (AJOL)

abp

31 mars 2016 ... l'accouchement [15]. C'est ce qui pourrait expliquer pourquoi nous avons trouvé que la prise de la 1ère dose de SP prise après la. 28 ème semaine de grossesse a augmenté le risque d'échec du TPIp-. SP. De plus un début tardif de CPN pourrait être incriminé puisque la SP est administré au décours ...

Factors influencing the provision of public health services by village doctors in Hubei and Jiangxi provinces, China.

Science.gov (United States)

Ding, Yan; Smith, Helen J; Fei, Yang; Xu, Biao; Nie, Shaofa; Yan, Weirong; Diwan, Vinod K; Sauerborn, Rainer; Dong, Hengjin

2013-01-01

The Chinese central government launched the Health System Reform Plan in 2009 to strengthen disease control and health promotion and provide a package of basic public health services. Village doctors receive a modest subsidy for providing public health services associated with the package. Their beliefs about this subsidy and providing public health services could influence the quality and effectiveness of preventive health services and disease surveillance. To understand village doctors' perspectives on the subsidy and their experiences of delivering public health services, we performed 10 focus group discussions with village doctors, 12 in-depth interviews with directors of township health centres and 4 in-depth interviews with directors of county-level Centers for Disease Control and Prevention. The study was conducted in four counties in central China, two in Hubei province and two in Jiangxi province. Village doctors prioritize medical services but they do their best to manage their time to include public health services. The willingness of township health centre directors and village doctors to provide public health services has improved since the introduction of the package and a minimum subsidy, but village doctors do not find the subsidy to be sufficient remuneration for their efforts. Improving the delivery of public health services by village doctors is likely to require an increase in the subsidy, improvement in the supervisory relationship between village clinics and township health centres and the creation of a government pension for village doctors.

The Mediterranean fruit fly in Central America

International Nuclear Information System (INIS)

Vail, V.; Moore, I.; Nadel, D.

1976-01-01

Various methods of controlling the medfly are available and include the use of insecticides, bait sprays and the sterile insect technique (SIT). Each of these control strategies may be used alone or in sequence. With regard to the application of the SIT, the Joint FAO/IAEA Division of Atomic Energy in Food and Agriculture through its Insect and Pest Control Section and Entomology Laboratory is in an excellent position to assist in containing the medfly in Central America. For the past 12 years, the laboratory has participated in all phases of medfly control by sterile insect releases in various climates. This involvement has included planning of medfly campaigns, development of pre-release techniques (bait spraying, trapping, etc.) and shipment and release of sterilized medflies. Small-scale field tests utilizing the SIT have been carried out by nine countries: Italy (Procida, Capri), Spain, Cyprus, Israel, Tunisia, Peru, Panama, Costa Rica and Nicaragua. Other field projects presently being counselled and serviced are located in Argentina, Venezuela and the Canary Islands. The research and development that are still needed to effectively stabilize and gain control of the medfly situation in Central America include: The development and use of effective quarantine procedures in various countries; Development of effective conventional medfly control procedures under the conditions found in Central America; Development of methods to determine the geographic origin of medflies introduced into new areas; Medfly mass production (viz. all aspects of rearing Central American strains); Assessing the performance (competitiveness, etc.) of various strains; Logistics, including the development of systems for releasing pre-adult stages; Genetic rearing methods: developmental research in this area is particularly promising since the preferential production of males would allow considerable savings in the rearing costs of medflies for release; Development of adequate surveillance

CAN-SDI: experience with multi-source computer based current awareness services in the National Science Library, Ottawa.

Science.gov (United States)

Gaffney, I M

1973-07-01

CAN/SDI is Canada's national Selective Dissemination of Information Service offering a choice of nine data bases to its scientific and technical community. The system is based on central processing at the National Science Library combined with the utilization of decentralized expertise and resources for profile formulation and user education. Its greatest strength lies in its wide interdisciplinary quality. The major advantage of centralized processing of many data bases is that Canadians need learn only one method of profile formulation to access many files. A breakdown of services used confirms that a single tape service does not cover all the information requirements of most users. On the average each profile accesses approximately 1.5 data bases. Constant subscriber growth and a low cancellation rate indicate that CAN/SDI is and will continue to be an important element in Canada's information system.

Family planning utilization and factors associated among women receiving abortion services in health facilities of central zone towns of Tigray, Northern Ethiopia: a cross sectional Study.

Science.gov (United States)

Hagos, Goshu; Tura, Gurmesa; Kahsay, Gizienesh; Haile, Kebede; Grum, Teklit; Araya, Tsige

2018-06-05

Abortion remains among the leading causes of maternal death worldwide. Post-abortion contraception is significantly effective in preventing unintended pregnancy and abortion if provided before women leave the health facilty. However, the status of post-abortion family planning (PAFP) utilization and the contributing factors are not well studied in Tigray region. So, we conduct study aimed on family planning utilization and factors associated with it among women receiving abortion services. A facility based cross-sectional study design was conducted among women receiving abortion services in central zone of Tigray from December 2015to February 2016 using a total of 416 sample size. Women who came for abortion services were selected using systematic random sampling technique.. The data were collected using a pre-tested interviewer administered questionnair. Data were coded and entered in to Epi info 7 and then exported to SPSS for analysis. Descriptive statisticslike frequencies and mean were computed to display the results. Both Bivariable and multivariable logistic regression was used in the analysis. Variables statistically significant at p < 0.05 in the bivariable analysis were checked in multivariable logistic regration to identify independently associated factors. Then variables which were significantly associated with post abortion family planning utilization at p-value < 0.05 in the multivariable analysis were declared as significantly associated factors. A total of 409 abortion clients were interviewed in this study with 98.3% of response rate. Majority 290 (70.9%) of study participants utilized contracepives after abortion. Type of health facility, the decision maker on timing of having child, knowledge that pregnancy can happen soon after abortion and husband's opposition towards contraceptives were significantly associated with Post-abortion family planning ustilization. About one-third of abortion women failed to receive contraceptive before

The distribution of mercury in a forest floor transect across the central United States

Science.gov (United States)

Charles H. (Hobie) Perry; Michael C. Amacher; William Cannon; Randall K. Kolka; Laurel Woodruff

2009-01-01

Mercury (Hg) stored in soil organic matter may be released when the forest floor is consumed by fire. Our objective is to document the spatial distribution of forest floor Hg for a transect crossing the central United States. Samples collected by the Forest Service, U.S. Department of Agriculture's Forest Inventory and Analysis Soil Quality Indicator were tested...

The Audio-Visual Services in Fifteen African Countries. Comparative Study on the Administration of Audio-Visual Services in Advanced and Developing Countries. Part Four. First Edition.

Science.gov (United States)

Jongbloed, Harry J. L.

As the fourth part of a comparative study on the administration of audiovisual services in advanced and developing countries, this UNESCO-funded study reports on the African countries of Cameroun, Republic of Central Africa, Dahomey, Gabon, Ghana, Kenya, Libya, Mali, Nigeria, Rwanda, Senegal, Swaziland, Tunisia, Upper Volta and Zambia. Information…

76 FR 60112 - Consent Based Social Security Number Verification (CBSV) Service

Science.gov (United States)

2011-09-28

... protect the public's information. In addition to the benefit of providing high volume, centralized SSN verification services to the business community in a secure manner, CBSV provides us with cost and workload management benefits. New Information: To use CBSV, interested parties must pay a one- time non-refundable...

Promoting Critical Thinking through Service Learning: A Home-Visiting Case Study

Science.gov (United States)

Campbell, Cynthia G.; Oswald, Brianna R.

2018-01-01

As stated in APA Learning Outcomes 2 and 3, two central goals of higher education instruction are promoting students' critical thinking skills and connecting student learning to real-life applications. To meet these goals, a community-based service-learning experience was designed using task value, interpersonal accountability, cognitive…

How forest management affects ecosystem services, including timber production and economic return

DEFF Research Database (Denmark)

Duncker, Philipp S.; Raulund-Rasmussen, Karsten; Gundersen, Per

2012-01-01

and services. By use of virtual but realistic datasets, we quantified, for multiple services, the effects of five forest management alternatives that form an intensity gradient. Our virtual forest management units represented Central European forest ecosystems in the submontane vegetation zone under a humid......–temperate climate with acidic soils. In this zone the European beech (Fagus sylvatica L.) is the dominant tree species. In order to assess the effects on ecosystem services, the untouched natural forest reserve served as a reference. Wherever possible, response functions were deduced to couple the various services...... via stand-level data to demonstrate trade-offs between the services. Management units comprised all development phases in the sense of a "normal forest". It was clearly illustrated that maximizing the rates of biomass production and carbon sequestration may conflict with protection of authentic...

Les vélins du Muséum national d’histoire naturelle : une collection mise en lumière

OpenAIRE

Cardinal, Catherine

2018-01-01

Une exposition unique au Cabinet d’histoire du Jardin des plantes Très rarement, le public a pu voir la collection d’images de fleurs, de plantes, d’oiseaux et de mammifères, déposée à la bibliothèque centrale du Musée national d’histoire naturelle. La fragilité des peintures sur vélin au contact de l’air humide et de la lumière explique les précautions prises à leur égard. L’exposition d’environ cent cinquante pièces au sein du Cabinet d’histoire, d’octobre 2016 à janvier 2017, a donc consti...

Energy efficiency and sustainability assessment of about 500 small and medium-sized enterprises in Central Europe region

International Nuclear Information System (INIS)

Viesi, Diego; Pozzar, Francesca; Federici, Alessandro; Crema, Luigi; Mahbub, Md Shahriar

2017-01-01

Nowadays more than 20 million small and medium-sized enterprises (SMEs) are located in the European Union (EU): they are a key driver for economic growth, innovation, employment and social integration. The first step towards better industrial energy and environmental performance is the acknowledgement of the savings potential that can be realized by the company ownership and management board. Following this goal, the CEEM (Central Environmental and Energy Management) project provided to about 500 Central Europe SMEs of 5 countries (Austria, the Czech Republic, Hungary, Italy and Slovenia) a user friendly and free of charge web tool called 3EMT (Eco Energy Efficiency Management Tool). Through a questionnaire the 3EMT analyzes and sums up eco-energy patterns, helps to self-assess the company environmental performance, benchmarks a company with other Central Europe’s enterprises, delivers a customized Assessment Report, suggests further services and facilities. In this paper, the large 3EMT database is analyzed, and statistics focused on SMEs eco-energy performance and future & innovation perspectives are presented and discussed. Furthermore, key challenges and key intervention points were defined by local stakeholders (policy makers, Energy Service Companies, SMEs representatives, researchers), this paper summarizes the main policy outcomes. - Highlights: • Evaluation of Central Europe SME performance in energy efficiency and sustainability. • Extension of SME statistics at European and national level. • Identification of key challenges and key interventions for new industrial policies.

District heating service connections. Technical recommendations. 4. ed. Hausanschluesse an Fernwaermenetze. Technische Richtlinien

Energy Technology Data Exchange (ETDEWEB)

1986-01-01

The fourth edition of the 'Technical regulations - district heating service connections' constitutes a completely revised version answering to the considerable developments and changes the house service sector experienced between 1975 and 1985. Analyses and practical experiences have proved to show that precision thermostats which, depending on the mode of lines and layout of the service system allow to spare central temperature control systems, still have a decisive influence on the design of district heating service stations. The revised chapter on steam line service connections focuses on problems concerning the metering of condensates and the connection of secondary water heating networks to steam lines. The reader finds an updated selection of diagrams as well as a revised appendix listing the AGFW codes of practice and recommendations, relevant DIN standards and relevant VDE/VDI recommendations.

[Musculoskeletal pain in Central American workers: results of the First Survey on Working Conditions and Health in Central America].

Science.gov (United States)

Rojas, Marianela; Gimeno, David; Vargas-Prada, Sergio; Benavides, Fernando G

2015-08-01

Examine the prevalence of musculoskeletal pain (MSP) in the six Spanish-speaking countries of Central America using a single standardized instrument, the First Survey on Working Conditions and Health in Central America in workers from all manual and non-manual labor sectors, using social security coverage as an indicator of formal versus informal employment. The workers (n = 12 024) were surveyed in their homes. The age-adjusted prevalence of MSP during the previous month was calculated for pain in the back (upper, or cervical; middle, or thoracic; and lower, or lumbar) and arm joints (shoulder, elbow, and wrist). Prevalence was estimated by sex, occupation (manual or non-manual), economic sector (agriculture, industry, or services), and social security coverage. Poisson regression models were used to calculate the prevalence rates and 95% confidence intervals, with stratification by country and anatomical site. By sites, the age-adjusted prevalence of cervical-dorsal MSP was the highest, especially in El Salvador (47.8%) and Nicaragua (45.9%), and lumbar MSP was less prevalent, especially in Panama (12.8%) and Guatemala (14.8%). After additional adjustments, the prevalence of MSP was higher in women and manual workers for all the sites and in all the countries. There were no differences in MSP in terms of social security coverage or sector of economic activity. The high prevalence of MSP in Central America, regardless of sector of activity or social security coverage, indicates that the prevention of MSP should be a priority in occupational health programs in low- and middle-income countries, especially for women and manual workers.

Architectural Principles for Orchestration of Cross-Organizational Service Delivery: Case Studies from the Netherlands

Science.gov (United States)

van Veenstra, Anne Fleur; Janssen, Marijn

One of the main challenges for e-government is to create coherent services for citizens and businesses. Realizing Integrated Service Delivery (ISD) requires government agencies to collaborate across their organizational boundaries. The coordination of processes across multiple organizations to realize ISD is called orchestration. One way of achieving orchestration is to formalize processes using architecture. In this chapter we identify architectural principles for orchestration by looking at three case studies of cross-organizational service delivery chain formation in the Netherlands. In total, six generic principles were formulated and subsequently validated in two workshops with experts. These principles are: (i) build an intelligent front office, (ii) give processes a clear starting point and end, (iii) build a central workflow application keeping track of the process, (iv) differentiate between simple and complex processes, (v) ensure that the decision-making responsibility and the overview of the process are not performed by the same process role, and (vi) create a central point where risk profiles are maintained. Further research should focus on how organizations can adapt these principles to their own situation.

Who benefits from free institutional delivery? evidence from a cross sectional survey of North Central and Southwestern Nigeria.

Science.gov (United States)

Ajayi, Anthony I; Akpan, Wilson

2017-09-02

The reasons for low utilisation of maternal health services in settings where the user-fee removal policy has been implemented continue to generate scholarly debates. Evidence of whether user-fee removal benefits the poor women in underserved settings is scanty and inconsistent. This article examines use of maternal health care services in the context of free maternal healthcare and profiles the beneficiaries of user-fee removal. The study adopted a descriptive design. A three-stage cluster sampling method was used to select a representative sample of 1227 women who gave birth between 2011 and 2015. Questionnaires were administered using a face-to-face interview approach and data generated were analysed using descriptive and inferential statistics. The analysis shows that the use of maternal healthcare services has improved considerably in North Central and Southwestern Nigeria. While socioeconomic and geographical inequality in the use of maternal healthcare services appear to be disappearing in Southwestern Nigeria, it appears to be widening in North Central Nigeria. The findings indicate that 33.6% of women reported to have benefitted from the free child-delivery programme; however, substantial variation exists across the two regions. The proportion of beneficiaries of user-fee removal policy was highest in urban areas (35.9%), among women belonging to the middle income category (38.3%), among women who gave birth in primary health centres (63.1%) and among women who resided in communities where there was availability of health facilities (37.2%). The study concludes that low coverage of the free maternal health programme, especially among women of low socioeconomic status residing in underserved settings is among the reasons for persistent poor maternal health outcomes in the context of free maternal healthcare. A model towards improving maternal health in underserved settings, especially in North Central Nigeria, would entail provisioning of health facilities

A Tokenization-Based Communication Architecture for HCE-Enabled NFC Services

Directory of Open Access Journals (Sweden)

Busra Ozdenizci

2016-01-01

Full Text Available Following the announcement of Host Card Emulation (HCE technology, card emulation mode based Near Field Communication (NFC services have gained further appreciation as an enabler of the Cloud-based Secure Element (SE concept. A comprehensive and complete architecture with a centralized and feasible business model for diverse HCE-based NFC services will be highly appreciated, particularly by Service Providers and users. To satisfy the need in this new emerging research area, a Tokenization-based communication architecture for HCE-based NFC services is presented in this paper. Our architecture proposes Two-Phased Tokenization to enable the identity management of both user and Service Provider. NFC Smartphone users can store, manage, and make use of their sensitive data on the Cloud for NFC services; Service Providers can also provide diverse card emulation NFC services easily through the proposed architecture. In this paper, we initially present the Two-Phased Tokenization model and then validate the proposed architecture by providing a case study on access control. We further evaluate the usability aspect in terms of an authentication scheme. We then discuss the ecosystem and business model comprised of the proposed architecture and emphasize the contributions to ecosystem actors. Finally, suggestions are provided for data protection in transit and at rest.

Funding issues and the delivery of public library services in Nigeria ...

African Journals Online (AJOL)

This paper examined the impact of government public expenditure on education and the effect of special funding in enhancing the delivery of public library services in Nigeria. secondary data were collected from the websites of the Central Bank of Nigeria (CBN) and Education Trust Fund (ETF.). Results from the regression ...

SemGroup acquisition of central Alberta midstream : case study

International Nuclear Information System (INIS)

Purcell, T.

2005-01-01

A case study of SemGroup's acquisition of Central Alberta Midstream was presented. SemCAMS specializes in providing more efficient supply, storage, and distribution assets and services. Seminole Canada Gas is a leading independent natural gas marketing and energy asset management company that currently markets 369 MMbtu per day. The company purchases natural gas in western Canada for fee-based marketing services while also managing firm transportation contracts and providing gas storage for third party customers. SemCAMS owns the largest sour gas processor in Alberta as well as 3 sour gas processing plants, 600 miles of gathering pipeline, and a sweet gas processing plant. the company is also planning increased drilling and production activities and is now pursuing aggressive land acquisition policies. Over 25,000 square miles of land have been acquired. It was concluded that midstream companies should be customer-focused, provide reliability and guarantees, infrastructure investment and optimization. tabs., figs

The middle men : the American Foreign Service and the dictators of Central America, 1930-1952

NARCIS (Netherlands)

Berk, Jorrit Hubertus Henricus van den

2012-01-01

This thesis explores the ideologies and practices of a select group of American Foreign Service officers and how these shaped overall U.S. policy toward dictatorships in Guatemala, El Salvador, and Honduras between 1930 and 1952.

Effects of Housing Costs and Home Sales on Local Government Revenues and Services

OpenAIRE

Allee, David J.

1991-01-01

The subtitle of this paper should be " How recession and federal devolution have caused local governments to cut services and raise property taxes --now, what should be done in response to the resulting clamor for local government consolidation?" Housing drives local government services. Home sales represent opportunities for more income and more costs. Intergovernmental competition for tax base and the role of state and federal aid to provide equity between jurisdictions are central to the q...

The Dynamics of Centralized Procurement Reform in a Decentralized State : Evidence and Lessons from Indonesia

OpenAIRE

Sacks, Audrey; Rahman, Erman; Turkewitz, Joel; Buehler, Michael; Saleh, Imad

2014-01-01

A central policy of the Government of Indonesia's strategy for enhancing its country's economic and social development is to develop infrastructure and expand service delivery. Public procurement reform is a key component of this policy. Despite the decentralization of financial responsibility and authority to relatively autonomous local level governments, procurement reform in Indonesia i...

Calculating the ecosystem service of water storage in isolated wetlands using LIDAR in north central Florida, USA

Science.gov (United States)

This study used remotely-sensed Light Detection and Ranging (LiDAR) data to estimate potential water storage capacity of isolated wetlands in north central Florida. The data were used to calculate the water storage potential of >8500 polygons identified as isolated wetlands. We ...