Improving energy consumption structure: A comprehensive assessment of fossil energy subsidies reform in China

International Nuclear Information System (INIS)

Liu Wei; Li Hong

2011-01-01

Fossil energy subsidies reform would be an effective way to improve the energy consumption structure; however, the reform needs to be assessed comprehensively beforehand as it would exert uncertain impacts on economy, society and environment. In this paper, we use price-gap approach to estimate the fossil energy subsidies of China, then establish CGE model that contains pollutant emissions accounts and CO 2 emissions account to stimulate the fossil energy subsidies reform under different scenarios, and the environmental economic analysis concept is introduced to monetize the pollutant reduction benefits. Furthermore, we analyze the possibility and scope of improving the energy consumption structure from the perspective of technical and economic analysis. Analytical results show that the energy consumption structure could be improved by different extent by removing coal or oil subsidies, while the economic and social indexes will be influenced distinctively. Meanwhile, the effects of cutting coal subsidies are more feasible than that of cutting oil subsidies overall. It is recommended to implement fossil energy subsidies gradually, cut the coal first and then cut oil subsidies successively. - Research highlights: → This paper estimates the scale of fossil energy subsidies of China in 2007 with price-gap approach. → We establish a Social Accounting Matrix and a CGE model extended with pollutant accounts. → We simulate the impacts of removing or cutting subsidies under three different scenarios. → We discuss the possibility and potential of improving energy consumption structure.

Comprehensive School Reform and Standardized Test Scores in Illinois Elementary and Middle Schools

Science.gov (United States)

McEnroe, James D.

2010-01-01

The study examined the effects of the federally funded Comprehensive School Reform (CSR) program on student performance on mandated standardized tests. The study focused on the mathematics and reading scores of Illinois public elementary and middle and junior high school students. The federal CSR program provided Illinois schools with an annual…

Final report of the National Health and Hospitals Reform Commission: will we get the health care governance reform we need?

Science.gov (United States)

Stoelwinder, Johannes U

2009-10-05

The National Health and Hospitals Reform Commission (NHHRC) has recommended that Australia develop a "single health system", governed by the federal government. Steps to achieving this include: a "Healthy Australia Accord" to agree on the reform framework; the progressive takeover of funding of public hospitals by the federal government; and the possible implementation of a consumer-choice health funding model, called "Medicare Select". These proposals face significant implementation issues, and the final solution needs to deal with both financial and political sustainability. If the federal and state governments cannot agree on a reform plan, the Prime Minister may need to go to the electorate for a mandate, which may be shaped by other economic issues such as tax reform and intergenerational challenges.

Taxman vs Pacquiao hits need for Philippines reform

DEFF Research Database (Denmark)

Juego, Bonn

2013-01-01

'Business in Asia Today' Filipino boxing icon Manny Pacquiao's latest contest pitches him against the country's tax commissioner, Kim Henares, who has entered the ring with a US$50 million payment demand. The dispute sheds light on much deeper issues and the need for economic reform in the Philip...

Thoughts on a comprehensive tax reform

Institute of Scientific and Technical Information of China (English)

Li Wanfu

2015-01-01

"The Decision on Several Major Issues Regarding the Deepening of Reform" adopted by the Third Plenum of the Eighteenth Session of the CPC Central Committee gave a new position to the next round of tax reform,and proposed its objectives,tone,mission,and core tasks.The new round of tax reform should cover a wide range of issues,including state governance,tax legislation,economic reform and development,social management,globalization,ecological and environmental protection,improvement of tax collection,as well as other related issues.Particular attention should be paid to replacing business tax with VAT,completing legislation on VAT,adjusting the scope,collection mechanisms,and rates of consumption tax;strengthening regulation and control,implementing a personal income tax system that considers both aggregate income and income by source,promoting real estate tax legislation,expanding the ad valorem natural resource tax,accelerating the gradual replacement of fees with taxes,and introducing legislation on environmental protection taxes.

Fundamental Reform of Payment for Adult Primary Care: Comprehensive Payment for Comprehensive Care

Science.gov (United States)

Berenson, Robert A.; Schoenbaum, Stephen C.; Gardner, Laurence B.

2007-01-01

Primary care is essential to the effective and efficient functioning of health care delivery systems, yet there is an impending crisis in the field due in part to a dysfunctional payment system. We present a fundamentally new model of payment for primary care, replacing encounter-based imbursement with comprehensive payment for comprehensive care. Unlike former iterations of primary care capitation (which simply bundled inadequate fee-for-service payments), our comprehensive payment model represents new investment in adult primary care, with substantial increases in payment over current levels. The comprehensive payment is directed to practices to include support for the modern systems and teams essential to the delivery of comprehensive, coordinated care. Income to primary physicians is increased commensurate with the high level of responsibility expected. To ensure optimal allocation of resources and the rewarding of desired outcomes, the comprehensive payment is needs/risk-adjusted and performance-based. Our model establishes a new social contract with the primary care community, substantially increasing payment in return for achieving important societal health system goals, including improved accessibility, quality, safety, and efficiency. Attainment of these goals should help offset and justify the costs of the investment. Field tests of this and other new models of payment for primary care are urgently needed. PMID:17356977

The Economic Effects of Comprehensive Tax Reform

National Research Council Canada - National Science Library

1997-01-01

.... This Congressional Budget Office (CBO) study analyzes the major economic effects of several tax reform plans and finds that much uncertainty surrounds the likelihood and magnitude of the economic gains from tax reform...

Ethical and Human Rights Foundations of Health Policy: Lessons from Comprehensive Reform in Mexico.

Science.gov (United States)

Frenk, Julio; Gómez-Dantés, Octavio

2015-12-10

This paper discusses the use of an explicit ethical and human rights framework to guide a reform intended to provide universal and comprehensive social protection in health for all Mexicans, independently of their socio-economic status or labor market condition. This reform was designed, implemented, and evaluated by making use of what Michael Reich has identified as the three pillars of public policy: technical, political, and ethical. The use of evidence and political strategies in the design and negotiation of the Mexican health reform is briefly discussed in the first part of this paper. The second part examines the ethical component of the reform, including the guiding concept and values, as well as the specific entitlements that gave operational meaning to the right to health care that was enshrined in Mexico's 1983 Constitution. The impact of this rights-based health reform, measured through an external evaluation, is discussed in the final section. The main message of this paper is that a clear ethical framework, combined with technical excellence and political skill, can deliver major policy results. Copyright © 2015 Frenk and Gómez-Dantés. This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original author and source are credited.

Reforming Organizational Structures

OpenAIRE

Van de Walle, Steven

2016-01-01

textabstractPublic sectors have undergone major transformations. Public sector reform touches upon the core building blocks of the public sector: organizational structures, people and finances. These are objects of reform. This chapter presents and discusses a set of major transformations with regard to organizational structures. It provides readers a fairly comprehensive overview of the key reforms that have taken place in Western public sectors. Structural reforms in the public sector show ...

Political Struggle Over The Immigration Reform During G.W.Bush Presidency

Directory of Open Access Journals (Sweden)

Aleksandra Aleksandrovna Filippenko

2014-01-01

Full Text Available By the beginning of the XXI century, the US had about 12 million illegal aliens and the immigration reform was evidently much needed. The Immigration Act of 1990 was significantly outdated and required revision. Additional regulations that passed in the 1990-s had to be systematized. The White House and the president George W. Bush inclined to the comprehensive immigration reform that would include an amnesty for the certain part of the illegal aliens. Some lawmakers were ready to strike a deal, but than happened the 9/11 tragedy. Immigration reform was shelved and turned into a matter of national security. Immigration reform bills were taken into consideration only in conjunction with boarder security bills. Edward Kennedy was very much aware of the issue's complexity and the need for reform; he did all he could to reach a compromise with his fellow Republicans. John McCain became his closest ally in the reform. Democrats made considerable concessions, while moderate Republicans were willing to meet them halfway, but the conservatives would not let the Congress adopt a new legislation, calling any attempt at comprehensive immigration reform an amnesty for the criminals. During the 107-110 Congresses the immigration reform was thoroughly worked through from both sides, but the proposed bills rarely got to the floor and never passed both Houses. Even though the time has passed, suggestions offered and deals reached during the Bush presidency did not lose the edge and any new immigration legislation is going be based on the 2002-2008 bills.

POLITICAL STRUGGLE OVER THE IMMIGRATION REFORM DURING G.W.BUSH PRESIDENCY

Directory of Open Access Journals (Sweden)

Aleksandra Aleksandrovna Filippenko

2014-01-01

Full Text Available By the beginning of the XXI century, the US had about 12 million illegal aliens and the immigration reform was evidently much needed. The Immigration Act of 1990 was significantly outdated and required revision. Additional regulations that passed in the 1990-s had to be systematized. The White House and the president George W. Bush inclined to the comprehensive immigration reform that would include an amnesty for the certain part of the illegal aliens. Some lawmakers were ready to strike a deal, but than happened the 9/11 tragedy. Immigration reform was shelved and turned into a matter of national security. Immigration reform bills were taken into consideration only in conjunction with boarder security bills. Edward Kennedy was very much aware of the issue's complexity and the need for reform; he did all he could to reach a compromise with his fellow Republicans. John McCain became his closest ally in the reform. Democrats made considerable concessions, while moderate Republicans were willing to meet them halfway, but the conservatives would not let the Congress adopt a new legislation, calling any attempt at comprehensive immigration reform an amnesty for the criminals. During the 107-110 Congresses the immigration reform was thoroughly worked through from both sides, but the proposed bills rarely got to the floor and never passed both Houses. Even though the time has passed, suggestions offered and deals reached during the Bush presidency did not lose the edge and any new immigration legislation is going be based on the 2002-2008 bills.

Who defines the need for fishery reform?

DEFF Research Database (Denmark)

Jacobsen, Rikke Becker; Raakjær, Jesper

2014-01-01

-making process as reform according to this ‘grand reform’ discourse was blocked by a combination of small-scale fishers’ informal networks and the power of the parliamentary majority. After a parliamentary shift in power the new government implemented the ‘grand reform’ gradually whilst new patterns...... of participation and exclusion emerged. In this process, the identities of the participating participants were reinterpreted to fit the new patterns of influence and participation. The article argues that fishery reform does not necessarily start with the collective recognition of a problem in marine resource use...... and a power-neutral process of institutional learning. Instead, it argues that fishery reform is likely to be the ‘reform of somebody’ and that this ‘somebody’ is itself a changing identity....

Telecom Reform

DEFF Research Database (Denmark)

Telecom Reform: Principles, Policies and Regulatory Practices, provides a comprehensive and definitive review and assessment of the unfolding telecom reform process, and its implications for information society development. It is an invaluable resource and authoritative reference on telecom reform...... and information infrastructure issues - for people in government, academia, industry and the consulting community. This book addresses the process of policy and regulatory reform in telecom that is now in its formative stage. It draws on detailed knowledge of industry development and regulatory experience......, as well as expertise in the new technologies, industries, economics, policy development, and law to present and critique the principles, policies and regulatory practices associated with telecom reform. Twenty six international experts address thirty two topics that are essential to successful telecom...

Meeting the Demands of Science Reforms: A Comprehensive Professional Development for Practicing Middle School Teachers

Science.gov (United States)

Pringle, Rose M.; Mesa, Jennifer; Hayes, Lynda

2018-03-01

Preparing teachers to teach science consistent with current reforms in science education is a daunting enterprise given a lack of high-quality science professional development (PD) adaptable across various contexts (Wilson 2013). This study examines the impact of a comprehensive professional development program on middle school teachers' disciplinary content knowledge and instructional practices. In this mixed methods investigation, data sources included classroom observations, content knowledge assessments, surveys, and a range of interviews. The teachers in the program showed significant improvements in their disciplinary content knowledge and demonstrated through their enactment of a reform-based curriculum, a range of ability levels to translate their knowledge into instructional practices consistent with the principles espoused in the PD. We conclude that programs that attend to elements of effective PD identified in the literature can positively impact middle school science teachers' enactment of reform-based science teaching. Our findings extend these elements to include the strategic engagement of school and district leadership and the provision of a safe learning space for teachers to collectively engage in reciprocal learning and critical practice. This study has worldwide implications for designing PD for science teachers and for extending our understanding of the impact of each element.

Massachusetts health reform and access for children with special health care needs.

Science.gov (United States)

Smith, Anna Jo; Chien, Alyna T

2014-08-01

Children with special health care needs (CSHCN) face unique challenges in accessing affordable health care. Massachusetts implemented major health reform in 2006; little is known about the impact of this state's health reform on uninsurance, access to care, and financial protection for privately and publicly insured CSHCN. We used a difference-in-differences (DD) approach to compare uninsurance, access to primary and specialty care, and financial protection in Massachusetts versus other states and Washington, DC before and after Massachusetts health reform. Parent-reported data were used from the 2005-2006 and 2009-2010 National Survey of Children with Special Health Care Needs and adjusted for age, gender, race/ethnicity, non-English language at home, and functional difficulties. Postreform, living in Massachusetts was not associated with significant decreases in uninsurance or increases in access to primary care for CSHCN. For privately insured CSHCN, Massachusetts was associated with increased access to specialists (DD = 6.0%; P ≤ .001) postreform. For publicly insured CSHCN, however, there was a significant decrease in access to prescription medications (DD = -7.2%; P = .003) postreform. Living in Massachusetts postreform was not associated with significant changes in financial protection compared with privately or publicly insured CSHCN in other states. Massachusetts health reform likely improved access to specialists for privately insured CSHCN but did not decrease instances of uninsurance, increase access to primary care, or improve financial protection for CSHCN in general. Comparable provisions within the Affordable Care Act may produce similarly modest outcomes for CSHCN. Copyright © 2014 by the American Academy of Pediatrics.

A comprehensive approach to women’s health: lessons from the Mexican health reform

Directory of Open Access Journals (Sweden)

Frenk Julio

2012-12-01

Full Text Available Abstract Background This paper discusses the way in which women’s health concerns were addressed in Mexico as part of a health system reform. Discussion The first part sets the context by examining the growing complexity that characterizes the global health field, where women’s needs occupy center stage. Part two briefly describes a critical conceptual evolution, i.e. from maternal to reproductive to women’s health. In the third and last section, the novel “women and health” (W&H approach and its translation into policies and programs in the context of a structural health reform in Mexico is discussed. W&H simultaneously focuses on women’s health needs and women’s critical roles as both formal and informal providers of health care, and the links between these two dimensions. Summary The most important message of this paper is that broad changes in health systems offer the opportunity to address women’s health needs through innovative approaches focused on promoting gender equality and empowering women as drivers of change.

Challenges and policy implications of gas reform in Italy and Ukraine: Evidence from a benchmarking analysis

International Nuclear Information System (INIS)

Goncharuk, Anatoliy G.; Storto, Corrado lo

2017-01-01

This paper presents a cross-country benchmarking study of natural gas distribution to final consumers and compares two samples of companies in Italy and Ukraine. A 2-stage DEA procedure calculating efficiency of gas providers and identifying critical context factors and policy issues that affect it is implemented. Both countries are low performing in terms of operators’ technical and scale efficiency and there is room to design more efficient market configurations. Some issues need attention to develop an effective gas market policy: a) search for efficiency requires accurate investigation of its main drivers that depend on context factors; b) while greater efficiency is necessary to reduce cost and increase service quality, at different stages of progress of the reform process other goals may be more important; c) gas industry reform process should be planned adopting a systemic perspective as its development does not remain confined to the sector, but implies changes in the whole country economy, particularly when the gas market is of primary relevance to the economy; d) a more comprehensive package of reforms may be necessary to make gas market reform successful; e) even though the gas market reform is an economic process, it has unavoidably social and political implications. - Highlights: • Benchmarking of natural gas distribution industry in Italy and Ukraine is performed. • Average industry inefficiency is about 27% and decreasing returns to scale are dominant. • Gas industry reform process should be planned adopting a systemic perspective. • Gas reform needs a more comprehensive package of reforms and/or supporting legislation to be successful. • Gas industry reform has social and political implications.

The need for tort reform as part of health care reform.

Science.gov (United States)

Thornton, Tiffany; Saha, Subrata

2008-01-01

There is no doubt about the need for tort reform. The current state of the legal system imposes great costs on the U.S. health care system and society in general-an astounding $865 billion each year. Physicians are forced to practice defensive medicine to protect themselves from litigation. Caps on non-economic damages have helped reduce malpractice insurance rates and encouraged young physicians to pursue specialties such as obstetrics. Collective insurance pools and national insurance programs for physicians and hospitals are some options that other countries employ to reduce malpractice rates. Regulation of expert testimony by medical societies would curb false or biased testimony. Other recommendations to improve the tort system include establishing expert health courts similar to those that currently exist for tax and patent law, using mediation, creating patient compensation funds, making acknowledgment of errors inadmissible in court, providing certificates of merit or pretrial screening panels to confirm the validity of lawsuits, and developing treatment contracts. Clearly some action must be taken to amend our current wasteful tort system.

Electricity reform in Argentina: Lessons for developing countries

International Nuclear Information System (INIS)

Pollitt, Michael

2008-01-01

Argentina was one of the first countries in the world to implement a comprehensive reform of its electricity sector. Among developing countries only Chile has had a comparably comprehensive and successful reform. This paper traces the history of the Argentine reform, which began in 1992, and assesses its progress and its lessons. We conclude that the reform was very successful prior to the collapse of the Argentine peso in early 2002. We suggest lessons for the generation, transmission and distribution (and retailing) sectors, as well as the economic regulation of electricity and the general institutional environment. We note that the achievements of the sector have been severely strained by the government's poor energy policy since the crisis

Reforms in Education: The Need for Re-Engineering Teacher Education for Sustainable Development

Science.gov (United States)

Ofoego, O. C.; Ebebe, I. E.

2016-01-01

The paper is concerned with reforms in Education and the need for re-engineering Teacher education in Nigeria for better professionalism and National Development. In the process, key concepts like Teacher Education and professionalism were explained. A brief review of the state of Teacher Education and Development in Nigeria revealed the…

Electricity reform in Argentina: Lessons for developing countries

Energy Technology Data Exchange (ETDEWEB)

Pollitt, Michael [Judge Business School and ESRC Electricity Policy Research Group, University of Cambridge (United Kingdom)

2008-07-15

Argentina was one of the first countries in the world to implement a comprehensive reform of its electricity sector. Among developing countries only Chile has had a comparably comprehensive and successful reform. This paper traces the history of the Argentine reform, which began in 1992, and assesses its progress and its lessons. We conclude that the reform was very successful prior to the collapse of the Argentine peso in early 2002. We suggest lessons for the generation, transmission and distribution (and retailing) sectors, as well as the economic regulation of electricity and the general institutional environment. We note that the achievements of the sector have been severely strained by the government's poor energy policy since the crisis. (author)

Constructivism and Pedagogical Reform in China: Issues and Challenges

Science.gov (United States)

Tan, Charlene

2017-01-01

This article critically discusses the constructivist ideas, assumptions and practices that undergird the current pedagogical reform in China. The pedagogical reform is part of a comprehensive curriculum reform that has been introduced across schools in Mainland China. Although the official documents did not specify the underpinning theories for…

Defining the road ahead: thinking strategically in the new era of health care reform.

Science.gov (United States)

Pudlowski, Edward M

2011-01-01

Understanding the implications of the new health care reform legislation, including those provisions that do not take effect for several years, will be critical in developing a successful strategic plan under the new environment of health care reform and avoiding unintended consequences of decisions made without the benefit of long-term thinking. Although this article is not a comprehensive assessment of the challenges and opportunities that exist under health care reform, nor a layout of all of the issues, it looks at some of the key areas in order to demonstrate why employers need to identify critical pathways and the associated risks and benefits of each decision. Key health care reform areas include insurance market reforms, grandfather rules, provisions that have the potential to influence the underlying cost of health care, the individual mandate, the employer mandate (including the free-choice voucher program) and the excise tax on high-cost plans.

Is Reform in Accounting Education Needed in China and Russia: A Literature Review

Directory of Open Access Journals (Sweden)

Theodore T. Y. Chen

2015-09-01

Full Text Available The purpose of this study is to examine, through literature review, whether China and Russia are in need of accounting education reforms when they are not English-speaking, do not have developed accounting systems as major English-speaking countries do, have a different political orientation from the selected Englishspeaking countries and are at a transition stage from a state-planned economy to a market-driven economy. The paper is based entirely on literature review of global forces at play on accounting education reform, accounting education change in selected English-speaking countries and developments in accounting education in Russia and China. The review indicates that the two countries have a desperate need for accounting education change and that gradual changes are taking place in both countries, although China is at a more advanced stage of development because of its international trade. There are signs of both countries leaning towards the direction of the Accounting Education Change Commission’s (AECC initiatives. China is focusing more on breadth of education than specialization and Russia is at a preliminary stage having to enhance its financial reporting system. The available literature on accounting education in Russia and China is limited, particularly in Russia as the Soviet’s old system did not offer accounting degrees. However, this does not present a problem in identifying an accounting education trend in these two countries from the available literature as explained in the final section of this paper “Limitations of This Study and Future Research”. With major English-speaking and non English-speaking countries leaning towards AECC in their accounting education reforms regardless of the political orientation of the country, one may conclude that AECC is the direction that developing countries having the same need for change should consider. The comparison made in this paper provides insights into an area that

The Need for Transformational Leadership in Singapore's School-Based Reform

Science.gov (United States)

Retna, Kala S.; Ng, Pak Tee

2009-01-01

In Singapore, "decentralization" and "school-based reforms" are key words within the current education reform agenda. This article argues that a key success factor in this agenda is transformational leadership in school. With more autonomy given to the school, transformational leadership at the school level will facilitate the…

The need for a comprehensive energy management information system for industries

Directory of Open Access Journals (Sweden)

Goosen, P

2016-11-01

Full Text Available Electricity costs in South Africa are increasing rapidly, and the funding hurdle rates for energy conservation incentives are decreasing. Therefore, with rising international competition and increasing operational costs, marginal industries need to focus on energy management strategies where larger savings can be achieved with lower capital expenditure. This paper sketches the need for a comprehensive energy management information system (EMIS. Common industrial energy management pitfalls are identified and energy conservation incentives are outlined. New focus points that improve client awareness and in turn improve the sustainability of energy management interventions are also highlighted. However, benefitting from energy incentives is becoming more complex. Therefore, many clients do not benefit from these incentives unless specialised Energy Service Companies (ESCos are employed. ESCos, however, require large amounts of data to manage clients’ energy effectively. Herein lies the need for a comprehensive EMIS that aids ESCos and their clients with the energy management process. An EMIS was developed and implemented for several industries in South Africa. Data is automatically collected, processed, analysed, and presented on a daily basis. A case study investigates the exorbitant amounts of data and reports that are managed automatically, which further highlights the need for a comprehensive EMIS.

Working on reform. How workers' compensation medical care is affected by health care reform.

Science.gov (United States)

Himmelstein, J; Rest, K

1996-01-01

The medical component of workers' compensation programs-now costing over $24 billion annually-and the rest of the nation's medical care system are linked. They share the same patients and providers. They provide similar benefits and services. And they struggle over who should pay for what. Clearly, health care reform and restructuring will have a major impact on the operation and expenditures of the workers' compensation system. For a brief period, during the 1994 national health care reform debate, these two systems were part of the same federal policy development and legislative process. With comprehensive health care reform no longer on the horizon, states now are tackling both workers' compensation and medical system reforms on their own. This paper reviews the major issues federal and state policy makers face as they consider reforms affecting the relationship between workers' compensation and traditional health insurance. What is the relationship of the workers' compensation cost crisis to that in general health care? What strategies are being considered by states involved in reforming the medical component of workers compensation? What are the major policy implications of these strategies?

Is Reform in Accounting Education Needed in China and Russia: A Literature Review

OpenAIRE

Theodore T. Y. Chen

2015-01-01

The purpose of this study is to examine, through literature review, whether China and Russia are in need of accounting education reforms when they are not English-speaking, do not have developed accounting systems as major English-speaking countries do, have a different political orientation from the selected Englishspeaking countries and are at a transition stage from a state-planned economy to a market-driven economy. The paper is based entirely on literature review of global fo...

A comparison of job satisfaction of community health workers before and after local comprehensive medical care reform: a typical field investigation in Central China.

Science.gov (United States)

Ding, Hong; Sun, Xin; Chang, Wei-wei; Zhang, Liu; Xu, Xi-ping

2013-01-01

The government of China promulgated new medical care reform policies in March 2009. After that, provincial-level governments launched new medical care reform which focusing on local comprehensive medical care reform (LCMR). Anhui Province is an example of an area affected by LCMR, in which the LCMR was started in October 2009 and implemented in June 2010. The objective of this study was to compare the job satisfaction (JS) of community health workers (CHWs) before and after the reform in Anhui Province. A baseline survey was carried out among 813 community health workers (CHWs) of 57 community health centers (CHCs) (response rate: 94.1%) and an effect evaluation survey among 536 CHWs of 30 CHCs (response rate: 92.3%) in 2009 and 2012 respectively. A self-completion questionnaire was used to assess the JS of the CHWs (by the job satisfaction scale, JSS). The average scores of total JS and satisfaction with pay, contingent rewards, operating procedures and communication in the effect evaluation survey were statistically significantly higher than those of the baseline survey (Pwork reward of CHWs and pay more attention to CHWs' professional development to further increase their JS.

239 Needed Reforms and Innovations in Motherhood/Gender ...

African Journals Online (AJOL)

FIRST LADY

2011-01-18

Jan 18, 2011 ... certain reforms and innovations could be introduced that would help empower women. .... technology education, ICT education, etc and the .... know where they pinch most about how to remove the discomfort since it is.

Economic democracy and financial reform in Vanuatu

DEFF Research Database (Denmark)

Pacheco Cueva, Vladimir

2007-01-01

This article identifies the rationale and trajectory of finance sector reform as part of the donor-sponsored Comprehensive Reform Program (CRP) in Vanuatu and provides an analysis of the problems associated with the lack of affordable credit for sectors of the population that do not fulfill...... commercial lending criteria. The article relies on financial hegemony theory in order to explain Vanuatu's role within larger international financial structures and rationale for reform. The discussion shows that foreign banking institutions are not interested in broadening credit access to poorer sections...

Factors affecting science reform: Bridging the gap between reform initiatives and teaching practices

Science.gov (United States)

Pensak, Karl John

In response to the perceived deficiencies in science education today, and to the expressed need for research into the culture of schools (due primarily to the failure of many science reforms in the past), this study used a broad based approach to study the gap between science education research and science education practice. This study identified 47 factors that may encourage or inhibit science curriculum reform. A survey was conducted to determine which factors were perceived to be important by local and national K-12 classroom teachers, science supervisors/coordinators, and college/university professors. Continual staff development (scheduled as part of teachers' work day/week/month), funding (for long-term staff development, teacher training and support, science laboratory facilities and materials), teacher motivation and "ownership" of the reform, the need for collaborative opportunities for classroom teachers, teachers' college preparation, textbook reform, community support, and reform initiatives that are "in tune" with assessment, are major factors identified as having a substantial affect on the successful adoption, implementation, and institutionalization of science reforms.

Reforming Technical and Technological Education.

Science.gov (United States)

Wilson, David N.

1993-01-01

Review of technical and technological educational reform in Brazil, Canada, Germany, Great Britain, Indonesia, Malaysia, Singapore, and Sweden shows that reform takes time to complete effectively, long-term approaches are needed, and reform is linked to industrial development, regional cooperation, and decentralized decision making. (SK)

A comprehensive energy–exergy-based assessment and parametric study of a hydrogen production process using steam glycerol reforming

International Nuclear Information System (INIS)

Hajjaji, Noureddine; Chahbani, Amna; Khila, Zouhour

2014-01-01

Various assessment tools are applied to comprehensively investigate a glycerol-to-hydrogen production system. These tools investigate the chemical reactions, design and simulate the entire hydrogen production process, study the energetic and exergetic performances and perform parametric analyses (using intuitive and design of experiment-based methods). Investigating the chemical reaction of steam glycerol reforming reveals that the optimal conditions, determined based on maximizing the hydrogen production while minimizing the methane and carbon monoxide contents and coke formation, can be achieved at a reforming temperature and a water-to-glycerol feed ratio (WGFR) of 950 K and 9, respectively. The thermal and exergetic efficiencies of the resulting process are 66.6% and 59.9%, respectively. These findings are lower than those cited in the literature and relative to other reformates (methane, ethanol and methanol). The parametric investigation indicates that the performance of the process (energetic and exergetic) could be ensured by using an appropriate and judiciously selected combination of the reactor temperature and WGFR. Based on the parametric energetic and exergetic investigation, WGFR = 6 and T = 1100 K appear to be the most accurate parameters for the entire glycerol-to-hydrogen process. For this recommend configuration, the thermal and exergetic efficiencies are 78.1% and 66.1%, respectively. - Highlights: • Energy and exergy analysis are used to assess glycerol-to-hydrogen process. • Recommended conditions for glycerol-to-hydrogen process are WGFR = 6 and T = 1100 K. • For recommend conditions, thermal and exergetic efficiencies are 78.1% and 66.1%. • Energy and exergy consideration should be included by engineers and scientists

Health Care Reform: Impact on Total Joint Replacement.

Science.gov (United States)

Chambers, Monique C; El-Othmani, Mouhanad M; Saleh, Khaled J

2016-10-01

The US health care system has been fragmented for more than 40 years; this model created a need for modification. Sociopoliticomedical system-related factors led to the Affordable Care Act (ACA) and a restructuring of health care provision/delivery. The ACA increases access to high-quality "affordable care" under cost-effective measures. This article provides a comprehensive review of health reform and the motivating factors that drive policy to empower arthroplasty providers to effectively advocate for the field of orthopedics as a whole, and the patients served. Copyright © 2016 Elsevier Inc. All rights reserved.

School-Based Management: The Next Needed Education Reform.

Science.gov (United States)

Guthrie, James W.

1986-01-01

Recommends the implementation of school-based management systems as one way to meet government demands for educational reform. Describes the functions of principals, school advisory councils, school-site budgeting and accounting, and annual planning and performance reports in successful school-based management systems. Presents examples of…

Greek Exit from the Crisis—A Pressing and Much-Needed Public Service Reform

Directory of Open Access Journals (Sweden)

Demetrios Argyriades

2013-04-01

Full Text Available Greece is in a deep crisis; the worst in all of Europe and the worst experienced in 45 years. Greece is no stranger to crises, but most have been exogenous: the Second World War and the Cold War, for instance. Sadly, unlike these crises, the present one is home-made. The wounds that it has caused are largely self-inflicted. It is especially difficult to fathom the logic of strikes by public service unions—repeated, relentless and militant. They paralyzed the country, drove investors and tourists away and added to the burdens that the economy and the people have had to bear. These strikes, and some public servants’ attitudes in the face of the crisis itself, brought into sharp relief the serious capacity deficit in the Greek administrative system, which has been at the root of the problem the country is currently facing. This statement begs the question: how can that be? What, after 30 years of public service reform, presumed to modernize and help the country approximate the standards embedded in the Common European Administrative Space? The paper will suggest that the reforms of the 1980s were only superficially reforms to improve the effectiveness and quality of the Service. Like parallel changes in higher education, the principal objective was harnessing officialdom, and as many voters as possible, to the chariot of PASOK—the political party established by Andreas Papandreou—which effectively governed the country for most of the period in question. The lesson from this experience may be none other, in fact, than clear convincing proof that partisan concerns and institution-building seldom make a good combination. For Greece, in light of the crisis, effective integration in the EU remains a daunting challenge. It calls for bold reforms, but these must be undertaken with institution-building, the country’s general interest, and long term needs in mind.

Unmet needs for comprehensive services in outpatient addiction treatment.

Science.gov (United States)

Pringle, Janice L; Emptage, Nicholas P; Hubbard, Robert L

2006-04-01

Many addiction treatment patients suffer from health and psychosocial problems in addition to substance misuse at the time of their treatment entry. Outpatient treatment programs have attempted to address these problems by providing or facilitating access to comprehensive health and social services. Nevertheless, previous research have suggested high levels of unmet needs for these services in the addiction treatment population. Using data from a large study on community-based outpatient addiction treatment, this article provides additional information on levels of unmet service needs and the relationship between need and receipt of services during treatment. Our results suggest extremely high levels of unmet needs for a wide variety of health and psychosocial services. Specifically, the data suggest that unmet service needs may be far more prevalent than previous estimates and that addiction treatment populations in rural areas may be particularly disadvantaged.

Critical Race Feminism and the Complex Challenges of Educational Reform

Science.gov (United States)

Childers-McKee, Cherese D.; Hytten, Kathy

2015-01-01

Throughout the past several decades, there has been an abundance of research about school reform, particularly in schools predominated by students of color and students experiencing poverty. Critics acknowledge that many reform efforts have failed and comprehensive solutions to school change remain elusive. In this article, we provide an overview…

Finding the moral fiber: Why reform is urgently needed for a fair cotton trade

OpenAIRE

Pfeifer, K.; Kripke, G.; Alpert, E.

2004-01-01

Metadata only record US subsidies have led to depressed world cotton prices, which in turn have cost countries in Africa millions of dollars in lost export earnings. Oxfam estimates that sub-Saharan African countries lost $305 million due to US subsidies in crop year 2001. Because cotton is an important livelihood for millions of poor people, Oxfam believes action is urgently needed to reform the distortions in cotton trade that undermine the value of cotton to developing countries. The ce...

Indonesian heath care and the economic crisis: is managed care the needed reform?

Science.gov (United States)

Hotchkiss, D R; Jacobalis, S

1999-03-01

The ramifications of the current economic crisis are being felt throughout Asia, but problems are particularly acute in Indonesia; in the midst of high inflation and unemployment the government is considering expanding managed care reform. In this paper, we discuss the impact of the recent economic crisis on the health sector in Indonesia, and analyze the potential for implementing effective reform following the managed care model. The health sector is discussed, highlighting pre-existing problems in the health care supply environment. The determinants of the economic crisis are summarized, and the broad impacts of the crisis to date on the health sector are assessed. Next the prospects for success of current managed-care reform proposals are examined in some detail: viability of expanded managed care reform measures are assessed in light of the continuing crisis and its likely impacts on the consumers and suppliers of health care. Analysis of the potential impact of the continuing crisis focuses on key participants in health care reform: households, the government, and private health care providers. In conclusion the potential viability of managed care appears poor, given the current economic, political, and institutional conditions and likely future impacts, and suggest some alternative reform measures.

Medical Education and Curriculum Reform: Putting Reform Proposals in Context

Directory of Open Access Journals (Sweden)

Daniel Kam Yin Chan, MD, MB.BS, MHA

2004-01-01

Full Text Available The purpose of this paper is to elaborate criteria by which the principles of curriculum reform can be judged. To this end, the paper presents an overview of standard critiques of medical education and examines the ways medical curriculum reforms have responded to these critiques. The paper then sets out our assessment of these curriculum reforms along three parameters: pedagogy, educational context, and knowledge status. Following on from this evaluation of recent curriculum reforms, the paper puts forward four criteria with which to gauge the adequacy medical curriculum reform. These criteria enable us to question the extent to which new curricula incorporate methods and approaches for ensuring that its substance: overcomes the traditional opposition between clinical and resource dimensions of care; emphasizes that the clinical work needs to be systematized in so far as that it feasible; promotes multi-disciplinary team work, and balances clinical autonomy with accountability to non-clinical stakeholders.

Reform of UK surrogacy laws: the need for evidence

OpenAIRE

Blyth, Eric

2015-01-01

Surrogacy, whether altruistic or commercial, has become the focus of much public and academic commentary. Given the complexity of surrogacy practice, we have become concerned that many 'reform' arguments are based on alleged matters of fact: a dangerous state of affairs

Teaching medicine and allied disciplines in the 21st century--lessons from Ireland on the continuing need for reform

International Nuclear Information System (INIS)

McMahon, Tim

2005-01-01

This article identifies the imperatives behind the need to move away from teaching based on the transmission of a lot of facts to teaching that enables students to become lifelong learners. It reminds us that the over-riding goal is an education process that maximizes the ability of teachers to teach well and of students to learn effectively. It argues that the necessary reform process can only be successful if the three components of an education programme--the curriculum, teaching strategies and assessment--are reformed simultaneously to ensure that each is designed to produce more effective teaching and learning. It points to the literature that tells us what we know about factors affecting student behaviour and, in particular, notes the crucial factor of student perception of the requirement of the assessment regime. It recommends that Biggs' model of constructive alignment is used as the organizing principle of continuing reform

Prospects for tax reform in China following the 18th CPC National Congress

OpenAIRE

Yang, Zhiyong

2015-01-01

After the 18th National Congress, the Chinese government should speed up tax reform and tax reduction. Tax structure should switch to direct tax. Consumption tax reform of lower tax burden could start within a short time. Replacing business tax by value-added tax should be quickly completed. Personal income tax reform should move toward comprehension. Uneven resource distribution should be taken into consideration in resource tax reform. Property tax should be included in the local financing ...

Budget reform in Ukraine and the OECD countries

Directory of Open Access Journals (Sweden)

Puchko Anna

2016-09-01

Full Text Available The article analyzes the fiscal reforms in Ukraine and the OECD countries. It has been proved that the main areas which should undergo changes are the tax reform, regulatory reform and restructuring policies to encourage entrepreneurship, reform of social protection and social security, reform of social sphere constituents, administrative reform, reform of the army and law enforcement, administrative and territorial reform. According to the analysis results, there has been drawn the conclusion about the need to introduce in Ukraine the successful experience of the OECD countries in implementing budget reforms.

Public Consultation toward Ethiopia's Family Law Reform ...

African Journals Online (AJOL)

Mandefrot Belay

A comprehensive and open public consultation was conducted during the revision ... in Ethiopia which are expected to guide any legal reform process so that the ... law, the way in which public consultation forums were organized, and the ...

Comprehensive Reform for Urban High Schools: A Talent Development Approach. Sociology of Education Series.

Science.gov (United States)

Legters, Nettie E.; Balfanz, Robert; Jordan, Will J.; McPartland, James M.

This book offers an alternative to current reform efforts, the talent development approach, detailing organizational, curricular, and instructional strategies that provide practitioners with a blueprint for whole school reform. The book presents the story of what happened in urban high schools when this approach was implemented. There are eight…

Comprehensive primary health care under neo-liberalism in Australia.

Science.gov (United States)

Baum, Fran; Freeman, Toby; Sanders, David; Labonté, Ronald; Lawless, Angela; Javanparast, Sara

2016-11-01

This paper applies a critical analysis of the impact of neo-liberal driven management reform to examine changes in Australian primary health care (PHC) services over five years. The implementation of comprehensive approaches to primary health care (PHC) in seven services: five state-managed and two non-government organisations (NGOs) was tracked from 2009 to 2014. Two questions are addressed: 1) How did the ability of Australian PHC services to implement comprehensive PHC change over the period 2009-2014? 2) To what extent is the ability of the PHC services to implement comprehensive PHC shaped by neo-liberal health sector reform processes? The study reports on detailed tracking and observations of the changes and in-depth interviews with 63 health service managers and practitioners, and regional and central health executives. The documented changes were: in the state-managed services (although not the NGOs) less comprehensive service coverage and more focus on clinical services and integration with hospitals and much less development activity including community development, advocacy, intersectoral collaboration and attention to the social determinants. These changes were found to be associated with practices typical of neo-liberal health sector reform: considerable uncertainty, more directive managerial control, budget reductions and competitive tendering and an emphasis on outputs rather than health outcomes. We conclude that a focus on clinical service provision, while highly compatible with neo-liberal reforms, will not on its own produce the shifts in population disease patterns that would be required to reduce demand for health services and promote health. Comprehensive PHC is much better suited to that task. Copyright © 2016 The Authors. Published by Elsevier Ltd.. All rights reserved.

Analysis of Academic and Non-Academic Outcomes from a Bottom-up Comprehensive School Reform in the Absence of Student Level Data through Simulation Methods: A Mixed Methods Case Study

Science.gov (United States)

Sondergeld, Toni A.

2009-01-01

This dissertation examines the efficacy of a bottom-up comprehensive school reform (CSR) program by evaluating its impact on student achievement, attendance, and behavior outcomes through an explanatory mixed methods design. The CSR program (Gear Up) was implemented in an urban junior high school over the course of seven years allowing for…

Carving an administrative model for uniosun: a needed reform ...

African Journals Online (AJOL)

... community, to the pursuit of the aims and objectives of University education and the objective of setting up Osun State University would facilitate the realization of these aims and objective. The study examined the methods of reforming and modifying college administration in Osun State University for improved productivity.

Health insurance reform: labor versus health perspectives.

Science.gov (United States)

Ammar, Walid; Awar, May

2012-01-01

The Ministry of Labor (MOL) has submitted to the Council of Ministers a social security reform plan. The Ministry of Public Health (MOPH) considers that health financing should be dealt with as part of a more comprehensive health reform plan that falls under its prerogatives. While a virulent political discussion is taking place, major stakeholders' inputs are very limited and civil society is totally put away from the whole policy making process. The role of the media is restricted to reproducing political disputes, without meaningful substantive debate. This paper discusses health insurance reform from labor market as well as public health perspectives, and aims at launching a serious public debate on this crucial issue that touches the life of every citizen.

Factors of the medical career choice within the context of ukrainian healthcare reforms.

Science.gov (United States)

Lymar, Lesia; Omelchuk, Sergii

2018-01-01

Introduction: The article is dedicated to the motives of medical career choice studied by Ukrainian and foreign scientists, and by the authors themselves. The authors define the main motives, grouped into the pragmatic, social, scientific and professional ones, paying particular attention to the proposed reforms of the Healthcare of Ukraine "Health 2020". The aim: The study has been aimed at detection of the medical career choice factor groups and their possible correction during the medical training, defining possible influence of the Ukrainian Healthcare reformation onto alterations of the medical career choice. Materials and methods: This article is based on bibliosemantic, dialectical, comparative, analytic, synthetic and comprehensive research methods. Review and conclusion: The authors have analyzed medical career motives according to the A. Maslow hierarchy of needs, comparing the present motives with the motives to be changed after reforming the Ukrainian healthcare. The authors conclude that according to the Maslow's hierarchy of needs, the medical career choice corresponding to the first, second and third needs level would be directly related to the pragmatic, social and scientific motives, further disappointment in career, low professional performance and professional "burnout". The career choice corresponding to the last levels of the needs hierarchy is related to the professional motives and self-actualization, but, due to the applicants' age and financial status of medical specialists in Ukraine, is not likely to occur. Positive changes in medical specialists' salary rise, social protection offered by the State and state support of the profession will provide for correction of motives onto the higher level, in this way, benefiting the patients.

Wofford-Thornburgh: a turning point for health reform.

Science.gov (United States)

Tokarski, C

1992-01-01

The November 5 special election in Pennsylvania pitting appointed Senator Harris Wofford against former U.S. Attorney General Richard Thornburgh was a turning point in the national debate over health reform. Under the glare of media spotlights, Wofford mounted a come-from-behind victory over the heavily favored Thornburgh by trumpeting "national health insurance." Since Wofford's victory, President Bush has rethought his previous indifference to health reform and promised to announce a comprehensive plan in January, more than a year ahead of schedule.

Community Organizing as an Education Reform Strategy

Science.gov (United States)

Renee, Michelle; McAlister, Sara

2011-01-01

Community organizing for school reform offers an urgently needed alternative to traditional approaches to school change. Many current reforms fail to thrive due to lack of trust, understanding, or cultural relevance to the community being targeted. The high turnover of reformers (superintendents, principals, or outside organizations) in high-need…

Essential to increase the use of generics in Europe to maintain comprehensive health care?

Directory of Open Access Journals (Sweden)

Brian Godman

2012-12-01

Full Text Available INTRODUCTION: Reforms have been introduced across Europe to increase prescribing efficiency with existing drugs. These include measures to lower prices of generics as well as increase their prescribing versus originators and patented products in a class or related class. This is essential to maintain comprehensive health care in Europe given continued pressures. The alternative is insufficient funds for new innovative drugs and increasing drug volumes with ageing populations. OBJECTIVE: To review the influence of measures and initiatives to increase the prescribing and dispensing of generics at low prices on ambulatory care prescribing efficiency. In view of this, provide guidance as authorities strive to introduce further reforms to meet their goals. METHODOLOGY: A narrative review of published papers combined with case histories. RESULTS: The different supply- and demand-side measures have reduced generic prices to as low as 2% to 3% of pre-patent loss prices in some cases as well as appreciably enhanced their utilisation. As a result, prescribing efficiency has increased without compromising care. In some cases, the reforms have led to expenditure actually falling despite appreciably increased volumes. CONCLUSIONS: Increasing use of generics at low prices will help maintain the European ideals of comprehensive and equitable health care. However, countries will continually need to learn from each other.

The Political Rationale of Administrative Reforms : Parliamentary Support of Output Control in Switzerland

OpenAIRE

Schedler, Kuno; Schmucki, Lukas

2009-01-01

Sufficient political support is a sine qua non of comprehensive administrative reforms. However, while the pros and cons of administrative reform measures have been extensively discussed in theory and research, only little is known about the political process which determines whether or not administrative reforms are implemented at all. Against this background, the article aims at throwing light on the politicians' backgrounds and mindsets which account for their attitude towards administrati...

Health care reforms.

Science.gov (United States)

Marušič, Dorjan; Prevolnik Rupel, Valentina

2016-09-01

In large systems, such as health care, reforms are underway constantly. The article presents a definition of health care reform and factors that influence its success. The factors being discussed range from knowledgeable personnel, the role of involvement of international experts and all stakeholders in the country, the importance of electoral mandate and governmental support, leadership and clear and transparent communication. The goals set need to be clear, and it is helpful to have good data and analytical support in the process. Despite all debates and experiences, it is impossible to clearly define the best approach to tackle health care reform due to a different configuration of governance structure, political will and state of the economy in a country.

Nuclear power enterprise tax planning strategy in the background of reform

International Nuclear Information System (INIS)

Wu Yimin

2012-01-01

The success of tax planning can be converted into enterprise's productivity, tax planning strategy can maximize the desired effects and bring out its full play to tax planning. Taking new round of tax reform in 12th five-year-plan and the reformation of professional groups as the background, the author detailedly conceived a frame of corporate tax planning strategy for nuclear power enterprises of China National Nuclear Corporation at the forefront of reformation from an all-round comprehensive view and multi-angle stand. (author)

Judicial Reform Pursuits in Ethiopia, 2002-2015: Steady Concrete ...

African Journals Online (AJOL)

However, the outcome and impact as, inter alia, manifested in public trust and ... in the 2005 Comprehensive Justice Sector Reform Program were (a) gaps in ... empowerment including enhanced independence and resource allocation.

Education Reform in Hong Kong

Directory of Open Access Journals (Sweden)

Chris Dowson

2000-05-01

Full Text Available Since the early 1990s, the pace of educational reform in Hong Kong has accelerated and broadened to incorporate almost all areas of schooling. The reforms introduced during this period can be subsumed under what has generally been labelled the quality movement. In this paper, we review and comment on a number of policy reform initiatives in the four areas of "Quality Education," English Language Benchmarking, Initial Teacher Training and the Integration of Pupils with Special Needs into Ordinary Classrooms. Following a brief description of each policy initiative, the reforms are discussed in terms of their consistency, coherence and cultural fit.

9 Hard Things to Do in Order to Sustain School Reform. Newsletter

Science.gov (United States)

Center for Comprehensive School Reform and Improvement, 2005

2005-01-01

The Center for Comprehensive School Reform and Improvement invited Ann Chafin to share her thoughts and ideas about sustaining school reform. Chafin, chief of Program Improvement and Family Support Branch of the Maryland State Department of Education, was a speaker at the annual Institute for CSR State Coordinators held May 9-10 in Washington,…

Analysis of curricular reform practices at Chinese medical schools.

Science.gov (United States)

Huang, Lei; Cai, Qiaoling; Cheng, Liming; Kosik, Russell; Mandell, Greg; Wang, Shuu-Jiun; Xu, Guo-Tong; Fan, Angela P

2014-01-01

A comprehensive search of the literature published between 2001 and 2010 was performed to gain a greater understanding of curricular reform practices at Chinese medical schools. There were 10,948 studies published between 2001 and 2010 that were retrieved from the database. Following preliminary screening, 76 publications from 49 different medical schools were selected. Thirty-one publications regarding clinical medicine curricular reforms were analyzed further. Of the 76 studies, 53 described curricular reforms that were instituted in theoretical courses, 22 described curricular reforms that were instituted in experimental courses, and 1 described curricular reforms that were instituted in a clinical skills training course. Of the 31 clinical medicine publications, 2 described reforms that were implemented for 3-year program medical students, 12 described reforms that were implemented for 5-year program medical students, 6 described reforms that were implemented for 7-year program medical students, and 2 described reforms that were implemented for 8-year program medical students. Currently, the majority of medical schools in China use the discipline-based curriculum model. Thirteen studies described transition to an organ-system-based curriculum model, 1 study described transition to a problem-based curriculum model, and 3 studies described transition to a clinical presentation-based curriculum model. In 7 studies educators decided to retain the discipline-based curriculum model while integrating 1 or several new courses to remedy the weaker aspects of the traditional curriculum, in 7 studies educators decided to integrate the preclinical courses with the clinical courses by using the systemic-integrating curricular system that dilutes classical disciplines and integrates material based on organ systems, and in 2 studies educators limited reforms to clinical courses only. Eight studies discussed the implementation of a formative evaluation system, 4 studies

Digital social media, youth, and nonmedical use of prescription drugs: the need for reform.

Science.gov (United States)

Mackey, Tim K; Liang, Bryan A; Strathdee, Steffanie A

2013-07-26

The tragic death of 18-year-old Ryan Haight highlighted the ethical, public health, and youth patient safety concerns posed by illicit online nonmedical use of prescription drugs (NUPM) sourcing, leading to a federal law in an effort to address this concern. Yet despite the tragedy and resulting law, the NUPM epidemic in the United States has continued to escalate and represents a dangerous and growing trend among youth and adolescents. A critical point of access associated with youth NUPM is the Internet. Internet use among this vulnerable patient group is ubiquitous and includes new, emerging, and rapidly developing technologies-particularly social media networking (eg, Facebook and Twitter). These unregulated technologies may pose a potential risk for enabling youth NUPM behavior. In order to address limitations of current regulations and promote online safety, we advocate for legislative reform to specifically address NUPM promotion via social media and other new online platforms. Using more comprehensive and modernized federal legislation that anticipates future online developments is critical in substantively addressing youth NUPM behavior occurring through the Internet.

Reform despite politics? The political economy of power sector reform in Fiji, 1996–2013

International Nuclear Information System (INIS)

Dornan, Matthew

2014-01-01

Attempts to reform the electricity sector in developing countries have achieved mixed results, despite the implementation of similar reforms in many developed countries, and concerted effort by donors to transfer reform models. In many cases, political obstacles have prevented full and effective implementation of donor-promoted reforms. This paper examines the political economy of power sector reform in Fiji from 1996 to 2013. Reform has been pursued with political motives in a context of clientelism. Policy inconsistency and reversal is explained by the political instability of ethnic-based politics in Fiji. Modest success has been achieved in recent years despite these challenges, with Fiji now considered a model of power sector reform for other Small Islands Developing States (SIDS) in the Pacific. The experience demonstrates that reform is possible within difficult political environments, but it is challenging, takes time and is not guaranteed. The way in which political motives have driven and shaped reform efforts also highlights the need for studies of power sector reform to direct greater attention toward political drivers behind reform. - Highlights: • This is the first study of power sector reform in Fiji or other Small Island Developing States (SIDS) of the Pacific. • The clientelist nature of politics in Fiji is found to have both driven and shaped reform efforts. • There has been modest success in recent years despite these obstacles, with Fiji now considered a model for other SIDS. • The experience demonstrates that reform is possible within difficult political environments, but it is challenging, takes time and is not guaranteed

Tax reform Ukraine: implementation mechanisms and consequences

Directory of Open Access Journals (Sweden)

J.Lebedzevіch

2015-06-01

Full Text Available In the article the main shortcomings of the existing domestic tax systems, which were the main reasons for the need for its reform in the context of integration into the European Community. Determined the first stage of reforming tax systems Ukraine, which is associated with the adoption of the Law of Ukraine «On Amendments to the Tax Code of Ukraine and laws of Ukraine». The main provisions of this legal act, revealing the essence of the mechanism for implementing tax reform. Analyzed the mechanism of implementation of tax reform by analyzing the major innovations of the Tax Code of Ukraine and their comparison with the tax «standards» that operated the implementation of tax reform 2015. Thesis there is determined a number of tax loopholes and nedoopratsyuvan conducted tax reform and their implications for payers of taxes and duties, and the need for further research and improvement. The experience of European countries towards the introduction of electronic filing and processing of tax returns.

State of the art: Multi-fuel reformers for automotive fuel cell applications. Problem identification and research needs

Energy Technology Data Exchange (ETDEWEB)

Westerholm, R. [Stockholm Univ. (Sweden). Dept. of Analytical Chemistry; Pettersson, L.J. [Royal Inst. of Tech., Stockholm (Sweden). Dept. of Chemical Engineering and Technology

1999-12-01

On an assignment from the Transport and Communications Research Board (KFB) a literature study and a study trip to the USA and Great Britain have been performed. The literature study and the study trip was made during late spring and autumn 1999.The purpose of the project was to collect available information about the chemical composition of the product gas from a multi-fuel reformer for a fuel cell vehicle. It was furthermore to identify problems and research needs. The report recommends directions for future major research efforts. The results of the literature study and the study trip led to the following general conclusions: With the technology available today it does not seem feasible to develop a highly efficient and reliable multi-fuel reformer for automotive applications, i. e. for applications where all types of fuels ranging from natural gas to heavy diesel fuels can be used. The potential for developing a durable and reliable system is considerably higher if dedicated fuel reformers are used.The authors propose that petroleum-derived fuels should be designed for potential use in mobile fuel cell applications. In the present literature survey and the site visit discussions we found that there are relatively low emissions from fuel cell engines compared to internal combustion engines. However, the major research work on reformers/fuel cells have been performed during steady-state operation. Emissions during start-up, shutdown and transient operation are basically unknown and must be investigated in more detail. The conclusions and findings in this report are based on open/available information, such as discussions at site visits, reports, scientific publications and symposium proceedings.

Health care reforms

Directory of Open Access Journals (Sweden)

Marušič Dorjan

2016-09-01

Full Text Available In large systems, such as health care, reforms are underway constantly. The article presents a definition of health care reform and factors that influence its success. The factors being discussed range from knowledgeable personnel, the role of involvement of international experts and all stakeholders in the country, the importance of electoral mandate and governmental support, leadership and clear and transparent communication. The goals set need to be clear, and it is helpful to have good data and analytical support in the process. Despite all debates and experiences, it is impossible to clearly define the best approach to tackle health care reform due to a different configuration of governance structure, political will and state of the economy in a country.

Common morality and moral reform.

Science.gov (United States)

Wallace, K A

2009-01-01

The idea of moral reform requires that morality be more than a description of what people do value, for there has to be some measure against which to assess progress. Otherwise, any change is not reform, but simply difference. Therefore, I discuss moral reform in relation to two prescriptive approaches to common morality, which I distinguish as the foundational and the pragmatic. A foundational approach to common morality (e.g., Bernard Gert's) suggests that there is no reform of morality, but of beliefs, values, customs, and practices so as to conform with an unchanging, foundational morality. If, however, there were revision in its foundation (e.g., in rationality), then reform in morality itself would be possible. On a pragmatic view, on the other hand, common morality is relative to human flourishing, and its justification consists in its effectiveness in promoting flourishing. Morality is dependent on what in fact does promote human flourishing and therefore, could be reformed. However, a pragmatic approach, which appears more open to the possibility of moral reform, would need a more robust account of norms by which reform is measured.

The Brazilian electrical system reform

International Nuclear Information System (INIS)

Mendonca, A.F.; Dahl, C.

1999-01-01

Although the Brazilian electrical system has been a public monopoly, the threat of electricity shortages from a lack of investment triggered a comprehensive reform. In 1993 the government began a series of laws, decrees and regulations reforming the tariff policy, allowing privatization of utilities, foreign investments and independent power producers, and creating an independent transmission grid and a new electricity regulatory agency (ANEEL). The new regulatory framework is not completely defined but the proposed model intends to transform bulk electricity supply into a competitive market similar to that adopted in England. Our objective is to evaluate whether the proposed reform will succeed in attracting the required private capital, will allow an unregulated wholesale electricity market and will require a strict regulatory framework. The reform has been quite successful in privatizing the distribution companies but is allowing monopolistic rents, and has failed until now to attract private investments to expand generation capacity. The risk of blackouts has increased, and the proposed wholesale electricity market may not be appropriate because of barriers to constructing new hydroelectric units, now 90% of the system. Therefore, a new regulatory framework and a strong regulatory agency with a well-defined tariff policy should have preceded the privatization. (author)

Educational reform as a dynamic system of problems and solutions: Towards an analytic instrument

NARCIS (Netherlands)

Luttenberg, J.; Carpay, T.; Veugelers, W.

2013-01-01

Large-scale educational reforms are difficult to realize and often fail. In the literature, the course of reform and problems associated with this are frequently discussed. The explanations and recommendations then provided are so diverse that it is difficult to gain a comprehensive overview of what

Ontario's primary care reforms have transformed the local care landscape, but a plan is needed for ongoing improvement.

Science.gov (United States)

Hutchison, Brian; Glazier, Richard

2013-04-01

Primary care in Ontario, Canada, has undergone a series of reforms designed to improve access to care, patient and provider satisfaction, care quality, and health system efficiency and sustainability. We highlight key features of the reforms, which included patient enrollment with a primary care provider; funding for interprofessional primary care organizations; and physician reimbursement based on varying blends of fee-for-service, capitation, and pay-for-performance. With nearly 75 percent of Ontario's population now enrolled in these new models, total payments to primary care physicians increased by 32 percent between 2006 and 2010, and the proportion of Ontario primary care physicians who reported overall satisfaction with the practice of medicine rose from 76 percent in 2009 to 84 percent in 2012. However, primary care in Ontario also faces challenges. There is no meaningful performance measurement system that tracks the impact of these innovations, for example. A better system of risk adjustment is also needed in capitated plans so that groups have the incentive to take on high-need patients. Ongoing investment in these models is required despite fiscal constraints. We recommend a clearly articulated policy road map to continue the transformation.

Education Policy Reform in Sri Lanka: The Double-Edged Sword of Political Will

Science.gov (United States)

Little, Angela W.

2011-01-01

In 1997, the Government of Sri Lanka launched a comprehensive set of education reforms designed to promote equitable access to basic education and improvements in learning outcomes. The package of reforms arose as a political response to widespread youth unrest in the late 1980s and attracted considerable "political will", a vague but…

Reforming Science and Mathematics Education

Science.gov (United States)

Lagowski, J. J.

1995-09-01

Since 1991, the National Science Foundation has signed cooperative agreements with 26 states to undertake ambitious and comprehensive initiatives to reform science, mathematics, and technology education. Collectively, those agreements are known as the State Systemic Initiatives (SSI's). Two complimentary programs, The Urban and Rural Systemic Initiatives (USI's and RSI's), address similar reforms in the nation's largest cities and poorest rural areas. The SSI Program departs significantly from past NSF practice in several ways. The funding is for a longer term and is larger in amount, and the NSF is taking a more activist role, seeking to leverage state and private funds and promote the coordination of programs within states. The Initiatives also have a stronger policy orientation than previous NSF programs have had. The NSF strategy is a reflection of the growing and widely held view that meaningful reforms in schools are most likely to be achieved through state initiatives that set clear and ambitious learning goals and standards; align all of the available policy levers in support of reform; stimulate school-level initiatives; and mobilize human and financial resources to support these changes. Two premises underlie systemic reform: (1) all children can meet significantly higher standards if they are asked to do so and given adequate opportunities to master the content, and (2) state and local policy changes can create opportunities by giving schools strong and consistent signals about the changes in practice and performance that are expected. Because this is an enormous investment of Federal resources that is intended to bring about deep, systemic improvement in the nation's ability to teach science and mathematics effectively, the NSF has contracted with a consortium of independent evaluators to conduct a review of the program. The first of the SSI's were funded in 1991, sufficiently long ago to begin to formulate some initial impressions of their impact. Take

The Promise of a Literacy Reform Effort in the Upper Elementary Grades

Science.gov (United States)

Walpole, Sharon; Amendum, Steven; Pasquarella, Adrian; Strong, John Z.; McKenna, Michael C.

2017-01-01

We compared year-long gains in fluency and comprehension in grades 3-5 in 3 treatment and 4 comparison schools. Treatment schools implemented a comprehensive school reform (CSR) program called Bookworms. The program employed challenging text and emphasized high text volume, aggressive vocabulary and knowledge building, and contextualized strategy…

Effects of comprehensive educational reforms on academic success in a diverse student body.

Science.gov (United States)

Lieberman, Steven A; Ainsworth, Michael A; Asimakis, Gregory K; Thomas, Lauree; Cain, Lisa D; Mancuso, Melodee G; Rabek, Jeffrey P; Zhang, Ni; Frye, Ann W

2010-12-01

Calls for medical curriculum reform and increased student diversity in the USA have seen mixed success: performance outcomes following curriculum revisions have been inconsistent and national matriculation of under-represented minority (URM) students has not met aspirations. Published innovations in curricula, academic support and pipeline programmes usually describe isolated interventions that fail to affect curriculum-level outcomes. United States Medical Licensing Examination (USMLE) Step 1 performance and graduation rates were analysed for three classes of medical students before (matriculated 1995-1997, n=517) and after (matriculated 2003-2005, n=597) implementing broad-based reforms in our education system. The changes in pipeline recruitment and preparation programmes, instructional methods, assessment systems, academic support and board preparation were based on sound educational principles and best practices. Post-reform classes were diverse with respect to ethnicity (25.8% URM students), gender (51.8% female), and Medical College Admissions Test (MCAT) score (range 20-40; 24.1% scored ≤ 25). Mean±standard deviation MCAT scores were minimally changed (from 27.2±4.7 to 27.8±3.6). The Step 1 failure rate decreased by 69.3% and mean score increased by 14.0 points (effect size: d=0.67) overall. Improvements were greater among women (failure rate decreased by 78.9%, mean score increased by 15.6 points; d=0.76) and URM students (failure rate decreased by 76.5%, mean score increased by 14.6 points; d=0.74), especially African-American students (failure rate decreased by 93.6%, mean score increased by 20.8 points; d=1.12). Step 1 scores increased across the entire MCAT range. Four- and 5-year graduation rates increased by 7.1% and 5.8%, respectively. The effect sizes in these performance improvements surpassed those previously reported for isolated interventions in curriculum and student support. This success is likely to have resulted from the broad

Symbolic Politics and Institutional Boundaries in Curriculum Reform: The Case of National Sectarian University

Science.gov (United States)

Arnold, Gordon B.

2004-01-01

In recent years, many colleges and universities have set out to reform or revisit their general education curricula. These efforts often have failed to achieve the comprehensive change that reformers originally had envisioned. Using the example of one case, this paper explores how institutionalized organizational elements and politics can shape…

Elementary Social Studies: Trite, Disjointed, and in Need of Reform?

Science.gov (United States)

Duplass, James A.

2007-01-01

Elementary social studies has used the same scope and sequence for more than a half century despite significant changes in society. Efforts to reform the curriculum are adversely impacted by inertia, tradition, the culture wars, traditional state autonomy in setting curriculum, publishers, and competition between disciplines for space within the…

A comprehensible need of zinc oxide varistors in electronics technology

International Nuclear Information System (INIS)

Mehmood, F.S.

2007-01-01

A range of varistors, in terms of break down voltage, is required to protect integrated circuits, automotive systems and other modern electronics against transient over-voltages. There is a progressing need for the development and advancement of rugged and reliable varistor capable and proficient of working in harsh and callous environment like automotive Industry where greater than before use of electronics technology has led to improvements in equipment performance and presentation. There is a comprehensible need to combine triumphant and successable models developed at different length scales into an integrated framework that can be used to drive new research and guide experimental efforts and device development. The review of ZnO varistor in particular and metal-oxide varistors (MOVs) in general is presented In this article. (author)

A comparison of job satisfaction of community health workers before and after local comprehensive medical care reform: a typical field investigation in Central China.

Directory of Open Access Journals (Sweden)

Hong Ding

Full Text Available BACKGROUND: The government of China promulgated new medical care reform policies in March 2009. After that, provincial-level governments launched new medical care reform which focusing on local comprehensive medical care reform (LCMR. Anhui Province is an example of an area affected by LCMR, in which the LCMR was started in October 2009 and implemented in June 2010. The objective of this study was to compare the job satisfaction (JS of community health workers (CHWs before and after the reform in Anhui Province. METHODS: A baseline survey was carried out among 813 community health workers (CHWs of 57 community health centers (CHCs (response rate: 94.1% and an effect evaluation survey among 536 CHWs of 30 CHCs (response rate: 92.3% in 2009 and 2012 respectively. A self-completion questionnaire was used to assess the JS of the CHWs (by the job satisfaction scale, JSS. RESULTS: The average scores of total JS and satisfaction with pay, contingent rewards, operating procedures and communication in the effect evaluation survey were statistically significantly higher than those of the baseline survey (P<0.05. The average score of satisfaction with promotion (2.55 ± 1.008 in the effect evaluation survey was statistically significantly lower than that in the baseline survey (2.71 ± 0.730 (P=0.002. In both surveys, the average scores of satisfaction with pay, benefits and promotion were statistically significantly lower than the others (all P<0.05. CONCLUSIONS: After two years' implementation of the LCMR, CHWs' total JS have a small improvement. However, CHWs have lower satisfaction in the dimensions of pay, promotion and benefits dimensions before and after the LCMR. Therefore, policy-makers should take corresponding measures to raise work reward of CHWs and pay more attention to CHWs' professional development to further increase their JS.

Education Reform: Ten Years after the Massachusetts Education Reform Act of 1993

Directory of Open Access Journals (Sweden)

Linda Driscoll, Joseph B. Berger, Ronald K. Hambleton, Lisa A. Keller, Robert W. Maloy, David Hart, Paul Oh, Victoria Getis, Susan Bowles, Francis L. Gougeon, Kathryn A. McDermott, Andrew Churchill

2005-02-01

Full Text Available In June 1993, Governor William Weld signed into law the Massachusetts Education Reform Act (MERA. MERA greatly increased the state role both in funding public education and in guiding the local educational process. The state’s role changed to incorporate setting curriculum frameworks and holding schools accountable for student performance. Because MERA was designed to be a systemic reform of education, all of the various state activities and policies needed to fit together into a coherent whole based on state educational standards.

Bureaucratic Reform in Irrigation: A Review of Four Case Studies

Directory of Open Access Journals (Sweden)

Diana Suhardiman

2014-10-01

Full Text Available Poor performance of government-managed irrigation systems persists globally. This paper argues that addressing performance requires not simply more investment or different policy approaches, but reform of the bureaucracies responsible for irrigation management. Based on reform experiences in The Philippines, Mexico, Indonesia, and Uzbekistan, we argue that irrigation (policy reform cannot be treated in isolation from the overall functioning of government bureaucracies and the wider political structure of the states. Understanding of how and why government bureaucracies shape reform processes and outcomes is crucial to increase the actual significance of reforms. To demonstrate this, the paper links reform processes in the irrigation sector with the wider discourse of bureaucratic reform in the political science, public administration, and organisational science literature. Doing so brings to light the need for systematic comparative research on the organisational characteristic of the irrigation bureaucracies, their bureaucratic identities, and how these are shaped by various segments within the bureaucracies to provide the insights needed to improve irrigation systems performance.

Addressing tuberculosis patients' medical and socio-economic needs: a comprehensive programmatic approach.

Science.gov (United States)

Contreras, Carmen C; Millones, Ana K; Santa Cruz, Janeth; Aguilar, Margot; Clendenes, Martin; Toranzo, Miguel; Llaro, Karim; Lecca, Leonid; Becerra, Mercedes C; Yuen, Courtney M

2017-04-01

For a cohort of patients with tuberculosis in Carabayllo, Peru, we describe the prevalence of medical comorbidities and socio-economic needs, the efforts required by a comprehensive support programme ('TB Cero') to address them and the success of this programme in linking patients to care. Patients diagnosed with tuberculosis in Carabayllo underwent evaluations for HIV, diabetes, mental health and unmet basic needs. For patients initiating treatment during 14 September, 2015-15 May, 2016, we abstracted data from evaluation forms and a support request system. We calculated the prevalence of medical comorbidities and the need for socio-economic support at the time of tuberculosis diagnosis, as well as the proportion of patients successfully linked to care or support. Of 192 patients, 83 (43%) had at least one medical comorbidity other than tuberculosis. These included eight (4%) patients with HIV, 12 (6%) with diabetes and 62 (32%) deemed at risk for a mental health condition. Of patients who required follow-up for a comorbidity, 100% initiated antiretroviral therapy, 71% attended endocrinology consultations and 66% attended psychology consultations. Of 126 (65%) patients who completed the socio-economic evaluation, 58 (46%) reported already receiving food baskets from the municipality, and 79 (63%) were given additional support, most commonly food vouchers and assistance in accessing health care. Carabayllo tuberculosis patients face many challenges in addition to tuberculosis. A collaborative, comprehensive treatment support programme can achieve high rates of linkage to care for these needs. © 2017 John Wiley & Sons Ltd.

Ecological tax reform - an optimal solution?. Critical remarks on the DIW study ''Economic effects of an ecological tax reform''

International Nuclear Information System (INIS)

Boehringer, C.; Fahl, H.; Voss, A.

1994-01-01

Through the latest expertise of the German institute for economic research (DIW) regarding an ecological tax reform, the discussion about a tax system considering the shortage of the ressource environment and a deficiency of demand regarding the ressource work is newly provoked. The focus of this article is a critical dealing with the methodical procedure of the German institute for economic reserarch when analyzing the national economic effect of a concretely formulated ecological tax law scenario. When assessing the overall economic consequences of a tax reform, it is recommended to use an analysis instrument, which is farly more consistent compared to the instruments by DIW, and which is more problem adequate through the increased resort to financial knowledge. Based on the obvious weakness of the DIW study, a more extensive comprehension for an ecological tax reform is pleaded for, standing out for an application of taxes based on division of labour and oriented to the objective. (orig./UA) [de

Improving the Business Trade Licensing Reform Environment

OpenAIRE

Gamser, Matthew

2003-01-01

This case study of Kenyan business trade licensing shows that red-tape costs can be cut if reform is championed strongly and there is a strong case in terms of costs and benefits. The reform of business registration, trade licensing and other business entry procedures is a cost effective and progressive way to promote indigenous private sector development. But, reform needs more than good cost-benefit analysis and legal drafting; it also requires building constituencies and continuous advocacy.

Judicial Reform Pursuits in Ethiopia, 2002-2015:

African Journals Online (AJOL)

EN_Stebek

research on specific themes related with judicial reform. 1 Report and ... focused on legal education and law reform; the second, on basic needs legal aid; the third ... realities that brought about the challenges in achievement because the most .... (a) when the judiciary's public reputation for political impartiality and rectitude.

On certain aspects of the need and possibility for the administrative-territorial reform in Estonia

Directory of Open Access Journals (Sweden)

Matti Raudjärv

2014-01-01

Full Text Available The paper treats important problems of regional and local government policy, such as the possibility of and need for the administrative-territorial reform, including merging of municipalities and definition of mutual relationships between the state and local governments and their functions. The need for sustainable and strong municipalities has been emphasised also on the level of the European Union already several years ago. Possible mergers of Estonian county centres with their surrounding rural municipalities, also the possibility for having several centres of attraction in a county are discussed. Statistics on demographic changes in the Estonian population, concentration of the population above all to larger cities, and decrease in rural population are presented. Also statistics, for instance, on changes in the number of pupils in counties are presented. A few suggestions are made for the further development of the regional and local government policy, including based on the considerably more radical activities in Finland in this field.

Public Benefits and Power Sector Reform. Report from an International Workshop

Energy Technology Data Exchange (ETDEWEB)

Nilsson, Lars J.; Arvidson, Anders; Eberhard, Anton (eds.)

2003-10-01

The Workshop on Public Benefits and Power Sector Reform was motivated by the need to address broader development goals and advance the provision of public benefits in power sector reforms. The primary objectives were: To provide a forum for a discussion among specialists, of how the provision of public benefits can be expanded as power sectors in developing countries are reformed, and review the experience (Day 1). To identify the needs for training and capacity building and institutional arrangements, as well as make recommendations for their design and implementation, for policy makers, regulators, and other professionals in developing countries (Day 2). Public benefits is a socially constructed concept that includes activities that are not adequately conceived by competitive markets. Public benefit policies and programmes include those that expand electricity access to rural areas and the urban poor, improve security of supply, promote energy efficiency and renewable energy, etc. Reforms have indeed been a threat to public benefits as traditionally delivered through electric utilities. However, in many cases public benefit programmes have also been rescued. In fewer cases, public benefit programmes have been conceived in the reform process. From experience so far it is clear that power sector reforms must be made more compatible with broader sustainable development goals. Recognising the need for broader policy integration and putting public benefits higher on the reform agenda points to the importance of reaching beyond energy ministries and power sector experts at an early stage in the reform process. Other actors, such as NGOs and academia, may also be instrumental in monitoring and assessing the impacts of reform. Public benefits can be an integral part of a reform package, or a complement to reform. It does appear that reform creates space and opportunity to achieve public benefits, but someone has to utilise that opportunity. The need to make trade

Public Benefits and Power Sector Reform. Report from an International Workshop

International Nuclear Information System (INIS)

Nilsson, Lars J.; Arvidson, Anders; Eberhard, Anton

2003-10-01

The Workshop on Public Benefits and Power Sector Reform was motivated by the need to address broader development goals and advance the provision of public benefits in power sector reforms. The primary objectives were: To provide a forum for a discussion among specialists, of how the provision of public benefits can be expanded as power sectors in developing countries are reformed, and review the experience (Day 1). To identify the needs for training and capacity building and institutional arrangements, as well as make recommendations for their design and implementation, for policy makers, regulators, and other professionals in developing countries (Day 2). Public benefits is a socially constructed concept that includes activities that are not adequately conceived by competitive markets. Public benefit policies and programmes include those that expand electricity access to rural areas and the urban poor, improve security of supply, promote energy efficiency and renewable energy, etc. Reforms have indeed been a threat to public benefits as traditionally delivered through electric utilities. However, in many cases public benefit programmes have also been rescued. In fewer cases, public benefit programmes have been conceived in the reform process. From experience so far it is clear that power sector reforms must be made more compatible with broader sustainable development goals. Recognising the need for broader policy integration and putting public benefits higher on the reform agenda points to the importance of reaching beyond energy ministries and power sector experts at an early stage in the reform process. Other actors, such as NGOs and academia, may also be instrumental in monitoring and assessing the impacts of reform. Public benefits can be an integral part of a reform package, or a complement to reform. It does appear that reform creates space and opportunity to achieve public benefits, but someone has to utilise that opportunity. The need to make trade

Design, validation, and use of an evaluation instrument for monitoring systemic reform

Science.gov (United States)

Scantlebury, Kathryn; Boone, William; Butler Kahle, Jane; Fraser, Barry J.

2001-08-01

Over the past decade, state and national policymakers have promoted systemic reform as a way to achieve high-quality science education for all students. However, few instruments are available to measure changes in key dimensions relevant to systemic reform such as teaching practices, student attitudes, or home and peer support. Furthermore, Rasch methods of analysis are needed to permit valid comparison of different cohorts of students during different years of a reform effort. This article describes the design, development, validation, and use of an instrument that measures student attitudes and several environment dimensions (standards-based teaching, home support, and peer support) using a three-step process that incorporated expert opinion, factor analysis, and item response theory. The instrument was validated with over 8,000 science and mathematics students, taught by more than 1,000 teachers in over 200 schools as part of a comprehensive assessment of the effectiveness of Ohio's systemic reform initiative. When the new four-factor, 20-item questionnaire was used to explore the relative influence of the class, home, and peer environment on student achievement and attitudes, findings were remarkably consistent across 3 years and different units and methods of analysis. All three environments accounted for unique variance in student attitudes, but only the environment of the class accounted for unique variance in student achievement. However, the class environment (standards-based teaching practices) was the strongest independent predictor of both achievement and attitude, and appreciable amounts of the total variance in attitudes were common to the three environments.

The importance of measuring unmet healthcare needs.

Science.gov (United States)

Gauld, Robin; Raymont, Antony; Bagshaw, Philip F; Nicholls, M Gary; Frampton, Christopher M

2014-10-17

Major restructuring of the health sector has been undertaken in many countries, including New Zealand and England, yet objective assessment of the outcomes has rarely been recorded. In the absence of comprehensive objective data, the success or otherwise of health reforms has been inferred from narrowly-focussed data or anecdotal accounts. A recent example relates to a buoyant King's Fund report on the quest for integrated health and social care in Canterbury, New Zealand which prompted an equally supportive editorial article in the British Medical Journal (BMJ) suggesting it may contain lessons for England's National Health Service. At the same time, a report published in the New Zealand Medical Journal expressed concerns at the level of unmet healthcare needs in Canterbury. Neither report provided objective information about changes over time in the level of unmet healthcare needs in Canterbury. We propose that the performance of healthcare systems should be measured regularly, objectively and comprehensively through documentation of unmet healthcare needs as perceived by representative segments of the population at formal interview. Thereby the success or otherwise of organisational changes to a health system and its adequacy as demographics of the population evolve, even in the absence of major restructuring of the health sector, can be better documented.

Energy in the western Balkans - the path to reform and reconstruction

Energy Technology Data Exchange (ETDEWEB)

NONE

2008-06-15

The Western Balkans - composed of Albania, Bosnia and Herzegovina, Croatia, the Former Yugoslav Republic of Macedonia, Montenegro, Serbia and Kosovo - is a complex region facing significant energy challenges. The conflicts over the break-up of the former Yugoslavia damaged much of the energy infrastructure and compounded the challenge of providing reliable energy supply. Electricity systems in many parts of the region remain fragile and in need of investment. A priority across the region is to put into place the institutions, infrastructure and policies that can support the provision of reliable, affordable and sustainable energy. For the Western Balkans as a whole, a key element of the reform effort is the Energy Community Treaty - a regulatory and market framework to which the entire region has now subscribed. This Treaty aims to create an integrated regional market for electricity and gas compatible with the European Union's internal energy market. This Energy Policy Survey is the first comprehensive review of energy policies and strategies in the Western Balkan region, and also covers important cross-cutting topics such as co-operation and energy trade, oil and gas transportation, and the links between energy and poverty. It identifies and assesses the reforms that are still needed to deliver efficient, modernised energy systems that can assist economic development, address energy poverty and reduce the environmental impacts of energy use.

Energy in the western Balkans - the path to reform and reconstruction

Energy Technology Data Exchange (ETDEWEB)

NONE

2008-06-15

The Western Balkans - composed of Albania, Bosnia and Herzegovina, Croatia, the Former Yugoslav Republic of Macedonia, Montenegro, Serbia and Kosovo - is a complex region facing significant energy challenges. The conflicts over the break-up of the former Yugoslavia damaged much of the energy infrastructure and compounded the challenge of providing reliable energy supply. Electricity systems in many parts of the region remain fragile and in need of investment. A priority across the region is to put into place the institutions, infrastructure and policies that can support the provision of reliable, affordable and sustainable energy. For the Western Balkans as a whole, a key element of the reform effort is the Energy Community Treaty - a regulatory and market framework to which the entire region has now subscribed. This Treaty aims to create an integrated regional market for electricity and gas compatible with the European Union's internal energy market. This Energy Policy Survey is the first comprehensive review of energy policies and strategies in the Western Balkan region, and also covers important cross-cutting topics such as co-operation and energy trade, oil and gas transportation, and the links between energy and poverty. It identifies and assesses the reforms that are still needed to deliver efficient, modernised energy systems that can assist economic development, address energy poverty and reduce the environmental impacts of energy use.

Powering China: Reforming the electric power industry in China

International Nuclear Information System (INIS)

Yi-Chong Xu

2002-01-01

The book reports on the rapidly changing face of the electricity business in China. Reforms by the central government and the need for more and more electric power have pushed the electricity sector from a central planned economy to a markets-based system. The international ramifications of China's reform programme are discussed. The author describes electricity industry reform in other countries including the USA and UK. The author points out that in China after 1998 there was a move to recentralise control but by then it was too late to reverse the reforms. The problems of tariff policies, pricing, and sources of new investments, including from foreign countries, are discussed. The final section of the book deals with problems arising from the need for massive retrenchment of power-section workers, cross-subsidies, and triangular debts. The book is said to provide a sound description of the political economy of power reform in China without getting bogged down in economic modelling

The Comprehensive School in Spain: A Review of Its Development Cycle and Crises

Science.gov (United States)

Bolívar, Antonio

2015-01-01

The purpose of this study is to describe, analyse and evaluate the successive comprehensive reforms in Spain as a "paradigmatic" example of the emergence, evolution and crisis of the comprehensive school. In the first part, we describe the development of the comprehensive school project (1970-2013), using the image of the life cycle,…

The Evolution Of Human Resource Management In Reforming The ...

African Journals Online (AJOL)

economic reforms across the country. The reform in all sectors aims at addressing dissatisfaction of the Nigerian populace restlessly desiring change for a better Nigeria. The National Economic Empowerment and Development Strategy, (NEEDS), ...

Scaling up Education Reform: Addressing the Politics of Disparity

Science.gov (United States)

Bishop, Russell; O'Sullivan, Dominic; Berryman, Mere

2010-01-01

What is school reform? What makes it sustainable? Who needs to be involved? How is scaling up achieved? This book is about the need for educational reforms that have built into them, from the outset, those elements that will see them sustained in the original sites and spread to others. Using the Te Kotahitanga Project as a model the authors…

China's electricity market-oriented reform: From an absolute to a relative monopoly

International Nuclear Information System (INIS)

Wang, Qiang; Chen, Xi

2012-01-01

The market-oriented reform in electricity industry has become a global trend since 1980s. Although China's electricity industry has been reformed since 1978, the substantial reform has not been conducted until 1985. Before 1985, China's power industry had been absolutely monopolized by the central state-owned companies. The absolute monopoly has been broken since 1985, when the Chinese government opened doors for non-central state-owned investment entities and foreign investors in power supplies in order to solve the chronic power shortage. In 2002, the comprehensive electricity reform plan entitled Scheme of the Reform for Power Industry was enacted. However, implementation of this plan was delayed due to electricity supply shortages. Even worse, a new kind of monopoly has been developed under the background “the state advances, the private sector retreats” in late years. In some sense, the former absolute monopoly has transformed the current relative monopoly. We contend that the relative monopoly has reversed the market-oriented reform in China's electric industry. If the relative monopoly remains unchanged, it will be harmful to public welfare.

The Danish Police Reform

DEFF Research Database (Denmark)

Degnegaard, Rex; Mark, Sofie

2013-01-01

Many cases highlight the need for responsible management in regards to transparency of organisations and involvement of stakeholders in decisions that will impact citizens, patients, customers and/or clients. Often these cases take an outside-in approach as they illustrate why it is essential...... for organisations to work with transparency and involvement with the aim of upholding and further developing a social responsibility to their environment. This case on the other hand takes an inside-out perspective on social responsibility by illustrating how social responsibility is necessary for public......, the reform process was problematic and the following years were challenging and filled with changes and turbulence. Media, politicians and the police itself directed heavy criticism towards the effects of the reform and reviews of the reform as well as of the work of the police were carried out resulting...

Urbanization and Income Inequality in Post-Reform China: A Causal Analysis Based on Time Series Data.

Science.gov (United States)

Chen, Guo; Glasmeier, Amy K; Zhang, Min; Shao, Yang

2016-01-01

This paper investigates the potential causal relationship(s) between China's urbanization and income inequality since the start of the economic reform. Based on the economic theory of urbanization and income distribution, we analyze the annual time series of China's urbanization rate and Gini index from 1978 to 2014. The results show that urbanization has an immediate alleviating effect on income inequality, as indicated by the negative relationship between the two time series at the same year (lag = 0). However, urbanization also seems to have a lagged aggravating effect on income inequality, as indicated by positive relationship between urbanization and the Gini index series at lag 1. Although the link between urbanization and income inequality is not surprising, the lagged aggravating effect of urbanization on the Gini index challenges the popular belief that urbanization in post-reform China generally helps reduce income inequality. At deeper levels, our results suggest an urgent need to focus on the social dimension of urbanization as China transitions to the next stage of modernization. Comprehensive social reforms must be prioritized to avoid a long-term economic dichotomy and permanent social segregation.

Urbanization and Income Inequality in Post-Reform China: A Causal Analysis Based on Time Series Data.

Directory of Open Access Journals (Sweden)

Guo Chen

Full Text Available This paper investigates the potential causal relationship(s between China's urbanization and income inequality since the start of the economic reform. Based on the economic theory of urbanization and income distribution, we analyze the annual time series of China's urbanization rate and Gini index from 1978 to 2014. The results show that urbanization has an immediate alleviating effect on income inequality, as indicated by the negative relationship between the two time series at the same year (lag = 0. However, urbanization also seems to have a lagged aggravating effect on income inequality, as indicated by positive relationship between urbanization and the Gini index series at lag 1. Although the link between urbanization and income inequality is not surprising, the lagged aggravating effect of urbanization on the Gini index challenges the popular belief that urbanization in post-reform China generally helps reduce income inequality. At deeper levels, our results suggest an urgent need to focus on the social dimension of urbanization as China transitions to the next stage of modernization. Comprehensive social reforms must be prioritized to avoid a long-term economic dichotomy and permanent social segregation.

Reforms of rural areas and directions of innovational activity in the agroindustrial complex of the Ukraine

Directory of Open Access Journals (Sweden)

Petr Trofimovich Sabluk

2011-12-01

Full Text Available This paper describes scientific and practical aspects of innovative re-equipment of agricultural production in Ukraine. A classification of innovation processes in the agricultural sector is given, special attention is paid to theoretical and methodological positions that have been ignored or underestimated during the reform processes in agribusiness. The estimation of results of the full market mechanism introduction in the outdated technological environment with its high costs and low productivity is made, several inconsistencies of «anti-innovational character» that paralyze economic mechanism and minimize its effectiveness, are highlighted. The author proposes ways to solve the problems of the agrarian sector of Ukraine and its transfer to the innovational base. The conclusion is made about the need to focus on solving the problem of increasing profitability of agricultural production as the main condition for the development of post-industrial model of development. According to scientific concepts and doctrine of reforms designed at the Institute of Agricultural Economics (The Ukrainian Academy of Agrarian Sciences, Institute of Economics of the National Academy of Sciences of Ukraine and other scientific centers, a comprehensive approach to reforming the agricultural sector, phasing in addressing key issues of agriculture is required.

Russian electricity reform. Emerging challenges and opportunities

Energy Technology Data Exchange (ETDEWEB)

NONE

2005-07-01

The Russian Government is pursuing a strategy of very high economic growth, with the objective of doubling gross domestic product in ten years. It recognises the central role the electricity sector has to play to achieve this target and has embarked on a highly ambitious program of electricity reform. If it is to succeed, the reform program will have to create market structures, market rules and a regulatory framework that will foster competitive wholesale and retail electricity markets. At the same time, it will have to deal with sensitive social issues related to tariff rebalancing and the removal of cross subsidies. Only competitive markets based on transparent prices that reflect costs can deliver the efficient, reliable and internationally competitive performance needed to meet the government's economic targets. Such markets are essential to attract new investment that will be required to ensure security of electricity supply after 2010. This book focuses on key aspects of the proposed reform that could have an important bearing on its success. It also raises concerns as to the pace of reform in related areas, such as the need for complementary reforms in the Russian natural gas sector. The IEA commends the Russian Government on its efforts to embrace this electricity reform - a key element critical to meeting the challenges ahead in terms of its economic growth and energy security. 17 figs., 10 tabs., 3 maps.

U.S. Government Financial Statements: FY 2000 Reporting Underscores the Need to Accelerate Federal Financial Management Reform

National Research Council Canada - National Science Library

Walker, David

2001-01-01

.... In passing the 1990 Chief Financial Officers (CFO) Act and other financial management reform legislation, such as the Government Management Reform Act and the Federal Financial Management Improvement Act (FFMIA...

Reforms for competitive markets in Pakistan

OpenAIRE

Haque, Nadeem; Ahmed, Vaqar; Shahid, Sana

2011-01-01

While Pakistan has taken several steps to promote competition in its markets, further reforms are required in improving domestic commerce, agricultural markets and industries. With increasing risks and cost of doing business due to deteriorating law and order situation as well as massive energy shortages, Pakistan needs to compensate its entrepreneurs and investors by enhancing its investment and business climate. By adopting certain administrative and legal reforms, Pakistan can considerably...

The role of law and governance reform in the global response to non-communicable diseases.

Science.gov (United States)

Magnusson, Roger S; Patterson, David

2014-06-05

Addressing non-communicable diseases ("NCDs") and their risk-factors is one of the most powerful ways of improving longevity and healthy life expectancy for the foreseeable future - especially in low- and middle-income countries. This paper reviews the role of law and governance reform in that process. We highlight the need for a comprehensive approach that is grounded in the right to health and addresses three aspects: preventing NCDs and their risk factors, improving access to NCD treatments, and addressing the social impacts of illness. We highlight some of the major impediments to the passage and implementation of laws for the prevention and control of NCDs, and identify important practical steps that governments can take as they consider legal and governance reforms at country level.We review the emerging global architecture for NCDs, and emphasise the need for governance structures to harness the energy of civil society organisations and to create a global movement that influences the policy agenda at the country level. We also argue that the global monitoring framework would be more effective if it included key legal and policy indicators. The paper identifies priorities for technical legal assistance in implementing the WHO Global Action Plan for the Prevention and Control of NCDs 2013-2020. These include high-quality legal resources to assist countries to evaluate reform options, investment in legal capacity building, and global leadership to respond to the likely increase in requests by countries for technical legal assistance. We urge development agencies and other funders to recognise the need for development assistance in these areas. Throughout the paper, we point to global experience in dealing with HIV and draw out some relevant lessons for NCDs.

Florence Nightingale and healthcare reform.

Science.gov (United States)

Kudzma, Elizabeth Connelly

2006-01-01

The purpose of this article was to examine the work of Florence Nightingale in light of her collaboration with William Farr, the eminent medical statistician. Nightingale's epidemiological investigations supported by Farr illustrated that attention to environmental cleanliness was an important factor in preventing spread of disease. Nightingale channeled her investigations to support hospital reforms and the need for an educated nurse who could provide better management of the hospital environment. Statistical support and solicited criticism allowed Nightingale to argue more forcefully for her reforms.

THE TRANSFORMATIVE POWER OF THE EU-UKRAINE DCFTA: EVIDENCE FROM THE ONGOING DEREGULATION REFORM IN UKRAINE

Directory of Open Access Journals (Sweden)

Maryna Rabinovych

2016-08-01

Full Text Available The lack of genuine transformative power in the region was repeatedly distinguished as a major weakness of the Eastern Partnership (EaP in Ukraine. However, the intensity and comprehensiveness of ongoing reform processes cause the need to revise the transformative power of the initiative in general and specific incentives in particular. Thus, the paper aims to assess the transformative power of the EU-Ukraine DCFTA, based on the evidence from the deregulation reform that represents an important prerequisite for the intensification of the EU-Ukraine economic relations. The study focuses on the general economic aspects of deregulation and combines ’black letter law’ approach with an empirical insight into the reform’s implementation. The results of the study show that the EU-Ukraine DCFTA holds significant transformative power with regard to the deregulation of Ukraine’s economy and invite for further reconsideration of the EaP incentives’ impact in target states.

Ethanol steam reforming heated up by molten salt CSP : reactor assessment

NARCIS (Netherlands)

Falco, de M.; Gallucci, F.

2010-01-01

In this paper hydrogen production via reforming of ethanol has been studied in a novel hybrid plant consisting in a ethanol reformer and a concentrating solar power (CSP) plant using molten salt as heat carrier fluid. The heat needed for the reforming of ethanol has been supplied to the system by

Ethanol steam reforming heated up by molten salt CSP: Reactor assessment

NARCIS (Netherlands)

De Falco, Marcello; Gallucci, F.

2010-01-01

In this paper hydrogen production via reforming of ethanol has been studied in a novel hybrid plant consisting in a ethanol reformer and a concentrating solar power (CSP) plant using molten salt as heat carrier fluid. The heat needed for the reforming of ethanol has been supplied to the system by

Conditions for successful land reform in Africa

Directory of Open Access Journals (Sweden)

JA Groenewald

2004-11-01

Full Text Available Land reform has traditionally had two objectives: equity and productivity. Food insecurity and the need for agriculture to contribute to development emphasise the need to maintain and improve productivity while improving equitability. Land must foster production and agriculture must attract good human material. The following areas need to be considered in policy formulation and delivery: an effective institutional framework involving all the relevant public and private bodies; efficient fiscal planning is essential; potentially successful farmers must be selected and given special support, including extension and adult education; complementary services and infrastructure are needed; prioritisation of functions and land tenure reform is often necessary. In addition, international agricultural markets are very important for Africa.  Wealthy nations should cease trade-distorting protection of their own farmers.

Healthcare reform: the role of coordinated critical care.

Science.gov (United States)

Cerra, F B

1993-03-01

To evaluate and editorialize the evolving role of the discipline of critical care as a healthcare delivery system in the process of healthcare reform. The sources included material from the Federal Office of Management and Budget, Health Care Financing Review, President Bush's Office, Association of American Medical Colleges, and publications of the Society of Critical Care Medicine. Data were selected that the author felt was relevant to the healthcare reform process and its implications for the discipline of critical care. The data were extracted by the author to illustrate the forces behind healthcare reform, the implications for the practice of critical care, and role of critical care as a coordinated (managed) care system in the process of healthcare reform. Healthcare reform has been initiated because of a number of considerations that arise in evaluating the current healthcare delivery system: access, financing, cost, dissatisfactions with the mechanisms of delivery, and political issues. The reform process will occur with or without the involvement of critical care practitioners. Reforms may greatly alter the delivery of critical care services, education, training, and research in critical care. Critical care has evolved into a healthcare delivery system that provides services to patients who need and request them and provides these services in a coordinated (managed) care model. Critical care practitioners must become involved in the healthcare reform process, and critical care services that are effective must be preserved, as must the education, training, and research programs. Critical care as a healthcare delivery system utilizing a coordinated (managed) care model has the potential to provide services to all patients who need them and to deliver them in a manner that is cost effective and recognized as providing added value.

Electricity reform in developing and transition countries: A reappraisal

International Nuclear Information System (INIS)

Williams, J.H.; Ghanadan, R.

2006-01-01

Since about 1990, many developing and transition countries have undertaken market-oriented reforms in their electric power sectors. Despite the widespread adoption of a standard policy model, reform processes and outcomes have often failed to meet expectations. Drawing on an extensive literature review and case studies in Asia, Africa, Latin America, and Eastern Europe, this paper describes common features of non-OECD electricity reform and reappraises reform policies and underlying assumptions. Comparison with the sector-focused policy goals of deregulation in OECD countries highlights the importance of national fiscal crises, macroeconomic reforms, and persuasion by multilateral lenders in shaping non-OECD reforms. It also makes clear reform's dependence on attracting foreign capital, and consequent vulnerability to volatile international financial conditions. Case studies of Bolivia, Ghana, India, Poland, and Thailand illustrate reform's diverse pathways and problems in different settings. A broad range of non-OECD reform experiences indicates that disappointing results have often resulted from a narrow focus on finance and cost recovery, inflexibly applied. The paper concludes that improving reform will require emphasizing a broader set of objectives, including service provision, public benefits, effective regulation, and social/political legitimacy. Above all, reforms must be based on realistic assessments of national needs and capabilities. (author)

Two decades of reforms. Appraisal of the financial reforms in the Russian public healthcare sector.

Science.gov (United States)

Gordeev, Vladimir S; Pavlova, Milena; Groot, Wim

2011-10-01

This paper reviews the empirical evidence on the outcomes of the financial reforms in the Russian public healthcare sector. A systematic literature review identified 37 relevant publications that presented empirical evidence on changes in quality, equity, efficiency and sustainability in public healthcare provision due to the Russian public healthcare financial reforms. Evidence suggests that there are substantial inter-regional inequalities across income groups both in terms of financing and access to public healthcare services. There are large efficiency differences between regions, along with inter-regional variations in payment and reimbursement mechanisms. Informal and quasi-formal payments deteriorate access to public healthcare services and undermine the overall financing sustainability. The public healthcare sector is still underfinanced, although the implementation of health insurance gave some premises for future increases of efficiency. Overall, the available empirical data are not sufficient for an evidence-based evaluation of the reforms. More studies on the quality, equity, efficiency and sustainability impact of the reforms are needed. Future reforms should focus on the implementation of cost-efficiency and cost-control mechanisms; provide incentives for better allocation and distribution of resources; tackle problems in equity in access and financing; implement a system of quality controls; and stimulate healthy competition between insurance companies. Copyright © 2010 Elsevier Ireland Ltd. All rights reserved.

Predictors of Coordinated and Comprehensive Care Within a Medical Home for Children With Special Healthcare (CHSCN Needs

Directory of Open Access Journals (Sweden)

Ashley Walker

2018-06-01

Full Text Available The purpose of this study was to examine predictors of coordinated and comprehensive care within a medical home among children with special health care needs (CSHCN. The latest version of the National Survey of Children with Special Health Care Needs (NS-CSHCN employed a national random-digit-dial sample whereby US households were screened, resulting in 40,242 eligible respondents. Logistic regression analyses were performed modeling the probability of coordinated, comprehensive care in a medical home based on shared decision-making and other factors. A total of 29,845 cases were selected for inclusion in the model. Of these, 17,390 cases (58.3% met the criteria for coordinated, comprehensive care in a medical home. Access to a community-based service systems had the greatest positive impact on coordinated, comprehensive care in a medical home. Adequate insurance coverage and being White/Caucasian were also positively associated with the dependent variable. Shared decision-making was reported by 72% of respondents and had a negative, but relatively negligible impact on coordinated, comprehensive care in a medical home. Increasing age, non-traditional family structures, urban residence, and public insurance were more influential, and negatively impacted the dependent variable. Providers and their respective organizations should seek to expand and improve health and support services at the community level.

Small School Reform

Directory of Open Access Journals (Sweden)

Carroll E. Bronson

2013-05-01

Full Text Available This qualitative ethnographic case study explored the evolution of a public urban high school in its 3rd year of small school reform. The study focused on how the high school proceeded from its initial concept, moving to a small school program, and emerging as a new small high school. Data collection included interviews, observations, and document review to develop a case study of one small high school sharing a multiplex building. The first key finding, “Too Many Pieces, Not Enough Glue,” revealed that the school had too many new programs starting at once and they lacked a clear understanding of their concept and vision for their new small school, training on the Montessori philosophies, teaching and learning in small schools, and how to operate within a teacher-cooperative model. The second key finding, “A Continuous Struggle,” revealed that the shared building space presented problems for teachers and students. District policies remain unchanged, resulting in staff and students resorting to activist approaches to get things done. These findings offer small school reform leaders suggestions for developing and sustaining a small school culture and cohesion despite the pressures to revert back to top-down, comprehensive high school norms.

Regulatory system reform of occupational health and safety in China.

Science.gov (United States)

Wu, Fenghong; Chi, Yan

2015-01-01

With the explosive economic growth and social development, China's regulatory system of occupational health and safety now faces more and more challenges. This article reviews the history of regulatory system of occupational health and safety in China, as well as the current reform of this regulatory system in the country. Comprehensive, a range of laws, regulations and standards that promulgated by Chinese government, duties and responsibilities of the regulatory departments are described. Problems of current regulatory system, the ongoing adjustments and changes for modifying and improving regulatory system are discussed. The aim of reform and the incentives to drive forward more health and safety conditions in workplaces are also outlined.

Energy Reforms in The Developing World: Sustainable Development Compromised?

Directory of Open Access Journals (Sweden)

Said Mbogo Abdallah

2015-06-01

Full Text Available Energy sector reforms with an emphasis on electricity growth have been taking place extensively and rapidly worldwide Particularly, motivated chiefly by classical economics’ standpoint of efficiency and market considerations, reforms have been made in the developed North. Models of reforms in the North have in turn been replicated in developing countries. However, questions arise as to whether the models used are suitable for the mostly rural and socioeconomically disadvantaged economies in the South. It is argued in this paper that a sustainability focused mode of reforms guided by futures studies is needed for such economies. Reforms taking place in Kenya and neighbouring countries are in particular examined from a sustainable future perspective; and appropriate improvements and further research are recommended.

Reform of teacher education and teacher educator competences

DEFF Research Database (Denmark)

Rasmussen, Jens

Despite it is well known known and recognized that teacher educators’ competences play a decisive role for the education of new teachers and also for the quality of the profession as such very little research is conducted on the competences of teacher educators and their training. It is also...... an established fact that the implementation of teacher education reforms to a large extent stands and falls with the competences of the teacher educators. Not least it is of importance that teacher educators possess the kind of competences that are needed to meet the intentions of a reform. Failing teacher...... educator competences might just as well be an explanation for frequent reforms in teacher education as it can be failure of the reforms themselves. Danish teacher education was in 2012 reformed for the third time in only fifteen years, but teacher educator competences were not mapped at all during...

On the structural tax reform that is needed in Colombia. Reflections and proposals

Directory of Open Access Journals (Sweden)

Jorge Espitia

2017-05-01

Full Text Available This article examines the characteristics of an equitable and structural tax reform. Taxation does not only determine revenue, but it also affects the productive apparatus and equitability. In Colombia, tax pressure is very low and resources are insufficient to provide essential public goods. The duty system should contribute to the consolidation of a “new economy”, as it is called by the government, which boosts industry, agriculture, and tourism, and which is less dependent on fossil fuels. Taxes should favor equitability, and so direct taxation should increase in a progressive manner, with a rate which rises as income increases. The recently passed tax reform improves revenue, but favor neither the new economy nor equitability, since it gave too much weight to V.A.T. and very little weight to income or wealth tax.

The 'reformation' of counselling

Directory of Open Access Journals (Sweden)

G.A. Lotter

2001-08-01

Full Text Available Although the Reformation took place some four hundred years ago, one area in which reformation is really needed today is the counselling of people. Since Wilhelm Wundt started the “study of the mind” in 1879, William James and Sigmund Freud followed and secular psychology gradually has developed to take the “front seat”; hence moving Biblical counselling, which has been practised since the times of the New Testament, to the “back burner”. This development had been going on for the greater part of the 20th century, up to the publication of Competent to Counsel by Jay E. Adams in 1970. In the model for counselling suggested by Adams, the principles of the Reformation of the sixteenth century, Soli Deo Gloria, Soli Scriptura, Soli Fidei, Sola Gratia, etc. were again implemented in assisting and counselling people with personal and interpersonal problems. The epistomological and anthropological approach of secular psychology differs radically from that of Biblical principles, thus necessitating a new “reformation” of counselling. Within this new form counselling, inter alia, implies the following: the Word of God has its rightful place, sin has to be taken seriously and the work of the Holy Spirit should be recognised. In this article it is proposed that the “reformation” of counselling was started by scholars with a Biblical Reformational approach and that this method of counselling followed the parameters of the Reformation of the sixteenth century. This “reformation” developed into a new direction in counselling and still continues today with fascinating new frontiers opening up for Biblical counselling.

Sources of Funding for Education Reform.

Science.gov (United States)

Odden, Allan

1986-01-01

Outlines the trends in educational funding patterns needed to enact educational reform. Local property taxes, state revenues, and federal aid continue to provide the bulk of financing. Includes two tables. (MD)

The future direction of electricity reform in APEC economies

International Nuclear Information System (INIS)

Pritchard, Robert

2005-01-01

A 2003 study of Electricity Supply Industry (ESI) reform experience in the 21 Asia-Pacific Economic Cooperation (APEC) economies emphasised that the overriding principle of ESI reform must be to maintain the security and stability of the entire power system. This is what differentiates ESI reform from reform of other industries. For all economies, particularly developing economies, attracting private investment in the ESI is a vital ongoing need. However, since the mid-1990s, private investors have become more risk-averse. Today, it is less safe for governments to assume that their 'reformed' electricity sectors will attract the requisite level of private investment. The APEC study found that competitive electricity markets are unsuited to developing economies in the early stages of reform. However, enterprise level reforms can produce major gains by commercialising and corporatising electricity utilities and by providing them with economic incentives to operate to high technical and commercial standards. The APEC study also emphasised that governments must remain responsible for the outcomes of ESI reform irrespective of any changes in industry structure and ownership. This is a fundamental responsibility which cannot be left to a regulator. (Author)

Use of catalytic reforming to aid natural gas HCCI combustion in engines: experimental and modelling results of open-loop fuel reforming

Energy Technology Data Exchange (ETDEWEB)

Peucheret, S.; Wyszynski, M.L.; Lehrle, R.S. [Future Power Systems Group, Mechanical Engineering, The University of Birmingham, Edgbaston, Birmingham B15 2TT (United Kingdom); Golunski, S. [Johnson Matthey, Technology Centre, Blount' s Court, Sonning Common, Reading RG4 9NH (United Kingdom); Xu, H. [Jaguar Land Rover Research, Jaguar Land Rover W/2/021, Abbey Road, Coventry CV3 4LF (United Kingdom)

2005-12-01

The potential of the homogeneous charge compression ignition (HCCI) combustion process to deliver drastically reduced emissions of NO{sub x} and improved fuel economy from internal combustion engines is well known. The process is, however, difficult to initiate and control, especially when methane or natural gas are used as fuel. To aid the HCCI combustion of natural gas, hydrogen addition has been successfully used in this study. This hydrogen can be obtained from on-line reforming of natural gas. Methane reforming is achieved here by reaction with engine exhaust gas and air in a small scale monolith catalytic reactor. The benchmark quantity of H{sub 2} required to enhance the feasibility and engine load range of HCCI combustion is 10%. For low temperature engine exhaust gas, typical for HCCI engine operating conditions, experiments show that additional air is needed to produce this quantity. Experimental results from an open-loop fuel exhaust gas reforming system are compared with two different models of basic thermodynamic equilibria calculations. At the low reactor inlet temperatures needed for the HCCI application (approx. 400 deg C) the simplified three-reaction thermodynamic equilibrium model is in broad agreement with experimental results, while for medium (550-650 deg C) inlet temperature reforming with extra air added, the high hydrogen yields predicted from the multi-component equilibrium model are difficult to achieve in a practical reformer. (author)

Reforming Victoria's primary health and community service sector: rural implications.

Science.gov (United States)

Alford, K

2000-01-01

In 1999 the Victorian primary care and community support system began a process of substantial reform, involving purchasing reforms and a contested selection process between providers in large catchment areas across the State. The Liberal Government's electoral defeat in September 1999 led to a review of these reforms. This paper questions the reforms from a rural perspective. They were based on a generic template that did not consider rural-urban differences in health needs or other differences including socio-economic status, and may have reinforced if not aggravated rural-urban differences in the quality of and access to primary health care in Victoria.

Novel Auto thermal Reforming Process for Pure Hydrogen Production

International Nuclear Information System (INIS)

Chen, Z.; Elnashaie, S.S.E.H.

2004-01-01

Steam reforming of heptane for hydrogen production is investigated in a novel Circulating Fluidized Bed Membrane Reformer-Regenerator system (CFBMRR) utilizing a number of hydrogen and oxygen selective membranes. It is shown that although the amount of carbon deposition is significant, the effect on catalyst deactivation is negligible due to the large solid to gas mass feed ratio and the continuous catalyst regeneration in the system. The combustion of the deposited carbon in the catalyst regenerator supplies the heat needed for the endothermic steam reforming as well as the combustion of flammable gases from the riser reformer. Auto thermal operation is achievable for the entire adiabatic reformer-regenerator system when the exothermic heat generated from the regenerator is sufficient to compensate the endothermic heat consumed in the reformer. Multiplicity of the steady states exists in the range of steam to carbon feed ratio of 1.4442.251 mol/mol. The novel configuration has the potential advantages not only with respect to hydrogen production but also energy minimization

Regulatory system reform of occupational health and safety in China

Science.gov (United States)

WU, Fenghong; CHI, Yan

2015-01-01

With the explosive economic growth and social development, China’s regulatory system of occupational health and safety now faces more and more challenges. This article reviews the history of regulatory system of occupational health and safety in China, as well as the current reform of this regulatory system in the country. Comprehensive, a range of laws, regulations and standards that promulgated by Chinese government, duties and responsibilities of the regulatory departments are described. Problems of current regulatory system, the ongoing adjustments and changes for modifying and improving regulatory system are discussed. The aim of reform and the incentives to drive forward more health and safety conditions in workplaces are also outlined. PMID:25843565

Power and process: The politics of electricity sector reform in Uganda

Science.gov (United States)

Gore, Christopher David

In 2007, Uganda had one of the lowest levels of access to electricity in the world. Given the influence of multilateral and bilateral agencies in Uganda; the strong international reputation and domestic influence of its President; the country's historic achievements in public sector and economic reform; and the intimate connection between economic performance, social well-being and access to electricity, the problems with Uganda's electricity sector have proven deeply frustrating and, indeed, puzzling. Following increased scholarly attention to the relationship between political change, policymaking, and public sector reform in sub-Saharan Africa and the developing world generally, this thesis examines the multilevel politics of Uganda's electricity sector reform process. This study contends that explanations for Uganda's electricity sector reform problems generally, and hydroelectric dam construction efforts specifically, must move beyond technical and financial factors. Problems in this sector have also been the result of a model of reform (promoted by the World Bank) that failed adequately to account for the character of political change. Indeed, the model of reform that was promoted and implemented was risky and it was deeply antagonistic to domestic and international civil society organizations. In addition, it was presented as a linear, technical, apolitical exercise. Finally the model was inconsistent with key principles the Bank itself, and public policy literature generally, suggest are needed for success. Based on this analysis, the thesis contends that policymaking and reform must be understood as deeply political processes, which not only define access to services, but also participation in, and exclusion from, national debates. Future approaches to reform and policymaking must anticipate the complex, multilevel, non-linear character of 'second-generation' policy issues like electricity, and the political and institutional capacity needed to increase

The Implementation and Impact of Evidence-Based Mathematics Reforms in High-Poverty Middle Schools: A Multi-Site, Multi-Year Study

Science.gov (United States)

Balfanz, Robert; Mac Iver, Douglas J.; Byrnes, Vaughan

2006-01-01

This article reports on the first 4 years of an effort to develop comprehensive and sustainable mathematics education reforms in high poverty middle schools. In four related analyses, we examine the levels of implementation achieved and impact of the reforms on various measures of achievement in the first 3 schools to implement the Talent…

Bringing Home the Bacon: The Politics of Rural School Reform.

Science.gov (United States)

Sher, Jonathan P.

1983-01-01

Self-interested political, corporate, and education leaders have undermined recent West Virginia court decisions mandating educational reform. Three implications are: (1) principals, teachers, parents, and students must be equal partners in the educaiton reform process; (2) a constituency for rural children is needed; and (3) rural educators must…

Mental health service delivery following health system reform in Colombia.

Science.gov (United States)

Romero-González, Mauricio; González, Gerardo; Rosenheck, Robert A

2003-12-01

In 1993, Colombia underwent an ambitious and comprehensive process of health system reform based on managed competition and structured pluralism, but did not include coverage for mental health services. In this study, we sought to evaluate the impact of the reform on access to mental health services and whether there were changes in the pattern of mental health service delivery during the period after the reform. Changes in national economic indicators and in measures of mental health and non-mental health service delivery for the years 1987 and 1997 were compared. Data were obtained from the National Administrative Department of Statistics of Colombia (DANE), the Department of National Planning and Ministry of the Treasury of Colombia, and from national official reports of mental health and non-mental health service delivery from the Ministry of Health of Colombia for the same years. While population-adjusted access to mental health outpatient services declined by -2.7% (-11.2% among women and +5.8% among men), access to general medical outpatient services increased dramatically by 46%. In-patient admissions showed smaller differences, with a 7% increase in mental health admissions, as compared to 22.5% increase in general medical admissions. The health reform in Colombia imposed competition across all health institutions with the intention of encouraging efficiency and financial autonomy. However, the challenge of institutional survival appears to have fallen heavily on mental health care institutions that were also expected to participate in managed competition, but that were at a serious disadvantage because their services were excluded from the compulsory standardized package of health benefits. While the Colombian health care reform intended to close the gap between those who had and those who did not have access to health services, it appears to have failed to address access to specialized mental health services, although it does seem to have promoted a

Evolving Governance and Contested Water Reforms in Australia’s Murray Darling Basin

Directory of Open Access Journals (Sweden)

Jason Alexandra

2018-01-01

Full Text Available This paper explores the ways water governance adapts to changing social values and political imperatives by examining the case of water policy reforms in Australia’s Murray Darling Basin. Over more than two decades, Australia’s water reforms have explicitly aimed to promote ecological sustainability and economic efficiency, attempting to balance pro-market, micro-economic reforms with broader social and sustainability goals. Despite the formality of Australia’s intergovernmental agreements, water reforms have been expensive and heavily contested, experiencing many implementation challenges. However, water market reforms have generally been regarded as successful, enabling the reallocation of water for environmental and extractive uses, contributing to flexibility and adaptive capacity. Recognising that discursive contestation is central to policy development, the paper documents the way the reform processes have attempted to broker compromises between three competing policy paradigms—national development, economic rationalism and environmentalism. These inherent tensions resulted in prolonged contests for influence over policy directions long after formal statements of policy intent by Governments. Given that climate change is driving the need for water governance reforms, the paper looks to what lessons can be learnt about the redesigns of meta-governance arrangements, including through structured commitments to independent audits and evaluations that can provide the feedback needed for adaptive governance and policy learning.

Catalytic Reforming of Oxygenates: State of the Art and Future Prospects.

Science.gov (United States)

Li, Di; Li, Xinyu; Gong, Jinlong

2016-10-12

This Review describes recent advances in the design, synthesis, reactivity, selectivity, structural, and electronic properties of the catalysts for reforming of a variety of oxygenates (e.g., from simple monoalcohols to higher polyols, then to sugars, phenols, and finally complicated mixtures like bio-oil). A comprehensive exploration of the structure-activity relationship in catalytic reforming of oxygenates is carried out, assisted by state-of-the-art characterization techniques and computational tools. Critical emphasis has been given on the mechanisms of these heterogeneous-catalyzed reactions and especially on the nature of the active catalytic sites and reaction pathways. Similarities and differences (reaction mechanisms, design and synthesis of catalysts, as well as catalytic systems) in the reforming process of these oxygenates will also be discussed. A critical overview is then provided regarding the challenges and opportunities for research in this area with a focus on the roles that systems of heterogeneous catalysis, reaction engineering, and materials science can play in the near future. This Review aims to present insights into the intrinsic mechanism involved in catalytic reforming and provides guidance to the development of novel catalysts and processes for the efficient utilization of oxygenates for energy and environmental purposes.

Between the state and market: Electricity sector reform in developing countries

International Nuclear Information System (INIS)

Jamasb, Tooraj

2006-01-01

Developing countries have had to reform technically and financially less efficient electricity sectors than developed countries with less resources and weaker institutions. This paper examines the reform experience and lessons in these countries. The paper reviews private participation and key reform steps such as restructuring, competition, and regulation. The role of contextual factors such as system size, institutional endowment, and international organizations are then discussed. It then argues that there is a need for redefining the role of the state rather than a full withdrawal from the sector and that many countries should adopt simpler reform models and gradual implementation. (author)

Steepest Ascent Tariff Reform

DEFF Research Database (Denmark)

Raimondos-Møller, Pascalis; Woodland, Alan

2014-01-01

. In undertaking this task, and by focusing on tariff reforms, we introduce the concept of a steepest ascent policy reform, which is a locally optimal reform in the sense that it achieves the highest marginal gain in utility of any feasible local reform. We argue that this reform presents itself as a natural......The policy reform literature is primarily concerned with the construction of reforms that yield welfare gains. By contrast, this paper’s contribution is to develop a theoretical concept for which the focus is upon the sizes of welfare gains accruing from policy reforms rather than upon their signs...... benchmark for the evaluation of the welfare effectiveness of other popular tariff reforms such as the proportional tariff reduction and the concertina rules, since it provides the maximal welfare gain of all possible local reforms. We derive properties of the steepest ascent tariff reform, construct...

Administrative Reform in Romania and the European Union

OpenAIRE

Călin HINŢEA; Sorin Dan ŞANDOR; Veronica JUNJAN

2002-01-01

The issue of public administration reform is an old one for the professional literature. It has always been at the basis of a significant theoretical debate that started with the idea of compatibility between the concepts of “public administration” and “reform”. Central and Eastern European countries have been faced with the acute need of reform after the crash of communist regimes and painful disclosure of the inefficiency of previous bureaucratic models.

Mental health policy and development in Egypt - integrating mental health into health sector reforms 2001-9

Directory of Open Access Journals (Sweden)

Siekkonen Inkeri

2010-06-01

Full Text Available Abstract Background Following a situation appraisal in 2001, a six year mental health reform programme (Egymen 2002-7 was initiated by an Egyptian-Finnish bilateral aid project at the request of a former Egyptian minister of health, and the work was incorporated directly into the Ministry of Health and Population from 2007 onwards. This paper describes the aims, methodology and implementation of the mental health reforms and mental health policy in Egypt 2002-2009. Methods A multi-faceted and comprehensive programme which combined situation appraisal to inform planning; establishment of a health sector system for coordination, supervision and training of each level (national, governorate, district and primary care; development workshops; production of toolkits, development of guidelines and standards; encouragement of intersectoral liaison at each level; integration of mental health into health management systems; and dedicated efforts to improve forensic services, rehabilitation services, and child psychiatry services. Results The project has achieved detailed situation appraisal, epidemiological needs assessment, inclusion of mental health into the health sector reform plans, and into the National Package of Essential Health Interventions, mental health masterplan (policy guidelines to accompany the general health policy, updated Egyptian mental health legislation, Code of Practice, adaptation of the WHO primary care guidelines, primary care training, construction of a quality system of roles and responsibilities, availability of medicines at primary care level, public education about mental health, and a research programme to inform future developments. Intersectoral liaison with education, social welfare, police and prisons at national level is underway, but has not yet been established for governorate and district levels, nor mental health training for police, prison staff and teachers. Conclusions The bilateral collaboration programme

The PERSIAN Cohort: Providing the Evidence Needed for Healthcare Reform.

Science.gov (United States)

Eghtesad, Sareh; Mohammadi, Zahra; Shayanrad, Amaneh; Faramarzi, Elnaz; Joukar, Farahnaz; Hamzeh, Behrooz; Farjam, Mojtaba; Zare Sakhvidi, Mohammad Javad; Miri-Monjar, Mohammadreza; Moosazadeh, Mahmood; Hakimi, Hamid; Rahimi Kazerooni, Salar; Cheraghian, Bahman; Ahmadi, Ali; Nejatizadeh, Azim; Mohebbi, Iraj; Pourfarzi, Farhad; Roozafzai, Farzin; Motamed-Gorji, Nazgol; Montazeri, Seyed Ali; Masoudi, Sahar; Amin-Esmaeili, Masoumeh; Danaie, Navid; Mirhafez, Seyed Reza; Hashemi, Hasan; Poustchi, Hossein; Malekzadeh, Reza

2017-11-01

In the past, communicable diseases caused the highest mortality in Iran. Improvements in socioeconomic status and living standards including access to safe drinking water, along with the inception of Health Houses in the 1980s, have changed disease patterns, decreasing the spread of and deaths from infectious and communicable diseases. The incidence and prevalence of non-communicable diseases (NCD), however, have now increased in Iran, accounting for nearly 80% of deaths and disabilities. Without interventions, NCD are predicted to impose a substantial human and economic burden in the next 2 decades. However, Iran's health system is not equipped with the necessary policies to combat this growth and must refocus and reform. Therefore, in the year 2013, the Ministry of Health and Medical Education funded a well-designed nationwide cohort study-Prospective Epidemiological Research Studies in IrAN (PERSIAN)-in order to assess the burden of NCD and investigate the risk factors associated with them in the different ethnicities and geographical areas of Iran. The PERSIAN Cohort, which aims to include 200000 participants, has 4 components: Adult (main), Birth, Youth and Elderly, which are being carried out in 22 different regions of Iran. Having an enormous dataset along with a biobank of blood, urine, hair and nail samples, the PERSIAN Cohort will serve as an important infrastructure for future implementation research and will provide the evidence needed for new healthcare policies in order to better control, manage and prevent NCD. Copyright © 2017 The Author(s). This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/) which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.

Special Edition: Limits and Prospects of Criminal Law Reform – Past, Present, Future

Directory of Open Access Journals (Sweden)

Thalia Anthony

2017-08-01

Full Text Available This special issue traces multifaceted readings of criminal law reform in the context of developments in Australia, North America and Europe. It addresses a range of criminal law legislative regimes, frameworks and issues confronting criminal law reform including as they relate to family violence, organisational liability for child sexual abuse, drug-driving and Indigenous under-representation on juries. In doing so, the articles variously assess the impacts of past criminal law reforms, current processes of reform, areas in need of future reform and the limitations of reform. It poses a number of challenges: Who does law reform serve? What principles should guide the work of criminal justice reform? What is the role and responsibility of universities in law reform? Who are the natural allies of academics in agitating for reform? Is reform of criminal law enough for progressive social change? Do public inquiries and law reform assist with progressive change or do they have the potential to undermine the struggle for more humane and equitable social responses?

Columbia River Hatchery Reform System-Wide Report.

Energy Technology Data Exchange (ETDEWEB)

Warren, Dan [Hatchery Scientific Review Group

2009-04-16

The US Congress funded the Puget Sound and Coastal Washington Hatchery Reform Project via annual appropriations to the US Fish and Wildlife Service (USFWS) beginning in fiscal year 2000. Congress established the project because it recognized that while hatcheries have a necessary role to play in meeting harvest and conservation goals for Pacific Northwest salmonids, the hatchery system was in need of comprehensive reform. Most hatcheries were producing fish for harvest primarily to mitigate for past habitat loss (rather than for conservation of at-risk populations) and were not taking into account the effects of their programs on naturally spawning populations. With numerous species listed as threatened or endangered under the Endangered Species Act (ESA), conservation of salmon in the Puget Sound area was a high priority. Genetic resources in the region were at risk and many hatchery programs as currently operated were contributing to those risks. Central to the project was the creation of a nine-member independent scientific review panel called the Hatchery Scientific Review Group (HSRG). The HSRG was charged by Congress with reviewing all state, tribal and federal hatchery programs in Puget Sound and Coastal Washington as part of a comprehensive hatchery reform effort to: conserve indigenous salmonid genetic resources; assist with the recovery of naturally spawning salmonid populations; provide sustainable fisheries; and improve the quality and cost-effectiveness of hatchery programs. The HSRG worked closely with the state, tribal and federal managers of the hatchery system, with facilitation provided by the non-profit organization Long Live the Kings and the law firm Gordon, Thomas, Honeywell, to successfully complete reviews of over 200 hatchery programs at more than 100 hatcheries across western Washington. That phase of the project culminated in 2004 with the publication of reports containing the HSRG's principles for hatchery reform and recommendations

Labor market reforms, growth, and unemployment in labor-exporting countries in the Middle East and North Africa

DEFF Research Database (Denmark)

Agénor, Pierre-Richard; Nabli, Mustapha K.; Yousef, Tarik

2007-01-01

A general equilibrium model is used to study the impact of labor market policies on growth, employment, urban inequality, and rural welfare in labor-exporting countries in the Middle East and North Africa. Various experiments are conducted, such as a reduction in payroll taxation, cuts in public......-enhancing job creation in the region, labor market reforms must take account of general equilibrium effects, including crowding-in effects on private investment and variations in income remittances and international migration patterns. Finally, we argue that labor market reforms should be viewed as a component...... of a more comprehensive program of structural reforms aimed at spurring growth and employment...

Regulatory reform in Turkish energy industry: An analysis

International Nuclear Information System (INIS)

Erdogdu, Erkan

2007-01-01

The Republic of Turkey has initiated an ambitious reform program in the most important segments of her energy market; which requires privatization, liberalization as well as a radical restructuring of these industries. However, there is no consensus that the measures introduced are optimal. The present article attempts, first, to evaluate the regulatory framework created by the laws of 2001 in terms of economic efficiency considerations; and second, to determine what still needs to be done to improve the current situation. The paper not only provides an analysis of these reforms but also lists some policy suggestions. The study concludes that despite relatively good legislative framework, in practice, the reforms in Turkey are far from ideal as they are mainly in the form of 'textbook reforms'; and therefore a significant amount of work still lies ahead of Turkey to set up a fully fledged energy market

US Health Care Reform and Transplantation, Part II: impact on the public sector and novel health care delivery systems.

Science.gov (United States)

Axelrod, D A; Millman, D; Abecassis, M M

2010-10-01

The Patient Protection and Affordable Care Act passed in 2010 will result in dramatic expansion of publically funded health insurance coverage for low-income individuals. It is estimated that of the 32 million newly insured, 16 million will obtain coverage through expansion of the Medicaid Program, and the remaining 16 million will purchase coverage through their employer or newly legislated insurance exchanges. While the Act contains numerous provisions to improve access to private insurance as discussed in Part I of this analysis, public sector coverage will significantly be affected. The cost of health care reform will be borne disproportionately by Medicare, which faces nearly $500 billion in cuts to be identified by a new independent board. Transplant centers should be concerned about the impact of the reform on the financial aspects of transplantation. In addition, this legislation also utilizes the Medicare Program to drive reform of the health care delivery system, by encouraging the development of integrated Accountable Care Organizations, experimentation with new 'models' of healthcare delivery, and expanded support for Comparative Effectiveness Research. Transplant providers, including transplant centers and physicians/surgeons need to lead this movement, drawing on our experience providing comprehensive multidisciplinary care under global budgets with publically reported outcomes.

China’s Political Reforms in the Early 21 Century

Directory of Open Access Journals (Sweden)

Nguyen Xuan Сuong

2015-01-01

Full Text Available Analyzing process of political reforms in the People's Republic of China, the author notes that within the first 20 years of reforms and openness of China economic growth wasn't followed by development of society, political reforms didn't keep up for economic, imperfection of political system constrained economic reforms and development. Owing to this fact the XVI congress of a CPC lifted policy to the level of "political culture" by analogy with "material culture" and "spiritual culture". In the first 20 anniversary of the XXI century with the purpose to finish "comprehensive creation of society "of small prosperity" China has to create "perfect system of socialist market economy", construct "harmonious socialist society". For achievement of these purposes political reforms in China have to provide "improvement of socialist democracy" and "the socialist constitutional state". In the first years of the XXI century they brought a number of significant achievements: political stability, peaceful alternation of generations of the power, essential increase of level of political democracy. The first stage of formation of the constitutional socialist state is passed, ability and level of the management from ruling party increased; party construction amplified. But also at the beginning of the second decade of the XXI century implementation of the legislation, democracy faces many calls, especially intensification of nationalism at the beginning of the century. The Chinese dream will mobilize grandiose powers of unity that China deepened reforms and openness, solved all the political problems, helped a CPC to increase the leading and imperious power. Implementation process of "The Chinese dream" also means aspiration to tops of economy, policy, military science, technologies in the world, to a taking them, reflecting process of formation of the new great power which will succeed the USA. Political reforms with the purpose to achieve "The Chinese dream

Law Commissions – What is the essence of their law reform role?

Directory of Open Access Journals (Sweden)

Neil Faris

2014-10-01

Full Text Available Article by Neil Faris (Solicitor and a former Commissioner at the Northern Ireland Law Commission reflecting on the nature of law reform as carried out by law commissions. This is in the context of the author’s experience in the Northern Ireland Law Commission. The paper assesses the importance of independence in any law reform body and the particular impact which law commissioners may bring to the law reform process. The paper looks at the history of law reform in Northern Ireland leading to the establishment of the Commission with a brief overview of the work of the Commission. The conclusion is that there is a role for effective law reform driven by commissioner led independent law commissions. The author makes a strong case for the need for independent law commissions to promote high quality law reform. His article gives an idea about how law reform works in practice with law commissions providing one route for reforming the law.

Non-catalytic recuperative reformer

Science.gov (United States)

Khinkis, Mark J.; Kozlov, Aleksandr P.; Kurek, Harry

2015-12-22

A non-catalytic recuperative reformer has a flue gas flow path for conducting hot flue gas from a thermal process and a reforming mixture flow path for conducting a reforming mixture. At least a portion of the reforming mixture flow path is embedded in the flue gas flow path to permit heat transfer from the hot flue gas to the reforming mixture. The reforming mixture flow path contains substantially no material commonly used as a catalyst for reforming hydrocarbon fuel (e.g., nickel oxide, platinum group elements or rhenium), but instead the reforming mixture is reformed into a higher calorific fuel via reactions due to the heat transfer and residence time. In a preferred embodiment, extended surfaces of metal material such as stainless steel or metal alloy that are high in nickel content are included within at least a portion of the reforming mixture flow path.

Electron-induced dry reforming of methane in a temperature-controlled dielectric barrier discharge reactor

KAUST Repository

Zhang, Xuming

2013-09-23

Dry reforming of methane has the potential to reduce the greenhouse gases methane and carbon dioxide and to generate hydrogen-rich syngas. In reforming methane, plasma-assisted reforming processes may have advantages over catalytic processes because they are free from coking and their response time for mobile applications is quick. Although plasma-assisted reforming techniques have seen recent developments, systematic studies that clarify the roles that electron-induced chemistry and thermo-chemistry play are needed for a full understanding of the mechanisms of plasma-assisted reformation. Here, we developed a temperature-controlled coaxial dielectric barrier discharge (DBD) apparatus to investigate the relative importance of electron-induced chemistry and thermo-chemistry in dry reforming of methane. In the tested background temperature range 297-773 K, electron-induced chemistry, as characterized by the physical properties of micro-discharges, was found to govern the conversions of CH4 and CO2, while thermo-chemistry influenced the product selectivities because they were found to depend on the background temperature. Comparisons with results from arc-jet reformation indicated that thermo-chemistry is an efficient conversion method. Our findings may improve designs of plasma-assisted reformers by using relatively hotter plasma sources. However, detailed chemical kinetic studies are needed. © 2013 IOP Publishing Ltd.

Electron-induced dry reforming of methane in a temperature-controlled dielectric barrier discharge reactor

International Nuclear Information System (INIS)

Zhang, Xuming; Cha, Min Suk

2013-01-01

Dry reforming of methane has the potential to reduce the greenhouse gases methane and carbon dioxide and to generate hydrogen-rich syngas. In reforming methane, plasma-assisted reforming processes may have advantages over catalytic processes because they are free from coking and their response time for mobile applications is quick. Although plasma-assisted reforming techniques have seen recent developments, systematic studies that clarify the roles that electron-induced chemistry and thermo-chemistry play are needed for a full understanding of the mechanisms of plasma-assisted reformation. Here, we developed a temperature-controlled coaxial dielectric barrier discharge (DBD) apparatus to investigate the relative importance of electron-induced chemistry and thermo-chemistry in dry reforming of methane. In the tested background temperature range 297–773 K, electron-induced chemistry, as characterized by the physical properties of micro-discharges, was found to govern the conversions of CH 4 and CO 2 , while thermo-chemistry influenced the product selectivities because they were found to depend on the background temperature. Comparisons with results from arc-jet reformation indicated that thermo-chemistry is an efficient conversion method. Our findings may improve designs of plasma-assisted reformers by using relatively hotter plasma sources. However, detailed chemical kinetic studies are needed. (paper)

The prospects for national health insurance reform.

Science.gov (United States)

Belcher, J R; Palley, H A

1991-01-01

This article explores the unequal access to health care in the context of efforts by the American Medical Association (AMA) and its allies to maintain a market-maximizing health care system. The coalition between the AMA and its traditional allies is breaking down, in part, because of converging developments creating an atmosphere which may be more conducive to national health care reform and the development of a reformed health care delivery system that will be accessible, adequate, and equitable in meeting the health care and related social service needs of the American people.

Board Governance: Transformational Approaches Under Healthcare Reform.

Science.gov (United States)

Zastocki, Deborah K

2015-01-01

Previous successes of healthcare organizations and effective governance practices in the pre-reform environment are not predictive of future success. Healthcare has been through numerous phases of growth and development using tried-and-true strategies. The challenge is that our toolbox does not contain what is needed to build the future healthcare delivery systems required in the post-reform world. Healthcare has had a parochial focus at the local level, with some broadening of horizons at the state and national levels. But healthcare delivery is now a global issue that requires a totally different perspective, and many countries are confronting similar issues. US healthcare reform initiatives have far-reaching implications. Compounding the reform dynamics are the simultaneously occurring, gamechanging accelerants such as enabling information technologies and mobile health, new providers of healthcare, increased consumer demands, and limited healthcare dollars, to name a few. Operating in this turbulent environment requires transformational board, executive, and physician leadership because traditional ways of planning for incremental change and attempting to time those adjustments can prove disastrous. Creating the legacy healthcare system for tomorrow requires governing boards and executive leadership to act today as they would in the desired future system. Boards need to create a culture that fosters.innovation with a tolerance for risk and some failure. To provide effective governance, boards must essentially develop new skills, expertise, and ways of thinking. The rapid rate of change requires board members to possess certain capabilities, including the ability to deal with ambiguity and uncertainty while demonstrating flexibility and adaptability, all with a driving commitment to metrics and results. This requires development plans for both individual members and the overall board. In short, the board needs to function differently, particularly regarding the

Comprehensive Psychiatric Evaluation

Science.gov (United States)

... Facts for Families Guide Facts for Families - Vietnamese Comprehensive Psychiatric Evaluation No. 52; Updated October 2017 Evaluation ... with serious emotional and behavioral problems need a comprehensive psychiatric evaluation. Comprehensive psychiatric evaluations usually require a ...

Exploring Reading Comprehension Needs of Iranian EAP Students of Health Information Management (HIM): A Triangulated Approach

Science.gov (United States)

Atai, Mahmood Reza; Nazari, Ogholgol

2011-01-01

Discipline-based English for Academic Purposes (EAP) reading programs in Iran are designed to fill the gap between the students' general English reading competence and their ability to read authentic discipline-specific texts. This study attempted to assess target and present reading comprehension needs of EAP students of Health Information…

Price elasticities in the German Statutory Health Insurance market before and after the health care reform of 2009.

Science.gov (United States)

Pendzialek, Jonas B; Danner, Marion; Simic, Dusan; Stock, Stephanie

2015-05-01

This paper investigates the change in price elasticity of health insurance choice in Germany after a reform of health insurance contributions. Using a comprehensive data set of all sickness funds between 2004 and 2013, price elasticities are calculated both before and after the reform for the entire market. The general price elasticity is found to be increased more than 4-fold from -0.81 prior to the reform to -3.53 after the reform. By introducing a new kind of health insurance contribution the reform seemingly increased the price elasticity of insured individuals to a more appropriate level under the given market parameters. However, further unintended consequences of the new contribution scheme were massive losses of market share for the more expensive sickness funds and therefore an undivided focus on pricing as the primary competitive element to the detriment of quality. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.

An in-depth study of undergraduate tutorial system based on education and teaching integration reform

Directory of Open Access Journals (Sweden)

Fan Wenhui

2016-01-01

Full Text Available As personalized development for undergraduate is the trend of higher education development, the undergraduate tutors should play their role in the establishment of personalized personnel training mode. Based on reform practice of university education integration, this article gives a deepening research on the essence and implement methods of undergraduate tutorial system. To implement and strengthen the function of undergraduate tutorial system, we need to increase teachers’ comprehensive quality training, build a multiple-dimension, full-process and whole-staff-participation educational concept, absorb the enterprise mentors to give guidance on students’ career planning and implement the scientific and reasonable undergraduate administrative evaluation system. With continuous theory exploration and practice research, the quality of undergraduate talent training has been gradually improved.

Reforming the Tax Mix in Canada

Directory of Open Access Journals (Sweden)

Bev Dahlby

2012-04-01

Full Text Available Periodically, tax systems need major reforms to remove the “barnacles” that accumulate under the short-term pressures of political expediency and to adapt to the long-term forces of technological and economic change. The current fiscal and economic problems that confront the provinces require an assessment of much-needed reforms. Raising tax revenue imposes large costs on our society, not only because of the administration and compliance costs of collecting taxes, but because taxes distort economic decisions in the private sector. This is especially true of provincial corporate income taxes. Taxing highly mobile corporate capital and corporate profits encourages firms to shift their investments and profits across provincial and international boundaries. The provinces would enjoy significant boosts to economic growth and efficiency gains by enacting a revenue-neutral switch from corporate to sales or personal income taxes. For Alberta, such a shift would yield up to $40 per dollar of tax revenue shifted from corporate to personal income taxes; for fiscal year 2011-12, this would amount to a percapita welfare gain of roughly $19,000. Other options for tax reform are also discussed in this paper, including the adoption of a penny tax to the GST to fund infrastructure spending by municipalities. However, we think this would saddle the private sector with significant compliance costs and create major economic distortions between neighbouring municipalities by creating an incentive to shop where the penny tax proposal was not adopted. In surveying the most pressing tax reform issues facing Canada, we offer policymakers a firm basis for coming to grips with them, so they can treat tax dollars with the care and foresight Canadians expect.

Globalisation, Economic Reforms and Democracy in Nigeria

African Journals Online (AJOL)

chifaou.amzat

2013-03-06

Mar 6, 2013 ... Strategy (NEEDS) and trade and financial liberalisations ...... The reforms started with the Nigerian Enterprises Promotion Decrees (1972, ..... product prices and utility tariffs, a freeze on wages and salaries in the public sector,.

What lessons have been learned in reforming the Renewables Obligation? An analysis of internal and external failures in UK renewable energy policy

International Nuclear Information System (INIS)

Wood, Geoffrey; Dow, Stephen

2011-01-01

Despite operating a delivery programme for RES-E since 1990, UK targets and policy goals have not been achieved. In response, the Government reformed the RO. This article re-examines UK renewable energy policy by analysing the internal and external failures of the various mechanisms to determine if Government has learnt from previous experience in reforming the RO. Government did not learn from their own actions during the NFFO/RO transition, evidenced by high-levels of similarity in internal/external failures. The reformed-RO is expected to significantly increase deployment, has provided a 'renewables package' by comprehensively addressing both internal/external failures but major internal failures (price/financial risk) still remain, resulting in contiguous failures over two decades and two mechanism changes (NFFO, RO, RO/reformed-RO). Success will again be heavily dependent on a select few technologies and new/untested measures to combat external failures. Mechanism-extension to 2037 is probably the single most important factor underlying potential deployment increases. However, introducing a FIT-like system via the sheer number of 'bolt-on' reforms to counter policy failures indicates loss of direction and clarity. Overall, although Government appears to have learnt some of its lessons from the past two-decades, significant doubt remains whether renewable energy policy objectives will be met via the latest mechanism change. - Research highlights: → Review of UK renewable energy policy learning behaviour via the 2009 Renewable Obligation reform. → Applies key lessons and analysis of NFFO/RO, RO reform and possible FIT schemes. → Finds UK Government has learnt some lessons from the past but some failures remain contiguous over two decades. → In contrast to previous changes, 2009 reform provided a comprehensive reform package. → Significant doubt remains whether objectives will be met via latest mechanism change.

Multisite Case Study of Florida's Millennium High School Reform Model

Directory of Open Access Journals (Sweden)

Carol A. Mullen

2002-10-01

Full Text Available This study should have immediate utility for the United States and beyond its borders. School-to-work approaches to comprehensive reform are increasingly expected of schools while legislative funding for this purpose gets pulled back. This multisite case study launches the first analysis of the New Millennium High School (NMHS model in Florida. This improvement program relies upon exemplary leadership for preparing students for postsecondary education

Modelling and Optimization of Reforming Systems for use in PEM Fuel Cell

DEFF Research Database (Denmark)

Berry, Melissa; Korsgaard, Anders Risum; Nielsen, Mads Pagh

2004-01-01

Three different reforming methods for the conversion of natural gas to hydrogen are studied and compared: Steam Reforming (SR), Auto-thermal Reforming (ATR), and Catalytic Partial Oxidation (CPOX). Thermodynamic and kinetic models are developed for the reforming reactors as well as the subsequent...... reactors needed for CO removal to make the synthesis gas suitable for use in a PEM fuel cell. The systems are optimized to minimize the total volume, and must supply adequate hydrogen to a fuel cell with a 100kW load. The resultant system efficiencies are calculated. The CPOX system is the smallest...

Reformational direction of fish industry development in Ukraine

Directory of Open Access Journals (Sweden)

Yu. Glebova

2017-12-01

Full Text Available Purpose. Exploitation of aquatic bioresources in Ukraine was traditionally low. In order to provide the population of Ukraine with high-quality fish products, the task of fish industry workers in the country is to create appropriate conditions for increasing fish catches and improve the organization of labor and material provision at fish farms. Our immediate goal in the work was to identify the areas of reforms in the fish industry, which would ensure the progress in it and would be aimed at attracting investments in aquaculture, establishing fish protection bodies with a qualitative change in their working principles, forming a culture of socially responsible fishing, achieving transparency and openness in the work of the State Agency for Fisheries, as well as improving the efficiency of the functioning of state institutions. Methodology. The basis of the research is the scientific, statistical and reporting data in the fish industry of Ukraine. The research uses the methods of monitoring and retrospective analysis of recent research and publications. Findings. The information on the implementation of reforms in the field of fish industry in Ukraine is presented: change of territorial bodies, State Fisheries Agency, fisheries regimes, use of aquatic biological resources, regulatory framework, strengthening of international activities and use of foreign experience. In order to increase the capacity of the fish industry, it is being reformed in the direction of changing its structure, increasing funding, introducing foreign investment and using their expertise. Originality. The need for reforming the fish industry of Ukraine became highly important. Modern socio-economic conditions require changes in the approaches to the organization of the activity of f groups that are marked by significant technological, economic, organizational, regulatory and legal peculiarities that need to be taken into account in economic processes. In accordance with

The research on teaching reformation of photoelectric information science and engineering specialty experiments

Science.gov (United States)

Zhu, Zheng; Yang, Fan; Zhang, Yang; Geng, Tao; Li, Yuxiang

2017-08-01

This paper introduced the idea of teaching reformation of photoelectric information science and engineering specialty experiments. The teaching reformation of specialty experiments was analyzed from many aspects, such as construction of specialized laboratory, experimental methods, experiment content, experiment assessing mechanism, and so on. The teaching of specialty experiments was composed of four levels experiments: basic experiments, comprehensive and designing experiments, innovative research experiments and engineering experiments which are aiming at enterprise production. Scientific research achievements and advanced technology on photoelectric technology were brought into the teaching of specialty experiments, which will develop the students' scientific research ability and make them to be the talent suitable for photoelectric industry.

Curriculum reform at Chinese medical schools: what have we learned?

Science.gov (United States)

Huang, Lei; Cheng, Liming; Cai, Qiaoling; Kosik, Russell Olive; Huang, Yun; Zhao, Xudong; Xu, Guo-Tong; Su, Tung-Ping; Chiu, Allen Wen-Hsiang; Fan, Angela Pei-Chen

2014-12-01

pedagogical beliefs among many faculty and administrators, progress has been significantly hindered. Despite these and other challenges, many medical schools report positive initial results from the reforms that they have enacted. Although the long term effects of such reforms remain unclear, curricular reform appears to be the inevitable solution to China's growing need for high-quality medical doctors.

Reforms in pedagogy and the Confucian tradition: looking below the surface

Science.gov (United States)

Ho, Felix M.

2018-03-01

This Forum article addresses some of the issues raised in the article by Ying-Syuan Huang and Anila Asghar's paper entitled: Science education reform in Confucian learning cultures: teachers' perspectives on policy and practice in Taiwan. An attempt is made to highlight the need for a more nuanced approach in considering the Confucian education tradition and its compatibility with education reforms. In particular, the article discusses issues concerning the historical development of the Confucian education tradition, challenges in reform implementation that are in reality tradition-independent, as well as opportunities and points of convergence that the Confucian education tradition presents that can in fact be favorable to implementation of reform-based pedagogies.

Managing effective reform for Community Medicine subject: Vision to actions

Directory of Open Access Journals (Sweden)

Amiruddin Kadri

2017-12-01

Full Text Available Reforming Community Medicine discipline is the felt need amongst fraternities of Community Medicine but making effective change is the greatest challenge. It is uphill task and many big organizations failed in ushering the change without full thought to how to manage reform? With changing demand and role of the subject, Royal Colleges of Physicians of United Kingdom had tried to change Faculty of Public Health to Faculty of Community Medicine and then to Faculty of Public Health Medicine to manage the change but it failed (1. However, we need to learn from them and succeed in managing the change.

Powering Africa: Meeting the financing and reform challenges

International Nuclear Information System (INIS)

Eberhard, Anton; Shkaratan, Maria

2012-01-01

Sub-Saharan Africa faces chronic power problems, including insufficient generation capacity, low connectivity, poor reliability, and high costs, all of which constrain development. The investment requirements to meet Africa's power needs are noted and strategies to address the funding gap are set out. The time for an ideological debate on public versus private investment is over—both are needed. Africa's key challenges are the management of hybrid power markets, the reform of state-owned utilities, cost-reflective pricing, better targeting of subsidies, the nimbler rollout of electrification, and stronger regional integration. - Highlights: ► Africa has insufficient power generation, low connectivity, poor reliability, and high costs. ► Investment requirements to meet Africa's power needs are calculated. ► Key challenges are the management of hybrid power markets and the reform of state-owned utilities. ► Other challenges are cost-reflective pricing, extending access, and stronger regional integration.

Agrarian Reform and Rural Development.

Science.gov (United States)

Biswas, Margaret R.

1979-01-01

This paper presents the plight of the world's poor, which was discussed at The World Conference on Agrarian Reform and Rural Development in July, 1979. Urban bias is attributed to the failure of rural development. More participation of rural people is needed. Progress is being made. Examples of literary programs in Iraq and the Sudan are included.…

Internal reforming of methane in solid oxide fuel cell systems

Science.gov (United States)

Peters, R.; Dahl, R.; Klüttgen, U.; Palm, C.; Stolten, D.

Internal reforming is an attractive option offering a significant cost reduction, higher efficiencies and faster load response of a solid oxide fuel cell (SOFC) power plant. However, complete internal reforming may lead to several problems which can be avoided with partial pre-reforming of natural gas. In order to achieve high total plant efficiency associated with low energy consumption and low investment costs, a process concept has been developed based on all the components of the SOFC system. In the case of anode gas recycling an internal steam circuit exists. This has the advantage that there is no need for an external steam generator and the steam concentration in the anode gas is reduced. However, anode gas recycling has to be proven by experiments in a pre-reformer and for internal reforming. The addition of carbon dioxide clearly shows a decrease in catalyst activity, while for temperatures higher than 1000 K hydrogen leads to an increase of the measured methane conversion rates.

Reform of irrigation management and investment policy in African development

Directory of Open Access Journals (Sweden)

KW Easter

2004-11-01

Full Text Available This paper examines the reform of water and irrigation management in Africa and compares it with similar reforms in Asia.  Several things are evident from the review.  First, Sub-Saharan Africa (SSA is at an earlier stage of irrigation development and reform than Asia.  Second, the articulated need for reform is much stronger in Asia than it is in SSA.  Third, the productivity of small-scale irrigated farms is significantly lower in SSA compared to Asia.  Thus any irrigation investment strategy in SSA should be different from Asia and focus on increasing small-farm productivity as well as small-scale irrigation projects.  Finally, all direct government irrigation investments should be done jointly with decisions regarding the type of project management.

The political economy of reforms: Empirical evidence from post- communist transition in the 1990s

OpenAIRE

Byung-Yeon Kim; Jukka Pirttilä

2003-01-01

Using a novel data set from post-communist countries in the 1990s, this paper examines linkages between political constraints, economic reforms and growth. A dynamic panel analysis suggests public support for reform is negatively associated with income inequality and unemployment. Both the ex post and ex ante political constraints of public support affect progress in economic reform, which in turn influences economic growth. The findings highlight that while economic reforms are needed to fos...

China’s Political Reforms in the Early 21st Century

Directory of Open Access Journals (Sweden)

Nguyen Xuan Сuong

2015-01-01

Full Text Available Analyzing process of political reforms in the People's Republic of China, the author notes that within the first 20 years of reforms and openness of China economic growth wasn't followed by development of society, political reforms didn't keep up for economic, imperfection of political system constrained economic reforms and development. Owing to this fact the XVI congress of a CPC lifted policy to the level of "political culture" by analogy with "material culture" and "spiritual culture". In the first 20 anniversary of the XXI century with the purpose to finish "comprehensive creation of society "of small prosperity" China has to create "perfect system of socialist market economy", construct "harmonious socialist society". For achievement of these purposes political reforms in China have to provide "improvement of socialist democracy" and "the socialist constitutional state". In the first years of the XXI century they brought a number of significant achievements: political stability, peaceful alternation of generations of the power, essential increase of level of political democracy. The first stage of formation of the constitutional socialist state is passed, ability and level of the management from ruling party increased; party construction amplified. But also at the beginning of the second decade of the XXI century implementation of the legislation, democracy faces many calls, especially intensification of nationalism at the beginning of the century. The Chinese dream will mobilize grandiose powers of unity that China deepened reforms and openness, solved all the political problems, helped a CPC to increase the leading and imperious power. Implementation process of "The Chinese dream" also means aspiration to tops of economy, policy, military science, technologies in the world, to a taking them, reflecting process of formation of the new great power which will succeed the USA. Political reforms with the purpose to achieve "The Chinese dream

Economic growth cannot be taken for granted: Need for urgent reforms – an interview with Dr. A. Virmani

Directory of Open Access Journals (Sweden)

Charan Singh

2013-12-01

Full Text Available Growth of the Indian economy has suffered in the recent years as indicated by decline in industrial production, capital formation, exports, etc. Weakening of aggregate demand and decline in investment could be some of the contributing factors for this phenomenon. While the slowdown can also be attributed to global slowdown, a high current account deficit and gross fiscal deficit, and continuance of a high rate of inflation are some of the most worrying signs for the policy makers. Restoration of fiscal sustainability and macroeconomic balance through stepped-up reforms are some of the key issues that need urgent focus of the government.

An afterburner-powered methane/steam reformer for a solid oxide fuel cells application

Science.gov (United States)

Mozdzierz, Marcin; Chalusiak, Maciej; Kimijima, Shinji; Szmyd, Janusz S.; Brus, Grzegorz

2018-04-01

Solid oxide fuel cell (SOFC) systems can be fueled by natural gas when the reforming reaction is conducted in a stack. Due to its maturity and safety, indirect internal reforming is usually used. A strong endothermic methane/steam reforming process needs a large amount of heat, and it is convenient to provide thermal energy by burning the remainders of fuel from a cell. In this work, the mathematical model of afterburner-powered methane/steam reformer is proposed. To analyze the effect of a fuel composition on SOFC performance, the zero-dimensional model of a fuel cell connected with a reformer is formulated. It is shown that the highest efficiency of a solid oxide fuel cell is achieved when the steam-to-methane ratio at the reforming reactor inlet is high.

Sacred Choices: Adolescent Relationships and Sexual Ethics--The Reform Movement's Response to the Need for Faith-Based Sexuality Education

Science.gov (United States)

Winer, Rabbi Laura Novak

2011-01-01

"Sacred Choices: Adolescent Relationships and Sexual Ethics" is a sexual ethics curriculum for middle school and high school students developed by the Union for Reform Judaism. Sacred Choices strives to teach Reform Jewish teens that their bodies are gifts from God and that Judaism provides relevant guidance on how to use and care for that gift…

Study of secondhand smoke exposure in St. Louis City and County suggests need for comprehensive smoke-free Missouri law adoption.

Science.gov (United States)

Moreland-Russell, Sarah; Cyr, Julianne; Benson, Peter; Colditz, Graham; Pulley, Deren; Barnoya, Joaquin

2012-01-01

This cross-sectional study provides information about secondhand smoke exposure across the St. Louis metro area and perceptions and attitudes about tobacco and health within the local hospitality industry. Results from this study support the need for passage and implementation of comprehensive smoke-free laws throughout Missouri, particularly in St. Louis City and County where efforts to pass comprehensive smoke-free laws have been unsuccessful.

 Railway Reforms

DEFF Research Database (Denmark)

Asmild, Mette; Holvad, Torben; Hougaard, Jens Leth

This paper considers railway operations in 23 European countries during 1995-2001, where a series of reform initiatives were launched by the European Commission, and analyses whether these reform initiatives improved the operating efficiency of the railways. Efficiency is measured using Multi......-directional Efficiency Analysis, which enables investigation of how railway reforms affect the inefficiencies of specific cost drivers. The main findings are that the reform initiatives generally improve operating efficiency but potentially differently for different cost drivers. Specifically, the paper provides clear...

Design of a nuclear steam reforming plant

International Nuclear Information System (INIS)

Malherbe, J.

1980-01-01

The design of a plant for the steam reforming of methane using a High Temperature Reactor has been studied by CEA in connection with the G.E.G.N. This group of companies (CEA, GAZ DE FRANCE, CHARBONNAGES DE FRANCE, CREUSOT-LOIRE, NOVATOME) is in charge of studying the feasibility of the coal gasification process by using a nuclear reactor. The process is based on the hydrogenation of the coal in liquid phase with hydrogen produced by a methane steam reformer. The reformer plant is fed by a pipe of natural gas or SNG. The produced hydrogen feeds the gasification plant which could not be located on the same site. An intermediate hydrogen storage between the two plants could make the coupling more flexible. The gasification plant does not need a great deal of heat and this heat can be satisfied mostly by internal heat exchanges

Enhancing forest tenure reforms through more responsive regulations

Directory of Open Access Journals (Sweden)

Anne M Larson

2012-01-01

Full Text Available Forest tenure reforms have offered new opportunities for communities to obtain formal rights to forests and forest benefits, but at the same time a variety of limitations are placed on livelihood options. This article draws on several case studies of reforms in Africa, Asia and Latin America to analyse the regulations accompanying reforms. It identifies three types of regulations, namely rules that limit areas available to local communities; rules that delineate conservation areas and impose related limits on use; and bureaucratic requirements for permits and management plans, which restrict the commercial use and marketing of valuable forest products. It discusses problems with these regulations, and proposes a simple framework for identifying ways to promote regulations that work for forest conservation but are more responsive to the needs of communities and forests.

Pending reforms: challenges to governabilty in Brazil

Directory of Open Access Journals (Sweden)

Sonia Fleury

2012-04-01

Full Text Available After President Lula’s two terms of office, the election of Dilma Rousseff generated all kinds of different expectations, whether because of the candidate’s lack of a political career within the Workers’ Party (PT, or because of her rather uncharismatic personality and poor propensity towards political negotiations with the allied parties that favoured the governability of the previous term of office. The country she has inherited is in a much better situation than the one inherited by the first PT government, with a stabilised economy and inflation under control. The sustainable policies for reducing poverty have generated conditions that encourage the enlargement of the middle class which, together with the creation of popular credit mechanisms, have served to halt the effects of the world crisis and have generated enormous expectations of social mobility. This scenario, together with the country’s increasingly recognised presence as an important international actor, provides unprecedented possibilities for the advancement of the “development with social inclusion” project. Nevertheless, certain reforms still need to be implemented that could threaten governability: political reform, federative agreement and tax reform, as well as social reforms.

Improvements of reforming performance of a nuclear heated steam reforming process

International Nuclear Information System (INIS)

Hada, Kazuhiko

1996-10-01

Performance of an energy production process by utilizing high temperature nuclear process heat was not competitive to that by utilizing non-nuclear process heat, especially fossil-fired process heat due to its less favorable chemical reaction conditions. Less favorable conditions are because a temperature of the nuclear generated heat is around 950degC and the heat transferring fluid is the helium gas pressurized at around 4 MPa. Improvements of reforming performance of nuclear heated steam reforming process were proposed in the present report. The steam reforming process, one of hydrogen production processes, has the possibility to be industrialized as a nuclear heated process as early as expected, and technical solutions to resolve issues for coupling an HTGR with the steam reforming system are applicable to other nuclear-heated hydrogen production systems. The improvements are as follows: As for the steam reformer, (1) increase in heat input to process gas by applying a bayonet type of reformer tubes and so on, (2) increase in reforming temperature by enhancing heat transfer rate by the use of combined promoters of orifice baffles, cylindrical thermal radiation pipes and other proposal, and (3) increase in conversion rate of methane to hydrogen by optimizing chemical compositions of feed process gas. Regarding system arrangement, a steam generator and superheater are set in the helium loop as downstream coolers of the steam reformer, so as to effectively utilize the residual nuclear heat for generating feed steam. The improvements are estimated to achieve the hydrogen production rate of approximately 3800 STP-m 3 /h for the heat source of 10 MW and therefore will provide the potential competitiveness to a fossil-fired steam reforming process. Those improvements also provide the compactness of reformer tubes, giving the applicability of seamless tubes. (J.P.N.)

Land reform in Russia in 1990-2000-ies, or how land reform was "reformed" during the departmental reorganization

Directory of Open Access Journals (Sweden)

Barsukova Svetlana, Yu.

2015-06-01

Full Text Available The paper provides an overview of the land reform in Russia's recent history. Analysis of land reform, which started in 1990, shows what actions and what logic led the land sector in the state in which it was at the finish line of the quarter-century reform marathon. The reform process was not linear, it highlighted the steps differing objectives and strategies to achieve them. Land reform is presented as a struggle of different political forces, which were reflected in the redistribution of functions between agencies in lobbying for appointment to senior positions promoted various commands. The authors conclude about the gradual displacement of state regulation of land relations, the deliberate destruction of the land management as a basis for the development of land resources.

Radiant non-catalytic recuperative reformer

Energy Technology Data Exchange (ETDEWEB)

Khinkis, Mark J.; Kozlov, Aleksandr P.

2017-10-31

A radiant, non-catalytic recuperative reformer has a flue gas flow path for conducting hot exhaust gas from a thermal process and a reforming mixture flow path for conducting a reforming mixture. At least a portion of the reforming mixture flow path is positioned adjacent to the flue gas flow path to permit heat transfer from the hot exhaust gas to the reforming mixture. The reforming mixture flow path contains substantially no material commonly used as a catalyst for reforming hydrocarbon fuel (e.g., nickel oxide, platinum group elements or rhenium), but instead the reforming mixture is reformed into a higher calorific fuel via reactions due to the heat transfer and residence time. In a preferred embodiment, a portion of the reforming mixture flow path is positioned outside of flue gas flow path for a relatively large residence time.

On Study of Teaching Reform of Organic Chemistry Course in Applied Chemical Industry Technology

Science.gov (United States)

Zhang, Yunshen

2017-11-01

with the implementation of new curriculum reform, the education sees great changes in teaching methods. Teaching reform is profound in organic chemistry course in applied chemical industry technology. However, many problems which have never been noticed before occur when reform programs are implemented which harm students’ ability for learning and enthusiasm in side face. This paper proposes reform measures like combining theory and practice, improving professional quality, supplementing professional needs and integrating teaching into life after analyzing organic chemistry course teaching in applied chemical industry technology currently, hoping to play a role of reference for organic chemistry course teaching reform in applied chemical industry technology.

Primary health care reform, dilemmatic space and risk of burnout among health workers.

Science.gov (United States)

Freeman, Toby; Baum, Fran; Labonté, Ronald; Javanparast, Sara; Lawless, Angela

2018-05-01

Health system changes may increase primary health care workers' dilemmatic space, created when reforms contravene professional values. Dilemmatic space may be a risk factor for burnout. This study partnered with six Australian primary health care services (in South Australia: four state government-managed services including one Aboriginal health team and one non-government organisation and in Northern Territory: one Aboriginal community-controlled service) during a period of change and examined workers' dilemmatic space and incidence of burnout. Dilemmatic space and burnout were assessed in a survey of 130 staff across the six services (58% response rate). Additionally, 63 interviews were conducted with practitioners, managers, regional executives and health department staff. Dilemmatic space occurred across all services and was associated with higher rates of self-reported burnout. Three conditions associated with dilemmatic space were (1) conditions inherent in comprehensive primary health care, (2) stemming from service provision for Aboriginal and Torres Strait Islander peoples and (3) changes wrought by reorientation to selective primary health care in South Australia. Responses to dilemmatic space included ignoring directives or doing work 'under the radar', undertaking alternative work congruent with primary health care values outside of hours, or leaving the organisation. The findings show that comprehensive primary health care was contested and political. Future health reform processes would benefit from considering alignment of changes with staff values to reduce negative effects of the reform and safeguard worker wellbeing.

Quality reform and "the learning pre-school child" in the making

DEFF Research Database (Denmark)

Krejsler, John B.

2012-01-01

The article argues that Early Childhood Education & Care (ECEC) is being redesigned based on quality reform discourse with references to global knowledge economy across Nordic countries and the EU. This takes place in policy processes that extend from transnational agents like the OECD and EU...... to national governments, local municipalities and ECEC institutions. Drawing on theoretical insights from Foucauldian genealogy, Laclau and others, the article explores how these policy processes reconfigure what counts as quality in ECEC in a Danish context. It is substantiated how the Danish government...... promotes governance structures among municipalities and professionals that pull ECEC into comprehensive educational strategies. This process draws on policy advice from the OECD and EU. Quality reform thus changes in fundamental ways the organisation and content in ECEC. In discourse, learning displaces...

Parents' Participation and Chicago School Reform: Issues of Race, Class and Expectations.

Science.gov (United States)

Rollow, Sharon G.; Bennett, Michael

Most studies of the early implementation of Chicago (Illinois) school reform have focused on the creation and early functioning of the Local School Councils (LSCs). This study is concerned with understanding the resources that different school communities have to embrace the LSC reform, the time frame needed to promote educational change, and the…

The affordable care act and long-term care: comprehensive reform or just tinkering around the edges?

Science.gov (United States)

Miller, Edward Alan

2012-01-01

The Patient Protection and Affordable Care Act (ACA) includes several provisions that aim to improve prevailing deficiencies in the nation's long-term care system. But just how effective is the ACA likely to be in addressing these challenges? Will it result in meaningful or marginal reform? This special issue of Journal of Aging & Social Policy seeks to answer these questions. The most prominent long-term care provision is the now-suspended Community Living Assistance Services and Supports Act. Others include incentives and options for expanding home- and community-based care, a number of research and demonstration projects in the areas of chronic care coordination and the dually eligible, and nursing home quality reforms. There are also elements that seek to improve workforce recruitment and retention, in addition to benefit improvements and spending reductions under Medicare. This article reviews the basic problems plaguing the long-term care sector and the provisions within the ACA meant to address them. It also includes a brief overview of issue content.

Global pension systems and their reform: Worldwide drivers, trends, and challenges

OpenAIRE

Holzmann, Robert

2012-01-01

Across the world, pension systems and their reforms are in a constant state of flux driven by shifting objectives, moving reform needs, and a changing enabling environment. The ongoing worldwide financial crisis and the adjustment to an uncertain 'new normal' will make future pension systems different from past ones. The objectives of this policy review paper are threefold: (i) to briefly ...

Reforming Administrator Training: Here We Go Again!

Science.gov (United States)

Drury, William R.

1989-01-01

The National Policy Board for Educational Administration report ("Improving the Preparation of School Administrators: An Agenda for Reform") reiterates the need for program improvements for educational administrators. Obstacles to any real change occurring in the near future are pointed out. (six references) (SI)

Bending the curve through health reform implementation.

Science.gov (United States)

Antos, Joseph; Bertko, John; Chernew, Michael; Cutler, David; de Brantes, Francois; Goldman, Dana; Kocher, Bob; McClellan, Mark; McGlynn, Elizabeth; Pauly, Mark; Shortell, Stephen

2010-11-01

In September 2009, we released a set of concrete, feasible steps that could achieve the goal of significantly slowing spending growth while improving the quality of care. We stand by these recommendations, but they need to be updated in light of the new Patient Protection and Affordable Care Act (ACA). Reducing healthcare spending growth remains an urgent and unresolved issue, especially as the ACA expands insurance coverage to 32 million more Americans. Some of our reform recommendations were addressed completely or partially in ACA, and others were not. While more should be done legislatively, the current reform legislation includes important opportunities that will require decisive steps in regulation and execution to fulfill their potential for curbing spending growth. Executing these steps will not be automatic or easy. Yet doing so can achieve a healthcare system based on evidence, meaningful choice, balance between regulation and market forces, and collaboration that will benefit patients and the economy (see Appendix A for a description of these key themes). We focus on three concrete objectives to be reached within the next five years to achieve savings while improving quality across the health system: 1. Speed payment reforms away from traditional volume-based payment systems so that most health payments in this country align better with quality and efficiency. 2. Implement health insurance exchanges and other insurance reforms in ways that assure most Americans are rewarded with substantial savings when they choose plans that offer higher quality care at lower premiums. 3. Reform coverage so that most Americans can save money and obtain other meaningful benefits when they make decisions that improve their health and reduce costs. We believe these are feasible objectives with much progress possible even without further legislation (see Appendix B for a listing of recommendations). However, additional legislation is still needed to support consumers �

Improving the police activities in ensuring the constitutional rights and freedoms of man and citizen and interaction with civil society institutions: comprehensive measures

Directory of Open Access Journals (Sweden)

Kirichek E.V.

2014-12-01

Full Text Available Russian police reform is another important step to modernize the country and public administration system. The main purpose of ongoing reforms is to create the modern and efficient law enforcement system, to form a new image of police officer in the XXI century and to change the social role of law enforcement agencies in society. Unfortunately, the results expected by society aren’t achieved. It’s stated that the reform is only at its beginning, many decisions are still to be made and implemented. The main focus is on comprehensive measures aimed at improving the police activities in ensuring the constitutional rights and freedoms of man and citizen and interaction with civil society institutions. Some features and problems of interaction between police and civil society institutions are considered. Statistics is provided. A number of constructive conclusions concerning further progressive development of interaction of police with civil society institutions are made. Despite the significant number of papers devoted to these issues, it’s necessary to note the insufficient elaboration of problems in this area. The reason is the ongoing reforms in Russia in general and police reform in particular, the instability of the current legislation regulating these issues. A lack of a clear concept of the reform, arising from a clear understanding of the police role and functions, is evident. These and other circumstances determine the topicality and practical importance of the research, the necessity of studying the peculiarities of police activities to improve its efficiency. They also indicate the need for scientific and practical recommendations.

Long-term care in Israel: challenges and reform options.

Science.gov (United States)

Chernichovsky, Dov; Koreh, Michal; Soffer, Sharon; Avrami, Shirley

2010-08-01

This paper has two objectives. The first is to examine the Israeli long-term care (LTC) system that is marked by rapidly increasing demands, and a multitude of public and private LTC arrangements. The second is to propose a reform to improve the system's efficiency and equity. The paper studies the LTC services in Israel, and the private-public composition in funding, fund holding, and provision of LTC. It focuses on structural deficiencies in the organization of each of these functions separately, and in combination. In many countries LTC has evolved in a patchwork fashion that at some point in time needs rethinking and rationalization. Israel is a case in point. In spite of numerous LTC arrangements supported by the state, in the absence of a comprehensive strategy, these have not generated a coherent system that can deal efficiently and equitably with existing and fast growing LTC needs, on the one hand, and the resources available to it, on the other. The current system is fragmented. It provides limited coverage and insufficient benefits in a troublesome fashion to public. The findings suggest that Israel can achieve at least in the short term, universal entitlement to LTC at lower financial and social cost, than the current costs of the system. In the medium and long term, the country will need to consider the trade between the burden of direct care on households or the tax burden of publicly supported and organized care. To remedy the situation the paper suggests a two-planked reform. The first is integration of the current fragmented publicly supported system while deciding on LTC either as a "social endeavor" under a separate authority responsible for implementing the public LTC budget, or as a "medical endeavor", putting this responsibility under the Israeli sickness funds. The second plank, building on the first, comprises extension of universal entitlement to LTC. Such an extension would increase public spending in the long term; simultaneously, it

Steepest Ascent Tariff Reforms

DEFF Research Database (Denmark)

Raimondos-Møller, Pascalis; Woodland, Alan D.

2006-01-01

a theoretical concept where the focus is upon the size of welfare gains accruing from tariff reforms rather than simply with the direction of welfare effects that has been the concern of theliterature.JEL code: F15.Keywords: Steepest ascent tariff reforms; piecemeal tariff policy; welfare; market access; small......This paper introduces the concept of a steepest ascent tariff reform for a small open economy. By construction, it is locally optimal in that it yields the highest gain in utility of any feasible tariff reform vector of the same length. Accordingly, it provides a convenient benchmark...... for the evaluation of the welfare effectiveness of other well known tariff reform rules, as e.g. the proportional and the concertina rules. We develop the properties of this tariff reform, characterize the sources of the potential welfare gains from tariff reform, use it to establish conditions under which some...

Health system reform.

Science.gov (United States)

Ortolon, Ken

2009-06-01

A vote on reforming the nation's health care system seems likely this summer as President Obama makes good on a campaign pledge. Although the Democratic leadership in Congress appears ready to push through reform legislation before the next election, TMA and AMA leaders say very little is known about what that "reform" likely will look like.

Access to Justice and Labor Law Reform in Asia

Directory of Open Access Journals (Sweden)

Asri Wijayanti

2016-06-01

Full Text Available The existence of national labor law system guarantees fair is one of legal reform to achieve access to justice. This study aims to analyze whether the system of labor law has given capacity to achieve access to justice as the basis for implementing international labor relations in Asia. The method of this study is a normative legal research with statute approach. The findings support that there was an inconsistency on the substance of the legal structures that affect the low legal culture. The substance of the national labor law systems have not adapted the comprehensive International Labor Organization (ILO conventions. Less robust system of national labor laws affect access to justice in the weak field of labor in the region. How To Cite: Wijayanti, A. (2016. Access to Justice and Labor Law Reform in Asia. Rechtsidee, 3(1, 17-26. doi:http://dx.doi.org/10.21070/jihr.v3i1.144

The Interagency Breakdown: Why We Need Legislative Reform to Coordinate Execution of the National Security Strategy

National Research Council Canada - National Science Library

Borkowski, David C

2008-01-01

To meet the national security demands of the 21st century, the U.S. Government's interagency structure and process require legislative reform equivalent to an interagency Goldwater-Nichols Act. The U.S...

A Research Agenda for Radiation Oncology: Results of the Radiation Oncology Institute’s Comprehensive Research Needs Assessment

International Nuclear Information System (INIS)

Jagsi, Reshma; Bekelman, Justin E.; Brawley, Otis W.; Deasy, Joseph O.; Le, Quynh-Thu; Michalski, Jeff M.; Movsas, Benjamin; Thomas, Charles R.; Lawton, Colleen A.; Lawrence, Theodore S.; Hahn, Stephen M.

2012-01-01

Purpose: To promote the rational use of scarce research funding, scholars have developed methods for the systematic identification and prioritization of health research needs. The Radiation Oncology Institute commissioned an independent, comprehensive assessment of research needs for the advancement of radiation oncology care. Methods and Materials: The research needs assessment used a mixed-method, qualitative and quantitative social scientific approach, including structured interviews with diverse stakeholders, focus groups, surveys of American Society for Radiation Oncology (ASTRO) members, and a prioritization exercise using a modified Delphi technique. Results: Six co-equal priorities were identified: (1) Identify and develop communication strategies to help patients and others better understand radiation therapy; (2) Establish a set of quality indicators for major radiation oncology procedures and evaluate their use in radiation oncology delivery; (3) Identify best practices for the management of radiation toxicity and issues in cancer survivorship; (4) Conduct comparative effectiveness studies related to radiation therapy that consider clinical benefit, toxicity (including quality of life), and other outcomes; (5) Assess the value of radiation therapy; and (6) Develop a radiation oncology registry. Conclusions: To our knowledge, this prioritization exercise is the only comprehensive and methodologically rigorous assessment of research needs in the field of radiation oncology. Broad dissemination of these findings is critical to maximally leverage the impact of this work, particularly because grant funding decisions are often made by committees on which highly specialized disciplines such as radiation oncology are not well represented.

Deepening structural reform, and speeding up self-reliant nuclear power development

International Nuclear Information System (INIS)

Wang Binghua

2010-01-01

Combining the implementation practices of the strategy on self-reliant development of the third generation nuclear power plant, the paper set forth that speeding up self-reliant nuclear power development has strategic significance to the national economy and the people's livelihood, which need further deepening structural reform and nuclear power structural reform with an aim to enhance the international competitiveness of China's nuclear industry. (author)

Fossil fuel subsidy reform: lessons from the Indonesian case

International Nuclear Information System (INIS)

Savatic, Filip

2016-10-01

Global assessments of consumption and the Indonesian case show the relevance of non-household consumers of subsidized energy products. As shown in this study, understanding in more nuance how reforms affect them has the potential to improve the reforms that will be developed by policy-makers worldwide. Further study can reinforce the many benefits of successful reform for the countries and societies slowly turning away from these policies of the past. Estimates regarding the amount of public funds utilized to subsidize the production or consumption of fossil fuels are staggering. For 2011, they range from $83 billion in OECD member states, to nearly $4.1 trillion worldwide if environmental externalities are considered. Numerous studies have demonstrated that subsidies repress economic growth, undermine energy sector investment, increase public debt, benefit wealthy citizens over the poor, instigate a rise in illicit activities, and engender greater global and local pollution. The negative effects of fossil fuel subsidies have led numerous governments to reform their energy policies. There has also been a growing international consensus in favor of reform. While the components of successful reform programs have been identified through past case studies, the nature of reforms adopted by several governments that target non-households have not been systematically examined. Since the late 1990s, the Indonesian government has implemented numerous reforms of its fossil fuel subsidies, including measures targeting household as well as non-household energy consumption. In doing so, it has incurred significant fiscal savings. However, an innovative budgetary analysis reveals that households receive a minority, and a declining share, of fossil fuel subsidy funds. This is the case despite the fact that subsidies were implemented to ensure poor households have access to cheap energy. These findings demonstrate the need to consider non-household sectors in the design of fossil

Accelerated reforms in healthcare financing: the need to scale up private sector participation in Nigeria.

Science.gov (United States)

Ejughemre, Ufuoma John

2014-01-01

The health sector, a foremost service sector in Nigeria, faces a number of challenges; primarily, the persistent under-funding of the health sector by the Nigerian government as evidence reveals low allocations to the health sector and poor health system performance which are reflected in key health indices of the country.Notwithstanding, there is evidence that the private sector could be a key player in delivering health services and impacting health outcomes, including those related to healthcare financing. This underscores the need to optimize the role of private sector in complementing the government's commitment to financing healthcare delivery and strengthening the health system in Nigeria. There are also concerns about uneven quality and affordability of private-driven health systems, which necessitates reforms aimed at regulation. Accordingly, the argument is that the benefits of leveraging the private sector in complementing the national government in healthcare financing outweigh the challenges, particularly in light of lean public resources and finite donor supports. This article, therefore, highlights the potential for the Nigerian government to scale up healthcare financing by leveraging private resources, innovations and expertise, while working to achieve the universal health coverage.

Pension reform in the European periphery: the role of EU reform advocacy

NARCIS (Netherlands)

Stepan, M.; Anderson, K.A.

2014-01-01

SUMMARY: This paper analyzes the impact of international reform advocacy on national pension reforms. We analyze European Union (EU) reform advocacy in two EU member states: Greece and Hungary. Although the EU has articulated a fairly coherent template for sustainable pensions, its use of soft

Laying Bare Educational Crosstalk: A Study of Discursive Repertoires in the Wake of Educational Reform

Science.gov (United States)

McGrath, Cormac; Laksov, Klara Bolander

2014-01-01

In the wake of the Bologna process, many European universities are undergoing comprehensive educational reform. Our attention in this paper is focused on how a medical university came to terms with the challenges presented therein. We wished to explore how educators identify, understand and deal with opportunities for change at a medical…

Comprehensive care and pregnancy: The unmet care needs of pregnant women with a history of rape

Science.gov (United States)

Munro, Michelle L.; Rietz, Melissa Foster

2013-01-01

This paper proposes a framework for assessing the unmet needs of rape survivors during pregnancy based on the Sexual Assault Nurse Examiner (SANE) practice level theory and an empirical exploration of rape survivors’ health status in pregnancy via a secondary analysis. Our findings indicate that there may be unmet needs in pregnancy related to all five post-assault comprehensive care components: (1) physical care, (2) pregnancy prevention, (3) sexually transmitted infection screening, (4) psychological care, and (5) legal care. Rape history and its current impact on the survivor predicted somatic disorders, substance use, unwanted pregnancy, infections, posttraumatic stress disorder, and recent abuse. PMID:23215990

Care systematization in psychiatric nursing within the psychiatric reform context.

Science.gov (United States)

Hirdes, A; Kantorski, L P

2002-02-01

The aim of this study was to approach care systematization in psychiatric nursing in two psychiatric disorder patients who attended 'Nossa Casa', São Lourenço do Sul, RS, Brazil. Nossa Casa services psychiatric patients in the community, focussing on: (i) permanence in their environment, allowing patients to remain close to their families and social spheres; (ii) integral attendance to meet individual needs; (iii) respecting individual differences; (iv) rehabilitation practices; and (v) social reinsertion. Concepts and assumptions of the psychiatric reform and the Irving's nursing process were used as theoretical-methodological references to elaborate this systematization. A therapeutic project for the psychiatric patient was elaborated, in accordance with the interdisciplinary proposal accepted by Nossa Casa. Interdisciplinary team intervention, guided by a previously discussed common orientation and defined through an individualized therapeutic project, allowed for an effective process of psychosocial rehabilitation. The authors concluded that a therapeutic project based on the mentioned premises leads to consistent, comprehensive, dialectical and ethical assistance in mental health, thereby reinstating the citizenship of psychiatric patients.

Interfacial reactions between DBD and porous catalyst in dry methane reforming

Science.gov (United States)

Kameshima, Seigo; Mizukami, Ryo; Yamazaki, Takumi; Prananto, Lukman A.; Nozaki, Tomohiro

2018-03-01

Interaction between dielectric barrier discharge (DBD) and porous catalyst in dry methane reforming (CH4  +  CO2  =  2H2  +  2CO) was studied. Coke formation behavior and coke morphology, as well as material conversion and selectivity, over the cross-section of porous pellets was investigated comprehensively by SEM analysis, Raman spectroscopy and pulsed reforming diagnosis, showing DBD and porous pellet interaction is possible only in the interfacial region (the external surface of the pellet): neither generation of DBD nor the diffusion of plasma generated reactive species in the internal micropores is possible. Coke formation and gasification mechanism in nonthermal plasma catalysis of DMR were discussed based on the catalyst effectiveness factor: low-temperature plasma catalysis is equivalent to the high-temperature thermal catalysis.

High temperature nuclear heat for isothermal reformer

International Nuclear Information System (INIS)

Epstein, M.

2000-01-01

the heat to the reformer and condense on its walls. Three configurations can be conceived. The vapors of the sodium are condensed on the outside surface of the reformer tube and the liquid is then drained into a pool-boiling-He/Na heat exchanger. Another option is internal heating of an annular catalyst bed reformer with a sodium heat pipe, for instance. The third option is reformer tubes immersed inside the boiling medium. In all cases means for the enhancement of heat transfer can be applied. The use of condensing metal vapors increases the heat transfer compared to the convective reformer, resulting in more compact reformers. The safety aspects of this approach are twofold: (a) Additional physical separation between the nuclear reactor coolant and the chemical plant. This will enable to reduce the operating pressure inside the reformer, thus reducing the working temperature and increasing the extent on the reaction and the CH 4 conversion. (b) In case of a failure in the chemical plant. the liquid metal can be used as a safety buffer. In this event, the vapors of the medium material are diverted and condensed in an emergency condenser and returned to the pool boiling by natural circulation, avoiding the need to reduce immediately the power rating of the nuclear reactor or even its complete shutdown. (author)

Impacts of the Interim Federal Health Program reforms: A stakeholder analysis of barriers to health care access and provision for refugees.

Science.gov (United States)

Antonipillai, Valentina; Baumann, Andrea; Hunter, Andrea; Wahoush, Olive; O'Shea, Timothy

2017-11-09

Changes to the Interim Federal Health Program (IFHP) in 2012 reduced health care access for refugees and refugee claimants, generating concerns among key stakeholders. In 2014, a new IFHP temporarily reinstated access to some health services; however, little is known about these changes, and more information is needed to map the IFHP's impact. This study explores barriers occurring during the time period of the IFHP reforms to health care access and provision for refugees. A stakeholder analysis, using 23 semi-structured interviews, was conducted to obtain insight into stakeholder perceptions of the 2014 reforms, as well as stakeholders' position and their influence to assess the acceptability of the IFHP changes. The majority of stakeholders expressed concerns about the 2014 IFHP changes as a result of the continuing barriers posed by the 2012 retrenchments and the emergence of new barriers to health care access and provision for refugees. Key barriers identified included lack of communication and awareness, lack of continuity and comprehensive care, negative political discourse and increased costs. A few stakeholders supported the reforms as they represented some, but limited, access to health care. Overall, the reforms to the IFHP in 2014 generated barriers to health care access and provision that contributed to confusion among stakeholders, the transfer of refugee health responsibility to provincial authorities and the likelihood of increased health outcome disparities, as refugees and refugee claimants chose to delay seeking health care. The study recommends that policy-makers engage with refugee health stakeholders to formulate a policy that improves health care provision and access for refugee populations.

Policy Capacity for Health Reform: Necessary but Insufficient: Comment on "Health Reform Requires Policy Capacity".

Science.gov (United States)

Adams, Owen

2015-09-04

Forest and colleagues have persuasively made the case that policy capacity is a fundamental prerequisite to health reform. They offer a comprehensive life-cycle definition of policy capacity and stress that it involves much more than problem identification and option development. I would like to offer a Canadian perspective. If we define health reform as re-orienting the health system from acute care to prevention and chronic disease management the consensus is that Canada has been unsuccessful in achieving a major transformation of our 14 health systems (one for each province and territory plus the federal government). I argue that 3 additional things are essential to build health policy capacity in a healthcare federation such as Canada: (a) A means of "policy governance" that would promote an approach to cooperative federalism in the health arena; (b) The ability to overcome the "policy inertia" resulting from how Canadian Medicare was implemented and subsequently interpreted; and (c) The ability to entertain a long-range thinking and planning horizon. My assessment indicates that Canada falls short on each of these items, and the prospects for achieving them are not bright. However, hope springs eternal and it will be interesting to see if the July, 2015 report of the Advisory Panel on Healthcare Innovation manages to galvanize national attention and stimulate concerted action. © 2016 by Kerman University of Medical Sciences.

System design study of a membrane reforming hydrogen production plant using a small sized sodium cooled reactor

International Nuclear Information System (INIS)

Chikazawa, Y.; Konomura, M.; Hori, T.; Sato, H.; Uchida, S.

2004-01-01

In this study, a membrane reforming hydrogen production plant using a small sized sodium cooled reactor was designed as one of promising concepts. In the membrane reformer, methane and steam are reformed into carbon dioxide and hydrogen with sodium heat at a temperature 500 deg-C. In the equilibrium condition, steam reforming proceeds with catalyst at a temperature more than 800 deg-C. Using membrane reformers, the steam reforming temperature can be decreased from 800 to 500 deg-C because the hydrogen separation membrane removes hydrogen selectively from catalyst area and the partial pressure of hydrogen is kept much lower than equilibrium condition. In this study, a hydrogen and electric co-production plant has been designed. The reactor thermal output is 375 MW and 25% of the thermal output is used for hydrogen production (70000 Nm 3 /h). The hydrogen production cost is estimated to 21 yen/Nm 3 but it is still higher than the economical goal (17 yen/Nm 3 ). The major reason of the high cost comes from the large size of hydrogen separation reformers because of the limit of hydrogen separation efficiency of palladium membrane. A new highly efficient hydrogen separation membrane is needed to reduce the cost of hydrogen production using membrane reformers. There is possibility of multi-tube failure in the membrane reformers. In future study, a design of measures against tube failure and elemental experiments of reaction between sodium and reforming gas will be needed. (authors)

Reforming Romanian energy policy

International Nuclear Information System (INIS)

Perkins, S.

1993-01-01

Success in reforming energy sector depends on the implementation of the programme of economic reform agreed in February 1993. The difficulty of the negotiations between the International Monetary Fund and the Romanian government reflects the wider difficulties faced by the economy as a whole. They can be blamed in part on the legacy of uneconomic and inflexible industrial development and in part on opposition from interest groups which stand to lose from reform. Nonetheless, in spite of hesitant approach, the government does appear committed to the economic reform necessary to establish a market-oriented economy. But as the danger of a financial crisis engendered by the inadequately supported short-term borrowing of foreign exchange becomes urgent, the question is whether economic reform can be now implemented fast enough to protect economic enterprises and saving from a debt crisis. The scope for further delay in implementing the 1993 economic reform programme is fast disappearing. Procrastination should not be allowed to threaten the success of the reforms achieved in the energy and other sectors of the economy. 8 refs., 2 figs

Policy Capacity Meets Politics: Comment on "Health Reform Requires Policy Capacity".

Science.gov (United States)

Fafard, Patrick

2015-07-22

It is difficult to disagree with the general argument that successful health reform requires a significant degree of policy capacity or that all players in the policy game need to move beyond self-interested advocacy. However, an overly broad definition of policy capacity is a problem. More important perhaps, health reform inevitably requires not just policy capacity but political leadership and compromise. © 2015 by Kerman University of Medical Sciences.

Review of Poor States, Power and the Politics of IMF Reform

Directory of Open Access Journals (Sweden)

Mulatu Amare Desta

2017-08-01

Full Text Available The book examines the major cases and policy initiatives of International Monetary Fund (IMF in Low-Income Developing Countries (LIDCs in the post-Washington consensus. The IMF policy reform invites scholarly debate, different theoretical explanation and practically problem oriented in addressing the LIDCs needs and powerful states interests. Hibben analyses the driving factors of IMF LIDCs reforms and stakeholder interests and policy tools to achieve the objectives in place.  In doing so, even though author presents the book through lenses of various IPE theories, mainly he posits the IMF policy reforms through the frameworks of the Principal Agent, Constructivist, and Historical structural theories.

Optimal green tax reforms yielding double dividend

International Nuclear Information System (INIS)

Fernandez, Esther; Perez, Rafaela; Ruiz, Jesus

2011-01-01

In an stylized endogenous growth economy with a negative externality created by CO2 emissions and in which abatement activities are made by private firms, we find a wide range of dynamically feasible green tax reforms yielding the double dividend without any need to assume a complex production structure or tax system, or a variety of externalities in production. As a remarkable finding, we obtain certain scenarios in which increasing the emissions tax up to the Pigouvian level and removing completely the income tax is dynamically feasible and, also, it is the second-best reform. Hence, as a difference to previous literature, in these scenarios the first-best tax mix is implementable, allowing for the elimination of both environmental and non-environmental inefficiencies. Our result arises because of the consideration of public debt issuing and the management of the government budget balance with an intertemporal perspective. The result is obtained for an intermediate range of environmental bearing in preferences, the valid range being contingent on the pre-existing income tax rate. The type of tax reform that we propose could also be implemented for different energy taxes. - Highlights: → We use an endogenous growth model with a negative externality from CO2 emissions. → Abatement activities are made by private firms to reduce payment of emissions taxes. → We find dynamically feasible green tax reforms yielding the double dividend result. → Our result arises thanks to the inclusion of public debt issuing as a financing device. → The type of tax reform proposed can be implemented for other energy taxes.

What should we expect from Switzerland's compulsory dental insurance reform?

Science.gov (United States)

di Bella, Enrico; Krejci, Ivo; Ardu, Stefano; Leporatti, Lucia; Montefiori, Marcello

2018-04-10

A vast and heated debate is arising in Switzerland as a result of some recent citizens' initiatives aimed at introducing compulsory dental health care insurance. The Grand Conseils of the Vaud, Geneva, and Neuchâtel cantons recently approved three public initiatives and their citizens are expected to vote on the proposal in 2018. The process of collecting signatures has begun in several other cantons and the discussion has now moved to a national level. At present, there is no scientific research that can help policy-makers and citizens to understand the main economic implications of such reform. We attempt to fill this gap by analysing three critical issues: the level and determinants of unmet needs for dental care in Switzerland; the protection of vulnerable individuals; and the economic sustainability of reform. The results show that income is not a unique determinant of barriers to access to dental care but rather, cultural and socio-demographic factors impact the perceived level of unmet dental care needs. The reform might only partially, if at all, improve the equity of the current system. In addition, the results show that the 1% wage-based contribution that the reform promoters suggest should finance the insurance is inadequate to provide full and free dental care to Swiss residents, but is merely sufficient to guarantee basic preventive care, whereas this could be provided by dental hygienists for less.

Social Work's Role in Medicaid Reform: A Qualitative Study.

Science.gov (United States)

Bachman, Sara S; Wachman, Madeline; Manning, Leticia; Cohen, Alexander M; Seifert, Robert W; Jones, David K; Fitzgerald, Therese; Nuzum, Rachel; Riley, Patricia

2017-12-01

To critically analyze social work's role in Medicaid reform. We conducted semistructured interviews with 46 stakeholders from 10 US states that use a range of Medicaid reform approaches. We identified participants using snowball and purposive sampling. We gathered data in 2016 and analyzed them using qualitative methods. Multiple themes emerged: (1) social work participates in Medicaid reform through clinical practice, including care coordination and case management; (2) there is a gap between social work's practice-level and systems-level involvement in Medicaid innovations; (3) factors hindering social work's involvement in systems-level practice include lack of visibility, insufficient clarity on social work's role and impact, and too few resources within professional organizations; and (4) social workers need more training in health transformation payment models and policy. Social workers have unique skills that are valuable to building health systems that promote population health and reduce health inequities. Although there is considerable opportunity for social work to increase its role in Medicaid reform, there is little social work involvement at the systems level.

PRIORITIES OF PENSION REFORM IN UKRAINE AT THE PRESENT STAGE

Directory of Open Access Journals (Sweden)

Volodymyr Rudyk

2017-03-01

Full Text Available The issues of reforming the national pension system in modern conditions are considered. Their main elements, level of  their using in the general pension model of the country are analyzed. The financial security of the pension sector, increasing in pension costs, tendencies of increase of  their share relative to GDP for the future were assessed. Comparison of this indicator on the European countries was made. Priorities for pension reform were identified, main directions of reorganization of the solidarity pension system, the necessity of introduction of obligatory accumulative pension insurance were justified, the ways of further development of private pension provision were determined. Special attention was paid to the need to improve the legislative framework, which will be the legal basis for the successful conduction of this stage of the pension reform. Key words: pension reform, pension system, pension system, pension provision, pension system, pension assets, pension programs, financial risks, pension management.

Plasma-catalytic reforming of ethanol: influence of air activation rate and reforming temperature

International Nuclear Information System (INIS)

Nedybaliuk, O.A.; Chernyak, V.Ya.; Fedirchuk, I.I.; Demchina, V.P.; Bortyshevsky, V.A.; Korzh, R.V.

2016-01-01

This paper presents the study of the influence that air activation rate and reforming temperature have on the gaseous products composition and conversion efficiency during the plasma-catalytic reforming of ethanol. The analysis of product composition showed that the conversion efficiency of ethanol has a maximum in the studied range of reforming temperatures. Researched system provided high reforming efficiency and high hydrogen energy yield at the lower temperatures than traditional conversion technologies

Catalytic autothermal reforming of hydrocarbon fuels for fuel cells

International Nuclear Information System (INIS)

Krumpelt, M.; Krause, T.; Kopasz, J.; Carter, D.; Ahmed, S.

2002-01-01

Fuel cell development has seen remarkable progress in the past decade because of an increasing need to improve energy efficiency as well as to address concerns about the environmental consequences of using fossil fuel for producing electricity and for propulsion of vehicles[1]. The lack of an infrastructure for producing and distributing H(sub 2) has led to a research effort to develop on-board fuel processing technology for reforming hydrocarbon fuels to generate H(sub 2)[2]. The primary focus is on reforming gasoline, because a production and distribution infrastructure for gasoline already exists to supply internal combustion engines[3]. Existing reforming technology for the production of H(sub 2) from hydrocarbon feedstocks used in large-scale manufacturing processes, such as ammonia synthesis, is cost prohibitive when scaled down to the size of the fuel processor required for transportation applications (50-80 kWe) nor is it designed to meet the varying power demands and frequent shutoffs and restarts that will be experienced during normal drive cycles. To meet the performance targets required of a fuel processor for transportation applications will require new reforming reactor technology developed to meet the volume, weight, cost, and operational characteristics for transportation applications and the development of new reforming catalysts that exhibit a higher activity and better thermal and mechanical stability than reforming catalysts currently used in the production of H(sub 2) for large-scale manufacturing processes

Medical liability and health care reform.

Science.gov (United States)

Nelson, Leonard J; Morrisey, Michael A; Becker, David J

2011-01-01

We examine the impact of the Affordable Care Act (ACA) on medical liability and the controversy over whether federal medical reform including a damages cap could make a useful contribution to health care reform. By providing guaranteed access to health care insurance at community rates, the ACA could reduce the problem of under-compensation resulting from damages caps. However, it may also exacerbate the problem of under-claiming in the malpractice system, thereby reducing incentives to invest in loss prevention activities. Shifting losses from liability insurers to health insurers could further undermine the already weak deterrent effect of the medical liability system. Republicans in Congress and physician groups both pushed for the adoption of a federal damages cap as part of health care reform. Physician support for damages caps could be explained by concerns about the insurance cycle and the consequent instability of the market. Our own study presented here suggests that there is greater insurance market stability in states with caps on non-economic damages. Republicans in Congress argued that the enactment of damages caps would reduce aggregate health care costs. The Congressional Budget Office included savings from reduced health care utilization in its estimates of cost savings that would result from the enactment of a federal damages cap. But notwithstanding recent opinions offered by the CBO, it is not clear that caps will significantly reduce health care costs or that any savings will be passed on to consumers. The ACA included funding for state level demonstration projects for promising reforms such as offer and disclosure and health courts, but at this time the benefits of these reforms are also uncertain. There is a need for further studies on these issues.

The Mexican electricity sector: Policy analysis and reform (1992–2009)

International Nuclear Information System (INIS)

Ramírez-Camperos, Adriana María; Rodríguez-Padilla, Víctor; Guido-Aldana, Pedro Antonio

2013-01-01

This article analyses the cause–effect relation of the structural reform in the Mexican electricity sector, called the Public Electricity Service Act, from 1992 to 2009. One of the main arguments of the reform is to attract private investment in order to reduce the financial load of the government in infrastructure for the development of the National Electric Power System by means of six modalities (Power Self-Supply, Cogeneration, Small Power Production, Independent Power Production, Power Export and Power Import). The article presents the global context of reforms adopted in 1990. The major policies and events are presented in chronological order (before and after reform). In addition, it analyses the new institutional framework, the evolution of modalities, technologies of electricity generation and tariffs. The main conclusion is that the result of reform could be considered a partial progress. The Independent Power Production modality shows greater participation, while Power Self-Supply and Cogeneration are lower. The subsidy policy is maintained. Progress is needed in policies and strengthening, and also in updating regulatory and normative frameworks

Policy Capacity Meets Politics; Comment on “Health Reform Requires Policy Capacity”

Directory of Open Access Journals (Sweden)

Patrick Fafard

2015-10-01

Full Text Available It is difficult to disagree with the general argument that successful health reform requires a significant degree of policy capacity or that all players in the policy game need to move beyond self-interested advocacy. However, an overly broad definition of policy capacity is a problem. More important perhaps, health reform inevitably requires not just policy capacity but political leadership and compromise.

Reforming the Financial Assistance Provision in the Second Company Law Directive: A Danish Perspective

DEFF Research Database (Denmark)

Sørensen, Karsten Engsig; Hansen, Søren Friis

2003-01-01

Based on the many Danish cases on the prohibition against companies advances funds to allow a third party to acquire shares in the company (financial assistance), it is debated if there is a need to reform Article 23 of the Second Company Law Directive, and how this reform should look....

The multidimensionality of electricity reform - an Australian perspective

International Nuclear Information System (INIS)

Sharma, Deepak

2003-01-01

The electricity industry in Australia has over the last decade undergone fundamental and profound change. The industry has been functionally unbundled. The generation and retail segments of the industry have been exposed to competition. The transmission and distribution monopolies have been reoriented to foster competition. The customers are being offered increasing choice in the selection of their energy providers. The ownership of the industry is generally moving away from the public domain to the private domain. The rules for the governance of the industry have been developed in the form of a variety of market codes and regulation. Much of the debate about industry reform is being conducted exclusively in the economic domain. There is a general lack of any serious analysis and debate on the political, social, environmental and other dimensions of reform despite a wide consensus on the criticality of such dimensions. This is clearly unhelpful and could lead to obfuscation of the real challenges confronting the industry and preclude the development of responsible policy prescriptions to meet such challenges. There is an obvious need to devote some direct attention to these neglected dimensions of reform. This paper is one such attempt. It draws together the various dimensions of reform and provides a firmer basis for meaningful analyses and concrete debate on the issues. While the discussion focuses on Australian experience, the messages are relevant for other countries engaged in electricity reform

Policy Capacity for Health Reform: Necessary but Insufficient; Comment on “Health Reform Requires Policy Capacity”

Directory of Open Access Journals (Sweden)

Owen Adams

2016-01-01

Full Text Available Forest and colleagues have persuasively made the case that policy capacity is a fundamental prerequisite to health reform. They offer a comprehensive life-cycle definition of policy capacity and stress that it involves much more than problem identification and option development. I would like to offer a Canadian perspective. If we define health reform as re-orienting the health system from acute care to prevention and chronic disease management the consensus is that Canada has been unsuccessful in achieving a major transformation of our 14 health systems (one for each province and territory plus the federal government. I argue that 3 additional things are essential to build health policy capacity in a healthcare federation such as Canada: (a A means of “policy governance” that would promote an approach to cooperative federalism in the health arena; (b The ability to overcome the ”policy inertia” resulting from how Canadian Medicare was implemented and subsequently interpreted; and (c The ability to entertain a long-range thinking and planning horizon. My assessment indicates that Canada falls short on each of these items, and the prospects for achieving them are not bright. However, hope springs eternal and it will be interesting to see if the July, 2015 report of the Advisory Panel on Healthcare Innovation manages to galvanize national attention and stimulate concerted action.

Reforming science: methodological and cultural reforms.

Science.gov (United States)

Casadevall, Arturo; Fang, Ferric C

2012-03-01

Contemporary science has brought about technological advances and an unprecedented understanding of the natural world. However, there are signs of dysfunction in the scientific community as well as threats from diverse antiscience and political forces. Incentives in the current system place scientists under tremendous stress, discourage cooperation, encourage poor scientific practices, and deter new talent from entering the field. It is time for a discussion of how the scientific enterprise can be reformed to become more effective and robust. Serious reform will require more consistent methodological rigor and a transformation of the current hypercompetitive scientific culture.

A Research Agenda for Radiation Oncology: Results of the Radiation Oncology Institute's Comprehensive Research Needs Assessment

Energy Technology Data Exchange (ETDEWEB)

Jagsi, Reshma, E-mail: rjagsi@med.umich.edu [Department of Radiation Oncology, University of Michigan, Ann Arbor, MI (United States); Bekelman, Justin E. [Department of Radiation Oncology, University of Pennsylvania, Philadelphia, PA (United States); Brawley, Otis W. [Department of Hematology and Oncology, Emory University, and American Cancer Society, Atlanta, Georgia (United States); Deasy, Joseph O. [Department of Radiation Oncology, Memorial Sloan-Kettering Cancer Center, New York, NY (United States); Le, Quynh-Thu [Department of Radiation Oncology, Stanford University, Stanford, CA (United States); Michalski, Jeff M. [Department of Radiation Oncology, Washington University, St. Louis, MO (United States); Movsas, Benjamin [Department of Radiation Oncology, Henry Ford Health System, Detroit, MI (United States); Thomas, Charles R. [Department of Radiation Oncology, Oregon Health and Sciences University, Portland, OR (United States); Lawton, Colleen A. [Department of Radiation Oncology, Medical College of Wisconsin, Milwaukee, WI (United States); Lawrence, Theodore S. [Department of Radiation Oncology, University of Michigan, Ann Arbor, MI (United States); Hahn, Stephen M. [Department of Radiation Oncology, University of Pennsylvania, Philadelphia, PA (United States)

2012-10-01

Purpose: To promote the rational use of scarce research funding, scholars have developed methods for the systematic identification and prioritization of health research needs. The Radiation Oncology Institute commissioned an independent, comprehensive assessment of research needs for the advancement of radiation oncology care. Methods and Materials: The research needs assessment used a mixed-method, qualitative and quantitative social scientific approach, including structured interviews with diverse stakeholders, focus groups, surveys of American Society for Radiation Oncology (ASTRO) members, and a prioritization exercise using a modified Delphi technique. Results: Six co-equal priorities were identified: (1) Identify and develop communication strategies to help patients and others better understand radiation therapy; (2) Establish a set of quality indicators for major radiation oncology procedures and evaluate their use in radiation oncology delivery; (3) Identify best practices for the management of radiation toxicity and issues in cancer survivorship; (4) Conduct comparative effectiveness studies related to radiation therapy that consider clinical benefit, toxicity (including quality of life), and other outcomes; (5) Assess the value of radiation therapy; and (6) Develop a radiation oncology registry. Conclusions: To our knowledge, this prioritization exercise is the only comprehensive and methodologically rigorous assessment of research needs in the field of radiation oncology. Broad dissemination of these findings is critical to maximally leverage the impact of this work, particularly because grant funding decisions are often made by committees on which highly specialized disciplines such as radiation oncology are not well represented.

Do labour market reforms reduce labour productivity growth? A panel data analysis of 20 OECD countries (1960–2004)

NARCIS (Netherlands)

Vergeer, R.; Kleinknecht, A.

2014-01-01

Based on comprehensive regression analysis, the authors find that weak wage growth and a smaller labour share of national income significantly reduce labour productivity growth. They conclude that supply-side labour market reforms have contributed to reducing labour productivity growth: this cannot

Impact of the Local Public Hospital Reform on the Efficiency of Medium-Sized Hospitals in Japan: An Improved Slacks-Based Measure Data Envelopment Analysis Approach.

Science.gov (United States)

Zhang, Xing; Tone, Kaoru; Lu, Yingzhe

2018-04-01

To assess the change in efficiency and total factor productivity (TFP) of the local public hospitals in Japan after the local public hospital reform launched in late 2007, which was aimed at improving the financial capability and operational efficiency of hospitals. Secondary data were collected from the Ministry of Internal Affairs and Communications on 213 eligible medium-sized hospitals, each operating 100-400 beds from FY2006 to FY2011. The improved slacks-based measure nonoriented data envelopment analysis models (Quasi-Max SBM nonoriented DEA models) were used to estimate dynamic efficiency score and Malmquist Index. The dynamic efficiency measure indicated an efficiency gain in the first several years of the reform and then was followed by a decrease. Malmquist Index analysis showed a significant decline in the TFP between 2006 and 2011. The financial improvement of medium-sized hospitals was not associated with enhancement of efficiency. Hospital efficiency was not significantly different among ownership structure and law-application system groups, but it was significantly affected by hospital location. The results indicate a need for region-tailored health care policies and for a more comprehensive reform to overcome the systemic constraints that might contribute to the decline of the TFP. © Health Research and Educational Trust.

Viewpoint: methanol poisoning outbreak in Libya: a need for policy reforms.

Science.gov (United States)

Taleb, Ziyad Ben; Bahelah, Raed

2014-11-01

We address the controversies surrounding a 2013 outbreak of methanol poisoning in Tripoli, Libya. We critically examine and systematically analyze the outbreak to highlight the lessons learned from this disaster and how to act properly to prevent similar outbreaks in future. Many health problems have been directly attributed to drinking alcohol; the type and quality of alcohol determines the detrimental effects. An unregulated and flourishing black market in alcohol is among the factors behind the Libyan tragedy, where approximately 90 deaths and about 1000 hospital admissions were reported. We reviewed gaps in local and regional alcohol policy, and highlighted the issue of illegally produced and home-made alcohol. Collaboration between countries in the region plus critical health and policy reforms in Libya, with emphasis on public health preparedness, can dramatically decrease morbidity and mortality associated with such outbreaks.

Farmer Support and Extension to Land Reform Farms in the Central ...

African Journals Online (AJOL)

In addition, farm management knowledge, skills and experience are at low levels. Baseline evidence suggests that agricultural extension services and institutions involved in land reform policies need to upscale on farm economics and viability assessments of farm operations. Management information systems need to be ...

Kinetic Study of Nonequilibrium Plasma-Assisted Methane Steam Reforming

Directory of Open Access Journals (Sweden)

Hongtao Zheng

2014-01-01

Full Text Available To develop a detailed reaction mechanism for plasma-assisted methane steam reforming, a comprehensive numerical and experimental study of effect laws on methane conversion and products yield is performed at different steam to methane molar ratio (S/C, residence time s, and reaction temperatures. A CHEMKIN-PRO software with sensitivity analysis module and path flux analysis module was used for simulations. A set of comparisons show that the developed reaction mechanism can accurately predict methane conversion and the trend of products yield in different operating conditions. Using the developed reaction mechanism in plasma-assisted kinetic model, the reaction path flux analysis was carried out. The result shows that CH3 recombination is the limiting reaction for CO production and O is the critical species for CO production. Adding 40 wt.% Ni/SiO2 in discharge region has significantly promoted the yield of H2, CO, or CO2 in dielectric packed bed (DPB reactor. Plasma catalytic hybrid reforming experiment verifies the reaction path flux analysis tentatively.

Reform Drivers and Reform Obstacles in Natural Resource Management

DEFF Research Database (Denmark)

Gezelius, Stig S.; Raakjær, Jesper; Hegland, Troels Jacob

2010-01-01

ABSTRACT: The ability to transform historical learning into institutional reform is a key to success in the management of common pool natural resources. Based on a model of institutional inertia and a comparative analysis of Northeast Atlantic fisheries management from 1945 to the present....... Institutional inertia entails that large-scale management reform tends to be crisis driven....

Issues of internal control during the reform period

Directory of Open Access Journals (Sweden)

O.I. Gresova

2012-12-01

Full Text Available The paper considers theoretical and methodological problems of organization and financial control activities, the main problems and reasons causing the need for a unified system of internal financial control in the State Administration of Railway Transport of Ukraine at the stage of the reform.

Good governance and budget reform in Lesotho Public Hospitals: performance, root causes and reality.

Science.gov (United States)

Vian, Taryn; Bicknell, William J

2014-09-01

Lesotho has been implementing financial management reforms, including performance-based budgeting (PBB) since 2005 in an effort to increase accountability, transparency and effectiveness in governance, yet little is known about how these efforts are affecting the health sector. Supported by several development partners and $24 million in external resources, the PBB reform is intended to strengthen government capacity to manage aid funds directly and to target assistance to pressing social priorities. This study designed and tested a methodology for measuring implementation progress for PBB reform in the hospital sector in Lesotho. We found that despite some efforts on the national level to promote and support reform implementation, staff at the hospital level were largely unaware of the purpose of the reform and had made almost no progress in transforming institutions and systems to fully realize reform goals. Problems can be traced to a complex reform design, inadequate personnel and capacity to implement, professional boundaries between financial and clinical personnel and weak leadership. The Lesotho reform experience suggests that less complex designs for budget reform, better adapted to the context and realities of health sectors in developing countries, may be needed to improve governance. It also highlights the importance of measuring reform implementation at the sectoral level. Published by Oxford University Press in association with The London School of Hygiene and Tropical Medicine © The Author 2013; all rights reserved.

Educational reform and the public: Two case studies of Poland and Saskatchewan (Canada)

Science.gov (United States)

Kaproń, Danuta; Stephan, Werner

1991-09-01

The involvement of the public in educational reform processes in modern democratic societies primarily serves the purpose of politically legitimizing the reform agenda. This study examines the rationales implicitly or explicitly submitted to the public to explain why educational reforms in the two countries should be endorsed. Although differences in the political culture caution against a hasty comparison of the two case studies, a number of politico-economic similarities allow for a valid juxtaposition. In Poland the context of socio-political and economic renewal prompted the reformers to emphasize the human-capital model which heightened public awareness and participation in the debate surrounding the reform. Public involvement in Saskatchewan was negatively affected for mainly two reasons. First, the government evidently manipulated public input by various means and thereby appears to have predetermined the outcome. Second, the rationale for the reform, based on a free-market model, tightened the linkage between the needs of the labour market and the mandate of the schools. As a result, public interest and participation was greatly diminished.

The indonesia’s Police Reform Police in the Reform Era New Institutionalism Perspective

Directory of Open Access Journals (Sweden)

ACHMAD NURMAND

2016-05-01

Full Text Available Since the reformation and democratization movement in 1998, Indonesians have faced a chronic corruption problem. At the beginning of reformation era in 1998 to fight against corruption, the Indonesian government reforms the organization structure of the Indonesia Police to be an independent body separated from the Military organization. The police reforms begun in 1999 and got legal foundation with Act No. 2/2002. However, since fourteen years, the level of police reform has not yet succeed because of low community satisfaction on police service and the intense conflicts always occur whenever ACA investigates the case of corruptions conducted by police leaders. Three conflicts between police institution and ACA have taken placed. By using institutionalism approach, this research focus on the reform in police themselves are major actors on how reforms are organized and managed. This study is interpretative in nature gained only through social constructions such as language, consciousness, shared meanings, documents, tools, and other artefacts’. This finding revealed that this unsuccessful institutionalization process took place in a context of the main task of police for communicty service. Second, the study has demonstrated that three concepts from institutional theory as aforementioned provided vocabularies and insights to explain the phenomenon under study.

The politics of health sector reform in developing countries: three cases of pharmaceutical policy.

Science.gov (United States)

Reich, M R

1995-01-01

This paper examines the political dynamics of health sector reform in poor countries, through a comparative study of pharmaceutical policy reform in Sri Lanka, Bangladesh, and the Philippines. The paper first reviews five reasons why policy reform is political. It then presents three political economic models of the policy reform process: the political will, political factions, and political survival models. Next, the paper describes the three cases of national pharmaceutical policy reform, and identifies common conditions that made these reforms politically feasible. The paper's analysis suggests that health sector reform is feasible at certain definable, and perhaps predictable, political moments, especially in the early periods of new regimes. The most important and manipulable political factors are: political timing, which provides opportunities for policy entrepreneurs to introduce their ideas into public debate, and political management of group competition, which allows leaders to control the political effects of distributional consequences and protect the regime's stability. A strong and narrow political coalition improves the capacity of political leaders to resist the pressures of concentrated economic costs (both inside and outside national boundaries). The paper argues that for reform to succeed, policy-makers need effective methods to analyze relevant political conditions and shape key political factors in favor of policy reform. The method of Political Mapping is briefly introduced as a technique that can help policy-makers in analyzing and managing the political dimensions of policy reform and in improving the political feasibility of reform.

Making Good Choices: A Guide for Schools and Districts. Revised Edition. [with CD-ROM].

Science.gov (United States)

Ferguson, Maria

This guide was designed to help schools develop effective programs in comprehensive school reform (CSR). It emphasizes that a school's CSR approach should be based on its needs, keeping in mind that one model may not provide every aspect of a school's comprehensive reform effort. Even so, a CSR model that meets the U.S. Department of Education's…

China's power sector reforms - where to next?

Energy Technology Data Exchange (ETDEWEB)

NONE

2006-12-15

With the fastest growing energy demand in the world, China is now the largest electricity consumer after the United States. How can the government best assure affordable and environmentally sustainable electricity supply in the future? The Chinese government has initiated electricity sector reforms to overhaul an antiquated system and attain new energy security and environmental objectives. How China proceeds with these reforms will have lasting consequences, both locally and globally. Assessing the current state of electricity regulation in China, this report draws on experience elsewhere to explore how better to develop and communicate strategy, how to moderate growth in demand through increased efficiency, how to integrate environmental goals into planning and operation, how to ensure sufficient supply when and where it is needed, and how to handle institutional and governance challenges. In this respect, electricity sector reform in other countries offers valuable lessons as to how China might proceed.

Catalytic reforming methods

Science.gov (United States)

Tadd, Andrew R; Schwank, Johannes

2013-05-14

A catalytic reforming method is disclosed herein. The method includes sequentially supplying a plurality of feedstocks of variable compositions to a reformer. The method further includes adding a respective predetermined co-reactant to each of the plurality of feedstocks to obtain a substantially constant output from the reformer for the plurality of feedstocks. The respective predetermined co-reactant is based on a C/H/O atomic composition for a respective one of the plurality of feedstocks and a predetermined C/H/O atomic composition for the substantially constant output.

Excavating silences and tensions of agency|passivity in science education reform

Science.gov (United States)

Rivera Maulucci, Maria S.

2010-12-01

I reflect on studies by Rodriguez and Carlone, Haun-Frank, and Kimmel to emphasize the ways in which they excavate silences in the science education literature related to linguistic and cultural diversity and situating the problem of reform in teachers rather than contextual factors, such as traditional schooling discourses and forces that serve to marginalize science. I propose that the current push for top-down reform and accountability diminishes opportunities for receptivity, learning with and from students in order to transform teachers' practices and promote equity in science education. I discuss tensions of agency and passivity in science education reform and argue that attention to authentic caring constitutes another silence in the science education literature. I conclude that the current policy context positions teachers and science education researchers as tempered radicals struggling against opp(reg)ressive reforms and that there is a need for more studies to excavate these and other silences.

Comprehensive Approach to Heart Failure: an Urgent Need

Directory of Open Access Journals (Sweden)

Yanier Coll Muñoz

2015-11-01

Full Text Available Heart failure leads to the activation of a neurohormonal response that interacts with the hemodynamic changes, which are joined by functional and structural myocardial abnormalities, that may exist. This paper addresses the role of the renin-angiotensin system in the pathophysiology of heart failure and the use of non-invasive complementary methods that provide additional information necessary for the assessment and comprehensive management of patients, without losing the essential connection between the doctor and the patient.

Dentistry in Taiwan, Republic of China: National health insurance reforms, illegal dentistry and peer review quality control

DEFF Research Database (Denmark)

Moore, R.; Shiau, Y.Y.

1999-01-01

licensure. Their popularity and price advantage has maintained a political base that affects policy decisions. Health care reforms of March, 1995 with a comprehensive national health insurance, as well as ambitious plans for systematic peer review quality control of dentists' work are unique health care......The dental health care system in Taiwan, Republic of China is described in terms of demographics, structure, context of treatment and historical development of the dental health care payment system. A notable characteristic of the system is the existence of trade dentists, who operate without...... developments worthy of the attention of health care policy makers in other countries who are studying health care reform processes...

Social Work’s Role in Medicaid Reform: A Qualitative Study

Science.gov (United States)

Wachman, Madeline; Manning, Leticia; Cohen, Alexander M.; Seifert, Robert W.; Jones, David K.; Fitzgerald, Therese; Nuzum, Rachel; Riley, Patricia

2017-01-01

Objectives. To critically analyze social work’s role in Medicaid reform. Methods. We conducted semistructured interviews with 46 stakeholders from 10 US states that use a range of Medicaid reform approaches. We identified participants using snowball and purposive sampling. We gathered data in 2016 and analyzed them using qualitative methods. Results. Multiple themes emerged: (1) social work participates in Medicaid reform through clinical practice, including care coordination and case management; (2) there is a gap between social work’s practice-level and systems-level involvement in Medicaid innovations; (3) factors hindering social work’s involvement in systems-level practice include lack of visibility, insufficient clarity on social work’s role and impact, and too few resources within professional organizations; and (4) social workers need more training in health transformation payment models and policy. Conclusions. Social workers have unique skills that are valuable to building health systems that promote population health and reduce health inequities. Although there is considerable opportunity for social work to increase its role in Medicaid reform, there is little social work involvement at the systems level. PMID:29236537

Reforming Organizational Structures

NARCIS (Netherlands)

S.G.J. Van de Walle (Steven)

2016-01-01

textabstractPublic sectors have undergone major transformations. Public sector reform touches upon the core building blocks of the public sector: organizational structures, people and finances. These are objects of reform. This chapter presents and discusses a set of major transformations with

Multi-fuel reformers for fuel cells used in transportation. Phase 1: Multi-fuel reformers

Science.gov (United States)

1994-05-01

DOE has established the goal, through the Fuel Cells in Transportation Program, of fostering the rapid development and commercialization of fuel cells as economic competitors for the internal combustion engine. Central to this goal is a safe feasible means of supplying hydrogen of the required purity to the vehicular fuel cell system. Two basic strategies are being considered: (1) on-board fuel processing whereby alternative fuels such as methanol, ethanol or natural gas stored on the vehicle undergo reformation and subsequent processing to produce hydrogen, and (2) on-board storage of pure hydrogen provided by stationary fuel processing plants. This report analyzes fuel processor technologies, types of fuel and fuel cell options for on-board reformation. As the Phase 1 of a multi-phased program to develop a prototype multi-fuel reformer system for a fuel cell powered vehicle, the objective of this program was to evaluate the feasibility of a multi-fuel reformer concept and to select a reforming technology for further development in the Phase 2 program, with the ultimate goal of integration with a DOE-designated fuel cell and vehicle configuration. The basic reformer processes examined in this study included catalytic steam reforming (SR), non-catalytic partial oxidation (POX) and catalytic partial oxidation (also known as Autothermal Reforming, or ATR). Fuels under consideration in this study included methanol, ethanol, and natural gas. A systematic evaluation of reforming technologies, fuels, and transportation fuel cell applications was conducted for the purpose of selecting a suitable multi-fuel processor for further development and demonstration in a transportation application.

Simulating and Optimizing Hydrogen Production by Low-pressure Autothermal Reforming of Natural Gas using Non-dominated Sorting Genetic Algorithm-II

OpenAIRE

Azarhoosh, M. J.; Ale Ebrahim, H.; Pourtarah, S. H.

2016-01-01

Conventional hydrogen production plants consist of natural gas steam reforming to CO+3H2 on Ni catalysts in a furnace, water-gas shift reaction for converting CO into CO2 and CO2 absorption. A new alternative method for highly endothermic steam reforming is autothermal reforming (steam reforming with air input to the reactor) without the need for external heating. In this study, hydrogen production by autothermal reforming for fuel cells (base case) was simulated based on a heterogeneous and ...

Reforming birth registration law in England and Wales?

Directory of Open Access Journals (Sweden)

Julie McCandless

2017-06-01

Full Text Available The Law Commission of England and Wales is considering what its 13th Programme of Law Reform should address. During the consultation process, a project on birth registration law has been mooted. This is a very welcome proposal given that civil birth registration in England and Wales is a compulsory procedure that not only finds its roots in the early Victorian era, but also remains very similar, at least in terms of form and the information that is recorded. I first use two recent legal challenges to illustrate why the current system is coming under increasing pressure. I further use these examples to caution against a law reform agenda that is narrowly focused on the precise information recorded, without a preliminary and wider examination of what the role and purpose of birth registration is, and should be, in society. I argue that this needs to be addressed before the state can justify the parameters of the information recorded. I then use an outline of historical reforms relating to the registration of births outside of marriage to highlight the normative two-parent family model that underpins the birth registration system. I argue that legal reform must be cognizant of the tenacity of this normative family model, particularly in relation to reform proposals surrounding donor conception and the annotation of birth certificates. Finally, I draw attention to wider developments in family law that cast birth registration as a social policy tool for the facilitation of parent–child relationships, particularly unmarried fathers.

A novel approach to the experimental study on methane/steam reforming kinetics using the Orthogonal Least Squares method

Science.gov (United States)

Sciazko, Anna; Komatsu, Yosuke; Brus, Grzegorz; Kimijima, Shinji; Szmyd, Janusz S.

2014-09-01

For a mathematical model based on the result of physical measurements, it becomes possible to determine their influence on the final solution and its accuracy. However, in classical approaches, the influence of different model simplifications on the reliability of the obtained results are usually not comprehensively discussed. This paper presents a novel approach to the study of methane/steam reforming kinetics based on an advanced methodology called the Orthogonal Least Squares method. The kinetics of the reforming process published earlier are divergent among themselves. To obtain the most probable values of kinetic parameters and enable direct and objective model verification, an appropriate calculation procedure needs to be proposed. The applied Generalized Least Squares (GLS) method includes all the experimental results into the mathematical model which becomes internally contradicted, as the number of equations is greater than number of unknown variables. The GLS method is adopted to select the most probable values of results and simultaneously determine the uncertainty coupled with all the variables in the system. In this paper, the evaluation of the reaction rate after the pre-determination of the reaction rate, which was made by preliminary calculation based on the obtained experimental results over a Nickel/Yttria-stabilized Zirconia catalyst, was performed.

Public Administration reforms and results

Directory of Open Access Journals (Sweden)

Gunnar Helgi Kristinsson

2014-12-01

Full Text Available Research on administrative reforms during the past thirty years indicates that reform efforts of countries differ. The Anglo Saxon states were at the forefront of the New Public Management movement while countries on mainland Europe were more hesitant and moved further towards the Neo-Weberian state. Academics have tried to explain different reform efforts within countries by looking at political, historical and cultural issues, values and economic factors to name just a few. Three hypotheses are put forward to explain reform efforts in different states. This research involves analysing the implementation of two different reform trends, New Public Management and the Neo-Weberian tradition. The analysis indicates that countries vary in their commitment to reform rather than in the emphasis on either New Public Management or the Neo-Weberian State. Decentralization, clear objectives and consultation with communities and experts are closely related to national reform efforts. However, Iceland does distinguish itself from Europe and the Nordic countries. The analysis reveals that although decentralization is high in the Icelandic system, autonomy of agencies does not have a strong relation to a varied use of administrative instruments. The second part of the article focuses on the results and achievements of reform programmes. The achievement of reform programmes are examined in relation to theories of bounded rationality, street level bureaucracy (bottom up and consensus decision making. Three hypotheses are presented and tested to explain what causes reforms programmes to be successful in some countries and not in others. The analysis reveals that countries are more likely to succeed if bounded rationality is applied with careful preparation and when stakeholders are consulted.

Achieving health care cost containment through provider payment reform that engages patients and providers.

Science.gov (United States)

Ginsburg, Paul B

2013-05-01

The best opportunity to pursue cost containment in the next five to ten years is through reforming provider payment to gradually diminish the role of fee-for-service reimbursement. Public and private payers have launched many promising payment reform pilots aimed at blending fee-for-service with payment approaches based on broader units of care, such as an episode or patients' total needs over a period of time, a crucial first step. But meaningful cost containment from payment reform will not be achieved until Medicare and Medicaid establish stronger incentives for providers to contract in this way, with discouragement of nonparticipation increasing over time. In addition, the models need to evolve to engage beneficiaries, perhaps through incentives for patients to enroll in an accountable care organization and to seek care within that organization's network of providers.

Plasma devices for hydrocarbon reformation

KAUST Repository

Cha, Min Suk

2017-02-16

Plasma devices for hydrocarbon reformation are provided. Methods of using the devices for hydrocarbon reformation are also provided. The devices can include a liquid container to receive a hydrocarbon source, and a plasma torch configured to be submerged in the liquid. The plasma plume from the plasma torch can cause reformation of the hydrocarbon. The device can use a variety of plasma torches that can be arranged in a variety of positions in the liquid container. The devices can be used for the reformation of gaseous hydrocarbons and/or liquid hydrocarbons. The reformation can produce methane, lower hydrocarbons, higher hydrocarbons, hydrogen gas, water, carbon dioxide, carbon monoxide, or a combination thereof.

Educational Partnership and the Dilemmas of School Reform.

Science.gov (United States)

Seeley, David

Today's educational reform proposals are undermined by four dilemmas. First, the public may demand visible results before it will provide the funding needed to achieve them. Second, higher academic standards will increase failure rates, while more attainable standards will inadequately educate students. Third, the current focus on high schools may…

Stakeholder learning for health sector reform in Lao PDR.

Science.gov (United States)

Phillips, Simone; Pholsena, Soulivanh; Gao, Jun; Oliveira Cruz, Valeria

2016-09-01

Development organizations and academic institutions have expressed the need for increased research to guide the development and implementation of policies to strengthen health systems in low- and middle-income countries. The extent to which evidence-based policies alone can produce changes in health systems remains a point of debate; other factors, such as a country's political climate and the level of actor engagement, have been identified as influential variables in effective policy development and implementation. In response to this debate, this article contends that the success of health sector reform depends largely on policy learning-the degree to which research recommendations saturate a given political environment in order to successfully inform the ideas, opinions and perceived interests of relevant actors. Using a stakeholder analysis approach to analyze the case of health sector reform in Lao PDR, we examine the ways that actors' understanding and interests affect the success of reform-and how attitudes towards reform can be shaped by exposure to policy research and international health policy priorities. The stakeholder analysis was conducted by the WHO during the early stages of health sector reform in Lao PDR, with the purpose of providing the Ministry of Health with concrete recommendations for increasing actor involvement and strengthening stakeholder support. We found that dissemination of research findings to a broad array of actors and the inclusion of diverse stakeholder groups in policy design and implementation increases the probability of a sustainable and successful health sector reform. © The Author 2016. Published by Oxford University Press. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

Application of flexible micro temperature sensor in oxidative steam reforming by a methanol micro reformer.

Science.gov (United States)

Lee, Chi-Yuan; Lee, Shuo-Jen; Shen, Chia-Chieh; Yeh, Chuin-Tih; Chang, Chi-Chung; Lo, Yi-Man

2011-01-01

Advances in fuel cell applications reflect the ability of reformers to produce hydrogen. This work presents a flexible micro temperature sensor that is fabricated based on micro-electro-mechanical systems (MEMS) technology and integrated into a flat micro methanol reformer to observe the conditions inside that reformer. The micro temperature sensor has higher accuracy and sensitivity than a conventionally adopted thermocouple. Despite various micro temperature sensor applications, integrated micro reformers are still relatively new. This work proposes a novel method for integrating micro methanol reformers and micro temperature sensors, subsequently increasing the methanol conversion rate and the hydrogen production rate by varying the fuel supply rate and the water/methanol ratio. Importantly, the proposed micro temperature sensor adequately controls the interior temperature during oxidative steam reforming of methanol (OSRM), with the relevant parameters optimized as well.

Application of Flexible Micro Temperature Sensor in Oxidative Steam Reforming by a Methanol Micro Reformer

Directory of Open Access Journals (Sweden)

Yi-Man Lo

2011-02-01

Full Text Available Advances in fuel cell applications reflect the ability of reformers to produce hydrogen. This work presents a flexible micro temperature sensor that is fabricated based on micro-electro-mechanical systems (MEMS technology and integrated into a flat micro methanol reformer to observe the conditions inside that reformer. The micro temperature sensor has higher accuracy and sensitivity than a conventionally adopted thermocouple. Despite various micro temperature sensor applications, integrated micro reformers are still relatively new. This work proposes a novel method for integrating micro methanol reformers and micro temperature sensors, subsequently increasing the methanol conversion rate and the hydrogen production rate by varying the fuel supply rate and the water/methanol ratio. Importantly, the proposed micro temperature sensor adequately controls the interior temperature during oxidative steam reforming of methanol (OSRM, with the relevant parameters optimized as well.

Energy efficiency of a direct-injection internal combustion engine with high-pressure methanol steam reforming

International Nuclear Information System (INIS)

Poran, Arnon; Tartakovsky, Leonid

2015-01-01

This article discusses the concept of a direct-injection ICE (internal combustion engine) with thermo-chemical recuperation realized through SRM (steam reforming of methanol). It is shown that the energy required to compress the reformate gas prior to its injection into the cylinder is substantial and has to be accounted for. Results of the analysis prove that the method of reformate direct-injection is unviable when the reforming is carried-out under atmospheric pressure. To reduce the energy penalty resulted from the gas compression, it is suggested to implement a high-pressure reforming process. Effects of the injection timing and the injector's flow area on the ICE-SRM system's fuel conversion efficiency are studied. The significance of cooling the reforming products prior to their injection into the engine-cylinder is demonstrated. We show that a direct-injection ICE with high-pressure SRM is feasible and provides a potential for significant efficiency improvement. Development of injectors with greater flow area shall contribute to further efficiency improvements. - Highlights: • Energy needed to compress the reformate is substantial and has to be accounted for. • Reformate direct-injection is unviable if reforming is done at atmospheric pressure. • Direct-injection engine with high-pressure methanol reforming is feasible. • Efficiency improvement by 12–14% compared with a gasoline-fed engine was shown

Hydrogen production from biomass pyrolysis gas via high temperature steam reforming process

International Nuclear Information System (INIS)

Wongchang, Thawatchai; Patumsawad, Suthum

2010-01-01

Full text: The aim of this work has been undertaken as part of the design of continuous hydrogen production using the high temperature steam reforming process. The steady-state test condition was carried out using syngas from biomass pyrolysis, whilst operating at high temperatures between 600 and 1200 degree Celsius. The main reformer operating parameters (e.g. temperature, resident time and steam to biomass ratio (S/B)) have been examined in order to optimize the performance of the reformer. The operating temperature is a key factor in determining the extent to which hydrogen production is increased at higher temperatures (900 -1200 degree Celsius) whilst maintaining the same as resident time and S/B ratio. The effects of exhaust gas composition on heating value were also investigated. The steam reforming process produced methane (CH 4 ) and ethylene (C 2 H 4 ) between 600 to 800 degree Celsius and enhanced production ethane (C 2 H 6 ) at 700 degree Celsius. However carbon monoxide (CO) emission was slightly increased for higher temperatures all conditions. The results show that the use of biomass pyrolysis gas can produce higher hydrogen production from high temperature steam reforming. In addition the increasing reformer efficiency needs to be optimized for different operating conditions. (author)

Teacher education policies, practices, and reform in Scotland: Implications in the Indian context

Directory of Open Access Journals (Sweden)

Pradeep Kumar Misra

2015-12-01

Full Text Available India, a country of 1.27 billion, nowadays needs reforms, improvements, and new approaches in teacher education to cater to the demands of changing economy and society. This call to improve teacher education becomes more significant considering the fact that 50% of India’s current population is below the age of 25 and over 65% below 35. There are two ways to proceed in this direction. First, making an internal review and assessment of present scenario of teacher education and suggesting need-based measures. The second one is to learn from those countries that have recently reviewed their teacher education systems and are continuously working for the betterment of teacher education. Following second approach, present paper analyzes teacher education policies, practices, and reform in Scotland, argues that concerns and commitments to reform teacher education in India and Scotland are similar, and suggests implications of Scottish experiences in the Indian context.

Reform, change, and continuity in Finnish health care.

Science.gov (United States)

Häkkinen, Unto; Lehto, Juhani

2005-01-01

This article describes some essential aspects of the Finnish political and governmental system and the evolution of the basic institutional elements of the health care system. We examine the developments that gave rise to a series of health care reforms and reform proposals in the late 1980s and early 1990s and relate them to changes in health care expenditure, structure, and performance. Finally, we discuss the relationship between policy changes, reforms, and health system changes and the strength of neo-institutional theory in explaining both continuity and change. Much of the change in Finnish health care can be explained by institutional path dependency. The tradition of strong but small local authorities and the lack of legitimate democratic regional authorities as well as the coexistence of a dominant Beveridge-style health system with a marginal Bismarckian element explain the specific path of Finnish health care reform. Public responsibility for health care has been decentralized to smaller local authorities (known as municipalities) more than in any other country. Even an exceptionally deep economic recession in the early 1990s did not lead to systems change; rather, the economic imperative was met by the traditional centralized policy pattern. Some of the developments of the 1990s are, however, difficult to explain by institutional theory. Thus, there is a need for testing alternative theories as well.

Constitutional reform as process

OpenAIRE

Schultze, Rainer-Olaf (Prof.)

2000-01-01

Constitutional reform as process. - In: The politics of constitutional reform in North America / Rainer-Olaf Schultze ... (eds.). - Opladen : Leske + Budrich, 2000. - S. 11-31. - (Politikwissenschaftliche paperbacks ; 30)

Modelling and optimization of reforming systems for use in PEM fuel cell systems

International Nuclear Information System (INIS)

Berry, M.; Korsgaard, A.R.; Nielsen, M.P.

2004-01-01

Three different reforming methods for the conversion of natural gas to hydrogen are studied and compared: Steam Reforming (SR), Auto-thermal Reforming (ATR), and Catalytic Partial Oxidation (CPOX). Thermodynamic and kinetic models are developed for the reforming reactors as well as the subsequent reactors needed for CO removal to make the synthesis gas suitable for use in a PEM fuel cell. The systems are optimized to minimize the total volume, and must supply adequate hydrogen to a fuel cell with a 100kW load. The resultant system efficiencies are calculated. The CPOX system is the smallest and exhibits a comparable efficiency to the SR system. The SR system had the best relation between efficiency and volume increase. Optimal temperature profiles within each reactor were found. It was shown that temperature control can significantly reduce reactor volume and increase conversion capabilities. (author)

Addressing the nation's physician workforce needs: The Society of General Internal Medicine (SGIM) recommendations on graduate medical education reform.

Science.gov (United States)

Jackson, Angela; Baron, Robert B; Jaeger, Jeffrey; Liebow, Mark; Plews-Ogan, Margaret; Schwartz, Mark D

2014-11-01

The Graduate Medical Education (GME) system in the United States (US) has garnered worldwide respect, graduating over 25,000 new physicians from over 8,000 residency and fellowship programs annually. GME is the portal of entry to medical practice and licensure in the US, and the pathway through which resident physicians develop the competence to practice independently and further develop their career plans. The number and specialty distribution of available GME positions shapes the overall composition of our national workforce; however, GME is failing to provide appropriate programs that support the delivery of our society's system of healthcare. This paper, prepared by the Health Policy Education Subcommittee of the Society of General Internal Medicine (SGIM) and unanimously endorsed by SGIM's Council, outlines a set of recommendations on how to reform the GME system to best prepare a physician workforce that can provide high quality, high value, population-based, and patient-centered health care, aligned with the dynamic needs of our nation's healthcare delivery system. These recommendations include: accurate workforce needs assessment, broadened GME funding sources, increased transparency of the use of GME dollars, and implementation of incentives to increase the accountability of GME-funded programs for the preparation and specialty selection of their program graduates.

Progress and outcomes of health systems reform in the United Arab Emirates: a systematic review.

Science.gov (United States)

Koornneef, Erik; Robben, Paul; Blair, Iain

2017-09-20

The United Arab Emirates (UAE) government aspires to build a world class health system to improve the quality of healthcare and the health outcomes for its population. To achieve this it has implemented extensive health system reforms in the past 10 years. The nature, extent and success of these reforms has not recently been comprehensively reviewed. In this paper we review the progress and outcomes of health systems reform in the UAE. We searched relevant databases and other sources to identify published and unpublished studies and other data available between 01 January 2002 and 31 March 2016. Eligible studies were appraised and data were descriptively and narratively synthesized. Seventeen studies were included covering the following themes: the UAE health system, population health, the burden of disease, healthcare financing, healthcare workforce and the impact of reforms. Few, if any, studies prospectively set out to define and measure outcomes. A central part of the reforms has been the introduction of mandatory private health insurance, the development of the private sector and the separation of planning and regulatory responsibilities from provider functions. The review confirmed the commitment of the UAE to build a world class health system but amongst researchers and commentators opinion is divided on whether the reforms have been successful although patient satisfaction with services appears high and there are some positive indications including increasing coverage of hospital accreditation. The UAE has a rapidly growing population with a unique age and sex distribution, there have been notable successes in improving child and maternal mortality and extending life expectancy but there are high levels of chronic diseases. The relevance of the reforms for public health and their impact on the determinants of chronic diseases have been questioned. From the existing research literature it is not possible to conclude whether UAE health system reforms are

High temperature ceramic-tubed reformer

Science.gov (United States)

Williams, Joseph J.; Rosenberg, Robert A.; McDonough, Lane J.

1990-03-01

The overall objective of the HiPHES project is to develop an advanced high-pressure heat exchanger for a convective steam/methane reformer. The HiPHES steam/methane reformer is a convective, shell and tube type, catalytic reactor. The use of ceramic tubes will allow reaction temperature higher than the current state-of-the-art outlet temperatures of about 1600 F using metal tubes. Higher reaction temperatures increase feedstock conversion to synthesis gas and reduce energy requirements compared to currently available radiant-box type reformers using metal tubes. Reforming of natural gas is the principal method used to produce synthesis gas (primarily hydrogen and carbon monoxide, H2 and CO) which is used to produce hydrogen (for refinery upgrading), methanol, as well as several other important materials. The HiPHES reformer development is an extension of Stone and Webster's efforts to develop a metal-tubed convective reformer integrated with a gas turbine cycle.

California teachers' perceptions of standards-based reform in middle school science: A mixed-methods study

Science.gov (United States)

Leggett, Allison Gail Wilson

The No Child Left Behind (NCLB) Act of 2001 presented one of the most significant and comprehensive literacy reforms in many years (McDonnell, 2005; U.S. Department of Education, 2006). The era of school accountability and standards based reform has brought many challenges and changes to public schools. Increasingly, public officials and educational administrators are asked to use standards based assessments to make high-stakes decisions, such as whether a student will move on to the next grade level or receive a diploma (American Psychological Association, 2005). It is important to understand any shifts in teachers' perceptions and to identify the changes teachers are making as they implement standards-based reform. This mixed-methods study was designed to assess teachers' perceptions of changes related to standards-based reform as supported by Fullan's (2001) change theory and transformational leadership theory. Survey questions sought to identify teacher perceptions of changes in curriculum, instruction and daily practice as schools documented and incorporated standards-based reform and began focusing on preparing students for the California Standards Test in Science (CSTS). Using descriptive statistical analysis and in-depth interviews, results show favorable insight towards standards-based reform. The survey was distributed to 30 middle school science teachers from 10 low-performing schools in Los Angeles, California. Results were analyzed using Spearman rank-ordered correlations. Interviews were conducted on middle school teachers represented by each grade level. Teachers who receive more support from administrators have more positive attitudes toward all aspects of SBR and the CSTS as measured in this study. No school should overlook the potential of a supportive administration in its effort to improve school programs.

The Need to Introduce System Thinking in Teaching Climate Change

Science.gov (United States)

Roychoudhury, Anita; Shepardson, Daniel P.; Hirsch, Andrew; Niyogi, Devdutta; Mehta, Jignesh; Top, Sara

2017-01-01

Research related to teaching climate change, system thinking, current reform in science education, and the research on reform-oriented assessment indicate that we need to explore student understanding in greater detail instead of only testing for an incremental gain in disciplinary knowledge. Using open-ended items we assessed details in student…

The Missing Link in Housing Sector Reforms in Nigeria

Directory of Open Access Journals (Sweden)

Akintunde Otubu

2012-09-01

Full Text Available Housing is a fundamental product for every human being irrespective of financial standing. World acclaimed American psychologist, Abraham Maslow ranked shelter as second only to food in his hierarchy of human needs. Despite the importance of housing to the socio-economic development of man and the nation, housing problems have remained endemic throughout the world. In today’s world, some 100 million persons are homeless and more than a billion are inadequately housed. In 2002 housing deficit in Nigeria was put at about 8 million units. Latest statistics indicate that Nigeria requires a whopping 700,000 housing units annually for the next 15 years. The question is why this state of affairs? Why the perennial and unending problems of housing shortages, forced evictions and slum development? The paper examined these issues in Nigeria in order to advance the future prospect of the sector. The paper identified that whilst reforms were been made to all other subsector of the housing industry, land reform necessary to fast track the process was left unattended to by the government. The paper thus advocated for a robust reform of the current land management system in order to impact positively on the housing reform agenda in Nigeria.

A novel auto-thermal reforming membrane reactor for high purity H2

International Nuclear Information System (INIS)

Tony Boyd; Grace, J.R.; Lim, C.J.; Adris, A.M.

2006-01-01

A novel hydrogen reactor based on steam reforming of natural gas has been developed and tested. The reactor produces high purity hydrogen using in-situ perm-selective membranes installed in a fluidized catalyst bed, thus shifting the thermodynamic equilibrium of the SMR reaction and eliminating the need for downstream hydrogen purification. The reactor is particularly suited to auto-thermal reforming, where air is added to the reformer to provide the endothermic reaction heat, thus eliminating the need to indirectly heat the reactor. The gas flow pattern within the fluidized bed induces an internal circulation of catalyst particles between the central SMR reaction (permeation) zone and an outer annulus. The circulating hot catalyst particles from the oxidation zone carry the required endothermic heat of reaction for the reforming, while ensuring that the palladium membranes are not exposed to excessive temperatures or to oxygen. Another beneficial characteristic of the reactor is that very little of the nitrogen present in the oxidation air reaches the reaction zone, thus maintaining the hydrogen driving force for the perm-selective membranes. Pilot plant results carried out in a semi-industrial scale reactor will be presented. The reactor was operated up to 650 C and 14 bar. Pure hydrogen (99.999+%) was initially obtained from the reactor and an equilibrium shift was demonstrated. (authors)

Hydrogen from methanol for fuel cells in mobile systems: development of a compact reformer

Energy Technology Data Exchange (ETDEWEB)

Hoehlein, B [Forschungszentrum Juelich GmbH (Germany); Boe, M [H. Topsoee A/S, Lyngby (Denmark); Boegild-Hansen, J [H. Topsoee A/S, Lyngby (Denmark); Broeckerhoff, P [Forschungszentrum Juelich GmbH (Germany); Colsman, G [Forschungszentrum Juelich GmbH (Germany); Emonts, B [Forschungszentrum Juelich GmbH (Germany); Menzer, R [Forschungszentrum Juelich GmbH (Germany); Riedel, E

1996-07-01

On-board generation of hydrogen from methanol with a reformer in connection with the use of a proton-exchange membrane fuel cell (PEMFC) is an attractive option for a passenger car drive. Special considerations are required to obtain low weight and volume. Furthermore, the PEMFC of today cannot tolerate more than 10 ppm of carbon monoxide in the fuel. Therefore a gas conditioning step is needed after the methanol reformer. Our main research activities focus on the conceptual design of a drive system for a passenger car with methanol reformer and PEMFC: Engineering studies with regard to different aspects of this design including reformer, catalytic burner, gas conditioning, balances of the fuel cycles and basic design of a compact methanol reformer. The work described here was carried out within the framework of a JOULE II project of the European Union (1993-1995). Extensive experimental studies have been carried out at the Forschungszentrum Juelich GmbH (KFA) in Germany and at Haldor Topsoee A/S in Denmark. (orig.)

Working for Jewish girls : Lily Montagu, girls' clubs and industrial reform 1890-1914.

OpenAIRE

Spence, J.

2004-01-01

Lily Montagu was involved in social work and religious ministry with the London Jewish community for over sixty years. This article considers the significance of her involvement in the girls' club movement and her efforts towards workplace reform. It argues that the specific circumstances of working-class Jewish girls in the early twentieth century enabled her to develop a comprehensive view of both industrial organisation and social work. Her approach was submerged as social work and trade u...

Ethics in clinical research: need for assessing comprehension of informed consent form?

Science.gov (United States)

Shafiq, Nusrat; Malhotra, Samir

2011-03-01

Comprehension of informed consent form has not achieved the attention it deserves. We made a 24-item questionnaire to assess clinical research participants' comprehension of informed consent form (Contemp Clin Trials 2009;30:427-30). Due to repeated requests by clinical researchers in our country and abroad, we are publishing the questionnaire in this article. Copyright © 2010 Elsevier Inc. All rights reserved.

[Human resources for health in Chile: the reform's pending challenge].

Science.gov (United States)

Méndez, Claudio A

2009-09-01

Omission of human resources from health policy development has been identified as a barrier in the health sector reform's adoption phase. Since 2002, Chile's health care system has been undergoing a transformation based on the principles of health as a human right, equity, solidarity, efficiency, and social participation. While the reform has set forth the redefinition of the medical professions, continuing education, scheduled accreditation, and the introduction of career development incentives, it has not considered management options tailored to the new setting, a human resources strategy that has the consensus of key players and sector policy, or a process for understanding the needs of health care staff and professionals. However, there is still time to undo the shortcomings, in large part because the reform's implementation phase only recently has begun. Overcoming this challenge is in the hands of the experts charged with designing public health strategies and policies.

Thermoelectric generation coupling methanol steam reforming characteristic in microreactor

International Nuclear Information System (INIS)

Wang, Feng; Cao, Yiding; Wang, Guoqiang

2015-01-01

Thermoelectric (TE) generator converts heat to electric energy by thermoelectric material. However, heat removal on the cold side of the generator represents a serious challenge. To address this problem and for improved energy conversion, a thermoelectric generation process coupled with methanol steam reforming (SR) for hydrogen production is designed and analyzed in this paper. Experimental study on the cold spot character in a micro-reactor with monolayer catalyst bed is first carried out to understand the endothermic nature of the reforming as the thermoelectric cold side. A novel methanol steam reforming micro-reactor heated by waste heat or methanol catalytic combustion for hydrogen production coupled with a thermoelectric generation module is then simulated. Results show that the cold spot effect exists in the catalyst bed under all conditions, and the associated temperature difference first increases and then decreases with the inlet temperature. In the micro-reactor, the temperature difference between the reforming and heating channel outlets decreases rapidly with an increase in thermoelectric material's conductivity coefficient. However, methanol conversion at the reforming outlet is mainly affected by the reactor inlet temperature; while at the combustion outlet, it is mainly affected by the reactor inlet velocity. Due to the strong endothermic effect of the methanol steam reforming, heat supply of both kinds cannot balance the heat needed at reactor local areas, resulting in the cold spot at the reactor inlet. When the temperature difference between the thermoelectric module's hot and cold sides is 22 K, the generator can achieve an output voltage of 55 mV. The corresponding molar fraction of hydrogen can reach about 62.6%, which corresponds to methanol conversion rate of 72.6%. - Highlights: • Cold spot character of methanol steam reforming was studied through experiment. • Thermoelectric generation Coupling MSR process has been

Are we there yet? A journey of health reform in Australia.

Science.gov (United States)

Bennett, Christine C

2013-08-19

• Five years on from the establishment of the National Health and Hospitals Reform Commission, it is timely to review the context for reform and some of the actions taken to date, and to highlight remaining areas of concern and priority. • The Commission's final report was released in July 2009 and presented 123 recommendations organised under four reform themes: Taking responsibility: individual and collective action to build good health and wellbeing - by people, families, communities, health professionals, employers, health funders and governments Connecting care: comprehensive care for people over their lifetime Facing inequities: recognise and tackle the causes and impacts of health inequities Driving quality performance: leadership and systems to achieve best use of people, resources and evolving knowledge. • Overall, the Australian Government's response to the Commission's report has been very positive, but challenges remain in some key areas: Financial sustainability and the vertical fiscal imbalance between the federal and state governments Getting the best value from the health dollar by reducing inefficiency and waste and using value-based purchasing across the public and private health sectors National leadership across the system as a whole Getting the right care in the right place at the right time Health is about more than health care - increasing focus on prevention and recognising and tackling the broader social determinants of health.

Who pulled the strings? A comparative study of Indonesian and Vietnamese tax reform

OpenAIRE

Heij, Gitte

2007-01-01

Many countries overhaul their tax systems from time to time. In the Asian region countries like Indonesia, China, Malaysia, the Philippines, Singapore, Vietnam and Thailand have all undergone drastic tax reforms in the last 20 years. The need to fill the government coffers, attract foreign investment and make the tax system more equitable are among the factors instigating these tax reforms. Leading politicians, key institutions, external advisers, lobby groups and parliamentarians are just a ...

Health reform and cesarean sections in the private sector: The experience of Peru.

Science.gov (United States)

Arrieta, Alejandro

2011-02-01

To test the hypothesis that the health reform enacted in Peru in 1997 increased the rate of cesarean sections in the private sector due to non-clinical factors. Different rounds of the Demographic and Health Survey are used to estimate determinants of c-section rates in private and public facilities before and after the healthcare reform. Estimations are based on a pooled linear regression controlling by obstetric and socioeconomic characteristics. C-section rates in the private sector grew from 28 to 53% after the health reform. Compared to the Ministry of Health (MOH), giving birth in a private hospital in the post-reform period adds 19% to the probability of c-section. The health reform implemented in the private sector increased physician incentives to over-utilize c-sections. The reform consolidated and raised the market power of private health insurers, but at the same time did not provide mechanisms to enlarge, regulate and disclose information of private providers. All these factors created the conditions for fee-for-service paid providers to perform more c-sections. Comparable trends in c-section rates have been observed in Latin American countries who implemented similar reforms in their private sector, suggesting a need to rethink the role of private health providers in developing countries. Copyright © 2010 Elsevier Ireland Ltd. All rights reserved.

Administrative Reform

DEFF Research Database (Denmark)

Plum, Maja

Through the example of a Danish reform of educational plans in early childhood education, the paper critically addresses administrative educational reforms promoting accountability, visibility and documentation. Drawing on Foucaultian perspectives, the relation between knowledge and governing...... of administrative technology, tracing how the humanistic values of education embed and are embedded within ‘the professional nursery teacher' as an object and subject of administrative practice. Rather than undermining the humanistic potential of education, it is argued that the technology of accounting...

Conservation and aid: designing more effective investments in natural resource governance reform.

Science.gov (United States)

Nelson, Fred

2009-10-01

Biodiversity conservation outcomes are closely related to the rules and institutions governing resource use. Creating local incentives for conservation through more secure resource tenure is central to conservation outcomes on private and communal lands, where the preponderance of biodiversity occurs. Conservation efforts in sub-Saharan Africa are therefore centrally concerned with governance dynamics and institutional reform processes, such as the decentralization of property rights, and how best to achieve such reforms. Traditional mechanisms for financing conservation efforts in Africa rely heavily on funds channeled through multilateral and bilateral aid agencies. The history of development aid highlights a range of constraints these aid agencies face in terms of working toward more effective resource governance arrangements and promoting reforms. Government aid agencies possess incentives for promoting large-scale and short-term projects that maximize expenditure volumes and tend to define issues in technical rather than political terms. The history of development aid suggests that these and other characteristics of aid agencies impedes their ability to influence governance reform processes and that aid funding may discourage the adoption of reforms. Greater emphasis in African conservation financing needs to be placed on flexible, small-scale investments aligned to local interests and constituencies that prioritize innovation, learning, and experimentation. Additionally, more research is required that explores the linkages between conservation funding, donor decision-making processes, and governance reforms.

An Econometric Analysis of Two Possible Land Reform Strategies in ...

African Journals Online (AJOL)

This paper argues that for the agricultural sector to be developed, there would be need for a detailed research to determine a possible land reform strategy suitable particularly, to sub-regions – North/South - and their social and cultural relations to land.

Upgrading of reformate gas for different applications with focus on small-scale hydrogen production

Energy Technology Data Exchange (ETDEWEB)

Jannasch, Anna-Karin; Silversand, Fredrik [CATATOR AB, Lund (Sweden)

2004-12-01

Hydrogen gas or hydrogen rich gas is today used in many different applications, i.e. as fuel in fuel cells or additive in vehicle fuel (i.e. hythane) and as reagent or reducing agent in different industrial product lines. The majority of the hydrogen is produced either via electrolysis or reformation, where this work has entirely been focused on the latter alternative. The overarching aims of this project have been to demonstrate the need for reformate purification for different applications, and then, to investigate different available methods that can be used in order to enable the requested gas clean-up. The different purification methods have been examined with respect to parameters such as operating conditions (temperature, pressure), impurity tolerance, size, weight and cost. Another goal of the project has been to investigate how the reformer fuel type used influences the reformate gas quality and hence, the need for gas purification before the reformate can be fed to e.g. a low temperature polymer membrane fuel cell (PEMFC). For this reason, some experimental work has been performed. First, analysis of the reformate gas composition when natural gas, LPG, gasoline, diesel, kerosene (low and high S-concentration (i.e. JP8)) and ethanol have been processed. The reformation tests were carried out in a small scale reformer unit ({approx} 1 kW H{sub 2}) including Catator's catalyst formulations developed for the steam reforming, the water gas shift and the preferential oxidation reaction, respectively. Verification tests, with synthetic gas blends, including different potential reformate impurities, and with real reformate gas were thereafter performed with a commercial 4-cell PEMFC stack (3-5 W). Finally, some examination and also to some extent further development of Catator's existing gas purification units were made, i.e. chemical (WGS, PROX) and physical (regenerative adsorption). The Pd-alloy membrane seems to be the obvious choice of purification

Institutional stakeholder perceptions of barriers to addiction treatment under Mexico's drug policy reform.

Science.gov (United States)

Werb, Dan; Strathdee, Steffanie A; Meza, Emilo; Rangel Gomez, Maria Gudelia; Palinkas, Lawrence; Medina-Mora, Maria Elena; Beletsky, Leo

2017-05-01

Mexico has experienced disproportionate drug-related harms given its role as a production and transit zone for illegal drugs destined primarily for the USA. In response, in 2009, the Mexican federal government passed legislation mandating pre-arrest diversion of drug-dependent individuals towards addiction treatment. However, this federal law was not specific about how the scale-up of the addiction treatment sector was to be operationalised. We therefore conducted in-depth qualitative interviews with key 'interactors' in fields affected by the federal legislation, including participants from the law enforcement, public health, addiction treatment, and governmental administration sectors. Among 19 participants from the municipal, state and federal levels were interviewed and multiple barriers to policy reform were identified. First, there is a lack of institutional expertise to implement the reform. Second, the operationalisation of the reform was not accompanied by a coordinated action plan. Third, the law is an unfunded mandate. Institutional barriers are likely hampering the implementation of Mexico's policy reform. Addressing the concerns expressed by interactors through the scale-up of services, the provision of increased training and education programmes for stakeholders and a coordinated action plan to operationalise the policy reform are likely needed to improve the policy reform process.

Designing HIGH-COST medicine: hospital surveys, health planning, and the paradox of progressive reform.

Science.gov (United States)

Perkins, Barbara Bridgman

2010-02-01

Inspired by social medicine, some progressive US health reforms have paradoxically reinforced a business model of high-cost medical delivery that does not match social needs. In analyzing the financial status of their areas' hospitals, for example, city-wide hospital surveys of the 1910s through 1930s sought to direct capital investments and, in so doing, control competition and markets. The 2 national health planning programs that ran from the mid-1960s to the mid-1980s continued similar strategies of economic organization and management, as did the so-called market reforms that followed. Consequently, these reforms promoted large, extremely specialized, capital-intensive institutions and systems at the expense of less complex (and less costly) primary and chronic care. The current capital crisis may expose the lack of sustainability of such a model and open up new ideas and new ways to build health care designed to meet people's health needs.

Impact of reform and privatization on consumers: A case study of power sector reform in Orissa, India

International Nuclear Information System (INIS)

Kundu, Goutam Kumar; Mishra, Bidhu Bhusan

2011-01-01

Orissa is the first state in India to have undergone reform in the power sector, with the government withdrawing its control. The model of this reform is known as the WB-Orissa model. The goal of this paper is to examine the impact of this reform on consumers of electricity, which has been measured using multiple regression models. The variables represent the parameters that consumers are most interested in, and the regression coefficients represent the weights of the corresponding variables. The data were collected using a survey methodology. The impact of reform was found to be mixed. Some groups of consumers saw benefits, while others felt a negative impact. A focus group study was conducted to identify the variables of interest to consumers of electricity. The model was used to estimate consumer benefit and was validated using primary data and structural equation modeling. The study revealed beneficial aspects of reform and areas with no benefits. - Highlights: → Linear regression model with seven variables explains consumer benefit. → Governance issue exists after power sector reform of Orissa. → Reform benefited most consumers with a few exceptions. → Reform affected agricultural consumers.

China struggles to reform giants

International Nuclear Information System (INIS)

McDonald, Paul

1999-01-01

This article examines the struggle to reform the Chinese oil industry. Topics discussed include the defending of state monopolies, the capital injections required by the three main national oil companies, the bidding of the China National Petroleum Corporation (CNPC) for oilfields in Kazakhstan resulting in the need for large investment, and CNPC's failure to meet its spending commitments in the Middle East. Expenditure on exploration, the funding of gas development, and the plans of the China Petroleum Corporation (Sinopec) to raise funds overseas are discussed, and competition problems are considered. (UK)

[Impact of the funding reform of teaching hospitals in Brazil].

Science.gov (United States)

Lobo, M S C; Silva, A C M; Lins, M P E; Fiszman, R

2009-06-01

To assess the impact of funding reform on the productivity of teaching hospitals. Based on the Information System of Federal University Hospitals of Brazil, 2003 and 2006 efficiency and productivity were measured using frontier methods with a linear programming technique, data envelopment analysis, and input-oriented variable returns to scale model. The Malmquist index was calculated to detect changes during the study period: 'technical efficiency change,' or the relative variation of the efficiency of each unit; and 'technological change' after frontier shift. There was 51% mean budget increase and improvement of technical efficiency of teaching hospitals (previously 11, 17 hospitals reached the empirical efficiency frontier) but the same was not seen for the technology frontier. Data envelopment analysis set benchmark scores for each inefficient unit (before and after reform) and there was a positive correlation between technical efficiency and teaching intensity and dedication. The reform promoted management improvements but there is a need of further follow-up to assess the effectiveness of funding changes.

Reform and Backlash to Reform

DEFF Research Database (Denmark)

Hougaard Jensen, Svend E.; Hagen Jørgensen, Ole

Using a stochastic general equilibrium model with overlapping generations, this paper studies (i) the effects on both extensive and intensive labor supply responses to changes in fertility rates, and (ii) the potential of a retirement reform to mitigate the effects of fertility changes on labor s...

Reforming Medicare through 'version 2.0' of accountable care.

Science.gov (United States)

Lieberman, Steven M

2013-07-01

Medicare needs fundamental reform to achieve fiscal sustainability, improve value and quality, and preserve beneficiaries' access to physicians. Physician fees will fall by one-quarter in 2014 under current law, and the dire federal budget outlook virtually precludes increasing Medicare spending. There is a growing consensus among policy makers that reforming fee-for-service payment, which has long served as the backbone of Medicare, is unavoidable. Accountable care organizations (ACOs) provide a new payment alternative but currently have limited tools to control cost growth or engage and reward beneficiaries and providers. To fundamentally reform Medicare, this article proposes an enhanced version of ACOs that would eliminate the scheduled physician fee cuts, allow fees to increase with inflation, and enhance ACOs' ability to manage care. In exchange, the proposal would require modest reductions in overall Medicare spending and require ACOs to accept increased accountability and financial risk. It would cause per beneficiary Medicare spending by 2023 to fall 4.2 percent below current Congressional Budget Office projections and help the program achieve fiscal sustainability.

INSTITUTIONAL THEORY OF ECONOMIC REFORMS: BASIC IMPERATIVES

Directory of Open Access Journals (Sweden)

Oleg Sergeevich SUKHAREV

2015-07-01

Full Text Available The ability of institutional economic theory to explain various kinds of economic reforms (changes on the basis of theoretical ideas about the dysfunction of institutions and systems are investigated. A number of classifications of reforms and dysfunctions is introduced and kinds of institutional efficiency of economic systems are defined. Qualitative regularities of various reforms of the twentieth century in different countries are generalized. A number of criteria of effective institutional reforms, capable to lower the depth and the scale of dysfunctions of the functioning economic subsystems is formed. System approach to the analysis of economic systems reforming with underlining the importance of reform “management” factor which defines productivity of economic development is elaborated. Life cycle of institution and economic system in the process of its reforming is presented and correction of J. Hellmann’s model, describing the reforming logic of economy is made.

The rise and fall of democratic universalism: health care reform in Italy, 1978-1994.

Science.gov (United States)

Ferrera, M

1995-01-01

In 1978, a sweeping reform created the first national health service of continental Europe: Italy's Servizio Sanitario Nazionale. This new scheme was based on the principle of "full democratic universalism": The state would provide free and equal benefits to every citizen and the organization of public health would subject to popular control, essentially through political parties. However, the severe problems encountered in implementing the reform design and rapidly increasing health expenditures soon eroded any consensus on this principle. Thus the 1980s and early 1990s witnessed a gradual shift to "conditional and well managed universalism." These latter principles stress the need to differentiate access to care according to some criterion to regulate demand and the need for efficient use of scarce resources through adequate valorization of managerial skills and the use of "market-type" incentives. An elaborated system of user copayments was introduced gradually, and in 1992 a "reform of the reform" profoundly changed the organizational framework of the Servizio Sanitario Nazionale. The new government elected in the spring of 1994 announced ambitious plans to partially dismantle public universal insurance. Although these plans may prove difficult, the potential to form an anti-universalistic coalition seems strong in the contemporary Italian health care arena.

Technology Comprehension - Scaling Making into a National Discipline

DEFF Research Database (Denmark)

Tuhkala, Ari; Nielsen, Nick; Wagner, Marie-Louise

2018-01-01

, surveys, and a theme discussion with experienced teachers from the 13 schools. The main takeaways are: First, the teachers did not perceive Technology Comprehension as a distinguished discipline, which calls for more research on how Making is scaled into a national discipline. Second, Technology......We account for the first research results from a government initiated experiment that scales Making to a national discipline. The Ministry of Education, in Denmark, has introduced Technology Comprehension as a new discipline for lower secondary education. Technology Comprehension is first...... Comprehension opens up for interdisciplinary and engaging learning activities, but teachers need scaffolding and support to actualise these opportunities. Third, Technology Comprehension challenges teachers’ existing competencies in relation to the discipline and students’ prerequisites and needs. Teachers need...

Political Parties, Clientelism, and Bureaucratic Reform

OpenAIRE

Cruz, Cesi; Keefer, Philip

2015-01-01

The challenge of public administration reform is well-known: politicians often have little interest in the efficient implementation of government policy. Using new data from 439 World Bank public sector reform loans in 109 countries, we demonstrate that such reforms are significantly less likely to succeed in the presence of non-programmatic political parties. Earlier research uses evidence from a small group of countries to conclude that clientelistic politicians resist reforms that restrict...

Steam reformer with catalytic combustor

Science.gov (United States)

Voecks, Gerald E. (Inventor)

1990-01-01

A steam reformer is disclosed having an annular steam reforming catalyst bed formed by concentric cylinders and having a catalytic combustor located at the center of the innermost cylinder. Fuel is fed into the interior of the catalytic combustor and air is directed at the top of the combustor, creating a catalytic reaction which provides sufficient heat so as to maintain the catalytic reaction in the steam reforming catalyst bed. Alternatively, air is fed into the interior of the catalytic combustor and a fuel mixture is directed at the top. The catalytic combustor provides enhanced radiant and convective heat transfer to the reformer catalyst bed.

Editorial summary: findings from a survey on the Danish study progress reform

DEFF Research Database (Denmark)

Sarauw, Laura Louise; Madsen, Simon Ryberg

The summary presents the key findings from the first comprehensive survey of what students expect of the Danish Study Progress Reform. The summarised report is based on a survey conducted among 4.354 university students, who were asked to assess how they expect to manage their time and prioritise...... their activities in light of the Study Progress Reform’s requirements for faster completion. The survey was distributed in April 2015 as part of a politically independent research project funded by the Danish Council for Independent Research/Humanities (FKK)....

Discussion on teaching reform of environmental planning and management

Science.gov (United States)

Zhang, Qiugen; Chen, Suhua; Xie, Yu; Wei, Li'an; Ding, Yuan

2018-05-01

The curriculum of environmental planning and management is an environmental engineering major curriculum established by the teaching steering committee of environmental science and engineering of Education Ministry, which is the core curriculum of Chinese engineering education professional certification. It plays an important role in cultivating environmental planning and environmental management ability of environmental engineering major. The selection and optimization of the course teaching content of environmental planning and management were discussed which including curriculum teaching content updating and optimizing and teaching resource system construction. The comprehensive application of teaching method was discussed which including teaching method synthesis and teaching method. The final combination of the assessment method was also discussed which including the formative assessment normal grades and the final result of the course examination. Through the curriculum comprehensive teaching reform, students' knowledge had been broadened, the subject status and autonomy of learning had been enhanced, students' learning interest had been motivated, the ability of students' finding, analyzing and solving problems had been improved. Students' innovative ability and positive spirit had been well cultivated.

THE NEED TO REFORM THE BANKING SYSTEM – A PREMISE FOR THE IMPLEMENTATION OF THE BASEL III ACCORD

Directory of Open Access Journals (Sweden)

Cosma Daniela

2013-07-01

Many of the changes in the banking system are inspired by the final draft of the G-20 reunion, that of developed countries, in November 2008, a draft considering the economic re-launch and reform. Basel III considers the reform of the banking system by measures whose cover area is much larger and they refer to both the micro-prudential framework and to the macro-prudential one. The application of all the measures established by Basel III Accord is expected to end by 2019, with different effects in the main segments of banking business: retail, corporate and investment banking. The impact of Basel III implementation in the banking system of the USA is almost similar to that of Europe’s, with slight differences regarding the capital and the reduction of mortgage rights, which play a more important role in the USA, the latter having another starting economic point than Europe.

Feasibility of reforms regarding their reaches: An outline of an impossibility theorem

Directory of Open Access Journals (Sweden)

Madžar Ljubomir D.

2003-01-01

Full Text Available Reform endeavors run up against various sorts of constraints. A major set of constraints is the one derived from the lack of information and knowledge. This category of constraints is inextricably linked with the size of the reform undertakings. The architects of reforms do not have the knowledge needed for designing big institutional changes. Moreover, the big changes take the system far a field from its initial position, the one to be overcome by the reform process. Both features generate two distinct types of uncertainty which are sources of potential hazards and could easily produce the breakdown of the system as a whole with well-known disastrous consequences. This reasoning turns down to the standard argument of feasibility and (there- fore desirability of the Popper-like piecemeal engineering. Another important issue is the necessity/desirability of preserving old institutions while the new ones are being built lest institutional vacua be developed with disastrous consequences. The argument is analogous to the tenor of the Burke critique of the French Revolution. The upshot of the analysis is that quick implementation of the far-reaching changes is not to be expected and that the going criticisms of the alleged sluggishness of reforms are to some extent ill-advised.

Understanding Comprehensive School Reforms: Insights from Comparative-Historical Sociology and Power Resources Theory

Science.gov (United States)

Sass, Katharina

2015-01-01

The historical origins and development of comprehensive schooling have seldom been analyzed systematically and comparatively. However, there is a rich comparative and historically grounded literature on the development of welfare states, which focuses on many relevant policies, but ignores the education system. In particular, the power resources…

Security Sector Reform in Albania

OpenAIRE

Abazi, Enika; Bumci, Aldo; Hide, Enri; Rakipi, Albert

2009-01-01

International audience; This paper analyses security sector reform (SSR) in Albania. In all its enterprises in reforming the security sector,Albania is assisted by different initiatives and projects that provide expertise and financial support. To assesswhether reforms improved the overall security environment (national and human) of the country, it is necessaryto measure the effectiveness of the various initiatives and projects. This is gauged by how well the initiatives andprojects achieved...

The Principle of Self-Dependence of Judicial Authority in the Context of the Constitutional Reforms in the Republic of Armenia

Directory of Open Access Journals (Sweden)

Tumanyants Yeranuhi S.

2018-03-01

Full Text Available In article some aspects of the constitutional reforms of the Republic of Armenia which guarantee the realization of the principle of self-dependence judicial authority are considered. In particular, questions concerning the activity of the Supreme judicial council (the assignee of present Council of justice as the guarantee of self-dependence of judicial authorities, and the procedure of selection (appointment of judges are separated. Changes which have been made during the constitutional reform are also considered, the assessment to the carried-out reforms based on the recommendations of the international organizations and the international documents is given. On the basis of the comprehensive analysis practical recommendations about the direction of further improvement of the legislation concerning realization of the principle of self-dependence of judicial authority, in particular concerning activity of the Supreme judicial council and the procedure of selection (appointment of judges are offered.

Behavioral health and health care reform models: patient-centered medical home, health home, and accountable care organization.

Science.gov (United States)

Bao, Yuhua; Casalino, Lawrence P; Pincus, Harold Alan

2013-01-01

Discussions of health care delivery and payment reforms have largely been silent about how behavioral health could be incorporated into reform initiatives. This paper draws attention to four patient populations defined by the severity of their behavioral health conditions and insurance status. It discusses the potentials and limitations of three prominent models promoted by the Affordable Care Act to serve populations with behavioral health conditions: the Patient-Centered Medical Home, the Health Home initiative within Medicaid, and the Accountable Care Organization. To incorporate behavioral health into health reform, policymakers and practitioners may consider embedding in the reform efforts explicit tools-accountability measures and payment designs-to improve access to and quality of care for patients with behavioral health needs.

Goodbye Conflict, Hello Development? Curriculum Reform in Timor-Leste

Science.gov (United States)

Shah, Ritesh

2012-01-01

Motivations to reform curriculum in post-conflict, or post-colonial states are often driven by the need to (re) construct a cohesive and publicly legitimated national identity that is starkly different to that which existed prior. This paper explores the context behind such action in the Timor-Leste (East Timor) and some challenges which policy…

Aspects of financial history in Romania. Reform and reformers. The financial tax reform accomplished BY Nicolae Titulescu

Directory of Open Access Journals (Sweden)

Ciobanu, R.

2012-01-01

Full Text Available This paper presents a brief history of the financial reform designed by Nicolae Titulescu at the beginning of the 1920’s. His tax reform law was formulated after thorough research of other European tax systems. He tried to implement it while he was Minister of Finance. Even though the law was adopted, it was never enacted. It met a certain amount of controversy in the Assembly of Deputies. The analysis made also tries to explain the cedular tax system.

Power sector reform in Maharashtra, India

International Nuclear Information System (INIS)

Totare, Ninad P.; Pandit, Shubha

2010-01-01

In early 1990 the power sector in India required an initial set of reforms due to the scarcity of financial resources and its deteriorating technical and commercial efficiency. The Indian power sector is now going through a second stage of reforms in which restructuring of electric supply utilities has taken place. The Maharashtra State Electricity Board (MSEB) initiated reforms in 2005 by dividing the state electricity board into four separate companies. In this paper, the situations that led to the reform of the MSEB and the scope of the work required for an action plan initiated by the state electricity distribution company in the context of the proposed Key Performance Index are discussed. The post-reform status of the distribution company is analyzed with selected key parameters. The study also analyzes the electricity supply model implemented and the effect of a multi-year tariff plan as one of the key milestones of the tariff structure. The various new projects implemented by the distribution company to improve consumer services and the reform experiences of the other states are discussed, along with the future scope of the present reform process. (author)

Reforming the road freight transportation system using systems thinking: An investigation of Coronial inquests in Australia.

Science.gov (United States)

Newnam, Sharon; Goode, Natassia; Salmon, Paul; Stevenson, Mark

2017-04-01

Road freight transport is considered to be one of the most dangerous industries in Australia, accounting for over 30% of all work fatalities. Whilst system reform (i.e., change to policy and practice) is needed, it is not clear what this reform should be, or what approaches should be used to drive it. This article argues that road freight transportation reform should be underpinned by a systems thinking approach. Efforts to understand crash causation should be focused beyond the driver and identify contributing factors at other levels with the road freight system. Accordingly, we present the findings from a study that examined whether Australian Coronial investigations into road freight crashes reflect support appropriate system reform. Content analysis was used to identify the contributing factors and interrelations implicated in the road freight crashes described in publicly available Australian Coroner's inquest reports from the last 10 years (2004-2014; n=21). The results found evidence to suggest that the Coronial inquests provide some understanding of the complex system of factors influencing road freight transportation crashes in Australia. However, there was a lack of evidence to suggest an understanding of system-based reform based on the identification of reductionist-focused recommendations. It is concluded that researchers and practitioners (ie., government and industry) need to work together to develop prevention efforts focused on system reforms. Systems thinking based data collection and analysis frameworks are urgently required to help develop this understanding in road freight transportation. Copyright © 2017 Elsevier Ltd. All rights reserved.

Obesity and health system reform: private vs. public responsibility.

Science.gov (United States)

Yang, Y Tony; Nichols, Len M

2011-01-01

Obesity is a particularly vexing public health challenge, since it not only underlies much disease and health spending but also largely stems from repeated personal behavioral choices. The newly enacted comprehensive health reform law contains a number of provisions to address obesity. For example, insurance companies are required to provide coverage for preventive-health services, which include obesity screening and nutritional counseling. In addition, employers will soon be able to offer premium discounts to workers who participate in wellness programs that emphasize behavioral choices. These policies presume that government intervention to reduce obesity is necessary and justified. Some people, however, argue that individuals have a compelling interest to pursue their own health and happiness as they see fit, and therefore any government intervention in these areas is an unwarranted intrusion into privacy and one's freedom to eat, drink, and exercise as much or as little as one wants. This paper clarifies the overlapping individual, employer, and social interest in each person's health generally to avoid obesity and its myriad costs in particular. The paper also explores recent evidence on the impact of government interventions on obesity through case studies on food labeling and employer-based anti-obesity interventions. Our analysis suggests a positive role for government intervention to reduce and prevent obesity. At the same time, we discuss criteria that can be used to draw lines between government, employer, and individual responsibility for health, and to derive principles that should guide and limit government interventions on obesity as health reform's various elements (e.g., exchanges, insurance market reforms) are implemented in the coming years. © 2011 American Society of Law, Medicine & Ethics, Inc.

Welfare implication of reforming energy consumption subsidies

International Nuclear Information System (INIS)

Breton, Michèle; Mirzapour, Hossein

2016-01-01

Reforming energy consumption subsidies, in particular for fossil fuels, has been frequently referred to as a quick-win policy to enhance environmental mitigation. In addition, the removal of such subsidies may release a sizeable portion of a country's national budget for use on more productive targets. One of the most recognized challenges of such reform is “selling” the new energy prices to citizens, particularly those with a more fragile purchasing power. Several empirical and technical studies have prescribed that the reform might be supported by a direct compensation mechanism in order to ensure feasibility. This is what was done during the recent energy subsidy reform in Iran. However, the compensation mechanism implemented in Iran's reform was successful at the beginning, but did not proceed as expected. This has raised questions about the feasibility and sustainability of the direct compensation mechanism, and even of the reform policy itself. In this paper, we consider a stylized model where direct compensation is the instrument proposed to restore consumers’ utility against increased energy prices. We find that, when prices of Other Goods are affected by the announced reform policy, the feasibility of a subsidy reform critically depends on the value of certain parameters: the initial subsidization rate, the share of energy in the consumers’ bundle, and the energy portion of price of Other Goods. - Highlights: • A model of energy subsidy reform with direct compensation is proposed. • Feasibility of the reform is related to three key parameters. • An illustrative example using data from the recent Iranian reform is discussed.

Bio-oil steam reforming, partial oxidation or oxidative steam reforming coupled with bio-oil dry reforming to eliminate CO{sub 2} emission

Energy Technology Data Exchange (ETDEWEB)

Hu, Xun [State Key Laboratory for Oxo Synthesis and Selective Oxidation, Lanzhou Institute of Chemical Physics, Chinese Academy of Sciences, Lanzhou 730000 (China); Graduate School of Chinese Academy of Sciences, Beijing 100039 (China); Lu, Gongxuan [State Key Laboratory for Oxo Synthesis and Selective Oxidation, Lanzhou Institute of Chemical Physics, Chinese Academy of Sciences, Lanzhou 730000 (China)

2010-07-15

Biomass is carbon-neutral and utilization of biomass as hydrogen resource shows no impact on atmospheric CO{sub 2} level. Nevertheless, a significant amount of CO{sub 2} is always produced in biomass gasification processes. If the CO{sub 2} produced can further react with biomass, then the biomass gasification coupled with CO{sub 2} reforming of biomass will result in a net decrease of CO{sub 2} level in atmosphere and produce the chemical raw material, syngas. To achieve this concept, a ''Y'' type reactor is developed and applied in bio-oil steam reforming, partial oxidation, or oxidative steam reforming coupled with CO{sub 2} reforming of bio-oil to eliminate the emission of CO{sub 2}. The experimental results show that the reaction systems can efficiently suppress the emission of CO{sub 2} from various reforming processes. The different coupled reaction systems generate the syngas with different molar ratio of CO/H{sub 2}. In addition, coke deposition is encountered in the different reforming processes. Both catalysts and experimental parameters significantly affect the coke deposition. Ni/La{sub 2}O{sub 3} catalyst shows much higher resistivity toward coke deposition than Ni/Al{sub 2}O{sub 3} catalyst, while employing high reaction temperature is vital for elimination of coke deposition. Although the different coupled reaction systems show different characteristic in terms of product distribution and coke deposition, which all can serve as methods for storage of the carbon from fossil fuels or air. (author)

Energy Analysis in Combined Reforming of Propane

Directory of Open Access Journals (Sweden)

K. Moon

2013-01-01

Full Text Available Combined (steam and CO2 reforming is one of the methods to produce syngas for different applications. An energy requirement analysis of steam reforming to dry reforming with intermediate steps of steam reduction and equivalent CO2 addition to the feed fuel for syngas generation has been done to identify condition for optimum process operation. Thermodynamic equilibrium data for combined reforming was generated for temperature range of 400–1000°C at 1 bar pressure and combined oxidant (CO2 + H2O stream to propane (fuel ratio of 3, 6, and 9 by employing the Gibbs free energy minimization algorithm of HSC Chemistry software 5.1. Total energy requirement including preheating and reaction enthalpy calculations were done using the equilibrium product composition. Carbon and methane formation was significantly reduced in combined reforming than pure dry reforming, while the energy requirements were lower than pure steam reforming. Temperatures of minimum energy requirement were found in the data analysis of combined reforming which were optimum for the process.

Economic Reforms and Constitutional Transition

OpenAIRE

Jeffrey D. Sachs; Wing Thye Woo; Xiaokai Yang

2000-01-01

This paper investigates the relationship between economic reforms and constitutional transition, which has been neglected by many transition economists. It is argued that assessment of reform performance might be very misleading if it is not recognized that economic reforms are just a small part of large scale of constitutional transition. Rivalry and competition between states and between political forces within each country are the driving forces for constitutional transition. We use Russia...

Impact of reform and privatisation on employees a case study of power sector reform in Orissa, India

International Nuclear Information System (INIS)

Kundu, Goutam Kumar; Mishra, Bidhu Bhusan

2012-01-01

Orissa is the first state in India to have undergone reform in the power sector with the Government withdrawing its control. The state government owned integrated Electricity Board which was responsible for generation, transmission and distribution of electricity was unbundled into separate generating, transmitting, distributing and trading companies. The structure and ownership changed. The purpose of this paper is to examine the impact of the reform and privatization on employees. The impact of reform on employees was measured with the help of multiple regression models. The variables represent the parameters that employees are most interested in, and the regression coefficients represent the weights of the corresponding variables. The data were collected using a survey methodology. The impact of reform was observed to be mixed one. Some employees felt benefits while others mentioned negative impact. The study revealed beneficial aspects of reform and areas with no benefits. - Highlights: ► Employee benefit is a linear function of 11 variables. ► Eleven variables predict 95.8% of employees benefit. ► Money received by the employees increased after reform. ► Employees benefit due to reform is a mixed one.

[On the comprehensibility of German hospital quality reports: systematic evaluation and need for action].

Science.gov (United States)

Friedemann, J; Schubert, H-J; Schwappach, D

2009-01-01

operator. The reports' readability and comprehensibility for patients have only scarcely been considered in the current legal resolutions, and there is no undergoing process of improvement. The analysis has shown that there is in fact an urgent need for action. Future reports should therefore ensure that their textual content is formulated in a readable and comprehensible recipient-friendly manner. To enhance customer-oriented transparency within the German public health service patients should be able to fully understand what hospitals want to communicate. Therefore the further process of research will focus on the development of specific criteria for the production of textual reports. This has to be done in co-operation with patients and resident general practitioners.

Land reform: lessons from a southeastern Free State experience ...

African Journals Online (AJOL)

The study also confirms the need for a new constructive process so as to allow groups as well as individuals to participate in the development process. It is obvious from the study that the finalization of the process of review and restructuring of land reform will not be achieved without problems. To ensure a smooth process, ...

49 CFR 260.13 - Credit reform.

Science.gov (United States)

2010-10-01

... appropriations, direct payment of a Credit Risk Premium by the Applicant or a non-Federal infrastructure partner... 49 Transportation 4 2010-10-01 2010-10-01 false Credit reform. 260.13 Section 260.13... REHABILITATION AND IMPROVEMENT FINANCING PROGRAM Overview § 260.13 Credit reform. The Federal Credit Reform Act...

An exploration of the impact of reform-based science instruction on second graders' academic achievement

Science.gov (United States)

Ellis, Valeisha Michelle

The purpose of this study was to examine whether possible relationships might exist between the quality of reform-based science instruction and science and reading achievement in second grade. The study also examined separately possible interactions between quality of instruction and gender and race. The study involved an analysis of data previously collected in a larger one-group pre/post test study of a science instructional intervention (ISI Science) (Connor et al., 2010). In the original study, six teachers and two graduate assistants taught two science units designed based upon constructivist principles and reform-based practices. Using the 5-E Learning Cycle (Bybee, 1997), reading and science were integrated into each lesson. Videotapes were made of all lessons and science and reading achievement data were collected. For the current study, dependent achievement variables were science achievement measured by the Iowa Science Test; reading comprehension, by the Woodcock Passage Comprehension; and vocabulary, by the Iowa Vocabulary. Pre- and post-tests scores on the dependent measures were available for 96 children from the original study. Quality of instruction was measured using the Reformed Teaching Observation Protocol (RTOP) (Sawanda & Piburn, 2000). Videotapes of 24 science lessons from the larger study were analyzed using the RTOP. Reliability of ratings for the RTOP in the study was determined to be .96. No significant results were found for relations between instructional quality (RTOP) and any of the achievement variables although significant pre to post increases on all three measures were observed. No differences by race or gender were found. This latter finding was noteworthy given the research in science identifying both gender and race differences in science achievement. Recommendations for future research and teacher education are discussed.

Does Europe Need a Comprehensive Energy Policy?

International Nuclear Information System (INIS)

Egenhofer, C.; Behrens, A.; Tol, R.S.; Bethelemy, M.; Leveque, F.; Jansen, J.C.

2011-01-01

The nuclear meltdown in Fukushima has given renewed momentum to the anti-nuclear power movement across Europe. However, the degree of momentum varies greatly from country to country, and considering the geographically widespread consequences of a nuclear accident, it hardly appears optimal for one country to ban nuclear power while multiple nuclear power plants are still active in neighbouring countries. Even beyond the nuclear power dilemma, the economic and political externalities associated with energy policy are difficult to overstate. The contributions to this Forum look into the benefits expected from a comprehensive common energy policy for Europe and the problems which establishing such a policy would involve. The titles of the contributions are 'The Future of EU Energy Policy after Fukushima' by Egenhofer and Behrens; 'The Impact of EU Environmental Policy on the Energy Sector' by Tol; 'Harmonising Nuclear Safety Regulation in the EU: Which Priority?' by Bethelemy and Leveque; and 'In the Wake of Fukushima, Should our Electricity become Almost Completely Renewable and Completely Non-Nuclear?' by Jansen.

[A new teaching mode improves the effect of comprehensive experimental teaching of genetics].

Science.gov (United States)

Fenghua, He; Jieqiang, Li; Biyan, Zhu; Feng, Gao

2015-04-01

To improve the research atmosphere in genetics experimental teaching and develop students' creativity in research, we carried out a reform in comprehensive experimental teaching which is one of important modules for genetics practice. In our new student-centered teaching mode, they chose research topics, performed experiments and took innovative approaches independently. With the open laboratory and technical platform in our experimental teaching center, students finished their experiments and were required to write a mini-research article. Comprehensive experimental teaching is a scientific research practice before they complete their thesis. Through this teaching practice, students' research skills in experimental design and operation, data analysis and results presentation, as well as their collaboration spirit and innovation consciousness are strengthened.

Reforming health care in Hungary.

Science.gov (United States)

Császi, L; Kullberg, P

1985-01-01

Over the past two decades Hungary has initiated a series of social and economic reforms which have emphasized decentralization of control and the reintroduction of market mechanisms into the socialized economy. These reforms both reflect and reinforce a changing social structure, in particular the growing influence of upper class special interest groups. Market reforms are an expression of concurrent ideological shifts in Hungarian society. We examined the political significance of three recent proposals to reform health services against the backdrop of broader social and economic changes taking place. The first proposes a bureaucratic reorganization, the second, patient co-payments, and the third, a voucher system. The problems each proposal identifies, as well as the constituency each represents, reveal a trend toward consolidation of class structure in Hungary. Only one of these proposals has any potential to democratize the control and management of the heath care system. Moreover, despite a governmental push toward decentralization, two of these proposals would actually increase centralized bureaucratic control. Two of the reforms incorporate market logic into their arguments, an indication that the philosophical premises of capitalism are re-emerging as an important component of the Hungarian world-view. In Hungary, as well as in other countries, social analysis of proposed health care reforms can effectively illuminate the social and political dynamics of the larger society.

Tri-reforming and combined reforming of methane for producing syngas with desired hydrogen/carbon monoxide ratios

Science.gov (United States)

Pan, Wei

This dissertation is an exploratory study of a new process concept for direct production of synthesis gas (CO + H2) with desired H 2/CO ratios (1.5--2.0) for methanol synthesis and F-T synthesis, using CO2 together with steam and unconverted O2 in flue gas from fossil fuel-fired electric power plants to react with methane or natural gas. This new process is called tri-reforming, referring to simultaneous CO2-steam-O2 reforming of methane or natural gas. This study included (1) The investigation of carbon formation in the tri-reforming process. For comparison, carbon formation in the combined reforming and CO2 reforming reaction was studied as well. (2) The effect of reaction conditions and feed compositions on equilibrium composition (e.g. H2/CO ratio) and equilibrium conversions in the tri-reforming process. (3) The role of catalysts in the tri-reforming process, especially the effect of catalysts on CO2 conversion in the presence of H 2O and O2. It was clearly evidenced from this study that CO in the product stream is probably the major source of carbon over Ni/Al2O3 in the equimolar CO2-CH4 reforming at 650°C and 1 atm. Addition of either O2 or H2O into the CO 2 reforming reaction system can suppress carbon formation. It was demonstrated that carbon-free operation can be achieved in the tri-reforming process. A thermodynamic comparison of tri-reforming with feed compositions of (H2O+CO2+0.5O2)/CH4 (mol ratio) = 1 showed that O2 improves equilibrium CH4 conversion, yet greatly decreases equilibrium CO2 conversion. H2O in tri-reforming has a significant effect on the H2/CO ratio in the products, while O2 has a minor effect. A kinetic study and catalytic performance tests indicated that the support in a supported catalyst has a significant role in enhancing CO2 conversion to CO in the presence of H2O and O2 in tri-reforming. The Ni/MgO catalyst showed superior performance with close to equilibrium CH4 and CO2 conversions at 850°C, 1 atm, and 32,000 ml

Water reform in Sub-Saharan Africa: what is the difference?

Science.gov (United States)

Van Koppen, Barbara

Since the early 1990s African governments took an active part in the global movement of water reform towards Integrated Water Resources Management (IWRM). The first step consisted primarily of assimilating the generic principles of IWRM. At this generic level, water reform in Sub-Saharan Africa seems quite similar to water reform elsewhere in the developed and developing world. However, in taking the second step of operationalizing generic principles into concrete actions on the ground, at least three salient differences between Sub-Saharan Africa and elsewhere emerged: (a) Africa’s relative abundance of water resources but its scarcity of economic means to harness available water resources; (b) the importance of agriculture and agricultural water development for economic growth and poverty eradication; and (c) the need for systems of water rights and financial resource mobilization that are separated and suit the African reality in which large water users are relatively few, while the bulk of water users are scattered smallholders. This paper discusses the early operationalization with regard to these three unique features and identifies lessons learnt.

Have Chinese water pricing reforms reduced urban residential water demand?

Science.gov (United States)

Zhang, B.; Fang, K. H.; Baerenklau, K. A.

2017-06-01

China continues to deal with severe levels of water scarcity and water pollution. To help address this situation, the Chinese central government initiated urban water pricing reforms in 2002 that emphasized the adoption of increasing block rate (IBR) price structures in place of existing uniform rate structures. By combining urban water use records with microlevel data from the Chinese Urban Household Survey, this research investigates the effectiveness of this national policy reform. Specifically, we compare household water consumption in 28 cities that adopted IBR pricing structures during 2002-2009, with that of 110 cities that had not yet done so. Based on difference-in-differences models, our results show that the policy reform reduced annual residential water demand by 3-4% in the short run and 5% in the longer run. These relatively modest reductions are consistent with the generous nature of the IBR pricing structures that Chinese cities have typically chosen to implement. Our results imply that more efforts are needed to address China's persistent urban water scarcity challenges.

The Effect of China’s New Circular Collective Forest Tenure Reform on Household Non-Timber Forest Product Production in Natural Forest Protection Project Regions

Directory of Open Access Journals (Sweden)

Yang Ren

2018-04-01

Full Text Available The implementation of China’s natural forest protection project (Protection Project in 1998 changed households’ forestry production modes in project regions, and China’s new circular collective forest tenure reform (Tenure Reform has been implemented since 2003 with the goal of motivating household forestry production and increasing household income from forests. Policymakers expect that Tenure Reform could also stimulate households to engage in non-timber forest products (NTFPs production in Protection Project regions. However, only a few studies have investigated the effect of Tenure Reform on household NTFP production in Protection Project regions. To fill this gap, we built an integrative conceptual framework and estimated a corresponding structural equation model (SEM using survey data from 932 households in Protection Project regions in southwestern China. In our research framework, there are four factors, including household characteristics, labour and social capital, forestland characteristics, and the Tenure Reform, affecting household NTFP production. The results substantiate that Tenure Reform has had a significant positive effect on household NTFP production. Additionally, household and forestland characteristics have promoted household NTFP production, but quantitatively less than Tenure Reform. This report can be used to inform the government that future investment in Tenure Reform still needs to be enhanced, and policy enforcement still needs to be strengthened.

Veto player theory and reform making in Western Europe.

Science.gov (United States)

Angelova, Mariyana; Bäck, Hanna; Müller, Wolfgang C; Strobl, Daniel

2018-05-01

Veto player theory generates predictions about governments' capacity for policy change. Due to the difficulty of identifying significant laws needed to change the policy status quo, evidence about governments' ability to change policy has been mostly provided for a limited number of reforms and single-country studies. To evaluate the predictive power of veto player theory for policy making across time, policy areas and countries, a dataset was gathered that incorporates about 5,600 important government reform measures in the areas of social, labour, economic and taxation policy undertaken in 13 Western European countries from the mid-1980s until the mid-2000s. Veto player theory is applied in a combined model with other central theoretical expectations on policy change derived from political economy (crisis-driven policy change) and partisan theory (ideology-driven policy change). Robust support is found that governments introduce more reform measures when economic conditions are poor and when the government is positioned further away from the policy status quo. No empirical support is found for predictions of veto player theory in its pure form, where no differentiation between government types is made. However, the findings provide support for the veto player theory in the special case of minimal winning cabinets, where the support of all government parties is sufficient (in contrast to minority cabinets) and necessary (in contrast to oversized cabinets) for policy change. In particular, it is found that in minimal winning cabinets the ideological distance between the extreme government parties significantly decreases the government's ability to introduce reforms. These findings improve our understanding of reform making in parliamentary democracies and highlight important issues and open questions for future applications and tests of the veto player theory.

Reforming Social Policy: Changing Perspectives on Sustainable ...

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

Reforming Social Policy presents an overview of social policy reforms currently ... It shows how some experimental approaches to reform have worked in different ... and students in development studies and social sciences; policymakers and ...

Natural gas pricing reform in China: Getting closer to a market system?

International Nuclear Information System (INIS)

Paltsev, Sergey; Zhang, Danwei

2015-01-01

Recent policy in China targets an increase in the contribution of natural gas to the nation's energy supply. Historically, China's natural gas prices have been highly regulated with a goal to protect consumers. The old pricing regime failed to provide enough incentives for natural gas suppliers, which often resulted in natural gas shortage. A new gas pricing reform was tested in Guangdong and Guangxi provinces in 2011, and introduced nationwide in 2013. The reform is aimed at creating a more market-based pricing mechanism. We show that a substantial progress toward a better predictability and transparency of prices has been made. The prices are now more connected with the international fuel oil and liquid petroleum gas prices. The government's approach for a temporary two-tier pricing when some volumes are still traded at old prices reduced a potential opposition during the new regime implementation. Some limitations of the natural gas pricing remain as it created biased incentives for producers and favors large natural gas suppliers. The pricing reform at its current stage falls short of establishing a complete market mechanism driven by an interaction of supply and demand of natural gas in China. - Highlights: • China's reform of natural gas pricing is in effect nationwide from 2013. • Prices are now connected to international fuel oil and liquid petroleum gas prices. • The reform benefits domestic producers and importers of natural gas. • There are still price distortions between industrial and residential sector. • The reform needs to create a system where both supply and demand are considered.

Plasma devices for hydrocarbon reformation

KAUST Repository

Cha, Min

2017-01-01

Plasma devices for hydrocarbon reformation are provided. Methods of using the devices for hydrocarbon reformation are also provided. The devices can include a liquid container to receive a hydrocarbon source, and a plasma torch configured

THE NECESSITY OF IMPLEMENTING REFORMS IN THE FIELD OF LOCAL PUBLIC FINANCE

Directory of Open Access Journals (Sweden)

Vezure Oana Sabina

2013-06-01

Full Text Available The difficulties faced by local authorities as a result of the austerity conditions in which they work, the elements inherited from the previous regime, the need for additional resources to optimize public finance to meet the needs, optimally, if possible, citizens, require the design and continue the reform of public finances at the local level that correspond to these requirements. Optimization of the reform process in local public finances depend to a great extent on the use of financial levers of fiscal efficiency, fulfilment of the functions of public finance, the way resources are provided and how their administration for economic and social development. The uneven development of economic weakness of the assembly reflect and are unacceptable because, in their turn, become a source of economic and political instability. Responsibility for ensuring sufficient local revenue must not belong to a large measure, the central authorities, the context in which local authorities should prioritize finding solutions to supplement the local budget and obtain funds from the central budget. At the same time, cannot be intended directions of reform in the field of public administration without taking into account the financial implications reflected in the budgets for each level of Government, pyramid-shaped, from central to local level.

School Reforms In Ghana: A Challenge To Teacher Quality And ...

African Journals Online (AJOL)

The role of the teacher in the modern school system is increasingly important and complex. A teacher needs a high level of professional knowledge and autonomous decision making when faced with professional challenges. Educational reform in Ghana like any other parts of the world calls for the type of teacher who is ...

La riforma economica in Ungheria, 1968-82 . (The Hungarian economic reform, 1968-82

Directory of Open Access Journals (Sweden)

B. BALASSA

2013-12-01

Full Text Available Il presente lavoro inizia con una breve descrizione delle caratteristiche principali della riforma economica globale che è stata introdotta in Ungheria nel 1968 , prima di valutare la performance economica nel quadro della riforma e le tendenze verso ricentralizzazione . Gli effetti economici delle politiche applicate sono poi analizzati . Le ulteriori riforme del 1980-81 vengono poi valutati , seguiti dall' agricoltura e la "Second Economy" . L'autore conclude che l'Ungheria ha stabilito con successo un sistema economico che unisce il grande settore socialista , le cooperative e le attività private di piccole dimensioni in maniera flessibile , che forse spiega la disponibilità di una vasta gamma di beni di consumo e dei servizi  unico nella zona CMEAThe present work begins by briefly describing the principal features of the comprehensive economic reform that was introduced in Hungary in 1968, before assessing economic performance under the reform and tendencies towards recentralisation. The economic effects of the policies applied is then analysed. The further reforms of 1980-81 are then evaluated, followed by agriculture and the “Second Economy”. The author concludes that Hungary has successfully established an economic system which combines the large-scale socialist sector, co-operatives, and small-scale private activities in a flexible manner, possibly explaining the availability of a wide range of consumer goods and services that is unique in the CMEA area.JEL: P21

Environmental consequences of electricity sector reforms

International Nuclear Information System (INIS)

Wohlgemuth, N.

1999-01-01

Worldwide, the electricity industry is in the process of undergoing fundamental transitions. The reform process typically involves one or more of the following changes: commercialisation, privatisation, unbundling/restructuring and introduction of competition. The environmental impacts of these changes pull in different directions. There is concern that restructured electricity markets may not always incorporate adequately the environmental impacts of electricity resource development and consumption decisions. However, the electricity sector reform process also offers an opportunity to promote positive environmental changes: because the sector is already in flux, it may be easier to address environmental issues. The paper gives an overview of power sector reform in six countries where reforms have already been implemented, and concludes that reform measures will have to be accompanied by competitively neutral regulations in order to stimulate investment in environmentally sound technologies, including renewable and energy efficient technologies. (author)

Payment reform in the patient-centered medical home: Enabling and sustaining integrated behavioral health care.

Science.gov (United States)

Miller, Benjamin F; Ross, Kaile M; Davis, Melinda M; Melek, Stephen P; Kathol, Roger; Gordon, Patrick

2017-01-01

The patient-centered medical home (PCMH) is a promising framework for the redesign of primary care and more recently specialty care. As defined by the Agency for Healthcare Research and Quality, the PCMH framework has 5 attributes: comprehensive care, patient-centered care, coordinated care, accessible services, and quality and safety. Evidence increasingly demonstrates that for the PCMH to best achieve the Triple Aim (improved outcomes, decreased cost, and enhanced patient experience), treatment for behavioral health (including mental health, substance use, and life stressors) must be integrated as a central tenet. However, challenges to implementing the PCMH framework are compounded for real-world practitioners because payment reform rarely happens concurrently. Nowhere is this more evident than in attempts to integrate behavioral health clinicians into primary care. As behavioral health clinicians find opportunities to work in integrated settings, a comprehensive understanding of payment models is integral to the dialogue. This article describes alternatives to the traditional fee for service (FFS) model, including modified FFS, pay for performance, bundled payments, and global payments (i.e., capitation). We suggest that global payment structures provide the best fit to enable and sustain integrated behavioral health clinicians in ways that align with the Triple Aim. Finally, we present recommendations that offer specific, actionable steps to achieve payment reform, complement PCMH, and support integration efforts through policy. (PsycINFO Database Record (c) 2017 APA, all rights reserved).

Modeling and simulation of an isothermal reactor for methanol steam reforming

Directory of Open Access Journals (Sweden)

Raphael Menechini Neto

2014-04-01

Full Text Available Due to growing electricity demand, cheap renewable energy sources are needed. Fuel cells are an interesting alternative for generating electricity since they use hydrogen as their main fuel and release only water and heat to the environment. Although fuel cells show great flexibility in size and operating temperature (some models even operate at low temperatures, the technology has the drawback for hydrogen transportation and storage. However, hydrogen may be produced from methanol steam reforming obtained from renewable sources such as biomass. The use of methanol as raw material in hydrogen production process by steam reforming is highly interesting owing to the fact that alcohol has the best hydrogen carbon-1 ratio (4:1 and may be processed at low temperatures and atmospheric pressures. They are features which are desirable for its use in autonomous fuel cells. Current research develops a mathematical model of an isothermal methanol steam reforming reactor and validates it against experimental data from the literature. The mathematical model was solved numerically by MATLAB® and the comparison of its predictions for different experimental conditions indicated that the developed model and the methodology for its numerical solution were adequate. Further, a preliminary analysis was undertaken on methanol steam reforming reactor project for autonomous fuel cell.

A Study on improvement of comprehensive environmental management system - activation of liberalized environmental management

Energy Technology Data Exchange (ETDEWEB)

Chung, Hweu Sung; Kang, Chul Goo [Korea Environment Institute, Seoul (Korea)

1998-12-01

As a part of improvement on a comprehensive environmental management system, this study was attempted to find an activating policy for a liberalized environmental management. This study provided an activation plan of reasonable environmental regulation reform and liberalized environmental management through the analysis of foreign examples and domestic situation. Furthermore, it analyzed an institutional mechanism for a smooth operation of liberalized environmental management. 68 refs., 5 figs., 51 tabs.

Human resource for health reform in peri-urban areas: a cross-sectional study of the impact of policy interventions on healthcare workers in Epworth, Zimbabwe.

Science.gov (United States)

Taderera, Bernard Hope; Hendricks, Stephen James Heinrich; Pillay, Yogan

2017-12-16

The need to understand how healthcare worker reform policy interventions impact health personnel in peri-urban areas is important as it also contributes towards setting of priorities in pursuing the universal health coverage goal of health sector reform. This study explored the impact of post 2008 human resource for health reform policy interventions on healthcare workers in Epworth, a peri-urban community in Harare, Zimbabwe, and the implications towards health sector reform policy in peri-urban areas. The study design was exploratory and cross-sectional and involved the use of qualitative and quantitative methods in data collection, presentation, and analysis. A qualitative study in which data were collected through a documentary search, five key informant interviews, seven in-depth interviews, and five focus group discussions was carried out first. This was followed by a quantitative study in which data were collected through a documentary search and 87 semi-structured sample interviews with healthcare workers. Qualitative data were analyzed thematically whilst descriptive statistics were used to examine quantitative data. All data were integrated during analysis to ensure comprehensive, reliable, and valid analysis of the dataset. Three main factors were identified to help interpret findings. The first main factor consisted policy result areas that impacted most successfully on healthcare workers. These included the deployment of community health workers with the highest correlation of 0.83. Policy result areas in the second main factor included financial incentives with a correlation of 0.79, training and development (0.77), deployment (0.77), and non-financial incentives (0.75). The third factor consisted policy result areas that had the lowest satisfaction amongst healthcare workers in Epworth. These included safety (0.72), equipment and tools of trade (0.72), health welfare (0.65), and salaries (0.55). The deployment of community health volunteers impacted

Financial performance after the Spanish banking reforms: A comparative study of 19 commercial banks

Directory of Open Access Journals (Sweden)

Pison F. Irene

2014-06-01

Full Text Available A diagnostic review of the Spanish financial system during the 2008 financial crisis reveals the emergency need for banking reform in the sector. In an attempt to evaluate the impact of the Spanish reform, the present study examines the bank´s performance before/after the reform was adopted, using data of 19 Spanish commercial banks extracted from the Global Vantage research database (Standard and Poor’s over the period 2006 to 2013. This study uses multivariable regression method to investigate the impact of the CAMELS rating system: capital adequacy, asset quality, management quality, liquidity and sensitivity to market risks on the bank´s performance such as earnings efficiency. The time-line of the study is essential because it helps us to determine the financial performance of Spanish commercial banks before the banking reforms during the financial crisis and an important set in terms of mergers and acquisition in the banking industry. The empirical results have found strong and positive evidence that Capital Adequacy, Management Capacity, Liquidity and Sensitivity to Market Risk are useful predictors of banks performance (earnings efficiency, thus, any reform pilot toward this banking indicators will eventually have a positive impact on banking performance. Base on the present study, the Spanish reform was so vital for better banking performance. Therefore, this study serves not only to academics but also to policy makers

Applications of solar reforming technology

Energy Technology Data Exchange (ETDEWEB)

Spiewak, I. [Weizmann Inst. of Science, Rehovoth (Israel); Tyner, C.E. [Sandia National Labs., Albuquerque, NM (United States); Langnickel, U. [Deutsche Forschungsanstalt fuer Luft- und Raumfahrt e.V. (DLR), Koeln (Germany)

1993-11-01

Research in recent years has demonstrated the efficient use of solar thermal energy for driving endothermic chemical reforming reactions in which hydrocarbons are reacted to form synthesis gas (syngas). Closed-loop reforming/methanation systems can be used for storage and transport of process heat and for short-term storage for peaking power generation. Open-loop systems can be used for direct fuel production; for production of syngas feedstock for further processing to specialty chemicals and plastics and bulk ammonia, hydrogen, and liquid fuels; and directly for industrial processes such as iron ore reduction. In addition, reforming of organic chemical wastes and hazardous materials can be accomplished using the high-efficiency destruction capabilities of steam reforming. To help identify the most promising areas for future development of this technology, we discuss in this paper the economics and market potential of these applications.

Thermodynamic investigation and environment impact assessment of hydrogen production from steam reforming of poultry tallow

International Nuclear Information System (INIS)

Hajjaji, Noureddine

2014-01-01

Highlights: • Thermodynamic analysis and environmental impact assessment of H 2 production system. • Thermodynamic analysis identifies optimal conditions for H 2 production. • LCA is applied to evaluate the environmental impacts of H 2 production system. • Inventories data are derived from process simulation and from literature review. • Thermal energy process is the main contributor to the environmental impact. - Abstract: In this research, various assessment tools are applied to comprehensively investigate hydrogen production from steam reforming of poultry tallow (PT). These tools investigate the chemical reactions, design and simulate the entire hydrogen production process, study the energetic performance and perform an environment impact assessment using life cycle assessment (LCA) methodology. The chemical reaction investigation identifies thermodynamically optimal operating conditions at which PT may be converted to hydrogen via the steam reforming process. The synthesis gas composition was determined by simulations to minimize the Gibbs free energy using the Aspen Plus™ 10.2 software. These optimal conditions are, subsequently, used in the design and simulation of the entire PT-to-hydrogen process. LCA is applied to evaluate the environmental impacts of PT-to-hydrogen system. The system boundaries include rendering and reforming along with the required transportation process. The reforming inventories data are derived from process simulation in Aspen Plus™, whereas the rendering data are adapted from a literature review. The life cycle inventories data of PT-to-hydrogen are computationally implemented into SimaPro 7.3. A set of seven relevant environmental impact categories are evaluated: global warming, abiotic depletion, acidification, eutrophication, ozone layer depletion, photochemical oxidant formation, and cumulative non-renewable fossil and nuclear energy demand. The results are subject to a systematic sensitivity analysis and compared

Crisis, criticism, change: Regulatory reform in the wake of nuclear accidents

International Nuclear Information System (INIS)

Sexton, Kimberly A.; )

2015-01-01

Accidents are a forcing function for change in the nuclear industry. While these events can shed light on needed technical safety reforms, they can also shine a light on needed regulatory system reforms. The TEPCO Fukushima Daiichi nuclear power plant (NPP) accident in Japan is the most recent example of this phenomenon, but it is not the only one. In the wake of the three major accidents that have occurred in the nuclear power industry - Three Mile Island (TMI) in the United States; Chernobyl in Ukraine, in the former Soviet Union; and the Fukushima Daiichi NPP accident in Japan - a commission or committee of experts issued a report (or reports) with harsh criticism of the countries' regulatory system. And each of these accidents prompted changes in the respective regulatory systems. In looking at these responses, however, one must ask if this crisis, criticism, change approach is working and whether regulatory bodies around the world should instead undertake their own systematic reviews, un-prompted by crisis, to better ensure safety. This article will attempt to analyse the issue of regulatory reform in the wake of nuclear accidents by first providing a background in nuclear regulatory systems, looking to international and national legal frameworks. Next, the article will detail a cross-section of current regulatory systems around the world. Following that, the article will analyse the before and after of the regulatory systems in the United States, the Soviet Union and Japan in relation to the TMI, Chernobyl and Fukushima accidents. Finally, taking all this together, the article will address some of the international and national efforts to define exactly what makes a good regulator and provide conclusions on regulatory reform in the wake of nuclear accidents. (author)

Public sector reform and demand for human resources for health (HRH

Directory of Open Access Journals (Sweden)

Lethbridge Jane

2004-11-01

Full Text Available Abstract This article considers some of the effects of health sector reform on human resources for health (HRH in developing countries and countries in transition by examining the effect of fiscal reform and the introduction of decentralisation and market mechanisms to the health sector. Fiscal reform results in pressure to measure the staff outputs of the health sector. Financial decentralisation often leads to hospitals becoming "corporatised" institutions, operating with business principles but remaining in the public sector. The introduction of market mechanisms often involves the formation of an internal market within the health sector and market testing of different functions with the private sector. This has immediate implications for the employment of health workers in the public sector, because the public sector may reduce its workforce if services are purchased from other sectors or may introduce more short-term and temporary employment contracts. Decentralisation of budgets and administrative functions can affect the health sector, often in negative ways, by reducing resources available and confusing lines of accountability for health workers. Governance and regulation of health care, when delivered by both public and private providers, require new systems of regulation. The increase in private sector provision has led health workers to move to the private sector. For those remaining in the public sector, there are often worsening working conditions, a lack of employment security and dismantling of collective bargaining agreements. Human resource development is gradually being recognised as crucial to future reforms and the formulation of health policy. New information systems at local and regional level will be needed to collect data on human resources. New employment arrangements, strengthening organisational culture, training and continuing education will also be needed.

Public service or commodity goods? Electricity reforms, access, and the politics of development in Tanzania

Science.gov (United States)

Ghanadan, Rebecca Hansing

Since the 1990s, power sector reforms have become paramount in energy policy, catalyzing a debate in Africa about market-based service provision and the effects of reforms on access. My research seeks to move beyond the conceptual divide by grounding attention not in abstract 'market forces' but rather in how development institutions shape energy services and actually practice policy on the ground. Using the case of Tanzania, a country known for having instituted some of the most extensive reforms and a 'success story' in Africa, I find that reforms are creating large burdens and barriers for access and use of services, including: increasing costs, enforcement pressures, and measures to impose 'market' discipline. However, I also find that many of the most significant outcomes are not found in direct 'market' changes, but rather how reforms are selective, partial, and shaped by the wider needs and claims of the institutions driving reforms, so that questions of how reforms are implemented, how they are measured, and who tells the story become as important as the policies themselves. Using a multiple-arenas framework, including (i) a household and community level study of urban energy conditions, (ii) a study of service and management conditions at the national electric utility, (iii) an examination of the international policy process, and (iv) a study of the history of electricity services across colonial, post-independence, and reform periods, I show that African energy reforms are a technical and political project connecting energy to international investments, donor aid programs, and elite interests within national governments. Energy reforms also involve fundamental service changes that are reorganizing how the costs and benefits of energy systems are distributed, allocated, and managed. The effects of reform extend beyond formal services to have wide-reaching repercussions within natural resources, and uneven social dynamics on the ground. These features point

Health Reform in Ceará: the process of decentralisation in the 1990s

Science.gov (United States)

Medeiros, Regianne Leila Rolim; Atkinson, Sarah

2015-01-01

The objective of this article is to offer an overview of the health reform in Ceará focusing on the decentralisation process in the 1990s. The driving factor behind the Brazilian health reform movement was the necessity to reorganise the national health system and overcome inequalities. For the reformists, decentralisation, and together with it the idea of popular participation, is seen as essential to guarantee the fulfilment of the people’s needs and to incorporate their voice in the decision-making processes of the health system. In the state of Ceará, after the 1986 elections, health reform movement members took control over the management of the state Health Secretariat. This is the main cause of the acceleration of the decentralisation process with the transference of responsibility over the management of health care delivery to municipalities. PMID:25729333

Education, Culture and Indigenous Rights: The Case of Educational Reform in Bolivia.

Science.gov (United States)

Comboni Salinas, Sonia; Juarez Nunez, Jose Manuel

2000-01-01

Examines the implementation of intercultural bilingual education throughout Bolivia and its relationship to the linguistic and cultural rights of the majority indigenous population. Discusses institutional and curriculum reforms, particularly in rural schools; a new emphasis on students' learning needs; relationship to indigenous…

Development of ATSR (Auto Thermal Steam Reformer)

International Nuclear Information System (INIS)

Ono, J.; Yoshino, Y.; Kuwabara, T.; Fujisima, S.; Kobayashi, S.; Maruko, S.

2004-01-01

'Full text:' Auto-thermal reformers are used popularly for fuel cell vehicle because they are compact and can start up quickly. On the other hand, steam reformers are used for stationary fuel cell power plant because they are good thermal efficiency. While, there are many cases using the auto- thermal reformer for stationary use with expectation of cost reduction in USA, as well. However, they are still insufficient for its durability, compactness and cost. We have been developing the new type of fuel processing system that is auto-thermal steam reformer (ATSR), which is hybrid of a conventional steam reformer (STR) and a conventional auto-thermal reformer (ATR). In this study, some proto-type of ATSR for field test were designed, tried manufacturing and tested performance and durability. And we have tried to operate with fuel cell stack to evaluate the system interface performance, that is, operability and controllability. (author)

A retrospective content analysis of studies on factors constraining the implementation of health sector reform in Ghana.

Science.gov (United States)

Sakyi, E Kojo

2008-01-01

Ghana has undertaken many public service management reforms in the past two decades. But the implementation of the reforms has been constrained by many factors. This paper undertakes a retrospective study of research works on the challenges to the implementation of reforms in the public health sector. It points out that most of the studies identified: (1) centralised, weak and fragmented management system; (2) poor implementation strategy; (3) lack of motivation; (4) weak institutional framework; (5) lack of financial and human resources and (6) staff attitude and behaviour as the major causes of ineffective reform implementation. The analysis further revealed that quite a number of crucial factors obstructing reform implementation which are particularly internal to the health system have either not been thoroughly studied or overlooked. The analysis identified lack of leadership; weak communication and consultation; lack of stakeholder participation, corruption and unethical professional behaviour as some of the missing variables in the literature. The study, therefore, indicated that there are gaps in the literature that needed to be filled through rigorous reform evaluation based on empirical research particularly at district, sub-district and community levels. It further suggested that future research should be concerned with the effects of both systems and structures and behavioural factors on reform implementation.

Educating Leaders for Social Justice: The Case of Special Educational Needs Co-Ordinators

Science.gov (United States)

Liasidou, Anastasia; Svensson, Cathy

2014-01-01

In the light of policy imperatives to initiate and maintain inclusive education reforms, the role of special educational needs co-ordinators (SENCOs) in England and Wales should be reconceptualised with a view to their leading school reforms commensurate with the principles of an inclusive discourse. The article concentrates on the social justice…

Many large medical groups will need to acquire new skills and tools to be ready for payment reform.

Science.gov (United States)

Mechanic, Robert; Zinner, Darren E

2012-09-01

Federal and state policy makers are now experimenting with programs that hold health systems accountable for delivering care under predetermined budgets to help control health care spending. To assess how well prepared medical groups are to participate in these arrangements, we surveyed twenty-one large, multispecialty groups. We evaluated their participation in risk contracts such as capitation and the degree of operational support associated with these arrangements. On average, about 25 percent of the surveyed groups' patient care revenue stemmed from global capitation contracts and 9 percent from partial capitation or shared risk contracts. Groups with a larger share of revenue from risk contracts were more likely than others to have salaried physicians, advanced data management capabilities, preferred relationships with efficient specialists, and formal programs to coordinate care for high-risk patients. Our findings suggest that medical groups that lack risk contracting experience may need to develop new competencies and infrastructure to successfully navigate federal payment reform programs, including information systems that track performance and support clinicians in delivering good care; physician-level reward systems that are aligned with organizational goals; sound physician leadership; and an organizational commitment to supporting performance improvement. The difficulty of implementing these changes in complex health care organizations should not be underestimated.

A future for primary care for the Greek population

NARCIS (Netherlands)

Groenewegen, P.P.; Jurgutis, A.

2013-01-01

Background: Greece is hit hard by the state debt crisis. This calls for comprehensive reforms to restore sustainable and balanced growth. Healthcare is one of the public sectors needing reform. The European Union (EU) Task Force for Greece asked the authors to assess the situation of primary care

A future for primary care for the Greek population.

NARCIS (Netherlands)

Groenewegen, P.P.; Jurgutis, A.

2013-01-01

Background: Greece is hit hard by the state debt crisis. This calls for comprehensive reforms to restore sustainable and balanced growth. Healthcare is one of the public sectors needing reform. The European Union (EU) Task Force for Greece asked the authors to assess the situation of primary care

The Danish Regulatory Reform of Telecommunications

DEFF Research Database (Denmark)

Skouby, Knud Erik

1998-01-01

An overview of the liberalisation process and regulatory reform of telecommunications in Denmark......An overview of the liberalisation process and regulatory reform of telecommunications in Denmark...

Stillbirth and the law: options for law reform and issues for the coronial jurisdiction.

Science.gov (United States)

Freckelton, Ian

2013-09-01

In spite of its relative frequency, stillbirth is a phenomenon that has been relatively little discussed and requires further research for comprehensive clinical understanding. It impacts upon the legal system by way of the need to determine whether a life has come into being such that legal consequences such as criminal law, probate law and the coronial jurisdiction can attach to it. This requires contemporary clinically informed interpretation and application of the ancient "born alive rule" in respect of the ramifications of matters such as pulseless electrical activity in the heart, brain activity and agonal gasping. In the coronial domain, arguments have been put in South Australia, Victoria and Northern Ireland in recent cases and discussion has taken place publicly about whether coroners should be permitted to investigate and make findings and recommendations about cases of stillbirth. The article identifies merit in principle in such a development but highlights the need for care about such reform to the law lest it engender inconsistency in respect of important threshold definitions of "life" and "death" lest it generate incoherent approaches of the law on the subject, and lest it have unforeseen counter-therapeutic consequences for the grieving parents of infants who have been stillborn. It notes, too, that such a change to the ambit of coronial jurisdiction would have important resourcing ramifications.

The Reformed tradition as public theology

Directory of Open Access Journals (Sweden)

Vuyani S. Vellem

2013-05-01

Full Text Available This article is a South African perspective of a Black African reflection on the publicity of Reformed faith. Whilst the notion of public theology is fairly new, the article argues, it is important to define the ‘public’ of the type of public theology to which Reformed faith and tradition could be linked. As a confessional tradition, Reformed faith is intrinsically public, the article demonstrates. The publicity of this tradition is however ambivalent and tainted. I attempt to show this by discussing two important tenets of the Reformed Tradition: sola scriptura and sola fide, within the festering wounds of Black African colonialism, apartheid and the hegemony of the neoliberal paradigm in the 21st century.

FOREIGN EXPERIENCE OF PENSION SYSTEM REFORMING AND POSSIBILITY OF ADAPTATION IN UKRAINE

Directory of Open Access Journals (Sweden)

Anastasiia Svyrydovska

2016-11-01

Full Text Available The purpose of the paper is to analyze foreign experience of reforming pension systems. Reforming pension systems around the world is due to the need to balance the cost of social support for people who are growing, with the financial capabilities of the country. Ukraine, like other European countries is facing the crisis of public pensions. One reason – the rapid aging of the population. The experience of some countries shows that the increase in the rates of deductions has a negative impact on employment, leads to a significant increase in public debt, and therefore is unacceptable. Some economists believe that a full transition to retirement savings scheme – a solution. However, this would create an additional burden on public financial systems and current generation of taxpayers. Therefore, it is necessary to determine the main directions of the crisis of pensions. With the economic downturn global scale of the efficiency of the pension system of Ukraine, its compliance with the standards of the welfare state is becoming more acute. That is why there is an urgent need for adaptation based on international experience to review previously proposed ways to reform the pension system of Ukraine. Methodology is actual works of scientists and researchers. Results are exploring the features of the international experience of reforming pension systems and proposition of directions of reform of the pension system of Ukraine on the basis of demographic, social, financial, political and cultural characteristics of its development. Value. Background research finding is due to government regulation mechanisms of social insurance in Ukraine. The most developed social protection system with the EU. Consideration of these specific programs of effective systems of social insurance is an important basis for the analysis of international experience. Decisive impact on the social security system in the EU provides current demographic trends (falling birth

Perspectives in medical education 9. Revisiting the blueprint for reform of medical education in Japan.

Science.gov (United States)

Rao, R Harsha; Rao, Kanchan H

2010-01-01

Reform of medical education at Keio University has been underway since 2003. We measure the progress made since then in five specific categories that span fifteen recommendations presented in our "Blueprint for Reform" at the outset of the effort. These are effectiveness of leadership, curriculum reform, recognition of teaching, clinical competence, and comprehensive training in general internal medicine (GIM). First, effective leadership is being sustained through a succession of Deans, although a potentially crippling loss of leadership in the Department of Medical Education must be offset through timely appointment. Second, curriculum reform is awaiting the implementation in 2012 of an integrated, organ system-based curriculum with an emphasis on ward clerkships, but the introduction of PBL has been delayed indefinitely. Third, teaching is being recognized through the use of student feedback to reward good teachers and through funds for six full-time equivalent salaries dedicated to medical education, but promotions still depend exclusively on research, without consideration of teaching ability. Fourth, clinical skills training is still lacking, although enthusiasm for it seems to be building, thanks to the presence on the wards of a (still miniscule) cadre of dedicated teachers. Finally, exposure to GIM remains non-existent; however, visionary leadership in a newly-independent Emergency Department and the wide variety of medical problems seen there provide a remarkable opportunity to craft a uniquely Japanese solution to the problem. The changes implemented to date are impressive, and we remain enthusiastic about the future, even as we recognize the magnitude of the task that lies ahead.

Mobile health clinics in the era of reform.

Science.gov (United States)

Hill, Caterina F; Powers, Brian W; Jain, Sachin H; Bennet, Jennifer; Vavasis, Anthony; Oriol, Nancy E

2014-03-01

Despite the role of mobile clinics in delivering care to the full spectrum of at-risk populations, the collective impact of mobile clinics has never been assessed. This study characterizes the scope of the mobile clinic sector and its impact on access, costs, and quality. It explores the role of mobile clinics in the era of delivery reform and expanded insurance coverage. A synthesis of observational data collected through Mobile Health Map and published literature related to mobile clinics. Analysis of data from the Mobile Health Map Project, an online platform that aggregates data on mobile health clinics in the United States, supplemented by a comprehensive literature review. Mobile clinics represent an integral component of the healthcare system that serves vulnerable populations and promotes high-quality care at low cost. There are an estimated 1500 mobile clinics receiving 5 million visits nationwide per year. Mobile clinics improve access for vulnerable populations, bolster prevention and chronic disease management, and reduce costs. Expanded coverage and delivery reform increase opportunities for mobile clinics to partner with hospitals, health systems, and insurers to improve care and lower costs. Mobile clinics have a critical role to play in providing high-quality, low-cost care to vulnerable populations. The postreform environment, with increasing accountability for population health management and expanded access among historically underserved populations, should strengthen the ability for mobile clinics to partner with hospitals, health systems, and payers to improve care and lower costs.

Global Economic Governance Reform and the Roleof Asia: Opportunities Offered by the G20

Directory of Open Access Journals (Sweden)

Yoon Je Cho

2012-03-01

Full Text Available The recent global financial crisis has highlighted the importance of international monetary and financial system reform. The current system is deemed to be no longer adequate to meet the needs of a complex, integrated world economy. With regards to the reform of the international monetary system, there have been various proposals both in demand and supply sides. These include proposals to build a stronger global financial safety net, to diversify the supply of international reserve currency and so on. These proposals face trade-offs between desirability and political feasibility. Given this situation, a practical transition would be to strengthen policy coordination among the major economies and to reform the International Monetary Fund. The success on both fronts depends heavily on global economic governance reform and the role of the G20. Increased status and representation of Asian countries in the G20 give both privileges and responsibilities to Asians. To meet these responsibilities, Asians should put forth greater efforts to develop their intellectual leadership in global economic issues through creating new forum and institutions.

Determination of optimal reformer temperature in a reformed methanol fuel cell system using ANFIS models and numerical optimization methods

DEFF Research Database (Denmark)

Justesen, Kristian Kjær; Andreasen, Søren Juhl

2015-01-01

In this work a method for choosing the optimal reformer temperature for a reformed methanol fuel cell system is presented based on a case study of a H3 350 module produced by Serenergy A/S. The method is based on ANFIS models of the dependence of the reformer output gas composition on the reformer...... temperature and fuel flow, and the dependence of the fuel cell voltage on the fuel cell temperature, current and anode supply gas CO content. These models are combined to give a matrix of system efficiencies at different fuel cell currents and reformer temperatures. This matrix is then used to find...... the reformer temperature which gives the highest efficiency for each fuel cell current. The average of this optimal efficiency curve is 32.11% and the average efficiency achieved using the standard constant temperature is 30.64% an increase of 1.47 percentage points. The gain in efficiency is 4 percentage...

Review of Judicial Reforms in Bhutan

OpenAIRE

Dubgyur, Lungten

2004-01-01

This essay highlights the anomalies of judicial reforms in Bhutan. It presents a historical perspective of Bhutanese judicial reforms and addresses recent developments. It discusses court performance and experiences and approaches adopted in making the courts efficient. Much of the reform initiatives emanate from the throne. His Majesty the King has always advocated an efficient judicial system for the Kingdom. In obedience to the Royal Commands, the judicial system and judicial process in Bh...

Tariff-Tax Reforms and Market Access

DEFF Research Database (Denmark)

Kreickemeier, Udo; Raimondos-Møller, Pascalis

2006-01-01

Reducing tariffs and increasing consumption taxes is a standard IMF advice to countries that want to open up their economy without hurting government finances. Indeed, theoretical analysis of such a tariff-tax reform shows an unambiguous increase in welfare and government revenues. The present pa...... efficient proposal to follow both as far as it concerns market access and welfare.JEL code: F13, H20.Keywords: Market access; tariff reform, consumption tax reform....

Production of hydrogen via methane reforming using atmospheric pressure microwave plasma

Energy Technology Data Exchange (ETDEWEB)

Jasinski, Mariusz; Dors, Miroslaw [Centre for Plasma and Laser Engineering, The Szewalski Institute of Fluid-Flow Machinery, Polish Academy of Sciences, Fiszera 14, 80-952 Gdansk (Poland); Mizeraczyk, Jerzy [Centre for Plasma and Laser Engineering, The Szewalski Institute of Fluid-Flow Machinery, Polish Academy of Sciences, Fiszera 14, 80-952 Gdansk (Poland); Department of Marine Electronics, Gdynia Maritime University, Morska 83, 81-225 Gdynia (Poland)

2008-06-15

In this paper, results of hydrogen production via methane reforming in the atmospheric pressure microwave plasma are presented. A waveguide-based nozzleless cylinder-type microwave plasma source (MPS) was used to convert methane into hydrogen. Important advantages of the presented waveguide-based nozzleless cylinder-type MPS are: stable operation in various gases (including air) at high flow rates, no need for a cooling system, and impedance matching. The plasma generation was stabilized by an additional swirled nitrogen flow (50 or 100 l min{sup -1}). The methane flow rate was up to 175 l min{sup -1}. The absorbed microwave power could be changed from 3000 to 5000 W. The hydrogen production rate and the corresponding energy efficiency in the presented methane reforming by the waveguide-based nozzleless cylinder-type MPS were up to 255 g[H{sub 2}] h{sup -1} and 85 g[H{sub 2}] kWh{sup -1}, respectively. These parameters are better than those typical of the conventional methods of hydrogen production (steam reforming of methane and water electrolysis). (author)

Fuel cell-based cogeneration system covering data centers’ energy needs

International Nuclear Information System (INIS)

Guizzi, Giuseppe Leo; Manno, Michele

2012-01-01

The Information and Communication Technology industry has gone in the recent years through a dramatic expansion, driven by many new online (local and remote) applications and services. Such growth has obviously triggered an equally remarkable growth in energy consumption by data centers, which require huge amounts of power not only for IT devices, but also for power distribution units and for air-conditioning systems needed to cool the IT equipment. This paper is dedicated to the economic and energy performance assessment of a cogeneration system based on a natural gas membrane steam reformer producing a pure hydrogen flow for electric power generation in a polymer electrolyte membrane fuel cell. Heat is recovered from both the reforming unit and the fuel cell in order to supply the needs of an office building located near the data center. In this case, the cooling energy needs of the data center are covered by means of a vapor-compression chiller equipped with a free-cooling unit. Since the fuel cell’s output is direct current rather than alternate current, the possibility of further improving data centers’ energy efficiency adopting DC-powered data center equipment is also discussed. -- Highlights: ► Data centers' energy needs are discussed and possible savings from advanced energy management techniques are estimated. ► The thermal energy requirements of an office building close to the data center are added to the energy scenario. ► Significant energy and cost savings can be obtained by means of free-cooling, high-voltage direct current, and a cogeneration facility. ► The cogeneration system is based on a natural gas membrane reformer and a PEM fuel cell. ► Energy flows in the membrane reformer are analyzed and an optimal value of steam-to-carbon ratio is found in order to minimize the required membrane area.

Considerations for Education Reform in British Columbia

Science.gov (United States)

Santos, Ana

2012-01-01

Countries around the world refer to twenty-first century education as essential to maintaining personal and national economic advantage and draw on this discourse to advocate for and embark on educational reform. This paper examines issues around education reform, particularly in British Columbia. It argues that reformers should give careful…

Process-outcome interrelationship and standard setting in medical education: the need for a comprehensive approach.

Science.gov (United States)

Christensen, Leif; Karle, Hans; Nystrup, Jørgen

2007-09-01

An outcome-based approach to medical education compared to a process/content orientation is currently being discussed intensively. In this article, the process and outcome interrelationship in medical education is discussed, with specific emphasis on the relation to the definition of standards in basic medical education. Perceptions of outcome have always been an integrated element of curricular planning. The present debate underlines the need for stronger focus on learning objectives and outcome assessment in many medical schools around the world. The need to maintain an integrated approach of process/content and outcome is underlined in this paper. A worry is expressed about the taxonomy of learning in pure outcome-based medical education, in which student assessment can be a major determinant for the learning process, leaving the control of the medical curriculum to medical examiners. Moreover, curricula which favour reductionism by stating everything in terms of instrumental outcomes or competences, do face a risk of lowering quality and do become a prey for political interference. Standards based on outcome alone rise unclarified problems in relationship to licensure requirements of medical doctors. It is argued that the alleged dichotomy between process/content and outcome seems artificial, and that formulation of standards in medical education must follow a comprehensive line in curricular planning.

Reforms in Pedagogy and the Confucian Tradition: Looking below the Surface

Science.gov (United States)

Ho, Felix M.

2018-01-01

This Forum article addresses some of the issues raised in the article by Ying-Syuan Huang and Anila Asghar's paper entitled: "Science education reform in Confucian learning cultures: teachers' perspectives on policy and practice in Taiwan." An attempt is made to highlight the need for a more nuanced approach in considering the Confucian…

Blended Learning: enabling Higher Education Reform

Directory of Open Access Journals (Sweden)

Kathleen Matheos

2018-01-01

Full Text Available Blended learning research and practice have been areas of growth for two decades in Canada, with over 95% of Canadian higher education institutions involved in some form of blended learning. Despite strong evidence based research and practice blended learning, for the most part, has remained at sidelined in Canadian universities. The article argues the need for blended learning to situate itself within the timely and crucial Higher Education Reform (HER agenda. By aligning the affordances of blended learning with the components of HER, blended learning can clearly serve as an enabler for HER.

You need to bond with the ones you train : Mixing epistemic cultures in medical residency training

NARCIS (Netherlands)

I. Wallenburg (Iris); J. Pols (Jeannette); A.A. de Bont (Antoinette)

2015-01-01

textabstractThis paper addresses contemporary reform in postgraduate medical education that aims to standardise training. The reforms are guided by public policy interventions to increase quality of care, objectify performance, and to prepare residents for changing health care needs. This

What triggers reforms in OECD countries? Improved reform measurement and evidence from the healthcare sector

NARCIS (Netherlands)

Wiese, Rasmus

The main contribution of this paper is the development of a novel and versatile methodology to identify economic reforms. The methodology is a combination of the Bai & Perron structural break filter, and validation of the structural breaks identified using de jure evidence of reforms. The procedure

Chemical looping reforming of generator gas

Energy Technology Data Exchange (ETDEWEB)

Mendiara, T.; Jensen, Anker; Glarborg, P.

2010-02-15

The main objective of this work is to investigate the carbon deposition during reforming of hydrocarbons in a Chemical Looping Reformer (CLR). This knowledge is needed to asses the viability of the CLR technology in reforming tar from biomass gasification preserving lighter hydrocarbons and minimizing the carbon formation during the process. Two different setups were used to test the reactivity of the different samples in the conditions of interest for the tar reforming process: 1) Fixed bed flow reactor (FR), and 2) Thermogravimetric analyzer (TGA). In the experiments, the gas atmosphere was switched from reducing to oxidizing atmosphere in every cycle. During the oxidizing cycle, the carrier was regenerated using a mixture of oxygen and nitrogen. Four different oxygen carriers based on nickel (Ni40 and Ni60), manganese (Mn) and ilmenite (Fe) were tested. In the tests, toluene was used to simulate the tars. The Fe and the Mn carrier reacted to a small extent with methane at the highest temperature studied, 800 degrees C. The Ni-carriers did not react at 600 degrees C at first, but they showed some reactivity after having been activated at the higher temperature. Carbon formation occurred with the Ni-carriers, more so with the Ni60 than the Ni40. Ni40, Mn and Fe were activated at the higher temperature. However, Fe showed only low capacity. Ni60 showed no capability of tar reforming. Ni40 showed a high tendency to carbon formation at 800 degrees C, but the formation could be lowered by changing some parameters. Mn formed almost no carbon. Ni40 and Mn were chosen for further studies. Carbon deposition occurred for both Ni40 and Mn, but the amount deposited for Ni40 was about 10 times bigger. Ni40 reacted with the methane and toluene only at 800 degrees C. The conversion over Mn was not as big as for toluene alone. Carbon was formed from carbon monoxide on the Ni40 carrier and on the Mn, but to a much less extent on the latter one. The presence of hydrogen decreased

Forty years of the Law 180: the aspirations of a great reform, its successes and continuing need.

Science.gov (United States)

Mezzina, R

2018-03-06

Italy pioneered deinstitutionalisation over the past 60 years and enforced a famous mental health (MH) reform law in 1978. Deinstitutionalisation has been completed with the very closure of all psychiatric hospitals over two decades. After 40 years of implementation, this article presents the main achievements and challenges of the Italian MH reform law, including its long-term effect and impact in Italy and abroad. The Legislation of 1978 was based on the discovery of rights as a key tool in mental healthcare. At the climax of crisis of psychiatric hospitals as total institutions in this country, through the new community-based system of care, it has fostered the lowest rate of involuntary care and gave back the full citizenship to people with MH disorders. This act was also part of a social movement for expanding civil and social rights, and a promise of a true paradigm shift not only in psychiatry, but also in the way of providing an adequate welfare community for all citizens. According to the WHO, the Italian city of Trieste, together with its region, is a practical example of how the Italian movement achieved deinstitutionalisation, intended as a complex process resulting in the gradual relocation of the economic and human resources and subsequent creation of 24 h services together with the development of social inclusion programmes. Even if the great principles of the Italian reform law were anticipatory (e.g., the UN Convention on Rights of Persons with Disabilities - CRPD), the law application has been poorly provided with resources and did not follow those avant-garde experiences as models. Limitations are evident today especially at the organisational levels, such as services capable to take up the challenge and transforming the field, left free from the imprint of total institutions. These endemic critical aspects concerning to implementation policies, together with the financial crisis of the Italian healthcare system, must be taken into consideration

2D heat and mass transfer modeling of methane steam reforming for hydrogen production in a compact reformer

International Nuclear Information System (INIS)

Ni Meng

2013-01-01

Highlights: ► A heat and mass transfer model is developed for a compact reformer. ► Hydrogen production from methane steam reforming is simulated. ► Increasing temperature greatly increases the reaction rates at the inlet. ► Temperature in the downstream is increased at higher rate of heat supply. ► Larger permeability enhances gas flow and reaction rates in the catalyst layer. - Abstract: Compact reformers (CRs) are promising devices for efficient fuel processing. In CRs, a thin solid plate is sandwiched between two catalyst layers to enable efficient heat transfer from combustion duct to the reforming duct for fuel processing. In this study, a 2D heat and mass transfer model is developed to investigate the fundamental transport phenomenon and chemical reaction kinetics in a CR for hydrogen production by methane steam reforming (MSR). Both MSR reaction and water gas shift reaction (WGSR) are considered in the numerical model. Parametric simulations are performed to examine the effects of various structural/operating parameters, such as pore size, permeability, gas velocity, temperature, and rate of heat supply on the reformer performance. It is found that the reaction rates of MSR and WGSR are the highest at the inlet but decrease significantly along the reformer. Increasing the operating temperature raises the reaction rates at the inlet but shows very small influence in the downstream. For comparison, increasing the rate of heat supply raises the reaction rates in the downstream due to increased temperature. A high gas velocity and permeability facilitates gas transport in the porous structure thus enhances reaction rates in the downstream of the reformer.

Drug pricing reform in China: analysis of piloted approaches and potential impact of the reform

Science.gov (United States)

Chen, Yixi; Hu, Shanlian; Dong, Peng; Kornfeld, Åsa; Jaros, Patrycja; Yan, Jing; Ma, Fangfang; Toumi, Mondher

2016-01-01

Objectives In 2009, the Chinese government launched a national healthcare reform programme aiming to control healthcare expenditure and increase the quality of care. As part of this programme, a new drug pricing reform was initiated on 1 June 2015. The objective of this study was to describe the changing landscape of drug pricing policy in China and analyse the potential impact of the reform. Methods The authors conducted thorough research on the drug pricing reform using three Chinese databases (CNKI, Wanfang, and Weipu), Chinese health authority websites, relevant press releases, and pharmaceutical blogs and discussion forums. This research was complemented with qualitative research based on targeted interviews with key Chinese opinion leaders representing the authorities’ and prescribers’ perspectives. Results With the current reform, the government has attempted to replace its direct control over the prices of reimbursable drugs with indirect, incentive-driven influence. Although the exact implementation of the reform remains unclear at the moment, the changes introduced so far and the pilot project designs indicate that China is considering adaptation of some form of internal and external reference pricing policies, commonly used in the Organisation for Economic Co-operation and Development countries. Several challenges related to the potential new mechanism were identified: 1) the risk of hospital underfunding, if hospital funding reform is not prioritised; 2) the risk of promoting the use of cheap, low-quality drugs, if a reliable quality control system is not in place and discrepancy between the available drugs is present; 3) the risk of increasing disparity in access to care between poor and rich regions, in case of country-wide price convergence; and 4) the risk of industry underinvestment, resulting in reduced competition, issues with quality and sustainability of supply, and potentially negative social impact. Conclusions Foreign pricing policies

Translating advances in reading comprehension research to educational practice

Directory of Open Access Journals (Sweden)

Danielle S. McNamara

2011-07-01

Full Text Available The authors review five major findings in reading comprehension and their implications for educational practice. First, research suggests that comprehension skills are separable from decoding processes and important at early ages, suggesting that comprehension skills should be targeted early, even before the child learns to read. Second, there is an important distinction between reading processes and products, as well as their causal relationship: processes lead to certain products. Hence, instructional approaches and strategies focusing on processes are needed to improve students’ reading performance (i.e., product. Third, inferences are a crucial component of skilled comprehension. Hence, children need scaffolding and remediation to learn to generate inferences, even when they know little about the text topic. Fourth, comprehension depends on a complex interaction between the reader, the characteristics of the text, and the instructional task, highlighting the need for careful selection of instructional materials for individual students and specific groups of students. Finally, educators may benefit from heightened awareness of the limitations and inadequacies of standardized reading comprehension assessments, as well as the multidimensionality of comprehension to better understand their students’ particular strengths and weaknesses.

Translating advances in reading comprehension research to educational practice

Directory of Open Access Journals (Sweden)

Danielle S. McNAMARA

2011-11-01

Full Text Available The authors review five major findings in reading comprehension and their implications for educational practice. First, research suggests that comprehension skills are separable from decodingprocesses and important at early ages, suggesting that comprehension skills should be targeted early, even before the child learns to read. Second, there is an important distinction between readingprocesses and products, as well as their causal relationship: processes lead to certain products. Hence, instructional approaches and strategies focusing on processes are needed to improve students’reading performance (i.e., product. Third, inferences are a crucial component of skilled comprehension. Hence, children need scaffolding and remediation to learn to generate inferences, even when they know little about the text topic. Fourth, comprehension depends on a complex interaction between the reader, the characteristics of the text, and the instructional task, highlighting the need for careful selection of instructional materials for individual students and specific groups of students. Finally, educators may benefit from heightened awareness of the limitations and inadequacies of standardized reading comprehension assessments, as well as the multidimensionality of comprehension to better understand their students’ particular strengths and weaknesses.

Electricity reforms, democracy and technological change. (Electricity systems, 'market liberalization' reforms, internationalisation, and the need for new democratic governance system - the Danish case)

International Nuclear Information System (INIS)

Hvelplund, F.

2001-07-01

At the end of the 1990s, Danish energy policy reached a turning point because of technical challenges due to the high proportion of fluctuating wind power production and the increased cogeneration share, and because of new regulation regimes being introduced in Denmark and its neighbouring countries. In this specific historical situation, with the above background, the questions that will be analysed in this publication are as follows: 1) Which governance systems are most efficient, with regard to achieving optimal goal performance by means of the present typical uranium/fossil fuel electricity supply systems? 2) Which governance systems are the most efficient in the transformation process from the present uranium/fossil fuel electricity supply systems to renewable energy-/conservation based electricity system? 3) Which changes in goal performance of the Danish electricity supply system has the 1999 Danish electricity 'liberalization' reform induced? 4) Will the Danish electricity supply system be able to maintain its consumer ownership institutions and remain independent of the 'third party' shareholder ownership structure after the 1999 Danish 'liberalization' reform? a) Are the Danish electricity companies able to compete on the Danish electricity market with foreign suppliers? b) Will the Danish energy companies be able to compete on the market for energy capital goods, or will foreign companies, for instance German power companies, buy them? Will the Danish consumer ownership model survive? c) Will the Danish 'flat' price structure survive on the future electricity market? d) Will the 1975-2000 energy technology innovation process survive under the new market conditions? How will conditions on the German market influence this development? The relevance of these questions is particulary enhanced when seen in relation to the goals of international, and especially Danish, energy policy. The main question therefore, is: will the development outlined under 1

Mobile internet and technology for optical teaching reform in higher education

Science.gov (United States)

Zhou, Muchun; Zhao, Qi; Chen, Yanru

2017-08-01

There are some problems in optical education such as insufficient flexibility, individuality and adaptability to students who need information and education at present. The development of mobile internet and technology provides support to solve these problems. Basic characteristics, advantages and developments of these techniques used in education are presented in this paper. Mobile internet is introduced to reform the classroom teaching of optical courses. Mobile network tool selection, teaching resources construction and reform in teaching methods are discussed. Academic record and sampling surveys are used to assess intention to adopt mobile internet and learning effect of academic major of students, the results show that high quality optical education can be offered by adopting mobile internet and technologies in traditional instruction.

How to Develop Sustainable Public Administration Reforms

Directory of Open Access Journals (Sweden)

Liviu RADU

2015-02-01

Full Text Available Public administration reform and reform in general is a never ending story. The human so-cieties are evolving and so do their needs. Pub-lic administration has to keep the pace with the changes that are taking place in society. Specifc issues like ageing of the population and the mi-gration from small to larger communities, or from poor to wealthy regions are placing supplemen-tary burdens on modern administrative systems for decades. The economic crisis that started in 2008 made administrative matters even more complicated. Functional economies and consol-idated democracies proved to be vulnerable to what was considered by many as a market failure. The crisis and the responses of the governments around the world raised a number of questions related to the role that state and public authority in general should play in a modern democracy. The paper is briefy exploring the challenges that administrative systems from the new European Union member states and from the candidatestates were or are facing in their attempt to meet the requirements of the European Union mem-bership, and is proposing a challenging measure: the development of an acquis communautaire for the feld of public administration and consequent-ly the establishment of a correspondent structure inside the European Commission. The acquis communautaire will comprise of a minimum set of principles, widely accepted, that should rep-resent a ‘to do list’ for new member states that are having diffculties in promoting a sound and sustainable reform in public administration.

Perspectives on and obstacles to the internal reporting reform at higher education institutions – Case of Bosnia and Herzegovina, Croatia and Slovenia

Directory of Open Access Journals (Sweden)

Martina Dragija Kostić

2017-01-01

Full Text Available Higher education institutions are going through a different reform processes that differ from country to country. However, the common challenge of higher education institutions is to assure the financial sustainability and only those institutions that have stable financial structure will be able to fulfil their missions and goals in conditions of limited financial resources. One of very important preconditions for assuring financial sustainability is a high quality reporting system, providing comprehensive and detailed information about all aspects of the activities, performed by an institution of higher education and, especially, its full costs. The objective of the paper is two-fold. On the one hand, its aim is to address reform processes regarding reporting systems at higher education institutions in selected countries; Bosnia and Herzegovina, Croatia and Slovenia, and on the other hand, to highlight most important obstacles for development of efficient internal reporting systems. The empirical research was conducted in 2016 and data collection was based on the survey method. The questionnaires were sent to all public higher education institutions in Bosnia and Herzegovina, Croatia and Slovenia. The results of research have shown that, even though there is a positive perception regarding the need to improve existing internal reporting systems, there are significant differences in obstacles for development of efficient internal reporting systems in observed countries.

Working towards Justice, Security Sector Reform and Better ...

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

... on security sector reform, constitutional reform, governance of diversity and critical dialogues in MENA societies. ... Reform will take time and one of the tests for those involved in this process is exercising patience and .... Related articles ...

Balancing Campaign Finance Reform Against the First Amendment. Looking at the Law.

Science.gov (United States)

Yang, Elizabeth M.

2000-01-01

Focuses on the rationale for campaign finance reform, preventing corruption or the appearance of corruption in the electoral process, and the need for balancing the constitutional rights protected by the First Amendment. Discusses the issues of disclosure, contribution limits, issue advocacy, and soft money. Includes teaching activities and…

What did the public think of health services reform in Bangladesh? Three national community-based surveys 1999–2003

Directory of Open Access Journals (Sweden)

Hossain Md Zakir

2007-02-01

Full Text Available Abstract Background Supported by development partners, the Government of Bangladesh carried out a comprehensive reform of health services in Bangladesh between 1998 and 2003, intended to make services more responsive to public needs: the Health and Population Sector Programme (HPSP. They commissioned a series of surveys of the public, as part of evaluation of the HPSP. This article uses the survey findings to examine the changes in public opinions, use and experience of health services in the period of the HPSP. Methods We carried out three household surveys (1999, 2000 and 2003 of a stratified random sample of 217 rural sites and 30 urban sites. Each site comprised 100–120 contiguous households. Each survey included interviews with 25,000 household respondents and managers of health facilities serving the sites, and gender-stratified focus groups in each site. We measured: household ratings of government health services; reported use of services in the preceding month; unmet need for health care; user reports of waiting times, payments, explanations of condition, availability of prescribed medicines, and satisfaction with service providers. Results Public rating of government health services as "good" fell from 37% to 10% and the proportion using government treatment services fell from 13% to 10%. Unmet need increased from 3% to 9% of households. The proportion of visits to government facilities fell from 17% to 13%, while the proportion to unqualified practitioners rose from 52% to 60%. Satisfaction with service providers' behaviour dropped from 66% to 56%. Users were more satisfied when waiting time was shorter, prescribed medicines were available, and they received explanations of their condition. Conclusion Services have retracted despite increased investment and the public now prefer unqualified practitioners over government services. Public opinion of government health services has deteriorated and the reforms have not specifically

Righting wrongs and reforming rights.

Science.gov (United States)

Ivey, Laurie C

2014-03-01

Discusses issues faced by LGBT people, such as a lack of equal civil rights and the need for extra legal and financial protection for families because partners cannot be married. The author notes that, in our society, it is no longer acceptable to be racist, but it is still okay to be homophobic. The many campaigns against gay marriage and efforts in the legislature to prevent change toward equal civil rights and protections are prime examples. In our current political climate, two things are very clear: (a) homophobia is freely tolerated and (b) the times are changing as we inch closer to equal rights every day. We are "righting wrongs and reforming rights."

TAX REFORM AND NONCOMPLIANCE IN INDONESIA

Directory of Open Access Journals (Sweden)

Heru Iswahyudi

2017-05-01

Full Text Available The purpose of this paper is to examine the impact of Indonesia’s tax reforms of 2000 and 2008/2009 on taxpayers’ noncompliance. Noncompliance is defined as the difference between the Value Added Tax (VAT liability and the actual revenue. Data are mainly collected from the World Input-Output Database and Indonesia’s Central Board of Statistics. The methodology uses one of the ‘top-down’ approaches, in which national accounts figures are employed to arrive at an estimation of the VAT liability. It is found that compliance deteriorated when reform efforts were incomplete – that is when the reforms suffered from decelerations, setbacks or reversals. This paper contributes to the literature by providing a framework for analyzing the impact of tax reform on taxpayer’s compliance behavior.

Partner or perish: experiences from the field about collaborations for reform.

Science.gov (United States)

Boyer, Kim; Orpin, Peter; Walker, Judith

2010-01-01

Collaborations between researchers, policy makers, service providers and community members are critical to the journey of health service reform. Challenges are multifaceted and complex. Partners come with a variety of challenging agendas, value sets and imperatives, and see the drivers for reform from different perspectives. Different skills are required for managing the partnership and for providing academic leadership, and different structural frameworks need to be put in place for each task in each project. We have found through a series of partnerships across our research theme of healthy ageing, and consequent translation into policy and practice, that significant and innovative effort is required for both the collaboration and the research to succeed. A shared understanding of the issues and challenges is a start, but not sufficient for longer-term success. In addition to managing the research, our experience has demonstrated the need to understand the different challenges faced by each of the partners, recognise and respect personal and organisational value systems, and to establish separate mechanisms to manage strong egos alongside, but outside of, the research process.

LAND REFORM IN UKRAINE: HISTORIOGRAPHICAL ANALYSIS

Directory of Open Access Journals (Sweden)

Barantsov B.

2016-05-01

Full Text Available Modern land reform, that continues in Ukraine since the beginning of the 90-th of ХХ century, is a logical result of the functioning of society and the state.. It’s prerequisites becames, especially full monopolization of state on ownership of land; absence of payment for land as one of the means of ensuring the rational use of lands; absence on workers motivation for intensive work on the land, etc.. These and other preconditions contributed to soil degradation, production of agricultural products with exceeding of maximum allowable concentrations of pollutants, development of diseases, undermine the gene pool of nature and man. Mentioned reasons determined the goal and objectives of modern land reform, which were originally set out in the preamble to the Resolution of the Verkhovna Rada of Ukraine from December 18, 1990 «On Land Reform» with following changes and additions, and in the implementation of the land-reformation measures gained more complete content. Conducted analysis shows that land reform in Ukraine leads to a change of ownership of land, contributes to solving problems of citizens by land plots, enactment of payment for land usecreation of conditions for the development of land market. Thus changing land relations, is formed legal and regulatory framework of land reform and land market. However, positive developments in the implementation of land reform to end of the 90-th years have not led to a radical and effective upgrade of agricultural production, recovery of investment processes in other branches of industry, improving of welfare of the population. Land reform measures didn’t receive adequate financial support. The ultimate goal - an economically-effective and environmentally safe use of land in Ukraine - has not been achieved. Further reforming of land relations contributed to the adoption in October 2001 of the Land Code of Ukraine in the new edition that created the legal principles of land reform. Since it�

NRCMS capitation reform and effect evaluation in Pudong New Area of Shanghai.

Science.gov (United States)

Jing, Limei; Bai, Jie; Sun, Xiaoming; Zakus, David; Lou, Jiquan; Li, Ming; Zhang, Qunfang; Zhuang, Yuehong

2016-07-01

cost control consciousness. Approximately 2.3% of the outpatients flowed to the primary hospitals from the secondary hospitals; and farmers' annual medical burden was relieved to a certain degree. Meanwhile, it did not affect farmers' utilization and benefits of healthcare. However, further reform still faces new challenges: The capitation reform should be well combined with the primary healthcare system to realize the "dual gatekeeper" of GPs; a variety of payment methods should be mixed on the basis of capitation to avoid possible mistakes by one single approach; and the supervision of medical institutions should be strengthened. A long-term follow-up study need to be carried out to evaluate the effects of the capitation reform so as to improve the design of the program. Copyright © 2015 John Wiley & Sons, Ltd. Copyright © 2015 John Wiley & Sons, Ltd.

In-Space Propulsion, Logistics Reduction, and Evaluation of Steam Reformer Kinetics: Problems and Prospects

Science.gov (United States)

Jaworske, D. A.; Palaszewski, B. A.; Kulis, M. J.; Gokoglu, S. A.

2015-01-01

Human space missions generate waste materials. A 70-kg crewmember creates a waste stream of 1 kg per day, and a four-person crew on a deep space habitat for a 400+ day mission would create over 1600 kg of waste. Converted into methane, the carbon could be used as a fuel for propulsion or power. The NASA Advanced Exploration Systems (AES) Logistics Reduction and Repurposing (LRR) project is investing in space resource utilization with an emphasis on repurposing logistics materials for useful purposes and has selected steam reforming among many different competitive processes as the preferred method for repurposing organic waste into methane. Already demonstrated at the relevant processing rate of 5.4 kg of waste per day, high temperature oxygenated steam consumes waste and produces carbon dioxide, carbon monoxide, and hydrogen which can then be converted into methane catalytically. However, the steam reforming process has not been studied in microgravity. Data are critically needed to understand the mechanisms that allow use of steam reforming in a reduced gravity environment. This paper reviews the relevant literature, identifies gravity-dependent mechanisms within the steam gasification process, and describes an innovative experiment to acquire the crucial kinetic information in a small-scale reactor specifically designed to operate within the requirements of a reduced gravity aircraft flight. The experiment will determine if the steam reformer process is mass-transport limited, and if so, what level of forced convection will be needed to obtain performance comparable to that in 1-g.

Experimental analysis of an autothermal reformer for automotive purposes

International Nuclear Information System (INIS)

Caners, C.; Peppley, B.; Harrison, S.; Oosthuizen, P.

2004-01-01

This paper describes the experimental analysis, concomitant with modeling research, to determine improved operating parameters and design of an autothermal reformer. The reformer, utilizing both partial oxidation and steam reforming reactions, along with the water gas shift phenomena is well suited for the mobile application of transportation. This is due to the novel geometry of the autothermal reformer, which seeks to improve the heat transfer characteristics of the process, whereby the exothermic partial oxidation reaction provides the heat energy required to drive the steam reforming reaction, to the point of a thermally neutral system. The paper will present data from the experimental results of reforming iso-octane as a surrogate for gasoline in the form of reformate composition, iso-octane conversion percentages and efficiencies in terms of hydrogen realized per mol of fuel input. (author)

Legal Reform, De-colonization and State-building in Palestine ...

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

Legal Reform, De-colonization and State-building in Palestine. Demands for legal reform have come from both inside and outside Palestine. Inside Palestine, legal reform is seen as a prerequisite for democracy and good governance. Outside, legal reform is perceived as integral to the continued peace process with Israel.

EDUCATIONAL REFORMS AND TEACHERS’ WORKING CONDITIONS: EMOTIONS EXPERIENCED BY AN IN-SERVICE ENGLISH LANGUAGE TEACHER

Directory of Open Access Journals (Sweden)

Neide Nunes RODRIGUES

2014-12-01

Full Text Available In this article, we analyze the relation among educational reforms and teachers’ work, and emotions. This study was conducted with a public school English teacher, in Minas Gerais. The aim was to verify the role that contextual factors play in the production of emotions, and detect the emotions that influence her practice with students, colleagues, and school managers. The theoretical framework was based on studies about educational reforms and teachers’ work (AUGUSTO, 2005; HYPOLITO; VIEIRA; PIZZI, 2009; DUARTE; AUGUSTO, [s.d.], the relationship between emotions and the process of teaching and learning languages (HARGREAVES, 2000; ZEMBYLAS, 2002, 2003; ARAGÃO, 2008; DAY; QING, 2009; SHUTZ; ZEMBYLAS, 2009; COWIE, 2011; RIBEIRO, 2012. We used a semistructured questionnaire and a narrative interview as data collection instruments. The analysis has pointed out poor work condition, crowded classrooms, poor physical and technological structures, strict school curriculum, students’ indiscipline, and the institution pessimistic atmosphere as frustrating, stressful, and de-motivating factors. These results indicate the need to create alternative ways of school workplaces organization, and to modify the way people interact in schools. They also suggest the need of educators to participate in the design and implementation of educational reforms.

Demonstration of direct internal reforming for MCFC power plants

Energy Technology Data Exchange (ETDEWEB)

Aasberg-Petersen, K.; Christensen, P.S.; Winther, S.K. [HALDOR TOPSOE A/S, Lynby (Denmark)] [and others

1996-12-31

The conversion of methane into hydrogen for an MCFC by steam reforming is accomplished either externally or internally in the stack. In the case of external reforming the plant electrical efficiency is 5% abs. lower mainly because more parasitic power is required for air compression for stack cooling. Furthermore, heat produced in the stack must be transferred to the external reformer to drive the endothermic steam reforming reaction giving a more complex plant lay-out. A more suitable and cost effective approach is to use internal steam reforming of methane. Internal reforming may be accomplished either by Indirect Internal Reforming (DIR) and Direct Internal Reforming (DIR) in series or by DIR-only as illustrated. To avoid carbon formation in the anode compartment higher hydrocarbons in the feedstock are converted into hydrogen, methane and carbon oxides by reaction with steam in ail adiabatic prereformer upstream the fuel cell stack. This paper discusses key elements of the desire of both types of internal reforming and presents data from pilot plants with a combined total of more than 10,000 operating hours. The project is being carried out as part of the activities of the European MCFC Consortium ARGE.

Change management in an environment of ongoing primary health care system reform: A case study of Australian primary health care services.

Science.gov (United States)

Javanparast, Sara; Maddern, Janny; Baum, Fran; Freeman, Toby; Lawless, Angela; Labonté, Ronald; Sanders, David

2018-01-01

Globally, health reforms continue to be high on the health policy agenda to respond to the increasing health care costs and managing the emerging complex health conditions. Many countries have emphasised PHC to prevent high cost of hospital care and improve population health and equity. The existing tension in PHC philosophies and complexity of PHC setting make the implementation and management of these changes more difficult. This paper presents an Australian case study of PHC restructuring and how these changes have been managed from the viewpoint of practitioners and middle managers. As part of a 5-year project, we interviewed PHC practitioners and managers of services in 7 Australian PHC services. Our findings revealed a policy shift away from the principles of comprehensive PHC including health promotion and action on social determinants of health to one-to-one disease management during the course of study. Analysis of the process of change shows that overall, rapid, and top-down radical reforms of policies and directions were the main characteristic of changes with minimal communication with practitioners and service managers. The study showed that services with community-controlled model of governance had more autonomy to use an emergent model of change and to maintain their comprehensive PHC services. Change is an inevitable feature of PHC systems continually trying to respond to health care demand and cost pressures. The implementation of change in complex settings such as PHC requires appropriate change management strategies to ensure that the proposed reforms are understood, accepted, and implemented successfully. Copyright © 2017 John Wiley & Sons, Ltd.

Railway Reform in China.

OpenAIRE

Wu, J. H.; Nash, C.

1998-01-01

The purpose of this working paper is to consider the current situation of Chinese Railways, the progress of reforms to date, and possible future developments. The first section describes the current problems of Chinese Railways, as a vast organisation subject to strong central control, facing enormous and rapidly growing demands which it is unable to satisfy. The progress of reform in Chinese Railways to date, and in particular the Economic Contract Responsibility System instituted in the lat...

Reviewing and reforming policy in health enterprise information security

Science.gov (United States)

Sostrom, Kristen; Collmann, Jeff R.

2001-08-01

Health information management policies usually address the use of paper records with little or no mention of electronic health records. Information Technology (IT) policies often ignore the health care business needs and operational use of the information stored in its systems. Representatives from the Telemedicine & Advanced Technology Research Center, TRICARE and Offices of the Surgeon General of each Military Service, collectively referred to as the Policies, Procedures and Practices Work Group (P3WG), examined military policies and regulations relating to computer-based information systems and medical records management. Using a system of templates and matrices created for the purpose, P3WG identified gaps and discrepancies in DoD and service compliance with the proposed Health Insurance Portability and Accountability Act (HIPAA) Security Standard. P3WG represents an unprecedented attempt to coordinate policy review and revision across all military health services and the Office of Health Affairs. This method of policy reform can identify where changes need to be made to integrate health management policy and IT policy in to an organizational policy that will enable compliance with HIPAA standards. The process models how large enterprises may coordinate policy revision and reform across broad organizational and work domains.

on the accra document, reformed theology and reformed ecclesiology

African Journals Online (AJOL)

2009-12-14

Dec 14, 2009 ... Many churches and ecumenical bodies have already responded, in diverse ways ..... and contains a number of practical commitments and appeals. (par. ..... rhetorical power and emotion that it seemingly has for Reformed.

Comparative analysis of aging policy reforms in Argentina, Chile, Costa Rica, and Mexico.

Science.gov (United States)

Calvo, Esteban; Berho, Maureen; Roqué, Mónica; Amaro, Juan Sebastián; Morales, Fernando; Rivera, Emiliana; Gutiérrez Robledo, Luis Miguel F; López, Elizabeth Caro; Canals, Bernardita; Kornfeld, Rosa

2018-04-16

This investigation uses case studies and comparative analysis to review and analyze aging policy in Argentina, Chile, Costa Rica, and Mexico, and uncovers similarities and relevant trends in the substance of historical and current aging policy across countries. Initial charity-based approaches to poverty and illness have been gradually replaced by a rights-based approach considering broader notions of well-being, and recent reforms emphasize the need for national, intersectoral, evidence-based policy. The results of this study have implications for understanding aging policy in Latin America from a welfare regime and policymakers' perspective, identifying priorities for intervention, and informing policy reforms in developing countries worldwide.

Administrative reform in the Venezuelan Ministry of Education: A case analysis of the 1970's

Science.gov (United States)

Hanson, E. Mark

1984-06-01

Democracy arrived in Venezuela in 1958, and reforming the rigid, centralized and unrepresentative institutions of government subsequently assumed a high priority. This article, based on data gathered in Venezuela several times over a twelve-year period by means of a standard field research methodology, represents a longitudinal case study of efforts through the 70's to generate administrative reform in the Ministry of Education. Specifically, the reform proposed to decentralize and regionalize the organization and management of education in order to promote regional socio-economic development. The study describes and discusses political and organizational factors which disrupted and frustrated the reform process, including: (1) lack of political continuity and maturity; (2) lack of appropriate structures within the system and of real desire on the part of ministry officials to initiate an effective delegation of powers and responsibilities; (3) lack of adequate mechanisms for gathering, processing and distributing information; and (4) lack of sufficient personnel within the ministry with the training and sustained experience to manage complex programs. As in many other countries, the ideals of the reform in Venezuela outstripped the political and human realities of the situation there. Comparative research is now needed to enable other nations to learn from this experience.

Leading change: curriculum reform in graduate education in the biomedical sciences.

Science.gov (United States)

Dasgupta, Shoumita; Symes, Karen; Hyman, Linda

2015-01-01

The Division of Graduate Medical Sciences at the Boston University School of Medicine houses numerous dynamic graduate programs. Doctoral students began their studies with laboratory rotations and classroom training in a variety of fundamental disciplines. Importantly, with 15 unique pathways of admission to these doctoral programs, there were also 15 unique curricula. Departments and programs offered courses independently, and students participated in curricula that were overlapping combinations of these courses. This system created curricula that were not coordinated and that had redundant course content as well as content gaps. A partnership of key stakeholders began a curriculum reform process to completely restructure doctoral education at the Boston University School of Medicine. The key pedagogical goals, objectives, and elements designed into the new curriculum through this reform process created a curriculum designed to foster the interdisciplinary thinking that students are ultimately asked to utilize in their research endeavors. We implemented comprehensive student and peer evaluation of the new Foundations in Biomedical Sciences integrated curriculum to assess the new curriculum. Furthermore, we detail how this process served as a gateway toward creating a more fully integrated graduate experience, under the umbrella of the Program in Biomedical Sciences. © 2015 The International Union of Biochemistry and Molecular Biology.

Who pulled the strings? A comparative study of Indonesian and Vietnamese tax reform

NARCIS (Netherlands)

Heij, Gitte

2007-01-01

Many countries overhaul their tax systems from time to time. In the Asian region countries like Indonesia, China, Malaysia, the Philippines, Singapore, Vietnam and Thailand have all undergone drastic tax reforms in the last 20 years. The need to fill the government coffers, attract foreign

Benefits of a single payment system: case study of Abu Dhabi health system reforms.

Science.gov (United States)

Vetter, Philipp; Boecker, Klaus

2012-12-01

In 2005 leaders in the wealthy Emirate of Abu Dhabi inherited an health system from their predecessors that was well-intentioned in its historic design, but that did not live up to aspirations in any dimension. First, the Emirate defined a vision to deliver "world-class" quality care in response to citizen's needs. It has since introduced tiered mandatory health insurance for all inhabitants linked to a single standard payment system, which generates accurate data as an invaluable by-product. A newly created independent health system regulator monitors these data and licenses, audits, and inspects all health service professionals, facilities, and insurers accordingly. We analyse these health system reforms using the "Getting Health Reform Right" framework. Our analysis suggests that an integrated set of reforms addressing all reform levers is critical to achieving the outcomes observed. The reform programme has improved access, by giving all residents health cards. The approximate doubling of demand has been matched by flexible supply, with the private sector adding 5 new hospitals and 93 clinics to the health system infrastructure since 2006. The focus on reliable raw-data flows through the single standard payment system functions as a motor for improvement services, innovation, and investment, for instance by allowing payers to 'pay for quality', which may well be applicable in other contexts. Copyright © 2012 Elsevier Ireland Ltd. All rights reserved.

Regulatory Reform and License Termination Planning in Decommissioning

International Nuclear Information System (INIS)

Michael J. Meisner

2000-01-01

Decommissioning of commercial nuclear power plants (NPPs) must be safe and cost-effective and consider the needs of a wide range of stakeholders. The creative tension among these objectives has provided opportunities to reform the way these plants are regulated and managed in decommissioning. Enlightened and visionary leaders from the U.S. Nuclear Regulatory Commission (NRC) and industry are seizing these opportunities to create new paradigms for risk-informed regulation; creative stakeholder involvement; and effective, end-state focused, license termination planning

Adaptability of competitive electricity reforms a modular analysis

International Nuclear Information System (INIS)

Dubois, Ute

2009-01-01

Among the competitive electricity reforms that have been implemented in Europe and the US for the last 18 years, none has 'survived' over several years without major changes. Their changing nature raises the question of their adaptability. Two characteristics of reforms play a key role on their adaptation properties. Firstly, they are 'modular' objects in the sense of [Baldwin, C., 2008. Where do transactions come from? Modularity, transactions, and the boundaries of firms. Industrial and Corporate Change 17 (1), 155-195]. Secondly, they are produced in an institutional process which leads to 'incomplete' rules and designs [Pistor, K., Xu, C., 2003. Incomplete law. International Law and Politics 35, 931-1013]. We propose a typology of adaptations based on the framework proposed by [Williamson, O.E., 1991. Comparative economic organization: the analysis of discrete structural alternatives. Administrative Science Quarterly 36 (2), 269-296] for contracts: (1) in case of small disturbances, adaptations are realized quasi-automatically, by autonomous decisions of the institutions governing the implementation of reforms; (2) in case of middle-range disturbances, adaption is made by Coasian bargaining; (3) finally, in case of strong disturbances, or when bargaining is not feasible, the adaptation of reforms is in the hands of legislative and executive institutions [North, D.C., 2005. Le processus du developpement economique. Editions d'Organisation]. These institutions can reform the reforms [Joskow, P.L., 2006. Introduction to electricity sector liberalization: lessons learned from cross-country studies. In: Sioshansi, F.P. (Ed.), Electricity Market Reform: An International Perspective. Elsevier, Amsterdam, pp. 1-32; Hogan, W.W., 2002. Electricity market restructuring: reforms of reforms. Journal of Regulatory Economics 21, 103-132]. The role of these types of adaptations in each electricity reform is a consequence of the allocation of rights to the regulator, to

Reforming Higher Education in "Transition": Between National and International Reform Initiatives--The Case of Slovenia

Science.gov (United States)

Zgaga, Pavel; Miklavic, Klemen

2011-01-01

The article analyzes the last two decades of higher education reforms in Slovenia. During the "period of transition," they were led by national as well as international initiatives. At an early stage, the national initiatives were mainly based on criticisms of the last reform made by the former regime, although the generation of new…

Electricity reform abroad and US investment

Energy Technology Data Exchange (ETDEWEB)

NONE

1997-10-01

This report reviews and analyzes the recent electricity reforms in Argentina, Australia, and the United Kingdom (UK) to illustrate how different models of privatization and reform have worked in practice. This report also analyzes the motivations of the U.S. companies who have invested in the electricity industries in these countries, which have become the largest targets of U.S. foreign investment in electricity. Two calculations of foreign investment are used. One is the foreign direct investment series produced by the U.S. Department of Commerce. The other is based on transactions in electric utilities of the three countries. The electricity reform and privatization experiences reviewed may offer some insight as to how the U.S. electricity industry might develop as a result of recent domestic reform efforts and deregulation at the state and national levels. 126 refs., 23 figs., 27 tabs.

Carbonaceous deposits on naptha reforming catalysts

International Nuclear Information System (INIS)

Redwan, D.S.

1999-01-01

Carbonaceous deposits on naphtha reforming catalysts play a decisive role in limiting process performance. The deposits negatively after catalyst activity, selectivity and the production cycle of a semi regenerative reformer. The magnitude of negative effect of those deposits is directly proportional to their amounts and complexity. Investigations on used reforming catalysts samples reveal that the amount and type (complexity of the chemical nature) of carbonaceous deposits are directly proportional to the catalysts life on stream and the severity of operating conditions. In addition, the combustibility behavior of carbonaceous deposits on the catalyst samples taken from different reformers are found to be different. Optimal carbon removal, for in situ catalyst regeneration, requires the specific conditions be developed, based on the results of well designed and properly performed investigations of the amount and type of carbonaceous deposits. (author)

Health sector reforms and human resources for health in Uganda and Bangladesh: mechanisms of effect

Directory of Open Access Journals (Sweden)

Kielmann Tara

2007-02-01

help design reform objectives that encourage positive responses among health workers b the role of context has been underestimated and it is necessary to address broader systemic problems before initiating reform processes, c reform programs need to incorporate active implementation research systems to learn the contextual dynamics and responses as well as have inbuilt program capacity for corrective measures d health workers are key stakeholders in any reform process and should participate at all stages and e some effects of reforms on the health workforce operate indirectly through levels of satisfaction voiced by communities utilising the services.

What to Do with the Bounty? Organizational Patterns for the Implementation of Resources Allocated by the Courage to Change (Oz Letmura) Reform

Science.gov (United States)

Tamir, Emanuel; Shaked, Lea

2016-01-01

The research investigated the way in which school administrations implement resources provided by Israel's "Courage to Change" reform. The uniqueness of this reform stems from the fact that the allocated resources come in the form of "weekly instruction time" rather than finance, and the school management needs to decide how to…

New Reforms to the Health System

OpenAIRE

Tran Dai, Candice; Duchâtel, Mathieu

2012-01-01

Based on:– Li Ling, “Successful reform of the health system hangs on two key elements,” Zhongguo jingyingbao (China Management News), 18 April 2009.– Li Hongmei, Li Xiaohong, Wang Junping, “Ten experts comment on the new reform of the health system: Providing better and cheaper access to medical care,” Renmin ribao (People’s Daily), 15 April 2009.– Yao Qi, “The new reform of the health system must first and foremost compensate for the shortcomings in the local hospitals,” Yangcheng wanbao (Ya...

Concertina Reforms with International Capital Mobility

DEFF Research Database (Denmark)

Kreickemeier, Udo; Raimondos-Møller, Pascalis

2006-01-01

We show that the standard concertina result for tariff reforms -i.e. loweringthe highest tariff increases welfare - no longer holds in general if we allow for international capital mobility. The result can break down if the good whose tariff is lowered is not capital intensive. If the concertina...... reform lowers welfare it lowers market access as well, thereby compromising a second goal that is typically connected with trade liberalisation.JEL-Classification: F11, F13, F15Key words: Trade Policy Reform, International Factor Mobility, Welfare, MarketAccess...

TAX-REFORM - DREAMING ABOUT TOUGH REALITIES

NARCIS (Netherlands)

DEKAM, F

1992-01-01

This paper discusses four papers concerned with tax reform. It is concluded that tax reform has had a rather limited impact on behaviour so far but that governments should press ahead with gradual improvement and not expect dramatic results.

Impact of China's Public Hospital Reform on Healthcare Expenditures and Utilization: A Case Study in ZJ Province.

Directory of Open Access Journals (Sweden)

Hao Zhang

Full Text Available High drug costs due to supplier-induced demand (SID obstruct healthcare accessibility in China. Drug prescriptions can generate markup-related profits, and the low prices of other medical services can lead to labor-force underestimations; therefore, physicians are keen to prescribe drugs rather than services. Thus, in China, a public hospital reform has been instituted to cancel markups and increase service prices.A retrospective pre/post-reform study was conducted in ZJ province to assess the impact of the reform on healthcare expenditures and utilization, ultimately to inform policy development and decision-making. The main indicators are healthcare expenditures and utilization.Post-reform, drug expenditures per visit decreased by 8.2% and 15.36% in outpatient and inpatient care, respectively; service expenditures per visit increased by 23.03% and 27.69% in outpatient and inpatient care, respectively. Drug utilization per visit increased by 5.58% in outpatient care and underwent no significant change in inpatient care. Both were lower than the theoretical drug-utilization level, which may move along the demand curve because of patient-initiated demand (PID; this indicates that SID-promoted drug utilization may decrease. Finally, service utilization per visit increased by 6% in outpatient care and by 13.10% in inpatient care; both were higher than the theoretical level moving along the demand curve, and this indicates that SID-promoted service utilization may increase.The reform reduces drug-prescription profits by eliminating drug markups; additionally, it compensates for service costs by increasing service prices. Post-reform, the SID of drug prescriptions decreased, which may reduce drug-resource waste. The SID of services increased, with potentially positive and negative effects: accessibility to services may be promoted when physicians provide more services, but the risk of resource waste may also increase. This warrants further research

Assessment of training needs and preferences for geographic information systems (GIS) mapping in state comprehensive cancer-control programs.

Science.gov (United States)

Hopfer, Suellen; Chadwick, Amy E; Parrott, Roxanne L; Ghetian, Christie B; Lengerich, Eugene J

2009-10-01

Geographic information systems (GIS) mapping technologies have potential to advance public health promotion by mapping regional differences in attributes (e.g., disease burden, environmental exposures, access to health care services) to suggest priorities for public health interventions. Training in GIS for comprehensive cancer control (CCC) has been overlooked. State CCC programs' GIS training needs were assessed by interviewing 49 state CCC directors. A majority perceived a need for GIS training, slightly more than half of state CCC programs had access to geocoded data, and the majority of programs did not require continuing education credits of their staff. CCC directors perceived judging maps and realizing their limitations as important skills and identified epidemiologists, CCC staff, public health officials, policy makers, and cancer coalition members as training audiences. They preferred in-class training sessions that last a few hours to a day. Lessons learned are shared to develop training programs with translatable GIS skills for CCC.

Competitive effects and instruments of power sector reforms. International reform concepts blockade structures, risk distribution. A political economy analysis

International Nuclear Information System (INIS)

Liebchen, Armin

2014-01-01

Power sectors with weak or inadequate competition structures are the rule, despite numerous attempts at reform. But can afford modern economies this defect for a long time? Why can the implementation of competition are blocked so effectively? The author studied international reform experiences and opens up interesting insights that can also reflect on problems of the German energy turnaround: The difficulty of timing and coordination of the reform components, the development of resistance levels of individual interest groups, breach of contract as a rational alternative, causes unwanted price effects, shifting interest situations of major stakeholders, change dynamics impending regulatory risks, pending financing risks, stranded cost-conflict situations for power stations disconnected from the grid and facilities and instruments of a political and regulatory risk management for reforms. With numerous examples, background analyzes and instruments to reform analysis, this book is aimed at investors, policy planners and analysts. [de

Health sector reform in Argentina: a cautionary tale.

Science.gov (United States)

Lloyd-Sherlock, Peter

2005-04-01

In November 2002 the World Bank published a report on the Argentine health sector. The report accurately portrays the complexity and severity of the problems facing the health care system. It stresses that these problems are not purely a product of the country's economic collapse, noting that the system has suffered from long-standing structural problems and inefficiencies. Curiously, the report makes no mention of the leading role played by the World Bank in health reform efforts during the 1990s. This paper demonstrates that these reforms did much to worsen pre-existing weaknesses of the sector. The paper criticises the content of the reform agenda and the manner in which it was produced, arguing that these were reforms in which considerations of public health were less significant than conformity to the wider model of neo-liberal social and economic development prevailing at the time. It also highlights problems of implementing the reform agenda, which reduced the coherency of the reforms. The paper goes on to examine the impact of the crisis, noting links with the preceding reforms. It identifies a number of insights and lessons of potential value to other countries which are pursuing similar policies.

AN ACUTE QUEENING MOVE FOR CHINA'S TAXATION LEGAL REFORM: ISSUES AND PROPOSALS

Institute of Scientific and Technical Information of China (English)

HU Tianlong

2016-01-01

China's fiscal and taxation law reform is at a critical stage since Chinese economy development needs to consider compromising interests and conflicts from all sources,such as the social benefit network,real estate industry avidity,internationalizing currencies,fostering a philanthropic culture,and growing as a leader in the world market.These undertakings all demand a modern,handy fiscal and taxation law system.On the other hand,after two decades of implementation of the 1994 tax sharing system,the original initiative of strengthening centralized control might not keep pace with the needs of balancing decentralization and local financing demands,in addition to the troublesome taxpayers' protection,tax judicature reform,and worsening environmental irregularities.Admittedly,China's fiscal and taxation law reform faces new challenges and incentives.Rigorous international tax frameworks and multi-jurisdictional cooperation drive China to respond as an international trade giant and a responsible game player.Such international tax policy orientations create another layer of incentives and necessity for China to fme-tune its domestic fiscal and taxation legal framework,ranging from promotion of free trade zones,global sourcing practice and supply chain management,renegotiation of outdated tax treaty articles,more active participation in consequential overseas investments,to WTO Protocol compliance review,and international tax dispute resolution.Therefore,this article argues that,no matter the extent to which feasible,plausible or pragmatic proposals are presented,a top level architecting and a serious pursuit to upgrade citizens' livelihood must be prioritized in earnest.

On being African and Reformed? Towards an African Reformed ...

African Journals Online (AJOL)

2014-06-17

Jun 17, 2014 ... It is furthermore our contention that the notion of culture and African worldviews was always perceived negatively ..... dean of the South East Asia Graduate School of Theology. He later .... Another Reformed church for Indian.

Farmers' preferences for water policy reforms: Results from a survey in Alberta

Science.gov (United States)

Zhang, W.; Bjornlund, H.; Klein, K.

2012-12-01

Facing increasingly urgent stress on global water scarcity, many reforms have been launched in countries around the world. As the biggest group of natural resource managers, farmers' behaviour is drawing increasingly wide attention. Satisfying new demands for water will depend on farmers' support since, generally, water will need to be transferred from farmers who have historically secure rights. Although water pricing reform is widely considered to lead to water conservation, the uncertainty of its potential impacts hinders the process of reform. This farmer-level empirical research explores farmers' possible responses to introduction of reforms in water pricing. A survey was conducted of about 300 farm households that use water for irrigating crops in Southern Alberta, an area that is facing water shortages and has had to stop issuing new water licences. By using structural equation modelling, the strength and direction of direct and indirect relationships between external, internal and behavioural variables as proposed in general attitude theory have been estimated. Farming as a family engagement, family members' and family unit's characteristics doubtlessly affect farming practice and farm decisions. Farmers' behaviour was explored under the family and farm context. In developing and testing conceptual models that integrate socio-demographic, psychological, farming context and social milieu factors, we may develop a deeper understanding of farmers' behaviour. The findings and recommendations will be beneficial for environmental practitioners and policy makers.

Understanding Learning and Teaching in Papua New Guinea: Elementary Teacher Trainers Engaged in Cultural Authorship in the Context of National Educational Reforms

Science.gov (United States)

Brownlee, Joanne M.; Farrell, Ann; Davis, Julie

2012-01-01

Over the last decade, Papua New Guinea (PNG) has pursued educational reform in elementary teacher education. Because elementary teachers and teacher education are central to the reform agenda, there is a need to gain empirical evidence about how PNG teacher trainers' understandings about learning and teaching impact on their practice. The study…

Quality Reforms in Danish Home Care

DEFF Research Database (Denmark)

Rostgaard, Tine

2012-01-01

. This reform strategy represents a shift from the welfare state modernisation program of the 1980s, which built mainly on economic strategies of cost-efficiency and New Public Management (NPM) princi-ples, including contract management and performance management. Recent reforms have instead attempted...

Health care in China: improvement, challenges, and reform.

Science.gov (United States)

Wang, Chen; Rao, Keqin; Wu, Sinan; Liu, Qian

2013-02-01

Over the past 2 decades, significant progress has been made in improving the health-care system and people's health conditions in China. Following rapid economic growth and social development, China's health-care system is facing new challenges, such as increased health-care demands and expenditure, inefficient use of health-care resources, unsatisfying implementation of disease management guidelines, and inadequate health-care insurance. Facing these challenges, the Chinese government carried out a national health-care reform in 2009. A series of policies were developed and implemented to improve the health-care insurance system, the medical care system, the public health service system, the pharmaceutical supply system, and the health-care institution management system in China. Although these measures have shown promising results, further efforts are needed to achieve the ultimate goal of providing affordable and high-quality care for both urban and rural residents in China. This article not only covers the improvement, challenges, and reform of health care in general in China, but also highlights the status of respiratory medicine-related issues.

Liquid hydrogen production via hydrogen sulfide methane reformation

Science.gov (United States)

Huang, Cunping; T-Raissi, Ali

Hydrogen sulfide (H 2S) methane (CH 4) reformation (H 2SMR) (2H 2S + CH 4 = CS 2 + 4H 2) is a potentially viable process for the removal of H 2S from sour natural gas resources or other methane containing gases. Unlike steam methane reformation that generates carbon dioxide as a by-product, H 2SMR produces carbon disulfide (CS 2), a liquid under ambient temperature and pressure-a commodity chemical that is also a feedstock for the synthesis of sulfuric acid. Pinch point analyses for H 2SMR were conducted to determine the reaction conditions necessary for no carbon lay down to occur. Calculations showed that to prevent solid carbon formation, low inlet CH 4 to H 2S ratios are needed. In this paper, we analyze H 2SMR with either a cryogenic process or a membrane separation operation for production of either liquid or gaseous hydrogen. Of the three H 2SMR hydrogen production flowsheets analyzed, direct liquid hydrogen generation has higher first and second law efficiencies of exceeding 80% and 50%, respectively.

Energy market reform and greenhouse gas emission reductions

International Nuclear Information System (INIS)

Anon.

1999-01-01

The report reviews micro-economic reform in the energy market and measures the impact that energy market reform is expected to have on greenhouse gas outcomes. It indicates that reform in the electricity and gas industries is delivering what was promised, an efficient market with lower energy prices and, over the longer term, will deliver a gradually reducing rate of greenhouse gas emissions per unit of energy produced. It also recognises that energy market reform has removed some barriers to the entry of less greenhouse gas intense fuels. These trends will result in reduced greenhouse gas intensity in the supply of energy and significant reductions in the growth in greenhouse gas emissions compared to what may have been expected without the reforms

Reforming the reform: the Greek National Health System in transition.

Science.gov (United States)

Tountas, Yannis; Karnaki, Panagiota; Pavi, Elpida

2002-10-01

The National Health System (ESY) in Greece, which was established in 1983, is in a state of continuous crisis. This situation is caused mainly by the system's problematic administration, low productivity and inadequate Primary Health Care. These have led the re-elected PASOK government to introduce by the end of 2000 a radical reform of the health system. The 200 reform measures announced by the new Minister of Health and Welfare include changes aiming at: the decentralization of the ESY, the creation of a unified financing system for the social insurance funds, a new management structure in public hospitals, the organization of a Primary Health System in urban areas, and the strengthening of Public Health and Health Promotion. These changes are presented and discussed in this paper.

Development and validation of a CFD-based steam reformer model

DEFF Research Database (Denmark)

Kær, Søren Knudsen; Dahlqvist, Mathis; Saksager, Anders

2006-01-01

Steam reforming of liquid biofuels (ethanol, bio-diesel etc.) represents a sustainable source of hydrogen for micro Combined Heat and Power (CHP) production as well as Auxiliary Power Units (APUs). In relation to the design of the steam reforming reactor several parameter are important including...... for expensive prototypes. This paper presents an advanced Computational Fluid Dynamics based model of a steam reformer. The model was implemented in the commercial CFD code Fluent through the User Defined Functions interface. The model accounts for the flue gas flow as well as the reformate flow including...... a detailed mechanism for the reforming reactions. Heat exchange between the flue gas and reformate streams through the reformer reactor walls was also included as a conjugate heat transfer process.  From a review of published models for the catalytic steam reforming of ethanol and preliminary predictions...

Re(De-Forming public administration: an expert outlook on reform planning in Romania

Directory of Open Access Journals (Sweden)

Diana-Camelia IANCU

2012-08-01

Full Text Available It has been argued that the West with its well-established democracies was largely responsible for the filling of the institutional vacuum the East experienced after the fall of totalitarian regimes in the eve of the 90s. Scholars of international relations and public policies loudly debated on the existent causality between the European enlargement and the administrative reforms Central and Eastern European countries experienced in the last two decades. Be it in the form of soft or hard law, financial aid or penalties, Western norms were supposed to have been transferred to acceding countries in a rather alert tempo, and with a high(er rate of compliance success. This research builds on these arguments without yet embracing them completely and tackles the issue of Western values successful transfer to public administration reform planning in Romania. The main question it attempts to answer is to what extent substantial compliance to the European expectations for building a consolidated public administration was achieved. In doing so, it compares formal national discourses of successful public administration reform with personal experiences of Romanian public managers, four years after Romania’s accession to the European Union. Between 2005 and 2008, the Romanian Government acknowledged the need for developing a highly professional, apolitical category of civil servants later to be called “public managers”. These managers, young people that were offered Governmental grants to train themselves in Western universities, were supposed to guide national reforms from the inside of the system. Their informal role was to use their Western academic and training experiences and place them against the national background so as to plan and execute a “good” public administration reform. Was this achieved? What were the intervening factors? The interviews performed on public managers from central government organizations are placed against the

La reforma del procedimiento de reforma constitucional en España // The reform of the the Spanish constitutional reform procedure

Directory of Open Access Journals (Sweden)

José Manuel Vera Santos

2016-08-01

the kitchen. 1. Title X of the Spanish Constitution of 1978. 1.1. Constitutional reform initiative and its temporal limits (arts. 166 and 169. 1.2. The reform procedure under article 167. 1.3. The reform procedure under article 168. 2. Possible and desirable reforms or how the sleep of reason can produce monsters, although it should not. 2.1. Previous reflections. 2.2. Regarding the initiative in both procedures. 2.3. Regarding the considerations set out in article 167.2. 2.4. Regarding the stipulations set out in article 168. 3. Provided proposals.

JP8 Reformation for Combat Vehicles

Science.gov (United States)

2007-08-07

phase (fuel), and a gas phase (hydrogen) at elevated pressures. • Trickle - bed configuration is difficult to model and scale down—not practical for...gases output from HDS reactor are used to fuel the reformer. Current Technology Status: •Integrated desulfurization/reforming system successfully

Market reforms in Swedish health care

DEFF Research Database (Denmark)

Diderichsen, Finn

1993-01-01

This report presents the main characteristics of reforms in the Swedish health services, as exemplified by the "Stockholm Model" introduced in 1992 in Stockholm county. The author discusses the motives behind these reforms, the already-evident increases in costs that are occurring, and the effect...

Market screening of natural gas reformers

International Nuclear Information System (INIS)

Themsen, J.; Pagh Nielsen, M.; Knudsen Kaer, S.

2005-01-01

This report presents results from the project: Market screening of natural gas reformers. The project objective was to screen the natural gas reformers available on the international market. The technology is developing rapidly, and the results from this project will assist in determining the focus for the future Danish activities and in setting up ambitious and realistic targets. The reformer screening is partly based on AAU and Dantherm's experiences from previous studies, and the screening has been further extended with a number of activities, including seminars and contact with some of the most interesting suppliers. (BA)

Identifying perceptions of academic reform in pharmacy using a four-frame organizational change model.

Science.gov (United States)

Bajis, Dalia; Chaar, Betty; Basheti, Iman A; Moles, Rebekah

2017-11-10

In an ever-changing environment, pharmacy education is in the race to catch up and excel to produce competent pharmacists. Examining academic institutions, including schools of pharmacy, their internal systems and framework, it seems appropriate to view these institutions using multiple lenses. Bolman and Deal conceptualized a method to examine organizations using four constructs (structural, human resource, political, and symbolic). The Eastern Mediterranean Region (EMR), with deep-rooted pharmacy education and practice was the setting for this research. To explore factors affecting academic reform in undergraduate pharmacy education in the EMR from stakeholders' and students' perspectives; and to apply Bolman and Deal's four-frame organizational change model to explore how these issues might be viewed. A multiple-method approach was employed and involved collecting, analyzing and integrating qualitative semi-structured interview data with open-ended questions in a survey. Cross-sector stakeholder sample from various EMR countries was recruited and interviewed. Final year pharmacy students from one school of pharmacy in Jordan were surveyed. Emergent themes were indicative that academic reform was addressed by all frames of the Bolman and Deal model. Structural and political frames received substantial weighing pointing to the importance of curricular reform, collaboration and leadership. A need for skillful and role-model teaching academic staff was highlighted, and in harmony with the human resource frame. Issues within the symbolic frame were readily apparent in the data and spanned the other three frames in relation to heritage, customs and cultural barriers. Issues pertinent to academic reform in pharmacy were presented. Viewing change in pharmacy schools from multiple perspectives highlighted the need for structural changes to pharmacy programs, human resource management, political will, leadership, and collaboration. The importance of understanding cultural

Global implications of China's healthcare reform.

Science.gov (United States)

Yan, Fei; Tang, Shenglan; Zhang, Jian

2016-01-01

The ongoing healthcare reform in China has a powerful spillover effect beyond the health sector and the borders of China. A successful completion of the Chinese reform will offer a new model for social justice development, shift the global economy toward sustainability and create a new hub for science and technology in medical and health science. However, reforming the healthcare system in the most populated country is a daunting task. China will not live up to its promise, and all the potentials may end with hype not hope if coherent national strategies are not constructed and state-of-the-art navigation is not achieved with staggering domestic and global challenges. The cost of failure will be immensely high, socioeconomic costs for Chinese and an opportunity cost for the world as a whole. A full appreciation of the global implications of China's healthcare reform is crucial in keeping China receptive toward good practices evidence-approved elsewhere and open minded to fulfill its international obligations. More critically, the appreciation yields constructive engagements from global community toward a joint development and global prosperity. The current report provides a multiple disciplinary assessment on the global implications of the healthcare reform in China. Copyright © 2014 John Wiley & Sons, Ltd.

Education for Sustainable Development in Malaysia's National Curriculum Reformation: A Theoretical Exploration

Directory of Open Access Journals (Sweden)

Aai Sheau Yean

2014-10-01

Full Text Available This article aims to examine the feasibility and potential of including appropriate Education for Sustainable Development (ESD elements in the National Curriculum Reformation of Malaysia that is set to be introduced in the year 2017. This is done through the proposal of a theoretical approach for understanding ESD fit for Malaysia from an environmental epistemology. To start with, this article outlines dominant ideologies and epistemologies revolving around the concept of Sustainable Development (SD and focuses on critiquing the underlying anthropocentric tendencies found within. Drawing principally from the ideas of Schumacher (1973, Orr (2004, and Sterling (1992, the article then sets out to examine the ideologies and epistemologies needed to support education reformation that are more environmentally sensitive in nature.

LiquidPower-1. Development and proof-of-concept of core methanol reformer for stationary and motive fuel cell systems and hydrogen refuelling stations. Final report

Energy Technology Data Exchange (ETDEWEB)

Krogsgaard, J.; Mortensen, Henrik [H2 Logic A/S, Herning (Denmark); Skipper, T. [Dantherm Power A/S, Hobro (Denmark)

2013-03-15

LiquidPower-1 has developed laboratory test systems for methanol reforming and tested reformers from four different suppliers. This has contributed to determining the state-of-the-art level for methanol reforming and enabled an update of the LiquidPower R and D Roadmap onwards a commercialisation of the technology. The project has achieved the following results: 1) A detailed technical specification of methanol reformers for the fuel cell back-up power and hydrogen refueling station markets has been conducted; 2) Laboratory test systems for methanol reformers has been developed and established at Dantherm Power and H2 Logic; 3) Initial test of reformers from four suppliers has been conducted - with two suppliers being selected for continued tests; 4) Extensive laboratory tests conducted of reformers from two suppliers, with the aim to determine state-of-the-art for price, efficiency, capacity and lifetime. Several errors and break-downs were experienced during the test period, which revealed a need for further R and D to improve lifetime and stability; 5) The LiquidPower F and U Roadmap has been updated. Reformer TCO targets (Total Cost of Operation) for each of the markets have been calculated including updated targets for efficiency and cost. These targets also serve as the main ones to be pursued as part of the continued R and D roadmap execution. Compared to the previous edition of the Roadmap, the project has confirmed the viability of methanol reforming, but also revealed that stability and lifetime needs to be addressed and solved before commencing commercialization of the technology. If the Roadmap is successful a commercialization can commence beyond 2015. (Author)

Steam reforming of commercial ultra-low sulphur diesel

Energy Technology Data Exchange (ETDEWEB)

Boon, J.; Van Dijk, E.; De Munck, S.; Van den Brink, R. [Energy research Centre of The Netherlands, ECN Hydrogen and Clean Fossil Fuels, P.O. Box 1, NL1755ZG Petten (Netherlands)

2011-03-11

Two main routes for small-scale diesel steam reforming exist: low-temperature pre-reforming followed by well-established methane steam reforming on the one hand and direct steam reforming on the other hand. Tests with commercial catalysts and commercially obtained diesel fuels are presented for both processes. The fuels contained up to 6.5 ppmw sulphur and up to 4.5 vol.% of biomass-derived fatty acid methyl ester (FAME). Pre-reforming sulphur-free diesel at around 475C has been tested with a commercial nickel catalyst for 118 h without observing catalyst deactivation, at steam-to-carbon ratios as low as 2.6. Direct steam reforming at temperatures up to 800C has been tested with a commercial precious metal catalyst for a total of 1190 h with two catalyst batches at steam-to-carbon ratios as low as 2.5. Deactivation was neither observed with lower steam-to-carbon ratios nor for increasing sulphur concentration. The importance of good fuel evaporation and mixing for correct testing of catalysts is illustrated. Diesel containing biodiesel components resulted in poor spray quality, hence poor mixing and evaporation upstream, eventually causing decreasing catalyst performance. The feasibility of direct high temperature steam reforming of commercial low-sulphur diesel has been demonstrated.

Steam reforming of commercial ultra-low sulphur diesel

Science.gov (United States)

Boon, Jurriaan; van Dijk, Eric; de Munck, Sander; van den Brink, Ruud

Two main routes for small-scale diesel steam reforming exist: low-temperature pre-reforming followed by well-established methane steam reforming on the one hand and direct steam reforming on the other hand. Tests with commercial catalysts and commercially obtained diesel fuels are presented for both processes. The fuels contained up to 6.5 ppmw sulphur and up to 4.5 vol.% of biomass-derived fatty acid methyl ester (FAME). Pre-reforming sulphur-free diesel at around 475 °C has been tested with a commercial nickel catalyst for 118 h without observing catalyst deactivation, at steam-to-carbon ratios as low as 2.6. Direct steam reforming at temperatures up to 800 °C has been tested with a commercial precious metal catalyst for a total of 1190 h with two catalyst batches at steam-to-carbon ratios as low as 2.5. Deactivation was neither observed with lower steam-to-carbon ratios nor for increasing sulphur concentration. The importance of good fuel evaporation and mixing for correct testing of catalysts is illustrated. Diesel containing biodiesel components resulted in poor spray quality, hence poor mixing and evaporation upstream, eventually causing decreasing catalyst performance. The feasibility of direct high temperature steam reforming of commercial low-sulphur diesel has been demonstrated.

Reforming the Discipline Management Process in Schools: An Alternative Approach to Zero Tolerance

Science.gov (United States)

Kajs, Lawrence T.

2006-01-01

There is a need for educational reform of zero tolerance policies in school disciplinary management procedures. Zero tolerance policies are rigid mandates of predetermined consequences for specific student misconduct. Common sense and fairness are not necessarily served by the application of inflexible disciplinary rules that do not address the…

Validity Theory: Reform Policies, Accountability Testing, and Consequences

Science.gov (United States)

Chalhoub-Deville, Micheline

2016-01-01

Educational policies such as Race to the Top in the USA affirm a central role for testing systems in government-driven reform efforts. Such reform policies are often referred to as the global education reform movement (GERM). Changes observed with the GERM style of testing demand socially engaged validity theories that include consequential…

The reform of the European energy tax directive: Exploring potential economic impacts in the EU27

International Nuclear Information System (INIS)

Rocchi, Paola; Serrano, Mònica; Roca, Jordi

2014-01-01

The aim of this study is to analyze the effect that the Energy Tax Directive reform proposed in 2011 would have, if implemented, on the level of prices in the different sectors of the 27 countries of the European Union. We apply a multiregional and multisectoral model of trade flows that takes into account all the intersectoral and intercountry interdependences in the production processes. Using the World Input–Output Database we perform two different simulations. The first one considers the tax changes proposed by the reform; the second one shows the impact the reform would have entailed if it were applied also to sectors belonging to the European Trade System. The main finding of the first simulation shows that the new energy tax regime would have had a low economic cost in terms of impact on prices (less than 1% in all the countries). So, the concerns about competitiveness do not find empirical support in our results, suggesting the need for further analyses to find out the reasons that caused the failure of a reform that was an important step to introduce a taxation explicitly linked to CO 2 emissions. The second simulation, however, leads to strongly different results, pointing out the relevance of maintaining significant economic incentives to reduce carbon emissions for the European Trade System sectors, by improving the emission market performance or by applying carbon taxation also to these sectors. - Highlights: • We analyze the reform of the European energy tax proposed in 2011, rejected in 2012. • We simulate what potential economic effect this reform would have if implemented. • We find that this reform would have weak effects on prices in all 27 EU countries. • We study the effect of the reform if applied to European emission market sectors. • In this second scenario, the economic impacts would have been much stronger

Social Foundations and School Reform Networks: The Case Against E.D. Hirsch.

Science.gov (United States)

Ognibene, Richard

1998-01-01

Critiques the views of E.D. Hirsch, highlighting limitations of his book, "The Schools We Need and Why We Don't Have Them." The paper acknowledges Hirsch's influence on public opinion about school reform, but details flaws and errors Hirsch makes, asking foundational scholars in teacher education to better prepare students to respond to…

How to assess and improve children's reading comprehension?

OpenAIRE

Muijselaar, M.M.L.

2016-01-01

Reading comprehension is one of the most important skills children have to acquire during the final years of primary education. It is therefore unfortunate that many children have severe problems with a proper understanding of texts. To design methods that foster children’s reading comprehension, more information about the underlying skills and processes that are involved in reading comprehension is needed. Prerequisites for reading comprehension are the accurate and fast reading of single wo...

REFORMING OF LAND MANAGEMENT SYSTEM UNDER AUTHORITY OF DECENTRALIZATION

Directory of Open Access Journals (Sweden)

Dorosh O.S.

2016-05-01

Full Text Available The article is devoted to the problems related to the reform of land management from the beginning of the land reform ill the presentine. This need has arisen due to making another attempt to reorganize the structure of the land structures. With the launch of the land reform established the State Committee of Ukraine for Land Resources in 1992. To speed up land reform and land privatization in 2001 formed the administrative bodies of the State Committee for Land Resources of Ukraine. In order to improve the system of state land management in 2011 created the State Agency of Land Resources of Ukraine, which was reorganized in 2014 into the State Service of Ukraine of geodesy, cartography and cadastre. Over the years, in order to "optimize" the system of central executive body, content of this body has not been changed and constantly was changing its name and subordination, namely: the State Committee for Land Resources - Ministry of Ecology and Natural Resources of Ukraine, the State Agency of Land Resources of Ukraine - Ministry of Agrarian policy and Food of Ukraine, State Service of Ukraine of geodesy, cartography and cadastre - Ministry of regional development, construction and housing. On the basis of analysis concerning the powers of the central executive authorities, local authorities found that the newly farmed Service State Land Cadastre das not contribute to the effectiveness of the administration, especially at the national level, as these features ave not provided by "Regulations on State Land Cadastre " and other regulations. In addition, the local level detected removal of local government in matters of land relations. In conclusion, proposed system based redistribution of powers on the level of central executive bodies and local authorities to reform the system of land management with regard to decentralized processes in Ukraine. It is advisable to restore central authority for land reform and regulation of land relations to the

Financing reform and structural change in the health services industry.

Science.gov (United States)

Higgins, C W; Phillips, B U

1986-08-01

This paper reviews the major trends in financing reform, emphasizing their impact on those characteristics of the market for health services that economists have viewed as monopolistic, and discusses the implications of structural change for the allied health professions. Hopefully, by understanding the fundamental forces of change and responding to uncertainty with flexibility and imagination, the allied health professions can capitalize on the opportunities afforded by structural change. Overall, these trends should result in the long-term outlook for use of allied health services to increase at an average annual rate of 9% to 10%. Allied health professionals may also witness an increase in independent practice opportunities. Finally, redistribution of jobs will likely occur in favor of outpatient facilities, home health agencies, and nontraditional settings. This in turn will have an impact on allied health education, which will need to adapt to these types of reforms.

COMMON AGRICULTURAL POLICY FROM HEALTH CHECK DECISIONS TO THE POST-2013 REFORM

Directory of Open Access Journals (Sweden)

Niculescu Oana Marilena

2011-07-01

Full Text Available The paper proposed for being presented belongs to the field research International Affairs and European Integration. The paper entitled Common Agricultural Policy from Health Check decisions to the post-2013 reform aims to analyze the Common Agricultural Policy (CAP from the Health Check adoption in November 2008 to a new reform post-2013. The objectives of the paper are the presentation of the Health Check with its advantages and disadvantages as well as the analysis of the opportunity of a new European policy and its reforming having in view that the analysis of Health Check condition was considered a compromise. The paper is related to the internal and international research consisting in several books, studies, documents that analyze the particularities of the most debated, controversial and reformed EU policy. A personal study is represented by the first report within the PhD paper called The reform of CAP and its implications for Romanias agriculture(coordinator prof. Gheorghe Hurduzeu PhD, Academy of Economic Studies Bucharest, Faculty of International Business, research studies in the period 2009-2012. The research methodology used consists in collecting and analysis data from national and international publications, their validation, followed by a dissemination of the results in order to express a personal opinion regarding CAP and its reform. The results of the research consist in proving the opportunity of a new reform due to the fact that Health Check belongs already to the past. The paper belongs to the field research mentioned, in the attempt to prove the opportunity of building a new EU agricultural policy. The challenges CAP is facing are: food safety, environmental and climate changes, territorial balance as well as new challenges-improving sustainable management of natural resources, maintaining competitiveness in the context of globalization growth, strengthening EU cohesion in rural areas, increasing the support of CAP for

Hydrogen generation utilizing integrated CO2 removal with steam reforming

Science.gov (United States)

Duraiswamy, Kandaswamy; Chellappa, Anand S

2013-07-23

A steam reformer may comprise fluid inlet and outlet connections and have a substantially cylindrical geometry divided into reforming segments and reforming compartments extending longitudinally within the reformer, each being in fluid communication. With the fluid inlets and outlets. Further, methods for generating hydrogen may comprise steam reformation and material adsorption in one operation followed by regeneration of adsorbers in another operation. Cathode off-gas from a fuel cell may be used to regenerate and sweep the adsorbers, and the operations may cycle among a plurality of adsorption enhanced reformers to provide a continuous flow of hydrogen.

MEMS-Based Fuel Reformer with Suspended Membrane Structure

Science.gov (United States)

Chang, Kuei-Sung; Tanaka, Shuji; Esashi, Masayoshi

We report a MEMS-based fuel reformer for supplying hydrogen to micro-fuel cells for portable applications. A combustor and a reforming chamber are fabricated at either side of a suspended membrane structure. This design is used to improve the overall thermal efficiency, which is a critical issue to realize a micro-fuel reformer. The suspended membrane structure design provided good thermal isolation. The micro-heaters consumed 0.97W to maintain the reaction zone of the MEMS-based fuel reformer at 200°C, but further power saving is necessary by improving design and fabrication. The conversion rate of methanol to hydrogen was about 19% at 180°C by using evaporated copper as a reforming catalyst. The catalytic combustion of hydrogen started without any assistance of micro-heaters. By feeding the fuel mixture of an equivalence ratio of 0.35, the temperature of the suspended membrane structure was maintained stable at 100°C with a combustion efficiency of 30%. In future works, we will test a micro-fuel reformer by using a micro-combustor to supply heat.

Interest Groups and Trade Reform in Mexico

OpenAIRE

Luis Sanchez-Mier

2005-01-01

Mexico experienced widespread economic reform in the last two decades. From being a protectionist economy with a policy of import substitution, it has turned into an export-oriented open economy. Why was protectionism a stable policy, and how was it overturned by a reform that went against entrenched interests? I apply a game theoretic model of political influence and economic reform to answer these questions using data to calculate the payoffs for the relevant interest groups. In the underly...

The International Curriculum: Current Trends and Emerging Needs

Science.gov (United States)

Richter, Jesse Jones

2015-01-01

This paper examines the current state of tertiary level international curricula and provides groundwork for future research aimed at ongoing needs. Recognized is the premise that existing international curricular programs require maintenance. Burn (1995) called for curriculum reform in international departments two decades ago with the rationale…

Socio-Cultural Factors of the Russian Reforming Process of the 18-20th Centuries

Directory of Open Access Journals (Sweden)

Yuriy Korobkov

2017-11-01

Full Text Available The modern Russian reforms aimed at moving the society to a new stage of development are going through a complicated, contradictory way, with great social costs and zigzags of the political course of power. This poses the task of identifying and overcoming the inhibiting factors in the development of the country. One of the most effective mechanisms of such work is the study of the three-hundred-year experience of Russian reformation and the identification of timeless sociocultural and mental risk factors affecting the nature and content of reforms. This article is devoted to this purpose. In the course of study, we have drawn the conclusions about the deterrent effect on the development of the country of such features of Russian society as its socio-cultural split, absence of internal mechanisms for the self-development of society, lack of a dialogue between government and society, whose relationships are determined by the principle of "antisocial state - anti-state society", mental characteristics of the Russian intelligentsia, which dogmatically implements particular ideas at the expense of economic expediency and common sense, orientation of the ruling elite on the Western values as opposed to national traditions, conservatism and lack of conscious reformative motivation of the masses. This leads to the need to correlate the current reforms not only with the current trends of socio-economic development, but also with the sociocultural foundations of Russian society and the peculiarities of its mentality.

Tendencies in the development of the German atomic energy legislation. Is the Atomic Energy Law considered in need of reform by the industries concerned?

International Nuclear Information System (INIS)

Kuhnt, D.

1991-01-01

On going through the catalogue of ideas for a reform it becomes evident that a fundamental revision of the law is not needed, rather that this could bring about a deterioration of the normative situation. The often called for but never achieved consensus in the nuclear energy issue has in practice proved to be a problem of law execution. Legislative measures can neither solve this problem nor bring about the necessary consensus. The present law goes towards but falls short of creating the basis of trust, necessary for economically efficient action in the area of nuclear energy utilization. Any shift of the borders defining the consensus through new acts of law-making will simultaneously shift the borders of the area of trust and must influence future entrepreneurical decisions. Seen in this light any amendment to the Atomic Energy Law bears implications reaching far beyond its subject-matter. (orig./HSCH) [de

Physicians' Plan for a healthy Minnesota. The MMA proposal for health care reform. The report of the Minnesota Medical Association Health Care Reform Task Force.

Science.gov (United States)

2005-03-01

The health care system in the United States, according to some, is on the verge of imploding. The rapidly rising cost of services is causing more and more Minnesotans to forego needed care. At the same time, the increasing costs are placing additional pressure on families, businesses, and state and local government budgets. The Minnesota Medical Association's (MMA) Health Care Reform Task Force has proposed a bold new approach that seeks to ensure affordable health care for all Minnesotans. The proposal is a roadmap to provide all Minnesotans with affordable insurance for essential health care services. In creating this plan, the task force strove to achieve three common reform goals: expand access to care, improve quality, and control costs. To achieve those ends, it has proposed a model built on four key features: (1) A strong public health system, (2) A reformed insurance market that delivers universal coverage, (3) A reformed health care delivery market that creates incentives for increasing value, (4) Systems that fully support the delivery of high-quality care. The task force believes that these elements will provide the foundation for a system that serves everyone and allows Minnesotans to purchase better health care at a relatively lower price. Why health care reform again? The average annual cost of health care for an average Minnesota household is about 11,000 dollars--an amount that's projected to double by 2010, if current trends continue. Real wages are not growing fast enough to absorb such cost increases. If unabated, these trends portend a reduction in access to and quality of care, and a heavier economic burden on individuals, employers, and the government. Furthermore, Minnesota and the United States are not getting the best value for their health care dollars. The United States spends 50 percent more per capita than any other country on health care but lags far behind other countries in the health measures of its population.

Reforms and Economic Growth in Transition Economies: Complementarity, Sequencing and Speed

Directory of Open Access Journals (Sweden)

Karsten Staehr

2005-12-01

Full Text Available This paper considers the effects of sequencing and reform speed on output performance in transition countries. These largely unsettled issues are addressed using principal component techniques to construct reform clusters and by explicit tests of speed effects. The results indicate that broad-based reforms are good for output growth, but so is a policy of liberalisation and small-scale privatisation without structural reforms. Conversely, large-scale privatisation without adjoining reforms, market opening without supporting reforms and bank liberalisation without enterprise restructuring affect growth negatively. Swift reform policies allow transition countries to benefit from higher growth for longer time. The speed of reforms appears otherwise to have little effect on growth in the short and medium term.