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Sample records for cost assessment danish

  1. Danish Wind Power Export and Cost

    DEFF Research Database (Denmark)

    Lund, Henrik; Hvelplund, Frede; Alberg Østergaard, Poul

    In a normal wind year, Danish wind turbines generate the equivalent of approx. 20 percent of the Danish electricity demand. This paper argues that only approx. 1 percent of the wind power production is exported. The rest is used to meet domestic Danish electricity demands. The cost of wind power...... is paid solely by the electricity consumers and the net influence on consumer prices was as low as 1-3 percent on average in the period 2004-2008. In 2008, the net influence even decreased the average consumer price, although only slightly. In Denmark, 20 percent wind power is integrated by using both......, a study made by the Danish think tank CEPOS claimed the opposite, i.e. that most of the Danish wind power has been exported in recent years. However, this claim is based on an incorrect interpretation of statistics and a lack of understanding of how the international electricity markets operate...

  2. The cost of publishing in Danish astronomy

    DEFF Research Database (Denmark)

    Dorch, Bertil F.

    I investigate the cost of publishing in Danish astronomy on a fine scale, including all direct publication costs: The figures show how the annual number of publications with authors from Denmark in astronomy journals increased by a factor approximately four during 15 years (Elsevier’s Scopus...

  3. A comparison of Danish listeners’ processing cost in judging the truth value of Norwegian, Swedish, and English sentences

    DEFF Research Database (Denmark)

    Bohn, Ocke-Schwen; Askjær-Jørgensen, Trine

    The present study used a sentence verification task to assess the processing cost involved in native Danish listeners’ attempts to comprehend true/false statements spoken in Danish, Norwegian, Swedish, and English. Three groups of native Danish listeners heard 40 sentences each which were...... translation equivalents, and assessed the truth value of these statements. Group 1 heard sentences in Danish and Norwegian, Group 2 in Danish and Swedish, and Group 3 in Danish and English. Response time and proportion of correct responses were used as indices of processing cost. Both measures indicate...... that the processing cost for native Danish listeners in comprehending Danish and English statements is equivalent, whereas Norwegian and Swedish statements incur a much higher cost, both in terms of response time and correct assessments. The results are discussed with regard to the costs of inter...

  4. Danish wind power export and cost

    Energy Technology Data Exchange (ETDEWEB)

    Lund, H.; Hvelplund, F.; Alberg OEstergaard, P. (and others)

    2010-02-15

    In a normal wind year, Danish wind turbines generate the equivalent of approx. 20 percent of the Danish electricity demand. This paper argues that only approx. 1 percent of the wind power production is exported. The rest is used to meet domestic Danish electricity demands. The cost of wind power is paid solely by the electricity consumers and the net influence on consumer prices was as low as 1-3 percent on average in the period 2004-2008. In 2008, the net influence even decreased the average consumer price, although only slightly. In Denmark, 20 percent wind power is integrated by using both local resources and international market mechanisms. This is done in a way which makes it possible for our neighbouring countries to follow a similar path. Moreover, Denmark has a strategy to raise this share to 50 percent and the necessary measures are in the process of being implemented. Recently, a study made by the Danish think tank CEPOS claimed the opposite, i.e. that most of the Danish wind power has been exported in recent years. However, this claim is based on an incorrect interpretation of statistics and a lack of understanding of how the international electricity markets operate. Consequently, the results of the CEPOS study are in general not correct. Moreover, the CEPOS study claims that using wind turbines in Denmark is a very expensive way of reducing CO{sub 2} emissions and that this is the reason for the high energy taxes for private consumers in Denmark. These claims are also misleading. The cost of CO{sub 2} reduction by use of wind power in the period 2004-2008 was only 20 EUR/ton. Furthermore, the Danish wind turbines are not paid for by energy taxes. Danish wind turbines are given a subsidy via the electricity price which is paid by the electricity consumers. In the recent years of 2004-2008, such subsidy has increased consumer prices by 0.54 EURO/kWh on average. On the other hand, however, the same electricity consumers also benefitted from the wind

  5. Costs and benefits of Danish active labour market programmes

    DEFF Research Database (Denmark)

    Jespersen, Svend; Munch, Jakob Roland; Skipper, Lars

    2008-01-01

    Since 1994, unemployed workers in the Danish labour market have participated in active labour market programmes on a large scale. This paper contributes with an assessment of costs and benefits of these programmes. Long-term treatment effects are estimated on a very detailed administrative dataset...... by propensity score matching. For the years 1995 - 2005 it is found that private job training programmes have substantial positive employment and earnings effects, but also public job training ends up with positive earnings effects. Classroom training does not significantly improve employment or earnings...... prospects in the long run. When the cost side is taken into account, private and public job training still come out with surplusses, while classroom training leads to a deficit....

  6. Social Shaping in Danish Technology Assessment

    DEFF Research Database (Denmark)

    Hansen, Anne Grethe; Clausen, Christian

    2003-01-01

    and political action for technology change. The authors of this article suggest that the social shaping perspective draws on lessons from technology assessments of earlier decades, lessons about the role of technology debate, participation and democratic control. We suggest that these are important...... for technology policy initiatives at the beginning of the new millennium, as prerequisites for socially feasible and desirable technology development and innovation. On the basis of the Danish technology assessments of the 1980s, it is argued that technology assessments and the social shaping perspectives...... in these projects contributed to new insights into the processes of technological change and thus to policy formulation. The social shaping perspective and technology assessment experiences are suggested as important guides to future technology strategies....

  7. Cost-effectiveness of Salmonella reduction in Danish abattoirs.

    Science.gov (United States)

    Lawson, Lartey G; Jensen, Jørgen D; Christiansen, Pia; Lund, Mogens

    2009-08-31

    The objective of this paper is to compare the cost-effectiveness of four decontamination technologies at the pork abattoirs. The four technologies investigated are hot water, steam ultrasound, steam vacuum and lactic acid. In the analysis, the prevalence of Salmonella and the effects of the decontaminating technologies are stochastic with known distributions and they are expected to be implemented without distortion of the existing processing system. Cost data are collected from the Danish Meat Research Institute, suppliers of decontamination technology, abattoirs using the technology as well as the literature. The risk data are based on Danish surveillance data, research projects investigating the effects of different decontamination measures and the literature. Implemented on a full scale in abattoirs, the results suggest that the technologies might reduce Salmonella from the present level of 2.2% to between 0.18 and 0.89%. Among the technologies investigated, steam ultrasound showed to be the most cost-effective method followed by hot water decontamination.

  8. Strategic Environmental Assessment & The Danish Energy Sector

    DEFF Research Database (Denmark)

    Lyhne, Ivar

    . - Empirical cases reveal how strategic decision-making in the sector is characterised by an extensive interaction between policy-making and planning in a highly dynamic context. - The outlined characteristics challenge the application of SEA especially in terms of timing and flexibility. SEA practice is still......"Strategic Environmental Assessment and the Danish Energy Sector" is a doctoral thesis based on a Ph.D. project with the same title. The overall aim of the project has been to assist actors in the energy sector in developing a meaningful way of applying SEA at strategic level. Understanding of how...... strategic decisions are made is a prerequisite for achieving this target, and the thesis therefore explores the strategic decision-making processes of contemporary energy infrastructure developments. The highlights of this thesis are: - A combination of disciplines in a continuum of perspectives...

  9. Early psychosocial intervention in Alzheimer's disease: cost utility evaluation alongside the Danish Alzheimer's Intervention Study (DAISY).

    Science.gov (United States)

    Søgaard, Rikke; Sørensen, Jan; Waldorff, Frans B; Eckermann, Ane; Buss, Dorte V; Phung, Kieu T T; Waldemar, Gunhild

    2014-01-15

    To assess the cost utility of early psychosocial intervention for patients with Alzheimer's disease and their primary caregivers. Cost utility evaluation alongside a multicentre, randomised controlled trial with 3 years of follow-up. Primary care and memory clinics in five Danish districts. 330 community-dwelling patients and their primary caregivers. Psychosocial counselling and support lasting 8-12 months after diagnosis and follow-up at 3, 6, 12 and 36 months in the intervention group or follow-up only in the control group. The primary outcome measure was the cost of additional quality-adjusted life years (QALYs). Costs were measured from a societal perspective, including the costs of healthcare, social care, informal care and production loss. QALYs were estimated separately for the patient and the caregiver before aggregation for the main analysis. None of the observed cost and QALY measures were significantly different between the intervention and control groups, although a tendency was noted for psychosocial care leading to cost increases with informal care that was not outweighed by the tendency for cost savings with formal care. The probability of psychosocial intervention being cost-effective did not exceed 36% for any threshold value. The alternative scenario analysis showed that the probability of cost-effectiveness increased over the range of threshold values used if the cost perspective was restricted to formal healthcare. A multifaceted, psychosocial intervention programme was found unlikely to be cost-effective from a societal perspective. The recommendation for practice in settings that are similar to the Danish setting is to provide follow-up with referral to available local support programmes when needed, and to restrict large multifaceted intervention programmes to patients and caregivers with special needs until further evidence for cost-effectiveness emerges. The study was registered in the Clinical Trial Database as ISRCTN74848736.

  10. Are High Labour Costs Destroying the Competitiveness of Danish Dairy Farmers?

    DEFF Research Database (Denmark)

    Asmild, Mette; Nielsen, Kurt; Bogetoft, Peter

    This paper analysis the competitiveness of Danish dairy farmers relative to dairy farmers in other Northern European countries. We use individual farm accounts data from the European Commission’s Farm Accountancy Data Network (FADN) and have an average of 1665 observations per year in the period...... from 2002 to 2008. In all years, the hourly pay for labour is highest in Denmark and the difference is increasing, especially in 2007 and 2008. We apply Data Envelopment Analysis in a new way to capture the effect on the competitiveness from these differences in labour costs. We compare...... the distributions of efficiency scores in different countries to assess their relative competitiveness. To analyze the effect of labour costs we apply two different DEA models; one including the labour input as hours worked and the other including labour costs. This way we capture the effect of labour costs...

  11. Danish Management Accounting Frameworks - a SWOT Analysis and an Activity Based Costing Comparison

    DEFF Research Database (Denmark)

    Israelsen, Poul; Rohde, Carsten

    2005-01-01

    The theoretical management accounting tradition in Denmark has a long history of focusing on development of data registration frameworks as a basis for aggregation and use of financial and non-financial data for different strategic, tactical and operational decisions and control purposes...... and in addition a SWOT-like assessment of this tradition vis-à-vis the management accounting research community and practice. An alternative approach in designing management accounting systems is represented by Activity Based Costing (ABC). An unbundling of the nowadays multifaceted ABC brings forward...... similarities to and differences from the Danish frameworks and provides a platform for discussing how the different approaches can benefit from one another. In this respect, the present paper concludes that the mindset in constructing management accounting systems will be improved in seeing the alternative...

  12. The effects, costs and benefits of Salmonella control in the Danish table-egg sector.

    Science.gov (United States)

    Korsgaard, H; Madsen, M; Feld, N C; Mygind, J; Hald, T

    2009-06-01

    A public plan for eradicating Salmonella in Danish table-egg production was implemented in 1996. During 2002, the poultry industry took over the responsibility of the programme. The proportion of infected layer flocks was reduced from 13.4% in 1998 to 0.4% in 2006. The public-health impact of the plan has been quite marked. In 1997, 55-65% of the 5015 cases of human salmonellosis were estimated to be associated with eggs. In 2006, these figures were reduced to 1658 and 5-7%, respectively. Based on an assessment of the number of human cases attributable to table eggs, we used probabilistic modelling to estimate the avoided societal costs (health care and lost labour), and compared these with the public costs of control. The probable avoided societal costs during 1998-2002 were estimated to be 23.3 million euros (95% CI 16.3-34.9), and the results showed a continuous decreasing cost-benefit ratio reaching well below 1 in 2002. Further reductions in the primary production based on effective surveillance and control are required to ensure continued success.

  13. Are high labour costs destroying the competitiveness of danish dairy farmers?

    DEFF Research Database (Denmark)

    Asmild, Mette; Nielsen, Kurt; Bogetoft, Peter

    This paper analysis the competitiveness of Danish dairy farmers relative to dairy farmers in other Northern European countries. We use individual farm accounts data from the European Commission’s Farm Accountancy Data Network (FADN) and have an average of 1665 observations per year in the period...... from 2002 to 2008. In all years, the hourly pay for labour is highest in Denmark and the di¿erence is increasing, especially in 2007 and 2008. We apply Data Envelopment Analysis in a new way to capture the e¿ect on the competitiveness from these di¿erences in labour costs. We compare the distributions...... of e¿ciency scores in di¿erent countries to assess their relative competitiveness. To analyze the e¿ect of labour costs we apply two di¿erent DEA models; one including the labour input as hours worked and the other including labour costs. This way we capture the e¿ect of labour costs on the di...

  14. The cost of reducing CO2 emissions - methodological approach, illustrated by the Danish energy plan

    DEFF Research Database (Denmark)

    Morthorst, P.E.

    1998-01-01

    available. One of the tools available for this purpose is the construction of cost-reduction curves, relating the marginal cost of CO2 reduction and the quantity of the reduced emission to specific technology options. This paper outlines different approaches for establishing cost-reduction curves for CO2...... emissions, and a case based on the Danish Energy21-plan is analysed illustrating one of these approaches. The analysis is carried out from the broad perspective of the overall energy system, but with the main emphasis on renewable energy technologies, especially the use of wind energy and biomass...... in the Danish system; The paper concludes that the construction of reduction cost curves is helpful in two ways: (1) to decompose existing energy strategies (scenarios) into individual reduction options and (2) to compare new options with an existing strategy. In both cases the reduction cost curve highlights...

  15. Assessing Assessment – the Danish Experience of Worker Participation in Risk Assessment

    DEFF Research Database (Denmark)

    Jensen, Per Langå

    2002-01-01

    The transposition of the EU Framework Directive resulted in new Danish legislation on workplace assessment whereby a mandatory participatory process to handle work environment is to be established in all firms. The first studies on the implementations shows that while smaller firms do not comply...

  16. Distribution of Costs and Profits in Danish Urban Development

    DEFF Research Database (Denmark)

    Sørensen, Michael Tophøj; Christensen, Finn Kjær

    2009-01-01

    Most countries have a system – procedures and tools – for foreseeable, clear and fair distribution of costs and profits in urban development. However, the distribution of profits and costs between the municipality and the developers /landowners is in Denmark rather fragmented and not very transpa...

  17. A cost-benefit analysis of Salmonella-control strategies in Danish pork production.

    Science.gov (United States)

    Goldbach, Stine Gissel; Alban, Lis

    2006-11-17

    In Denmark, it was agreed to lower the Salmonella prevalence in pork to 1.2% before the end of 2006. The current control did not seem to be sufficient to attain this goal. Therefore, four alternatives to the existing Danish control strategy for Salmonella in pork were compared in a cost-benefit analysis: (1) hot-water decontamination of all pigs at slaughter, (2) sanitary slaughter of pigs from herds with high levels of Salmonella, (3) use of home-mixed feed in herds with slaughter pigs and (4) use of acidified feed for slaughter pigs. The data originated from official statistics, published papers as well as expert opinion. The partial cost-benefit analysis was restricted to slaughterhouses affiliated with the Danish Meat Association and Danish human cases ascribable to pork from these slaughterhouses. Only hot-water decontamination was socio-economically profitable. Hot-water decontamination had a net present value over 15 years of 3.5 million euros. For sanitary slaughter the net present value was - 43.6 million euros, for home-mixed feed it was - 262.3 million euros and for acidified feed it was - 79.9 million euros. For all alternatives the costs were born solely by the pig sector, whereas primarily the consumers and public authorities received the benefits. The conclusions were robust in sensitivity analyses.

  18. Portfolio as a learning strategy and a tool for assessment - a Danish experience

    DEFF Research Database (Denmark)

    Mogensen, Arne

    A short presentation of some Danish expereriences using portfolio in maths teaching in primary and lower secondary schools as a learning strategy AND a tool for assessment.......A short presentation of some Danish expereriences using portfolio in maths teaching in primary and lower secondary schools as a learning strategy AND a tool for assessment....

  19. Life cycle assessment of the Danish electricity distribution network

    DEFF Research Database (Denmark)

    Turconi, Roberto; Simonsen, Christian G.; Byriel, Inger P.

    2014-01-01

    and overhead) and 0.4 kV (copper and aluminum) were modeled. Results and discussion Electricity transmission and distribution provided nonnegligible impacts, related mainly to power losses. Impacts from electricity distribution were larger than those from transmission because of higher losses and higher......Purpose This article provides life cycle inventory data for electricity distribution networks and a life cycle assessment (LCA) of the Danish transmission and distribution networks. The aim of the study was to evaluate the potential importance of environmental impacts associated with distribution......, in current and future electricity systems. Methods The functional unit was delivery of 1 kWh of electricity in Denmark. The focus of the assessment was distribution of electricity, and the related impacts were compared to the generation and transmission of electricity, in order to evaluate the importance...

  20. Healthcare costs in the Danish randomised controlled lung cancer CT-screening trial

    DEFF Research Database (Denmark)

    Rasmussen, J.F.; Siersma, V.; Pedersen, Jesper H.

    2014-01-01

    with the control group. CONCLUSION: Low dose lung cancer CT screening increases healthcare costs compared with no screening; this difference was attributable to the costs of the CT-screening programme. Overall healthcare costs were higher for the true-positive and false-positive groups than for the control group......OBJECTIVES: Low dose computerised tomography (CT) screening for lung cancer can reduce lung-cancer-specific mortality. The objective of this study was to analyse healthcare costs and healthcare utilisation of participants in the Danish lung cancer CT-screening trial (DLCST). MATERIALS AND METHODS......: This registry study was nested in a randomised controlled trial (DLCST). 4104 participants, current or former heavy smokers, aged 50-70 years were randomised to five annual low dose CT scans or usual care during 2004-2010. Total healthcare costs and healthcare utilisation data for both the primary...

  1. Implementation of health impact assessment in Danish municipal context

    DEFF Research Database (Denmark)

    Kraemer, Stella R. J.; Nikolajsen, Louise Theilgaard; Gulis, Gabriel

    2014-01-01

    Aims: Implementation of Health Impact Assessment (HIA) in Danish municipalities has been analyzed using the Roger's Diffusion of Innovation Theory. Municipalities were chosen from among those who presented their health policies on websites according to the status of inclusion of HIA into health...... policy. Methods: Qualitative interviews were conducted in 6 municipalities (3 with HIA inducted in their health policy and 3 without it) gathering information on knowledge and attitudes to HIA, barriers to its implementation, social system and communication channels used or expected to be used...... for implementation of HIA. Results: No significant differences were found among analyzed municipalities by status of HIA inclusion into health policy. Among barriers, a lack of tools with general validity, a lack of intersectoral working culture, balance between centralized versus participatory way of working...

  2. Cost-Effectiveness Analysis of an Automated Medication System Implemented in a Danish Hospital Setting.

    Science.gov (United States)

    Risør, Bettina Wulff; Lisby, Marianne; Sørensen, Jan

    To evaluate the cost-effectiveness of an automated medication system (AMS) implemented in a Danish hospital setting. An economic evaluation was performed alongside a controlled before-and-after effectiveness study with one control ward and one intervention ward. The primary outcome measure was the number of errors in the medication administration process observed prospectively before and after implementation. To determine the difference in proportion of errors after implementation of the AMS, logistic regression was applied with the presence of error(s) as the dependent variable. Time, group, and interaction between time and group were the independent variables. The cost analysis used the hospital perspective with a short-term incremental costing approach. The total 6-month costs with and without the AMS were calculated as well as the incremental costs. The number of avoided administration errors was related to the incremental costs to obtain the cost-effectiveness ratio expressed as the cost per avoided administration error. The AMS resulted in a statistically significant reduction in the proportion of errors in the intervention ward compared with the control ward. The cost analysis showed that the AMS increased the ward's 6-month cost by €16,843. The cost-effectiveness ratio was estimated at €2.01 per avoided administration error, €2.91 per avoided procedural error, and €19.38 per avoided clinical error. The AMS was effective in reducing errors in the medication administration process at a higher overall cost. The cost-effectiveness analysis showed that the AMS was associated with affordable cost-effectiveness rates. Copyright © 2017 International Society for Pharmacoeconomics and Outcomes Research (ISPOR). Published by Elsevier Inc. All rights reserved.

  3. Implementation and Utilisation of Activity-Based-Costing: A Danish Perspective

    DEFF Research Database (Denmark)

    Nielsen, Steen; Sørensen, René; Jakobsen, Morten

    2004-01-01

    reviews the result of a questionnaire survey of 90 respon-dents from Danish medium-size and large manufacturing companies. The analysis is based on a LISREL (LInear Structural RELation) model. The objective of the LISREL model is to test covariance-structures among latent and manifest variables where......The Activity-Based Costing (ABC) has achieved great attention in Denmark by now but no large survey exists concerning motives for implementing ABC in Denmark. Characteristic of the present situation is the lack of information concerning the current state of cost ac-counting practice. This paper...... latent variables cannot be directly measured. Different variables related to relevance, size of the company, and sources for knowledge of ABC are tested. The findings show that a relatively large number of companies now have adopted ABC as a new cost management technique. The results also show...

  4. Cost and health care resource use associated with noncompliance with oral bisphosphonate therapy: an analysis using Danish health registries.

    Science.gov (United States)

    Kjellberg, J; Jorgensen, A D; Vestergaard, P; Ibsen, R; Gerstoft, F; Modi, A

    2016-12-01

    We estimated the rate of compliance with oral bisphosphonates among Danish women and examined its association with health care resource use and cost. Approximately 30 % of Danish females aged >55 who take bisphosphonates are noncompliant, and noncompliance is significantly associated with increased health care resource use and cost. Two objectives of this study were to estimate the rate of oral bisphosphonate compliance among Danish women and to examine the association of noncompliance with health care resource use and cost. Women ≥55 with an index prescription claim for an oral bisphosphonate were identified from Danish national health registries between 2003 and 2008. Compliance was measured as the medication possession ratio (MPR) during the first 12 months post-index. Cost and health care resource use were collected for the following 12 months. Among the 38,234 women meeting the study inclusion criteria, 29.9 % were noncompliant (MPR Danish females aged 55 or older who take bisphosphonates are noncompliant. Noncompliance is significantly associated with increased health care resource use and cost.

  5. From Doctor to Nurse Triage in the Danish Out-of-Hours Primary Care Service: Simulated Effects on Costs

    NARCIS (Netherlands)

    Moth, G.; Huibers, L.; Vedsted, P.

    2013-01-01

    Introduction. General practitioners (GP) answer calls to the Danish out-of-hours primary care service (OOH) in Denmark, and this is a subject of discussions about quality and cost-effectiveness. The aim of this study was to estimate changes in fee costs if nurses substituted the GPs. Methods. We

  6. Adjustment Costs, Firm Responses, and Micro vs. Macro Labor Supply Elasticities: Evidence from Danish Tax Records*

    Science.gov (United States)

    Chetty, Raj; Friedman, John N.; Olsen, Tore; Pistaferri, Luigi

    2011-01-01

    We show that the effects of taxes on labor supply are shaped by interactions between adjustment costs for workers and hours constraints set by firms. We develop a model in which firms post job offers characterized by an hours requirement and workers pay search costs to find jobs. We present evidence supporting three predictions of this model by analyzing bunching at kinks using Danish tax records. First, larger kinks generate larger taxable income elasticities. Second, kinks that apply to a larger group of workers generate larger elasticities. Third, the distribution of job offers is tailored to match workers' aggregate tax preferences in equilibrium. Our results suggest that macro elasticities may be substantially larger than the estimates obtained using standard microeconometric methods. PMID:21836746

  7. Decommissioning of the nuclear facilities at Risoe National Laboratory. Descriptions and cost assessment. Danish summary[Denmark]; Dekommissionering af Risoes nukleare anlaeg - vurdering af opgaver og omkostninger. Dansk sammenfatning

    Energy Technology Data Exchange (ETDEWEB)

    Lauridsen, Kurt

    2001-02-01

    The report gives a brief description of relevant aspects of the decommissioning of all nuclear facilities at Risoe National Laboratory, including the necessary operations to be performed and the associated costs. Together with a more detailed report, written in English, this report is the result of a project initiated by Risoe in the summer of 2000. The English report has undergone an international review, the results of which are summarised in the present report. (au)

  8. Habitat hydraulic models - a tool for Danish stream quality assessment?

    DEFF Research Database (Denmark)

    Olsen, Martin

    ) from 1995-2004 and the simulated WUA are correlated between years for the whole stream and between stretches in the stream to estimate the relation between the present measures of biological quality and the habitat hydraulic simulation. The applicability/utility of habitat hydraulic models in relation...... and hydromorphological and chemical characteristics has to be enlightened (EUROPA, 2005). This study links catchment hydrology, stream discharge and physical habitat in a small Danish stream, the stream Ledreborg, and discusses the utility of habitat hydraulic models in relation to the present criteria and methods used...... observations and "site-specific" habitat suitability indices (HSI) are constructed. "Site-specific" HSI's are compared to other HSI's for Danish streams (Søholm and Jensen, 2003) and general HSI's used in other habitat hydraulic modelling projects (Lund, 1996; Fjordback et al. 2002; Thorn and Conallin, 2004...

  9. Validation of the Rowland Universal Dementia Assessment Scale for Multicultural Screening in Danish Memory Clinics

    DEFF Research Database (Denmark)

    Nielsen, Thomas Rune; Andersen, Birgitte Bo; Gottrup, Hanne

    2013-01-01

    Background/Aims: The Rowland Universal Dementia Assessment Scale (RUDAS) is a brief cognitive screening test that was developed to detect dementia in multicultural populations. The RUDAS has not previously been validated in multicultural populations outside of Australia. The aim of this study...... was to evaluate the diagnostic accuracy of the RUDAS in a multicultural sample of patients referred to Danish memory clinics. Methods: Data were collected from 137 consecutive patients (34 with an immigrant background) in three Danish memory clinics. All patients were given the RUDAS as a supplement...

  10. Cumulative risk assessment of the intake of organophosphorus and carbamate pesticides in the Danish diet

    DEFF Research Database (Denmark)

    Jensen, A. F.; Petersen, Annette; Granby, Kit

    2003-01-01

    in the Danish nation-wide food consumption survey in 1995. The pesticide data are based on the Danish pesticide residue-monitoring programme from 1996-2001. The amount of 35 organophosphorus pesticides and carbamates were included in the cumulative risk assessment. Processing factors, such as reduction...... fruit, vegetables and cereals is for adults 0.8-2% of the Acceptable Daily Intake (ADI) in chlorpyrifos equivalents, and 0.03-11% of the ADI in methamidophos equivalents; and for children 2-5% of the ADI in the chlorpyrifos equivalents, and 0.07-27% of the ADI in methamidophos equivalents. Neither Acute...... Reference Dose (ARfD) nor ADI was exceeded for any of the compounds studied. The results indicate that the Danish population is neither exposed to any cumulative chronic risk, nor at risk of acute exposure, from consumption of organophosphorus and carbamate pesticides from fruit, vegetables and cereals....

  11. Dynamic Heat Production Modeling for Life Cycle Assessment of Insulation in Danish Residential Buildings

    DEFF Research Database (Denmark)

    Sohn, Joshua L.; Kalbar, Pradip; Birkved, Morten

    2017-01-01

    for space heating without insulation over the lifespan of a building. When the energy sources for insulation production are similar to the energy mix that supplies heat, this logic is valid to very high level of insulation. However, in Denmark, as well as many other countries this assumption is becoming...... increasingly incorrect. Given the generally long service life of buildings, the significance of future energy mixes, which are expected/intended to have a smaller environmental impact, can be great. In this paper, a reference house is used to assess the life cycle environmental impacts of mineral wool...... insulation in a Danish single-family detached home. This single family house, is based on averages of current Danish construction practices with building heat losses estimated using Be10. To simulate a changing district heating grid mix, heat supply fuel sources are modeled according to Danish energy mix...

  12. Danish translation and adaptation of Loewenstein Occupational Therapy Cognitive Assessment 2nd Edition (LOTCA-II).

    Science.gov (United States)

    Lund, Karina; Oestergaard, Lisa Gregersen; Maribo, Thomas

    2013-07-01

    To translate and adapt the English version of the Loewenstein Occupational Therapy Cognitive Assessment 2nd Edition (LOTCA-II) to Danish. The translation process followed the overall guidelines of the World Health Organization (WHO) with forward translation, expert panel discussion, pre-tests and interviews with patients and laymen, and back-translation. The translation was successful and minor corrections and adaptations were made. In total three versions were produced before the final Danish version LOTCA-II/D was drafted. The Danish version of LOTCA-II was successfully translated and adapted based on the WHO guidelines. Before implementation in clinical practice further research of the reliability and validity of the LOTCA-II/D are needed.

  13. Dynamic Security Assessment of Danish Power System Based on Decision Trees: Today and Tomorrow

    DEFF Research Database (Denmark)

    Rather, Zakir Hussain; Liu, Leo; Chen, Zhe

    2013-01-01

    The research work presented in this paper analyzes the impact of wind energy, phasing out of central power plants and cross border power exchange on dynamic security of Danish Power System. Contingency based decision tree (DT) approach is used to assess the dynamic security of present and future...

  14. Quality indicators for treatment of respiratory tract infections? An assessment by Danish general practitioners

    DEFF Research Database (Denmark)

    Hansen, Malene Plejdrup; Bjerrum, Lars; Gahrn-Hansen, Bente

    2013-01-01

    Background: In 2008, a set of 41 quality indicators for antibiotic treatment of respiratory tract infections (RTIs) in general practice were developed in an international setting as part of the European project HAPPY AUDIT. Objectives: To investigate Danish general practitioners' (GPs') assessment...

  15. A critical assessment of validity of scales and stadiometers in a Danish hospital setting

    DEFF Research Database (Denmark)

    Geiker, Nina Rica Wium; Hørup Larsen, Sisse Marie; Stender, Steen

    Objective To critically assess the accuracy of scales and stadiometers at a Danish hospital. Conclusion Less than half the scales and stadiometers detected accurate weight and height. The margin of potential error may lead to suboptimal diagnostics of obesity and assessment of the nutritional sta...... status of both in and out patients. It is necessary at least yearly to calibrate scales and stadiometers, in order to obtain correct assessment of height and weight.......Objective To critically assess the accuracy of scales and stadiometers at a Danish hospital. Conclusion Less than half the scales and stadiometers detected accurate weight and height. The margin of potential error may lead to suboptimal diagnostics of obesity and assessment of the nutritional...

  16. CEEH's calculation of health costs from air pollution in the Danish Climate Commission's forecast; CEEH's beregning af sundhedsomkostninger (helbredsomkostninger) fra luftforurening i Klimakommissionens fremtidsforloeb. CEEH videnskabelig rapport no. 10

    Energy Technology Data Exchange (ETDEWEB)

    Karlsson, K.; Ystanes Foeyn, T.H.; Gregg, J.S.; Kaspersen, P.S. (Danmarks Tekniske Univ. Risoe Nationallaboratoriet for Baeredygtig Energi, Roskilde (Denmark)); Brandt, J.; Frohn, L.M. (Aarhus Univ. Institut for Miljoevidenskab, Aarhus (Denmark)); Mathiesen, B.V. (Aalborg Univ., Aalborg (Denmark))

    2011-11-15

    The Centre for Energy, Environment and Health (CEEH) has created a model system to assess the costs due to health effects from air pollution. This report assesses the health effects from the Danish Climate Commission's scenarios and is an example of how the system can be used. Calculations have been made of the health costs caused by energy consumption and production in the Danish Climate Commission's forecasts. The costs of emissions from various sectors differ, as they have different effects on health. The report shows how important it is to address health costs when evaluating and comparing the total costs in various scenarios. If health costs are included in the socio-economic assessments of the climate commission, then the annual cost decreases with approx. 2 billion DKK. To this it should be mentioned that in addition to health effects, there are other externalities (such as effects on the environment and climate) that are not normally included in the socio-economic assessments, which means that the socio-economic costs of switching to cleaner sources of energy is often overestimated. Possible effects of reduced traffic noise by converting to electric vehicles and increased exposure to wind turbine noise is also omitted, although the noise impact of dwellings especially in the cities is believed to have significance for morbidity and thus the socio-economy. (LN).

  17. Econometric estimation of investment utilization, adjustment costs, and technical efficiency in Danish pig farms using hyperbolic distance functions

    DEFF Research Database (Denmark)

    Henningsen, Arne; Fabricius, Ole; Olsen, Jakob Vesterlund

    2014-01-01

    Based on a theoretical microeconomic model, we econometrically estimate investment utilization, adjustment costs, and technical efficiency in Danish pig farms based on a large unbalanced panel dataset. As our theoretical model indicates that adjustment costs are caused both by increased inputs...... and by reduced outputs, we estimate hyperbolic distance functions that account for reduced technical efficiency both in terms of increased inputs and reduced outputs. We estimate these hyperbolic distance functions as “efficiency effect frontiers” with the Translog functional form and a dynamic specification...... of investment activities by the maximum likelihood method so that we can estimate the adjustment costs that occur in the year of the investment and the three following years. Our results show that investments are associated with significant adjustment costs, especially in the year in which the investment...

  18. Comparison of the organic waste management systems in the Danish-German border region using life cycle assessment (LCA)

    DEFF Research Database (Denmark)

    Jensen, Morten Bang; Møller, Jacob; Scheutz, Charlotte

    2016-01-01

    This study assessed the management of the organic household waste in the Danish-German border region and points out major differences between the systems and their potential effects on the environment using life cycle assessment (LCA). The treatment of organic waste from households in the Danish......-German border region is very different on each side of the border; the Danish region only uses incineration for the treatment of organic household waste while the German region includes combined biogas production and composting, mechanical and biological treatment (MBT) and incineration. Data on all parts...

  19. From Doctor to Nurse Triage in the Danish Out-of-Hours Primary Care Service: Simulated Effects on Costs

    Directory of Open Access Journals (Sweden)

    Grete Moth

    2013-01-01

    Full Text Available Introduction. General practitioners (GP answer calls to the Danish out-of-hours primary care service (OOH in Denmark, and this is a subject of discussions about quality and cost-effectiveness. The aim of this study was to estimate changes in fee costs if nurses substituted the GPs. Methods. We applied experiences from The Netherlands on nurse performance in the OOH triage concerning the number of calls per hour. Using the 2011 number of calls in one region, we examined three hypothetical scenarios with nurse triage and calculated the differences in fee costs. Results. A new organisation with 97 employed nurses would be needed. Fewer telephone consultations may result in an increase of face-to-face contacts, resulting in an increase of 23.6% in costs fees. Under optimal circumstances (e.g., a lower demand for OOH services, a high telephone termination rate, and unchanged GP fees the costs could be reduced by 26.2% though excluding administrative costs of a new organisation. Conclusion. Substituting GPs with nurses in OOH primary care may increase the cost in fees compared to a model with only GPs. Further research is needed involving more influencing factors, such as costs due to nurse training and running the organisation.

  20. Assessment of the 2004 Danish National Action Plan for Emplyment

    DEFF Research Database (Denmark)

    Emerek, Ruth

    The report gives the economic, employment and policy context for the National Action Plan for employment, and assess the NAP from a gender persepctive......The report gives the economic, employment and policy context for the National Action Plan for employment, and assess the NAP from a gender persepctive...

  1. Risk assessment of Salmonella in Danish meatballs produced in the catering sector.

    Science.gov (United States)

    Møller, Cleide O de A; Nauta, Maarten J; Schaffner, Donald W; Dalgaard, Paw; Christensen, Bjarke B; Hansen, Tina B

    2015-03-02

    A modular process risk model approach was used to assess health risks associated with Salmonella spp. after consumption of the Danish meatball product (frikadeller) produced with fresh pork in a catering unit. Meatball production and consumption were described as a series of processes (modules), starting from 1.3kg meat pieces through conversion to 70g meatballs, followed by a dose response model to assess the risk of illness from consumption of these meatballs. Changes in bacterial prevalence, concentration, and unit size were modelled within each module. The risk assessment was built using observational data and models that were specific for Salmonella spp. in meatballs produced in the catering sector. Danish meatballs are often pan-fried followed by baking in an oven before consumption, in order to reach the core temperature of 75°C recommended by the Danish Food Safety Authority. However, in practice this terminal heat treatment in the oven may be accidentally omitted. Eleven production scenarios were evaluated with the model, to test the impact of heat treatments and cooling rates at different room temperatures. The risk estimates revealed that a process comprising heat treatment of meatballs to core temperatures higher than 70°C, and subsequent holding at room temperatures lower than 20°C, for no longer than 3.5h, were very effective in Salmonella control. The current Danish Food Safety Authority recommendation of cooking to an internal temperature of 75°C is conservative, at least with respect to Salmonella risk. Survival and growth of Salmonella during cooling of meatballs not heat treated in oven had a significant impact on the risk estimates, and therefore, cooling should be considered a critical step during meatball processing. Copyright © 2014. Published by Elsevier B.V.

  2. Value Assessment of Distribution Network Reconfiguration: A Danish Case Study

    DEFF Research Database (Denmark)

    Vaskantiras, Georgios; You, Shi

    2016-01-01

    Distribution network reconfiguration is a mechanism that can improve the distribution system performance from multiple perspectives. In the context of smart grid wherein the degrees of automation and intelligence are high, the potential value of network reconfiguration can be significant....... This paper presents a case study-based analysis to explore the potential value of reconfiguration in detail. The study is performed using a 10kV distribution grid of Denmark, while reconfiguration is applied to minimize the energy losses under both normal and post-fault conditions. The results show...... that although the reconfiguration is performed to achieve a single objective, the overall network performance is improved. In addition, the value achieved by reconfiguration can be very sensitive to the reconfiguration frequency and the associated cost....

  3. How to assess fitness for transport of Danish broiler chicken

    DEFF Research Database (Denmark)

    Kirchner, Marlene; Lund, Vibe Pedersen; Dam Otten, Nina

    2015-01-01

    and noise levels, as well as the harvesting team experience and empathy will be collected. During the transport itself, the birds cannot be accessed, so resource based measures such as variations in temperature; driving and road characteristics as well as time travelled will be included. At lairage......According to the Council Regulation EC 1/2005 on the protection of animals during transport, the suitability for transportation should be evaluated before translocation of animals. This evaluation is a necessity to ensure animal welfare but at the same time the evaluation present a challenge...... for the veterinary authorities in that transport fitness is not very well defined. The aim of this project (2013-2016) is therefore to establish knowledge about useful indicators to assess broilers suitability for transport. The objective is to develop a practical protocol which can be applied to assess...

  4. Transaction costs and technological development: The case of the Danish fruit and vegetable industry

    DEFF Research Database (Denmark)

    Foss, Kirsten

    1996-01-01

    It is argued that technological change can be understood in terms of attempts to reduce transaction costs as well as production costs. Two types of paths of technological development are identified: a production cost minimizing path, and a transac cost minimizing path. The creation of new...

  5. Welfare assessments based on lifetime health and production data in Danish dairy cows

    DEFF Research Database (Denmark)

    Houe, Hans; Sandøe, Peter; Thomsen, Peter Thorup

    2011-01-01

    The objective of this study was to describe how information about the whole lifetime of the cow can be used when defining nonhuman animal-based criteria of the welfare of animals on the farm. Often measured over a short period, disease occurrence provides information relevant for assessing...... or other condition affecting animal welfare is carried by a few individuals or is distributed more evenly. To illustrate this principle, the study obtained data on disease treatment records and production from 392,287 cows from the Danish Cattle Database. The average cow had lived for 5 years and produced...

  6. Personal Metabolism (PM) coupled with Life Cycle Assessment (LCA) model: Danish Case Study

    DEFF Research Database (Denmark)

    Kalbar, Pradip; Birkved, Morten; Kabins, Simon

    2016-01-01

    Metabolism (PM) patterns of residents living in urbanized areas of Denmark. Extending the PM analysis with Life Cycle Assessment (LCA) provided a clear picture of the per capita environmental and human health burdens, as well as resource consumptions, and the exact origin hereof. A generic PM-LCA Model...... in the context of environmental and human health burdens,as well as resource consumptions. A systematic commodity consumption, commodity disposal, and life style survey of 1281 persons living in urbanized Danish areas was conducted. The findings of the survey showed new impact dimensions in terms of Personal...

  7. Development of a screening method to assess flood risk on danish national roads and highway systems.

    Science.gov (United States)

    Nielsen, N H; Larsen, M R A; Rasmussen, S F

    2011-01-01

    A method to assess flood risk on Danish national roads in a large area in the middle and southern part of Jutland, Denmark, was developed for the Danish Road Directorate. Flood risk has gained renewed focus due to the climate changes in recent years and extreme rain events are expected to become more frequent in the future. The assessment was primarily based on a digital terrain model (DTM) covering 7,500 km2 in a 1.6 x 1.6 m grid. The high-resolution terrain model was chosen in order to get an accurate estimation of the potential flooding in the road area and in the immediate vicinity, but also put a high requirement on the methods, hardware and software applied. The outcome of the analysis was detailed maps (as GIS layers) illustrating the location of depressions with depths, surface area and volume data for each depression. Furthermore, preferential flow paths, catchment boundaries and ranking of each depression were calculated. The ranking was based on volume of depressions compared with upstream catchment and a sensitivity analysis of the runoff coefficient. Finally, a method for assessing flood risk at a more advanced level (hydrodynamic simulation of surface and drainage) was developed and used on a specific blue spot as an example. The case study shows that upstream catchment, depressions, drainage system, and use of hydrodynamic calculations have a great influence on the result. Upstream catchments can contribute greatly to the flooding.

  8. Air Traffic Management Cost Assessment Tool Project

    Data.gov (United States)

    National Aeronautics and Space Administration — The Robust Analytics air traffic management cost assessment tool provides the comprehensive capability to analyze the impacts of NASA Airspace Systems Program (ASP)...

  9. Exploring the relationship between costs and quality. Does the joint evaluation of costs and quality alter the rankings of Danish hospital departments?

    DEFF Research Database (Denmark)

    Hvenegaard, Anne; Nielsen Arendt, Jacob; Street, Andrew

    2011-01-01

    OBJECTIVE: The purpose is to evaluate the relationship between costs and quality and to assess whether the joint evaluation of costs and quality affects the ranking of hospital departments relative to comparison based on costs alone. METHODS: Using patient level data for 3,754 patients in six...... vascular departments, we estimate fixed effect models for costs (linear) and quality (logistic). We consider two quality measures; mortality and wound complications. To assess whether the joint evaluation of costs and quality affects the ranking of departments, we construct joint confidence regions...... for each pair of departmental effects for costs and quality using a bootstrap method and rank departments according to their cost-effectiveness ratio. The findings are used to evaluate a theory of a U-shaped cost/quality relationship. RESULTS: The association between cost and quality differs depending...

  10. Modelling representative and coherent Danish farm types based on farm accountancy data for use in enviromental assessments

    DEFF Research Database (Denmark)

    Dalgaard, Randi; Halberg, Niels; Kristensen, Ib S.

    2006-01-01

    is established in order to report Danish agro-economical data to the ‘Farm Accountancy Data Network’ (FADN), and to produce ‘The annual Danish account statistics for agriculture’. The farm accounts are selected and weighted to be representative for the Danish agricultural sector, and similar samples of farm......There is a need for valid and representative data on the production, resource use and emissions from different farm types in Denmark forpublic regulation and assessment. The data should be usable for both area-based environmental assessment (e.g. nitrate leaching per ha) and product......-oriented environmental assessment (e.g. greenhouse gas emissions per kg pork). The objective of this study was to establish a national agricultural model for estimating data on resource use, production and environmentally important emissions for a set of representative farm types. Every year a sample of farm accounts...

  11. Assessment of Danish-speaking children’s phonological development and speech disorders

    DEFF Research Database (Denmark)

    Clausen, Marit Carolin; Fox-Boyer, Annette

    2018-01-01

    The identification of speech sounds disorders is an important everyday task for speech and language therapists (SLTs) working with children. Therefore, assessment tools are needed that are able to correctly identify and diagnose a child with a suspected speech disorder and furthermore, that provide...... of the existing speech assessments in Denmark showed that none of the materials fulfilled current recommendations identified in research literature. Therefore, the aim of this paper is to describe the evaluation of a newly constructed instrument for assessing the speech development and disorders of Danish...... with suspected speech disorder (Clausen and Fox-Boyer, in prep). The results indicated that the instrument showed strong inter-examiner reliability for both populations as well as a high content and diagnostic validity. Hence, the study showed that the LogoFoVa can be regarded as a reliable and valid tool...

  12. [Indirect costs in health technology assessment].

    Science.gov (United States)

    Jakubczyk, Michał; Wrona, Witold; Macioch, Tomasz; Golicki, Dominik; Niewada, Maciej; Hermanowski, Tomasz

    2010-01-01

    In the health technology assessment it is crucial to define the perspective of the analysis. When the societal perspective is chosen it is necessary to include all the costs incurred by the society, also the costs of lost productivity resulting from absence of sick employees from work or their reduced efficiency at work. The aim of this article is to present the notion of indirect costs, their importance in health technology assessment and the methods of calculation. The economic literature has been reviewed for the state of knowledge on indirect costs. Three methods of calculation are described: human capital method, friction cost method or health state valuation. Indirect costs in Western European countries can amount to more than half of total costs attributed to the illness and its treatment. In the literature there is no consensus regarding the proper method of indirect costs calculation. It is necessary to conduct further theoretical and empirical research in the area of indirect costs and enhance discussion among Polish pharmacoeconomists.

  13. Adjustment Costs, Firm Responses, and Micro vs. Macro Labor Supply Elasticities: Evidence from Danish Tax Records

    OpenAIRE

    Raj Chetty; John N. Friedman; Tore Olsen; Luigi Pistaferri

    2011-01-01

    We show that the effects of taxes on labor supply are shaped by interactions between adjustment costs for workers and hours constraints set by firms. We develop a model in which firms post job offers characterized by an hours requirement and workers pay search costs to find jobs. In this model, micro elasticities are smaller than macro elasticities because they do not account for adjustment costs and firm responses. We present evidence supporting three predictions of the model by analyzing bu...

  14. Adjustment Costs, Firm Responses, and Labor Supply Elasticities: Evidence from Danish Tax Records

    OpenAIRE

    Raj Chetty; John N. Friedman; Tore Olsen; Luigi Pistaferri

    2010-01-01

    We show that the effects of taxes on labor supply are shaped by interactions between adjustment costs for workers and hours constraints set by firms. We develop a model in which firms post job offers characterized by an hours requirement and workers pay search costs to find jobs. In this model, micro elasticities are smaller than macro elasticities because they do not account for adjustment costs and firm responses. We present evidence supporting three predictions of the model by analyzing bu...

  15. Inter-rater agreement in visual assessment of footpad dermatitis in Danish broiler chickens

    DEFF Research Database (Denmark)

    Oliveira, A.R.S.; Lund, Vibe Pedersen; Christensen, Jens Peter

    2017-01-01

    1. The performance of the scoring in the Danish footpad dermatitis (FPD) surveillance system was evaluated by determining inter-rater agreement in visual inspection of FPD in broilers between two independent raters (R1 and R2) and the official scoring at a Danish slaughterhouse. 2. FPD scores were...... evaluated in 1599 chicken feet. The two raters and the slaughterhouse scored equal proportions of score 0. So did R1 and R2 when assessing score 1 and the more severe lesion score 2, whereas the slaughterhouse scored a markedly higher proportion of score 1 and a lower proportion of score 2. Aggregated FPD...... flock scores ranged from 5 to 163 (R1 and R2) and from 8 to 107 (slaughterhouse). 3. The level of agreement between the two raters was high for scores 0, 1 and 2 and for flock scores. Agreement between raters and the slaughterhouse was lower when R1 and R2 recorded score 2 than when they recorded scores...

  16. Strategic Environmental Assessment as catalyst of healthier spatial planning: The Danish guidance and practice

    DEFF Research Database (Denmark)

    Kørnøv, Lone

    2009-01-01

    A wide range of factors within spatial planning can affect health. There is therefore an important scope for Strategic Environmental Assessment (SEA) of spatial plans to protect and improve human health. Due to the EU Directive 2001/42/EC on SEA, health has been made explicit in Danish legislation...... and guidance. This paper examines the inclusion of health as a formal component in impact assessment of spatial plans. Based upon a documentary study of 100 environmental reports, the paper analyses and discusses how health impact considerations are incorporated in SEA practice. It is found that health impacts...... are included in SEA practice and are being interpreted in a broader sense than what the national guidance exemplifies. The frequent included health aspects are noise, drinking water, air pollution, recreation/outdoor life and traffic safety. The primary determinant for health is transport...

  17. Life-cycle based dynamic assessment of mineral wool insulation in a Danish residential building application

    DEFF Research Database (Denmark)

    Sohn, Joshua L.; Kalbar, Pradip; Banta, Gary T.

    2017-01-01

    There has been significant change in the way buildings are constructed and the way building energy performance is evaluated. Focus on solely the use phase of a building is beginning to be replaced by a life-cycle based performance assessment. This study assesses the environmental impact trade......-offs between the heat produced to meet a building's space heating load and insulation produced to reduce its space heating load throughout the whole life-cycle of a building. To obtain a more realistic valuation of this tradeoff, a dynamic heat production model, which accounts for political projections...... grid, which is potentially promoted at present in Danish regulation. It is further concluded that improvement of the mineral wool insulation production process could allow for greater levels of environmentally beneficial insulation and would also help in reducing the overall environmental burden from...

  18. EASETECH Energy: Life Cycle Assessment of current and future Danish power systems

    DEFF Research Database (Denmark)

    Turconi, Roberto; Damgaard, Anders; Bisinella, Valentina

    A new life cycle assessment (LCA) model software has been developed by DTU Environment, to facilitate detailed LCA of energy technologies. The model, EASETECH Energy, is dedicated to the specific technologies needed to assess energy production and energy systems and provides an unprecedented...... flexibility with respect to LCA modeling of these technologies. To illustrate the functionality of the model, preliminary results from a LCA of the Danish power system in 2010 as well as two future scenarios for 2030 are presented. In addition to providing a general overview of the environmental profile...... of a renewable based power system, specific focus is placed on the typical challenges encountered when performing an LCA of a power system. Further, the key characteristics of EASETECH Energy that can expedite the set-up of multiple scenarios and enhance transparency in the modelling are explained....

  19. Collected rainfall as a water source in Danish households - what is the potential and what are the costs?

    DEFF Research Database (Denmark)

    Mikkelsen, P.S.; Adeler, O.F.; Albrechtsen, H.-J.

    1999-01-01

    The water resource, energy and economy aspects of rainwater collection are assessed to evaluate rainfall collection as an alternative option for sustainable water supply. A maximum of 229 million m(3)/year of rainwater can be collected from Danish roofs, provided that all possible surfaces are used...... and all rain falling on the surfaces is collected. This is equivalent to 24% of the total present production of drinking water, which is mainly based on groundwater. From household roofs 64.5 million m(3)/year can be collected if used for toilet flushing and washing of clothes. This is 68% of the actual...... demand for toilet flushing and washing of clothes in households and 22% of the total water consumption in households, but only 7% of the total present drinking water production in Denmark. From the society point of view there is neither an environmental nor an economic reason to systematically promote...

  20. Spacelab Mission Implementation Cost Assessment (SMICA)

    Science.gov (United States)

    Guynes, Buddy V.

    1984-10-01

    Concern by top NASA management in late 1982 that the cost to accomplish Spacelab Payload Integration and Operations appeared excessive and not well understood, led to the initiation of the Spacelab Mission Implementation Cost Assessment (SMICA) study. SMICA was chartered to a "bottoms up study" to define an accurate cost model for a reference mission, and to develop an implementation plan for reducing these costs. All phases of this Spacelab mission were considered including payload mission management, experiment and mission peculiar equipment development, mission integration and ground and flight operations, and science/engineering data evaluation. Excluded were the functions and costs for the Shuttle, Spacelab Data Processing Facility, and the Tracking and Data Relay Satellite System (TDRSS). The study did establish a baseline mission cost for reference. The base-line mission payload included five new instruments and four reflight instruments. SMICA showed that a total savings of approximately 20% could be attained if the following were accomplished: 1. Compress the mission management and ground processing schedules. 2. Revise the approach to equipping, staffing, and operating the Payload Operations Control Center. 3. Change the methods of working with the experiment developers (science community). The operating philosophies and procedures recommended can serve as generic guidelines to other Spacelab mission/payload managers in reducing overall cost/manpower requirements. Attainment of maximum benefit from the assessment entails the addition of some risk, and this will be discussed briefly in the report.

  1. Investment utilisation, adjustment costs, and technical efficiency in Danish pig farms

    DEFF Research Database (Denmark)

    Olsen, Jakob Vesterlund; Henningsen, Arne

    function as a stochastic frontier model and explain the estimated technical inefficiencies with lagged investments, farm size and age of the farmer. We allow for interaction effects between these variables and derive the formula for calculating the marginal effects on technical efficiency. The results show...... that investments have a negative effect on farm efficiency in the year of the investment and the year after accruing from adjustment costs. There is a large positive effect on efficiency two and three years after the investment. The farmer’s age and the farm size significantly influence technical efficiency......In this paper, we present a theoretical model for adjustment costs and investment utilisation that illustrates their causes and types and shows in which phases of an investment they occur. Furthermore, we develop an empirical framework for analysing the size and the timing of adjustment costs...

  2. Scaring the Students Away? Institutional Selection through Assessment Practices in the Danish Vocational and Educational Training System

    Science.gov (United States)

    Grønborg, Lisbeth

    2013-01-01

    This paper sheds light on how competence assessment takes place in the Danish Vocational and Educational Training System. It discusses how intentions formulated by the government have unintentional effects when implemented in practice. The qualitative methods used in this study consist of participant observations from my field study of dropouts in…

  3. Revisiting the psychometric properties of a revised Danish version of the McGill ingestive skills assessment

    DEFF Research Database (Denmark)

    Hansen, Tina; Kristiansen, Dorte Melgaard

    2017-01-01

    Background: During a longstanding validation process of the Danish version of the McGill Ingestive Skills Assessment (MISA2-DK) for measuring mealtime performance in dysphagic clients, extensive revisions have been undertaken. Therefore, this study aimed to determine the psychometric properties o...

  4. Assessing technology in hospital logistical settings: Comparing Danish and Japanese healthcare

    DEFF Research Database (Denmark)

    Jørgensen, Pelle Morten Thomas; Jacobsen, Peter; Itoh, Kenji

    2012-01-01

    the potential of implementing new technology. The framework has been constructed as a holistic tool both addressing the performance of the overall flow as well as that of the individual processes. The framework has been developed and tested in both Denmark and Japan securing that the framework is applicable......In order to cope with the future challenges of health care sectors all around the world, there is a need for monitoring and improving efficiency at the hospitals. This study presents a framework capable of measuring the performance of supporting logistical flows at hospitals as well as assessing...... to health care institutions with very different backgrounds. Additionally the differences in-between the Danish and Japanese health care system have been identified as part of the process of developing and testing the framework. The study showed that there are big differences in-between the health care...

  5. Strategies for assessment of inquiry learning in science in a Danish context

    DEFF Research Database (Denmark)

    Petersen, Morten Rask; Albrechtsen, Thomas R. S.; Michelsen, Claus

    Commission (Ed.). (2006). Science education now: A renewed pedagogy for the future of Europe. Brussels: European Commission Directorate-General for Research. Retrieved from http://ec.europa.eu/research/sciencesociety/document_library/pdf_06/report-rocard-on-science-education_en.pdf Flyvbjerg, B. (2010). Fem...... level and one on natural selection for upper secondary level. This aim is to answer the question: How do teachers in Danish secondary schools approach the challenge of assessing student skills and competencies obtained through inquiry? Method To inform us on our research question we use a case study...... misforståelser om casestudiet (Five Misunderstandings about Case-Study Research). Kvalitative metoder, København: Hans Reitzels Forlag, 463-487. Hsieh, H. F., & Shannon, S. E. (2005). Three approaches to qualitative content analysis. Qualitative health research, 15(9), 1277-1288. Kvale, S., & Brinkmann, S. (2009...

  6. Adding a dietitian to a Danish Liaison-team after discharge of geriatric patients at nutritional risk may save health care costs

    DEFF Research Database (Denmark)

    Pohju, Anne; Belqaid, Kerstin; Brandt, Christopher Flintenborg

    2016-01-01

    Background: A previous study investigated the value of adding a dietitian to a geriatric discharge Liaison-Team. The scope of this study was to explore the possible economic savings of this. Methods: Patients, 70+ and at nutritional risk, were randomized to receive discharge Liaison-Team either w......,416 compared to €1,150 (ONS only) in the CG. For hospitalizations, estimated cost was €92,020 in the IG and €220,025 in the CG. Cost savings added up to €3,048 per patient in the IG. Conclusion: Adding a dietitian to a Danish geriatric discharge Liaison-Team decreased health care costs...

  7. Personal Metabolism (PM) coupled with Life Cycle Assessment (LCA) model: Danish Case Study.

    Science.gov (United States)

    Kalbar, Pradip P; Birkved, Morten; Kabins, Simon; Nygaard, Simon Elsborg

    2016-05-01

    Sustainable and informed resource consumption is the key to make everyday living sustainable for entire populations. An intelligent and strategic way of addressing the challenges related with sustainable development of the everyday living of consumers is to identify consumption-determined hotspots in terms of environmental and health burdens, as well as resource consumptions. Analyzing consumer life styles in terms of consumption patterns in order to identify hotspots is hence the focus of this study. This is achieved by taking into account the entire value chain of the commodities consumed in the context of environmental and human health burdens, as well as resource consumptions. A systematic commodity consumption, commodity disposal, and life style survey of 1281 persons living in urbanized Danish areas was conducted. The findings of the survey showed new impact dimensions in terms of Personal Metabolism (PM) patterns of residents living in urbanized areas of Denmark. Extending the PM analysis with Life Cycle Assessment (LCA) provided a clear picture of the per capita environmental and human health burdens, as well as resource consumptions, and the exact origin hereof. A generic PM-LCA Model for all the 1281 persons was set-up in Gabi 6. The assessment results obtained applying the model on all 1281 personal consumption scenarios yielded the 1281 Personal Impact Profiles (PIPs). Consumption of food and energy (electricity and thermal energy) proved to be the primary impact sources of PM, followed by transport. The PIPs further revealed that behavioral factors (e.g. different diets, use of cars, household size) affect the profiles. Hence, behavioral changes are one means out of many that humanity will most likely have to rely on during the sustainable development process. The results of this study will help the Danish and other comparable populations to identify and prioritize the steps towards reducing their environmental, human health, and resource consumption

  8. Comparison of the organic waste management systems in the Danish-German border region using life cycle assessment (LCA).

    Science.gov (United States)

    Jensen, Morten Bang; Møller, Jacob; Scheutz, Charlotte

    2016-03-01

    This study assessed the management of the organic household waste in the Danish-German border region and points out major differences between the systems and their potential effects on the environment using life cycle assessment (LCA). The treatment of organic waste from households in the Danish-German border region is very different on each side of the border; the Danish region only uses incineration for the treatment of organic household waste while the German region includes combined biogas production and composting, mechanical and biological treatment (MBT) and incineration. Data on all parts of the organic waste treatment was collected including waste composition data and data from treatment facilities and their respective energy systems. Based on that the organic waste management systems in the border region were modelled using the EASETECH waste management LCA-model. The main output is a life cycle assessment showing large differences in the environmental performance of the two different regions with the Danish region performing better in 10 out of 14 impact categories. Furthermore, the importance of the substituted district heating systems was investigated showing an impact up to 34% of the entire system for one impact category and showing large difference between each heating system substituted, e.g. in "Global Warming" the impact was from -16 to -1.1 milli person equivalent/tonne treated waste from substitution of centralised hard coal and decentralised natural gas, respectively. Copyright © 2016 Elsevier Ltd. All rights reserved.

  9. Emergy Evaluations of Denmark and Danish Agriculture. Assessing the Limits of Agricultural Systems to Power Society

    Energy Technology Data Exchange (ETDEWEB)

    Haden, Andrew C. [Swedish Univ. of Agricultural Sciences, Uppsala (Sweden). Dept. of Rural Development Studies

    2003-03-01

    As the process of industrialization has run its course over the twentieth century, the relative importance of agriculture as an economic activity and a means of cultural sustenance for nations has declined dramatically. In this thesis, a historical ecological-economic perspective offers insights into both the causes and effects of Danish agriculture's decline in economic importance relative to the economy of Denmark as a whole. Emergy evaluations were made of the national economy and agricultural subsystem of Denmark for the years 1936, 1970 and 1999. Emergy is defined as all the available energy that was used in the work of making a product and expressed in units of one type of energy. In total, six separate emergy analyses were performed. By quantifying the emergy requirements of both a national agricultural system and the economy within which this system is nested, the analysis highlights the changing relationship of these two systems over a temporal scale of 63 years. The ecological sustainability of the studied systems is assessed through the calculation of emergy-based indices and ratios. In accordance with emergy theory, ecological sustainability is considered to be a function of the dependence of a system on renewable emergy, the degree to which the system depends on imported emergy, and the overall load that the system places on the environment. The analysis indicates that as the national economy of Denmark evolved to rely more on the use of nonrenewable emergy and on emergy appropriated through trade to stimulate economic activity and to generate wealth, its sustainability declined, and the importance of the Danish agricultural system to the national economy subsided. While the total amount of emergy supporting the economy of Denmark over the period studied increased substantially, the total emergy supporting agriculture remained relatively constant. Furthermore, though the emergy signature and thermodynamic efficiencies of Danish agricultural

  10. Principles, application areas and an example of risk assessment conducted at the Danish Institute for Food and Veterinary Research

    DEFF Research Database (Denmark)

    Greiner, Matthias; Paisley, Larry; Nørgaard, Julie Hostrup

    2004-01-01

    is responsible for the risk assessment component of the risk analysis process and provides advice and support for the risk management and risk communication component, which is generally under the auspices of the Danish Veterinary and Food Administration (DVFA). The paper presents guidelines for the conduct...... of risk assessments at the DFVF. Important elements of these guidelines are the independence between risk assessment and risk management, the commitment to science-based, transparent and fully documented procedures and adherence to a protocol that regulates the cooperation between DFVF and DVFA. Typical......The Department for Epidemiology and Risk Analysis at the Danish Institute for Food and Veterinary Research (DFVF) is concerned with risk analyses in the areas of food safety, zoo noses, antimicrobial resistance and OIE (World Organisation for Animal Health) list A and B diseases. The DFVF...

  11. Danish Wind Power

    DEFF Research Database (Denmark)

    Lund, Henrik; Hvelplund, Frede; Østergaard, Poul Alberg

    In a normal wind year, Danish wind turbines generate the equivalent of approx. 20 percent of the Danish electricity demand. This paper argues that only approx. 1 percent of the wind power production is exported. The rest is used to meet domestic Danish electricity demands. The cost of wind power...... is paid solely by the electricity consumers and the net influence on consumer prices was as low as 1-3 percent on average in the period 2004-2008. In 2008, the net influence even decreased the average consumer price, although only slightly. In Denmark, 20 percent wind power is integrated by using both......, a study made by the Danish think tank CEPOS claimed the opposite, i.e. that most of the Danish wind power has been exported in recent years. However, this claim is based on an incorrect interpretation of statistics and a lack of understanding of how the international electricity markets operate...

  12. WebDASC: a web-based dietary assessment software for 8-11-year-old Danish children

    DEFF Research Database (Denmark)

    Biltoft-Jensen, Anja Pia; Trolle, Ellen; Christensen, Tue

    Background:  The present study describes the development and formative evaluation of the Web-based Dietary Assessment Software for Children (WebDASC). WebDASC is part of the OPUS project ('Optimal well-being, development and health for Danish children through a healthy New Nordic Diet') and was i......Background:  The present study describes the development and formative evaluation of the Web-based Dietary Assessment Software for Children (WebDASC). WebDASC is part of the OPUS project ('Optimal well-being, development and health for Danish children through a healthy New Nordic Diet...... food items is available either through category browse or free text search, aided by a spell check application. A type-in format is available for foods not otherwise found through category browse or text search. Amount consumed is estimated by selecting the closest portion size among four different...

  13. Relative validity and reproducibility of a food frequency questionnaire to assess dietary fiber intake in Danish adults

    DEFF Research Database (Denmark)

    Vuholm, Stine; Lorenzen, Janne Kunchel; Kristensen, Mette Bredal

    2014-01-01

    Background: Differences in habitual dietary fiber intake may modify effects of dietary fiber interventions, thus measurement of habitual dietary fiber intake is relevant to apply in intervention studies on fiber-rich foods, and food frequency questionnaire (FFQ) is a commonly used method. Rye bread...... is the major contributor of dietary fiber in the Danish population, and a nation-specific FFQ is therefore needed. Objective: The aim of this study was to assess the relative validity and reproducibility of a self-administered quantitative FFQ designed to assess total dietary fiber intake among Danish adults...... months later. Results: Estimates of mean dietary fiber intake were 24.999.8 and 28.199.4 g/day when applying the FFQ and DR, respectively, where FFQ estimates were 12% lower (pB0.001). Pearson’s correlation coefficient between the estimated dietary fiber intake of the two methods was r0.63 (pB0...

  14. Assessment of Blue Mussel Mytilus edulis Fisheries and Waterbird Shellfish-predator Management in the Danish Wadden Sea

    OpenAIRE

    Laursen, Karsten; Kristensen, Per Sand; Clausen, Preben

    2010-01-01

    We assessed the blue mussel Mytilus edulis fishery management scheme introduced in 1994 in the Danish Wadden Sea that regulate fishing vessels, fishery quota, set-aside for mussel-eating birds and established zones closed to mussel fishery. The results showed (i) a reduction in the blue mussel biomass and mussel bed areas in zones closed to fishery, (ii) decrease in eiders Somateria mollissima numbers and increase or stable numbers for oystercatcher Haematopus ostralegus and herring gull Laru...

  15. Low Cost Large Core Vehicle Structures Assessment

    Science.gov (United States)

    Hahn, Steven E.

    1998-01-01

    Boeing Information, Space, and Defense Systems executed a Low Cost Large Core Vehicle Structures Assessment (LCLCVSA) under contract to NASA Marshall Space Flight Center (MSFC) between November 1997 and March 1998. NASA is interested in a low-cost launch vehicle, code named Magnum, to place heavy payloads into low earth orbit for missions such as a manned mission to Mars, a Next Generation Space Telescope, a lunar-based telescope, the Air Force's proposed space based laser, and large commercial satellites. In this study, structural concepts with the potential to reduce fabrication costs were evaluated in application to the Magnum Launch Vehicle (MLV) and the Liquid Fly Back Booster (LFBB) shuttle upgrade program. Seventeen concepts were qualitatively evaluated to select four concepts for more in-depth study. The four structural concepts selected were: an aluminum-lithium monocoque structure, an aluminum-lithium machined isogrid structure, a unitized composite sandwich structure, and a unitized composite grid structure. These were compared against a baseline concept based on the Space Shuttle External Tank (ET) construction. It was found that unitized composite structures offer significant cost and weight benefits to MLV structures. The limited study of application to LFBB structures indicated lower, but still significant benefits. Technology and facilities development roadmaps to prepare the approaches studied for application to MLV and LFBB were constructed. It was found that the cost and schedule to develop these approaches were in line with both MLV and LFBB development schedules. Current Government and Boeing programs which address elements of the development of the technologies identified are underway. It is recommended that NASA devote resources in a timely fashion to address the specific elements related to MLV and LFBB structures.

  16. WebDASC: a web-based dietary assessment software for 8-11-year-old Danish children.

    Science.gov (United States)

    Biltoft-Jensen, A; Trolle, E; Christensen, T; Islam, N; Andersen, L F; Egenfeldt-Nielsen, S; Tetens, I

    2014-01-01

      The present study describes the development and formative evaluation of the Web-based Dietary Assessment Software for Children (WebDASC). WebDASC is part of the OPUS project ('Optimal well-being, development and health for Danish children through a healthy New Nordic Diet') and was intended to measure dietary change resulting from a school-based intervention.   WebDASC was developed as a self-administered tool that could be used by 8-11-year-old children with or without parent's aid. The development of WebDASC followed a prototyping approach: focus groups, informal interviews, literature review, and usability tests preceded its release. Special consideration was given to age-appropriate design issues.   In WebDASC an animated armadillo guides respondents through six daily eating occasions and helps them report foods and beverages previously consumed. A database of 1300 food items is available either through category browse or free text search, aided by a spell check application. A type-in format is available for foods not otherwise found through category browse or text search. Amount consumed is estimated by selecting the closest portion size among four different digital images. WebDASC includes internal checks for frequently forgotten foods, and the following features to create motivation: a food-meter displaying cumulative weight of foods reported, a most popular food ranking, and a computer game with a high score list.   WebDASC was developed as an intuitive, cost-effective, and engaging method to collect detailed dietary data from 8- to 11-year-old children. Preliminary testing demonstrated that it was well accepted among children. © 2012 The Authors. Journal of Human Nutrition and Dietetics © 2012 The British Dietetic Association Ltd.

  17. Lifetime costs of cerebral palsy

    DEFF Research Database (Denmark)

    Kruse, Marie; Michelsen, Susan Ishøy; Flachs, Esben Meulengracht

    2009-01-01

    This study quantified the lifetime costs of cerebral palsy (CP) in a register-based setting. It was the first study outside the US to assess the lifetime costs of CP. The lifetime costs attributable to CP were divided into three categories: health care costs, productivity costs, and social costs....... The population analyzed was retrieved from the Danish Cerebral Palsy Register, which covers the eastern part of the country and has registered about half of the Danish population of individuals with CP since 1950. For this study we analyzed 2367 individuals with CP, who were born in 1930 to 2000 and were alive...

  18. Reliability of the Danish version of the short questionnaire to assess health-enhancing physical activity (SQUASH)

    DEFF Research Database (Denmark)

    Jacobsen, Julie Sandell; Sørensen, Lotte; Mikkelsen, Lone Ramer

    2015-01-01

    Background: There is abundant evidence that physical activity has a fundamental role in the prevention and treatment of chronic disease. Questionnaires are simple and inexpensive to apply to measure physical activity. Purpose / Aim of Study: Translate and cross-cultural adapt the short...... questionnaire to assess health-enhancing physical activity (SQUASH) to Danish and to investigate the reliability and discriminative validity of the Danish version. Materials and Methods: The study was conducted according to the COSMIN guidelines. The reliability was evaluated in 50 healthy individuals, mean age...... reliability was poor and SQUASH is not considered suitable for measuring physical activity on an individual level. SQUASH was unable to discriminate between healthy individuals and patients with hip dysplasia with respect to total activity score, but was able to discriminate on time spent on activities...

  19. The Danish Ventral Hernia Database - a valuable tool for quality assessment and research.

    Science.gov (United States)

    Helgstrand, Frederik; Jorgensen, Lars Nannestad

    2016-01-01

    The Danish Ventral Hernia Database (DVHD) provides national surveillance of current surgical practice and clinical postoperative outcomes. The intention is to reduce postoperative morbidity and hernia recurrence, evaluate new treatment strategies, and facilitate nationwide implementation of evidence-based treatment strategies. This paper describes the design and purpose of DVHD. Adult (≥18 years) patients with a Danish Civil Registration Number and undergoing surgery under elective or emergency conditions for ventral hernia in a Danish surgical department from 2007 and beyond. A total of 80% of all ventral hernia repairs performed in Denmark were reported to the DVHD. Demographic data (age, sex, and center), detailed hernia description (eg, type, size, surgical priority), and technical aspects (open/laparoscopic and mesh related factors) related to the surgical repair are recorded. Data registration is mandatory. Data may be merged with other Danish health registries and information from patient questionnaires or clinical examinations. More than 37,000 operations have been registered. Data have demonstrated high agreement with patient files. The data allow technical proposals for surgical improvement with special emphasis on reduced incidences of postoperative complications, hernia recurrence, and chronic pain. DVHD is a prospective and mandatory registration system for Danish surgeons. It has collected a high number of operations and is an excellent tool for observing changes over time, including adjustment of several confounders. This national database registry has impacted on clinical practice in Denmark and led to a high number of scientific publications in recent years.

  20. Diagnosis, Risk Assessment, and Treatment Decisions for Occlusal Caries: A Survey from the Danish Public Dental Health Service.

    Science.gov (United States)

    Carvalho, Joana Christina; Qvist, Vibeke; Aimée, Nicole R; Mestrinho, Heliana D; Bakhshandeh, Azam

    2017-12-15

    This study validates a case-based survey method and analyzes the extent to which Danish dental professionals apply current concepts and strategies for occlusal caries management in children, adolescents, and young adults. A case-based, precoded questionnaire consisting of 10 clinical cases/patients with 26 teeth/occlusal surfaces was developed. The cases were set up in a PowerPoint presentation and color printed as a booklet illustrating patients with different patterns of caries activity, severity, and risk. A total of 69 dental professionals participated. Content and face validity of the survey method was established using a panel of experts. The panel also assessed the reliability of the method using a test-retest procedure (κ ≥ 0.80) and acting as benchmark. Measurements of agreement between dental professional and benchmark assessments showed substantial agreement for overall caries activity and risk assessment of patients and for clinical and radiographic severity of occlusal lesions (κ = 0.61-0.67). For assessment of caries lesion activity on occlusal surfaces, the agreement was moderate (κ = 0.50). Regarding treatment decisions, dental professionals showed substantial agreement when indicating restorative treatments (κ = 0.68). Multivariate logistic regression analysis showed a significant influence of various patient-, lesion-, and participant-related variables in the assessment of caries risk, caries activity and severity, and treatment decision. In conclusion, Danish dental professionals participating in the study apply reasonably well current concepts on overall caries activity and risk assessment, clinical and radiographic severity of occlusal lesions, and, to a certain extent, assessment of caries lesion activity on occlusal surfaces. Nonoperative treatment decisions had a high priority among Danish professionals. © 2017 S. Karger AG, Basel.

  1. Risk assessment of Salmonella in Danish meatballs produced in the catering sector

    DEFF Research Database (Denmark)

    Møller, Cleide Oliveira de Almeida; Nauta, Maarten; Schaffner, Donald W.

    2015-01-01

    observational data and models that were specific for Salmonella spp. in meatballs produced in the catering sector. Danish meatballs are often pan-fried followed by baking in an oven before consumption, in order to reach the core temperature of 75 degrees C recommended by the Danish Food Safety Authority...... of meatballs to core temperatures higher than 70 degrees C, and subsequent holding at room temperatures lower than 20 degrees C, for no longer than 3.5 h, were very effective in Salmonella control. The current Danish Food Safety Authority recommendation of cooking to an internal temperature of 75 degrees C...... is conservative, at least with respect to Salmonella risk. Survival and growth of Salmonella during cooling of meatballs not heat treated in oven had a significant impact on the risk estimates, and therefore, cooling should be considered a critical step during meatball processing. (c) 2014 Published by Elsevier B.V....

  2. Decommissioning of the nuclear facilities at Risoe National Laboratory. Descriptions and cost assessment[Denmark

    Energy Technology Data Exchange (ETDEWEB)

    Lauridsen, Kurt [ed.

    2001-02-01

    The report is the result of a project initiated by Risoe National Laboratory in June 2000 on request from the Minister of Research and Information Technology. It describes the nuclear facilities at Risoe National Laboratory to be decommissioned and gives an assessment of the work to be done and the costs incurred. Three decommissioning scenarios were considered with decay times of 10, 25 and 40 years for the DR 3 reactor. The assessments conclude, however, that there will not be much to gain by allowing for the longer decay periods; some operations still will need to be performed remotely. Furthermore, the report describes some of the legal and licensing framework for the decommissioning and gives an assessment of the amounts of radioactive waste to be transferred to a Danish repository. (au)

  3. The Danish experience of strategic environment assesment

    DEFF Research Database (Denmark)

    Kørnøv, Lone

    2004-01-01

    The article recounts a number of examples of the Danish experience with Strategic Environmental Assessment (SEA).......The article recounts a number of examples of the Danish experience with Strategic Environmental Assessment (SEA)....

  4. Danish Ultras

    DEFF Research Database (Denmark)

    Havelund, Jonas; Joern, Lise; Rasmussen, Kristian

    2012-01-01

    It is well documented that knowledge of supporter culture is crucial when assessing the risk of disorder at football matches and thereby ensuring a balanced approach by police and stewards (Stott & Pearson 2007). Both within Denmark and internationally, there is a weak understanding of risk...... supporters, often resulting in inappropriate assessments on the part of the police. This has led to conflicts that presumably could have been avoided had the police possessed a deeper awareness of supporter culture (Stott & Pearson 2007; Rasmussen, Havelund & Tranegaard Andersen 2009). This article...... is the result of a qualitative study of the self-declared nonviolent segment of the Danish risk supporters, i.e. the ultra culture. The study’s empirical data stems from qualitative interviews and participant observation primarily focusing at matches involving Brøndby IF, the club supported by the interviewees...

  5. Validation of the Danish version of the Patient Assessment of Care for Chronic Conditions questionnaire (PACIC)

    DEFF Research Database (Denmark)

    Sokolowski, Ineta; Maindal, Helle Terkildsen; Vedsted, Peter

    interitem correlation), item-rest correlations. Model fit from confirmatory factor analysis (CFA). Results: We present the psychometric properties of the questionnaire and the first results evaluating chronic care in Danish people with diabetes. Conclusions: The complexity of validation is greater when...

  6. The Fugl-Meyer assessment of the upper extremity: reliability, responsiveness and validity of the Danish version.

    Science.gov (United States)

    Lundquist, Camilla Biering; Maribo, Thomas

    2017-05-01

    To translate the Fugl-Meyer Assessment of the Upper Extremity (FMA-UE) into Danish and to establish the inter-tester reliability, responsiveness, Minimal Clinically Important Difference (MCID) and concurrent validity of the FMA-UE in a population of stroke patients. The translation was conducted in accordance with the principles outlined by the ISPOR Task Force for Translation and Cultural Adaption. Inter-rater reliability was assessed at baseline. Each patient was tested by two examiners and inter class correlation (ICC) was calculated. Responsiveness was assessed using receiver operating characteristic (ROC) curve statistics. The FMA-UE change score was used to assess sensitivity and specificity and to correctly determine which patients had improved. The MCID and the area under the curve (AUC) were established using the ROC. The FMA-UE's concurrent validity with the Motor Assessment Scale was determined using Spearman's rank correlation. The study took place at Skive Neurorehabilition, Denmark from May 2014 to February 2015. Inpatients, who were in the acute to sub-acute stage of stroke and aged > 18 years. Not applicable. The FMA-UE. In 50 inpatients the ICC was 0.95, AUC was 0.87, with a sensitivity of 77%, a specificity of 89% and an MCID ≥ 4. Concurrent validity was high, with r = 0.94-0.95. The FMA-UE was successfully translated into Danish. An MCID ≥ 4 was found. This study provides evidence that the FMA-UE is a reliable, responsive and valid instrument for measuring upper limb impairment after stroke. Implications for rehabilitation One of the most widely recognized measures of upper extremity motor impairment post-stroke is the Fugl-Meyer Assessment of the Upper Extremity (FMA-UE). The psychometric properties of a measurement depends on the population and setting in which it is used. In this study, the FMA-UE is translated into Danish and the psychometric properties of FMA-UE is determined in a Danish population of patients with stroke

  7. Danish Multinational Corporations in China

    DEFF Research Database (Denmark)

    Haakonsson, Stine Jessen

    2017-01-01

    looks into how Danish MNCs have evolved into the Chinese economy, investigating the trajectories of how and when four Danish MNCs entered the Chinese economy and how the strategy patterns have emerged from cost reduction, to market access, and recently to innovation. Over 30 years, China has developed...

  8. Translation and validation of the Danish version of the brief family assessment measure III in a sample of acutely admitted elderly medical patients

    DEFF Research Database (Denmark)

    Shamali, Mahdi; Konradsen, Hanne; Lauridsen, Jørgen T

    2018-01-01

    that measures family functioning. However, no Danish translation or measure of its psychometric properties in a Danish population is available. The purpose of this study was to translate the Brief FAM-III into Danish and then evaluate its psychometric properties in elderly patients. METHODS: The Brief FAM......RATIONALE AND OBJECTIVE: Family functioning plays a pivotal role in the adaptation to illness of both individuals and families, especially among elderly patients. The Brief Family Assessment Measure Third Edition (Brief FAM-III) is among the most frequently used self-report instruments...... analysis was used to examine the construct validity of the Brief FAM-III. RESULTS: Evaluation of the Danish version of the Brief FAM-III confirmed the three-factor structure (General Scale, Self-Rating Scale and Dyadic Relationships Scale) identified in the original instrument. However, goodness...

  9. Assessing the Cost Efficiency of Italian Universities

    NARCIS (Netherlands)

    Agasisti, Tommaso; Salerno, C.S.

    2007-01-01

    This study uses Data Envelopment Analysis to evaluate the cost efficiency of 52 Italian public universities. In addition to being one of the first such cost studies of the Italian system, it explicitly takes into account the internal cost structure of institutions’ education programs; a task not

  10. Is screening for pancreatic cancer in high-risk groups cost-effective? - Experience from a Danish national screening program.

    Science.gov (United States)

    Joergensen, Maiken Thyregod; Gerdes, Anne-Marie; Sorensen, Jan; Schaffalitzky de Muckadell, Ove; Mortensen, Michael Bau

    2016-01-01

    Pancreatic cancer (PC) is the fourth leading cause of cancer death worldwide, symptoms are few and diffuse, and when the diagnosis has been made only 10-15% would benefit from resection. Surgery is the only potentially curable treatment for pancreatic cancer, and the prognosis seems to improve with early detection. A hereditary component has been identified in 1-10% of the PC cases. To comply with this, screening for PC in high-risk groups with a genetic disposition for PC has been recommended in research settings. Between January 2006 and February 2014 31 patients with Hereditary pancreatitis or with a disposition of HP and 40 first-degree relatives of patients with Familial Pancreatic Cancer (FPC) were screened for development of Pancreatic Ductal Adenocarcinoma (PDAC) with yearly endoscopic ultrasound. The cost-effectiveness of screening in comparison with no-screening was assessed by the incremental cost-utility ratio (ICER). By screening the FPC group we identified 2 patients with PDAC who were treated by total pancreatectomy. One patient is still alive, while the other died after 7 months due to cardiac surgery complications. Stratified analysis of patients with HP and FPC provided ICERs of 47,156 US$ vs. 35,493 US$ per life-year and 58,647 US$ vs. 47,867 US$ per QALY. Including only PDAC related death changed the ICER to 31,722 US$ per life-year and 42,128 US$ per QALY. The ICER for patients with FPC was estimated at 28,834 US$ per life-year and 38,785 US$ per QALY. With a threshold value of 50,000 US$ per QALY this screening program appears to constitute a cost-effective intervention although screening of HP patients appears to be less cost-effective than FPC patients. Copyright © 2016 IAP and EPC. Published by Elsevier B.V. All rights reserved.

  11. Relative validity and reproducibility of a food frequency questionnaire to assess dietary fiber intake in Danish adults.

    Science.gov (United States)

    Vuholm, Stine; Lorenzen, Janne K; Kristensen, Mette

    2014-01-01

    Differences in habitual dietary fiber intake may modify effects of dietary fiber interventions, thus measurement of habitual dietary fiber intake is relevant to apply in intervention studies on fiber-rich foods, and food frequency questionnaire (FFQ) is a commonly used method. Rye bread is the major contributor of dietary fiber in the Danish population, and a nation-specific FFQ is therefore needed. The aim of this study was to assess the relative validity and reproducibility of a self-administered quantitative FFQ designed to assess total dietary fiber intake among Danish adults. In order to assess the relative validity of the FFQ, a total of 125 participants completed both a 7-day weighed dietary recording (DR) and an FFQ consisting of 60 questions. To evaluate the reproducibility of the FFQ, a sub-group of 12 participants subsequently completed an FFQ approximately 6 months later. Estimates of mean dietary fiber intake were 24.9±9.8 and 28.1±9.4 g/day when applying the FFQ and DR, respectively, where FFQ estimates were ~12% lower (pfiber intake of the two methods was r=0.63 (pfiber intake (g/day), adequate ranking of subjects according to their dietary fiber intake, and good reproducibility. The FFQ is therefore believed to be a valuable tool for epidemiology and screening in human interventions, where intake of dietary fibers is of specific interest.

  12. Customization of a tool to assess Danish surgeons´ non-technical skills in the operating room.

    Science.gov (United States)

    Spanager, Lene; Lyk-Jensen, Helle Teglgaard; Dieckmann, Peter; Wettergren, André; Rosenberg, Jacob; Ostergaard, Doris

    2012-11-01

    Errors in surgery often stem from failure related to non-technical skills such as communication and teamwork. Tools for training and assessment of non-technical skills are needed to ensure safe surgery. The aim of this study was to customize the Non-Technical Skills for Surgeons (NOTSS) rating system for Danish general surgeons. Eight group interviews were conducted at two hospitals with consultant general surgeons, trainee surgeons, scrub nurses and anaesthesia staff (n = 72). Interviews were transcribed and analysed by two coders identifying surgeons´ non-technical skills. Skills were sorted according to NOTSS and behavioural examples were written. The prototype of NOTSSdk was discussed with a panel of surgeons (n = 12) to ensure face validity. The skills identified in a Danish context fitted NOTSS's four categories: situation awareness, decision making, leadership, communication and teamwork and the 12 underlying elements. Only one element was added to the NOTSSdk; "monitoring own performance." A total of 3-8 good and 3-6 poor behavioural examples were written for each element. Respecting team members, creating a good working atmosphere and discussing options in the surgical team were distinct themes. The tool, which was customized for Danish surgeons, comprises four categories, 13 elements and numerous behavioural examples. The distinct themes regarding respect, discussing options and creating a good working atmosphere are more prominent than in the Scottish NOTSS, which may be explained by cultural differences or the fact that the present study included the perspectives of the entire surgical team. NOTSSdk holds potential as a tool for the guiding of assessment and feedback on surgeons´ non-technical performance. not relevant. The study was registered with clinicaltrials.gov (NCT01334411).

  13. Cross-cultural adaptation and validation of the Danish version of the Short Musculoskeletal Function Assessment questionnaire (SMFA).

    Science.gov (United States)

    Lindahl, Marianne; Andersen, Signe; Joergensen, Annette; Frandsen, Christian; Jensen, Liselotte; Benedikz, Eirikur

    2017-07-04

    The aim of this study was to translate and culturally adapt the Short Musculoskeletal Function Assessment (SMFA) into Danish (SMFA-DK) and assess the psychometric properties. SMFA was translated and cross-culturally adapted according to a standardized procedure. Minor changes in the wording in three items were made to adapt to Danish conditions. Acute patients (n = 201) and rehabilitation patients (n = 231) with musculoskeletal problems aged 18-87 years were included. The following analysis were made to evaluate psychometric quality of SMFA-DK: Reliability with Chronbach's alpha, content validity as coding according to the International Classification of Functioning, Disability and Health (ICF), floor/ceiling effects, construct validity as factor analysis, correlations between SMFA-DK and Short Form 36 and also known group method. Responsiveness and effect size were calculated. Cronbach's alpha values were between 0.79 and 0.94. SMFA-DK captured all components of the ICF, and there were no floor/ceiling effects. Factor analysis demonstrated four subscales. SMFA-DK correlated good with the SF-36 subscales for the rehabilitation patients and lower for the newly injured patients. Effect sizes were excellent and better for SMFA-DK than for SF-36. The study indicates that SMFA-DK can be a valid and responsive measure of outcome in rehabilitation settings.

  14. Validation of the Danish version of the McGill Ingestive Skills Assessment using classical test theory and the Rasch model

    DEFF Research Database (Denmark)

    Hansen, Tina; Lambert, Heather C; Faber, Jens

    2012-01-01

    Purpose: The study aimed to validate the Danish version of the Canadian the "McGill Ingestive Skills Assessment" (MISA-DK) for measuring dysphagia in frail elders. Method: One-hundred and ten consecutive older medical patients were recruited to the study. Reliability was assessed by internal cons...

  15. Adding a dietitian to a Danish Liaison-team after discharge of geriatric patients at nutritional risk may save health care costs

    DEFF Research Database (Denmark)

    Pohju, Anne; Belqaid, Kerstin; Brandt, Christopher Flintenborg

    2016-01-01

    Background: A previous study investigated the value of adding a dietitian to a geriatric discharge Liaison-Team. The scope of this study was to explore the possible economic savings of this. Methods: Patients, 70+ and at nutritional risk, were randomized to receive discharge Liaison-Team either......,416 compared to €1,150 (ONS only) in the CG. For hospitalizations, estimated cost was €92,020 in the IG and €220,025 in the CG. Cost savings added up to €3,048 per patient in the IG. Conclusion: Adding a dietitian to a Danish geriatric discharge Liaison-Team decreased health care costs......: Of the 71 included patients, 34 were in the IG, 30 patients received all three dietitian visits. Cumulated number of hospitalization days was 172 in the IG and 415 in the CG. Use of ONS was 48 % in the IG and 17% in the CG (P=0.001). Estimated cost for the dietitian and ONS combined in the IG was €9...

  16. Global impact of Danish drama series

    DEFF Research Database (Denmark)

    Jensen, Pia Majbritt

    2016-01-01

    In recent years Danish TV series have experienced a global export boom. This article maps the regional and global export patterns over the last fifteen years in order to assess the international impact of Danish TV drama.......In recent years Danish TV series have experienced a global export boom. This article maps the regional and global export patterns over the last fifteen years in order to assess the international impact of Danish TV drama....

  17. Costs of medically assisted reproduction treatment at specialized fertility clinics in the Danish public health care system

    DEFF Research Database (Denmark)

    Christiansen, Terkel; Erb, Karin; Rizvanovic, Amra

    2014-01-01

    To examine the costs to the public health care system of couples in medically assisted reproduction.......To examine the costs to the public health care system of couples in medically assisted reproduction....

  18. Translation, cross-cultural adaptation and validation of the Danish version of the Oxford hip score: Assessed against generic and disease-specific questionnaires.

    Science.gov (United States)

    Paulsen, A; Odgaard, A; Overgaard, S

    2012-09-01

    The Oxford hip score (OHS) is a 12-item questionnaire designed and developed to assess function and pain from the perspective of patients who are undergoing total hip replacement (THR). The OHS has been shown to be consistent, reliable, valid and sensitive to clinical change following THR. It has been translated into different languages, but no adequately translated, adapted and validated Danish language version exists. The OHS was translated and cross-culturally adapted into Danish from the original English version, using methods based on best-practice guidelines. The translation was tested for psychometric quality in patients drawn from a cohort from the Danish Hip Arthroplasty Register (DHR). The Danish OHS had a response rate of 87.4%, no floor effect and a 19.9% ceiling effect (as expected in post-operative patients). Only 1.2% of patients had too many items missing to calculate a sum score. Construct validity was adequate and 80% of our predefined hypotheses regarding the correlation between scores on the Danish OHS and the other questionnaires were confirmed. The intraclass correlation (ICC) of the different items ranged from 0.80 to 0.95 and the average limits of agreement (LOA) ranged from -0.05 to 0.06. The Danish OHS had a high internal consistency with a Cronbach's alpha of 0.99 and an average inter-item correlation of 0.88. This Danish version of the OHS is a valid and reliable patient-reported outcome measurement instrument (PROM) with similar qualities to the original English language version.

  19. Assessing the cost competitiveness of China's shipbuilding industry

    OpenAIRE

    Jiang, Liping; Strandenes, Siri Pettersen

    2012-01-01

    Cost has a significant impact on shipbuilding competitiveness. In China, low costs have created favourable conditions for domestic shipyards competing in the international market. However, China's shipbuilders have faced rising cost pressures in recent years, which may affect their industrial competitiveness. In this article, we assess shipbuilding costs and their impacts on the competitiveness of China's shipbuilding industry. We compare developments with China's two primary competitors, Sou...

  20. Relative validity and reproducibility of a food frequency questionnaire to assess dietary fiber intake in Danish adults

    Science.gov (United States)

    Vuholm, Stine; Lorenzen, Janne K.; Kristensen, Mette

    2014-01-01

    Background Differences in habitual dietary fiber intake may modify effects of dietary fiber interventions, thus measurement of habitual dietary fiber intake is relevant to apply in intervention studies on fiber-rich foods, and food frequency questionnaire (FFQ) is a commonly used method. Rye bread is the major contributor of dietary fiber in the Danish population, and a nation-specific FFQ is therefore needed. Objective The aim of this study was to assess the relative validity and reproducibility of a self-administered quantitative FFQ designed to assess total dietary fiber intake among Danish adults. Design In order to assess the relative validity of the FFQ, a total of 125 participants completed both a 7-day weighed dietary recording (DR) and an FFQ consisting of 60 questions. To evaluate the reproducibility of the FFQ, a sub-group of 12 participants subsequently completed an FFQ approximately 6 months later. Results Estimates of mean dietary fiber intake were 24.9±9.8 and 28.1±9.4 g/day when applying the FFQ and DR, respectively, where FFQ estimates were ~12% lower (pdietary fiber intake of the two methods was r=0.63 (pdietary intake of first and second FFQ were very similar (22.2±4.0 and 23.3±4.1 g/day, respectively, p=0.42) and showed a correlation of r=0.95 (95% CI 0.83–0.99). Conclusion The developed FFQ showed moderate underestimation of dietary fiber intake (g/day), adequate ranking of subjects according to their dietary fiber intake, and good reproducibility. The FFQ is therefore believed to be a valuable tool for epidemiology and screening in human interventions, where intake of dietary fibers is of specific interest. PMID:25490961

  1. Fundamentally Danish?

    DEFF Research Database (Denmark)

    Henkel, Heiko

    2010-01-01

    A closer look at the Muhammad cartoon crisis illuminates some of the key issues that were, and continue to be, at stake for the various actors in the public contestations over the legitimate place of Muslims (and the Islamic tradition) in Danish society. Using a conceptual framework developed...... by Axel Honneth, I suggest in this article that the cartoon crisis is part of an ongoing struggle for recognition in Denmark, through which the terms by which Muslims residing in Denmark are recognized as legitimate citizens/residents of Danish society are negotiated—and on which Muslims may recognize...... the demands of Danish majority society as legitimate. As much as the cartoon affair was an event that, as Palle Weis (2006) writes, “suddenly” ruptured Danish society in 2005, it was therefore also part of a process that continues to shape social actors and their relationships....

  2. Comparative life cycle assessment of biowaste to resource management systems - A Danish case study

    DEFF Research Database (Denmark)

    Thomsen, Marianne; Seghetta, Michele; Mikkelsen, Mette Hjorth

    2017-01-01

    from combustion (Reference Scenario) to biogas and fertilizer production (Alternative Scenario). The goals defined in the Danish National resource action plan for waste management, i.e. 33% reduction of organic fraction household waste dry weight, is taken as a case study. A comparative life cycle...... of 8%. Moving up the waste hierarchy results in a net greenhouse gas emission reduction of 100 kg CO2eq. per ton of dry weight biowaste treated, corresponding to a 10% of reduction in CO2 emission. The latter accompanied by a net reduction in depletion of fossil resources of 11% and a reduction...... in the impacts on Freshwater and Marine Eutrophication of 4.8 t P eq. and 3.6 t N eq., respectively. As such, the modelled increased circular bioresource management indicates significant improvement of the efficiency in use of resources in biowaste. However, trade-offs occur due to the presence...

  3. Genetic and environmental influences on oxidative damage assessed in elderly Danish twins

    DEFF Research Database (Denmark)

    Broedbaek, Kasper; Ribel-Madsen, Rasmus; Henriksen, Trine

    2011-01-01

    Previous studies have shown an association between oxidative stress and various diseases in humans including cancer, cardiovascular disease, diabetes, and chronic respiratory disease. To what extents this damage is determined by genetic and environmental factors is unknown. In a classical twin...... of oxidative stress were closely correlated (r=0.60-0.84). In conclusion, we demonstrated in a large population of elderly Danish twins that "whole-body" oxidative damage to nucleic acids and lipids is predominantly determined by potentially modifiable nongenetic factors....... study with 198 elderly twins we examined the contributions of genetic versus environmental factors to nucleic acid oxidation and lipid peroxidation. Urinary excretion of 8-oxo-7,8-dihydro-2'-deoxyguanosine (8-oxodG), 8-oxo-7,8-dihydroguanosine (8-oxoGuo), and dinor,dihydro F2-isoprostane metabolites (F2...

  4. Network analysis as a tool for assessing environmental sustainability: applying the ecosystem perspective to a Danish water management system

    DEFF Research Database (Denmark)

    Pizzol, Massimo; Scotti, Marco; Thomsen, Marianne

    2013-01-01

    patterns of growth and development. We applied Network Analysis (NA) for assessing the sustainability of a Danish municipal Water Management System (WMS). We identified water users within the WMS and represented their interactions as a network of water flows. We computed intensive and extensive indices......New insights into the sustainable use of natural resources in human systems can be gained through comparison with ecosystems via common indices. In both kinds of system, resources are processed by a number of users within a network, but we consider ecosystems as the only ones displaying sustainable......: it is highly efficient at processing the water resource, but the rigid and almost linear structure makes it vulnerable in situations of stress such as heavy rain events. The analysis of future scenarios showed a trend towards increased sustainability, but differences between past and expected future...

  5. Revisiting the psychometric properties of a revised Danish version of the McGill ingestive skills assessment

    DEFF Research Database (Denmark)

    Hansen, Tina; Kristiansen, Dorte Melgaard

    2017-01-01

    Background: During a longstanding validation process of the Danish version of the McGill Ingestive Skills Assessment (MISA2-DK) for measuring mealtime performance in dysphagic clients, extensive revisions have been undertaken. Therefore, this study aimed to determine the psychometric properties...... of this revised version. Methods: In a cross-sectional study, 328 adults referred to occupational therapy for swallowing evaluation were included. MISA2-DK with 36 items distributed into four subscales (positioning for meals, self-feeding skills, liquid ingestion, and solid ingestion) was administered...... dependency. However, when testing the items within each subscale, the subscale structure was not supported. The EFA and further item analysis by the Rasch model suggested a different distribution of items—namely, anticipation, bolus preparation, bolus propulsion, and airway protection. Conclusion: The total...

  6. Low-frequency noise from large wind turbines – additional data and assessment of new Danish regulations

    DEFF Research Database (Denmark)

    Pedersen, Christian Sejer; Møller, Henrik; Pedersen, Steffen

    2012-01-01

    Previous studies have shown that the noise becomes more low-frequency in character, when wind turbines get larger, and with todays’ megawatt turbines the low-frequency noise may cause annoyance for the neighbors. Therefore, low-frequency noise has been included in the noise regulations on wind...... on calculations of the indoor noise at the neighbors, but unfortunately, the calculation underestimates the level that would be measured, thus the regulation does not adequately prevent potential annoyance and sleep disturbance effects from future wind turbines in Denmark....... turbines in Denmark. In this study, the data material has been increased to include more data on noise from modern production turbines up to 5 MW. In addition, the new Danish regulations are assessed. The previous result that the relative amount of low-frequency noise is higher for large turbines (> 2 MW...

  7. Decommissioning of the nuclear facilities at Risø National Laboratory. Descriptions and cost assessment

    DEFF Research Database (Denmark)

    Lauridsen, K.

    2001-01-01

    The report is the result of a project initiated by Risø National Laboratory in June 2000 on request from the Minister of Research and Information Technology. It describes the nuclear facilities at Risø National Laboratory to be decommissioned and gives anassessment of the work to be done and the ......The report is the result of a project initiated by Risø National Laboratory in June 2000 on request from the Minister of Research and Information Technology. It describes the nuclear facilities at Risø National Laboratory to be decommissioned and gives anassessment of the work to be done...... and the costs incurred. Three decommissioning scenarios were considered with decay times of 10, 25 and 40 years for the DR 3 reactor. The assessments conclude, however, that there will not be much to gain by allowing forthe longer decay periods; some operations still will need to be performed remotely....... Furthermore, the report describes some of the legal and licensing framework for the decommissioning and gives an assessment of the amounts of radioactive waste to betransferred to a Danish repository. For a revision of the cost estimate for the decommissioning of the research Reactor DR 3 please consult...

  8. Cost effectiveness of haemophilia treatment : a cross-national assessment

    NARCIS (Netherlands)

    Lippert, B; Berger, K; Berntorp, E; Giangrande, P; van den Berg, M; Schramm, W; Siebert, U

    2005-01-01

    The aim of this study was to assess the incremental cost effectiveness of on-demand versus prophylactic haemophilia therapy in Germany, Sweden, the United Kingdom and The Netherlands from the third-party payers' perspective. Using a decision tree model, the cost effectiveness of on-demand versus

  9. Cost-Utility Analysis in Educational Needs Assessment

    Science.gov (United States)

    Ross, John A.

    2008-01-01

    Educational needs assessments (hereafter NAs) are inattentive to cost considerations and are frequently dominated by elite stakeholder groups. In this article I make a case for adopting a cost-utility approach, illustrating the argument with data generated in a NA of central library services in a Canadian school district. Using survey data from…

  10. The Danish Stroke Registry

    DEFF Research Database (Denmark)

    Johnsen, Søren Paaske; Ingeman, Annette; Hundborg, Heidi Holmager

    2016-01-01

    AIM OF DATABASE: The aim of the Danish Stroke Registry is to monitor and improve the quality of care among all patients with acute stroke and transient ischemic attack (TIA) treated at Danish hospitals. STUDY POPULATION: All patients with acute stroke (from 2003) or TIA (from 2013) treated...... at Danish hospitals. Reporting is mandatory by law for all hospital departments treating these patients. The registry included >130,000 events by the end of 2014, including 10,822 strokes and 4,227 TIAs registered in 2014. MAIN VARIABLES: The registry holds prospectively collected data on key processes...... of care, mainly covering the early phase after stroke, including data on time of delivery of the processes and the eligibility of the individual patients for each process. The data are used for assessing 18 process indicators reflecting recommendations in the national clinical guidelines for patients...

  11. Costs of medically assisted reproduction treatment at specialized fertility clinics in the Danish public health care system

    DEFF Research Database (Denmark)

    Christiansen, Terkel; Erb, Karin; Rizvanovic, Amra

    2014-01-01

    Objective. To examine the costs to the public health care system of couples in medically assisted reproduction. Design. Longitudinal cohort study of infertile couples initiating medically assisted reproduction treatment. Setting. Specialized public fertility clinics in Denmark. Sample. Seven...... hundred and thirty-nine couples having no child at study entry and with data on kind of treatment and live birth (yes/no) for each treatment attempt at the specialized public fertility clinic. Methods. Treatment data for medically assisted reproduction attempts conducted at the public fertility clinics...... or not – were estimated at 6607€. Costs per live birth of women assisted reproduction treatment are relatively modest. The results can be generalized...

  12. Relative validity and reproducibility of a food frequency questionnaire to assess dietary fiber intake in Danish adults

    Directory of Open Access Journals (Sweden)

    Stine Vuholm

    2014-12-01

    Full Text Available Background: Differences in habitual dietary fiber intake may modify effects of dietary fiber interventions, thus measurement of habitual dietary fiber intake is relevant to apply in intervention studies on fiber-rich foods, and food frequency questionnaire (FFQ is a commonly used method. Rye bread is the major contributor of dietary fiber in the Danish population, and a nation-specific FFQ is therefore needed. Objective: The aim of this study was to assess the relative validity and reproducibility of a self-administered quantitative FFQ designed to assess total dietary fiber intake among Danish adults. Design: In order to assess the relative validity of the FFQ, a total of 125 participants completed both a 7-day weighed dietary recording (DR and an FFQ consisting of 60 questions. To evaluate the reproducibility of the FFQ, a sub-group of 12 participants subsequently completed an FFQ approximately 6 months later. Results: Estimates of mean dietary fiber intake were 24.9±9.8 and 28.1±9.4 g/day when applying the FFQ and DR, respectively, where FFQ estimates were ~12% lower (p<0.001. Pearson's correlation coefficient between the estimated dietary fiber intake of the two methods was r=0.63 (p<0.001, and 62% of the participants were grouped into the same tertile of intake according to the two methods. The estimates of mean dietary intake of first and second FFQ were very similar (22.2±4.0 and 23.3±4.1 g/day, respectively, p=0.42 and showed a correlation of r=0.95 (95% CI 0.83–0.99. Conclusion: The developed FFQ showed moderate underestimation of dietary fiber intake (g/day, adequate ranking of subjects according to their dietary fiber intake, and good reproducibility. The FFQ is therefore believed to be a valuable tool for epidemiology and screening in human interventions, where intake of dietary fibers is of specific interest.

  13. Development of Danish Wind Power Market

    DEFF Research Database (Denmark)

    Meyer, Niels I

    2007-01-01

    The modern phase of Danish wind power started after the oil crisis in 1973. During the eighties technological development resulted in increased cost efficiency. In the early nineties favourable feed-in tariffs were introduced together with easy access to the grid. As a result wind power was booming...... on the Danish home market and Danish turbines achieved a global market share of around 50 %....

  14. Energy cost in children assessed by multisensor activity monitors.

    Science.gov (United States)

    Arvidsson, Daniel; Slinde, Frode; Larsson, Sven; Hulthén, Lena

    2009-03-01

    The SenseWear Pro2 Armband (SWA; BodyMedia, Inc., Pittsburg, PA), the Intelligent Device for Energy Expenditure and Activity (IDEEA; Minisun LLC, Fresno, CA), and the ActiReg (AR; PreMed AS, Oslo, Norway) were compared with indirect calorimetry to determine the ability of these devices to assess energy cost in children during resting and different physical activities. Fourteen children, 11-13 yr old, wore the SWA, the IDEEA, and the AR during resting, sitting, stationary bicycling, jumping on a trampoline, playing basketball, stair walking, and walking/running along a 50-m track. The Oxycon Mobile portable metabolic system (VIASYS Healthcare, Conshohocken, PA) was used as the criterion method for energy cost. For resting and sitting, the three activity monitors showed comparable results, but none of them accurately assessed energy cost for stationary bicycling, jumping on a trampoline, or playing basketball. The IDEEA was the only activity monitor that accurately assessed energy cost for stair walking. Also, the IDEEA showed a close estimate of energy cost across the walking and the running intensities, whereas the SWA accurately assessed energy cost for slow to normal walking but showed increased underestimation of energy cost with increasing speed. The AR overestimated energy cost during walking and during slow running but did not respond to increasing running speed. To be able to capture children's physical activity, all three activity monitors need to be further developed. Overall, the IDEEA showed the highest ability to assess energy cost in this study, but SWA may be more feasible for use in children under free-living conditions.

  15. Use of 360-degree assessment of residents in internal medicine in a Danish setting

    DEFF Research Database (Denmark)

    Allerup, Peter

    2007-01-01

    objectives to be assessed. We considered 22 of these suitable for assessment by 360-degrees assessment. METHODS: Medical departments of six hospitals contributed 42 interns to the study. Each resident was assessed by ten persons of whom one was a secretary, four were nurses and five senior doctors...

  16. Assessment of Current State of Mooring Design in the Danish Wave Energy Sector

    DEFF Research Database (Denmark)

    Thomsen, Jonas Bjerg; Ferri, Francesco; Kofoed, Jens Peter

    2015-01-01

    The mooring system is a vital part of any floating wave energy converter, both in terms of ensuring station keeping but also as it constitutes a significant share of the total cost. Motivatedby the considerable amount of failures due to insufficient mooring and the cost of mooring today......, the present study outlines the design procedure recommended by design standards and provides considerations on choice of tools for analysis. This is compared to the procedure used by four wave energy converter developers, to illustrate the state of their current mooring design. The study shows a clear...

  17. Identification of assessment methods of benefits and costs

    DEFF Research Database (Denmark)

    Kronbak, Lone Grønbæk; Roth, Eva

    This note relates to tasks 4.1of the KnowSeas project and is a guidance-note to give directions towards the assessment of benefit and costs related to fisheries and advice on the further objectives related to this assessment....

  18. Development of Advanced Life Cycle Costing Methods for Technology Benefit/Cost/Risk Assessment

    Science.gov (United States)

    Yackovetsky, Robert (Technical Monitor)

    2002-01-01

    The overall objective of this three-year grant is to provide NASA Langley's System Analysis Branch with improved affordability tools and methods based on probabilistic cost assessment techniques. In order to accomplish this objective, the Aerospace Systems Design Laboratory (ASDL) needs to pursue more detailed affordability, technology impact, and risk prediction methods and to demonstrate them on variety of advanced commercial transports. The affordability assessment, which is a cornerstone of ASDL methods, relies on the Aircraft Life Cycle Cost Analysis (ALCCA) program originally developed by NASA Ames Research Center and enhanced by ASDL. This grant proposed to improve ALCCA in support of the project objective by updating the research, design, test, and evaluation cost module, as well as the engine development cost module. Investigations into enhancements to ALCCA include improved engine development cost, process based costing, supportability cost, and system reliability with airline loss of revenue for system downtime. A probabilistic, stand-alone version of ALCCA/FLOPS will also be developed under this grant in order to capture the uncertainty involved in technology assessments. FLOPS (FLight Optimization System program) is an aircraft synthesis and sizing code developed by NASA Langley Research Center. This probabilistic version of the coupled program will be used within a Technology Impact Forecasting (TIF) method to determine what types of technologies would have to be infused in a system in order to meet customer requirements. A probabilistic analysis of the CER's (cost estimating relationships) within ALCCA will also be carried out under this contract in order to gain some insight as to the most influential costs and the impact that code fidelity could have on future RDS (Robust Design Simulation) studies.

  19. Validation of the Danish version of the disease specific instrument EORTC QLQ-CR38 to assess Health-related quality of life in patients with colorectal cancer

    Directory of Open Access Journals (Sweden)

    Thaysen Henriette

    2012-12-01

    Full Text Available Abstract Background The European Organisation for Research and Treatment of Cancer (EORTC quality of life colorectal questionnaire module (QLQ-CR38 was developed in 1999, and an update, the QLQ CR29 was published recently. To date the Danish version of the questionnaire has not been validated. The aim of this study was to examine the psychometric properties of the Danish version of EORTC QLQ-CR38. Methods EORTC QLQ-CR38 was administered to 190 patients with colorectal cancer in two Danish hospitals, one month after their operation. A psychometric evaluation of the questionnaire’s structure, reliability, convergent, divergent and known-groups validity was performed. Results Data from 164 (86.3% patients were available for analysis. The Danish version of EORTC QLQ-CR38 showed satisfactory psychometric properties for the scales: body image, sexual functioning, male sexual problems and defecations problems. Suboptimal psychometric performances were found for the scales: micturition problems, symptoms of the gastrointestinal tract and weight loss. Evaluation of the psychometric properties of the scale chemotherapy side effects was limited by the low number of patients receiving chemotherapy. It was not possible to assess the psychometric properties of the scale female sexual problems and the single item sexual enjoyment due to a high number of missing values. The homogeneity of the study population made the evaluation of known-group validity difficult. Conclusions The results of this study suggest that the validity of the Danish version of EORTC QLQ-CR38 is acceptable. Furthermore, the results support the appropriateness of the updated version, the EORTC QLQ-CR29.

  20. Assessing the Revised Child Anxiety and Depression Scale (RCADS) in a national sample of Danish youth aged 8-16 years.

    Science.gov (United States)

    Esbjørn, Barbara Hoff; Sømhovd, Mikael Julius; Turnstedt, Clara; Reinholdt-Dunne, Marie Louise

    2012-01-01

    Early identification of anxiety among youth is required to prevent them from going unrecognised and untreated by mental health professionals. A precise identification of the young person's primary difficulty is also required to guide treatment programs. Availability of a valid and easily administrable assessment tool is crucial for identifying youth suffering from anxiety disorders. The purpose of the present study was therefore to examine the psychometric properties of the Danish version of the Revised Children's Anxiety and Depression Scale (RCADS). A total of 667 youth from community schools (4(th) through 9(th) grade) across Denmark participated in the study. The psychometric properties of the RCADS-(DAN) resembled those reported in US and Europe. Within scale reliability was excellent with Chronbach's alpha of.96. All subscales also showed good to excellent internal reliability. The study provides convincing evidence that the RCADS-(DAN) is a valid assessment tool for screening anxiety in Danish youth.

  1. The Danish Organic Action Plan 2020: assessment method and baseline status of organic procurement in public kitchens.

    Science.gov (United States)

    Sørensen, Nina N; Lassen, Anne D; Løje, Hanne; Tetens, Inge

    2015-09-01

    With political support from the Danish Organic Action Plan 2020, organic public procurement in Denmark is expected to increase. In order to evaluate changes in organic food procurement in Danish public kitchens, reliable methods are needed. The present study aimed to compare organic food procurement measurements by two methods and to collect and discuss baseline organic food procurement measurements from public kitchens participating in the Danish Organic Action Plan 2020. Comparison study measuring organic food procurement by applying two different methods, one based on the use of procurement invoices (the Organic Cuisine Label method) and the other on self-reported procurement (the Dogme method). Baseline organic food procurement status was based on organic food procurement measurements and background information from public kitchens. Public kitchens participating in the six organic food conversion projects funded by the Danish Organic Action Plan 2020 during 2012 and 2013. Twenty-six public kitchens (comparison study) and 345 public kitchens (baseline organic food procurement status). A high significant correlation coefficient was found between the two organic food procurement measurement methods (r=0·83, Pprocurement was found to be 24 % when including measurements from both methods. The results indicate that organic food procurement measurements by both methods were valid for the baseline status report of the Danish Organic Action Plan 2020. Baseline results in Danish public kitchens suggest there is room for more organic as well as sustainable public procurement in Denmark.

  2. The Danish Medical Birth Register

    DEFF Research Database (Denmark)

    Bliddal, Mette; Broe, Anne; Pottegård, Anton

    2018-01-01

    on all births in Denmark and comprises primarily of data from the Danish National Patient Registry supplemented with forms on home deliveries and stillbirths. It contains information on maternal age provided by the Civil Registration System. Information on pre-pregnancy body mass index and smoking......The Danish Medical Birth Register was established in 1973. It is a key component of the Danish health information system. The register enables monitoring of the health of pregnant women and their offspring, it provides data for quality assessment of the perinatal care in Denmark, and it is used...

  3. Cost-effectiveness analysis of computer-based assessment

    Directory of Open Access Journals (Sweden)

    Pauline Loewenberger

    2003-12-01

    Full Text Available The need for more cost-effective and pedagogically acceptable combinations of teaching and learning methods to sustain increasing student numbers means that the use of innovative methods, using technology, is accelerating. There is an expectation that economies of scale might provide greater cost-effectiveness whilst also enhancing student learning. The difficulties and complexities of these expectations are considered in this paper, which explores the challenges faced by those wishing to evaluate the costeffectiveness of computer-based assessment (CBA. The paper outlines the outcomes of a survey which attempted to gather information about the costs and benefits of CBA.

  4. Neighborhood walkability and hospital treatment costs: A first assessment.

    Science.gov (United States)

    Yu, Yan; Davey, Rachel; Cochrane, Tom; Learnihan, Vincent; Hanigan, Ivan C; Bagheri, Nasser

    2017-06-01

    Health system expenditure is a global concern, with hospital cost a major component. Built environment has been found to affect physical activity and health outcomes. The purpose of the study was a first assessment of the relationship between neighborhood walkability and hospital treatment costs. For 88 neighborhoods in the Australian Capital Territory (ACT), 2011-2013, a total of 30,690 public hospital admissions for the treatment of four diagnostic groups (cancers, endocrine, nutritional and metabolic diseases, circulatory diseases and respiratory diseases) were extracted from the ACT admitted patient care database and analyzed in relation to the Walk Score® index as a measure of walkability. Hospital cost was calculated according to the cost weight of the diagnosis related group assigned to each admission. Linear regressions were used to analyze the associations of walkability with hospital cost per person, admissions per person and cost per admission at the neighborhood level. An inverse association with neighborhood walkability was found for cost per person and admissions per person, but not cost per admission. After adjusting for age, sex and socioeconomic status, a 20-unit increase in walkability was associated with 12.1% (95% CI: 7.1-17.0%) lower cost and 12.5% (8.1-17.0%) fewer admissions. These associations did not vary by neighborhood socioeconomic status. This exploratory analysis suggests the potential for improved population health and reduced hospital cost with greater neighborhood walkability. Further research should replicate the analysis with data from other urban settings, and focus on the behavioral mechanisms underlying the inverse walkability-hospital cost association. Copyright © 2017 Elsevier Inc. All rights reserved.

  5. Rapid Cost Assessment of Space Mission Concepts Through Application of Complexity-Based Cost Indices

    Science.gov (United States)

    Peterson, Craig E.; Cutts, James; Balint, Tibor; Hall, James B.

    2008-01-01

    This slide presentation reviews the development of a rapid cost assessment models for evaluation of exploration missions through the application of complexity based cost indices. In Fall of 2004, NASA began developing 13 documents, known as "strategic roadmaps," intended to outline a strategy for space exploration over the next 30 years. The Third Strategic Roadmap, The Strategic Roadmap for Solar System Exploration, focused on strategy for robotic exploration of the Solar System. Development of the Strategic Roadmap for Solar System Exploration led to the investigation of a large variety of missions. However, the necessity of planning around scientific inquiry and budgetary constraints made it necessary for the roadmap development team to evaluate potential missions not only for scientific return but also cost. Performing detailed cost studies for each of the large number of missions was impractical given the time constraints involved and lack of detailed mission studies; so a method of rapid cost assessment was developed by us to allow preliminary analysis. It has been noted that there is a strong correlation between complexity and cost and schedule of planetary missions. While these correlations were made after missions had been built and flown (successfully or otherwise), it seemed likely that a similar approach could provide at least some relative cost ranking. Cost estimation relationships (CERs) have been developed based on subsystem design choices. These CERs required more detailed information than available, forcing the team to adopt a more high level approach. Costing by analogy has been developed for small satellites, however, planetary exploration missions provide such varying spacecraft requirements that there is a lack of adequately comparable missions that can be used for analogy.

  6. Validating the Diagnostic Infant and Preschool Assessment Using a Danish Trauma Sample

    DEFF Research Database (Denmark)

    Schandorph Løkkegaard, Sille; Elklit, Ask

    Background: There is a lack of validated assessment tools for identifying young children with posttraumatic stress disorder (PTSD). One of the few existing tools for children aged 1-6 years is the Diagnostic Infant and Preschool Assessment (DIPA: Sheeringa & Haslett, 2010.) Purpose: To validate...

  7. The Danish Stroke Registry.

    Science.gov (United States)

    Johnsen, Søren Paaske; Ingeman, Annette; Hundborg, Heidi Holmager; Schaarup, Susanne Zielke; Gyllenborg, Jesper

    2016-01-01

    The aim of the Danish Stroke Registry is to monitor and improve the quality of care among all patients with acute stroke and transient ischemic attack (TIA) treated at Danish hospitals. All patients with acute stroke (from 2003) or TIA (from 2013) treated at Danish hospitals. Reporting is mandatory by law for all hospital departments treating these patients. The registry included >130,000 events by the end of 2014, including 10,822 strokes and 4,227 TIAs registered in 2014. The registry holds prospectively collected data on key processes of care, mainly covering the early phase after stroke, including data on time of delivery of the processes and the eligibility of the individual patients for each process. The data are used for assessing 18 process indicators reflecting recommendations in the national clinical guidelines for patients with acute stroke and TIA. Patient outcomes are currently monitored using 30-day mortality, unplanned readmission, and for patients receiving revascularization therapy, also functional level at 3 months poststroke. Sociodemographic, clinical, and lifestyle factors with potential prognostic impact are registered. The Danish Stroke Registry is a well-established clinical registry which plays a key role for monitoring and improving stroke and TIA care in Denmark. In addition, the registry is increasingly used for research.

  8. Long-term lessons on pesticide leaching obtained via the Danish Pesticide Leaching Assessment Programme

    DEFF Research Database (Denmark)

    Rosenbom, Anette E.; Olsen, Preben; Plauborg, Finn

    To avoid any unacceptable influence on the environment posed by pesticides and their degradation products, all pesticides used in the European Union needs authorization. The authorization procedure includes assessing the leaching risk of both pesticides and their degradation products...

  9. Danish Vernacular

    DEFF Research Database (Denmark)

    Hyams, Inger Louise Berling

    2014-01-01

    of influential teachers in the Danish school, particularly Nyrop, this development is tracked. This descriptive and analytic work concludes in a perspective on the backdrop of Martin Heidegger’s differentiation between Historie and Geschichte – how history was used in the curriculum and what sort of impact...... the teachers had on their students. Such a perspective does not just inform us of past practices but could inspire to new ones....

  10. Use of life cycle assessment as decision-support tool for water reuse and handling of residues at a Danish industrial laundry

    DEFF Research Database (Denmark)

    Jørgensen, Kim; Villanueva, Alejandro; Wenzel, Henrik

    2004-01-01

    , and in accounting for long-term potential toxicity impacts. The analysed options are a combination of two water-upgrading technologies: biofilter and ultrafiltration, and three residue disposal alternatives: biogas followed by incineration of sludge at local wastewater treatment plant, thermal vitrification......This analysis presents the results of a life cycle assessment (LCA) carried out on six alternative options for the recycling of water at a Danish industrial laundry for workwear. The study focuses on the handling and disposal of the wet residues generated when wastewater is treated for recycling...... treatment for production of vitrified sand, and mineralization in a sludge bed. It is concluded from the results that with the current Danish environmental policy priorities, the environmental impacts of highest priority are the toxicity effects derived from the presence of heavy metals in the residues...

  11. Validation of the Danish version of the disease specific instrument EORTC QLQ-CR38 to assess Health-related quality of life in patients with colorectal cancer

    DEFF Research Database (Denmark)

    Thaysen, Henriette Vind; Jess, Per; Laurberg, Søren

    2012-01-01

    ABSTRACT: BACKGROUND: The European Organisation for Research and Treatment of Cancer (EORTC) quality of life colorectal questionnaire module (QLQ-CR38) was developed in 1999, and an update, the QLQ CR29 was published recently. To date the Danish version of the questionnaire has not been validated......, reliability, convergent, divergent and known-groups validity was performed. RESULTS: Data from 164 (86.3%) patients were available for analysis. The Danish version of EORTC QLQ-CR38 showed satisfactory psychometric properties for the scales: body image, sexual functioning, male sexual problems and defecations....... It was not possible to assess the psychometric properties of the scale female sexual problems and the single item sexual enjoyment due to a high number of missing values. The homogeneity of the study population made the evaluation of known-group validity difficult. CONCLUSIONS: The results of this study suggest...

  12. Dynamic Security Assessment of Western Danish Power System Based on Ensemble Decision Trees

    DEFF Research Database (Denmark)

    Liu, Leo; Bak, Claus Leth; Chen, Zhe

    2014-01-01

    With the increasing penetration of renewable energy resources and other forms of dispersed generation, more and more uncertainties will be brought to the dynamic security assessment (DSA) of power systems. This paper proposes an approach that uses ensemble decision trees (EDT) for online DSA. Fed...

  13. Assessing the extent and effects of herbicide drift into Danish hedgerows

    DEFF Research Database (Denmark)

    Bruus, M.; Strandberg, M. T.; Andersen, H. V.

    Very low dosages of herbicides are known to cause effects on bird cherry (Prunus avium) and hawthorn (Crataegus monogyna). With the purpose of studying whether this is a general phenomenon two other common hedgerow species, Sambucus nigra (elder) and Sorbus intermedia (Swedish whitebeam), were...... exposed to a range of low herbicide dosages, and effects on leaves, flowers and berries were assessed. Furthermore, spraying was performed at field scale with a common tractor sprayer in five tracks parallel to a hawthorn hedgerow under varying weather conditions, in order to get realistic data for spray...... deposition in hedgerows, and the resulting herbicide effects on hawthorn fruit set were assessed. Elder was more sensitive to the herbicide than Swedish whitebeam, but the fruit set of both species was affected at herbicide deposition rates likely to occur at normal spraying procedures, as shown by the field...

  14. Health and function assessments in two adjacent Danish birth cohorts of centenarians

    DEFF Research Database (Denmark)

    Vestergaard, Sonja; Andersen-Ranberg, Karen; Skytthe, Axel

    2016-01-01

    in 1910 (DK-1910) and 1911-12 (DK-1911). Both surveys used the same assessment instruments, but the design was different, and data collection was carried out by trained survey agency interviewers in DK-1910 and trained nurses in DK-1911. Participation rate in DK-1911 (49.8 % (251/504)) was lower than...... in DK-1910 (66.9 % (273/408)) (p nursing home was significantly lower (44 vs. 54 %, respectively). Higher...

  15. Mitigation and adaptation cost assessment: Concepts, methods and appropriate use

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1998-12-31

    The present report on mitigation and adaptation costs addresses the complex issue of identifying synergies and tradeoffs between national priorities and mitigation policies, an issue that requires the integration of various disciplines so as to provide a comprehensive overview of future development trends, available technologies and economic policies. Further, the report suggests a new conceptual framework for treating the social aspects in assessing mitigation and adaptation costs in climate change studies. The impacts of certain sustainability indicators such as employment and poverty reduction on mitigation costing are also discussed in the report. Among the topics to be considered by over 120 distinguished international experts, are the elements of costing methodologies at both the micro and macro levels. Special effort will be made to include the impacts of such parameters as income, equity, poverty, employment and trade. Hence, the contents of this report are highly relevant to the authors of the Third Working Group in the development of the TAR. The report contains a chapter on Special Issues and Problems Related to Cost Assessment for Developing Countries. This chapter will provide valuable background in the further development of these concepts in the TAR because it is an area that has not received due attention in previous work. (au)

  16. Comparison of the organic waste management systems in the danish-german border region using life cycle assessment

    DEFF Research Database (Denmark)

    Jensen, Morten Bang; Scheutz, Charlotte; Møller, Jacob

    of the organic waste treatment has been collected including waste composition data and data from treatment facilities and their respective energy systems. Based on that the organic waste management systems in the border region were modelled using the EASETECH waste management LCA-model. The main output is a life......The treatment of organic waste from household in the Danish-German border region is very diverse, the Danish area only uses incineration for the treatment while the German system includes combined biogas and composting, mechanical and biological treatment and incineration. Data on all parts...

  17. Assessing the costs and benefits of US renewable portfolio standards

    Science.gov (United States)

    Wiser, Ryan; Mai, Trieu; Millstein, Dev; Barbose, Galen; Bird, Lori; Heeter, Jenny; Keyser, David; Krishnan, Venkat; Macknick, Jordan

    2017-09-01

    Renewable portfolio standards (RPS) exist in 29 US states and the District of Columbia. This article summarizes the first national-level, integrated assessment of the future costs and benefits of existing RPS policies; the same metrics are evaluated under a second scenario in which widespread expansion of these policies is assumed to occur. Depending on assumptions about renewable energy technology advancement and natural gas prices, existing RPS policies increase electric system costs by as much as 31 billion, on a present-value basis over 2015-2050. The expanded renewable deployment scenario yields incremental costs that range from 23 billion to 194 billion, depending on the assumptions employed. The monetized value of improved air quality and reduced climate damages exceed these costs. Using central assumptions, existing RPS policies yield 97 billion in air-pollution health benefits and 161 billion in climate damage reductions. Under the expanded RPS case, health benefits total 558 billion and climate benefits equal 599 billion. These scenarios also yield benefits in the form of reduced water use. RPS programs are not likely to represent the most cost effective path towards achieving air quality and climate benefits. Nonetheless, the findings suggest that US RPS programs are, on a national basis, cost effective when considering externalities.

  18. Life Cycle Assessment Of Danish Concrete Waste Recycled In Road Base Applications

    DEFF Research Database (Denmark)

    Butera, Stefania; Birgisdottir, Harpa; Astrup, Thomas Fruergaard

    2013-01-01

    LCA was used to assess the environmental impacts from recycling of C&DW in road construction. The scenario comprised all stages in the end of life of C&D concrete, including recovery of materials, as well as avoided production of the substituted goods. Results show the importance of transportation...... of the material, especially when considering global warming, acidification and human toxicity categories. Ecotoxicity is dominated by leaching of pollutants from the concrete material, where Cr and Sb play a major role. Compared to landfilling of the same waste stream, reuse in road construction provides lower...

  19. Danish Approaches in Social Studies of Technology

    DEFF Research Database (Denmark)

    Munch, Birgitte

    1995-01-01

    Danish contribution to a EU-COST A4 action analysing the emergence of social studies of technology, the Science-Technology-Society field and the 'new sociology' of technology in Europe.......Danish contribution to a EU-COST A4 action analysing the emergence of social studies of technology, the Science-Technology-Society field and the 'new sociology' of technology in Europe....

  20. Quantitative assessment of the risk of introduction of bovine viral diarrhea virus in Danish dairy herds

    DEFF Research Database (Denmark)

    Foddai, Alessandro; Boklund, Anette; Stockmarr, Anders

    2014-01-01

    of uncertainty due to lack of data. As suggested in the Agreementon the Application of Sanitary and Phytosanitary Measures (SPS Agreement), the OIE Ter-restrial Animal Health Code was followed for a transparent science-based risk assessment.Data from 2010 on imports of live cattle, semen, and embryos, exports...... trees were made to evaluate the importance of the various BVDV introductionroutes. With the current surveillance system, the risk of BVDV introduction was estimatedto one or more introductions within a median of nine years (3–59). However, if all importedanimals were tested and hoof trimmers always...... disinfected the tools used abroad, the riskcould be reduced to one or more introductions within 33 years (8–200). Results of thisstudy can be used to improve measures of BVD surveillance and prophylaxis in Danishdairy herds....

  1. Preoperative airway assessment - experience gained from a multicentre cluster randomised trial and the Danish Anaesthesia Database

    DEFF Research Database (Denmark)

    Nørskov, Anders Kehlet

    2016-01-01

    baseline values of the primary outcome used in the DIFFICAIR trial. Paper 1 revealed that 1.86% of all patients who were intubated, but not planned for advanced intubation techniques (e.g. video laryngoscopy), were unanticipated difficult to intubate. However, 75 to 93% of all difficult intubations were...... prospectively and compared with existing practice for airway assessment in a randomised trial setting. The first objective of this thesis was to quantify the proportion of unanticipated difficult intubation and difficult mask ventilation in Denmark. The second objective was to design a cluster randomised trial...... anticipations of airway difficulties was compared with actual airway management conditions, thus enabling an estimation of the proportion of unanticipated difficulties with intubation and mask ventilation. Papers 2 and 3 outline the methodology and the pre-trial calculations and considerations leading...

  2. Environmental assessment of biowaste management in the Danish-German border region

    DEFF Research Database (Denmark)

    Jensen, Morten Bang

    and final disposal were analysed. The most detailed analysis took place at a combined biogas and composting plant, where solid and liquid samples were taken and air emissions measured through whole-site fugitive emissions. The assessments were done by using a combination of material flow analysis, substance...... for the environmental performance of the biological treatment facilities were high biogas production and low fugitive methane, nitrous oxide and ammonia emissions. Fugitive emissions measured at a combined biogas and composting plant were very significant and led to a turnaround in the environmental performance...... of the companies is on flexible fuel (biogas), compost production and subsequent resource savings. However, the picture is not clear, as the current waste management system (mainly incineration) is already working well, and in some cases it outperforms the biological treatment option....

  3. Danish Energy Efficiency Policy

    DEFF Research Database (Denmark)

    Togeby, Mikael; Larsen, Anders; Dyhr-Mikkelsen, Kirsten

    2009-01-01

    of the entire Danish energy efficiency policy portfolio must be carried out before end 2008 and put forward for discussion among governing parties no later than February 2009. A consortium comprising Ea Energy Analyses, Niras, the Department of Society and Globalisation (Roskilde University) and 4-Fact...... to meet the required reduction in final energy consumption (goal for 2013) and in primary energy consumption (with goals in 2011 and 2020) as planned by parliament? Recommendations were made on how to improve and develop the portfolio using cost effectiveness as well as organisational clarity as criteria...

  4. Genetic and environmental influences on risk of death due to infections assessed in Danish twins, 1943-2001

    DEFF Research Database (Denmark)

    Obel, Niels; Christensen, Kaare; Petersen, Inge

    2010-01-01

    Genetic differences have been proposed to play a strong role in risk of death from infectious diseases. The study base of 44,005 included all same-sex twin pairs born in 1870-2001, with both twins alive on January 1, 1943, or those born thereafter. Cause of death was obtained from the Danish Caus...

  5. The Danish Urogynaecological Database

    DEFF Research Database (Denmark)

    Guldberg, Rikke; Brostrøm, Søren; Hansen, Jesper Kjær

    2013-01-01

    INTRODUCTION AND HYPOTHESIS: The Danish Urogynaecological Database (DugaBase) is a nationwide clinical database established in 2006 to monitor, ensure and improve the quality of urogynaecological surgery. We aimed to describe its establishment and completeness and to validate selected variables....... This is the first study based on data from the DugaBase. METHODS: The database completeness was calculated as a comparison between urogynaecological procedures reported to the Danish National Patient Registry and to the DugaBase. Validity was assessed for selected variables from a random sample of 200 women...... in the DugaBase from 1 January 2009 to 31 October 2010, using medical records as a reference. RESULTS: A total of 16,509 urogynaecological procedures were registered in the DugaBase by 31 December 2010. The database completeness has increased by calendar time, from 38.2 % in 2007 to 93.2 % in 2010 for public...

  6. COST IMPACT OF ROD CONSOLIDATION ON THE VIABILITY ASSESSMENT DESIGN

    Energy Technology Data Exchange (ETDEWEB)

    D. Lancaster

    1999-03-29

    The cost impact to the Civilian Radioactive Waste Management System of using rod consolidation is evaluated. Previous work has demonstrated that the fuel rods of two assemblies can be packed into a canister that can fit into the same size space as that used to store a single assembly. The remaining fuel assembly hardware can be compacted into the same size canisters with a ratio of 1 hardware canister per each 6 to 12 assemblies. Transportation casks of the same size as currently available can load twice the number of assemblies by placing the compacted assemblies in the slots currently designed for a single assembly. Waste packages similarly could contain twice the number of assemblies; however, thermal constraints would require considering either a low burnup or cooling. The analysis evaluates the impact of rod consolidation on CRWMS costs for consolidation at prior to transportation and for consolidation at the Monitored Geological Repository surface facility. For this study, no design changes were made to either the transport casks or waste packages. Waste package designs used for the Viability Assessment design were employed but derated to make the thermal limits. A logistics analysis of the waste was performed to determine the number of each waste package with each loading. A review of past rod consolidation experience found cost estimates which range from $10/kgU to $32/kgU. $30/kgU was assumed for rod consolidation costs prior to transportation. Transportation cost savings are about $17/kgU and waste package cost savings are about $21/kgU. The net saving to the system is approximately $500 million if the consolidation is performed prior to transportation. If consolidation were performed at the repository surface facilities, it would cost approximately $15/kgU. No transportation savings would be realized. The net savings for consolidation at the repository site would be about $400 million dollars.

  7. Assessing the Cost of Global Biodiversity and Conservation Knowledge.

    Science.gov (United States)

    Juffe-Bignoli, Diego; Brooks, Thomas M; Butchart, Stuart H M; Jenkins, Richard B; Boe, Kaia; Hoffmann, Michael; Angulo, Ariadne; Bachman, Steve; Böhm, Monika; Brummitt, Neil; Carpenter, Kent E; Comer, Pat J; Cox, Neil; Cuttelod, Annabelle; Darwall, William R T; Di Marco, Moreno; Fishpool, Lincoln D C; Goettsch, Bárbara; Heath, Melanie; Hilton-Taylor, Craig; Hutton, Jon; Johnson, Tim; Joolia, Ackbar; Keith, David A; Langhammer, Penny F; Luedtke, Jennifer; Nic Lughadha, Eimear; Lutz, Maiko; May, Ian; Miller, Rebecca M; Oliveira-Miranda, María A; Parr, Mike; Pollock, Caroline M; Ralph, Gina; Rodríguez, Jon Paul; Rondinini, Carlo; Smart, Jane; Stuart, Simon; Symes, Andy; Tordoff, Andrew W; Woodley, Stephen; Young, Bruce; Kingston, Naomi

    2016-01-01

    Knowledge products comprise assessments of authoritative information supported by standards, governance, quality control, data, tools, and capacity building mechanisms. Considerable resources are dedicated to developing and maintaining knowledge products for biodiversity conservation, and they are widely used to inform policy and advise decision makers and practitioners. However, the financial cost of delivering this information is largely undocumented. We evaluated the costs and funding sources for developing and maintaining four global biodiversity and conservation knowledge products: The IUCN Red List of Threatened Species, the IUCN Red List of Ecosystems, Protected Planet, and the World Database of Key Biodiversity Areas. These are secondary data sets, built on primary data collected by extensive networks of expert contributors worldwide. We estimate that US$160 million (range: US$116-204 million), plus 293 person-years of volunteer time (range: 278-308 person-years) valued at US$ 14 million (range US$12-16 million), were invested in these four knowledge products between 1979 and 2013. More than half of this financing was provided through philanthropy, and nearly three-quarters was spent on personnel costs. The estimated annual cost of maintaining data and platforms for three of these knowledge products (excluding the IUCN Red List of Ecosystems for which annual costs were not possible to estimate for 2013) is US$6.5 million in total (range: US$6.2-6.7 million). We estimated that an additional US$114 million will be needed to reach pre-defined baselines of data coverage for all the four knowledge products, and that once achieved, annual maintenance costs will be approximately US$12 million. These costs are much lower than those to maintain many other, similarly important, global knowledge products. Ensuring that biodiversity and conservation knowledge products are sufficiently up to date, comprehensive and accurate is fundamental to inform decision-making for

  8. The Danish Retail Market

    DEFF Research Database (Denmark)

    Aastrup, Jesper; Bjerre, Mogens; Kornum, Niels

    2010-01-01

    This paper presents an overview of the Danish retail market. A detailed picture of the Danish grocery sector is provided, and we highlight issues from the specialty sectors of fashion and DIY as well as patterns of internationalisation among Danish retailers. We further profile the Danish consumer...

  9. For our own security and for the sake of the Afghans. How the Danish public was persuaded to support an unprecedented costly military endeavor in Afghanistan

    DEFF Research Database (Denmark)

    Jakobsen, Peter Viggo; Ringsmose, Jens

    2015-01-01

    To explain how the Danish government succeeded in mobilizing and sustaining public support for the operation, we develop a novel analytical framework that incorporates insights from the two bodies of thought above as well as the emerging literature on strategic narratives. We identify six conditi...

  10. Cost Model for Risk Assessment of Company Operation in Audit

    Directory of Open Access Journals (Sweden)

    S. V.

    2017-12-01

    Full Text Available This article explores the approach to assessing the risk of company activities termination by building a cost model. This model gives auditors information on managers’ understanding of factors influencing change in the value of assets and liabilities, and the methods to identify it in more effective and reliable ways. Based on this information, the auditor can assess the adequacy of use of the assumption on continuity of company operation by management personnel when preparing financial statements. Financial uncertainty entails real manifestations of factors creating risks of the occurrence of costs, revenue losses due their manifestations, which in the long run can be a reason for termination of company operation, and, therefore, need to be foreseen in the auditor’s assessment of the adequacy of use of the continuity assumption when preparing financial statements by company management. The purpose of the study is to explore and develop a methodology for use of cost models to assess the risk of termination of company operation in audit. The issue of methodology for assessing the audit risk through analyzing methods for company valuation has not been dealt with. The review of methodologies for assessing the risks of termination of company operation in course of audit gives grounds for the conclusion that use of cost models can be an effective methodology for identification and assessment of such risks. The analysis of the above methods gives understanding of the existing system for company valuation, integrated into the management system, and the consequences of its use, i. e. comparison of the asset price data with the accounting data and the market value of the asset data. Overvalued or undervalued company assets may be a sign of future sale or liquidation of a company, which may signal on high probability of termination of company operation. A wrong choice or application of valuation methods can be indicative of the risk of non

  11. Assessment of heterogeneity between European Populations: a Baltic and Danish replication case-control study of SNPs from a recent European ulcerative colitis genome wide association study.

    Science.gov (United States)

    Andersen, Vibeke; Ernst, Anja; Sventoraityte, Jurgita; Kupcinskas, Limas; Jacobsen, Bent A; Krarup, Henrik B; Vogel, Ulla; Jonaitis, Laimas; Denapiene, Goda; Kiudelis, Gediminas; Balschun, Tobias; Franke, Andre

    2011-10-13

    Differences in the genetic architecture of inflammatory bowel disease between different European countries and ethnicities have previously been reported. In the present study, we wanted to assess the role of 11 newly identified UC risk variants, derived from a recent European UC genome wide association study (GWAS) (Franke et al., 2010), for 1) association with UC in the Nordic countries, 2) for population heterogeneity between the Nordic countries and the rest of Europe, and, 3) eventually, to drive some of the previous findings towards overall genome-wide significance. Eleven SNPs were replicated in a Danish sample consisting of 560 UC patients and 796 controls and nine missing SNPs of the German GWAS study were successfully genotyped in the Baltic sample comprising 441 UC cases and 1156 controls. The independent replication data was then jointly analysed with the original data and systematic comparisons of the findings between ethnicities were made. Pearson's χ2, Breslow-Day (BD) and Cochran-Mantel-Haenszel (CMH) tests were used for association analyses and heterogeneity testing. The rs5771069 (IL17REL) SNP was not associated with UC in the Danish panel. The rs5771069 (IL17REL) SNP was significantly associated with UC in the combined Baltic, Danish and Norwegian UC study sample driven by the Norwegian panel (OR = 0.89, 95% CI: 0.79-0.98, P = 0.02). No association was found between rs7809799 (SMURF1/KPNA7) and UC (OR = 1.20, 95% CI: 0.95-1.52, P = 0.10) or between UC and all other remaining SNPs. We had 94% chance of detecting an association for rs7809799 (SMURF1/KPNA7) in the combined replication sample, whereas the power were 55% or lower for the remaining SNPs.Statistically significant PBD was found for OR heterogeneity between the combined Baltic, Danish, and Norwegian panel versus the combined German, British, Belgian, and Greek panel (rs7520292 (P = 0.001), rs12518307 (P = 0.007), and rs2395609 (TCP11) (P = 0.01), respectively).No SNP reached genome

  12. Tramadol and the risk of fracture in an elderly female population: a cost utility assessment with comparison to transdermal buprenorphine.

    Science.gov (United States)

    Hirst, Alexander; Knight, Chris; Hirst, Matt; Dunlop, Will; Akehurst, Ron

    2016-03-01

    Opioid treatment for chronic pain is a known risk factor for falls and/or fractures in elderly patients. The latter cause a significant cost to the National Health Service and the Personal Social Services in the UK. Tramadol has a higher risk of fractures than some other opioid analgesics used to treat moderate-to-severe pain and, in the model described here, we investigate the cost effectiveness of transdermal buprenorphine treatment compared with tramadol in a high-risk population. A model was developed to assess the cost effectiveness of tramadol compared with transdermal buprenorphine over a 1-year time horizon and a patient population of high-risk patients (female patients age 75 or older). To estimate the total cost and quality-adjusted life years (QALYs) of treatment, published odds ratios are used in combination with the published incidence rates of four types of fracture: hip, wrist, humerus and other. The model shows tramadol to be associated with 1,058 more fractures per 100,000 patients per year compared with transdermal buprenorphine, resulting in transdermal buprenorphine being cost-effective with an incremental cost-effectiveness ratio of less than £7,000 compared with tramadol. Sensitivity analysis found this result to be robust. In the UK data, there is uncertainty regarding the transdermal buprenorphine odds ratios for fractures. Odds ratios published in Danish and Swedish studies show similar point estimates but are associated with less uncertainty. Transdermal buprenorphine is cost-effective compared to tramadol at a willingness-to-pay threshold of £20,000 per QALY.

  13. Optimistic and pessimistic self-assessment of own diets is associated with age, self-rated health and weight status in Danish adults

    DEFF Research Database (Denmark)

    Sørensen, Mette Rosenlund; Matthiessen, Jeppe; Holm, Lotte

    2017-01-01

    The aim of this study was to analyse concordance between Danish adults' recorded diet quality and their own assessment of the healthiness and to examine socio-demographic, health and behavioural characteristics associated with an optimistic or pessimistic self-assessment. Data were derived from...... diets. Highly and somewhat pessimistic self-assessment, respectively, were defined as assessing own diets as not healthy enough or healthy enough to some degree while having healthy diets. Multiple logistic regression models were used to examine characteristics associated with optimistic and pessimistic...... self-assessments, respectively. Among individuals with unhealthy diets, 13% were highly optimistic and 42% somewhat optimistic about the healthiness of their diets. Among individuals with healthy diets, 14% were highly pessimistic and 51% somewhat pessimistic about the healthiness of their diets...

  14. The use of the "Objective Structured Assessment of Technical Skills" as an Assessment Tool Among Danish Vascular Surgeons in Training

    DEFF Research Database (Denmark)

    Lladó Grove, Gabriela; Langager Høgh, Annette; Nielsen, Judith

    2015-01-01

    OBJECTIVE: The concept of the Objective Structured Assessment of Technical Skills (OSATS) is to quantify surgical skills in an objective way and, thereby, produce an additional procedure-specific assessment tool. Since 2005, a 2-day practical course for upcoming specialist registrars in vascular...... surgery has been obligatory. The aim of this study is to describe the results from a tailored OSATS test as a tool for the evaluation of practical skills during an intensive training session in a simple simulator box for vascular anastomoses. METHOD: Between 2005 and 2013, we registered the OSATS scores...... of all course participants. The following data were collected from the questionnaires: years as a candidate, months in vascular surgery or in another type of surgery, and the number of vascular anastomoses performed before the course. The assessment of surgical skills was conducted with an OSATS score...

  15. Robotics in general surgery: A systematic cost assessment

    Science.gov (United States)

    Gkegkes, Ioannis D.; Mamais, Ioannis A.; Iavazzo, Christos

    2017-01-01

    The utilisation of robotic-assisted techniques is a novelty in the field of general surgery. Our intention was to examine the up to date available literature on the cost assessment of robotic surgery of diverse operations in general surgery. PubMed and Scopus databases were searched in a systematic way to retrieve the included studies in our review. Thirty-one studies were retrieved, referring on a vast range of surgical operations. The mean cost for robotic, open and laparoscopic ranged from 2539 to 57,002, 7888 to 16,851 and 1799 to 50,408 Euros, respectively. The mean operative charges ranged from 273.74 to 13,670 Euros. More specifically, for the robotic and laparoscopic gastric fundoplication, the cost ranged from 1534 to 2257 and 657 to 763 Euros, respectively. For the robotic and laparoscopic colectomy, it ranged from 3739 to 17,080 and 3109 to 33,865 Euros, respectively. For the robotic and laparoscopic cholecystectomy, ranged from 1163.75 to 1291 and from 273.74 to 1223 Euros, respectively. The mean non-operative costs ranged from 900 to 48,796 from 8347 to 8800 and from 870 to 42,055 Euros, for robotic, open and laparoscopic technique, respectively. Conversions to laparotomy were present in 34/18,620 (0.18%) cases of laparoscopic and in 22/1488 (1.5%) cases of robotic technique. Duration of surgery robotic, open and laparoscopic ranged from 54.6 to 328.7, 129 to 234, and from 50.2 to 260 min, respectively. The present evidence reveals that robotic surgery, under specific conditions, has the potential to become cost-effective. Large number of cases, presence of industry competition and multidisciplinary team utilisation are some of the factors that could make more reasonable and cost-effective the robotic-assisted technique. PMID:28000648

  16. Macroeconomic perspectives on the Danish economy

    DEFF Research Database (Denmark)

    Andersen, Torben M.; Hougaard Jensen, Svend E.; Risager, Ole

    A guide to major economic policy issues in Denmark. Leading Danish and international economists discuss, in comparative conte×t, the Danish economy's performance in the last 40 years, and assess the challenges which Denmark in common with other small, open economies faces in the global economy...

  17. Life Cycle Assessment and Cost Analysis of Water and ...

    Science.gov (United States)

    changes in drinking and wastewater infrastructure need to incorporate a holistic view of the water service sustainability tradeoffs and potential benefits when considering shifts towards new treatment technology, decentralized systems, energy recovery and reuse of treated wastewater. The main goal of this study is to determine the influence of scale on the energy and cost performance of different transitional membrane bioreactors (MBR) in decentralized wastewater treatment (WWT) systems by performing a life cycle assessment (LCA) and cost analysis. LCA is a tool used to quantify sustainability-related metrics from a systems perspective. The study calculates the environmental and cost profiles of both aerobic MBRs (AeMBR) and anaerobic MBRs (AnMBR), which not only recover energy from waste, but also produce recycled water that can displace potable water for uses such as irrigation and toilet flushing. MBRs represent an intriguing technology to provide decentralized WWT services while maximizing resource recovery. A number of scenarios for these WWT technologies are investigated for different scale systems serving various population density and land area combinations to explore the ideal application potentials. MBR systems are examined from 0.05 million gallons per day (MGD) to 10 MGD and serve land use types from high density urban (100,000 people per square mile) to semi-rural single family (2,000 people per square mile). The LCA and cost model was built with ex

  18. The use of the "Objective Structured Assessment of Technical Skills" as an Assessment Tool Among Danish Vascular Surgeons in Training.

    Science.gov (United States)

    Lladó Grove, Gabriela; Langager Høgh, Annette; Nielsen, Judith; Sandermann, Jes

    2015-01-01

    The concept of the Objective Structured Assessment of Technical Skills (OSATS) is to quantify surgical skills in an objective way and, thereby, produce an additional procedure-specific assessment tool. Since 2005, a 2-day practical course for upcoming specialist registrars in vascular surgery has been obligatory. The aim of this study is to describe the results from a tailored OSATS test as a tool for the evaluation of practical skills during an intensive training session in a simple simulator box for vascular anastomoses. Between 2005 and 2013, we registered the OSATS scores of all course participants. The following data were collected from the questionnaires: years as a candidate, months in vascular surgery or in another type of surgery, and the number of vascular anastomoses performed before the course. The assessment of surgical skills was conducted with an OSATS score template specifically made for this purpose. It consists of a 12-item table with a 5-point grading scale. OSATS score (points) and time for the procedure (OSATS time in min) were registered at baseline (OSATS I) and at the end of the course (OSATS II). OSATS scores were given in both OSATS I and OSATS II for the 83 trainees, and the mean difference was 8.1 points (95% CI: 6.7; 9.5, p technical skills during an intensive practical course in performing vascular anastomoses. Copyright © 2015 Association of Program Directors in Surgery. Published by Elsevier Inc. All rights reserved.

  19. Health Monitoring System Technology Assessments: Cost Benefits Analysis

    Science.gov (United States)

    Kent, Renee M.; Murphy, Dennis A.

    2000-01-01

    The subject of sensor-based structural health monitoring is very diverse and encompasses a wide range of activities including initiatives and innovations involving the development of advanced sensor, signal processing, data analysis, and actuation and control technologies. In addition, it embraces the consideration of the availability of low-cost, high-quality contributing technologies, computational utilities, and hardware and software resources that enable the operational realization of robust health monitoring technologies. This report presents a detailed analysis of the cost benefit and other logistics and operational considerations associated with the implementation and utilization of sensor-based technologies for use in aerospace structure health monitoring. The scope of this volume is to assess the economic impact, from an end-user perspective, implementation health monitoring technologies on three structures. It specifically focuses on evaluating the impact on maintaining and supporting these structures with and without health monitoring capability.

  20. Space Transportation Systems Life Cycle Cost Assessment and Control

    Science.gov (United States)

    Robinson, John W.; Rhodes, Russell E.; Zapata, Edgar; Levack, Daniel J. H.; Donahue, Benjaamin B.; Knuth, William

    2008-01-01

    Civil and military applications of space transportation have been pursued for just over 50 years and there has been, and still is, a need for safe, dependable, affordable, and sustainable space transportation systems. Fully expendable and partially reusable space transportation systems have been developed and put in operation that have not adequately achieved this need. Access to space is technically achievable, but presently very expensive and will remain so until there is a breakthrough in the way we do business. Since 1991 the national Space Propulsion Synergy Team (SPST) has reviewed and assessed the lessons learned from the major U.S. space programs of the past decades focusing on what has been learned from the assessment and control of Life Cycle Cost (LCC) from these systems. This paper presents the results of a selected number of studies and analyses that have been conducted by the SPST addressing the need, as well as the solutions, for improvement in LCC. The major emphasis of the SPST processes is on developing the space transportation system requirements first (up front). These requirements must include both the usual system flight performance requirements and also the system functional requirements, including the infrastructure on Earth's surface, in-space and on the Moon and Mars surfaces to determine LCC. This paper describes the development of specific innovative engineering and management approaches and processes. This includes a focus on flight hardware maturity for reliability, ground operations approaches, and business processes between contractor and government organizations. A major change in program/project cost control is being proposed by the SPST to achieve a sustainable space transportation system LCC - controlling cost as a program metric in addition to the existing practice of controlling performance and weight. Without a firm requirement and methodically structured cost control, it is unlikely that an affordable and sustainable space

  1. Cost Analysis of Water Transport for Climate Change Impact Assessment

    Science.gov (United States)

    Szaleniec, V.; Buytaert, W.

    2012-04-01

    It is expected that climate change will have a strong impact on water resources worldwide. Many studies exist that couple the output of global climate models with hydrological models to assess the impact of climate change on physical water availability. However, the water resources topology of many regions and especially that of cities can be very complex. Changes in physical water availability do therefore not translate easily into impacts on water resources for cities. This is especially the case for cities with a complex water supply topology, for instance because of geographical barriers, strong gradients in precipitation patterns, or competing water uses. In this study we explore the use of cost maps to enable the inclusion of water supply topologies in climate change impact studies. We use the city of Lima as a case study. Lima is the second largest desert city in the world. Although Peru as a whole has no water shortage, extreme gradients exist. Most of the economic activities including the city of Lima are located in the coastal desert. This region is geographically disconnected from the wet Amazon basin because of the Andes mountain range. Hence, water supply is precarious, provided by a complex combination of high mountain ecosystems including wetlands and glaciers, as well as groundwater aquifers depending on recharge from the mountains. We investigate the feasibility and costs of different water abstraction scenarios and the impact of climate change using cost functions for different resources. The option of building inter basins tunnels across the Andes is compared to the costs of desalinating seawater from the Pacific Ocean under different climate change scenarios and population growth scenarios. This approach yields recommendations for the most cost-effective options for the future.

  2. Costs of traffic injuries

    DEFF Research Database (Denmark)

    Kruse, Marie

    2015-01-01

    OBJECTIVE: The aim of this study was to analyse the socioeconomic costs of traffic injuries in Denmark, notably the healthcare costs and the productivity costs related to traffic injuries, in a bottom-up, register-based perspective. METHOD: Traffic injury victims were identified using national...... emergency room data and police records. Victims were matched with five controls per case by means of propensity score, nearest-neighbour matching. In the cohort, consisting of the 52 526 individuals that experienced a traffic injury in 2000 and 262 630 matched controls, attributable healthcare costs were...... assessed using Danish national healthcare registers. Productivity costs were computed using duration analysis (Cox regression models). In a subanalysis, cost per severe traffic injury was computed for the 12 995 individuals that experienced a severe injury. RESULTS: The socioeconomic cost of a traffic...

  3. Assessing the Cost of Global Biodiversity and Conservation Knowledge.

    Directory of Open Access Journals (Sweden)

    Diego Juffe-Bignoli

    Full Text Available Knowledge products comprise assessments of authoritative information supported by standards, governance, quality control, data, tools, and capacity building mechanisms. Considerable resources are dedicated to developing and maintaining knowledge products for biodiversity conservation, and they are widely used to inform policy and advise decision makers and practitioners. However, the financial cost of delivering this information is largely undocumented. We evaluated the costs and funding sources for developing and maintaining four global biodiversity and conservation knowledge products: The IUCN Red List of Threatened Species, the IUCN Red List of Ecosystems, Protected Planet, and the World Database of Key Biodiversity Areas. These are secondary data sets, built on primary data collected by extensive networks of expert contributors worldwide. We estimate that US$160 million (range: US$116-204 million, plus 293 person-years of volunteer time (range: 278-308 person-years valued at US$ 14 million (range US$12-16 million, were invested in these four knowledge products between 1979 and 2013. More than half of this financing was provided through philanthropy, and nearly three-quarters was spent on personnel costs. The estimated annual cost of maintaining data and platforms for three of these knowledge products (excluding the IUCN Red List of Ecosystems for which annual costs were not possible to estimate for 2013 is US$6.5 million in total (range: US$6.2-6.7 million. We estimated that an additional US$114 million will be needed to reach pre-defined baselines of data coverage for all the four knowledge products, and that once achieved, annual maintenance costs will be approximately US$12 million. These costs are much lower than those to maintain many other, similarly important, global knowledge products. Ensuring that biodiversity and conservation knowledge products are sufficiently up to date, comprehensive and accurate is fundamental to inform

  4. Risk assessment and cost-effectiveness/utility analysis.

    Science.gov (United States)

    Busch, Michael; Walderhaug, Mark; Custer, Brian; Allain, Jean-Pierre; Reddy, Ravi; McDonough, Brian

    2009-04-01

    Decision-makers at all levels of public health and transfusion medicine have always assessed the risks and benefits of their decisions. Decisions are usually guided by immediately available information and a significant amount of experience and judgment. For decisions concerning familiar situations and common problems, judgment and experience may work quite well, but this type of decision process can lack clarity and accountability. Public health challenges are changing as emerging diseases and expensive technologies complicate the decision-makers' task, confronting the decision-maker with new problems that include multiple potential solutions. Decisions regarding policies and adoption of technologies are particularly complex in transfusion medicine due to the scope of the field, implications for public health, and legal, regulatory and public expectations regarding blood safety. To assist decision-makers, quantitative risk assessment and cost-effectiveness analysis are now being more widely applied. This set of articles will introduce risk assessment and cost-effectiveness methodologies and discuss recent applications of these methods in transfusion medicine.

  5. Life-cycle analysis of the total Danish energy system. An assessment of the present Danish energy system and selected furture scenarios. Final report

    Energy Technology Data Exchange (ETDEWEB)

    Kuemmel, B.; Soerensen, B.

    1997-01-01

    The promise of life-cycle analysis (LCA) is to enable the incorporation of environmental and social impacts into decision-making processes. The challenge is to do it on the basis of the always incomplete and uncertain data available, in a way that is sufficiently transparent to avoid that the modeller introduces any particular bias into the decision process, by the way of selecting and treating the incomplete data. The life-cycle analysis of the currently existing system is to be seen as a reference, against which alternative solutions to the same problem is weighed. However, as it takes time to introduce new systems, the alternative scenarios are for a future situation, which is chosen as the middle of the 21st century. The reason for using a 30-50 year period is a reflection on the time needed for a smooth transition to an energy system based on sources different from the ones used today, with implied differences all the way through the conversion and end-use system. A scenario will only be selected if it has been identified and if there is social support for it, so construction of more exotic scenarios by the researcher would only be meaningful, if its advantages are so convincing that an interest can be created and the necessary social support be forthcoming. One may say that the energy scenarios based on renewable energy sources are in this category, as they were identified by a minority group (of scientists and other individuals) and successfully brought to the attention of the public debate during 1970ies. In any case it should be kept in mind, that no claim of having identified the optimum solution can be made after assessing a finite number of scenarios. (EG) 88 refs.

  6. Are Danish doctors comfortable teaching in English?

    DEFF Research Database (Denmark)

    Nilas, Lisbeth; Løkkegaard, Ellen Christine Leth; Laursen, Jacob Brink

    2016-01-01

    Background From 2012–2015, the Departments of Obstetrics and Gynecology and of Pediatrics at the University of Copenhagen conducted a project, “Internationalization at Home ”, offering clinical teaching in English. The project allowed international students to work with Danish speaking students...... in a clinical setting. Using semi-quantitative questionnaires to 89 clinicians about use of English and need for training, this paper considers if Danish clinical doctors are prepared to teach in English. Results The majority self-assessed their English proficiency between seven and eight on a 10 unit visual...... analogue scale, with 10 equivalent to working in Danish, while 15 % rated five or less. However, one-fourth found teaching and writing in English to be twice as difficult than in Danish, and 12 % rated all teaching tasks in English at four or less compared to Danish. The self-assessed need for additional...

  7. Danish Women in the Trades

    DEFF Research Database (Denmark)

    Pedersen, Elsebet Frydendal

    1997-01-01

    A review on the Danish situation on womens entry and participation as tradeswomen in the Danish Construction Industry.......A review on the Danish situation on womens entry and participation as tradeswomen in the Danish Construction Industry....

  8. Costs without benefits? Methodological issues in assessing costs, benefits and effectiveness of water protection policies. Paper

    Energy Technology Data Exchange (ETDEWEB)

    Walz, R.; Schleich, J.

    2000-07-01

    In the last few years, the conditions for extending environmental policy in general and policy dealing with the prevention of water pollution in particular have undergone extensive changes. On the one hand, there has been indisputable considerable success in preventing water pollution which has led to less direct pressure for policy action. On the other hand, the rising sewage levies and the lower political priority assigned in general to environmental policy documented in, e. g. public opinion surveys, has led to water pollution control policy facing very different pressures of justification: more efficient use of funds, improved planning processes, proof of the achievable benefit, but also stopping the increase in levies or not hindering economic development, these or similar slogans are the objections brought against water pollution control. Regardless of how unambiguous these terms appear when used as slogans in this way, they become diffuse and unclear if regarded more closely. This paper therefore attempts to reveal the reasons for possible misunderstandings and misinterpretations on the one hand and, on the other, to reveal the basic problems and uncertainties which are necessarily linked with an assessment of costs and benefits. In order to do this, three areas are examined: level of actors and analysis, evaluation methods and assessment of costs and benefits. (orig.)

  9. Economies of scope in Danish primary care practices

    DEFF Research Database (Denmark)

    Kristensen, Troels; Rose Olsen, Kim

    2011-01-01

    Aim: We analyze total operating costs and activities in Danish General Practice units to assess whether there are unexploited economies of scope in the production of primary care services. Methods: We apply stochastic frontier analysis to derive cost functions and associated cost complementarities...... between GP services and overall economies of scope. Data: Cross-section data for a sample of 331 primary care practices with 1-8 GPs from the year 2006. This is a unique combined dataset consisting of survey and register data. Results: We find a trend towards cost complementarities between the production...... economies of scope in the production of GP services. Conclusions: Our preliminary results show that there were overall economies of scope associated with the joint production of a) standard consultations, b) email/phone consultations and c) home visits. Cost complementarities between standard consultations...

  10. The Danish Anaesthesia Database

    DEFF Research Database (Denmark)

    Antonsen, Kristian; Rosenstock, Charlotte Vallentin; Lundstrøm, Lars Hyldborg

    2016-01-01

    AIM OF DATABASE: The aim of the Danish Anaesthesia Database (DAD) is the nationwide collection of data on all patients undergoing anesthesia. Collected data are used for quality assurance, quality development, and serve as a basis for research projects. STUDY POPULATION: The DAD was founded in 2004...... and eleven defined complications all covering the anesthetic process from the preoperative assessment through anesthesia and surgery until the end of the postoperative recovery period. DESCRIPTIVE DATA: Registered variables include patients' individual social security number (assigned to all Danes) and both...

  11. Assessment of the probability of introduction of bovine tuberculosis to Danish cattle farms via imports of live cattle from abroad and immigrant workers

    DEFF Research Database (Denmark)

    Foddai, Alessandro; Nielsen, Liza Rosenbaum; Krogh, Kaspar

    2015-01-01

    Denmark has been recognized as officially free (OTF) from bovine tuberculosis (bTB) since 1980. In this study, we estimated the annual probability (PIntro) of introducing Mycobacterium bovis into the Danish cattle population, through (a) imports of cattle and (b) foreign personnel working in Danish...... cattle herds. Data from 2000 to 2013 with date, number and origin of imported live cattle were obtained from the Danish Cattle Federation. Information on immigrants working in Danish cattle herds was obtained through a questionnaire sent by email to a sample of Danish cattle farmers (N = 460). Inputs...

  12. Low-cost oblique illumination: an image quality assessment.

    Science.gov (United States)

    Ruiz-Santaquiteria, Jesus; Espinosa-Aranda, Jose Luis; Deniz, Oscar; Sanchez, Carlos; Borrego-Ramos, Maria; Blanco, Saul; Cristobal, Gabriel; Bueno, Gloria

    2018-01-01

    We study the effectiveness of several low-cost oblique illumination filters to improve overall image quality, in comparison with standard bright field imaging. For this purpose, a dataset composed of 3360 diatom images belonging to 21 taxa was acquired. Subjective and objective image quality assessments were done. The subjective evaluation was performed by a group of diatom experts by psychophysical test where resolution, focus, and contrast were assessed. Moreover, some objective nonreference image quality metrics were applied to the same image dataset to complete the study, together with the calculation of several texture features to analyze the effect of these filters in terms of textural properties. Both image quality evaluation methods, subjective and objective, showed better results for images acquired using these illumination filters in comparison with the no filtered image. These promising results confirm that this kind of illumination filters can be a practical way to improve the image quality, thanks to the simple and low cost of the design and manufacturing process. (2018) COPYRIGHT Society of Photo-Optical Instrumentation Engineers (SPIE).

  13. The Danish East India Company

    DEFF Research Database (Denmark)

    Sørensen, Karsten Engsig

    2005-01-01

    The article analysis the first Danish East India Company incorporated in 1616, which was the first Danish Stock Company and which has impacts even on modern Danish company la......The article analysis the first Danish East India Company incorporated in 1616, which was the first Danish Stock Company and which has impacts even on modern Danish company la...

  14. Recruited into Danishness?

    DEFF Research Database (Denmark)

    Lapina, Linda

    2017-01-01

    This article critically examines emergence of Danishness via an autoethnography of passing as Danish. Drawing on feminist scholarship, the author conceptualizes passing as an embodied, affective and discursive relation; simultaneously spontaneous and laboured, fleeting and solid, emergent and con...

  15. Danish dental education:

    DEFF Research Database (Denmark)

    Moore, Rod

    1985-01-01

    The effects of Danish cultural traditions on dental education in Denmark are described, as well as the system's current structure and developing issues. Some Danish ideas for future exports of dental education programs and dental personnel are also discussed.......The effects of Danish cultural traditions on dental education in Denmark are described, as well as the system's current structure and developing issues. Some Danish ideas for future exports of dental education programs and dental personnel are also discussed....

  16. The field of Danish audiology

    DEFF Research Database (Denmark)

    Lykke Hindhede, Anette; Parving, Agnete

    2009-01-01

    The present contribution briefly describes the history of Danish Audiology during the last 50-60 years from the establishment of the National Hearing Health Services (NHHS). The progress within the field is framed according to the theory of Bourdieu challenging the present concept of evidence......, is regarded as a potential reduction for future research and training within audiology. In contrast, the political field considers it as an improvement despite the substantial increase in costs for the state....

  17. The Danish bioenergy programme

    Energy Technology Data Exchange (ETDEWEB)

    Jungersen, G. [Danish Technological Inst., Section for Biotechnology (Denmark)

    1997-12-31

    In Denmark biogas is produced from several different types of facilities: Anaerobic industrial waste and waste water treatment plants, anaerobic sludge stabilization plants, landfill gas plants and single farm and centralized biogas plants. Centralized biogas plants account for approximately 40% of the total production of biogas. In the recent 5 years the single farm plant technology has been considerably improved. Standardized concepts has been developed, which have decreased the construction price of single farm plants, and the introduction of dual fuel gas engines has lowered the cost and increased the efficiency of the energy production unit. Dual fuel gas engines use 7-10% diesel oil together with the gas. They are based on diesel engine principles, often they are modified standard diesel engines, which are cheaper and more simple than ignition gas engines. The construction cost for a typical single farm plant with a 150-200 m{sup 3} reactor is 200,000 USD. As the farmer can obtain a 30% funding from the Danish Energy Agency, the net cost for the farmer is 134,000 USD. The annual income if manure and some industrial waste in co-digested is around 30,000-35,000 USD and the annual running costs is in the level of 5,000-6,000 USD. (EG)

  18. Assessment of socioeconomic costs to China's air pollution

    Science.gov (United States)

    Xia, Yang; Guan, Dabo; Jiang, Xujia; Peng, Liqun; Schroeder, Heike; Zhang, Qiang

    2016-08-01

    Particulate air pollution has had a significant impact on human health in China and it is associated with cardiovascular and respiratory diseases and high mortality and morbidity. These health impacts could be translated to reduced labor availability and time. This paper utilized a supply-driven input-output (I-O) model to estimate the monetary value of total output losses resulting from reduced working time caused by diseases related to air pollution across 30 Chinese provinces in 2007. Fine particulate matter (PM2.5) pollution was used as an indicator to assess impacts to health caused by air pollution. The developed I-O model is able to capture both direct economic costs and indirect cascading effects throughout inter-regional production supply chains and the indirect effects greatly outnumber the direct effects in most Chinese provinces. Our results show the total economic losses of 346.26 billion Yuan (approximately 1.1% of the national GDP) based on the number of affected Chinese employees (72 million out of a total labor population of 712 million) whose work time in years was reduced because of mortality, hospital admissions and outpatient visits due to diseases resulting from PM2.5 air pollution in 2007. The loss is almost the annual GDP of Vietnam in 2010. The proposed modelling approach provides an alternative method for health-cost measurement with additional insights on inter-industrial and inter-regional linkages along production supply chains.

  19. The costs of preventive activities for exotic contagious diseases - A Danish case study of foot and mouth disease and swine fever

    DEFF Research Database (Denmark)

    Denver, Sigrid; Alban, Lis; Boklund, Anette

    2016-01-01

    The present paper provides an overview of the costs of preventive activities, currently undertaken in Denmark, related to foot and mouth disease (FMD) and classical and African swine fever (SF). Only costs held between outbreaks were included. Costs were divided into public costs and costs paid...... in a group of experts from universities, industry, and public authorities. The costs of each preventive activity were related to the type of activity, the number of times the activity was carried out and the share of costs that could be associated with FMD or SF. Uncertainty about parameters was incorporated...... analyses.A total of 27 FMD/SF preventive activities were identified. The estimated median (minimum-maximum) of total costs amounted to (sic)32 (18-50) million in 2013. The single most costly FMD/SF related activity, amounting to (sic)8 (5-13) million or 26% of total costs, was a national legal requirement...

  20. Iceland’s External Affairs from 1550-1815: Danish societal and political cover concurrent with a highly costly economic policy

    Directory of Open Access Journals (Sweden)

    Baldur Þórhallsson

    2014-12-01

    Full Text Available The paper argues that there is not necessarily a correlation between political, economic and societal shelter. Iceland received considerable societal and political shelter from Denmark in the period under study, but Denmark failed to provide its remote island with economic cover. Firstly, and most importantly, it provided substantial and highly valuable societal shelter. Copenhagen was the main channel by which new knowledge and technology could enter Iceland. The islanders benefited from educational, health-care and social policies of the crown and it played an invaluable role in preserving Iceland’s cultural heritage. Secondly, Denmark provided partial protection of Icelandic waters and land though Iceland’s peripheral position continued to be its main protection from outside attacks. However, at the end of our period, the Danish kingdom was in decline and unable to provide political cover. Nevertheless, increased centralization, initiated from Denmark, provided internal order and political stability and citizens became more equal before the law. Thirdly, Icelanders paid a heavy price for the Danish trade monopoly though Icelanders continued to receive partial economic and societal shelter from foreign merchants and fishermen. The crown’s policies towards Iceland can largely be explained by current ideological trends at any given time. By being in constant contact with the European continent through Denmark, Icelandic society was part of the societal, political and economic evolution in Europe and managed to avoid isolation despite its geographical remoteness.

  1. Assessing cost-effectiveness in obesity (ACE-obesity): an overview of the ACE approach, economic methods and cost results.

    Science.gov (United States)

    Carter, Rob; Moodie, Marj; Markwick, Alison; Magnus, Anne; Vos, Theo; Swinburn, Boyd; Haby, Michele M

    2009-11-18

    The aim of the ACE-Obesity study was to determine the economic credentials of interventions which aim to prevent unhealthy weight gain in children and adolescents. We have reported elsewhere on the modelled effectiveness of 13 obesity prevention interventions in children. In this paper, we report on the cost results and associated methods together with the innovative approach to priority setting that underpins the ACE-Obesity study. The Assessing Cost Effectiveness (ACE) approach combines technical rigour with 'due process' to facilitate evidence-based policy analysis. Technical rigour was achieved through use of standardised evaluation methods, a research team that assembles best available evidence and extensive uncertainty analysis. Cost estimates were based on pathway analysis, with resource usage estimated for the interventions and their 'current practice' comparator, as well as associated cost offsets. Due process was achieved through involvement of stakeholders, consensus decisions informed by briefing papers and 2nd stage filter analysis that captures broader factors that influence policy judgements in addition to cost-effectiveness results. The 2nd stage filters agreed by stakeholders were 'equity', 'strength of the evidence', 'feasibility of implementation', 'acceptability to stakeholders', 'sustainability' and 'potential for side-effects'. The intervention costs varied considerably, both in absolute terms (from cost saving [6 interventions] to in excess of AUD50m per annum) and when expressed as a 'cost per child' estimate (from costs per child reflected cost structure, target population and/or under-utilisation. The use of consistent methods enables valid comparison of potential intervention costs and cost-offsets for each of the interventions. ACE-Obesity informs policy-makers about cost-effectiveness, health impact, affordability and 2nd stage filters for important options for preventing unhealthy weight gain in children. In related articles cost

  2. Assessment of the foraging and nesting conditions for solitary bees and bumblebees, and their distribution in a Danish agricultural landscape

    DEFF Research Database (Denmark)

    Calabuig, Isabel

    2000-01-01

    In a survey April through November 1997, a total of 72 solitary bee species and 19 bumblebee species were recorded in the semi-natural habitats of a Danish conventional agricultural landscape. The majority of the solitary non-inquiline bee species (59) were polylectic, but four oligoleges of Salix...... all ones that may sustain a species rich but polylecticly dominated bee fauna. Abundance of solitary bees and bumblebees were correlated with mellitophilous plant coverage in south-facing areas, whereas no correlation was found for honeybees. Furthermore, abundance of honeybees was not correlated...... with abundance of other bees. Bee species richness could not be explained by plant species richness or coverage in a multiple regression. Habitat parameters in a generalised linear model were able to predict abundance of males and inquilines, a measure of nest abundances in the habitats....

  3. Assessment of pedometer-determined physical activity in Danish adults: the importance of non-ambulatory activities

    DEFF Research Database (Denmark)

    Rothausen, Berit Worm; Gille, Maj-Britt; Biltoft-Jensen, Anja Pia

    and Physical Activity 2007-08, wore a pedometer (Yamax SW-200 Tokyo, Japan) and recorded daily steps and non-ambulatory activities for seven consecutive days. Time spent on non-ambulatory activities was converted to step equivalents using 1) a simple conversion method (SCM) adding 200 step equivalents......% of men, 62% of women) engaged in non-ambulatory activities during the registration period. The most frequently reported non-ambulatory activity was cycling, especially as transportation, which was reported by 39% (men: 31%, women: 48%) with a mean of 125 min/week (men: 107, women: 138 min/week). Our...... (13-14% increase) vs. 1875–1886 step equivalents/day for women (22% increase), thus significantly higher for women compared to men, p=0.03) Conclusion In populations like the Danish, where cycling and other non-ambulatory activities are popular, it will be relevant to account for these activities when...

  4. Comparison of associations of maternal peri-pregnancy and paternal anthropometrics with child anthropometrics from birth through age 7 y assessed in the Danish National Birth Cohort

    DEFF Research Database (Denmark)

    Sorensen, Thorkild I. A.; Ajslev, Teresa Adeltoft; Angquist, Lars

    2016-01-01

    ABSTRACT Background: Maternal prepregnancy adiposity may influence child adiposity beyond the transmitted genetic effects, which, if true, may accelerate the obesity epidemic, but the evidence for this mechanism is inconsistent. Objective: The aim was to assess whether the associations of maternal...... body mass index (BMI) with child anthropometric measurements from birth through infancy and at 7 y of age exceed those of paternal associations. Design: In the Danish National Birth Cohort, information on parental and child anthropometric measures is available for 30,655 trio families from maternal...... interviews during pregnancy and the postpartum period and from a 7-y follow-up. By using multiple linear and logistic regression models of child SD (z) scores of weight and BMI at birth, 5 mo, 12 mo, and 7 y of age, and of child overweight at age 7 y, we compared associations with maternal prepregnancy...

  5. Comparison of associations of maternal peri-pregnancy and paternal anthropometrics with child anthropometrics from birth through age 7 y assessed in the Danish National Birth Cohort

    DEFF Research Database (Denmark)

    Sørensen, Thorkild Ia; Ajslev, Teresa Adeltoft; Ängquist, Lars

    2016-01-01

    BACKGROUND: Maternal prepregnancy adiposity may influence child adiposity beyond the transmitted genetic effects, which, if true, may accelerate the obesity epidemic, but the evidence for this mechanism is inconsistent. OBJECTIVE: The aim was to assess whether the associations of maternal body mass...... index (BMI) with child anthropometric measurements from birth through infancy and at 7 y of age exceed those of paternal associations. DESIGN: In the Danish National Birth Cohort, information on parental and child anthropometric measures is available for 30,655 trio families from maternal interviews...... during pregnancy and the postpartum period and from a 7-y follow-up. By using multiple linear and logistic regression models of child SD (z) scores of weight and BMI at birth, 5 mo, 12 mo, and 7 y of age, and of child overweight at age 7 y, we compared associations with maternal prepregnancy...

  6. Danish holsteins favor bull offspring

    DEFF Research Database (Denmark)

    Græsbøll, Kaare; Kirkeby, Carsten; Nielsen, Søren Saxmose

    2015-01-01

    In a previous study from 2014 it was found that US Holstein cows that gave birth to heifer calves produced more milk than cows having bull calves. We wanted to assess whether this is also true for Danish cattle. Data from 578 Danish Holstein herds were analysed with a mixed effect model and contr......In a previous study from 2014 it was found that US Holstein cows that gave birth to heifer calves produced more milk than cows having bull calves. We wanted to assess whether this is also true for Danish cattle. Data from 578 Danish Holstein herds were analysed with a mixed effect model...... and contrary to the findings in the US, we found that cows produced higher volumes of milk if they had a bull calf compared to a heifer calf. We found a significantly higher milk production of 0.28% in the first lactation period for cows giving birth to a bull calf, compared to a heifer calf. This difference...... was even higher when cows gave birth to another bull calf, so having two bull calves resulted in a difference of 0.52% in milk production compared to any other combination of sex of the offspring. Furthermore, we found that farmer assisted calvings were associated with a higher milk yield. Cows...

  7. The Survivor Benefit Plan (SBP): Assessing Retirees' Cost Share

    National Research Council Canada - National Science Library

    DiPuccio, Andrew

    1999-01-01

    .... The cost of the plan was to be paid by both the retiree and the government, with the retiree paying 60 percent of the cost and the government paying 40 percent, for an indefinite period of time...

  8. Energy savings in Danish residential building stock

    DEFF Research Database (Denmark)

    Tommerup, Henrik M.; Svendsen, Svend

    2006-01-01

    A large potential for energy savings exists in the Danish residential building stock due to the fact that 75% of the buildings were constructed before 1979 when the first important demands for energy performance of building were introduced. It is also a fact that many buildings in Denmark face...... comprehensive renovations in the coming years and in connection with this renovation process energy saving measures can be implemented relatively inexpensive and cost effective. This opportunity should be used to insure the buildings in the future as far as energy consumption is concerned. This paper gives...... buildings representing the residential building stock and based on these calculations an assessment of the energy-saving potential is performed. A profitable savings potential of energy used for space heating of about 80% is identified over 45 years (until 2050) within the residential building stock...

  9. Cost Quality Management Assessment for the Idaho Operations Office. Final report

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1995-06-01

    The Office of Engineering and Cost Management (EM-24) conducted a Cost Quality Management Assessment of EM-30 and EM-40 activities at the Idaho National Engineering Laboratory on Feb. 3--19, 1992 (Round I). The CQMA team assessed the cost and cost-related management activities at INEL. The Round II CQMA, conducted at INEL Sept. 19--29, 1994, reviewed EM-30, EM-40, EM-50, and EM-60 cost and cost-related management practices against performance objectives and criteria. Round II did not address indirect cost analysis. INEL has made measurable progress since Round I.

  10. An Assessment Of The Effectiveness Of Collaborative Cost ...

    African Journals Online (AJOL)

    This paper presents the effects of Collaborative Cost Reduction Model (CCRM) as a control Approach to reduce the high cost implication that causes the slow pace of migration process from IPV4 to IPV6 in Nigeria. This study reveals that CCRM can be applied to achieve Cost Reduction in collocation efforts in ...

  11. Sustainable energy planning for 27 small Danish Islands. Summary report

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1997-06-01

    A methodology has been developed and implemented, whereby detailed assessment of a few model or archetype islands may be used as basis for subsequent estimation of possibilities for other islands of similar kind, provided certain key data for present day energy consumption are available. A consistent interaction with the population on the model islands has been important in that process. The technical-economical results of the study show, that a number of measures seem cost-effective with the aim of contributing to a sustainable energy supply for the small Danish islands. Most prominent are energy savings for both heat and electricity, grid connected wind turbines for electricity production and collective heat supply, in decreasing order of cost-effectiveness. It has become clear, that an organisational structure based on the cooperative idea is essential for realising this potential. In Denmark this is a strong tradition, recently manifesting itself in the fact, that a majority of Danish wind turbines have been installed in the fram work of cooperative idea is essential for realising this potential. In Denmark this is a strong tradition, recently manifesting itself in the fact, that a majority of Danish wind turbines have been installed in the framework of cooperatives. This means that it is a well proven concept, in Denmark well established in the legal and financial structure including the tax laws. Consequently such energy cooperatives represent the organisational structure recommended by the project also for other sustainable energy initiatives on the small Danish islands. The implication on a European level is that the methodology developed in the project, as well as the concrete recommendations of the project including organisational structures, seem well suited to be applied on a European level in the context of local communities with a strong identity. (LN)

  12. Use of life cycle assessment as decision-support tool for water reuse and handling of residues at a Danish industrial laundry.

    Science.gov (United States)

    Jørgensen, Kim Riisgaard; Villanueva, Alejandro; Wenzel, Henrik

    2004-10-01

    This analysis presents the results of a life cycle assessment (LCA) carried out on six alternative options for the recycling of water at a Danish industrial laundry for workwear. The study focuses on the handling and disposal of the wet residues generated when wastewater is treated for recycling, and in accounting for long-term potential toxicity impacts. The analysed options are a combination of two water-upgrading technologies: biofilter and ultrafiltration, and three residue disposal alternatives: biogas followed by incineration of sludge at local wastewater treatment plant, thermal vitrification treatment for production of vitrified sand, and mineralization in a sludge bed. It is concluded from the results that with the current Danish environmental policy priorities, the environmental impacts of highest priority are the toxicity effects derived from the presence of heavy metals in the residues. Heavy metals originate from the dirt in the workwear that is washed in the laundry. It is further concluded that the studied water treatment technologies satisfy both the need of clean water for recycling and simultaneously help controlling a safe disposal of pollutants by concentration of the residues. The results of the study also confirm the potential of LCA as a decision-support tool for assisting water recycling initiatives and for residue handling management. The handling of residues has been identified as a stage of the water recycling strategy that bears important environmental impacts. This holistic perspective provided by LCA can be used as input for the definition of environmental management strategies at an industrial laundry, and the prioritization of investments to the environmental profile of laundry processes. In this case-study, the results of the LCA are made operational by, for example, selecting the water treatment technology which is associated wih a safe disposal of the wet residue. It is important to bear in mind that such prioritization depends on

  13. Assessing Cost-Effectiveness in Obesity (ACE-Obesity: an overview of the ACE approach, economic methods and cost results

    Directory of Open Access Journals (Sweden)

    Swinburn Boyd

    2009-11-01

    Full Text Available Abstract Background The aim of the ACE-Obesity study was to determine the economic credentials of interventions which aim to prevent unhealthy weight gain in children and adolescents. We have reported elsewhere on the modelled effectiveness of 13 obesity prevention interventions in children. In this paper, we report on the cost results and associated methods together with the innovative approach to priority setting that underpins the ACE-Obesity study. Methods The Assessing Cost Effectiveness (ACE approach combines technical rigour with 'due process' to facilitate evidence-based policy analysis. Technical rigour was achieved through use of standardised evaluation methods, a research team that assembles best available evidence and extensive uncertainty analysis. Cost estimates were based on pathway analysis, with resource usage estimated for the interventions and their 'current practice' comparator, as well as associated cost offsets. Due process was achieved through involvement of stakeholders, consensus decisions informed by briefing papers and 2nd stage filter analysis that captures broader factors that influence policy judgements in addition to cost-effectiveness results. The 2nd stage filters agreed by stakeholders were 'equity', 'strength of the evidence', 'feasibility of implementation', 'acceptability to stakeholders', 'sustainability' and 'potential for side-effects'. Results The intervention costs varied considerably, both in absolute terms (from cost saving [6 interventions] to in excess of AUD50m per annum and when expressed as a 'cost per child' estimate (from Conclusion The use of consistent methods enables valid comparison of potential intervention costs and cost-offsets for each of the interventions. ACE-Obesity informs policy-makers about cost-effectiveness, health impact, affordability and 2nd stage filters for important options for preventing unhealthy weight gain in children. In related articles cost-effectiveness results and

  14. Genetic variation within and among Danish brown trout ( Salmo trutta L) hatchery strains, assessed by PCR-RFLP analysis of mitochondrial DNA segments

    DEFF Research Database (Denmark)

    Hansen, Michael Møller; Mensberg, Karen-Lise Dons; Rasmussen, Gorm

    1997-01-01

    Eleven Danish brown trout hatchery strains were studied by PCR- RFLP analysis of the ND-I and ND-5/6 segments of the mitochondrial genome. For comparison, data from wild trout representing three Danish river systems also were included. Reduced variability in terms of nucleon diversity and number...

  15. Deterministic Assessment of Future Costs for Dismantling (FA)

    Energy Technology Data Exchange (ETDEWEB)

    Vasko, Marek [DECOM, Trnava (Slovakia)

    2012-11-01

    The main objective of the report is to provide an re-evaluation of cost calculations by OMEGA code for the Intermediate Storage for Spent Fuel in Studsvik (FA facility) using up-to-date Swedish labour cost unit factors and available up-to-date Swedish (or international) cost unit factors for consumables, materials and substances. Furthermore, evolution of other OMEGA database parameters concerning cost calculations e.g. manpower unit factors and workgroups parameters are taken into account. This report follows up former project which introduced tentative calculations of main decommissioning parameters such as costs, manpower and exposure of personnel for activities of older nuclear facility decommissioning in Sweden represented by FA Facility in Studsvik by means of calculation code OMEGA. The project demonstrated an implementation of advanced costing methodology based on PSL structure format to achieve transparent, traceable and comparable estimates even for older nuclear facilities like FA Facility in Studsvik. This former project used Slovak origin labour costs unit factors and other cost unit factors. After successful completion of this project, there was an intent of SSM to reevaluate calculations using an up-to-date Swedish labour cost data and also available Swedish consumables and materials cost data if available. Within this report re-calculations of main decommissioning parameters using available Swedish data are presented in structure according to Proposed Standardized List of Items for Costing Purposes. Calculations are made for decommissioning scenario with post-dismantling decontamination and steel radwaste melting technologies available at the site. All parameters are documented and summed up in both table and graphic forms in text and Annexes. Further, comparison of calculated results with previous calculations together with discussion is provided.

  16. Danish Party Membership

    DEFF Research Database (Denmark)

    Kosiara-Pedersen, Karina

    Political parties have as their main assignment the creation of linkage between citizens and government. They provide one of several channels of participation in modern democracies. Yet, the general trend across the Western world is that party membership figures decline. The purpose of this article...... is to report on the state of Danish party membership; the numbers and participation. The claim of the article is that total membership figures hide evidence of membership renewal and increases, and that mere party membership figures are insufficient when evaluating political parties as channels...... of participation. Instead, membership figures at party level as well as the participation of party members need to be taken into account in order to assess parties as channels of participation. This is supported by the analyses reported here which show that even though membership figures are declining, parties...

  17. Danish Palliative Care Database

    DEFF Research Database (Denmark)

    Grønvold, Mogens; Adsersen, Mathilde; Hansen, Maiken Bang

    2016-01-01

    Aims: The aim of the Danish Palliative Care Database (DPD) is to monitor, evaluate, and improve the clinical quality of specialized palliative care (SPC) (ie, the activity of hospital-based palliative care teams/departments and hospices) in Denmark. Study population: The study population is all......, and the patient-reported European Organisation for Research and Treatment of Cancer Quality of Life Questionaire-Core-15-Palliative Care questionnaire, assessing health-related quality of life. The data support the estimation of currently five quality of care indicators, ie, the proportions of 1) referred......-Core-15-Palliative Care at admission to SPC, and 5) patients who were discussed at a multidisciplinary conference. Descriptive data: In 2014, all 43 SPC units in Denmark reported their data to DPD, and all 9,434 cancer patients (100%) referred to SPC were registered in DPD. In total, 41,104 unique cancer...

  18. Synthesis and stochastic assessment of cost-optimal schedules

    NARCIS (Netherlands)

    Mader, Angelika H.; Bohnenkamp, H.C.; Usenko, Y.S.; Jansen, D.N.; Hurink, Johann L.; Hermanns, H.

    We treat the problem of generating cost-optimal schedules for orders with individual due dates and cost functions based on earliness/tardiness. Orders can run in parallel in a resource-constrained manufacturing environment, where resources are subject to stochastic breakdowns. The goal is to

  19. Guidelines and Metrics for Assessing Space System Cost Estimates

    Science.gov (United States)

    2008-01-01

    1991. Hu, Shu-Ping, Franklin Fong, and Brian Enser, “Cost Improvement Analysis of USCM8 Using Quantity as an Independent Variable (QAIV),” presented...Evaluating Software Cost and Schedule Estimates, Pittsburgh: Software Engineering Institute, January 1995. Pfleeger, Shari Lawrence, Felicia Wu, and Rosalind

  20. Assessment of Long-Run Marginal Costing of Transmission and ...

    African Journals Online (AJOL)

    Then using typical practical networks as case studies, this paper compares two different methods for the determination of the LRMC of transmission and distribution expansion/reinforcement: the average incremental cost (AIC) methodology and marginal incremental costs (MIC) techniques. Based on the results obtained, it is ...

  1. Assessing and forecasting groundwater development costs in Sub ...

    African Journals Online (AJOL)

    Greater use of groundwater in Sub-Saharan Africa is a pre-requisite for improved human welfare; however, the costs associated with groundwater development are prohibitively high and poorly defined. This study identifies and disaggregates the costs of groundwater development in 11 Sub-Saharan African countries, while ...

  2. Activity-Based Costing Model for Assessing Economic Performance.

    Science.gov (United States)

    DeHayes, Daniel W.; Lovrinic, Joseph G.

    1994-01-01

    An economic model for evaluating the cost performance of academic and administrative programs in higher education is described. Examples from its application at Indiana University-Purdue University Indianapolis are used to illustrate how the model has been used to control costs and reengineer processes. (Author/MSE)

  3. Managing student retention through the assessment of cost of quality

    African Journals Online (AJOL)

    ... whilst the costs related to unsuccessful students or students that drop out of the system may be perceived as wasted resources. This article analyses students' dropout rate by identifying critical dropout points in the students' study cycle. A quality management system is used as a basis to determine the cost of quality.

  4. A framework for assessing cost management system changes: the case of activity-based costing implementation at food industry

    Directory of Open Access Journals (Sweden)

    Tayebeh Faraji

    2015-04-01

    Full Text Available An opportunity to investigate the technical and organizational effect of management accounting system changes has appeared with companies' adoption of activity-based costing (ABC. This paper presents an empirical investigation to study the effects of ABC system for case study from food industry in Iran. From this case, the paper develops a framework for assessing ABC implementation and hypotheses about factors that influence implementation. The study detects five cost centers and for each cost center, it determines different cost drivers. The results of our survey has detected that implementation of ABC system not only helps precise allocation of overhead costs but also helps internal management companies for better planning and control of production, making better decisions for company's profits.

  5. Benchmarking Danish Industries

    DEFF Research Database (Denmark)

    Gammelgaard, Britta; Bentzen, Eric; Aagaard Andreassen, Mette

    2003-01-01

    compatible survey. The International Manufacturing Strategy Survey (IMSS) doesbring up the question of supply chain management, but unfortunately, we did not have access to thedatabase. Data from the members of the SCOR-model, in the form of benchmarked performance data,may exist, but are nonetheless...... not public. The survey is a cooperative project "Benchmarking DanishIndustries" with CIP/Aalborg University, the Danish Technological University, the DanishTechnological Institute and Copenhagen Business School as consortia partners. The project has beenfunded by the Danish Agency for Trade and Industry...

  6. Costs of medically assisted reproduction treatment at specialized fertility clinics in the Danish public health care system: results from a 5-year follow-up cohort study.

    Science.gov (United States)

    Christiansen, Terkel; Erb, Karin; Rizvanovic, Amra; Ziebe, Søren; Mikkelsen Englund, Anne L; Hald, Finn; Boivin, Jacky; Schmidt, Lone

    2014-01-01

    To examine the costs to the public health care system of couples in medically assisted reproduction. Longitudinal cohort study of infertile couples initiating medically assisted reproduction treatment. Specialized public fertility clinics in Denmark. Seven hundred and thirty-nine couples having no child at study entry and with data on kind of treatment and live birth (yes/no) for each treatment attempt at the specialized public fertility clinic. Treatment data for medically assisted reproduction attempts conducted at the public fertility clinics were abstracted from medical records. Flow diagrams were drawn for different standard treatment cycles and direct costs at each stage in the flow charts were measured and valued by a bottom-up procedure. Indirect costs were distributed to each treatment cycle on the basis of number of visits as basis. Costs were adjusted to 2012 prices using a constructed medical price index. Live birth, costs. Total costs per live birth in 2012 prices were estimated to 10,755€. Costs per treated couple - irrespective of whether the treatment was terminated by a live birth or not - were estimated at 6607€. Costs per live birth of women assisted reproduction treatment are relatively modest. The results can be generalized to public fertility treatment in Denmark and to other public treatment settings with similar limitations in numbers of public treatment cycles offered. © 2013 Nordic Federation of Societies of Obstetrics and Gynecology.

  7. PET-CT in oncological patients: analysis of informal care costs in cost-benefit assessment.

    Science.gov (United States)

    Orlacchio, Antonio; Ciarrapico, Anna Micaela; Schillaci, Orazio; Chegai, Fabrizio; Tosti, Daniela; D'Alba, Fabrizio; Guazzaroni, Manlio; Simonetti, Giovanni

    2014-04-01

    The authors analysed the impact of nonmedical costs (travel, loss of productivity) in an economic analysis of PET-CT (positron-emission tomography-computed tomography) performed with standard contrast-enhanced CT protocols (CECT). From October to November 2009, a total of 100 patients referred to our institute were administered a questionnaire to evaluate the nonmedical costs of PET-CT. In addition, the medical costs (equipment maintenance and depreciation, consumables and staff) related to PET-CT performed with CECT and PET-CT with low-dose nonenhanced CT and separate CECT were also estimated. The medical costs were 919.3 euro for PET-CT with separate CECT, and 801.3 euro for PET-CT with CECT. Therefore, savings of approximately 13% are possible. Moreover, savings in nonmedical costs can be achieved by reducing the number of hospital visits required by patients undergoing diagnostic imaging. Nonmedical costs heavily affect patients' finances as well as having an indirect impact on national health expenditure. Our results show that PET-CT performed with standard dose CECT in a single session provides benefits in terms of both medical and nonmedical costs.

  8. The Danish Fetal Medicine Database

    DEFF Research Database (Denmark)

    Ekelund, Charlotte K; Petersen, Olav B; Jørgensen, Finn S

    2015-01-01

    OBJECTIVE: To describe the establishment and organization of the Danish Fetal Medicine Database and to report national results of first-trimester combined screening for trisomy 21 in the 5-year period 2008-2012. DESIGN: National register study using prospectively collected first-trimester screening...... data from the Danish Fetal Medicine Database. POPULATION: Pregnant women in Denmark undergoing first-trimester screening for trisomy 21. METHODS: Data on maternal characteristics, biochemical and ultrasonic markers are continuously sent electronically from local fetal medicine databases (Astraia Gmbh...... MEASURES: Screening performance was assessed for the years 2008-2012 by calculating detection rates and screen-positive rates. RESULTS: A total of 268 342 first-trimester risk assessments for trisomy 21 were performed in singleton pregnancies. Participation rate in first-trimester screening was >90...

  9. [Assessing the cost of the first episode of bronchiolitis].

    Science.gov (United States)

    Sannier, N; Bocquet, N; Timsit, S; Cojocaru, B; Wille, C; Garel, D; Boursiquot, C; Chéron, G

    2001-09-01

    Each year, a quarter of the children younger than 24 months has respiratory syncytial virus bronchiolitis. The morbidity among high-risk infants and the possible association with the development of asthma lead to propose preventive measures whose cost-effectiveness relationship is unknown. The present work was aimed at measuring costs of a first attack of bronchiolitis. For children less than two years visited in the emergency department, direct and indirect costs were measured according to the 'Sécurité Sociale' prices. Associated morbidity, the management of care (inpatient versus outpatient), outpatients' outcome two weeks after the visit, socioeconomic data were recorded. One hundred eighty three children have been studied. The length of stay for 40 hospitalizations was 7.6 +/- 4.3 days. Direct costs were 37,200 +/- 22,000 FF for inpatients, and 1286 +/- 633 F for outpatients. For 113 outpatients' families, indirect costs were 49 working days lost. The way the child was looked after and the unemployment rate in the study were similar to data provided by the National Institute of Statistics and Economic Studies. Because of the variability of the hospitalization rate from one setting to another, overall costs of the epidemic cannot be evaluated. For the policymaker, the greatest costs come from the outpatient care. Others studies will be necessary to evaluate the price of future preventive measures.

  10. The Danish Neck Disability Index

    DEFF Research Database (Denmark)

    Lauridsen, Henrik Hein; O'Neill, Lotte; Kongsted, Alice

    2017-01-01

    Objective: To (1) translate and culturally adapt and (2) determine the clinimetric properties of the Danish 8-item Neck Disability Index (NDI-8) in primary sector patients (PSPs) and secondary sector patients (SSPs). Methods: Analyses included 326 patients with neck pain. Validity and reliability...... were assessed using a cross-validation factor analytical design, hypothesis testing, internal consistency, measurement error, the smallest detectable change (SDC), and a generalizability study. Criterion and construct responsiveness, minimal important change (MIC), and floor and ceiling effects were...

  11. Assessing the cost saving potential of shared product architectures

    DEFF Research Database (Denmark)

    Mortensen, Niels Henrik; Hansen, Christian Lindschou; Løkkegaard, Martin

    2016-01-01

    company. Experiences from the case company show it is possible to reduce the number of architectures with 60% which leads to significant reduction in direct material and labor costs. This can be achieved without compromising the market offerings of products. Experiences from the case study indicate cost......This article presents a method for calculating cost savings of shared architectures in industrial companies called Architecture Mapping and Evaluation. The main contribution is an operational method to evaluate the cost potential and evaluate the number of product architectures in an industrial...... reductions between 0.5% and 2% of turnover. The main implication is that the method provides a quantitative basis for the discussion on whether or not to implement shared product architectures. This means a more fact-based approach is introduced....

  12. Use of 360-degree assessment of residents in internal medicine in a Danish setting: a feasibility study

    DEFF Research Database (Denmark)

    Allerup, P; Aspegren, K; Ejlersen, E

    2007-01-01

    learning objectives to be assessed. We considered 22 of these suitable for assessment by 360-degrees assessment. METHODS: Medical departments of six hospitals contributed 42 interns to the study. Each resident was assessed by ten persons of whom one was a secretary, four were nurses and five senior doctors...

  13. Are Danish doctors comfortable teaching in English?

    Science.gov (United States)

    Nilas, L; Løkkegaard, E C; Laursen, J B; Kling, J; Cortes, D

    2016-08-27

    From 2012-2015, the Departments of Obstetrics and Gynecology and of Pediatrics at the University of Copenhagen conducted a project, "Internationalization at Home ", offering clinical teaching in English. The project allowed international students to work with Danish speaking students in a clinical setting. Using semi-quantitative questionnaires to 89 clinicians about use of English and need for training, this paper considers if Danish clinical doctors are prepared to teach in English. The majority self-assessed their English proficiency between seven and eight on a 10 unit visual analogue scale, with 10 equivalent to working in Danish, while 15 % rated five or less. However, one-fourth found teaching and writing in English to be twice as difficult than in Danish, and 12 % rated all teaching tasks in English at four or less compared to Danish. The self-assessed need for additional English skills was perceived low. Teaching in English was rated as 30 % more difficult than in Danish, and a significant subgroup of doctors had difficulties in all forms of communication in English, resulting in challenges when introducing international students in non-native English speaking medical departments.

  14. 78 FR 53425 - Indirect Cost Rates for the Damage Assessment, Remediation, and Restoration Program for Fiscal...

    Science.gov (United States)

    2013-08-29

    ... policy for these fiscal years. For cases not settled and cost claims not paid prior to the effective date of the fiscal year in question, costs will be recalculated using the revised rates in this policy for... Indirect Cost Rates for the Damage Assessment, Remediation, and Restoration Program for Fiscal Year 2012...

  15. Organizational Change Efforts: Methodologies for Assessing Organizational Effectiveness and Program Costs versus Benefits.

    Science.gov (United States)

    Macy, Barry A.; Mirvis, Philip H.

    1982-01-01

    A standardized methodology for identifying, defining, and measuring work behavior and performance rather than production, and a methodology that estimates the costs and benefits of work innovation are presented for assessing organizational effectiveness and program costs versus benefits in organizational change programs. Factors in a cost-benefit…

  16. The Danish Adoption Register

    DEFF Research Database (Denmark)

    Petersen, Liselotte; Sørensen, Thorkild I A

    2011-01-01

    The Danish Adoption Register was established in 1963-1964 to explore the genetic and environmental contribution to familial aggregation of schizophrenia.......The Danish Adoption Register was established in 1963-1964 to explore the genetic and environmental contribution to familial aggregation of schizophrenia....

  17. The Danish Melanoma Database

    DEFF Research Database (Denmark)

    Hölmich, Lisbet Rosenkrantz; Klausen, Siri; Spaun, Eva

    2016-01-01

    AIM OF DATABASE: The aim of the database is to monitor and improve the treatment and survival of melanoma patients. STUDY POPULATION: All Danish patients with cutaneous melanoma and in situ melanomas must be registered in the Danish Melanoma Database (DMD). In 2014, 2,525 patients with invasive m...

  18. Greening of Danish Industry

    DEFF Research Database (Denmark)

    Remmen, Arne

    2002-01-01

    The article outlines the major changes in the discourse on cleaner technology and on pollution prevention, together with policy instuments applied in the Danish industry.......The article outlines the major changes in the discourse on cleaner technology and on pollution prevention, together with policy instuments applied in the Danish industry....

  19. Danish Technology Framework

    DEFF Research Database (Denmark)

    Bonke, Sten; Jørgensen, Tom Rydahl

    This report investigates the occurrence of foundation failures within the context of the Danish construction technology framework. The report comprises a definition/typology section on the basis of which Danish regulatory and administrative procedures in relation to foundation failures are reviewed....

  20. Danish television drama series

    DEFF Research Database (Denmark)

    Degn, Hans-Peter; Krogager, Stinne Gunder Strøm

    2017-01-01

    In recent years, Danish television drama series have become an internationally acclaimed export success. This article analyses the development on the domestic market lying behind this international recognition. A change in production dogmas has formed the characteristics of these successful Danish...... the characteristics of these productions and the development of their audience profiles across age, gender and educational level....

  1. The Danish Pathology Register

    DEFF Research Database (Denmark)

    Bjerregaard, Beth; Larsen, Ole B

    2011-01-01

    The National Board of Health, Denmark in 1997 published guidelines for reporting of pathology data and the Danish Pathology Register (DPR) was established.......The National Board of Health, Denmark in 1997 published guidelines for reporting of pathology data and the Danish Pathology Register (DPR) was established....

  2. Danish Hip Arthroscopy Registry

    DEFF Research Database (Denmark)

    Mygind-Klavsen, Bjarne; Grønbech Nielsen, Torsten; Maagaard, Niels

    2016-01-01

    Danish Hip Arthroscopy Registry (DHAR) was initiated in 2012 as a web-based prospective registry. The purpose of this study was to evaluate and report the epidemiologic and perioperative data of the first 2000 procedures in a Danish hip arthroscopy population and to describe the development of DH...

  3. More Danish, More English

    DEFF Research Database (Denmark)

    Chopin, Kimberly Renée

    the Danish language may play in higher education in Denmark. This study investigates both trends through a focus on recently implemented language policies at one Danish university faculty which mandate that graduate instruction becarried out only in English, and undergraduate instruction only in Danish......-up approachto determining language use. This research has implications for other institutions which are affected by similar language issues. It adds to existing work on English-medium instruction in higher education, and adds to discussions on domain loss and the language of education inuniversities.......Universities in Denmark are becoming increasingly internationalized, and areincreasingly using English as a language of research, teaching, and administration. At the same time, the Danish language is seen by some as being under threat, and Danish public discourse has focused on what role...

  4. A Danish cost-effectiveness model of escitalopram in comparison with citalopram and venlafaxine as first-line treatments for major depressive disorder in primary care

    DEFF Research Database (Denmark)

    Sørensen, Jan; Stage, Kurt B; Damsbo, Niels

    2007-01-01

    The objective of this study was to model the cost-effectiveness of escitalopram in comparison with generic citalopram and venlafaxine in primary care treatment of major depressive disorder (baseline scores 22-40 on the Montgomery-Asberg Depression Rating Scale, MADRS) in Denmark. A three-path dec......The objective of this study was to model the cost-effectiveness of escitalopram in comparison with generic citalopram and venlafaxine in primary care treatment of major depressive disorder (baseline scores 22-40 on the Montgomery-Asberg Depression Rating Scale, MADRS) in Denmark. A three...... in 2004 DDK. The expected overall 6-month remission rate was higher for escitalopram (64.1%) than citalopram (58.9%). From both perspectives, the total expected cost per successfully treated patient was lower for escitalopram (DKK 22,323 healthcare, DKK 72,399 societal) than for citalopram (DKK 25......,778 healthcare, DKK 87,786 societal). Remission rates and costs were similar for escitalopram and venlafaxine. Robustness of the findings was verified in multivariate sensitivity analyses. For patients in primary care, escitalopram appears to be a cost-effective alternative to (generic) citalopram, with greater...

  5. A study of Danish veterans

    DEFF Research Database (Denmark)

    2014-01-01

    From 2009 to 2012, Danish soldiers from the International Security Assistance Force (ISAF) Team 7 participated in a research study (USPER PSYK) aimed at investigating the long-term psychological and social consequences of military deployment. The 743 soldiers who participated in the study were...... deployed to Afghanistan from February to August 2009. The soldiers were assessed before and during deployment, as well as at home coming and 3 months, 7 months, and 2.5 years after home coming. All assessments included a wide range of self-report measures, and at the final assessment, the majority...

  6. Life cycle costing of a milk producing farm – cost assessment of environmental impact mitigation strategies

    Science.gov (United States)

    Agriculture is a significant contributor to greenhouse gases (GHG). A study by the University of Arkansas showed that 70% of the carbon footprint of milk occurs before the farm gate. The goal of this study was to add costs to the GHG study to determine the impact of the farm milk production system o...

  7. The Danish Vascular Registry, Karbase

    DEFF Research Database (Denmark)

    Eldrup, Nikolaj; Cerqueira, Charlotte; de la Motte, Louise

    2016-01-01

    AIM: The Danish Vascular Registry (DVR), Karbase, is monitoring arterial and advanced vein interventions conducted at all vascular departments in Denmark. The main aim of the DVR is to improve the quality of treatment for patients undergoing vascular surgery in Denmark by using the registry...... for quality assessment and research. STUDY POPULATION: All patients undergoing vascular interventions (surgical and endovascular) at any vascular department in Denmark are registered in the DVR. The DVR was initiated in 1989, and each year, ∼9,000 procedures are added. By January 2016, >180,000 procedures...... have been recorded. Since 2001, data completeness has been >90% (compared to the Danish National Patient Register). MAIN VARIABLES: Variables include information on descriptive patient data (ie, age, sex, height, and weight) and comorbidity (ie, previous cardiovascular disease and diabetes). Process...

  8. 37 CFR 251.54 - Assessment of costs of arbitration panels.

    Science.gov (United States)

    2010-07-01

    ... 37 Patents, Trademarks, and Copyrights 1 2010-07-01 2010-07-01 false Assessment of costs of arbitration panels. 251.54 Section 251.54 Patents, Trademarks, and Copyrights COPYRIGHT OFFICE, LIBRARY OF... OF PROCEDURE Procedures of Copyright Arbitration Royalty Panels § 251.54 Assessment of costs of...

  9. The Cost of Commonality: Assessing Value in Joint Programs

    Science.gov (United States)

    2015-12-01

    dire consequences for the survival and performance of the network as a whole ( Emerson , 1976). Military services are independent stakeholders who join...maximize provincial outcomes at the expense of collective optimization. Thus, rational actions within the network are often undertaken irrespective of...incentives for opportunistic behavior at the expense of collective optimization. The associated transaction costs and suboptimal performance can have

  10. Environmental and Cost Assessment of a Polypropylene Nanocomposite

    NARCIS (Netherlands)

    Roes, A.L.|info:eu-repo/dai/nl/303022388; Marsili, E.; Nieuwlaar, E.|info:eu-repo/dai/nl/073931373; Patel, M.K.|info:eu-repo/dai/nl/18988097X

    2007-01-01

    This paper describes a study on the use of a polypropylene (PP)/layered silicate nanocomposite as packaging film, agricultural film, and automotive panels. The study’s main question was “Are the environmental impacts and costs throughout the life cycle of nanocomposite products lower than those of

  11. Controlling Urban Air Pollution: A Benefit-Cost Assessment.

    Science.gov (United States)

    Krupnick, Alan J.; Portney, Paul R.

    1991-01-01

    The pros and cons of air pollution control efforts are discussed. Both national and regional air pollution control plans are described. Topics of discussion include benefit-cost analysis, air quality regulation, reducing ozone in the urban areas, the Los Angeles plan, uncertainties, and policy implications. (KR)

  12. Cost analysis and risk assessment for metrology applications

    Science.gov (United States)

    Kudva, Sudhakar M.; Potter, Randall

    1992-06-01

    Historically, the significance of an accurate and precise metrology tool has been determined by rules of thumb such as the Gagemaker's Rule. However, with the advent of statistical process control of IC manufacturing, it has become practical to statistically determine the probability of a product being misclassified during metrology. Several parameters, such as the process distribution, the precision and accuracy of the metrology tool, the measurement strategies, etc., determine the probability that a good product is classified as bad and vice versa. The probability function can subsequently be converted to a number equivalent to the percentage of product misclassified. From this number, the cost of misclassification can be calculated, which is a function of the precision, the accuracy, and the measurement strategy used. This cost can be used in making decisions involving justification of new metrology capability, better measurement strategies, or to decide whether metrology is needed at all. Examples have been generated to illustrate the actual cost involved in using a poor metrology tool, and strategies have been suggested to contain the cost of misclassification.

  13. Assessing Levels of Attention Using Low Cost Eye Tracking

    DEFF Research Database (Denmark)

    Bækgaard, Per; Petersen, Michael Kai; Larsen, Jakob Eg

    2016-01-01

    the allocated effort when responding to confusing stimuli. Although such experiments are normally carried out in a lab, we have initial indications that we are able to differentiate between sustained alertness and complex decision making even with low cost eye tracking “in the wild”. From a quantified self...

  14. Competing Explanations in the Evolution of the Danish Furniture Industry

    DEFF Research Database (Denmark)

    Howells, John

    This article assesses the credibility and relative economic importance of the many real and proposed unique development events in the Post-War evolution of the Danish furniture industry by means of available trade and production time series. It finds first, that the Danish industry experienced its...... only exceptional growth event compared to other developed country furniture industries in the 1950s. It is argued that this establishes as the leading causal candidates for the Danish economic specialisation in furniture; subsidised export marketing of Danish Modern style in the US and the War......-undamaged Danish industry’s opportunistic exploitation of recovering European Post-War furniture markets. Second, the apparent prominence of particle board manufacture in today’s industry is a Danish specialisation with its origin in the 1950s growth event. Third, while there is much evidence that IKEA became...

  15. Assessing cost-effectiveness in the management of multiple sclerosis

    Directory of Open Access Journals (Sweden)

    Ceri J Phillips

    2009-11-01

    Full Text Available Ceri J Phillips, Ioan HumphreysInstitute for Health Research, School of Health Science, Swansea University, Swansea, Wales, UKAbstract: Multiple sclerosis (MS is one of the most common causes of neurological disability in young and middle-aged adults, with current prevalence rates estimated to be 30 per 100,000 populations. Women are approximately twice as susceptible as males, but males are more likely to have progressive disease. The onset of the disease normally occurs between 20 and 40 years of age, with a peak incidence during the late twenties and early thirties, resulting in many years of disability for a large proportion of patients, many of whom require wheelchairs and some nursing home or hospital care. The aim of this study is to update a previous review which considered the cost-effectiveness of disease-modifying drugs (DMDs, such as interferons and glatiramer acetate, with more up to date therapies, such as mitaxantrone hydrochloride and natalizumab in the treatment of MS. The development and availability of new agents has been accompanied byan increased optimism that treatment regimens for MS would be more effective; that the number, severity and duration of relapses would diminish; that disease progression would be delayed; and that disability accumulation would be reduced. However, doubts have been expressed about the effectiveness of these treatments, which has only served to compound the problems associated with endeavors to estimate the relative cost-effectiveness of such interventions.Keywords: multiple sclerosis, disease management, immunomodulatory drugs, cost-effectiveness, cost-effectiveness analysis, cost-utility analysis

  16. Cost Assessment Methodology and Economic Viability of Tidal Energy Projects

    Directory of Open Access Journals (Sweden)

    Eva Segura

    2017-11-01

    Full Text Available The exploitation of technologies with which to harness the energy from ocean currents will have considerable possibilities in the future thanks to their enormous potential for electricity production and their high predictability. In this respect, the development of methodologies for the economic viability of these technologies is fundamental to the attainment of a consistent quantification of their costs and the discovery of their economic viability, while simultaneously attracting investment in these technologies. This paper presents a methodology with which to determine the economic viability of tidal energy projects, which includes a technical study of the life-cycle costs into which the development of a tidal farm can be decomposed: concept and definition, design and development, manufacturing, installation, operation and maintenance and dismantling. These cost structures are additionally subdivided by considering their sub-costs and bearing in mind the main components of the tidal farm: the nacelle, the supporting tidal energy converter structure and the export power system. Furthermore, a technical study is developed in order to obtain an estimation of the annual energy produced (and, consequently, the incomes generated if the electric tariff is known by considering its principal attributes: the characteristics of the current, the ability of the device to capture energy and its ability to convert and export the energy. The methodology has been applied (together with a sensibility analysis to the particular case of a farm composed of first generation tidal energy converters in one of the Channel Island Races, the Alderney Race, in the U.K., and the results have been attained by means of the computation of engineering indexes, such as the net present value, the internal rate of return, the discounted payback period and the levelized cost of energy, which indicate that the proposed project is economically viable for all the case studies.

  17. The effects of the Danish saturated fat tax on food and nutrient intake and modelled health outcomes: an econometric and comparative risk assessment evaluation.

    Science.gov (United States)

    Smed, S; Scarborough, P; Rayner, M; Jensen, J D

    2016-06-01

    The World Health Organisation recommends governments to consider the use of fiscal policies to promote healthy eating. However, there is very limited evidence of the effect of food taxation in a real-life setting, as most evidence is based on simulation studies. The objective of this study is to evaluate the effect of the Danish tax on saturated fat in terms of changes in nutritional quality of the diet, that is, changes in saturated fat consumption, as well as other non-targeted dietary measures, and to model the associated changes in mortality for different age groups and genders. On the basis of household scanner data, we estimate the impact of the tax on consumption of saturated fat, unsaturated fat, salt, fruit, vegetables and fibre. The resultant changes in dietary quality are then used as inputs into a comparative risk assessment model (PRIME (Preventable Risk Integrated ModEl)) to estimate the effect of these changes on non-communicable diseases (NCDs) and mortality. The tax resulted in a 4.0% reduction in saturated fat intake. Vegetable consumption increased, and salt consumption increased for most individuals, except younger females. We find a modelled reduction in mortality with 123 lives saved annually, 76 of them below 75 years equal to 0.4% of all deaths from NCDs. Modelling the effect of the changes in diet on health outcomes suggests that the saturated fat tax made a positive, but minor, contribution to public health in Denmark.

  18. From Danish Yugoslavs to Danish Serbs

    DEFF Research Database (Denmark)

    Juul, Kristine

    2011-01-01

    Immigrants from Serbia who came to Denmark in the 1970s and 1980s found a large number of shared values between Yugoslav ideals of brotherhood and unity and the Scandinavian welfare model. As a result, they felt well integrated into Danish society, almost to the point of being invisible. This inv...

  19. Danish Exports and Danish Bilateral Aid

    DEFF Research Database (Denmark)

    Hansen, Henrik; Rand, John

    Danish bilateral development assistance is aimed at reducing poverty in the partner countries. Even so, bilateral assistance may have secondary, or knock-on, effects, which are beneficial for Denmark. An important secondary effect is the prospect of increased export from Denmark to the partner co...

  20. The Cost of Commonality: Assessing Value in Joint Programs

    Science.gov (United States)

    2015-12-01

    interdependent networks using game theory . Stakeholders in such networks share a common but not identical range of objectives. Parochial interests prevent...network are often undertaken irrespective of common goals. This consequence is a social dilemma known as the tragedy of the commons . The program...transaction cost theories only partially explain the program dynamics that erode joint commonality . Conceptual designs for complex systems in

  1. Using multilevel models for assessing the variability of multinational resource use and cost data.

    Science.gov (United States)

    Grieve, Richard; Nixon, Richard; Thompson, Simon G; Normand, Charles

    2005-02-01

    Multinational economic evaluations often calculate a single measure of cost-effectiveness using cost data pooled across several countries. To assess the validity of pooling international cost data the reasons for cost variation across countries need to be assessed. Previously, ordinary least-squares (OLS) regression models have been used to identify factors associated with variability in resource use and total costs. However, multilevel models (MLMs), which accommodate the hierarchical structure of the data, may be more appropriate. This paper compares these different techniques using a multinational dataset comprising case-mix, resource use and cost data on 1300 stroke admissions from 13 centres in 11 European countries. OLS and MLMs were used to estimate the effect of patient and centre-level covariates on the total length of hospital stay (LOS) and total cost. MLMs with normal and gamma distributions for the data within centres were compared. The results from the OLS model showed that both patient and centre-level covariates were associated with LOS and total cost. The estimates from the MLMs showed that none of the centre-level characteristics were associated with LOS, and the level of spending on health was the centre-level variable most highly associated with total cost. We conclude that using OLS models for assessing international variation can lead to incorrect inferences, and that MLMs are more appropriate for assessing why resource use and costs vary across centres. Copyright (c) 2004 John Wiley & Sons, Ltd.

  2. Dark, but Danish

    DEFF Research Database (Denmark)

    Levisen, Carsten

    2018-01-01

    conceptualization of “blackness” differs from that of l’humour noir, a category of French surrealism, and English black humour with its off-limit topics such as death and handicap. In Danish discourse, sort humor has come to stand for a practice of collaborative jocular non-sense making. Sort humor creates......This paper explores sort humor ‘black humour’, a key concept in Danish conversational humour. Sort forms part of larger class of Danish synaesthetic humour metaphors that includes other categories such as tør ‘dry’, syg ‘sick’, and fed ‘fat’. Taking an ethnopragmatic perspective on humour discourse...

  3. Contemporary Danish landscape research

    DEFF Research Database (Denmark)

    Vejre, Henrik; Brandt, Jesper

    2004-01-01

    Danish landscape research blossomed during the 1990’ies thanks to several transdisciplinary research programmes involving several institutions. The main themes of the programmes encompassed Landscape change, landscape and biological diversity, nature and landscape management, use and monitoring o...... of the countryside. The values of the Danish landscape pertain mainly to the coastal landscapes. The threats include the industrilization of the agricultural landsclaes and,in places urban sprawl.......Danish landscape research blossomed during the 1990’ies thanks to several transdisciplinary research programmes involving several institutions. The main themes of the programmes encompassed Landscape change, landscape and biological diversity, nature and landscape management, use and monitoring...

  4. Assessing DRG cost accounting with respect to resource allocation and tariff calculation: the case of Germany

    Science.gov (United States)

    2012-01-01

    The purpose of this paper is to analyze the German diagnosis related groups (G-DRG) cost accounting scheme by assessing its resource allocation at hospital level and its tariff calculation at national level. First, the paper reviews and assesses the three steps in the G-DRG resource allocation scheme at hospital level: (1) the groundwork; (2) cost-center accounting; and (3) patient-level costing. Second, the paper reviews and assesses the three steps in G-DRG national tariff calculation: (1) plausibility checks; (2) inlier calculation; and (3) the “one hospital” approach. The assessment is based on the two main goals of G-DRG introduction: improving transparency and efficiency. A further empirical assessment attests high costing quality. The G-DRG cost accounting scheme shows high system quality in resource allocation at hospital level, with limitations concerning a managerially relevant full cost approach and limitations in terms of advanced activity-based costing at patient-level. However, the scheme has serious flaws in national tariff calculation: inlier calculation is normative, and the “one hospital” model causes cost bias, adjustment and representativeness issues. The G-DRG system was designed for reimbursement calculation, but developed to a standard with strategic management implications, generalized by the idea of adapting a hospital’s cost structures to DRG revenues. This combination causes problems in actual hospital financing, although resource allocation is advanced at hospital level. PMID:22935314

  5. Pesticide leaching through sandy and loamy fields e Long-term lessons learnt from the Danish Pesticide Leaching Assessment Programme

    DEFF Research Database (Denmark)

    Rosenbom, Annette Elisabeth; Olsen, Preben; Plauborg, Finn

    2015-01-01

    The European Union authorization procedure for pesticides includes assessment of the leaching risk posed by pesticides and their degradation products aimed at avoiding any unacceptable influence on the environment, in particular contamination of water, including drinking water and groundwater...

  6. Data collection costs in industrial environments for three occupational posture exposure assessment methods

    Science.gov (United States)

    2012-01-01

    Background Documentation of posture measurement costs is rare and cost models that do exist are generally naïve. This paper provides a comprehensive cost model for biomechanical exposure assessment in occupational studies, documents the monetary costs of three exposure assessment methods for different stakeholders in data collection, and uses simulations to evaluate the relative importance of cost components. Methods Trunk and shoulder posture variables were assessed for 27 aircraft baggage handlers for 3 full shifts each using three methods typical to ergonomic studies: self-report via questionnaire, observation via video film, and full-shift inclinometer registration. The cost model accounted for expenses related to meetings to plan the study, administration, recruitment, equipment, training of data collectors, travel, and onsite data collection. Sensitivity analyses were conducted using simulated study parameters and cost components to investigate the impact on total study cost. Results Inclinometry was the most expensive method (with a total study cost of € 66,657), followed by observation (€ 55,369) and then self report (€ 36,865). The majority of costs (90%) were borne by researchers. Study design parameters such as sample size, measurement scheduling and spacing, concurrent measurements, location and travel, and equipment acquisition were shown to have wide-ranging impacts on costs. Conclusions This study provided a general cost modeling approach that can facilitate decision making and planning of data collection in future studies, as well as investigation into cost efficiency and cost efficient study design. Empirical cost data from a large field study demonstrated the usefulness of the proposed models. PMID:22738341

  7. The Danish Schizophrenia Registry

    Directory of Open Access Journals (Sweden)

    Baandrup L

    2016-10-01

    Full Text Available Lone Baandrup,1 Charlotte Cerqueira,2 Lea Haller,3 Lene Korshøj,3 Inge Voldsgaard,4 Merete Nordentoft5 1Centre for Neuropsychiatric Schizophrenia Research (CNSR and Centre for Clinical Intervention and Neuropsychiatric Schizophrenia Research (CINS, Mental Health Centre Glostrup, Copenhagen University Hospital, Glostrup, 2Registry Support Centre (East – Epidemiology and Biostatistics, Research Centre for Prevention and Health, Capital Region of Denmark, Copenhagen, 3The Danish Clinical Registries, Registry Support Centre for Health Quality and Informatics (KCKS-West, Aarhus, 4Psychosis Ward, Section P, Aarhus University Hospital, Risskov, 5Mental Health Centre Copenhagen, Mental Health Services in the Capital Region of Denmark, University of Copenhagen, Copenhagen, DenmarkAim of database: To systematically monitor and improve the quality of treatment and care of patients with schizophrenia in Denmark. In addition, the database is accessible as a resource for research.Study population: Patients diagnosed with schizophrenia and receiving mental health care in psychiatric hospitals or outpatient clinics. During the first year after the diagnosis, patients are classified as incident patients, and after this period as prevalent patients.Main variables: The registry currently contains 21 clinical quality measures in relation to the following domains: diagnostic evaluation, antipsychotic treatment including adverse reactions, cardiovascular risk factors including laboratory values, family intervention, psychoeducation, postdischarge mental health care, assessment of suicide risk in relation to discharge, and assessment of global functioning.Descriptive data: The recorded data are available electronically for the reporting clinicians and responsible administrative personnel, and they are updated monthly. The registry publishes the national and regional results of all included quality measures in the annual audit reports. External researchers may

  8. Environmental impacts from Danish fish products

    DEFF Research Database (Denmark)

    Thrane, Mikkel

    This dissertation presents an assessment of the environmental impacts from Danish fish products in a life cycle perspective (from sea to table). The assessment is carried out in three steps ? and includes a MECO analysis, a quantitative LCA and a qualitative LCA. The results are used to discuss c...

  9. Ready for a goodbye to tobacco? - Assessment of support for endgame strategies on smoking among adults in a Danish regional health survey.

    Science.gov (United States)

    Lykke, Maja; Pisinger, Charlotta; Glümer, Charlotte

    2016-02-01

    To assess support for a future ban on smoking and for increasing tobacco taxes in Denmark, and to explore if support differed across sex, age, educational attainment, smoking status and intention to quit. Data from a 2013 health survey representative of the population aged ≥16years in the Capital Region of Denmark (N=41,356, response rate=43.5) was linked with data on sex, age and education from central registers. Participants were asked if they supported: 1) a future ban on smoking in Denmark, and 2) increased taxes on tobacco products. Subgroup differences were explored using logistic regression. 30.6% supported a future ban on smoking, while 59.0% supported increased taxes. Women were less supportive of a future ban (OR=0.83 (0.78-0.88)) and more supportive of increasing taxes (OR=1.11 (1.06-1.18)) than men. Support for both measures was higher among the youngest. Only small differences were found in ban support across educational attainment, while support for taxes increased with increasing education. Support for both measures were greatest among never smokers (OR=2.66 (2.40-2.93) and OR=9.69 (8.83-10.63)) compared to daily smokers. Smokers intending to quit were two to three times as likely to support a future ban or increased taxes compared to smokers with no quit intensions. One third supported a future ban on smoking, while six out of ten supported increasing taxes. This first Danish study of support for more radical tobacco control adds to the growing literature on tobacco endgame and sets a baseline for future assessments of public support. Copyright © 2015 Elsevier Inc. All rights reserved.

  10. Environmental impacts of future low-carbon electricity systems: Detailed life cycle assessment of a Danish case study

    DEFF Research Database (Denmark)

    Turconi, Roberto; Tonini, Davide; Nielsen, Christian F.B.

    2014-01-01

    The need to reduce dependency on fossil resources and to decrease greenhouse gas (GHG) emissions is driving many countries towards the implementation of low-carbon electricity systems. In this study the environmental impact of a future (2030) possible low-carbon electricity system in Denmark...... was assessed and compared with the current situation (2010) and an alternative 2030 scenario using life cycle assessment (LCA). The influence on the final results of the modeling approach used for (i) electricity import, (ii) biomass resources, and (iii) the cogeneration of heat and power was discussed...

  11. Danish Gynecological Cancer Database

    DEFF Research Database (Denmark)

    Sørensen, Sarah Mejer; Bjørn, Signe Frahm; Jochumsen, Kirsten Marie

    2016-01-01

    AIM OF DATABASE: The Danish Gynecological Cancer Database (DGCD) is a nationwide clinical cancer database and its aim is to monitor the treatment quality of Danish gynecological cancer patients, and to generate data for scientific purposes. DGCD also records detailed data on the diagnostic measures...... for gynecological cancer. STUDY POPULATION: DGCD was initiated January 1, 2005, and includes all patients treated at Danish hospitals for cancer of the ovaries, peritoneum, fallopian tubes, cervix, vulva, vagina, and uterus, including rare histological types. MAIN VARIABLES: DGCD data are organized within separate...... Danish personal identification number (CPR number). DESCRIPTIVE DATA: Data from DGCD and registers are available online in the Statistical Analysis Software portal. The DGCD forms cover almost all possible clinical variables used to describe gynecological cancer courses. The only limitation...

  12. Danish Towns during Absolutism

    DEFF Research Database (Denmark)

    crisis for the Danish urban community, mainly caused by the devastating effects of the seventeenth century warfare. Some few towns, however, stood out with positive development, first and foremost Copenhagen which flourished in its function as the centre of the Absolutist regime. The book traces both...... the roots of the urban crisis as well as the regional and temporal variations. Many articles provide an overview of urbanisation in both the Kingdom of Denmark and the Duchy of Schleswig, while other articles focus on the economic, social, and cultural urban functions. The Danish Urban Studies Series......This anthology, No. 4 in the Danish Urban Studies Series, presents in English recent significant research on Denmark's urban development during the Age of Absolutism, 1660-1848, and features 13 articles written by leading Danish urban historians. The years of Absolutism were marked by a general...

  13. Customization of a tool to assess Danish surgeons´ non-technical skills in the operating room

    DEFF Research Database (Denmark)

    Spanager, Lene; Lyk-Jensen, Helle Teglgaard; Dieckmann, Peter

    2012-01-01

    Errors in surgery often stem from failure related to non-technical skills such as communication and teamwork. Tools for training and assessment of non-technical skills are needed to ensure safe surgery. The aim of this study was to customize the Non-Technical Skills for Surgeons (NOTSS) rating...

  14. Wide Area Measurement Based Security Assessment & Monitoring of Modern Power System: A Danish Power System Case Study

    DEFF Research Database (Denmark)

    Rather, Zakir Hussain; Chen, Zhe; Thøgersen, Paul

    2013-01-01

    Power System security has become a major concern across the global power system community. This paper presents wide area measurement system (WAMS) based security assessment and monitoring of modern power system. A new three dimensional security index (TDSI) has been proposed for online security m...... demonstrated in DigSILENT PowerFactory environment....

  15. Danish national guideline

    DEFF Research Database (Denmark)

    Krarup, Anne Petas Swane; Engsbro, Anne Line Østergaard; Fassov, Janne

    2017-01-01

    National Danish guidelines for the diagnosis and treatment of irritable bowel syndrome (IBS) in adult patients in secondary and tertiary care have been approved by the Danish Society for Gastroenterology and Hepatology. IBS can be a positive diagnosis in patients fulfilling the Rome III criteria...... for IBS with no alarm signals, a normal physical examination and a normal CRP and hemoglobin. In patients bowel disease with a high probability. Patients with IBS and diarrhea should be tested for celiac disease. Endoscopy...

  16. Acceptance of health technology assessment submissions with incremental cost-effectiveness ratios above the cost-effectiveness threshold

    Directory of Open Access Journals (Sweden)

    Griffiths EA

    2015-08-01

    Full Text Available Elizabeth A Griffiths, Janek K Hendrich, Samuel DR Stoddart, Sean CM Walsh HERON™ Commercialization, PAREXEL International, London, UK Objectives: In health technology assessment (HTA agencies where cost-effectiveness plays a role in decision-making, an incremental cost-effectiveness ratio (ICER threshold is often used to inform reimbursement decisions. The acceptance of submissions with ICERs higher than the threshold was assessed across different agencies and across indications, in order to inform future reimbursement submissions. Methods: All HTA appraisals from May 2000 to May 2014 from National Institute for Health and Care Excellence (NICE, Scottish Medicines Consortium (SMC, Pharmaceutical Benefits Advisory Committee (PBAC, and Canadian Agency for Drugs and Technologies in Health (CADTH were assessed. Multiple technology appraisals, resubmissions, vaccination programs, and requests for advice were excluded. Submissions not reporting an ICER, or for which an ICER could not be determined were also excluded. The remaining appraisals were reviewed, and the submitted ICER, recommendation, and reasoning behind the recommendation were extracted. Results: NICE recommended the highest proportion of submissions with ICERs higher than the threshold (34% accepted without restrictions; 20% with restrictions, followed by PBAC (16% accepted without restrictions; 4% with restrictions, SMC (11% accepted without restrictions; 14% accepted with restrictions, and CADTH (0% accepted without restrictions; 26% with restrictions. Overall, the majority of higher-than-threshold ICER submissions were classified into the "malignant disease and immunosuppression" therapeutic category; however, there was no notable variation in acceptance rates by disease area. Reasons for accepting submissions reporting ICERs above the threshold included high clinical benefit over the standard of care, and addressing an unmet therapeutic need. Conclusion: Acceptance of submissions

  17. Improving genomic prediction for Danish Jersey using a joint Danish-US reference population

    DEFF Research Database (Denmark)

    Su, Guosheng; Nielsen, Ulrik Sander; Wiggans, G

    Accuracy of genomic prediction depends on the information in the reference population. Achieving an adequate sized reference population is a challenge for genomic prediction in small cattle populations. One way to increase the size of reference population is to combine reference data from different...... populations. The objective of this study was to assess the gain of genomic prediction accuracy when including US Jersey bulls in the Danish Jersey reference population. The data included 1,262 Danish progeny-tested bulls and 1,157 US progeny-tested bulls. Genomic breeding values (GEBV) were predicted using...... a GBLUP model from the Danish reference population and the joint Danish-US reference population. The traits in the analysis were milk yield, fat yield, protein yield, fertility, mastitis, longevity, body conformation, feet & legs, and longevity. Eight of the nine traits benefitted from the inclusion of US...

  18. Assessment of generalizing cost indicators volume of industrial production

    Directory of Open Access Journals (Sweden)

    V.O. Ivanenko

    2015-03-01

    Full Text Available Since the state of the industry largely determines the priorities for the development of complementary and service industries, engineering, transport, social and other infrastructure, employment and standard of living of the population, then the solution to the stabilization and development of the economy in market conditions is possible only when creating a competitive industrial production. At the same time an important place among the performance indicators of industrial enterprises occupy a total production cost parameters. The article outlines the procedure for the formation of indicators of gross, product and sales as the main aggregate price indices of industrial output. The study analyzed the relationship between these parameters. The advantages of the use of the net production in the economic analysis of production and sales compared with the gross and marketable products. Out lined directions to use these indicators to analyze the production of industrial enterprises.

  19. Cost-assessment Analysis of Local Vehicle Scrapping Facility

    Science.gov (United States)

    Grabowski, Lukasz; Gliniak, Maciej; Polek, Daria; Gruca, Maria

    2017-12-01

    The purpose of the paper was to analyse the costs of recycling vehicles at local vehicle scrapping facility. The article contains regulations concerning vehicle decommissioning, describes the types of recovery, vehicles recycling networks, analyses the structure of a disassembly station, as well as the financial and institutional system in charge of dealing with the recycling of vehicles in Poland. The authors present the number of scrapped vehicles at local recycling company and the level of achieved recovery and recycling. The research presented in the article shows financial situation of the vehicle scrapping industry. In addition, it has been observed that the number of subsidies are directly proportional to the number of scrapped vehicles, and achieved levels of recycling and recovery depends on the percentage of incomplete vehicles.

  20. Use of vaginal estrogen in Danish women

    DEFF Research Database (Denmark)

    Meaidi, Amani; Goukasian, Irina; Lidegaard, Oejvind

    2016-01-01

    INTRODUCTION: We know little about the use of vaginal estrogen in perimenopausal and postmenopausal women. We aimed to assess the prevalence of vaginal estrogen use in Denmark. MATERIAL AND METHODS: The study was designed as a nationwide cross-sectional study of all Danish women aged 40-79 years......, living in Denmark during the period 2007-2013. The Danish Prescription Register delivered data permitting us to assess the prevalence, age and regional geographical belonging of women purchasing prescribed vaginal estradiol. The number of women using over-the-counter vaginal estriol products...... was estimated from sale statistics from the same register. RESULTS: In 2013, 10.2% of all Danish women between 40 and 79 years of age used vaginal estradiol. The prevalence of women using this type of vaginal estrogen increased from 8.5% in year 2007 to 10.2% in 2013. The use peaked at 16.5% in women aged 60...

  1. Self-assessed health, perceived stress and non-participation in breast cancer screening: A Danish cohort study.

    Science.gov (United States)

    Jensen, Line Flytkjær; Pedersen, Anette Fischer; Andersen, Berit; Vedsted, Peter

    2015-12-01

    Population-based cancer screening is offered in many countries to detect early stages of cancer and reduce mortality. Screening efficiency and equality is susceptible due to a group of non-participants. We investigated associations between self-assessed health, perceived stress and subsequent non-participation in breast cancer screening. This population-based cohort study included 4512 women who had participated in a Health Survey in 2006 and who were also the target group (aged 50-69 years) for the first organised breast cancer screening programme -3 years later in the Central Denmark Region in 2008-2009. A U-shaped association was observed for physical health assessment as women with the highest (PR=1.28, 95% CI: 1.06-1.55), and the lowest (PR=1.41, 95% CI: 1.18-1.68) physical health scores were less likely to participate in the programme than women with physical health scores in the middle range. Women with low mental health assessment were more likely not to participate than women with mental health scores in the middle range (PR=1.44, 95% CI: 1.22-1.69). Higher non-participation propensity was also observed for women with the highest perceived stress scores (PR=1.27, 95% CI: 1.07-1.51) compared with women scoring in the middle range. Women with highest and lowest self-assessed physical health, with lowest mental health or highest perceived stress were significantly more likely not to participate in breast cancer screening 2-3 years later than women who reported average health. Interventions targeting these groups may promote equal participation in future breast cancer screening programmes. Copyright © 2015 Elsevier Inc. All rights reserved.

  2. Evaluation of corporate income tax compliance costs and compliance behaviour under the self-assessment system

    OpenAIRE

    Sapiei, Noor Sharoja

    2017-01-01

    Commitment to compliance may cause taxpayers to experience unnecessary compliance costs burden resulting in non-compliance behaviour. This study evaluates the tax compliance costs of corporate taxpayers and their compliance with the corporate income tax (CIT) reporting requirements under the Self-Assessment System (SAS) environment. Tax compliance costs, corporate characteristics, tax attitudinal aspects and the likely compliance behaviour of public listed companies (PLCs) are integrated into...

  3. Construct validity and factor structure of survey-based assessment of cost-related medication burden.

    Science.gov (United States)

    Burcu, Mehmet; Alexander, G Caleb; Ng, Xinyi; Harrington, Donna

    2015-02-01

    Millions of Americans are burdened by out-of-pocket prescription costs. Although many survey measures have been developed to assess this burden, the construct validity and the factor structure of these instruments have not been rigorously assessed. To characterize the factor structure and the construct validity of items assessing cost-related medication burden. We applied exploratory factor and confirmatory factor analyses to the 2009 Medicare Current Beneficiary Survey, focusing on 10 items assessing cost-related mediation burden among a nationally representative sample of community-dwelling Medicare beneficiaries. The fit of competing models was compared using several indices. The study population (N=8777) was predominantly aged over 65 years (83.3%), female (54.4%), and white (84.3%). Two distinct factors were present for the medication cost-reduction strategies: (1) cost-related medication nonadherence and (2) drug-shopping behaviors, not directly impacting medication compliance. The two factors were moderately correlated (r=0.55), highlighting the presence of a 2 distinct but related constructs for cost-related medication burden. An item assessing the use of mail or internet pharmacies did not load well on either factor and may not necessarily measure medication-related cost burden. An item assessing reduced spending on basic needs loaded strongly on the same factor with the cost-related medication nonadherence items, suggesting they together may represent extreme compensatory behaviors that may adversely affect health outcomes. Two distinct constructs were derived from these items examining cost-related medication burden. Although cost-related medication burden is often associated with nonadherence, drug-shopping behaviors that do not directly impact adherence are also important measure of this burden.

  4. Importance Sampling Based Decision Trees for Security Assessment and the Corresponding Preventive Control Schemes: the Danish Case Study

    DEFF Research Database (Denmark)

    Liu, Leo; Rather, Zakir Hussain; Chen, Zhe

    2013-01-01

    Decision Trees (DT) based security assessment helps Power System Operators (PSO) by providing them with the most significant system attributes and guiding them in implementing the corresponding emergency control actions to prevent system insecurity and blackouts. DT is obtained offline from time......-domain simulation and the process of data mining, which is then implemented online as guidelines for preventive control schemes. An algorithm named Classification and Regression Trees (CART) is used to train the DT and key to this approach lies on the accuracy of DT. This paper proposes contingency oriented DT...

  5. Ringhals Site Study 2013 - An assessment of the decommissioning cost for the Ringhals site

    Energy Technology Data Exchange (ETDEWEB)

    Hansson, Tommy [Ringhals AB, Ringhals (Sweden); Norberg, Thomas [Solvina AB, Goeteborg (Sweden); Knutsson, Andreas; Fors, Patrik; Sandebert, Camilla [Vattenfall AB, Stockholm (Sweden)

    2013-03-15

    This report presents the decommissioning cost for the Ringhals site as of 2013. The objective has been to make a best estimate of the costs within the uncertainties of a budgetary estimate. To achieve this, the decommissioning costs have been assessed with support from TLG Services Inc., utilizing their knowledge and experience from U.S. decommissioning projects incorporated in their cost estimation platform DECCER. The 2013 estimate has included the development of a Ringhals-specific cost estimation method that allows for successive improvement in the future. In-house experiences have been included and the method is based on the present decommissioning strategy according to Ringhals decommissioning plan. Two basic approaches have been used in the cost assessment; a bottom up approach to develop unit cost factors (UCF) for recurrent work; and a specific analogy approach for cost estimating special items. The basic, activity-dependent, costs have been complemented by period-dependent costs, derived, among other things, from SKB's newly developed reference planning and organizational model for a Swedish decommissioning project. Furthermore, collateral costs based on the experiences of Barsebaeck have been included. As a final point, all costs have been adjusted for industrial standard contingencies, as suggested by TLG, to achieve a best estimate. In order to make the cost intelligible a comprehensive description of the assumptions, boundary conditions and general basis of the estimate is included in this report. All costs have been reported both according to the International Structure for Decommissioning Costing (ISDC) of Nuclear Installations published by OECD/NEA and according to the SKB developed EEF structure. Furthermore, common costs have been isolated to a theoretical unit 0 to make the cost for respective unit even more comparable on a national and international scale. The calculations show that the total cost for the decommissioning of the Ringhals

  6. Cost efficiency assessment of automated quality control of precast structures

    Directory of Open Access Journals (Sweden)

    Kaverzina Liudmila

    2018-01-01

    Full Text Available Relevance of the research is conditioned by the necessity to enhance the factory quality control of reinforced concrete structures based on integral assessment of their reliability. The current system of selective quality control of precast concrete structures does not provide reliability assurance of the whole lot of products. The present research aims to develop operational procedure and consider economic feasibility of automated quality control of precast RC structures. Quality control is performed each shift according to the developed software system based on probabilistic methods considering statistic variability of the controlled parameters. The critical criterion of operational integrity of structures is integral assessment of the reliability indicators. The following theoretical research methods were used in the study: probabilistic-statistical, methods of system and economic analysis. Validity of the obtained results and economic feasibility were proved by experimental studies including full-scale tests.

  7. Prepayment and the Valuation of Danish Mortgage-Backed Bonds

    DEFF Research Database (Denmark)

    Jakobsen, Svend

    Ph.D. thesis on prepayment modelling and valuation of Danish mortgage backed bonds. The thesis discusses several aspects of mortgage backed bonds including after-tax valuation, the special Danish delivery option, rational prepayment behavior, transaction costs and heterogenous borrowers. The thesis...... proposes a so-called required gain model with heterogenous borrowers, who differ with respect to the present value gain required for prepayment. The thesis shows how to perform arbitrage-free valuation of mortgage-backed bonds using a prepayment function estimated from Danish prepayment data. The thesis...

  8. Assessing Risk in Costing High-energy Accelerators: from Existing Projects to the Future Linear Collider

    CERN Document Server

    Lebrun, Philippe

    2010-01-01

    High-energy accelerators are large projects funded by public money, developed over the years and constructed via major industrial contracts both in advanced technology and in more conventional domains such as civil engineering and infrastructure, for which they often constitute one-of markets. Assessing their cost, as well as the risk and uncertainty associated with this assessment is therefore an essential part of project preparation and a justified requirement by the funding agencies. Stemming from the experience with large circular colliders at CERN, LEP and LHC, as well as with the Main Injector, the Tevatron Collider Experiments and Accelerator Upgrades, and the NOvA Experiment at Fermilab, we discuss sources of cost variance and derive cost risk assessment methods applicable to the future linear collider, through its two technical approaches for ILC and CLIC. We also address disparities in cost risk assessment imposed by regional differences in regulations, procedures and practices.

  9. Assessing DRG cost accounting with respect to resource allocation and tariff calculation: the case of Germany

    National Research Council Canada - National Science Library

    Vogl, Matthias

    2012-01-01

    The purpose of this paper is to analyze the German diagnosis related groups (G-DRG) cost accounting scheme by assessing its resource allocation at hospital level and its tariff calculation at national level...

  10. Operations Assessment of Launch Vehicle Architectures using Activity Based Cost Models

    Science.gov (United States)

    Ruiz-Torres, Alex J.; McCleskey, Carey

    2000-01-01

    The growing emphasis on affordability for space transportation systems requires the assessment of new space vehicles for all life cycle activities, from design and development, through manufacturing and operations. This paper addresses the operational assessment of launch vehicles, focusing on modeling the ground support requirements of a vehicle architecture, and estimating the resulting costs and flight rate. This paper proposes the use of Activity Based Costing (ABC) modeling for this assessment. The model uses expert knowledge to determine the activities, the activity times and the activity costs based on vehicle design characteristics. The approach provides several advantages to current approaches to vehicle architecture assessment including easier validation and allowing vehicle designers to understand the cost and cycle time drivers.

  11. Risk assessment of antimicrobial usage in Danish pig production on the human exposure to antimicrobial resistant bacteria from pork

    DEFF Research Database (Denmark)

    Struve, Tina

    (WHO) pronounced a list of the antimicrobial classes critically important for the treatment of infectious diseases in humans. On this list occurred among others the third and fourth generation cephalosporins. Cephalosporins have been used increasingly worldwide throughout the recent years to treat......, the samples collected for Objective 1 were diluted in 10 fold and spread on selective plates in two set of triplicates (one set containing three MacConkey agar plates, and one set containing three MacConkey agar plates supplemented with ceftriaxone). This provided quantitative data for the ESC producing E...... the transport and storage of the meat. In Objective 3, the risk factors for a high usage of tetracycline were investigated by assessing the effect of tetracycline usage on the occurrence of tetracycline resistance in pigs originating from three different production types. The effect of the tetracycline usage...

  12. Advancing Sentinel-1 use in Coastal Climate Impact Assessments and Adaptation – A Case Study from the Danish North Sea

    DEFF Research Database (Denmark)

    Sørensen, Carlo Sass; Marinkovic, Petar; Larsen, Yngvar

    Low-lying coastal communities face increasing challenges from rise in sea level, more extreme storm surge levels and floods. In addition, changing groundwater levels and precipitation patterns may further exacerbate the water-related impacts of climate change on society. Approximately 40,000 km2...... of Europe’s North Sea region is already flood prone. Storm surges pose a real and substantial risk to this area, especially the densely populated areas. Climate and sea level research seek to provide robust regional projections of change and to address uncertainties and errors inherent in climate models....... It is a challenge for coastal communities to transform this information in order to provide for local impact assessments and to implement adaptive measures. To this end, information about potential subsidence, its magnitudes and causes is important: subsidence may adversely affect the probability, extent and depths...

  13. Pubertal development in Danish children

    DEFF Research Database (Denmark)

    Juul, A; Teilmann, G; Scheike, Thomas Harder

    2006-01-01

    , and pubertal stages were assessed by clinical examination according to methods of Tanner. In boys testicular volume was determined using an orchidometer. We found that age at breast development 2 (B2) was 10.88 years, and mean menarcheal age was 13.42 years. Girls with body mass index (BMI) above the median.......0012). In Danish boys we found that age at genital stage 2 (G2) was 11.83 years. Both sexes were significantly taller compared with data from 1964, but timing of pubertal maturation seemed unaltered. Finally, puberty occurred much later in Denmark compared with recent data from USA. We could not detect any...

  14. On-farm welfare assessment systems: what are the recording costs?

    DEFF Research Database (Denmark)

    Sørensen, Jan Tind; Nielsen, Tine Rousing; Møller, Steen Henrik

    2007-01-01

    To illustrate that different approaches lead to different costs a cost calculation on four different welfare assessment systems for four different animal species has been carried out; an integrated pig herd (450 sows), a dairy cattle herd with automatic milking (90 cows), an organic egg production...... system (3000 layers) and a mink farm (1000 mink). We calculated the cost to be: E 375 per annum for the mink farm and E 2205, E 2430 and E 2435 for the egg production system, the AMS dairy herd and the integrated pig farm, respectively. The costs can be reduced by: reducing the number of indicators and...

  15. Coupled penetrometer, MBES and ADCP assessments of tidal variations of the surface sediment layer along active subaqueous dunes, Danish Wadden Sea

    DEFF Research Database (Denmark)

    Stark, Nina; Hanff, Henrik; Svenson, Christian

    2011-01-01

    In-situ geotechnical measurements of surface sediments were carried out along large subaqueous dunes in the Knudedyb tidal inlet channel in the DanishWadden Sea using a small free-falling penetrometer. Vertical profiles showed a typical stratification pattern with a resolution of ~1 cm depicting ...

  16. Use of register data to assess the association between use of antimicrobials and outbreak of Postweaning Multisystemic Wasting Syndrome (PMWS) in Danish pig herds

    DEFF Research Database (Denmark)

    Vigre, Håkan; Dohoo, Ian R; Stryhn, Henrik

    2010-01-01

    In 2001, the first case of Postweaning Multisystemic Wasting Syndrome (PMWS) was reported in the Danish pig population. During subsequent years, the number of affected farms increased exponentially. The aim of this study was to determine how this increase influenced the use of antimicrobials betw...

  17. Assessment of heterogeneity between European Populations: a Baltic and Danish replication case-control study of SNPs from a recent European ulcerative colitis genome wide association study

    DEFF Research Database (Denmark)

    Andersen, Vibeke; Ernst, Anja; Sventoraityte, Jurgita

    2011-01-01

    with the original data and systematic comparisons of the findings between ethnicities were made. Pearson's chi(2), Breslow-Day (BD) and Cochran-Mantel-Haenszel (CMH) tests were used for association analyses and heterogeneity testing. Results: The rs5771069 (IL17REL) SNP was not associated with UC in the Danish...

  18. Danish experiences on EIA of livestock projects

    DEFF Research Database (Denmark)

    Christensen, Per

    2006-01-01

    , especially when it comes to livestock projects. In an evaluation of the Danish EIA experience, we have looked more closely at how the EIA instruments function regarding livestock projects. This article addresses both the EIA process as well as the EIA screening. It is demonstrated that the EIA screening......Since its introduction into Danish planning in 1989, Environmental Impact Assessment (EIA) has been widely discussed. At the centre of the debate has been the question of whether EIA actually offered anything new and there has been a great deal of scepticism about the efficacy of the instrument...... that these changes definitely address some of the shortcomings found in the evaluation....

  19. Danish Gynecological Cancer Database.

    Science.gov (United States)

    Sørensen, Sarah Mejer; Bjørn, Signe Frahm; Jochumsen, Kirsten Marie; Jensen, Pernille Tine; Thranov, Ingrid Regitze; Hare-Bruun, Helle; Seibæk, Lene; Høgdall, Claus

    2016-01-01

    The Danish Gynecological Cancer Database (DGCD) is a nationwide clinical cancer database and its aim is to monitor the treatment quality of Danish gynecological cancer patients, and to generate data for scientific purposes. DGCD also records detailed data on the diagnostic measures for gynecological cancer. DGCD was initiated January 1, 2005, and includes all patients treated at Danish hospitals for cancer of the ovaries, peritoneum, fallopian tubes, cervix, vulva, vagina, and uterus, including rare histological types. DGCD data are organized within separate data forms as follows: clinical data, surgery, pathology, pre- and postoperative care, complications, follow-up visits, and final quality check. DGCD is linked with additional data from the Danish "Pathology Registry", the "National Patient Registry", and the "Cause of Death Registry" using the unique Danish personal identification number (CPR number). Data from DGCD and registers are available online in the Statistical Analysis Software portal. The DGCD forms cover almost all possible clinical variables used to describe gynecological cancer courses. The only limitation is the registration of oncological treatment data, which is incomplete for a large number of patients. The very complete collection of available data from more registries form one of the unique strengths of DGCD compared to many other clinical databases, and provides unique possibilities for validation and completeness of data. The success of the DGCD is illustrated through annual reports, high coverage, and several peer-reviewed DGCD-based publications.

  20. New drugs and clinical economics: analysis of cost effectiveness in the assessment of pharmaceutical innovations.

    Science.gov (United States)

    Eisenberg, J M

    1984-01-01

    New drugs undergo rigorous clinical testing to determine their efficacy and adverse effects. However, seldom is the potential financial impact of a new drug carefully assessed before its introduction. Cost-benefit and cost-effectiveness analyses provide methods of determining the effect of drugs and other services on costs of medical care. Methods of industrial engineering and cost accounting can be used to determine the additional cost of medical care associated with the drug; such cost finding provides more accurate economic data than does the use of hospital charges. This symposium includes two clinical economic studies of the potential effect of introducing a cephalosporin antibiotic that requires administration only once daily. Both studies estimate substantial savings in direct hospital expenditures.

  1. Modelling the Costs of Preserving Digital Assets

    DEFF Research Database (Denmark)

    Kejser, Ulla Bøgvad; Nielsen, Anders Bo; Thirifays, Alex

    2012-01-01

    on experiences from a Danish project to develop a cost model. It was found that a generic cost model should account for the nature of the organisation and the assets to be preserved, and for all major preservation activities and cost drivers. In addition, it should describe accounting principles. It was proposed......Information is increasingly being produced in digital form, and some of it must be preserved for the longterm. Digital preservation includes a series of actively managed activities that require on-going funding. To obtain sufficient resources, there is a need for assessing the costs...... and the benefits accrued by preserving the assets. Cost data is also needed for optimizing activities and comparing the costs of different preservation alternatives. The purpose of this study is to analyse generic requirements for modelling the cost of preserving digital assets. The analysis was based...

  2. Danish seine - An environmental friendly fishing method?

    DEFF Research Database (Denmark)

    Noack, Thomas; Eggers, Florian; Frandsen, Rikke

    -valuable species will be regarded Estimation of potential interactions of the gear with the sea bottom Assessment of survival chance of discarded animals Observation of fish behavior during capture process Combination of all single parts to provide an overall picture of effects of the Danish seine fishery...... of the total landings where the seine fleet and catches are decreasing. The Danish seine is a specific type of encircling net to catch demersal fish. It is characterized by moderate fuel consumption and no use of heavy weights or doors, probably resulting in a relatively gentle bottom-contact and low...... on the marine environment This study may contribute to increase understanding the catching process in the seine fishery and the gears interaction with seabed during the different stages of the fishing process. The outcome of such studies will be highly relevant in future discussions on the impacts Danish...

  3. LCA of Danish fish products

    DEFF Research Database (Denmark)

    Thrane, Mikkel

    2006-01-01

    The article presents the main results from a PhD dissertation about environmental impacts from Danish fish products.......The article presents the main results from a PhD dissertation about environmental impacts from Danish fish products....

  4. Ocean Thermal Energy Conversion Life Cycle Cost Assessment, Final Technical Report, 30 May 2012

    Energy Technology Data Exchange (ETDEWEB)

    Martel, Laura [Lockheed Martin, Manassas, VA (United States); Smith, Paul [John Halkyard and Associates: Glosten Associates, Houston, TX (United States); Rizea, Steven [Makai Ocean Engineering, Waimanalo, HI (United States); Van Ryzin, Joe [Makai Ocean Engineering, Waimanalo, HI (United States); Morgan, Charles [Planning Solutions, Inc., Vancouver, WA (United States); Noland, Gary [G. Noland and Associates, Inc., Pleasanton, CA (United States); Pavlosky, Rick [Lockheed Martin, Manassas, VA (United States); Thomas, Michael [Lockheed Martin, Manassas, VA (United States); Halkyard, John [John Halkyard and Associates: Glosten Associates, Houston, TX (United States)

    2012-05-30

    The Ocean Thermal Energy Conversion (OTEC) Life Cycle Cost Assessment (OLCCA) is a study performed by members of the Lockheed Martin (LM) OTEC Team under funding from the Department of Energy (DOE), Award No. DE-EE0002663, dated 01/01/2010. OLCCA objectives are to estimate procurement, operations and maintenance, and overhaul costs for two types of OTEC plants: -Plants moored to the sea floor where the electricity produced by the OTEC plant is directly connected to the grid ashore via a marine power cable (Grid Connected OTEC plants) -Open-ocean grazing OTEC plant-ships producing an energy carrier that is transported to designated ports (Energy Carrier OTEC plants) Costs are developed using the concept of levelized cost of energy established by DOE for use in comparing electricity costs from various generating systems. One area of system costs that had not been developed in detail prior to this analysis was the operations and sustainment (O&S) cost for both types of OTEC plants. Procurement costs, generally referred to as capital expense and O&S costs (operations and maintenance (O&M) costs plus overhaul and replacement costs), are assessed over the 30 year operational life of the plants and an annual annuity calculated to achieve a levelized cost (constant across entire plant life). Dividing this levelized cost by the average annual energy production results in a levelized cost of electricity, or LCOE, for the OTEC plants. Technical and production efficiency enhancements that could result in a lower value of the OTEC LCOE were also explored. The thermal OTEC resource for Oahu, Hawaii and projected build out plan were developed. The estimate of the OTEC resource and LCOE values for the planned OTEC systems enable this information to be displayed as energy supplied versus levelized cost of the supplied energy; this curve is referred to as an Energy Supply Curve. The Oahu Energy Supply Curve represents initial OTEC deployment starting in 2018 and demonstrates the

  5. [Cost analysis as a tool for assessing the efficacy of intensive care units].

    Science.gov (United States)

    Maierhofer, T; Pfisterer, F; Bender, A; Küchenhoff, H; Moerer, O; Burchardi, H; Hartl, W H

    2017-06-16

    The German "Hospital Structure Act" intends to align the state hospital planning on quality criteria. Within this process cost-utility analyses (CUAs) shall be used to assess the efficacy of medical care. To be objective, CUAs of intensive care units (ICUs) require standardization (adjustment) of costs. The present study analyzed the extent to which treatment costs are related to patient-specific baseline variables (such as type and severity of the primary disease). From 2000-2004, a bottom-up procedure was used to quantify total costs on 14 ICUs in nine German university hospitals. Results were combined with demographic data, and data indicating type (ICD-10 codes) and severity (ICU scoring systems) of the primary disease at ICU admission. Various statistical models were tested to identify that which best described the associations between baseline variables and costs. In all, 3803 critically ill patients could be examined. The median of treatment costs per patient was 3199 € (IQR 1768-6659 €). No model allowed an acceptably precise adjustment of costs; the estimated mean absolute prognostic error was at least 3860 € (mean relative prognostic error 66%), when we tested an Extreme Gradient Boosting Model. Instruments which are currently available (cost adjustment based on patient-specific baseline variables) do not allow a standardization of costs, and an objective CUA of ICUs. Factors unknown at baseline may cause a large portion of treatment costs.

  6. Against all odds? Understanding the emergence of accreditation of the Danish hospitals.

    Science.gov (United States)

    Triantafillou, Peter

    2014-01-01

    Despite intense critique from various parts of the medical professions, Danish hospitals have been subjected to a mandatory accreditation system known as the Danish Quality Model (Den Danske Kvalitetsmodel, DDKM) since 2009. The notion of government assemblage is employed to understand how and why, in the face of these obstacles, DDKM was ultimately implemented. It is argued that DDKM is the result of the emergence of hospital quality management assemblage in 1980s and 1990s made up by new methods of categorizing disease treatments, computerization of such treatments, concerns over cost-effectiveness, complaint registration, the availability of international hospital quality assessment systems, the mobilization of organized medical interest groups, and a tradition of consultative policymaking procedures. This assemblage was crucial for identifying quality as a problem in need of administrative intervention and for shaping the political struggle over how best to assure the quality of hospital services. Copyright © 2013 Elsevier Ltd. All rights reserved.

  7. Danish version of 'The COPD self-efficacy scale'

    DEFF Research Database (Denmark)

    Emme, Christina; Mortensen, Erik L; Rydahl-Hansen, Susan

    2012-01-01

    Scand J Caring Sci; 2012; 26; 615-623 Danish version of 'The COPD self-efficacy scale': translation and psychometric properties The aim of the study was to translate 'The COPD self-efficacy scale' (CSES) into Danish and to evaluate the psychometric properties of the Danish version (CSES-DK). CSES...... enables assessment of self-efficacy in individuals with chronic obstructive pulmonary disease (COPD). The scale consists of 34 items, describing situations which may cause dyspnoea in patients with COPD. The CSES was translated into Danish using a standard forward-backward translation procedure...... analysis was conducted to compare the internal structure of the Danish version and the American source version. The study included 151 patients with COPD, recruited from three outpatient clinics. Estimates of reliability were in accordance with the original version of CSES (Cronbach's a = 0.97, test...

  8. The Danish Twin Register

    DEFF Research Database (Denmark)

    Kyvik, K O; Christensen, Kaare; Skytthe, A

    1996-01-01

    BACKGROUND: Population based twin registers represent a valuable tool for genetic epidemiological research, since twin studies aim at separating the effect of genes and environment for complex traits. The Danish Twin Register's history, size, ascertainment and completeness of data, as well as data...... accessibility and availability are described. RESULTS: The Danish Twin Register comprises 14,051 twin pairs born 1870-1930, representing all twins surviving to age six years, and 20,888 twin pairs born 1953-1982, representing 75% of those born 1953-1967 and 95% of those born 1968-1982. The birth cohorts 1931......-1952 og 1983-1993 are being ascertained at the moment. The register is available for research given certain conditions are fulfilled. CONCLUSION: This register will in a few years be the most comprehensive twin register in the world. It is a very valuable Danish research resource....

  9. Danish Chinese Center for Nanometals

    DEFF Research Database (Denmark)

    Winther, Grethe

    The Danish-Chinese Center for Nanometals is funded by the Danish National Research Foundation and the National Natural Science Foundation of China. The Chinese partners in the Center are Institute of Metal Research in Shenyang, Tsinghua University and Chongqing University. The Danish part...

  10. Danish Pancreatic Cancer Database.

    Science.gov (United States)

    Fristrup, Claus; Detlefsen, Sönke; Hansen, Carsten Palnæs; Ladekarl, Morten

    2016-01-01

    The Danish Pancreatic Cancer Database aims to prospectively register the epidemiology, diagnostic workup, diagnosis, treatment, and outcome of patients with pancreatic cancer in Denmark at an institutional and national level. Since May 1, 2011, all patients with microscopically verified ductal adenocarcinoma of the pancreas have been registered in the database. As of June 30, 2014, the total number of patients registered was 2,217. All data are cross-referenced with the Danish Pathology Registry and the Danish Patient Registry to ensure the completeness of registrations. The main registered variables are patient demographics, performance status, diagnostic workup, histological and/or cytological diagnosis, and clinical tumor stage. The following data on treatment are registered: type of operation, date of first adjuvant, neoadjuvant, and first palliative chemo- or chemoradiation therapy, and dates for milestones in referrals, diagnostic workup, treatment decisions, and treatment. For patients undergoing resection, data on operative evaluation of tumor stage, histological diagnosis, and duration of hospital stay are registered. Death is monitored using data from the Danish Civil Registry. This registry monitors the survival status of the Danish population, and the registration is virtually complete. All data in the database are audited by all participating institutions, with respect to baseline characteristics, key indicators, and survival. The results are published annually. The Danish Pancreatic Cancer Database has registered data on 2,217 patients with microscopically verified ductal adenocarcinoma of the pancreas. The data have been obtained nationwide over a period of 4 years and 2 months. The completeness of registration was 82%. The observed overall 3-year survival after diagnosis was 6%.

  11. The Danish Melanoma Database.

    Science.gov (United States)

    Hölmich, Lisbet Rosenkrantz; Klausen, Siri; Spaun, Eva; Schmidt, Grethe; Gad, Dorte; Svane, Inge Marie; Schmidt, Henrik; Lorentzen, Henrik Frank; Ibfelt, Else Helene

    2016-01-01

    The aim of the database is to monitor and improve the treatment and survival of melanoma patients. All Danish patients with cutaneous melanoma and in situ melanomas must be registered in the Danish Melanoma Database (DMD). In 2014, 2,525 patients with invasive melanoma and 780 with in situ tumors were registered. The coverage is currently 93% compared with the Danish Pathology Register. The main variables include demographic, clinical, and pathological characteristics, including Breslow's tumor thickness, ± ulceration, mitoses, and tumor-node-metastasis stage. Information about the date of diagnosis, treatment, type of surgery, including safety margins, results of lymphoscintigraphy in patients for whom this was indicated (tumors > T1a), results of sentinel node biopsy, pathological evaluation hereof, and follow-up information, including recurrence, nature, and treatment hereof is registered. In case of death, the cause and date are included. Currently, all data are entered manually; however, data catchment from the existing registries is planned to be included shortly. The DMD is an old research database, but new as a clinical quality register. The coverage is high, and the performance in the five Danish regions is quite similar due to strong adherence to guidelines provided by the Danish Melanoma Group. The list of monitored indicators is constantly expanding, and annual quality reports are issued. Several important scientific studies are based on DMD data. DMD holds unique detailed information about tumor characteristics, the surgical treatment, and follow-up of Danish melanoma patients. Registration and monitoring is currently expanding to encompass even more clinical parameters to benefit both patient treatment and research.

  12. From Danish Yugoslavs to Danish Serbs

    DEFF Research Database (Denmark)

    Juul, Kristine

    2012-01-01

    Immigrants from Serbia who came to Denmark in the 1970s and 1980s found a large number of shared values between Yugoslav ideals of brotherhood and unity and the Scandinavian welfare model. As a result, they felt well integrated into Danish society, almost to the point of being invisible. This inv......-traditionalisation of society. Meanwhile, the growing attention given to religion and origins has changed the room for manoeuvre of immigrant families in Denmark, challenging the tight networks hitherto maintained with the home village....

  13. Subgroup analyses in cost-effectiveness analyses to support health technology assessments.

    Science.gov (United States)

    Fletcher, Christine; Chuang-Stein, Christy; Paget, Marie-Ange; Reid, Carol; Hawkins, Neil

    2014-01-01

    'Success' in drug development is bringing to patients a new medicine that has an acceptable benefit-risk profile and that is also cost-effective. Cost-effectiveness means that the incremental clinical benefit is deemed worth paying for by a healthcare system, and it has an important role in enabling manufacturers to obtain new medicines to patients as soon as possible following regulatory approval. Subgroup analyses are increasingly being utilised by decision-makers in the determination of the cost-effectiveness of new medicines when making recommendations. This paper highlights the statistical considerations when using subgroup analyses to support cost-effectiveness for a health technology assessment. The key principles recommended for subgroup analyses supporting clinical effectiveness published by Paget et al. are evaluated with respect to subgroup analyses supporting cost-effectiveness. A health technology assessment case study is included to highlight the importance of subgroup analyses when incorporated into cost-effectiveness analyses. In summary, we recommend planning subgroup analyses for cost-effectiveness analyses early in the drug development process and adhering to good statistical principles when using subgroup analyses in this context. In particular, we consider it important to provide transparency in how subgroups are defined, be able to demonstrate the robustness of the subgroup results and be able to quantify the uncertainty in the subgroup analyses of cost-effectiveness. Copyright © 2014 John Wiley & Sons, Ltd.

  14. The Danish Heart Registry

    DEFF Research Database (Denmark)

    Özcan, Cengiz; Juel, Knud; Lassen, Jens Flensted

    2016-01-01

    AIM: The Danish Heart Registry (DHR) seeks to monitor nationwide activity and quality of invasive diagnostic and treatment strategies in patients with ischemic heart disease as well as valvular heart disease and to provide data for research. STUDY POPULATION: All adult (≥15 years) patients...... undergoing coronary angiography (CAG), percutaneous coronary intervention (PCI), coronary artery bypass grafting, and heart valve surgery performed across all Danish hospitals were included. MAIN VARIABLES: The DHR contains a subset of the data stored in the Eastern and Western Denmark Heart Registries (EDHR...

  15. The Danish letters

    DEFF Research Database (Denmark)

    Beier, Sofie; Ejlers, Steen

    2011-01-01

    open space when following another character, and the free-floating ring of the letter Å/å, which in 1948 was introduced in Denmark as a replacement of AA/aa, will in some cases interrupt the horizontal movement of a typeface when set in running text. Through various examples of Danish type designers......' attempt to create the optimal variation of these letters, we will give a brief introduction to the Danish typography tradition ranging from the early 20th Century and up until today....

  16. Danish Pancreatic Cancer Database

    DEFF Research Database (Denmark)

    Fristrup, Claus; Detlefsen, Sönke; Palnæs Hansen, Carsten

    2016-01-01

    AIM OF DATABASE: The Danish Pancreatic Cancer Database aims to prospectively register the epidemiology, diagnostic workup, diagnosis, treatment, and outcome of patients with pancreatic cancer in Denmark at an institutional and national level. STUDY POPULATION: Since May 1, 2011, all patients......, and survival. The results are published annually. CONCLUSION: The Danish Pancreatic Cancer Database has registered data on 2,217 patients with microscopically verified ductal adenocarcinoma of the pancreas. The data have been obtained nationwide over a period of 4 years and 2 months. The completeness...

  17. The Danish Education Registers

    DEFF Research Database (Denmark)

    Jensen, Vibeke Myrup; Würtz Rasmussen, Astrid

    to adults continuing education and training stem from administrative education reports. Therefore, for cohorts born 1945-1990, 97 percent of the Danish population has a valid education identifier. For the immigrant population born in the same cohorts the coverage is 85-90 percent. Despite a higher level......Collection of systematic information on education is a long established practice in Denmark. Since 1910, the Danish Ministry of Education’s annual reports collects information about individual-level test scores in e.g. compulsory schooling. Today, several registers from compulsory schooling...

  18. The Danish Education Registers

    DEFF Research Database (Denmark)

    Jensen, Vibeke Myrup; Rasmussen, Astrid Würtz

    to adults continuing education and training stem from administrative education reports. Therefore, for cohorts born 1945-1990, 97 percent of the Danish population has a valid education identifier. For the immigrant population born in the same cohorts the coverage is 85-90 percent. Despite a higher level......Collection of systematic information on education is a long established practice in Denmark. Since 1910, the Danish Ministry of Education's annual reports collects information about individual-level test scores in e.g. compulsory schooling. Today, several registers from compulsory schooling...

  19. The Danish Sarcoma Database

    DEFF Research Database (Denmark)

    Jørgensen, Peter Holmberg; Lausten, Gunnar Schwarz; Pedersen, Alma B

    2016-01-01

    in order to measure the quality of care provided by the hospitals and make comparisons between hospitals and with international standards. DESCRIPTIVE DATA: Demographic patient-specific data such as age, sex, region of living, comorbidity, World Health Organization's International Classification...... of Diseases - tenth edition codes and TNM Classification of Malignant Tumours, and date of death (after yearly coupling to the Danish Civil Registration System). Data quality and completeness are currently secured. CONCLUSION: The Danish Sarcoma Database is population based and includes sarcomas occurring...

  20. The Danish Industrial Foundations

    DEFF Research Database (Denmark)

    Thomsen, Steen

    Industrial foundations are foundations that own companies. Typically, they combine charitable and business goals. This book is about industrial foundation ownership of business companies and what we can learn about it from the Danish evidence. It is about how foundation ownership is ruled, taxed...... and governed, what role it plays in the Danish economy, and how industrial foundation-owned companies perform. The book is the result of a large collaborative research project, led by the author, on industrial foundations. Some global companies such as IKEA, Robert Bosch or the Tata Group are foundation...

  1. The Danish Education Registers

    DEFF Research Database (Denmark)

    Jensen, Vibeke Myrup; Rasmussen, Astrid Würtz

    2011-01-01

    Collection of systematic information on education is a long established practice in Denmark. Since 1910, the Danish Ministry of Education’s annual reports collects information about individual-level test scores in e.g. compulsory schooling. Today, several registers from compulsory schooling...... to adults continuing education and training stem from administrative education reports. Therefore, for cohorts born 1945-1990, 97 percent of the Danish population has a valid education identifier. For the immigrant population born in the same cohorts the coverage is 85-90 percent. Despite a higher level...

  2. Danish Palliative Care Database

    Science.gov (United States)

    Groenvold, Mogens; Adsersen, Mathilde; Hansen, Maiken Bang

    2016-01-01

    Aims The aim of the Danish Palliative Care Database (DPD) is to monitor, evaluate, and improve the clinical quality of specialized palliative care (SPC) (ie, the activity of hospital-based palliative care teams/departments and hospices) in Denmark. Study population The study population is all patients in Denmark referred to and/or in contact with SPC after January 1, 2010. Main variables The main variables in DPD are data about referral for patients admitted and not admitted to SPC, type of the first SPC contact, clinical and sociodemographic factors, multidisciplinary conference, and the patient-reported European Organisation for Research and Treatment of Cancer Quality of Life Questionaire-Core-15-Palliative Care questionnaire, assessing health-related quality of life. The data support the estimation of currently five quality of care indicators, ie, the proportions of 1) referred and eligible patients who were actually admitted to SPC, 2) patients who waited <10 days before admission to SPC, 3) patients who died from cancer and who obtained contact with SPC, 4) patients who were screened with European Organisation for Research and Treatment of Cancer Quality of Life Questionaire-Core-15-Palliative Care at admission to SPC, and 5) patients who were discussed at a multidisciplinary conference. Descriptive data In 2014, all 43 SPC units in Denmark reported their data to DPD, and all 9,434 cancer patients (100%) referred to SPC were registered in DPD. In total, 41,104 unique cancer patients were registered in DPD during the 5 years 2010–2014. Of those registered, 96% had cancer. Conclusion DPD is a national clinical quality database for SPC having clinically relevant variables and high data and patient completeness. PMID:27822111

  3. Different effects of BCG strains - A natural experiment evaluating the impact of the Danish and the Russian BCG strains on morbidity and scar formation in Guinea-Bissau.

    Science.gov (United States)

    Frankel, H; Byberg, S; Bjerregaard-Andersen, M; Martins, C L; Aaby, P; Benn, C S; Fisker, A B

    2016-08-31

    Different Bacillus Calmette-Guerin (BCG) vaccine strains may have different non-specific effects. We assessed the effect of two BCG strains (Danish and Russian) on childhood morbidity and BCG scarification in Guinea-Bissau. During 2011-2013, infants in the Bandim Health Project's urban study area received the Danish or Russian BCG in a natural experiment. Health center consultations were registered at point of care and scar status and size at age 4½ months. We assessed the effect of strain on consultation rates between vaccination and age 45days in Cox proportional hazards models. Scar prevalence and size were compared using binomial regression and ranksum tests. Among 1206 children, 18% received Danish BCG (n=215) and 82% Russian BCG (n=991). The adjusted hazard ratio (aHR) for consultations was 0.94 (95% CI 0.60-1.46) for Danish BCG compared with Russian BCG. Girls vaccinated with Danish BCG tended to have lower consultation rates compared with girls vaccinated with Russian BCG (aHR 0.56 (0.25-1.24)), whereas the effect was opposite for boys (aHR 1.24 (0.74-2.11)), p=0.09. Children vaccinated with Danish BCG were more likely to develop a scar (97%) than children vaccinated with Russian BCG (87%), the relative risk (RR) being 1.11 (1.06-1.16). The effect was stronger in girls, and BCG scar size was larger among infants vaccinated with the Danish strain. BCG strain influences scar prevalence and scar size, and may have sex differential effects on morbidity. BCG strains are currently used interchangeably, but BCG scarring has been linked to subsequent survival. Hence, more research into the health effects of different BCG strains is warranted. Small adjustments of BCG production could potentially lower childhood morbidity and mortality at low cost. Copyright © 2016 Elsevier Ltd. All rights reserved.

  4. Hospitalisation costs of metastatic melanoma in France; the MELISSA study (MELanoma In hoSpital coSts Assessment).

    Science.gov (United States)

    Fernandes, Jérôme; Bregman, Bruno; Combemale, Patrick; Amaz, Camille; de Léotoing, Lucie; Vainchtock, Alexandre; Gaudin, Anne-Françoise

    2017-08-08

    Management of metastatic melanoma is changing rapidly following the introduction of innovative effective therapies, with consequences for the allocation of healthcare resources. The objective of this study was to assess hospitalisation costs of metastatic melanoma in France from 2011 to 2013 from the perspective of the government payer. The population studied corresponded to all adults with metastatic melanoma hospitalised in France between 1st January 2011 and 31st December 2013 who required chemotherapy, immunotherapy or radiotherapy due to tumour progression and unresectable Stage III or Stage IV melanoma. Metastatic melanoma was identified by ICD-10 codes documented in the hospital patient discharge records. For each patient, hospital stays were stratified into a pre- or post- progression health state using proxy variables for the RECIST criteria. All healthcare expenditure documented in the French national hospital claims system database and incurred between the index hospitalisation (or change of progression state) and the end of follow-up were analysed. For the principal analysis, valuation of healthcare resource consumption was performed using official national hospitalisation tariffs. Any expensive therapy administered during the stay was documented from a linked database of expensive drugs (FICHCOMP). Seventy-eight thousand seven hundred fifty hospital stays by 10,337 patients with metastatic melanoma were identified over the three-year study period. Annual per capita costs of hospitalisation were € 5046 in the pre-progression stage and € 19,006 in the post-progression stage. Hospitalisations attributed to adverse drug reactions to chemotherapy or immunotherapy were observed in 27% of patients. Annual per capita costs of these hospitalisations related to adverse drug reactions were € 3762 in the pre-progression stage and € 5523 in the post-progression stage. Hospitalisation costs related to metastatic melanoma rise substantially as the disease

  5. Assessment of the probability of introduction of bovine tuberculosis to Danish cattle farms via imports of live cattle from abroad and immigrant workers.

    Science.gov (United States)

    Foddai, Alessandro; Nielsen, Liza Rosenbaum; Krogh, Kaspar; Alban, Lis

    2015-12-01

    Denmark has been recognized as officially free (OTF) from bovine tuberculosis (bTB) since 1980. In this study, we estimated the annual probability (PIntro) of introducing Mycobacterium bovis into the Danish cattle population, through (a) imports of cattle and (b) foreign personnel working in Danish cattle herds. Data from 2000 to 2013 with date, number and origin of imported live cattle were obtained from the Danish Cattle Federation. Information on immigrants working in Danish cattle herds was obtained through a questionnaire sent by email to a sample of Danish cattle farmers (N=460). Inputs obtained from data analysis, expert opinion, the questionnaire and literature were fed into three stochastic scenario tree models used to simulate the effect of import trade patterns, and contact between immigrant workers and cattle. We also investigated the opportunity of testing animals imported from OTF countries by tuberculin skin test and animals from non-OTF countries by interferon-γ test (IFN-γ), exemplified by using year 2009 where the number of imported animals was higher than usual. Results showed that PIntro is driven mainly by importation of live cattle. The combined median annual probability of introducing M. bovis into the Danish cattle population by either imported live cattle or infectious immigrant workers, ranged from 0.3% (90% prediction interval (P.I.): 0.04%:1.4%) in 2001 to 4.9% (90% P.I.: 0.6%; 19.2%) in 2009. The median of the median PIntro estimates from the 14 years was 0.7% (median of 90% P.I.: 0.08%; 3.5%). Hence, on average, at least one introduction each 143 years could be expected, if the annual number of imported animals does not change remarkably in the future. If the number of imported animals increases, compared to the years we analyzed, additional testing of imported cattle might be considered. For example, in 2009, PIntro would have been reduced from 4.9% to 0.8% (90% P.I.: 0.1%; 4.7%) if animals from OTF countries had been tested with

  6. Development of a methodical approach to the cost-risks assessment of launch vehicles

    Science.gov (United States)

    Protsch, Rainer W.

    1988-08-01

    A method for the assessment and documentation of cost risks in the development and operation of launch vehicles is presented. Special attention is paid to the complex logistics of modern launch vehicles, the possible reusability of launcher components, and the annual launch demand. The fundamentals of cost risk assessment for launch vehicles are summarized. The implementation of a developed stochastic simulation model on a personal computer using the FORTRAN 77 standard and the Monte Carlo technique facilitates the assessment as well as the graphical output. The possibilities of the method are demonstrated by the Space Transportation System. It turns out that the consideration of logistic relationships is of particular importance for the cost risk assessment of reusable launch vehicles.

  7. Cost-effectiveness analysis: adding value to assessment of animal health welfare and production.

    Science.gov (United States)

    Babo Martins, S; Rushton, J

    2014-12-01

    Cost-effectiveness analysis (CEA) has been extensively used in economic assessments in fields related to animal health, namely in human health where it provides a decision-making framework for choices about the allocation of healthcare resources. Conversely, in animal health, cost-benefit analysis has been the preferred tool for economic analysis. In this paper, the use of CEA in related areas and the role of this technique in assessments of animal health, welfare and production are reviewed. Cost-effectiveness analysis can add further value to these assessments, particularly in programmes targeting animal welfare or animal diseases with an impact on human health, where outcomes are best valued in natural effects rather than in monetary units. Importantly, CEA can be performed during programme implementation stages to assess alternative courses of action in real time.

  8. The Danish Vascular Registry, Karbase

    Directory of Open Access Journals (Sweden)

    Eldrup N

    2016-10-01

    Full Text Available Nikolaj Eldrup,1,2 Charlotte Cerqueira,3 Louise de la Motte,2,4 Lisbet Knudsen Rathenborg,2,4 Allan K Hansen2,5 1Department of Cardiothoracic and Vascular Surgery, Aarhus University Hospital, 2Karbase, The Danish Vascular Registry, Aarhus, 3Registry Support Centre (East – Epidemiology and Biostatistics, Research Centre for Prevention and Health, Capital Region of Denmark, 4Department of Vascular Surgery, Rigshospitalet, Copenhagen University Hospital, Copenhagen, 5Department of Vascular Surgery, Aalborg University Hospital, Aalborg, Denmark Aim: The Danish Vascular Registry (DVR, Karbase, is monitoring arterial and advanced vein interventions conducted at all vascular departments in Denmark. The main aim of the DVR is to improve the quality of treatment for patients undergoing vascular surgery in Denmark by using the registry for quality assessment and research. Study population: All patients undergoing vascular interventions (surgical and endovascular at any vascular department in Denmark are registered in the DVR. The DVR was initiated in 1989, and each year, ~9,000 procedures are added. By January 2016, .180,000 procedures have been recorded. Since 2001, data completeness has been .90% (compared to the Danish National Patient Register. Main variables: Variables include information on descriptive patient data (ie, age, sex, height, and weight and comorbidity (ie, previous cardiovascular disease and diabetes. Process variable includes waiting time (time from event to medical contact and treatment and the type of procedures conducted. Outcome variables for in-hospital complications (ie, wound complications, myocardial infarction, stroke, amputation, respiratory complications, and renal insufficiency and 30-day patency are submitted. Variables for medical treatment (antithrombotic and statin treatment, amputation, and survival are extracted from nationwide, administrative registers. Conclusion: The DVR reports outcome on key indicators for

  9. Assessing the value of mepolizumab for severe eosinophilic asthma: a cost-effectiveness analysis.

    Science.gov (United States)

    Whittington, Melanie D; McQueen, R Brett; Ollendorf, Daniel A; Tice, Jeffrey A; Chapman, Richard H; Pearson, Steven D; Campbell, Jonathan D

    2017-02-01

    Adding mepolizumab to standard treatment with inhaled corticosteroids and controller medications could decrease asthma exacerbations and use of long-term oral steroids in patients with severe disease and increased eosinophils; however, mepolizumab is costly and its cost effectiveness is unknown. To estimate the cost effectiveness of mepolizumab. A Markov model was used to determine the incremental cost per quality-adjusted life year (QALY) gained for mepolizumab plus standard of care (SoC) and for SoC alone. The population, adults with severe eosinophilic asthma, was modeled for a lifetime time horizon. A responder scenario analysis was conducted to determine the cost effectiveness for a cohort able to achieve and maintain asthma control. Over a lifetime treatment horizon, 23.96 exacerbations were averted per patient receiving mepolizumab plus SoC. Avoidance of exacerbations and decrease in long-term oral steroid use resulted in more than $18,000 in cost offsets among those receiving mepolizumab, but treatment costs increased by more than $600,000. Treatment with mepolizumab plus SoC vs SoC alone resulted in a cost-effectiveness estimate of $386,000 per QALY. To achieve cost effectiveness of approximately $150,000 per QALY, mepolizumab would require a more than 60% price discount. At current pricing, treating a responder cohort yielded cost-effectiveness estimates near $160,000 per QALY. The estimated cost effectiveness of mepolizumab exceeds value thresholds. Achieving these thresholds would require significant discounts from the current list price. Alternatively, treatment limited to responders improves the cost effectiveness toward, but remains still slightly above, these thresholds. Payers interested in improving the efficiency of health care resources should consider negotiations of the mepolizumab price and ways to predict and assess the response to mepolizumab. Copyright © 2016 American College of Allergy, Asthma & Immunology. Published by Elsevier Inc. All

  10. Costs of drug delivery for CHOP, COP/CVP, and fludarabine: an international assessment.

    Science.gov (United States)

    Herold, Michael; Hieke, Klaus

    2003-01-01

    The purpose of this analysis was to assess the real-life direct costs of drug delivery for frequently used chemotherapeutic regimens in patients with relapsed low-grade non-Hodgkin's lymphoma (NHL). This was a retrospective analysis of direct costs of drug delivery (acquisition plus administration) of relapsed low-grade NHL in 424 patients in Canada, Germany, and Italy. Results were expressed as an average treatment cost per patient for six cycles of chemotherapy. Exchange rates used were $1 (Canada)= currency 0.672, 1 DM (Germany)= currency 0.511, and 1 Lit (Italy)= currency 0.000517. Direct costs of drug delivery were greater for inpatients receiving fludarabine (Canada currency 12,669; Italy currency 13,027) than for CHOP (Canada currency 7856; Germany currency 7218; Italy currency 4251) or COP/CVP (Canada currency 7360; Germany currency 8449). Treatment administration setting was a major cost driver with inpatient treatment up to 9-fold more expensive than the same regimen given to outpatients. Drug administration costs comprised the largest proportion of the total for each regimen in the inpatient setting (69-98%). Costs of drug delivery in the outpatient setting were 10% to 65% of those in the inpatient setting. Again, fludarabine was more expensive (Italy currency 8493; Canada currency 7269) than CHOP (Canada currency 4403; Germany currency 2150; Italy currency 1264) and COP/CVP (Canada currency 3009; Germany currency 867). Administration costs were 2.5- to 15-fold higher for inpatients compared to outpatients. Costs of drug administration are a major driver for total direct treatment costs in the treatment of relapsed low-grade NHL and are at least as important as drug acquisition costs. Drug administration practices, in terms of inpatient or outpatient treatment, are a major factor in determining overall direct costs. Therapeutic strategies, which offer shortened treatment duration and/or a simple mode of administration, are likely to be economically

  11. Life-Cycle Cost/Benefit Assessment of Expedite Departure Path (EDP)

    Science.gov (United States)

    Wang, Jianzhong Jay; Chang, Paul; Datta, Koushik

    2005-01-01

    This report presents a life-cycle cost/benefit assessment (LCCBA) of Expedite Departure Path (EDP), an air traffic control Decision Support Tool (DST) currently under development at NASA. This assessment is an update of a previous study performed by bd Systems, Inc. (bd) during FY01, with the following revisions: The life-cycle cost assessment methodology developed by bd for the previous study was refined and calibrated using Free Flight Phase 1 (FFP1) cost information for Traffic Management Advisor (TMA, or TMA-SC in the FAA's terminology). Adjustments were also made to the site selection and deployment scheduling methodology to include airspace complexity as a factor. This technique was also applied to the benefit extrapolation methodology to better estimate potential benefits for other years, and at other sites. This study employed a new benefit estimating methodology because bd s previous single year potential benefit assessment of EDP used unrealistic assumptions that resulted in optimistic estimates. This methodology uses an air traffic simulation approach to reasonably predict the impacts from the implementation of EDP. The results of the costs and benefits analyses were then integrated into a life-cycle cost/benefit assessment.

  12. Pesticide Environmental Accounting: a method for assessing the external costs of individual pesticide applications.

    Science.gov (United States)

    Leach, A W; Mumford, J D

    2008-01-01

    The Pesticide Environmental Accounting (PEA) tool provides a monetary estimate of environmental and health impacts per hectare-application for any pesticide. The model combines the Environmental Impact Quotient method and a methodology for absolute estimates of external pesticide costs in UK, USA and Germany. For many countries resources are not available for intensive assessments of external pesticide costs. The model converts external costs of a pesticide in the UK, USA and Germany to Mediterranean countries. Economic and policy applications include estimating impacts of pesticide reduction policies or benefits from technologies replacing pesticides, such as sterile insect technique. The system integrates disparate data and approaches into a single logical method. The assumptions in the system provide transparency and consistency but at the cost of some specificity and precision, a reasonable trade-off for a method that provides both comparative estimates of pesticide impacts and area-based assessments of absolute impacts.

  13. The Danish National Chronic Lymphocytic Leukemia Registry.

    Science.gov (United States)

    da Cunha-Bang, Caspar; Geisler, Christian Hartmann; Enggaard, Lisbeth; Poulsen, Christian Bjørn; de Nully Brown, Peter; Frederiksen, Henrik; Bergmann, Olav Jonas; Pulczynski, Elisa Jacobsen; Pedersen, Robert Schou; Nielsen, Linda Højberg; Christiansen, Ilse; Niemann, Carsten Utoft

    2016-01-01

    In 2008, the Danish National Chronic Lymphocytic Leukemia Registry was founded within the Danish National Hematology Database. The primary aim of the registry is to assure quality of diagnosis and care of patients with chronic lymphocytic leukemia (CLL) in Denmark. Secondarily, to evaluate adherence to national guidelines and to provide source data for research purposes. All patients diagnosed with CLL in Denmark from 2008 onward are included in the registry. Patients are followed in one of nine hematology centers. All centers participate in the registry and are all obliged to collect data. Predefined data are collected at the time of diagnosis, and follow-up at the time of significant events: treatment, progression, transplantation, and death. Parameters included in the International Workshop on Chronic Lymphocytic Leukaemia criteria for diagnosis, and for decision on treatment initiation as well as characteristics included in the CLL International Prognostic Index are collected. To ensure full coverage of Danish CLL patients in the registry, both continuous queries in case of missing data, and cross-referencing with the Danish National Patient Registry are performed. Data from the registry are published in an annual report summarizing the collected data, the overall survival for yearly cohorts, and the degree of data coverage. Per year approximately 450 new patients with CLL are registered in the registry, cumulative as of July 1, 2015, 3,082 patients have been registered. The Danish National CLL Registry is based within the Danish National Hematology Database. The registry covers a cohort of all patients diagnosed with CLL in Denmark since 2008. It forms the basis for quality assessment of CLL treatment in Denmark and offers a unique opportunity for population-based research.

  14. Using the Analytic Network Process (ANP) to assess the distribution of pharmaceuticals in hospitals – a comparative case study of a Danish and American hospital

    DEFF Research Database (Denmark)

    Feibert, Diana Cordes; Sørup, Christian Michel; Jacobsen, Peter

    2016-01-01

    Pharmaceuticals are a vital part of patient treatment and the timely delivery of pharmaceuticals to patients is therefore important. Hospitals are complex systems that provide a challenging environment for decision making. Implementing process changes and technologies to improve the pharmaceutical...... distribution process can therefore be a complex and challenging undertaking. A comparative case study was conducted benchmarking the pharmaceutical distribution process at a Danish and US hospital to identify best practices. Using the ANP method, taking tangible and intangible aspects into consideration...

  15. Assessing benefits and costs of commercial banana production in the Philippines

    OpenAIRE

    Calderon, R.; Rola, Agnes C.

    2003-01-01

    The Philippine banana industry is currently one of the top agricultural export earners. The increasing demand worldwide has resulted in greater expansion of area planted to banana, including those in environmentally critical places. Current high chemical input technologies used in banana production have been documented to have significant environmental and public health costs. In this paper, we assess the social costs and private benefits of banana production by commercial growers. We used pr...

  16. Danish directional adverbs:

    DEFF Research Database (Denmark)

    Hovmark, Henrik

    2013-01-01

    Danish directional adverbs (DDA) (for instance op ’up’, ned ’down’, and ud ’out’) are characterized by an important special feature as satellites – they have different forms: a zero-form (ud-Ø), a form with a derivative e-suffix (ud-e), and a third form with a prepositional ad-suffix (‘ wards...

  17. The Danish heart register

    DEFF Research Database (Denmark)

    Abildstrøm, Steen Z; Madsen, Mette

    2011-01-01

    Introduction: The Danish Heart Register (DHR) is a clinical database of invasive procedures within cardiology. Content: All providers of these procedures have been obliged to report to DHR since 2000. DHR is used to monitor the activity and quality of the procedures and serves as a data source...

  18. Danish High Performance Concretes

    DEFF Research Database (Denmark)

    Nielsen, M. P.; Christoffersen, J.; Frederiksen, J.

    1994-01-01

    In this paper the main results obtained in the research program High Performance Concretes in the 90's are presented. This program was financed by the Danish government and was carried out in cooperation between The Technical University of Denmark, several private companies, and Aalborg University...

  19. Danish foreign fighters

    DEFF Research Database (Denmark)

    Larsen, Chris Holmsted

    2017-01-01

    The aim of this contribution is, through a comparative historical perspective, to analyse the particular phenomenon of foreign fighters, which in recent years, as a consequence of the proliferation of conflicts in Syria, Iraq and Ukraine, have emerged in Danish society as a major security concern...

  20. The Danish Euro

    DEFF Research Database (Denmark)

    Ravn Sørensen, Anders

    2014-01-01

    campaign strategy stems from the Danish conceptualisation of nation and state and from the close connection between national currencies and feelings of community and citizenship more general. The analysis confirms the suggestion made by Gilbert that new monetary organisation, such as European Monetary...

  1. Esco in Danish municipalities

    DEFF Research Database (Denmark)

    Jensen, Jesper Ole; Hansen, Jesper Rohr; Nielsen, Susanne Balslev

    2012-01-01

    , energy savings, type of collaboration etc. Background: Since 2008, several Danish municipalities have started energy retrofitting of municipal buildings, based on contracts with Energy Service Companies. In spite of the strong growth of ESCOs, there is also widespread scepticism about ESCO, as many...

  2. A Danish case

    DEFF Research Database (Denmark)

    Togeby, Mikael; Dyhr-Mikkelsen, Kirsten; Larsen, Anders

    2012-01-01

    , and this paper presents the main findings and the subsequent impact on Danish policy. A key lesson learned is the importance of including all energy efficiency policies in the evaluation. Examining the entire portfolio of policies (as opposed to only selected policies) gave way to findings that would otherwise...

  3. Danish mutual fund performance

    DEFF Research Database (Denmark)

    Christensen, Michael

    2013-01-01

    This article provides the first independent performance analysis of Danish mutual funds. We analyse selectivity and market timing abilities for 71 mutual funds that have been in operation from 2001 to 2010. The results show great fund performance diversity. Half the funds have performed neutrally...

  4. The Danish HD Registry

    DEFF Research Database (Denmark)

    Gilling, M.; Budtz-Jorgensen, E.; Boonen, S. E.

    2017-01-01

    The Danish Huntington's Disease Registry (DHR) is a nationwide family registry comprising 14 245 individuals from 445 Huntington's disease (HD) families of which the largest family includes 845 individuals in 8 generations. 1136 DNA and/or blood samples and 18 fibroblast cultures are stored...

  5. The Danish Anaesthesia Database

    DEFF Research Database (Denmark)

    Antonsen, Kristian; Rosenstock, Charlotte Vallentin; Lundstrøm, Lars Hyldborg

    2016-01-01

    AIM OF DATABASE: The aim of the Danish Anaesthesia Database (DAD) is the nationwide collection of data on all patients undergoing anesthesia. Collected data are used for quality assurance, quality development, and serve as a basis for research projects. STUDY POPULATION: The DAD was founded in 2004...

  6. The Danish System Revisited.

    Science.gov (United States)

    Whitehead, John S.

    The paper is a supplement to an earlier paper in the same series which reviews Danish higher education until 1977. Expansion in higher education in the last 20 years, approaching the scale of mass higher education, culminated in a crisis in 1977. At that time, a trend toward self-government and participatory governing boards was seen as the end of…

  7. The Danish welfare state

    DEFF Research Database (Denmark)

    Larsen, Jørgen Elm; Bengtsson, Tea Torbenfeldt; Frederiksen, Morten

    The Danish Welfare State analyzes a broad range of areas, such as globalization, labor marked, family life, health and social exclusion, the book demonstrates that life in a modern welfare state is changing rapidly, creating both challenges and possibilities for future management....

  8. The Danish Youth Cohort

    DEFF Research Database (Denmark)

    Vinther-Larsen, Mathilde; Riegels, Mette; Rod, Morten Hulvej

    2010-01-01

    significantly more likely to be girls, to be of Danish ethnicity, and to live in one-family houses. Furthermore, participants more often came from families with two or three children, were more likely to have parents with a high occupational status, parents who were married and parents with a higher total...

  9. Danish Regulation of Religion

    DEFF Research Database (Denmark)

    Christoffersen, Lisbet; Vinding, Niels-Valdemar

    Presentation and analysis of current and upcoming conflicts in relations between religion and family; labour market; religion in the public sphere and state support to religion. Part of a comparative European analysis in the context of www.religareproject.eu. based on 18 Danish elite interviews...

  10. An effort to assess the relation between productivity loss costs and presenteeism at work.

    Science.gov (United States)

    Vänni, Kimmo; Neupane, Subas; Nygård, Clas-Håkan

    2017-03-01

    This study assesses potential presenteeism costs and the association of these with a company's business figures. We conducted the questionnaire surveys in alternate years between 2003 and 2007 and linked them to sickness absence register data. Perceived work ability levels were assessed and converted into presenteeism days using the Presenteeism Scale tool. Sickness absence and presenteeism days were converted into monetary figures using median monthly salary information. The share of presenteeism costs was constant at about 1% of annual turnover and about 3.7% of personnel costs. The lowest annual presenteeism cost per employee was EUR 986 and the highest was EUR 1302. The lowest number of presenteeism days per employee in a year was 8.7 days and the highest number was 10.4 days. Estimated losses to a company due to sickness absences and presenteeism ranged from EUR 4.6 million to EUR 5.6 million annually. The potential presenteeism costs to the company and to Finnish society were vast. Presenteeism is a costly problem but more research is needed to reveal the connections between presenteeism and a company's turnover, personnel costs and profit.

  11. A Method to Assess the Potential Effects of Air Pollution Mitigation on Healthcare Costs

    Directory of Open Access Journals (Sweden)

    Bjørn Sætterstrøm

    2012-01-01

    Full Text Available Objective. The aim of this study was to develop a method to assess the potential effects of air pollution mitigation on healthcare costs and to apply this method to assess the potential savings related to a reduction in fine particle matter in Denmark. Methods. The effects of air pollution on health were used to identify “exposed” individuals (i.e., cases. Coronary heart disease, stroke, chronic obstructive pulmonary disease, and lung cancer were considered to be associated with air pollution. We used propensity score matching, two-part estimation, and Lin’s method to estimate healthcare costs. Subsequently, we multiplied the number of saved cases due to mitigation with the healthcare costs to arrive to an expression for healthcare cost savings. Results. The potential cost saving in the healthcare system arising from a modelled reduction in air pollution was estimated at €0.1–2.6 million per 100,000 inhabitants for the four diseases. Conclusion. We have illustrated an application of a method to assess the potential changes in healthcare costs due to a reduction in air pollution. The method relies on a large volume of administrative data and combines a number of established methods for epidemiological analysis.

  12. Cost-effectiveness of the polypill versus risk assessment for prevention of cardiovascular disease.

    Science.gov (United States)

    Ferket, Bart S; Hunink, M G Myriam; Khanji, Mohammed; Agarwal, Isha; Fleischmann, Kirsten E; Petersen, Steffen E

    2017-04-01

    There is an international trend towards recommending medication to prevent cardiovascular disease (CVD) in individuals at increasingly lower cardiovascular risk. We assessed the cost-effectiveness of a population approach with a polypill including a statin (simvastatin 20 mg) and three antihypertensive agents (amlodipine 2.5 mg, losartan 25 mg and hydrochlorothiazide 12.5 mg) and periodic risk assessment with different risk thresholds. We developed a microsimulation model for lifetime predictions of CVD events, diabetes, and death in 259 146 asymptomatic UK Biobank participants aged 40-69 years. We assessed incremental costs and quality-adjusted life-years (QALYs) for polypill scenarios with the same combination of agents and doses but differing for starting age, and periodic risk assessment with 10-year CVD risk thresholds of 10% and 20%. Restrictive risk assessment, in which statins and antihypertensives were prescribed when risk exceeded 20%, was the optimal strategy gaining 123 QALYs (95% credible interval (CI) -173 to 387) per 10 000 individuals at an extra cost of £1.45 million (95% CI 0.89 to 1.94) as compared with current practice. Although less restrictive risk assessment and polypill scenarios prevented more CVD events and attained larger survival gains, these benefits were offset by the additional costs and disutility of daily medication use. Lowering the risk threshold for prescription of statins to 10% was economically unattractive, costing £40 000 per QALY gained. Starting the polypill from age 60 onwards became the most cost-effective scenario when annual drug prices were reduced below £240. All polypill scenarios would save costs at prices below £50. Periodic risk assessment using lower risk thresholds is unlikely to be cost-effective. The polypill would become cost-effective if drug prices were reduced. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to

  13. The Danish Vascular Registry, Karbase

    Science.gov (United States)

    Eldrup, Nikolaj; Cerqueira, Charlotte; de la Motte, Louise; Rathenborg, Lisbet Knudsen; Hansen, Allan K

    2016-01-01

    Aim The Danish Vascular Registry (DVR), Karbase, is monitoring arterial and advanced vein interventions conducted at all vascular departments in Denmark. The main aim of the DVR is to improve the quality of treatment for patients undergoing vascular surgery in Denmark by using the registry for quality assessment and research. Study population All patients undergoing vascular interventions (surgical and endovascular) at any vascular department in Denmark are registered in the DVR. The DVR was initiated in 1989, and each year, ∼9,000 procedures are added. By January 2016, >180,000 procedures have been recorded. Since 2001, data completeness has been >90% (compared to the Danish National Patient Register). Main variables Variables include information on descriptive patient data (ie, age, sex, height, and weight) and comorbidity (ie, previous cardiovascular disease and diabetes). Process variable includes waiting time (time from event to medical contact and treatment) and the type of procedures conducted. Outcome variables for in-hospital complications (ie, wound complications, myocardial infarction, stroke, amputation, respiratory complications, and renal insufficiency) and 30-day patency are submitted. Variables for medical treatment (antithrombotic and statin treatment), amputation, and survival are extracted from nationwide, administrative registers. Conclusion The DVR reports outcome on key indicators for monitoring the quality at all vascular departments in Denmark for the purpose of quality improvement. Furthermore, data are available for research and are being used in international collaborations on changes in clinical practices. PMID:27822118

  14. Harvesting forest biomass for energy in Minnesota: An assessment of guidelines, costs and logistics

    Science.gov (United States)

    Saleh, Dalia El Sayed Abbas Mohamed

    The emerging market for renewable energy in Minnesota has generated a growing interest in utilizing more forest biomass for energy. However, this growing interest is paralleled with limited knowledge of the environmental impacts and cost effectiveness of utilizing this resource. To address environmental and economic viability concerns, this dissertation has addressed three areas related to biomass harvest: First, existing biomass harvesting guidelines and sustainability considerations are examined. Second, the potential contribution of biomass energy production to reduce the costs of hazardous fuel reduction treatments in these trials is assessed. Third, the logistics of biomass production trials are analyzed. Findings show that: (1) Existing forest related guidelines are not sufficient to allow large-scale production of biomass energy from forest residue sustainably. Biomass energy guidelines need to be based on scientific assessments of how repeated and large scale biomass production is going to affect soil, water and habitat values, in an integrated and individual manner over time. Furthermore, such guidelines would need to recommend production logistics (planning, implementation, and coordination of operations) necessary for a potential supply with the least site and environmental impacts. (2) The costs of biomass production trials were assessed and compared with conventional treatment costs. In these trials, conventional mechanical treatment costs were lower than biomass energy production costs less income from biomass sale. However, a sensitivity analysis indicated that costs reductions are possible under certain site, prescriptions and distance conditions. (3) Semi-structured interviews with forest machine operators indicate that existing fuel reduction prescriptions need to be more realistic in making recommendations that can overcome operational barriers (technical and physical) and planning and coordination concerns (guidelines and communications

  15. Assessing learning outcomes and cost effectiveness of an online sleep curriculum for medical students.

    Science.gov (United States)

    Bandla, Hari; Franco, Rose A; Simpson, Deborah; Brennan, Kimberly; McKanry, Jennifer; Bragg, Dawn

    2012-08-15

    Sleep disorders are highly prevalent across all age groups but often remain undiagnosed and untreated, resulting in significant health consequences. To overcome an inadequacy of available curricula and learner and instructor time constraints, this study sought to determine if an online sleep medicine curriculum would achieve equivalent learner outcomes when compared with traditional, classroom-based, face-to-face instruction at equivalent costs. Medical students rotating on a required clinical clerkship received instruction in 4 core clinical sleep-medicine competency domains in 1 of 2 delivery formats: a single 2.5-hour face-to-face workshop or 4 asynchronous e-learning modules. Immediate learning outcomes were assessed in a subsequent clerkship using a multiple-choice examination and standardized patient station, with long-term outcomes assessed through analysis of students' patient write-ups for inclusion of sleep complaints and diagnoses before and after the intervention. Instructional costs by delivery format were tracked. Descriptive and inferential statistical analyses compared learning outcomes and costs by instructional delivery method (face-to-face versus e-learning). Face-to-face learners, compared with online learners, were more satisfied with instruction. Learning outcomes (i.e., multiple-choice examination, standardized patient encounter, patient write-up), as measured by short-term and long-term assessments, were roughly equivalent. Design, delivery, and learner-assessment costs by format were equivalent at the end of 1 year, due to higher ongoing teaching costs associated with face-to-face learning offsetting online development and delivery costs. Because short-term and long-term learner performance outcomes were roughly equivalent, based on delivery method, the cost effectiveness of online learning is an economically and educationally viable instruction platform for clinical clerkships.

  16. Cost analysis of the Geriatric Resources for Assessment and Care of Elders care management intervention.

    Science.gov (United States)

    Counsell, Steven R; Callahan, Christopher M; Tu, Wanzhu; Stump, Timothy E; Arling, Gregory W

    2009-08-01

    To provide, from the healthcare delivery system perspective, a cost analysis of the Geriatric Resources for Assessment and Care of Elders (GRACE) intervention, which is effective in improving quality of care and outcomes. Randomized controlled trial with physicians as the unit of randomization. Community-based primary care health centers. Nine hundred fifty-one low-income seniors aged 65 and older; 474 participated in the intervention and 477 in usual care. Home-based care management for 2 years by a nurse practitioner and social worker who collaborated with the primary care physician and a geriatrics interdisciplinary team and were guided by 12 care protocols for common geriatric conditions. Chronic and preventive care costs, acute care costs, and total costs in the full sample (n5951) and predefined high-risk (n5226) and low-risk (n5725) groups. Mean 2-year total costs for intervention patients were not significantly different from those for usual care patients in the full sample ($14,348 vs $11,834; P=.20) and high-risk group ($17,713 vs $18,776; P=.38). In the high-risk group, increases in chronic and preventive care costs were offset by reductions in acute care costs, and the intervention was cost saving during the postintervention, or third, year ($5,088 vs $6,575; Pcosts were higher in the low-risk group ($13,307 vs $9,654; P=.01). In patients at high risk of hospitalization, the GRACE intervention is cost neutral from the healthcare delivery system perspective. A cost-effectiveness analysis is needed to guide decisions about implementation in low-risk patients.

  17. A comparative assessment of the financial costs and carbon benefits of REDD+ strategies in Southeast Asia

    Science.gov (United States)

    Graham, Victoria; Laurance, Susan G.; Grech, Alana; McGregor, Andrew; Venter, Oscar

    2016-11-01

    REDD+ holds potential for mitigating emissions from tropical forest loss by providing financial incentives for carbon stored in forests, but its economic viability is under scrutiny. The primary narrative raised in the literature is that REDD+ will be of limited utility for reducing forest carbon loss in Southeast Asia, while the level of finance committed falls short of profits from alternative land-use activities in the region, including large-scale timber and oil palm operations. Here we assess the financial costs and carbon benefits of various REDD+ strategies deployed in the region. We find the cost of reducing emissions ranges from 9 to 75 per tonne of avoided carbon emissions. The strategies focused on reducing forest degradation and promoting forest regrowth are the most cost-effective ways of reducing emissions and used in over 60% of REDD+ projects. By comparing the financial costs and carbon benefits of a broader range of strategies than previously assessed, we highlight the variation between different strategies and draw attention to opportunities where REDD+ can achieve maximum carbon benefits cost-effectively. These findings have broad policy implications for Southeast Asia. Until carbon finance escalates, emissions reductions can be maximized from reforestation, reduced-impact logging and investing in improved management of protected areas. Targeting cost-efficient opportunities for REDD+ is important to improve the efficiency of national REDD+ policy, which in-turn fosters greater financial and political support for the scheme.

  18. Hazardous and radioactive substances in Danish marine waters. Status and temporal trends

    Energy Technology Data Exchange (ETDEWEB)

    Dahlloef, I.; Andersen, Jesper H.

    2009-07-15

    This book fulfils the Danish reporting obligations in relation to the OSPAR Trend Assessment on Dangerous Substances, and describes the degree of contamination from hazardous and radioactive substances and their temporal trends, as well as the effects of some of these hazardous substances, in the Danish marine environment. The assessment is based on existing information, primarily data collected via national and regional Danish monitoring activities until 2004. (author)

  19. The Danish Melanoma Database

    Directory of Open Access Journals (Sweden)

    Hölmich Lr

    2016-10-01

    Full Text Available Lisbet Rosenkrantz Hölmich,1 Siri Klausen,2 Eva Spaun,3 Grethe Schmidt,4 Dorte Gad,5 Inge Marie Svane,6,7 Henrik Schmidt,8 Henrik Frank Lorentzen,9 Else Helene Ibfelt10 1Department of Plastic Surgery, 2Department of Pathology, Herlev-Gentofte Hospital, University of Copenhagen, Herlev, 3Institute of Pathology, Aarhus University Hospital, Aarhus, 4Department of Plastic and Reconstructive Surgery, Breast Surgery and Burns, Rigshospitalet – Glostrup, University of Copenhagen, Copenhagen, 5Department of Plastic Surgery, Odense University Hospital, Odense, 6Center for Cancer Immune Therapy, Department of Hematology, 7Department of Oncology, Herlev-Gentofte Hospital, University of Copenhagen, Herlev, 8Department of Oncology, 9Department of Dermatology, Aarhus University Hospital, Aarhus, 10Registry Support Centre (East – Epidemiology and Biostatistics, Research Centre for Prevention and Health, Glostrup – Rigshospitalet, University of Copenhagen, Glostrup, Denmark Aim of database: The aim of the database is to monitor and improve the treatment and survival of melanoma patients.Study population: All Danish patients with cutaneous melanoma and in situ melanomas must be registered in the Danish Melanoma Database (DMD. In 2014, 2,525 patients with invasive melanoma and 780 with in situ tumors were registered. The coverage is currently 93% compared with the Danish Pathology Register.Main variables: The main variables include demographic, clinical, and pathological characteristics, including Breslow’s tumor thickness, ± ulceration, mitoses, and tumor–node–metastasis stage. Information about the date of diagnosis, treatment, type of surgery, including safety margins, results of lymphoscintigraphy in patients for whom this was indicated (tumors > T1a, results of sentinel node biopsy, pathological evaluation hereof, and follow-up information, including recurrence, nature, and treatment hereof is registered. In case of death, the cause and date

  20. Time-driven activity-based costing: A dynamic value assessment model in pediatric appendicitis.

    Science.gov (United States)

    Yu, Yangyang R; Abbas, Paulette I; Smith, Carolyn M; Carberry, Kathleen E; Ren, Hui; Patel, Binita; Nuchtern, Jed G; Lopez, Monica E

    2017-06-01

    Healthcare reform policies are emphasizing value-based healthcare delivery. We hypothesize that time-driven activity-based costing (TDABC) can be used to appraise healthcare interventions in pediatric appendicitis. Triage-based standing delegation orders, surgical advanced practice providers, and a same-day discharge protocol were implemented to target deficiencies identified in our initial TDABC model. Post-intervention process maps for a hospital episode were created using electronic time stamp data for simple appendicitis cases during February to March 2016. Total personnel and consumable costs were determined using TDABC methodology. The post-intervention TDABC model featured 6 phases of care, 33 processes, and 19 personnel types. Our interventions reduced duration and costs in the emergency department (-41min, -$23) and pre-operative floor (-57min, -$18). While post-anesthesia care unit duration and costs increased (+224min, +$41), the same-day discharge protocol eliminated post-operative floor costs (-$306). Our model incorporating all three interventions reduced total direct costs by 11% ($2753.39 to $2447.68) and duration of hospitalization by 51% (1984min to 966min). Time-driven activity-based costing can dynamically model changes in our healthcare delivery as a result of process improvement interventions. It is an effective tool to continuously assess the impact of these interventions on the value of appendicitis care. II, Type of study: Economic Analysis. Copyright © 2017 Elsevier Inc. All rights reserved.

  1. An assessment of monitoring requirements and costs of 'Reduced Emissions from Deforestation and Degradation'

    Directory of Open Access Journals (Sweden)

    McCallum Ian

    2009-08-01

    Full Text Available Abstract Background Negotiations on a future climate policy framework addressing Reduced Emissions from Deforestation and Degradation (REDD are ongoing. Regardless of how such a framework will be designed, many technical solutions of estimating forest cover and forest carbon stock change exist to support policy in monitoring and accounting. These technologies typically combine remotely sensed data with ground-based inventories. In this article we assess the costs of monitoring REDD based on available technologies and requirements associated with key elements of REDD policy. Results We find that the design of a REDD policy framework (and specifically its rules can have a significant impact on monitoring costs. Costs may vary from 0.5 to 550 US$ per square kilometre depending on the required precision of carbon stock and area change detection. Moreover, they follow economies of scale, i.e. single country or project solutions will face relatively higher monitoring costs. Conclusion Although monitoring costs are relatively small compared to other cost items within a REDD system, they should be shared not only among countries but also among sectors, because an integrated monitoring system would have multiple benefits for non-REDD management. Overcoming initialization costs and unequal access to monitoring technologies is crucial for implementation of an integrated monitoring system, and demands for international cooperation.

  2. Forced Adoption of IFRS by Czech Non-Listed Companies: An Assessment of Benefits and Costs

    Directory of Open Access Journals (Sweden)

    David Procházka

    2016-04-01

    Full Text Available The paper deals with the effects of IFRS adoption by a specific group of companies. It focuses on the so-called forced IFRS adopters, which are such private (non-listed companies that (a are forced to adopt the IFRS (because their parent prepares IFRS consolidated statements and simultaneously (b are not permitted by the regulatory framework of a given jurisdiction to apply the IFRS in their individual financial statements on a  voluntary basis. In particular, benefits and costs connected with the forced IFRS adoption by Czech private companies are assessed. The results, based on a  questionnaire survey among affected companies, confirm the intuitive presumption that accounting treatment of certain items significantly differs between Czech GAAP and IFRS, which requires the use of advanced methods for the conversion of financial statements. Regardless of which conversion method is used, perceptions of both benefits and appropriateness of incurred costs vary across entities. The benefit-to-cost ratio for the two most commonly used conversion methods (spreadsheets and dual accounting software is comparable, as the first method generates fewer benefits for lower costs and the second method is connected with more benefits, but at higher costs. Finally, the survey reveals that actual costs of IFRS adoption are higher than the expected costs regardless of the conversion method applied.

  3. Assessing the costs and benefits of improved land management practices in three watershed areas in Ethiopia

    Directory of Open Access Journals (Sweden)

    Abonesh Tesfaye

    2016-03-01

    Full Text Available Unsustainable land use management and the resulting soil erosion are among the most pervasive problems in rural Ethiopia, where most of the country’s people live, jeopardizing food security. Despite various efforts to introduce soil conservation measures and assess their costs and benefits, it is unclear how efficient these measures are from an economic point of view in securing food production. This paper examines the costs and benefits of three soil conservation measures applied in the country in three different rural districts facing different degrees of soil erosion problems using survey data collected from 750 farm households. A production function is estimated to quantify the costs and benefits of more sustainable land use management practices. We show that the soil conservation measures significantly increase productivity and hence food security. Comparing the costs and benefits, the results indicate that implementing soil conservation measures would benefit farm communities in the case study areas through increased grain productivity and food security.

  4. Quality Reforms in Danish Home Care

    DEFF Research Database (Denmark)

    Rostgaard, Tine

    2012-01-01

    Despite relatively generous coverage of the over-65 population, Danish home help services receive regular criticism in the media and public opinion polls. Perhaps as a consequence, reforms of Danish home care policy for senior citizens have placed strong emphasis on quality since the 1990s....... 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...... to increase the overall quality of care by increasing the transparency at the political, administrative and user levels. However, reforms have revolved around conflicting principles of standardisation and the individualisation of care provision and primarily succeeded in increasing the political and ad...

  5. Clinical indications for antibiotic use in Danish general practice

    DEFF Research Database (Denmark)

    Aabenhus, Rune; Hansen, Malene Plejdrup; Siersma, Volkert

    2017-01-01

    from electronic prescriptions are accessible and available to provide an overview of drug use, in casu antibiotic prescriptions, in Danish general practice. These clinical indications may be further explored in detail to assess rational drug use and congruence with guidelines, but validation......Objective: To assess the availability and applicability of clinical indications from electronic prescriptions on antibiotic use in Danish general practice. Design: Retrospective cohort register-based study including the Danish National Prescription Register. Setting: Population-based study...... of routine electronic antibiotic prescriptions from Danish general practice. Subjects: All 975,626 patients who redeemed an antibiotic prescription at outpatient pharmacies during the 1-year study period (July 2012 to June 2013). Main outcome measures: Number of prescriptions per clinical indication. Number...

  6. A Non-linear Eulerian Approach for Assessment of Health-cost Externalities of Air Pollution

    DEFF Research Database (Denmark)

    Andersen, Mikael Skou; Frohn, Lise Marie; Nielsen, Jytte Seested

    Integrated assessment models which are used in Europe to account for the external costs of air pollution as a support for policy-making and cost-benefit analysis have in order to cope with complexity resorted to simplifications of the non-linear dynamics of atmospheric sciences. In this paper we...... explore the possible significance of such simplifications by reviewing the improvements that result from applying a state-of-the-art atmospheric model for regional transport and non-linear chemical transformations of air pollutants to the impact-pathway approach of the ExternE-method. The more rigorous...... approach results in lower damage costs per unit of NOx and allows for an improved assessment of ozone formation....

  7. Integrating Life-cycle Assessment into Transport Cost-benefit Analysis

    DEFF Research Database (Denmark)

    Manzo, Stefano; Salling, Kim Bang

    2016-01-01

    Traditional transport Cost-Benefit Analysis (CBA) commonly ignores the indirect environmental impacts of an infrastructure project deriving from the overall life-cycle of the different project components. Such indirect impacts are instead of key importance in order to assess the long......-term sustainability of a transport infrastructure project. In the present study we suggest to overcome this limit by combining a conventional life-cycle assessment approach with standard transport cost-benefit analysis. The suggested methodology is tested upon a case study project related to the construction of a new...... fixed link across the Roskilde fjord in Frederikssund (Denmark). The results are then compared with those from a standard CBA framework. The analysis shows that indirect environmental impacts represent a relevant share of the estimated costs of the project, clearly affecting the final project evaluation...

  8. An assessment of interventions for improving communication and trust in cost benefit analysis processes

    NARCIS (Netherlands)

    Beukers, E.; Bertolini, L.; te Brömmelstroet, M.

    2014-01-01

    Evaluation literature suggests that assessments of integrated transport plans should be an inclusive dialogue, for which it is crucial that participants communicate with and trust each other. However, cost benefit analysis (CBA) of integrated transport plans is often characterized by communication

  9. RSV vaccine in development : Assessing the potential cost-effectiveness in the Dutch elderly population

    NARCIS (Netherlands)

    Meijboom, M J; Pouwels, K B; Luytjes, W; Postma, Maarten; Hak, E

    2013-01-01

    OBJECTIVES: Respiratory syncytial virus (RSV) is increasingly recognized as an important cause of morbidity, mortality and health-care utilization in the elderly population. A theoretical model was built to assess the levels of vaccine effectiveness and vaccine costs for which a hypothetical

  10. Assessing the costs and benefits of improved land management practices in three watershed areas in Ethiopia

    NARCIS (Netherlands)

    Tesfaye, Abonesh; Brouwer, Roy; van der Zaag, P.; Negatu, Workneh

    2016-01-01

    Unsustainable land use management and the resulting soil erosion are among the most pervasive problems in rural Ethiopia, where most of the country's people live, jeopardizing food security. Despite various efforts to introduce soil conservation measures and assess their costs and benefits, it is

  11. Prospective study on cost-effectiveness of home-based motor assessment in Parkinson's disease.

    Science.gov (United States)

    Cubo, E; Mariscal, N; Solano, B; Becerra, V; Armesto, D; Calvo, S; Arribas, J; Seco, J; Martinez, A; Zorrilla, L; Heldman, D

    2017-02-01

    Introduction Treatment adjustments in Parkinson's disease (PD) are in part dependent on motor assessments. The aim of this study was to evaluate the cost-effectiveness of home-based motor monitoring plus standard in-office visits versus in-office visits alone in patients with advanced PD. Methods The procedures consisted of a prospective, one-year follow-up, randomized, case-control study. A total of 40 patients with advanced PD were randomized into two groups: 20 patients underwent home-based motor monitoring by using wireless motion sensor technology, while the other 20 patients had in-office visits. Motor and non-motor symptom severities, quality of life, neuropsychiatric symptoms, and comorbidities were assessed every four months. Direct costs were assessed using a standardized questionnaire. Cost-effectiveness was assessed using the incremental cost-effectiveness ratio (ICER). Results Both groups of PD patients were largely comparable in their clinical and demographic variables at baseline; however, there were more participants using levodopa-carbidopa intestinal gel in the home-based motor monitoring group. There was a trend for lower Unified Parkinson's Disease Rating Scale functional status (UPDRS II) scores in the patients monitored at home compared to the standard clinical follow-up ( p = 0.06). However, UPDRS parts I, III, IV and quality-adjusted life-years scores were similar between both groups. Home-based motor monitoring was cost-effective in terms of improvement of functional status, motor severity, and motor complications (UPDRS II, III; IV subscales), with an ICER/UPDRS ranging from €126.72 to €701.31, respectively. Discussion Home-based motor monitoring is a tool which collects cost-effective clinical information and helps augment health care for patients with advanced PD.

  12. The Danish Adoption Register.

    Science.gov (United States)

    Petersen, Liselotte; Sørensen, Thorkild I A

    2011-07-01

    The Danish Adoption Register was established in 1963-1964 to explore the genetic and environmental contribution to familial aggregation of schizophrenia. The register encompass information on all 14,425 non-familial adoptions of Danish children legally granted in Denmark 1924-1947. It includes name and date of birth of each adoptee and his or her biological and adoptive parents, date of transfer to adoptive parents and date of formal adoption. The linkage to biological and adoptive parents is close to complete, even biological fathers are registered for 91.4% of the adoptees. Adoption registers are a unique source allowing disentangling of genetic and familial environmental influences on traits, risk of diseases, and mortality.

  13. Indian Danish intermarriage

    DEFF Research Database (Denmark)

    Singla, Rashmi; Sriram, Sujata

    combined with two clinical cases (Singla, 2015). Illustrative narratives of two Indian women married to Danish men and an Indian man married to a Danish woman are focus of this paper. The theoretical framework combines intersectionality approach with cultural psychological trajectory equifinality model......, region and socio-economic aspects. These findings challenge the simplistic economic dichotomy about exogamy between the global North and global South, are discussed with other studies, among others a study about foreign-born spouses living in Japan, revealing two dominant motivations behind...... their migration to Japan: social and economic necessity and social and economic opportunity (Morgan et al, 2016). Finally these narratives are analysed focussing both on the potentials and risks of mixed marriages, for enhancing couples through mental health promotion and psychosocial counselling....

  14. The Danish Flexicurity Model

    DEFF Research Database (Denmark)

    Ilsøe, Anna

    2008-01-01

    In recent years, increasing international competition has caused an increase in job transitions worldwide. Many countries find it difficult to manage these tran-sitions in a way that ensures a match between labour and demand. One of the countries that seems to manage the transitions in a successful...... way is Denmark, where unemployment has been dropping dramatically over the last decade without a drop in job quality. This success is ascribed the so-called Danish flexicurity model, where an easy access to hiring and firing employees (flexibility) is combined with extensive active and passive labour...... policies and their settings in Denmark and the US in detail, this paper addresses the question - what and how can the US learn from the Danish model?...

  15. The Danish Twin Registry

    Science.gov (United States)

    SKYTTHE, AXEL; KYVIK, KIRSTEN OHM; HOLM, NIELS VILSTRUP; CHRISTENSEN, KAARE

    2012-01-01

    Introduction The Danish Twin Registry is a unique source for studies of genetic, familial and environmental factors on life events, health conditions and diseases. Content More than 85,000 twin pairs born 1870–2008 in Denmark. Validity and coverage Four main ascertainment methods have been employed. Completeness of ascertainment varies according to birth cohorts. For birth cohorts 1870–1930 both twins should survive to age 6 years. From 1931–1968 72% of all twin pairs has been ascertained, with complete ascertainment of all live born twins since 1968. Conclusion Because twins have been identified independent of traits and on a population basis, the Danish Twin Registry is well suited for studies to understand the influence of genetic and environmental factors for a wide variety of diseases and traits. PMID:21775358

  16. Hypertension in Danish seafarers

    DEFF Research Database (Denmark)

    Tu, Mingshan; Jepsen, Jørgen Riis

    2016-01-01

    Background: Due to the high prevalence of arterial hypertension and its role in the development of athe- rosclerosis, myocardial infarction and stroke, hypertension is a major public health challenge worldwide. There is limited knowledge of the prevalence of hypertension among seafarers who......, however, are known to have an excess morbidity and mortality from these disorders. This article addresses the prevalence of hypertension among Danish seafarers and discusses potential risk factors for hypertension in maritime settings. Materials and methods: A representative sample of 629 Danish seafarers...... who had statutory medical examinations was studied from the beginning of October 2011 to the end of June 2012. The medical examination included measurements of blood pressure. The prevalence of hypertension in the study po- pulation was stratified by age, work place on board, smoking status, alcohol...

  17. The Danish Pesticide Tax

    DEFF Research Database (Denmark)

    Pedersen, Anders Branth; Nielsen, Helle Ørsted; Andersen, Mikael Skou

    2015-01-01

    This case study analyses the effects of the Danish pesticide tax (1996-2013) on agriculture which was introduced as an ad valorem tax in 1996, doubled in 1998, and redesigned in 2013 as a tax based on the toxicity of the pesticides. The Danish pesticide taxes probably represent the world’s highest...... pesticide taxes on agriculture, which makes it interesting to analyze how effective they have been. Here the effects of the ad valorem tax (1996-2013) are analyzed. The case study demonstrates the challenges of choosing an optimal tax design in a complex political setting where, additionally, not all...... individuals in the target group necessarily react to the economic incentives as predicted by economic modeling. It also demonstrates that a small first green-tax-step over time might develop into a better tax design....

  18. The Danish Sarcoma Database

    DEFF Research Database (Denmark)

    Jørgensen, Peter Holmberg; Lausten, Gunnar Schwarz; Pedersen, Alma B

    2016-01-01

    skeletal and ekstraskeletal, are to be registered since 2009. MAIN VARIABLES: The database contains information about appearance of symptoms; date of receiving referral to a sarcoma center; date of first visit; whether surgery has been performed elsewhere before referral, diagnosis, and treatment; tumor...... characteristics such as location, size, malignancy grade, and growth pattern; details on treatment (kind of surgery, amount of radiation therapy, type and duration of chemotherapy); complications of treatment; local recurrence and metastases; and comorbidity. In addition, several quality indicators are registered...... of Diseases - tenth edition codes and TNM Classification of Malignant Tumours, and date of death (after yearly coupling to the Danish Civil Registration System). Data quality and completeness are currently secured. CONCLUSION: The Danish Sarcoma Database is population based and includes sarcomas occurring...

  19. The Danish Twin Registry

    DEFF Research Database (Denmark)

    Skytthe, Axel; Ohm Kyvik, Kirsten; Vilstrup Holm, Niels

    2011-01-01

    Introduction: The Danish Twin Registry is a unique source for studies of genetic, familial and environmental factors on life events, health conditions and diseases. Content: More than 85,000 twin pairs born 1870-2008 in Denmark. Validity and coverage: Four main ascertainment methods have been...... employed. Completeness of ascertainment varies according to birth cohorts. For birth cohorts 1870-1930 both twins should survive to age 6 years. From 1931-1968 72% of all twin pairs has been ascertained, with complete ascertainment of all live born twins since 1968. CONCLUSION: Because twins have been...... identified independent of traits and on a population basis, the Danish Twin Registry is well suited for studies to understand the influence of genetic and environmental factors for a wide variety of diseases and traits....

  20. The Danish Police Reform

    DEFF Research Database (Denmark)

    Degnegaard, Rex; Mark, Sofie

    2013-01-01

    , 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...... 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...... and private organisations doing business-in-society. The case concerns the reformation of the Danish Police. In 2007 the Danish Police started implementing an extensive reform that affected all parts of the organisation. Despite thorough planning of the process including several change management initiatives...

  1. The Danish school reform

    DEFF Research Database (Denmark)

    Bager, Ann; Mølholm, Martin; Horsbøl, Anders

    The paper presents a methodological framework for the study of the discursive emergence of the recent Danish School reform (2014). The framework will enable discourse scholars to hold an actively involved position in changing and furthering plurivocal processes of translations, negotiations...... and implementation of the reform. The framework is operationalized through research-based participatory collaborative processes involving local actors in two Danish public schools. It interlinks diverse discourse strategies and perceptive distances that traditionally belong to separate branches within discourse...... (Latour), e.g. civil service and municipal practices and texts, into the organizational practices of two local schools. On the basis of these analyses, we will establish a participatory process in which local actors are involved in the co-creation of new plurivocal and egalitarian dialogue designs...

  2. Final Report - Stationary and Emerging Market Fuel Cell System Cost Assessment

    Energy Technology Data Exchange (ETDEWEB)

    Contini, Vince [Battelle Memorial Inst., Columbus, OH (United States); Heinrichs, Mike [Battelle Memorial Inst., Columbus, OH (United States); George, Paul [Battelle Memorial Inst., Columbus, OH (United States); Eubanks, Fritz [Battelle Memorial Inst., Columbus, OH (United States); Jansen, Mike [Battelle Memorial Inst., Columbus, OH (United States); Valluri, Manoj [Battelle Memorial Inst., Columbus, OH (United States); Mansouri, Mahan [Battelle Memorial Inst., Columbus, OH (United States); Swickrath, Mike [Battelle Memorial Inst., Columbus, OH (United States)

    2017-04-30

    The U.S. Department of Energy (DOE) is focused on providing a portfolio of technology solutions to meet energy security challenges of the future. Fuel cells are a part of this portfolio of technology offerings. To help meet these challenges and supplement the understanding of the current research, Battelle has executed a five-year program that evaluated the total system costs and total ownership costs of two technologies: (1) an ~80 °C polymer electrolyte membrane fuel cell (PEMFC) technology and (2) a solid oxide fuel cell (SOFC) technology, operating with hydrogen or reformate for different applications. Previous research conducted by Battelle, and more recently by other research institutes, suggests that fuel cells can offer customers significant fuel and emission savings along with other benefits compared to incumbent alternatives. For this project, Battelle has applied a proven cost assessment approach to assist the DOE Fuel Cell Technologies Program in making decisions regarding research and development, scale-up, and deployment of fuel cell technology. The cost studies and subsequent reports provide accurate projections of current system costs and the cost impact of state-of-the-art technologies in manufacturing, increases in production volume, and changes to system design on system cost and life cycle cost for several near-term and emerging fuel cell markets. The studies also provide information on types of manufacturing processes that must be developed to commercialize fuel cells and also provide insights into the optimization needed for use of off-the-shelf components in fuel cell systems. Battelle’s analysis is intended to help DOE prioritize investments in research and development of components to reduce the costs of fuel cell systems while considering systems optimization.

  3. Obesity and Surgical Treatment – A Cost-Effectiveness Assessment for Sweden

    Directory of Open Access Journals (Sweden)

    Sixten Borg

    2014-07-01

    Full Text Available Background:The rising trend in the prevalence of obesity has during the past decades become a major public health concern in many countries, as obesity may lead to comorbidities and death. A frequent used marker for obesity is the Body Mass Index (BMI. The cost of treatment for obesity related diseases has become a heavy burden on national health care budget in many countries. While diet and exercise are the cornerstones of weight management, pharmaco­therapy is often needed to achieve and maintain desired weight loss.  In some cases of extreme obesity, bariatric surgery may be recommended. It is expected to increase by 50% in Sweden.Objective: The overall objective was to develop a cost-effectiveness model using the best available evidence to assess the cost-effectiveness of gastric bypass (GBP surgical treatments for obesity in adult patients, in comparison with conventional treatment (CT, in Sweden from a healthcare perspective. With the model we also seeked to identify the lower cut-off point using BMI criteria, for the surgical intervention to be cost-effective. Methods:A micro-simulation model with an underlying Markov methodology was developed, that simulates individual patients. It simulates the outcomes of the patients in terms of treatment costs, life years, and quality adjusted life years (QALY over his/her remaining lifetime. The costs are presented in SEK in the year 2006 price level (1 SEK ≈ 0.11 EUR ≈ 0.14 USD.Results: We estimated that the incremental cost per QALY gained will not exceed SEK 33,000 per QALY in patients with BMI < 35. In patients with BMI > 35 kg/m2, gastric bypass surgery has lower costs compared to conventional treatment. Conclusion: Gastric bypass surgery is a cost-effective intervention compared to conventional treatment consisting of watchful waiting, diet and exercise.

  4. Market demands to Danish pork

    DEFF Research Database (Denmark)

    Bredahl, Lone

    2001-01-01

    Danish farmers produce more than 20 million slaughtering pigs every year and most of them are exported to markets all over the world. From a historical point of view, the United Kingdom has been the groundbreaking export market, but today Danish pork is exported to more than 100 countries....... The study focuses on the development on the most important markets for Danish pork. The countries are Denmark, Japan, UK, Germany, Italy, France, USA, Russia and South Korea. The primary purpose is to identify market demands of importance to the Danish pork sector in order to maintain and strengthen its...... position on its markets. It is expected that results of the analysis will be part of superior strategic decisions for the Danish pork sector as regards future Danish pork export markets. The market demands to be identified will therefore be evaluated in relation to resources and competences within the line...

  5. Danish Chiropractic Practice

    DEFF Research Database (Denmark)

    Myburgh, Cornelius; Boyle, Eleanor; Christensen, Henrik Wulff

    Objectives: To develop a contemporary, patient-oriented perspective of chiropractic private practice, as reflected by the setting, practice models and clinical interactions observable in Denmark. Methods: A qualitative point-of-view investigation was conducted making use of participant observation...... value competence and professionalism in their clinical encounter with their chiropractor. Conclusion: Danish chiropractic practice is strongly influenced by modern consumer behaviour and team-oriented practice trends. Furthermore, the administrative hub plays an important role in operationalizing...

  6. Translating Fashion into Danish

    Directory of Open Access Journals (Sweden)

    Marie Riegels Melchior

    2011-06-01

    Full Text Available With their association to enterprise and innovation, creative industries have emerged as a legitimate concern in national cultural and economical policy in many countries across the world. In Denmark, the fashion business, in particular, has been hailed as a model for successful (postindustrial transformation. In this paper, we explore the birth of Danish fashion from the ashes of the country’s clothing manufacturing industry, suggesting that the very notion of Danish fashion is indicative of – and enabled by – a development towards a polycentric fashion system. The intriguing idea that fashion could emanate from Denmark and secure growth, jobs and exports even outside the fashion business has taken hold among policymakers, and compelled the government to embrace fashion as a national project. In investigating the emergence and rising stature of Danish fashion, particular at home, we first establish a theoretical frame for understanding the cultural economic policy and the motives, principles and strategies behind it. Then – drawing inspiration from Michel Callon’s “sociology of translation” with its moments of translation: problematization, interessement, enrolment and mobilization – we identify the actors and analyze their strategic roles and interrelationship through various phases of the development of Danish fashion. Callon’s actor network theory (ANT is based on the principle of “generalized symmetry” – originally using a single repertoire to analyze both society and nature. We adapt this principle to study the realms of market, culture and politics within a common analytical framework. In our analysis, the state responds to industry transformation, interprets it and develops its own agenda. But it can hardly be said to develop policies for the industry. On the contrary, we suggest, fashion is mobilized to lend its luster to the nation, its institutions and politicians.

  7. Challenges in Danish VET

    DEFF Research Database (Denmark)

    Aarkrog, Vibe

    2011-01-01

    In Denmark the 95 percent target, meaning that in 2015 95 percent of a youth cohort should complete a youth education programme, is particularly challenging for the vocational educational and training (VET) system. In the article is given a short outline of the significant characteristics...... of the Danish dual VET system as well as of the current central initiatives aimed at reaching the 95 percent target....

  8. The Danish National Lymphoma Registry

    DEFF Research Database (Denmark)

    Arboe, Bente; El-Galaly, Tarec Christoffer; Clausen, Michael Roost

    2016-01-01

    BACKGROUND: The Danish National Lymphoma Register (LYFO) prospectively includes information on all lymphoma patients newly diagnosed at hematology departments in Denmark. The validity of the clinical information in the LYFO has never been systematically assessed. AIM: To test the coverage and data...... of 3% (N = 364) was made from all patients in the LYFO. In addition, four subtypes of lymphomas were validated: CNS lymphomas, diffuse large B-cell lymphomas, peripheral T-cell lymphomas, and Hodgkin lymphomas. A total of 1,706 patients from the period 2000-2012 were included. The positive predictive...... was good with high PPVs (87% to 100%), and high completeness (92% to 100%). CONCLUSION: The LYFO is a unique, nationwide clinical database characterized by high validity, good coverage and prospective data entry. It represents a valuable resource for future lymphoma research....

  9. The Danish adult diabetes registry

    DEFF Research Database (Denmark)

    Jørgensen, Marit Eika; Kristensen, Jette K.; Husted, Gitte Reventlov

    2016-01-01

    Aim of the database: The aim of the Danish Adult Diabetes Registry (DADR) is to provide data from both the primary health care sector (general practice [GP]) and the secondary sector (specialized outpatient clinics) to assess the quality of treatment given to patients with diabetes. The indicators...... represent process and outcome indicators selected from the literature. Study population: The total diabetes population in Denmark is estimated to be ∼300,000 adult diabetes patients. Approximately 10% have type 1 diabetes, which is managed mainly in the secondary sector, and 90% have type 2 diabetes......, glucose-, blood pressure-, and lipid-lowering treatment (yes/no), insulin pump treatment (yes/ no), and date of last eye and foot examination. Descriptive data: In 2014, the annual report included data regarding over 38,000 patients from outpatient clinics, which is assumed to have included almost all...

  10. The Danish Smoking Cessation Database

    DEFF Research Database (Denmark)

    Rasmussen, Mette; Tønnesen, Hanne

    2016-01-01

    Background: The Danish Smoking Cessation Database (SCDB) was established in 2001 as the first national healthcare register within the field of health promotion. Aim of the database: The aim of the SCDB is to document and evaluate smoking cessation (SC) interventions to assess and improve......, and prognostic factors. The outcome data are smoking status at the end of the programme and after six months and satisfaction with the SC intervention. Validity: Approximately 80-90% of all SC clinics offering systematic face-to-face SC interventions are reporting data to the SCDB. The data completeness...... of the SCDB is very high, at 95-100%. Validation checks have been implemented to ensure high data quality. Conclusion: The SCDB is a well-established clinical database and a priceless tool for monitoring and improving SC interventions in Denmark to identify the best solution to helping smokers become smoke...

  11. Demand Response Advanced Controls Framework and Assessment of Enabling Technology Costs

    Energy Technology Data Exchange (ETDEWEB)

    Potter, Jennifer; Cappers, Peter

    2017-08-28

    The Demand Response Advanced Controls Framework and Assessment of Enabling Technology Costs research describe a variety of DR opportunities and the various bulk power system services they can provide. The bulk power system services are mapped to a generalized taxonomy of DR “service types”, which allows us to discuss DR opportunities and bulk power system services in fewer yet broader categories that share similar technological requirements which mainly drive DR enablement costs. The research presents a framework for the costs to automate DR and provides descriptions of the various elements that drive enablement costs. The report introduces the various DR enabling technologies and end-uses, identifies the various services that each can provide to the grid and provides the cost assessment for each enabling technology. In addition to a report, this research includes a Demand Response Advanced Controls Database and User Manual. They are intended to provide users with the data that underlies this research and instructions for how to use that database more effectively and efficiently.

  12. An Assessment of Disproportionate Costs in WFD: The Experience of Emilia-Romagna

    Directory of Open Access Journals (Sweden)

    Francesco Galioto

    2013-11-01

    Full Text Available This study develops a methodology for the assessment of disproportionate costs according to the Water Framework Directive guidelines. The originality of the approach lies in the focus on the interdependencies between water bodies and the consideration of the multiple interactions between measures and pressures. However, the broad architecture of the study fits into a wider assessment procedure, already developed in recent studies. Specifically, a cost effectiveness analysis, implemented to select an efficient combination of measures, is integrated with a cost benefit analysis, which allows for the evaluation of the economic feasibility of the proposed actions. This methodology is applied to the Emilia-Romagna Region (Italy. In spite of the uncertainties in the estimations of costs and benefits, the study enables the identification of areas where disproportionate costs are more likely to occur. The results show that disproportionality tends to increase from foothill regions, where most of the functional uses of regional water resources are found, to plain areas, where the sources of pressure tend to be located. Finally, the study offers policy direction for the selection of measures in the case study region.

  13. Assessment of cost of illness for diabetic patients in South Indian tertiary care hospital

    Directory of Open Access Journals (Sweden)

    Leelavathi D Acharya

    2016-01-01

    Full Text Available Background: The impact of diabetes on health-care expenditures has been increasingly recognized. To formulate an effective health planning and resource allocation, it is important to determine economic burden. Objective: The objective of this study is to assess the cost of illness (COI for diabetic inpatients with or without complications. Methodology: The study was conducted in the medicine wards of tertiary care hospital after ethical approval by the Institutional Ethical Committee. A total of 116 each diabetic with or without complications were selected and relevant data were collected using COI questionnaire and data were analyzed using SPSS version 20. Mann–Whitney U test is used to assess the statistical significant difference in the cost of treatment of diabetes alone and with complications'. P ≤ 0.05 was considered statistically significant. Results: Total COI includes the cost of treatment, investigation, consultation fee, intervention cost, transportation, days lost due to work, and hospitalization. The median of total COI for diabetic care without any complication was Rs. 22,456.97/- per patient per annum and with complication was Rs. 30,634.45/-. Patients on dialysis had to spend 7.3 times higher, and patients with cardiac intervention had to spend 7.4 times higher than diabetic patients without any complication. Conclusion: Treatment costs were many times higher in patients with complications and with cardiac and renal interventions. Complications in diabetic patients will increase the economic burden to family and also to the society.

  14. Developing Cost-Effective Field Assessments of Carbon Stocks in Human-Modified Tropical Forests.

    Science.gov (United States)

    Berenguer, Erika; Gardner, Toby A; Ferreira, Joice; Aragão, Luiz E O C; Camargo, Plínio B; Cerri, Carlos E; Durigan, Mariana; Oliveira Junior, Raimundo C; Vieira, Ima C G; Barlow, Jos

    2015-01-01

    Across the tropics, there is a growing financial investment in activities that aim to reduce emissions from deforestation and forest degradation, such as REDD+. However, most tropical countries lack on-the-ground capacity to conduct reliable and replicable assessments of forest carbon stocks, undermining their ability to secure long-term carbon finance for forest conservation programs. Clear guidance on how to reduce the monetary and time costs of field assessments of forest carbon can help tropical countries to overcome this capacity gap. Here we provide such guidance for cost-effective one-off field assessments of forest carbon stocks. We sampled a total of eight components from four different carbon pools (i.e. aboveground, dead wood, litter and soil) in 224 study plots distributed across two regions of eastern Amazon. For each component we estimated survey costs, contribution to total forest carbon stocks and sensitivity to disturbance. Sampling costs varied thirty-one-fold between the most expensive component, soil, and the least, leaf litter. Large live stems (≥10 cm DBH), which represented only 15% of the overall sampling costs, was by far the most important component to be assessed, as it stores the largest amount of carbon and is highly sensitive to disturbance. If large stems are not taxonomically identified, costs can be reduced by a further 51%, while incurring an error in aboveground carbon estimates of only 5% in primary forests, but 31% in secondary forests. For rapid assessments, necessary to help prioritize locations for carbon- conservation activities, sampling of stems ≥20cm DBH without taxonomic identification can predict with confidence (R2 = 0.85) whether an area is relatively carbon-rich or carbon-poor-an approach that is 74% cheaper than sampling and identifying all the stems ≥10cm DBH. We use these results to evaluate the reliability of forest carbon stock estimates provided by the IPCC and FAO when applied to human-modified forests

  15. Developing Cost-Effective Field Assessments of Carbon Stocks in Human-Modified Tropical Forests

    Science.gov (United States)

    Berenguer, Erika; Gardner, Toby A.; Ferreira, Joice; Aragão, Luiz E. O. C.; Camargo, Plínio B.; Cerri, Carlos E.; Durigan, Mariana; Oliveira Junior, Raimundo C.; Vieira, Ima C. G.; Barlow, Jos

    2015-01-01

    Across the tropics, there is a growing financial investment in activities that aim to reduce emissions from deforestation and forest degradation, such as REDD+. However, most tropical countries lack on-the-ground capacity to conduct reliable and replicable assessments of forest carbon stocks, undermining their ability to secure long-term carbon finance for forest conservation programs. Clear guidance on how to reduce the monetary and time costs of field assessments of forest carbon can help tropical countries to overcome this capacity gap. Here we provide such guidance for cost-effective one-off field assessments of forest carbon stocks. We sampled a total of eight components from four different carbon pools (i.e. aboveground, dead wood, litter and soil) in 224 study plots distributed across two regions of eastern Amazon. For each component we estimated survey costs, contribution to total forest carbon stocks and sensitivity to disturbance. Sampling costs varied thirty-one-fold between the most expensive component, soil, and the least, leaf litter. Large live stems (≥10 cm DBH), which represented only 15% of the overall sampling costs, was by far the most important component to be assessed, as it stores the largest amount of carbon and is highly sensitive to disturbance. If large stems are not taxonomically identified, costs can be reduced by a further 51%, while incurring an error in aboveground carbon estimates of only 5% in primary forests, but 31% in secondary forests. For rapid assessments, necessary to help prioritize locations for carbon- conservation activities, sampling of stems ≥20cm DBH without taxonomic identification can predict with confidence (R2 = 0.85) whether an area is relatively carbon-rich or carbon-poor—an approach that is 74% cheaper than sampling and identifying all the stems ≥10cm DBH. We use these results to evaluate the reliability of forest carbon stock estimates provided by the IPCC and FAO when applied to human-modified forests

  16. Developing Cost-Effective Field Assessments of Carbon Stocks in Human-Modified Tropical Forests.

    Directory of Open Access Journals (Sweden)

    Erika Berenguer

    Full Text Available Across the tropics, there is a growing financial investment in activities that aim to reduce emissions from deforestation and forest degradation, such as REDD+. However, most tropical countries lack on-the-ground capacity to conduct reliable and replicable assessments of forest carbon stocks, undermining their ability to secure long-term carbon finance for forest conservation programs. Clear guidance on how to reduce the monetary and time costs of field assessments of forest carbon can help tropical countries to overcome this capacity gap. Here we provide such guidance for cost-effective one-off field assessments of forest carbon stocks. We sampled a total of eight components from four different carbon pools (i.e. aboveground, dead wood, litter and soil in 224 study plots distributed across two regions of eastern Amazon. For each component we estimated survey costs, contribution to total forest carbon stocks and sensitivity to disturbance. Sampling costs varied thirty-one-fold between the most expensive component, soil, and the least, leaf litter. Large live stems (≥10 cm DBH, which represented only 15% of the overall sampling costs, was by far the most important component to be assessed, as it stores the largest amount of carbon and is highly sensitive to disturbance. If large stems are not taxonomically identified, costs can be reduced by a further 51%, while incurring an error in aboveground carbon estimates of only 5% in primary forests, but 31% in secondary forests. For rapid assessments, necessary to help prioritize locations for carbon- conservation activities, sampling of stems ≥20cm DBH without taxonomic identification can predict with confidence (R2 = 0.85 whether an area is relatively carbon-rich or carbon-poor-an approach that is 74% cheaper than sampling and identifying all the stems ≥10cm DBH. We use these results to evaluate the reliability of forest carbon stock estimates provided by the IPCC and FAO when applied to human

  17. The Danish Intensive Care Database

    DEFF Research Database (Denmark)

    Christiansen, Christian Fynbo; Møller, Morten Hylander; Nielsen, Henrik

    2016-01-01

    and includes virtually all ICU admissions in Denmark since 2005. The DID obtains data from the Danish National Registry of Patients, with complete follow-up through the Danish Civil Registration System. MAIN VARIABLES: For each ICU admission, the DID includes data on the date and time of ICU admission, type......AIM OF DATABASE: The aim of this database is to improve the quality of care in Danish intensive care units (ICUs) by monitoring key domains of intensive care and to compare these with predefined standards. STUDY POPULATION: The Danish Intensive Care Database (DID) was established in 2007...

  18. Expert assessments of the cost of light water small modular reactors.

    Science.gov (United States)

    Abdulla, Ahmed; Azevedo, Inês Lima; Morgan, M Granger

    2013-06-11

    Analysts and decision makers frequently want estimates of the cost of technologies that have yet to be developed or deployed. Small modular reactors (SMRs), which could become part of a portfolio of carbon-free energy sources, are one such technology. Existing estimates of likely SMR costs rely on problematic top-down approaches or bottom-up assessments that are proprietary. When done properly, expert elicitations can complement these approaches. We developed detailed technical descriptions of two SMR designs and then conduced elicitation interviews in which we obtained probabilistic judgments from 16 experts who are involved in, or have access to, engineering-economic assessments of SMR projects. Here, we report estimates of the overnight cost and construction duration for five reactor-deployment scenarios that involve a large reactor and two light water SMRs. Consistent with the uncertainty introduced by past cost overruns and construction delays, median estimates of the cost of new large plants vary by more than a factor of 2.5. Expert judgments about likely SMR costs display an even wider range. Median estimates for a 45 megawatts-electric (MWe) SMR range from $4,000 to $16,300/kWe and from $3,200 to $7,100/kWe for a 225-MWe SMR. Sources of disagreement are highlighted, exposing the thought processes of experts involved with SMR design. There was consensus that SMRs could be built and brought online about 2 y faster than large reactors. Experts identify more affordable unit cost, factory fabrication, and shorter construction schedules as factors that may make light water SMRs economically viable.

  19. Rapid Cost Assessment of Space Mission Concepts through Application of Complexity Indices

    Science.gov (United States)

    Peterson, Craig; Cutts, James; Balint, Tibor; Hall, James B.

    2008-01-01

    In 2005, the Solar System Exploration Strategic Roadmap Conmrittee (chartered by NASA to develop the roadmap for Solar System Exploration Missions for the coming decades) found itself posed with the difficult problem of sorting through several mission concepts and determining their relative costs. While detailed mission studies are the normal approach to costing, neither the budget nor schedule allotted to the conmrittee could support such studies. Members of the Jet Propulsion Laboratory (JPL) supporting the conmrittee were given the challenge of developing a semi-quantitative approach that could provide the relative costs of these missions, without requiring an in depth study of the missions. In response to this challenge, a rapid cost assessment methodology based on a set of mission cost/complexity indexes was developed. This methodology also underwent two separate validations, one comparing its results when applied to historical missions, and another comparing its estimates against those of veteran space mission managers. Remarkably good agreement was achieved, suggesting that this approach provides an effective early indication of space mission costs.

  20. The Establishment of the Danish Windmill Industry - Was It Worthwhile?

    DEFF Research Database (Denmark)

    Hansen, Jørgen Drud; Jensen, Camilla; Madsen, Erik Strøjer

    2003-01-01

    The paper examines the welfare effects of the Danish subsidies towards the production of electricity from windpower. This policy has been a precondition for the remarkable development of the Danish windmill industry resulting in a dominant position on the world market. The article demonstrates...... a strong learning-by-doing productivity growth in the Danish windmill industry and it analyses the costs and benefits of this infant industry case. The costs consist of the efficiency loss from diverting production of electricity from using fossil fuels to utilizing windpower. In making up the benefits...... the environmental damage of using fossil fuels should in principle be taken into account. However, the main benefits are related to the emergence of a new export sector. As the value of the windmill firms at the stock exchange by far exceeds that of the accumulated distorted loss in production of electricity...

  1. The Establishment of the Danish Windmill Industry - Was it Worthwhile?

    DEFF Research Database (Denmark)

    Drud-Hansen, Jørgen; Jensen, Camilla; Madsen, Erik Strøjer

    2002-01-01

    The paper examines the welfare effects of the Danish subsidies towards the production of electricity from windpower. This policy has been a precondition for the remarkable development of the Danish windmill industry resulting in a dominant position on the world market. The article demonstrates...... a strong learning-by-doing productivity growth in the Danish windmill industry and it analyses the costs and benefits of this infant industry case. The costs consist of the efficiency loss from diverting production of electricity from using fossil fuels to utilizing windpower. In making up the benefits...... the environmental damage of using fossil fuels should in principle be taken into account. However, the environmental effect is only evaluated by calculating an implicit price of the emission of carbon dioxide. The main benefits are related to the emergence of a new export sector. As the value of the windmill...

  2. Danish Gynecological Cancer Database

    Directory of Open Access Journals (Sweden)

    Sørensen SM

    2016-10-01

    Full Text Available Sarah Mejer Sørensen,1 Signe Frahm Bjørn,1 Kirsten Marie Jochumsen,2 Pernille Tine Jensen,2 Ingrid Regitze Thranov,1 Helle Hare-Bruun,3 Lene Seibæk,4 Claus Høgdall1 1Department of Gynecology, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark; 2Department of Obstetrics and Gynecology, Odense University Hospital, Odense, Denmark; 3Research Centre for Prevention and Health, The Capital Region of Denmark, Glostrup, Denmark; 4Department of Gynecology and Obstetrics, Aarhus University Hospital, Aarhus, Denmark Aim of database: The Danish Gynecological Cancer Database (DGCD is a nationwide clinical cancer database and its aim is to monitor the treatment quality of Danish gynecological cancer patients, and to generate data for scientific purposes. DGCD also records detailed data on the diagnostic measures for gynecological cancer. Study population: DGCD was initiated January 1, 2005, and includes all patients treated at Danish hospitals for cancer of the ovaries, peritoneum, fallopian tubes, cervix, vulva, vagina, and uterus, including rare histological types. Main variables: DGCD data are organized within separate data forms as follows: clinical data, surgery, pathology, pre- and postoperative care, complications, follow-up visits, and final quality check. DGCD is linked with additional data from the Danish "Pathology Registry", the "National Patient Registry", and the "Cause of Death Registry" using the unique Danish personal identification number (CPR number. Descriptive data: Data from DGCD and registers are available online in the Statistical Analysis Software portal. The DGCD forms cover almost all possible clinical variables used to describe gynecological cancer courses. The only limitation is the registration of oncological treatment data, which is incomplete for a large number of patients. Conclusion: The very complete collection of available data from more registries form one of the unique strengths of DGCD compared to many

  3. Phase 2 cost quality management assessment report for the Office of Technology Development (EM-50)

    Energy Technology Data Exchange (ETDEWEB)

    1994-08-01

    The Office of Environmental Management (EM) Head quarters (HQ) Cost Quality Management Assessment (CQMA) evaluated the practices of the Office of Technology Development (EM-50). The CQMA reviewed EM-50 management documents and reported results in the HQ CQMA Phase 1 report (March 1993). In this Assessment Phase, EM-50 practices were determined through interviews with staff members. The interviews were conducted from the end of September through early December 1993. EM-50 management documents (Phase 1) and practices (Phase 2) were compared to the Performance Objectives and Criteria (POCs) contained in the DOE/HQ Cost Quality Management Assessment Handbook. More detail on the CQMA process is provided in section 2. Interviewees are listed in appendix A. Documents reviewed during Phase 2 are listed in appendix B. Section 3 contains detailed observations, discussions, and recommendations. A summary of observations and recommendations is presented.

  4. Assessing the costs of municipal solid waste treatment technologies in developing Asian countries.

    Science.gov (United States)

    Aleluia, João; Ferrão, Paulo

    2017-11-01

    The management of municipal solid waste (MSW) is one of the main costs incurred by local authorities in developing countries. According to some estimates, these costs can account for up to 50% of city government budgets. It is therefore of importance that policymakers, urban planners and practitioners have an adequate understanding of what these costs consist of, from collection to final waste disposal. This article focuses on a specific stage of the MSW value chain, the treatment of waste, and it aims to identify cost patterns associated with the implementation and operation of waste treatment approaches in developing Asian countries. An analysis of the capital (CAPEX) and operational expenditures (OPEX) of a number of facilities located in countries of the region was conducted based on a database gathering nearly 100 projects and which served as basis for assessing four technology categories: composting, anaerobic digestion (AD), thermal treatment, and the production of refuse-derived fuel (RDF). Among these, it was found that the least costly to invest, asa function of the capacity to process waste, are composting facilities, with an average CAPEX per ton of 21,493 USD 2015 /ton. Conversely, at the upper end featured incineration plants, with an average CAPEX of 81,880 USD 2015 /ton, with this treatment approach ranking by and large as the most capital intensive of the four categories assessed. OPEX figures of the plants, normalized and analyzed in the form of OPEX/ton, were also found to be higher for incineration than for biological treatment methods, although on this component differences amongst the technology groups were less pronounced than those observed for CAPEX. While the results indicated the existence of distinct cost implications for available treatment approaches in the developing Asian context, the analysis also underscored the importance of understanding the local context asa means to properly identify the cost structure of each specific plant

  5. Programme Costing of a Physical Activity Programme in Primary Prevention: Should the Costs of Health Asset Assessment and Participatory Programme Development Count?

    Directory of Open Access Journals (Sweden)

    Silke B. Wolfenstetter

    2012-01-01

    Full Text Available This analysis aims to discuss the implications of the “health asset concept”, introduced by the WHO, and the “investment for health model” requiring a “participatory approach” of cooperative programme development applied on a physical activity programme for socially disadvantaged women and to demonstrate the related costing issues as well as the relevant decision context. The costs of programme implementation amounted to €48,700. Adding the costs for developing the programme design of €48,800 results in total costs of €97,500; adding on top of that the costs of asset assessment running to €35,600 would total €133,100. These four different cost figures match four different types of potentially relevant decisions contexts. Depending on the decision context the total costs, and hence the incremental cost-effectiveness ratio of a health promotion intervention, could differ considerably. Therefore, a detailed cost assessment and the identification of the decision context are of crucial importance.

  6. Environmental tipping points significantly affect the cost-benefit assessment of climate policies.

    Science.gov (United States)

    Cai, Yongyang; Judd, Kenneth L; Lenton, Timothy M; Lontzek, Thomas S; Narita, Daiju

    2015-04-14

    Most current cost-benefit analyses of climate change policies suggest an optimal global climate policy that is significantly less stringent than the level required to meet the internationally agreed 2 °C target. This is partly because the sum of estimated economic damage of climate change across various sectors, such as energy use and changes in agricultural production, results in only a small economic loss or even a small economic gain in the gross world product under predicted levels of climate change. However, those cost-benefit analyses rarely take account of environmental tipping points leading to abrupt and irreversible impacts on market and nonmarket goods and services, including those provided by the climate and by ecosystems. Here we show that including environmental tipping point impacts in a stochastic dynamic integrated assessment model profoundly alters cost-benefit assessment of global climate policy. The risk of a tipping point, even if it only has nonmarket impacts, could substantially increase the present optimal carbon tax. For example, a risk of only 5% loss in nonmarket goods that occurs with a 5% annual probability at 4 °C increase of the global surface temperature causes an immediate two-thirds increase in optimal carbon tax. If the tipping point also has a 5% impact on market goods, the optimal carbon tax increases by more than a factor of 3. Hence existing cost-benefit assessments of global climate policy may be significantly underestimating the needs for controlling climate change.

  7. Life Cycle Assessment and Life Cycle Cost Analysis of Magnesia Spinel Brick Production

    Directory of Open Access Journals (Sweden)

    Aysun Özkan

    2016-07-01

    Full Text Available Sustainable use of natural resources in the production of construction materials has become a necessity both in Europe and Turkey. Construction products in Europe should have European Conformity (CE and Environmental Product Declaration (EPD, an independently verified and registered document in line with the European standard EN 15804. An EPD certificate can be created by performing a Life Cycle Assessment (LCA study. In this particular work, an LCA study was carried out for a refractory brick production for environmental assessment. In addition to the LCA, the Life Cycle Cost (LCC analysis was also applied for economic assessment. Firstly, a cradle-to-gate LCA was performed for one ton of magnesia spinel refractory brick. The CML IA method included in the licensed SimaPro 8.0.1 software was chosen to calculate impact categories (namely, abiotic depletion, global warming potential, acidification potential, eutrophication potential, human toxicity, ecotoxicity, ozone depletion potential, and photochemical oxidation potential. The LCC analysis was performed by developing a cost model for internal and external cost categories within the software. The results were supported by a sensitivity analysis. According to the results, the production of raw materials and the firing process in the magnesia spinel brick production were found to have several negative effects on the environment and were costly.

  8. An Assessment Of The Life Cycle Costs And GHG Emissions For Alternative Generation Technologies

    Energy Technology Data Exchange (ETDEWEB)

    Donnelly, C. Richard; Carias, Anibal; Ali, Mohammad; Wood, Nicholas; Morgenroth, Michael; Bridgeman, Andrew

    2010-09-15

    The best choices for supplying energy in a manner that can reduce emissions at a reasonable cost while still ensuring grid stability and reliability of supply is a matter of some debate. In this paper, a first principles analysis is performed to look at life-cycle costs and emissions as well as the amount of energy that is provided to the system from various low-emission alternatives, including wind, water, solar and nuclear power. These low-emission sources are then benchmarked against coal-fired energy production to establish a normalized assessment of the clean energy alternatives currently available.

  9. Industrial Cost-Benefit Assessment for Fault-tolerant Control Systems

    DEFF Research Database (Denmark)

    Thybo, C.; Blanke, M.

    1998-01-01

    against failure. The paper describes the assessments needed to find the right path for new industrial designs. The economic decisions in the design phase are discussed: cost of different failures, profits associated with available benefits, investments needed for development and life-time support....... The objective of this paper is to help, in the early product development state, to find the economical most suitable scheme. A salient result is that with increased customer awareness of total cost of ownership, new products can benefit significantly from applying fault tolerant control principles....

  10. Social Cost Assessment for Nuclear Fuel Cycle Options in the Republic of Korea

    Energy Technology Data Exchange (ETDEWEB)

    Joo, Ji-eun; Yim, Man-Sung [KAIST, Daejeon (Korea, Republic of)

    2016-10-15

    This paper will investigate the vast array of economic factors to estimate the true cost of the nuclear power. There are many studies addressing the external costs of energy production. However, it is only since the 1990s that the external costs of nuclear powered electricity production has been studied in detail. Each investigation has identified their own set of external costs and developed formulas and models using a variety of statistical techniques. The objective of this research is to broaden the scope of the parameters currently consider by adding new areas and expanding on the types of situations considered. Previously the approach to evaluating the external cost of nuclear power did not include various fuel cycle options and influencing parameters. Cost has always been a very important factor in decision-making, in particular for policy choices evaluating the alternative energy sources and electricity generation technologies. Assessment of external costs in support of decision-making should reflect timely consideration of important country specific policy objective. PWR-MOX and FR-Pyro are the best fuel cycle in parameter of environment impacts, but OT or OT-ER is proper than FR-Pyro in human beings. Using the OT fuel cycle is better than FR-Pyro to reduce the conflict cost. When energy supply is deficient, FR-Pyro fuel cycle stands longer than other fuel cycles. Proliferation resistance is shown as 'high' in all fuel cycles, so there are no difference between fuel cycles. When the severe accident occurs, FR-Pyro cycle is economical than other OT based fuel cycles.

  11. Assessment of Environmental and Economic Impacts of Vine-Growing Combining Life Cycle Assessment, Life Cycle Costing and Multicriterial Analysis

    Directory of Open Access Journals (Sweden)

    Giacomo Falcone

    2016-08-01

    Full Text Available The wine sector is going through a significant evolution dealing with the challenges of competition issues in international markets and with necessary commitments to sustainability improvement. In the wine supply chain, the agricultural phase represents a potential source of pollution and costs. From the farmers’ point of view, these contexts require them to be more attentive and find a compromise among environmental benefits, economic benefits, and costs linked to farming practices. This paper aims to make a sustainability assessment of different wine-growing scenarios located in Calabria (Southern Italy that combines conflicting insights, i.e., environmental and economic ones, by applying Life Cycle Assessment (LCA and Life Cycle Costing (LCC to identify the main hotspots and select the alternative scenarios closest to the ideal solution through the VIKOR multicriteria method. In particular, the latter allowed us to obtain synthetic indices for a two-dimensional sustainability assessment. Conventional practices associated to the espalier training system represent the best compromise from both environmental and economic points of view, due to the higher yield per hectare. The choices regarding Functional Unit (FU and indicators were shown to have a high influence on results.

  12. Are disproportionate costs of the WFD an issue?

    DEFF Research Database (Denmark)

    Jacobsen, Brian H.; Olsen, Søren Bøye; Jensen, Carsten Lynge

    water catchment areas in Denmark where costs and benefits are estimated for each of the areas. In order to support and validate the main findings from the 23 CBAs, a sensitivity analysis is conducted where costs and benefits are assessed in a less conservative way. The results in terms of net present...... value for each catchment from the conservative approach suggest as a preliminary indication that costs could be disproportionate in several Danish water catchment areas. The sensitivity analysis further helps to pinpoint two or three areas where we suggest that more detailed and precise CBAs are needed...

  13. Cost-effectiveness Assessment of 5G Systems with Cooperative Radio Resource Sharing

    Directory of Open Access Journals (Sweden)

    V. Nikolikj

    2015-11-01

    Full Text Available By use of techno-economic analysis of heterogeneous hierarchical cell structures and spectral efficiencies of the forthcoming advanced radio access technologies, this paper proposes various cost-efficient capacity enlargement strategies evaluated through the level of the production cost per transferred data unit and achievable profit margins. For the purpose of maximizing the aggregate performance (capacity or profit, we also assess the cooperative manners of radio resource sharing between mobile network operators, especially in the cases of capacity over-provisioning, when we also determine the principles to provide guaranteed data rates to a particular number of users. The results show that, for heavily loaded office environments, the future 5G pico base stations could be a preferable deployment solution. Also, we confirm that the radio resource management method with dynamic resource allocation can significantly improve the capacity of two comparably loaded operators which share the resources and aim to increase their cost effectiveness.

  14. Quest for An Ideal, Simple and Cost-Effective Stain for Morphological Assessment of Sperms.

    Science.gov (United States)

    Lingappa, Hemalatha Anthanahalli; Govindashetty, Abhishek Mandya; Krishnamurthy, Anoosha; Puttaveerachary, Ashok Kagathur; Manchaiah, Sanjay; Shimoga, Indira Channagangappa; Mallaradhya, Sushma Hulikere; Gowda, Sarvesh Ballekoppa Mukunda

    2015-10-01

    Recent alarming trends of a substantial rise in the number of cases of infertility with as many as 30-40% being attributed to male-factor associated causes have created a need for further studies and advancements in semen analysis. Despite the focus on semen analysis over the years, assessment of sperm morphology has not been given due importance although it is a simple, standard and baseline diagnostic modality. It can be used to predict the need and outcome of Artificial Reproductive Techniques such as Invitro Fertilization, Gamete Intra Fallopian Tube Transfer and Intra Cytoplasmic Sperm Injection. To find the ideal, simple and cost-effective basic stain for assessment of sperm morphology in a rural tertiary care set- up where advanced equipment for assessment of sperm morphometry are inaccessible. An updated way of determining sperm shape is called the Kruger's strict morphology method. Keeping this as the standard criterion, we studied semen samples of 62 healthy male subjects using four basic staining techniques and the consensus of four independent observers was tabulated. We found that Haematoxylin and Eosin stain was the best stain for assessment of sperm head morphology. Rapid Papanicolau stain was the most ideal, simple and cost-effective stain for overall assessment of sperm morphology. Sperm morphology assessment remains the baseline necessity for the diagnosis and management of male factor associated infertility when advanced techniques are unavailable, inaccessible or unaffordable.

  15. Value within otolaryngology: Assessment of the cost-utility analysis literature

    Directory of Open Access Journals (Sweden)

    Krupa R. Patel

    2016-03-01

    Full Text Available Objective: To assess the characteristics and quality of cost utility analyses (CUA related to otolaryngology within the CEA registry and to summarize their collective results. Methods: All cost-utility analyses published between 1976 and 2011 contained in the Cost-Effectiveness Analysis Registry (CEA Registry were evaluated. Topics that fall within the care of an otolaryngologist were included in the review regardless of the presence of an otolaryngologist author. Potential associations between various study characteristics and CEA registry quality scores were evaluated using the Pearson product moment correlation coefficient. Results: Sixty-one of 2913 (2.1% total CUA publications screened were related to otolaryngology. Eighteen of 61 (29.5% publications included an otolaryngologist as an author. Fourteen studies agreed on the cost effectiveness of at least unilateral cochlear implantation and six of seven (85.7% studies demonstrated the cost effectiveness of continuous positive airway pressure (CPAP for obstructive sleep apnea (OSA. Forty-six percent (28 of 61 of all manuscripts were published between 2008 and 2011. A more recent publication year was associated with a higher CEA registry quality score while the presence of an otolaryngologist author and journal impact factor had no significant correlation with the quality of the CUA. Conclusion: Based on current evidence in the CEA registry, unilateral cochlear implantation for hearing loss and CPAP for OSA are both cost-effective therapeutic interventions. Although CUAs in otolaryngology have increased in quantity and improved in quality in more recent years, there is a relative lack of CUAs in otolaryngology in comparison to other subspecialties. Keyword: Cost-utility analysis

  16. Assessing Cost-effectiveness of Green Infrastructures in response to Large Storm Events at Household Scale

    Science.gov (United States)

    Chui, T. F. M.; Liu, X.; Zhan, W.

    2015-12-01

    Green infrastructures (GI) are becoming more important for urban stormwater control worldwide. However, relatively few studies focus on researching the specific designs of GI at household scale. This study assesses the hydrological performance and cost-effectiveness of different GI designs, namely green roofs, bioretention systems and porous pavements. It aims to generate generic insights by comparing the optimal designs of each GI in 2-year and 50-year storms of Hong Kong, China and Seattle, US. EPA SWMM is first used to simulate the hydrologic performance, in particular, the peak runoff reduction of thousands of GI designs. Then, life cycle costs of the designs are computed and their effectiveness, in terms of peak runoff reduction percentage per thousand dollars, is compared. The peak runoff reduction increases almost linearly with costs for green roofs. However, for bioretention systems and porous pavements, peak runoff reduction only increases significantly with costs in the mid values. For achieving the same peak runoff reduction percentage, the optimal soil depth of green roofs increases with the design storm, while surface area does not change significantly. On the other hand, for bioretention systems and porous pavements, the optimal surface area increases with the design storm, while thickness does not change significantly. In general, the cost effectiveness of porous pavements is highest, followed by bioretention systems and then green roofs. The cost effectiveness is higher for a smaller storm, and is thus higher for 2-year storm than 50-year storm, and is also higher for Seattle when compared to Hong Kong. This study allows us to better understand the hydrological performance and cost-effectiveness of different GI designs. It facilitates the implementation of optimal choice and design of each specific GI for stormwater mitigation.

  17. Analysis on Occupants’ Satisfaction for Safety Performance Assessment in Low Cost Housing

    Directory of Open Access Journals (Sweden)

    Husin Husrul Nizam

    2014-01-01

    Full Text Available The delivery performance of the low cost housing is questioned since the occupants are prone towards safety hazards in the housing complex, such as structural instability and falling building fragments. Without defining the occupants’ requirements for the development of low cost housing, the prevailing safety factors are hard to be determined. This paper explores the rationale of safety performance assessment in the low cost housing by considering the occupants’ participation to achieve a better safety provision during occupancy period. Questionnaire survey was distributed to 380 occupants of the low cost housing in Kuala Lumpur and Selangor, Malaysia. The result shows that 80.8% of the respondents had expressed their dissatisfaction with the safety performance of the lift. By referring to the mode of ranking level, the most significant aspect rated by the respondents is Building Safety Features, with 51.6% respondents. The attained aspects can be fundamental parameters which can be considered in the future development of low cost housing.

  18. Assessing the use of Radio Frequency Identification technologies as an alternative for insurance costs in hospitals.

    Science.gov (United States)

    Asgharzadeh-Karamshahloo, Iraj; Jabbarzadeh, Armin; Shavvalpour, Saeed

    2017-12-15

    This research assesses the use of Radio Frequency Identification (RFID) technologies as an alternative for insurance costs in hospitals. Despite the advantages of RFID, this technology has not been applied in most hospitals due to implementation costs and amortization of RFID. In this paper, we intend to model the total profit of hospitals in three scenarios namely, application of RFID technology in the hospital, without applying RFID technology in the hospital and insuring patients and equipment in the hospital. We analyzed the aforementioned situations over a period of time to find out how they affect the profit of the hospital. Based on this analysis we concluded that if applying RFID technology is costly, it will be feasible for advanced hospitals with more beds. In the scenario of insuring patients and equipment, if insurance organization takes over a small portion of the cost of the mistakes and oversights, insuring patients and equipment will not be feasible for the hospital, and it is better to apply RFID technology Instead. RFID is among the technologies applied to reduce mistakes of the personnel in hospitals. Moreover, applying this technology has led to a decrease in the number of personnel required in hospitals. This study models total profit of hospitals in three aforementioned scenarios. Based on analyzing these models we conclude that if applying RFID technology is costly, it will be feasible for advanced hospitals with more beds.

  19. Shaking up the Cost Benefit Analysis process: Issues and directions for improvement when assessing integrated spatial transport plans through a cost benefit analysis

    NARCIS (Netherlands)

    Beukers, E.

    2015-01-01

    This dissertation focusses on the Cost Benefit Analysis (CBA) processes when assessing integrated spatial transport plans, using the Netherlands as a case in point. It answers the following research question: What process issues occur when assessing integrated spatial transport plans through a CBA

  20. The Danish transport infrastructure 2030. Report from the Danish Infrastructure Commission; Danmarks transportinfrastruktur 2030. Betaenkning fra Infrastrukturkommissionen

    Energy Technology Data Exchange (ETDEWEB)

    2008-01-15

    The Danish Infrastructure Commission was appointed in November 2006 following a government decision. The terms of reference for the work of the commission state that 'the overall objective is for Denmark to maintain and develop its position as one of the countries in the world with the best transport systems, despite the fact that growing traffic volumes are increasing the requirements in the long term'. On this background, the commission has been given the following main tasks: 1) To analyse and assess the key challenges and development potential for the infrastructure and national traffic investments until 2030. 2) To identify and assess the strategic options and priorities and to put forward suggestions to strengthen the basis for the national investment decisions in the transport area. Furthermore, the commission was given the task of analysing and assessing proposals for strategies for handling a number of selected issues. These include the issue of cost-effective organisation and management of construction projects, the handling of preservation, climate and environmental concerns, the opportunity for better utilisation of the infrastructure by means of modern IT, and the significance of the long-term physical planning. The Danish Infrastructure Commission recommends six focus areas to be used as the starting point for planning the future transport system. Transport is about quality of life and prosperity - about connections between people, families and businesses. Infrastructure contributes to ensuring that we can get to work, and that products and goods can be transported to their destination in the shops and to the consumers. This makes infrastructure a vital cornerstone for our welfare and prosperity. Mobility is a key element in the competitiveness of businesses - and thus also for the growth conditions of Danish society. Efficient transport systems contribute to ensuring that goods can be produced in the best and least expensive location. The

  1. Comparative assessment of hydrogen storage and international electricity trade for a Danish energy system with wind power and hydrogen/fuel cell technologies. Final project report

    Energy Technology Data Exchange (ETDEWEB)

    Soerensen, Bent (Roskilde University, Energy, Environment and Climate Group, Dept. of Environmental, Social and Spatial Change (ENSPAC) (DK)); Meibom, P.; Nielsen, Lars Henrik; Karlsson, K. (Technical Univ. of Denmark, Risoe National Laboratory for Sustainable Energy, Systems Analysis Dept., Roskilde (DK)); Hauge Pedersen, A. (DONG Energy, Copenhagen (DK)); Lindboe, H.H.; Bregnebaek, L. (ea Energy Analysis, Copenhagen (DK))

    2008-02-15

    This report is the final outcome of a project carried out under the Danish Energy Agency's Energy Research Programme. The aims of the project can be summarized as follows: 1) Simulation of an energy system with a large share of wind power and possibly hydrogen, including economic optimization through trade at the Nordic power pool (exchange market) and/or use of hydrogen storage. The time horizon is 50 years. 2) Formulating new scenarios for situations with and without development of viable fuel cell technologies. 3) Updating software to solve the abovementioned problems. The project has identified a range of scenarios for all parts of the energy system, including most visions of possible future developments. (BA)

  2. Assessing the use of delta C-13 natural abundance in separation of root and microbial respiration in a Danish beech (¤Fagus Sylvatica¤ L.) forest

    DEFF Research Database (Denmark)

    Formanek, P.; Ambus, P.

    2004-01-01

    Our understanding of forest biosphere-atmosphere interactions is fundamental for predicting forest ecosystem responses to climatic changes. Currently, however, our knowledge is incomplete partly due to inability to separate the major components of soil CO2 effluxes, viz. root respiration, microbial...... decomposition of soil organic matter and microbial decomposition of litter material. In this study we examined whether the delta(13)C characteristics of solid organic matter and respired CO2 from different soil-C components and root respiration in a Danish beech forest were useful to provide information...... layers (delta(13)C range -23.6 to -23.4parts per thousand). The CO2 evolved from root respiration in isolated young beech plants revealed a value intermediate between those for the soil humus and mineral horizons, delta(13)C(root) = -22.2parts per thousand, but was associated with great variability (SE...

  3. Danish Balance of Payments Support

    DEFF Research Database (Denmark)

    Tarp, Finn; Kragh, Mads Váczy

    This study is an analysis of Danish Balance for Payments Support (BOP) covering the period 1988-94. This aid instrument has not so far been used as an active tool to further Danish policy conditionalities vis-à-vis the reform process in developing countries. On the contrary, BOP has mainly been...

  4. A Danish case. Portfolio evaluation and its impact on energy efficiency policy

    Energy Technology Data Exchange (ETDEWEB)

    Togeby, M.; Dyhr-Mikkelsen, K. [Ea Energy Analyses, Frederiksholms Kanal 4, 1220 Copenhagen K (Denmark); Larsen, A.E. [Department of Society and Globalisation, Roskilde University, Universitetsvej 1, 4000 Roskilde (Denmark); Bach, P. [Danish Energy Agency, Amaliegade 44, 1256 Copenhagen K (Denmark)

    2012-01-15

    A political agreement from 2005 stated that an evaluation of the entire Danish energy efficiency policy portfolio must be carried out before the end of 2008, with the aim to assess the following: (1) Is the policy portfolio sufficient to meet the energy efficiency targets? (2) Do the policies enable the national goals to be met in a cost-effective manner? (3) Is the overall design of the policy portfolio appropriate? The evaluation gave recommendations on how to improve and develop the portfolio, mainly using cost-effectiveness as criteria. The evaluation was completed in December 2008, and this paper presents the main findings and the subsequent impact on Danish policy. A key lesson learned is the importance of including all energy efficiency policies in the evaluation. Examining the entire portfolio of policies (as opposed to only selected policies) gave way to findings that would otherwise not have been captured. With its broad perspective, the evaluation found that the policy instruments prioritised the commercial and industrial sectors less than the household and public sectors. The recommendations made by the authors contributed to the implementation of new taxes for the commercial and industrial sectors together with the reform of the Electricity Saving Trust to a Centre for Energy Savings charged with energy savings within all sectors, except transport - both which have been important steps towards a more cost-effective solution.

  5. The Danish Dyslexia Test

    DEFF Research Database (Denmark)

    Poulsen, Mads; Elbro, Carsten; Møller, Helene Lykke

    2016-01-01

    to university in Denmark. Oversampling of 300 students who received special support in reading allowed for comparisons with current practice for referral to special support. Results and conclusions: Decoding skills increased from Grade 3 to 9. There was limited evidence for further age-based growth beyond Grade...... this possibility by asking whether students who receive special support in reading differ from other students on the same scale of decoding across all educational levels. Method: Decoding and spelling measures from a newly developed, web-based Danish dyslexia test were taken from 1564 students from Grade 3...

  6. The Danish schizophrenia registry

    DEFF Research Database (Denmark)

    Baandrup, Lone; Cerqueira, Charlotte; Haller, Lea

    2016-01-01

    Aim of database: To systematically monitor and improve the quality of treatment and care of patients with schizophrenia in Denmark. In addition, the database is accessible as a resource for research. Study population: Patients diagnosed with schizophrenia and receiving mental health care...... to the data for use in specific research projects by applying to the steering committee. Conclusion: The Danish Schizophrenia Registry represents a valuable source of informative data to monitor and improve the quality of care of patients with schizophrenia in Denmark. However, continuous resources and time...

  7. The Danish Schizophrenia Registry

    DEFF Research Database (Denmark)

    Baandrup, Lone; Cerqueira, Charlotte; Haller, Lea

    2016-01-01

    Aim of database: To systematically monitor and improve the quality of treatment and care of patients with schizophrenia in Denmark. In addition, the database is accessible as a resource for research. Study population: Patients diagnosed with schizophrenia and receiving mental health care...... to the data for use in specific research projects by applying to the steering committee. Conclusion: The Danish Schizophrenia Registry represents a valuable source of informative data to monitor and improve the quality of care of patients with schizophrenia in Denmark. However, continuous resources and time...

  8. Danish-accented Chinese

    DEFF Research Database (Denmark)

    Wang, Lei; Sloos, Marjoleine 莱娜; Zhang, Chun

    -ba /pha pa/ ta-da /tha ta/ ka-ga / kha-ka/ For L2 acquisition it is held that same and new phonemes are (relatively) easy acquired, whereas similar but not identical sounds are difficult to learn. New sounds are initially mapped onto the L1 phoneme inventory (Kuhl 1991). For Danish, this would predict.......K. (1991). Human adults and human infants show a ‘perceptual magnet effect’ for the prototypes of speech categories, monkeys do not. Perception & Psychophysics, 50, pp. 93-107....

  9. Questioning Danish Cartoon Images

    DEFF Research Database (Denmark)

    Bojsen, Heidi

    2007-01-01

    The article discusses the language and satirical cartoons that describe African Danes in the Danish media. Starting with a brief historical overview of the social fonction of satirical cartoons in Denmark since the Reformation, it is discussed whether satire and satirical cartoons actually have s...... Danes today when it is considered demeaning and racist in most other countries. The conclusion does emphatically not plead in favour of law enforced limitations of the freedom of expression, but does question the prevalent "freedom of ignorance" concerning black identities which means...

  10. Annoying Danish Relatives

    DEFF Research Database (Denmark)

    Jensen de López, Kristine M.; Sundahl Olsen, Lone; Chondrigianni, V.

    2014-01-01

    This study examines the comprehension and production of subject and object relative clauses (SRCs, ORCs) by children with Specific Language Impairment (SLI) and their typically developing (TD) peers. The purpose is to investigate whether relative clauses are problematic for Danish children with SLI...... task, as well as on SRCs compared to ORCs and produced various avoidance strategies. In the ORC context, children with SLI produced more reversal errors than the AM children, who opted for passive ORCs. These results are discussed within current theories of SLI and indicate a deficiency...

  11. Danish farmers and investors

    DEFF Research Database (Denmark)

    Hajderllari, Luljeta; Karantininis, Konstantinos; Bonnichsen, Ole

    , Poland, Romania and Latvia. Data from 44 mail surveys was analysed to explore the push and pull factors that contribute to farmers’ level of activities outside their home country. The responses given in the mail survey are analysed using two analytical methods of frequency analysis and an ordered probit...... model. The results indicate that the important factors for Danish farmers to extend overseas are price and availability of land, institutional governance, network and image with regard to farming. These findings generally support the literature regarding reasons for farmers to increase their cross...

  12. Danish Urogynaecological Database

    DEFF Research Database (Denmark)

    Hansen, Ulla Darling; Gradel, Kim Oren; Larsen, Michael Due

    2016-01-01

    The Danish Urogynaecological Database is established in order to ensure high quality of treatment for patients undergoing urogynecological surgery. The database contains details of all women in Denmark undergoing incontinence surgery or pelvic organ prolapse surgery amounting to ~5,200 procedures......, complications if relevant, implants used if relevant, 3-6-month postoperative recording of symptoms, if any. A set of clinical quality indicators is being maintained by the steering committee for the database and is published in an annual report which also contains extensive descriptive statistics. The database...

  13. Danish Rural Eye Study

    DEFF Research Database (Denmark)

    Høeg, Tracy B; Moldow, Birgitte; Ellervik, Christina

    2015-01-01

    and older from a Danish rural municipality received a complete general health examination and an ophthalmological interview and examination. This study included a comprehensive ophthalmologic interview, measurement of best corrected visual acuity (BCVA) in each eye, Hirschberg's test for strabismus and two...... 45-degree retinal fundus photographs of each eye. A complete ophthalmologic examination was performed when indicated. RESULTS: The prevalence of monocular visual impairment (MVI) was 4.26% (95% CI, 3.66-4.95, n = 163). Amblyopia was the most common cause, accounting for 33%. The prevalence...

  14. The costs of failure: A preliminary assessment of major energy accidents, 1907-2007

    Energy Technology Data Exchange (ETDEWEB)

    Sovacool, Benjamin K. [Energy Governance Program, Centre on Asia and Globalisation, Lee Kuan Yew School of Public Policy, National University of Singapore (Singapore)

    2008-05-15

    A combination of technical complexity, tight coupling, speed, and human fallibility contribute to the unexpected failure of large-scale energy technologies. This study offers a preliminary assessment of the social and economic costs of major energy accidents from 1907 to 2007. It documents 279 incidents that have been responsible for $41 billion in property damage and 182,156 deaths. Such disasters highlight an often-ignored negative externality to energy production and use, and emphasize the need for further research. (author)

  15. Assessment of indirect losses and costs of emergency for project planning of alpine hazard mitigation

    Science.gov (United States)

    Amenda, Lisa; Pfurtscheller, Clemens

    2013-04-01

    By virtue of augmented settling in hazardous areas and increased asset values, natural disasters such as floods, landslides and rockfalls cause high economic losses in Alpine lateral valleys. Especially in small municipalities, indirect losses, mainly stemming from a breakdown of transport networks, and costs of emergency can reach critical levels. A quantification of these losses is necessary to estimate the worthiness of mitigation measures, to determine the appropriate level of disaster assistance and to improve risk management strategies. There are comprehensive approaches available for assessing direct losses. However, indirect losses and costs of emergency are widely not assessed and the empirical basis for estimating these costs is weak. To address the resulting uncertainties of project appraisals, a standardized methodology has been developed dealing with issues of local economic effects and emergency efforts needed. In our approach, the cost-benefit-analysis for technical mitigation of the Austrian Torrent and Avalanche Control (TAC) will be optimized and extended using the 2005-debris flow as a design event, which struggled a small town in the upper Inn valley in southwest Tyrol (Austria). Thereby, 84 buildings were affected, 430 people were evacuated and due to this, the TAC implemented protection measures for 3.75 million Euros. Upgrading the method of the TAC and analyzing to what extent the cost-benefit-ratio is about to change, is one of the main objectives of this study. For estimating short-run indirect effects and costs of emergency on the local level, data was collected via questionnaires, field mapping, guided interviews, as well as intense literature research. According to this, up-to-date calculation methods were evolved and the cost-benefit-analysis of TAC was recalculated with these new-implemented results. The cost-benefit-ratio will be more precise and specific and hence, the decision, which mitigation alternative will be carried out

  16. Using Habitat Equivalency Analysis to Assess the Cost Effectiveness of Restoration Outcomes in Four Institutional Contexts

    Science.gov (United States)

    Scemama, Pierre; Levrel, Harold

    2016-01-01

    At the national level, with a fixed amount of resources available for public investment in the restoration of biodiversity, it is difficult to prioritize alternative restoration projects. One way to do this is to assess the level of ecosystem services delivered by these projects and to compare them with their costs. The challenge is to derive a common unit of measurement for ecosystem services in order to compare projects which are carried out in different institutional contexts having different goals (application of environmental laws, management of natural reserves, etc.). This paper assesses the use of habitat equivalency analysis (HEA) as a tool to evaluate ecosystem services provided by restoration projects developed in different institutional contexts. This tool was initially developed to quantify the level of ecosystem services required to compensate for non-market impacts coming from accidental pollution in the US. In this paper, HEA is used to assess the cost effectiveness of several restoration projects in relation to different environmental policies, using case studies based in France. Four case studies were used: the creation of a market for wetlands, public acceptance of a port development project, the rehabilitation of marshes to mitigate nitrate loading to the sea, and the restoration of streams in a protected area. Our main conclusion is that HEA can provide a simple tool to clarify the objectives of restoration projects, to compare the cost and effectiveness of these projects, and to carry out trade-offs, without requiring significant amounts of human or technical resources.

  17. Cost, Time, and Risk Assessment of Different Wave Energy Converter Technology Development Trajectories: Preprint

    Energy Technology Data Exchange (ETDEWEB)

    Weber, Jochem W [National Renewable Energy Laboratory (NREL), Golden, CO (United States); Laird, Daniel [National Renewable Energy Laboratory (NREL), Golden, CO (United States); Costello, Ronan [Wave Venture; Roberts, Jesse [Sandia National Laboratories; Bull, Diana [Sandia National Laboratories; Babarit, Aurelien [Ecole Centrale de Nantes; Nielsen, Kim [Ramboll; Ferreira, Claudio Bittencourt [DNV-GL; Kennedy, Ben [Wave Venture

    2017-09-14

    This paper presents a comparative assessment of three fundamentally different wave energy converter technology development trajectories. The three technology development trajectories are expressed and visualised as a function of technology readiness levels and technology performance levels. The assessment shows that development trajectories that initially prioritize technology readiness over technology performance are likely to require twice the development time, consume a threefold of the development cost, and are prone to a risk of technical or commercial failure of one order of magnitude higher than those development trajectories that initially prioritize technology performance over technology readiness.

  18. Hydrogen/halogen energy storage system: safety, performance, and cost assessment. Final report

    Energy Technology Data Exchange (ETDEWEB)

    Spaziante, P.M.; Sioli, G.C.; Trotta, R.

    1979-02-01

    The aim of this work was to make realistic assessments of the safety, performance, and installation costs of an electrochemically regenerative H/sub 2//Cl/sub 2/ energy storage system based on detailed engineering designs of plant configurations. Extensive laboratory tests in FY 1976, 1977, and 1978 provided the needed theoretical and experimental data for this study. The effectiveness of this scheme of energy storage required practical confirmation. In this assessment particular care was taken to list and include all the secondary units needed for plant operation. Results are detailed. (WHK)

  19. Rapid Bioassessment and In Situ Bioassay: Cost Effective Tools for Environmental Impact Assessment

    Energy Technology Data Exchange (ETDEWEB)

    Wike, L.D.

    2002-08-23

    Environmental impact can be difficult to assess, especially at the ecosystem level. Any impact assessment methodology that can give cost effective and timely results is highly desirable. Rapid bioassessment (RBA) is cost effective and produces timely results. Several types of RBA have been used at the Savannah River Site (SRS) to assess stream conditions, including the Index of Biotic Integrity (IBI) based on fish community characteristics, and various techniques using aquatic macroinvertebrate species diversity and abundance. In an attempt to broaden the applicability of the RBA concept, we have also begun to develop RBA techniques for seep-fed wetlands and terrestrial habitats. These techniques will focus on vertebrate and macroinvertebrate assemblages for seep-fed wetlands and arthropod assemblages for terrestrial habitats. In situ bioassay is another technique that could be used for rapid and economical assessment of the effects of anthropogenic disturbance. We propose the development of two methods of in situ bioassay that can address bioavailability of constituents of concern. The use of caged bioassay organisms can be applied to terrestrial systems such as capped or existing waste sites using the common house cricket. Another proposed bioassay could use a resident species, such as the imported red fire ant, which is found in disturbed habitats and open areas such as waste sites. Combining in situ techniques with RBA methodologies has the potential to provide a comprehensive assessment of chemical and physical impacts to a wide range of ecosystem types.

  20. Assessing the Battery Cost at Which Plug-In Hybrid Medium-Duty Parcel Delivery Vehicles Become Cost-Effective

    Energy Technology Data Exchange (ETDEWEB)

    Ramroth, L. A.; Gonder, J. D.; Brooker, A. D.

    2013-04-01

    The National Renewable Energy Laboratory (NREL) validated diesel-conventional and diesel-hybrid medium-duty parcel delivery vehicle models to evaluate petroleum reductions and cost implications of hybrid and plug-in hybrid diesel variants. The hybrid and plug-in hybrid variants are run on a field data-derived design matrix to analyze the effect of drive cycle, distance, engine downsizing, battery replacements, and battery energy on fuel consumption and lifetime cost. For an array of diesel fuel costs, the battery cost per kilowatt-hour at which the hybridized configuration becomes cost-effective is calculated. This builds on a previous analysis that found the fuel savings from medium duty plug-in hybrids more than offset the vehicles' incremental price under future battery and fuel cost projections, but that they seldom did so under present day cost assumptions in the absence of purchase incentives. The results also highlight the importance of understanding the application's drive cycle specific daily distance and kinetic intensity.

  1. Corporate Cost of Occupational Accidents

    DEFF Research Database (Denmark)

    Rikhardsson, Pall M.; Impgaard, M.

    2004-01-01

    The systematic accident cost analysis (SACA) project was carried out during 2001 by The Aarhus School of Business and PricewaterhouseCoopers Denmark with financial support from The Danish National Working Environment Authority. Its focused on developing and testing a method for evaluating...... occupational costs of companies for use by occupational health and safety professionals. The method was tested in nine Danish companies within three different industry sectors and the costs of 27 selected occupational accidents in these companies were calculated. One of the main conclusions is that the SACA...... method could be used in all of the companies without revisions. The evaluation of accident cost showed that 2/3 of the costs of occupational accidents are visible in the Danish corporate accounting systems reviewed while 1/3 is hidden from management view. The highest cost of occupational accidents...

  2. The Danish Nephrology Registry.

    Science.gov (United States)

    Heaf, James

    2016-01-01

    The Danish Nephrology Registry's (DNR) primary function is to support the Danish public health authorities' quality control program for patients with end-stage renal disease in order to improve patient care. DNR also supplies epidemiological data to several international organizations and supports epidemiological and clinical research. The study population included patients treated with dialysis or transplantation in Denmark from January 1, 1990 to January 1, 2016, with retrospective data since 1964. DNR registers patient data (eg, age, sex, renal diagnosis, and comorbidity), predialysis specialist treatment, details of eight dialysis modalities (three hemodialysis and five peritoneal dialysis), all transplantation courses, dialysis access at first dialysis, treatment complications, and biochemical variables. The database is complete (nutritional and uremia status. Date and cause of death are also included. Six quality indicators are published annually, and have been associated with improvements in patient results, eg, a reduction in dialysis patient mortality, improved graft survival, and earlier referral to specialist care. Approximately, ten articles, mainly epidemiological, are published each year. DNR contains a complete description of end-stage renal disease patients in Denmark, their treatment, and prognosis. The stated aims are fulfilled.

  3. Subgroup analysis of telehealthcare for patients with chronic obstructive pulmonary disease: the cluster-randomized Danish Telecare North Trial

    Directory of Open Access Journals (Sweden)

    Witt Udsen F

    2017-07-01

    Full Text Available Flemming Witt Udsen,1 Pernille H Lilholt,2 Ole K Hejlesen,2 Lars H Ehlers1 1Danish Centre for Healthcare Improvements, Aalborg University, Aalborg, Denmark; 2Department of Health Science and Technology, Aalborg University, Aalborg, Denmark Purpose: Results from the Danish cluster-randomized trial of telehealthcare to 1,225 patients with chronic obstructive pulmonary disease (COPD, the Danish Telecare North Trial, concluded that the telehealthcare solution was unlikely to be cost-effective, by applying international willingness-to-pay threshold values. The purpose of this article was to assess potential sources of variation across subgroups, which could explain overall cost-effectiveness results or be utilized in future economic studies in telehealthcare research. Methods: First, the cost-structures and cost-effectiveness across COPD severities were analyzed. Second, five additional subgroup analyses were conducted, focusing on differences in cost-effectiveness across a set of comorbidities, age-groups, genders, resource patterns (resource use in the social care sector prior to randomization, and delivery sites. All subgroups were ­investigated post hoc. In analyzing cost-effectiveness, two separate linear mixed-effects models with treatment-by-covariate interactions were applied: one for quality-adjusted life-year (QALY gain and one for total healthcare and social sector costs. Probabilistic sensitivity analysis was used for each subgroup result in order to quantify the uncertainty around the cost-effectiveness results. Results: The study concludes that, across the COPD severities, patients with severe COPD (GOLD 3 classification are likely to be the most cost-effective group. This is primarily due to lower hospital-admission and primary-care costs. Telehealthcare for patients younger than 60 years is also more likely to be cost-effective than for older COPD patients. Overall, results indicate that existing resource patterns of patients and

  4. Applications of life cycle assessment and cost analysis in health care waste management

    Energy Technology Data Exchange (ETDEWEB)

    Soares, Sebastiao Roberto, E-mail: soares@ens.ufsc.br [Department of Sanitary Engineering, Federal University of Santa Catarina, UFSC, Campus Universitario, Centro Tecnologico, Trindade, PO Box 476, Florianopolis, SC 88040-970 (Brazil); Finotti, Alexandra Rodrigues, E-mail: finotti@ens.ufsc.br [Department of Sanitary Engineering, Federal University of Santa Catarina, UFSC, Campus Universitario, Centro Tecnologico, Trindade, PO Box 476, Florianopolis, SC 88040-970 (Brazil); Prudencio da Silva, Vamilson, E-mail: vamilson@epagri.sc.gov.br [Department of Sanitary Engineering, Federal University of Santa Catarina, UFSC, Campus Universitario, Centro Tecnologico, Trindade, PO Box 476, Florianopolis, SC 88040-970 (Brazil); EPAGRI, Rod. Admar Gonzaga 1347, Itacorubi, Florianopolis, Santa Catarina 88034-901 (Brazil); Alvarenga, Rodrigo A.F., E-mail: alvarenga.raf@gmail.com [Department of Sanitary Engineering, Federal University of Santa Catarina, UFSC, Campus Universitario, Centro Tecnologico, Trindade, PO Box 476, Florianopolis, SC 88040-970 (Brazil); Ghent University, Department of Sustainable Organic Chemistry and Technology, Coupure Links 653/9000 Gent (Belgium)

    2013-01-15

    Highlights: Black-Right-Pointing-Pointer Three Health Care Waste (HCW) scenarios were assessed through environmental and cost analysis. Black-Right-Pointing-Pointer HCW treatment using microwave oven had the lowest environmental impacts and costs in comparison with autoclave and lime. Black-Right-Pointing-Pointer Lime had the worst environmental and economic results for HCW treatment, in comparison with autoclave and microwave. - Abstract: The establishment of rules to manage Health Care Waste (HCW) is a challenge for the public sector. Regulatory agencies must ensure the safety of waste management alternatives for two very different profiles of generators: (1) hospitals, which concentrate the production of HCW and (2) small establishments, such as clinics, pharmacies and other sources, that generate dispersed quantities of HCW and are scattered throughout the city. To assist in developing sector regulations for the small generators, we evaluated three management scenarios using decision-making tools. They consisted of a disinfection technique (microwave, autoclave and lime) followed by landfilling, where transportation was also included. The microwave, autoclave and lime techniques were tested at the laboratory to establish the operating parameters to ensure their efficiency in disinfection. Using a life cycle assessment (LCA) and cost analysis, the decision-making tools aimed to determine the technique with the best environmental performance. This consisted of evaluating the eco-efficiency of each scenario. Based on the life cycle assessment, microwaving had the lowest environmental impact (12.64 Pt) followed by autoclaving (48.46 Pt). The cost analyses indicated values of US$ 0.12 kg{sup -1} for the waste treated with microwaves, US$ 1.10 kg{sup -1} for the waste treated by the autoclave and US$ 1.53 kg{sup -1} for the waste treated with lime. The microwave disinfection presented the best eco-efficiency performance among those studied and provided a feasible

  5. The Neuropsychiatric Inventory--NPI. Validation of the Danish version

    DEFF Research Database (Denmark)

    Korner, A.; Lauritzen, Lotte; Lolk, A.

    2008-01-01

    Assessment of neuropsychiatric symptoms in dementia has great clinical importance. The aim of the study was validation of the Danish version of the NPI, using assessments of 72 demented and 29 non-demented of age 65+ years and their caregivers at three visits. The NPI was administered by the same...... NPI and NPI-VAS were high; only two domains had coefficients below 0.60: depression and agitation/aggression. NPI-total scores increase with increasing severity of dementia. The NPI did not fulfil the scalability assessed by the Mokken and Loevinger coefficients. The NPI Danish version is valid...

  6. Dimensions of Competitiveness: Lessons from the Danish Pork Industry

    OpenAIRE

    Hobbs, Jill E.

    2001-01-01

    Conventional evaluations of industry competitiveness tend to focus on a narrow range of production cost variables. Using these criteria, we would expect industries such as the Danish pork industry to be uncompetitive relative to the pork industries of Canada and the United States, given relatively high input costs and legislative limits on farm size for environmental reasons. Yet Denmark accounts for 25 to 30 percent of global pork exports. To explain this apparent paradox, a broader concepti...

  7. Assessing the Costs and Benefits of the Superior Energy Performance Program

    Energy Technology Data Exchange (ETDEWEB)

    Therkelsen, Peter; McKane, Aimee; Sabouini, Ridah; Evans, Tracy

    2013-07-01

    Industrial companies are seeking to manage energy consumption and costs, mitigate risks associated with energy, and introduce transparency into reports of their energy performance achievements. Forty industrial facilities are participating in the U.S. DOE supported Superior Energy Performance (SEP) program in which facilities implement an energy management system based on the ISO 50001 standard, and pursue third-party verification of their energy performance improvements. SEP certification provides industrial facilities recognition for implementing a consistent, rigorous, internationally recognized business process for continually improving energy performance and achievement of established energy performance improvement targets. This paper focuses on the business value of SEP and ISO 50001, providing an assessment of the costs and benefits associated with SEP implementation at nine SEP-certified facilities across a variety of industrial sectors. These cost-benefit analyses are part of the U.S. DOE?s contribution to the Global Superior Energy Performance (GSEP) partnership, a multi-country effort to demonstrate, using facility data, that energy management system implementation enables companies to improve their energy performance with a greater return on investment than business-as-usual (BAU) activity. To examine the business value of SEP certification, interviews were conducted with SEP-certified facilities. The costs of implementing the SEP program, including internal facility staff time, are described and a marginal payback of SEP certification has been determined. Additionally, more qualitative factors with regard to the business value and challenges related to SEP and ISO 50001 implementation are summarized.

  8. Large-scale terrestrial solar cell power generation cost: A preliminary assessment

    Science.gov (United States)

    Spakowski, A. E.; Shure, L. I.

    1972-01-01

    A cost study was made to assess the potential of the large-scale use of solar cell power for terrestrial applications. The incentive is the attraction of a zero-pollution source of power for wide-scale use. Unlike many other concepts for low-pollution power generation, even thermal pollution is avoided since only the incident solar flux is utilized. To provide a basis for comparison and a perspective for evaluation, the pertinent technology was treated in two categories: current and optimistic. Factors considered were solar cells, array assembly, power conditioning, site preparation, buildings, maintenance, and operation. The capital investment was assumed to be amortized over 30 years. The useful life of the solar cell array was assumed to be 10 years, and the cases of zero and 50-percent performance deg-radation were considered. Land costs, taxes, and profits were not included in this study because it was found too difficult to provide good generalized estimates of these items. On the basis of the factors considered, it is shown that even for optimistic projections of technology, electric power from large-sclae terrestrial use of solar cells is approximately two to three orders of magnitude more costly than current electric power generation from either fossil or nuclear fuel powerplants. For solar cell power generation to be a viable competitor on a cost basis, technological breakthroughs would be required in both solar cell and array fabrication and in site preparation.

  9. Intelligent transport systems deployment in Thessaloniki: Assessment of costs and benefits

    Directory of Open Access Journals (Sweden)

    Mitsakis Evangelos

    2015-01-01

    Full Text Available Transportation projects often require large initial investments and are expected to generate benefits extending far into the future. Thus, there is a need to compare benefits and costs that occur at different periods over time. Since money has a time value, the same amount of money at different time periods does not have the same value. Therefore, it is important to convert costs and benefits into equivalent values when conducting a Cost-Benefit Analysis (CBA. A special category of transportation projects is that of Intelligent Transport Systems (ITS. ITS comprise innovative solutions for travel demand and traffic management, and it is expected to play a key role in future sustainable urban development plans. Compared to other transportation projects, ITS have a lower initial investment. In this paper a framework based on a CBA is presented, assessing costs and benefits of three ITS projects implemented in Thessaloniki, Greece. The paper refers to future developments of ITS in the city of Thessaloniki. The examined systems have already been developed as demonstration systems in various regions throughout Europe. The benefits of the systems have been transferred and scaled up, so as to be in line with the specific characteristics of the Greek environment.

  10. Preventive child health care at elementary school age: The costs of routine assessments with a triage approach.

    Directory of Open Access Journals (Sweden)

    Janine Bezem

    Full Text Available Triage in Preventive Child Health Care (PCH assessments could further the efficient use of human resources and budgets and therefore make extra care possible for children with specific needs. We assessed the costs of routine PCH assessments with and without triage for children aged 5/6 years and 10/11 years. In a triage approach, PCH assistants conduct pre-assessments to identify children requiring follow-up assessments by a physician or nurse. In the usual approach, all children are assessed by a physician and an assistant (children aged 5/6 years or a nurse (children aged 10/11 years.All the direct costs of conducting routine PCH assessments with the triage and usual approach were assessed using a bottom-up micro-costing approach. In four PCH services in the Netherlands, two using triage and two the usual approach, professionals completed questionnaires about time spent on assessments, including time related to non-attendance at assessments, the referral of children and administration.The projected costs for PCH professionals working on PCH assessments amounted to €5.2 million per cohort of 100,000 children aged 5/6 years in the triage approach, and €7.6 million in the usual approach. The projected costs in both approaches for children aged 10/11 years were about €4 million per 100,000 children.The triage approach to PCH resulted in a projected cost reduction of about one-third, compared with usual practice, for routine assessments by physicians of children aged 5/6 years. There are minimal cost savings in the group of children aged 10/11 years when nurses are involved and so other considerations such as workforce shortages would be required to justify a change to a triage approach. Further research is needed to investigate the differences in costs of care after the completion of the routine assessments.

  11. Proposal for the development of a standardized protocol for assessing the economic costs of HIV prevention interventions.

    Science.gov (United States)

    Pinkerton, Steven D; Pearson, Cynthia R; Eachus, Susan R; Berg, Karina M; Grimes, Richard M

    2008-03-01

    Maximizing our economic investment in HIV prevention requires balancing the costs of candidate interventions against their effects and selecting the most cost-effective interventions for implementation. However, many HIV prevention intervention trials do not collect cost information, and those that do use a variety of cost data collection methods and analysis techniques. Standardized cost data collection procedures, instrumentation, and analysis techniques are needed to facilitate the task of assessing intervention costs and to ensure comparability across intervention trials. This article describes the basic elements of a standardized cost data collection and analysis protocol and outlines a computer-based approach to implementing this protocol. Ultimately, the development of such a protocol would require contributions and "buy-in" from a diverse range of stakeholders, including HIV prevention researchers, cost-effectiveness analysts, community collaborators, public health decision makers, and funding agencies.

  12. Estimation of incidence and social cost of colon cancer due to nitrate in drinking water in the EU: a tentative cost-benefit assessment

    Directory of Open Access Journals (Sweden)

    Rabl Ari

    2010-10-01

    Full Text Available Abstract Background Presently, health costs associated with nitrate in drinking water are uncertain and not quantified. This limits proper evaluation of current policies and measures for solving or preventing nitrate pollution of drinking water resources. The cost for society associated with nitrate is also relevant for integrated assessment of EU nitrogen policies taking a perspective of welfare optimization. The overarching question is at which nitrogen mitigation level the social cost of measures, including their consequence for availability of food and energy, matches the social benefit of these measures for human health and biodiversity. Methods Epidemiological studies suggest colon cancer to be possibly associated with nitrate in drinking water. In this study risk increase for colon cancer is based on a case-control study for Iowa, which is extrapolated to assess the social cost for 11 EU member states by using data on cancer incidence, nitrogen leaching and drinking water supply in the EU. Health costs are provisionally compared with nitrate mitigation costs and social benefits of fertilizer use. Results For above median meat consumption the risk of colon cancer doubles when exposed to drinking water exceeding 25 mg/L of nitrate (NO3 for more than ten years. We estimate the associated increase of incidence of colon cancer from nitrate contamination of groundwater based drinking water in EU11 at 3%. This corresponds to a population-averaged health loss of 2.9 euro per capita or 0.7 euro per kg of nitrate-N leaching from fertilizer. Conclusions Our cost estimates indicate that current measures to prevent exceedance of 50 mg/L NO3 are probably beneficial for society and that a stricter nitrate limit and additional measures may be justified. The present assessment of social cost is uncertain because it considers only one type of cancer, it is based on one epidemiological study in Iowa, and involves various assumptions regarding exposure. Our

  13. Estimation of incidence and social cost of colon cancer due to nitrate in drinking water in the EU: a tentative cost-benefit assessment.

    Science.gov (United States)

    van Grinsven, Hans J M; Rabl, Ari; de Kok, Theo M

    2010-10-06

    Presently, health costs associated with nitrate in drinking water are uncertain and not quantified. This limits proper evaluation of current policies and measures for solving or preventing nitrate pollution of drinking water resources. The cost for society associated with nitrate is also relevant for integrated assessment of EU nitrogen policies taking a perspective of welfare optimization. The overarching question is at which nitrogen mitigation level the social cost of measures, including their consequence for availability of food and energy, matches the social benefit of these measures for human health and biodiversity. Epidemiological studies suggest colon cancer to be possibly associated with nitrate in drinking water. In this study risk increase for colon cancer is based on a case-control study for Iowa, which is extrapolated to assess the social cost for 11 EU member states by using data on cancer incidence, nitrogen leaching and drinking water supply in the EU. Health costs are provisionally compared with nitrate mitigation costs and social benefits of fertilizer use. For above median meat consumption the risk of colon cancer doubles when exposed to drinking water exceeding 25 mg/L of nitrate (NO3) for more than ten years. We estimate the associated increase of incidence of colon cancer from nitrate contamination of groundwater based drinking water in EU11 at 3%. This corresponds to a population-averaged health loss of 2.9 euro per capita or 0.7 euro per kg of nitrate-N leaching from fertilizer. Our cost estimates indicate that current measures to prevent exceedance of 50 mg/L NO3 are probably beneficial for society and that a stricter nitrate limit and additional measures may be justified. The present assessment of social cost is uncertain because it considers only one type of cancer, it is based on one epidemiological study in Iowa, and involves various assumptions regarding exposure. Our results highlight the need for improved epidemiological studies.

  14. Automatic Voltage Control (AVC) of Danish Transmission System - Concept design

    DEFF Research Database (Denmark)

    Qin, Nan; Abildgaard, Hans; Lund, P.

    2014-01-01

    . Another consequence is the public way of generally thinking green which have led to a national decision of undergrounding not only all of the Danish distribution system but also the future transmission system. These issues initiate the infrastructure constructions of the transmission system i.e. a large......, objectives, constraints, algorithms for optimal power flow and some special functions in particular systems, which inspires the concept design of a Danish AVC system to address the future challenges of voltage control. In the concept, the Danish AVC design is based on a centralized control scheme. All...... the buses are monitored where the voltage magnitudes are maintained continually. The loss minimization including switching cost is the objectives of the AVC system. The reactive power reserves as constraints are taken into account to limit the regulation capabilities of generators. The Day ahead and short...

  15. Compact low-cost detector for in vivo assessment of microphytobenthos using laser induced fluorescence

    Science.gov (United States)

    Utkin, A. B.; Vieira, S.; Marques da Silva, J.; Lavrov, A.; Leite, E.; Cartaxana, P.

    2013-03-01

    The development of a compact low-cost detector for non-destructive assessment of microphytobenthos using laser induced fluorescence was described. The detector was built from a specially modified commercial miniature fiber optic spectrometer (Ocean Optics USB4000). Its usefulness is experimentally verified by the study of diatom-dominated biofilms inhabiting the upper layers of intertidal sediments of the Tagus Estuary, Portugal. It is demonstrated that, operating with a laser emitter producing 30 mJ pulses at the wavelength of 532 nm, the detector is capable to record fluorescence signals with sufficient intensity for the quantitative biomass characterization of the motile epipelic microphytobenthic communities and to monitor their migratory activity. This paves the way for building an entire emitter-detector LIF system for microphytobenthos monitoring, which will enable microalgae communities occupying hardly accessible intertidal flats to be monitored in vivo at affordable cost.

  16. Danish Cartoon Crisis/Controversy

    DEFF Research Database (Denmark)

    Hervik, Peter

    2017-01-01

    The Danish Cartoon Crisis Controversy is one of several terms that refer to the turmoil that associates with the Danish newspaper Morgenavisen Jyllands-Posten’s publication of 12 cartoons on 30 September 2005. “The Muhammad Cartoon Crisis” is an alternative heading used for the violent global...... reactions that broke out in early 2006 as localized reactions to stories about the publication of the cartoons, the Danish government’s denial of dialogue, and two delegations of Muslims travelling from Denmark to the Middle East to rally for political, moral, and religious support....

  17. Assessing cost-effectiveness in mental health: vocational rehabilitation for schizophrenia and related conditions.

    Science.gov (United States)

    Chalamat, Maturot; Mihalopoulos, Cathrine; Carter, Rob; Vos, Theo

    2005-08-01

    Existing evidence suggests that vocational rehabilitation services, in particular individual placement and support (IPS), are effective in assisting people with schizophrenia and related conditions gain open employment. Despite this, such services are not available to all unemployed people with schizophrenia who wish to work. Existing evidence suggests that while IPS confers no clinical advantages over routine care, it does improve the proportion of people returning to employment. The objective of the current study is to investigate the net benefit of introducing IPS services into current mental health services in Australia. The net benefit of IPS is assessed from a health sector perspective using cost-benefit analysis. A two-stage approach is taken to the assessment of benefit. The first stage involves a quantitative analysis of the net benefit, defined as the benefits of IPS (comprising transfer payments averted, income tax accrued and individual income earned) minus the costs. The second stage involves application of 'second-filter' criteria (including equity, strength of evidence, feasibility and acceptability to stakeholders) to results. The robustness of results is tested using the multivariate probabilistic sensitivity analysis. The costs of IPS are 10.3M Australian dollars (95% uncertainty interval 7.4M-13.6M Australian dollars), the benefits are 4.7M (3.1M-6.5M Australian dollars), resulting in a negative net benefit of 5.6M Australian dollars (8.4M-3.4M Australian dollars). The current analysis suggests that IPS costs are greater than the monetary benefits. However, the evidence-base of the current analysis is weak. Structural conditions surrounding welfare payments in Australia create disincentives to full-time employment for people with disabilities.

  18. A watershed-scale assessment of cost-effectiveness of sediment abatement with flow diversion terraces.

    Science.gov (United States)

    Yang, Qi; Zhao, Zhengyong; Benoy, Glenn; Chow, Thien Lien; Rees, Herb W; Bourque, Charles P-A; Meng, Fan-Rui

    2010-01-01

    Soil conservation beneficial management practices (BMPs) are effective at controlling soil loss from farmlands and minimizing water pollution in agricultural watersheds. However, costs associated with implementing and maintaining these practices are high and often deter farmers from using them. Consequently, it is necessary to conduct cost-benefit analysis of BMP implementation to assist decision-makers with planning to provide the greatest level of environmental protection with limited resources and funding. The Soil and Water Assessment Tool (SWAT) was used to evaluate the efficacy of flow diversion terraces (FDT) in abating sediment yield at the outlet of Black Brook Watershed (BBW), northwestern New Brunswick. Different FDT-implementation scenarios were expressed as the ratio of land area protected by FDT to the total cultivated area. From this analysis, we found that average annual sediment yield decreased exponentially with increased FDT protection. When the proportion of FDT-protected areas was low, sediment reductions caused by FDT increased sharply with increasing use of FDT. Similarly, marginal sediment yield abatement costs (dollar per tonne of sediment reduction) increased exponentially with increasing proportion of FDT-protected area. The results indicated that increasing land protection with FDT from 6 to 50% would result in a reduction of about 2.1 tonne ha(-1) yr(-1) and costs of sediment reduction increased from $7 to $12 per tonne. Increasing FDT-protected cropland from 50 to 100%, a reduction of about 0.9 tonne of sediment ha(-1) yr(-1) would occur and the costs would increase from $12 to $53 per tonne of sediment yield reduction.

  19. The Costs of Evaluating Species Densities and Composition of Snakes to Assess Development Impacts in Amazonia

    Science.gov (United States)

    de Fraga, Rafael; Stow, Adam J.; Magnusson, William E.; Lima, Albertina P.

    2014-01-01

    Studies leading to decision-making for environmental licensing often fail to provide accurate estimates of diversity. Measures of snake diversity are regularly obtained to assess development impacts in the rainforests of the Amazon Basin, but this taxonomic group may be subject to poor detection probabilities. Recently, the Brazilian government tried to standardize sampling designs by the implementation of a system (RAPELD) to quantify biological diversity using spatially-standardized sampling units. Consistency in sampling design allows the detection probabilities to be compared among taxa, and sampling effort and associated cost to be evaluated. The cost effectiveness of detecting snakes has received no attention in Amazonia. Here we tested the effects of reducing sampling effort on estimates of species densities and assemblage composition. We identified snakes in seven plot systems, each standardised with 14 plots. The 250 m long centre line of each plot followed an altitudinal contour. Surveys were repeated four times in each plot and detection probabilities were estimated for the 41 species encountered. Reducing the number of observations, or the size of the sampling modules, caused significant loss of information on species densities and local patterns of variation in assemblage composition. We estimated the cost to find a snake as $ 120 U.S., but general linear models indicated the possibility of identifying differences in assemblage composition for half the overall survey costs. Decisions to reduce sampling effort depend on the importance of lost information to target-issues, and may not be the preferred option if there is the potential for identifying individual snake species requiring specific conservation actions. However, in most studies of human disturbance on species assemblages, it is likely to be more cost-effective to focus on other groups of organisms with higher detection probabilities. PMID:25147930

  20. The predictive value of ICD-10 diagnostic coding used to assess Charlson comorbidity index conditions in the population-based Danish National Registry of Patients

    Directory of Open Access Journals (Sweden)

    Lash Timothy L

    2011-05-01

    Full Text Available Abstract Background The Charlson comorbidity index is often used to control for confounding in research based on medical databases. There are few studies of the accuracy of the codes obtained from these databases. We examined the positive predictive value (PPV of the ICD-10 diagnostic coding in the Danish National Registry of Patients (NRP for the 19 Charlson conditions. Methods Among all hospitalizations in Northern Denmark between 1 January 1998 and 31 December 2007 with a first-listed diagnosis of a Charlson condition in the NRP, we selected 50 hospital contacts for each condition. We reviewed discharge summaries and medical records to verify the NRP diagnoses, and computed the PPV as the proportion of confirmed diagnoses. Results A total of 950 records were reviewed. The overall PPV for the 19 Charlson conditions was 98.0% (95% CI; 96.9, 98.8. The PPVs ranged from 82.0% (95% CI; 68.6%, 91.4% for diabetes with diabetic complications to 100% (one-sided 97.5% CI; 92.9%, 100% for congestive heart failure, peripheral vascular disease, chronic pulmonary disease, mild and severe liver disease, hemiplegia, renal disease, leukaemia, lymphoma, metastatic tumour, and AIDS. Conclusion The PPV of NRP coding of the Charlson conditions was consistently high.

  1. Development of a Danish speech intelligibility test

    DEFF Research Database (Denmark)

    Nielsen, Jens Bo; Dau, Torsten

    2009-01-01

    Abstract A Danish speech intelligibility test for assessing the speech recognition threshold in noise (SRTN) has been developed. The test consists of 180 sentences distributed in 18 phonetically balanced lists. The sentences are based on an open word-set and represent everyday language....... The sentences were equalized with respect to intelligibility to ensure uniform SRTN assessments with all lists. In contrast to several previously developed tests such as the hearing in noise test (HINT) where the equalization is based on scored (objective) measures of word intelligibility, the present test used...

  2. Danish National Lymphoma Registry

    DEFF Research Database (Denmark)

    Arboe, Bente; Josefsson, Pär; Jørgensen, Judit

    2016-01-01

    AIM OF DATABASE: The Danish National Lymphoma Registry (LYFO) was established in order to monitor and improve the diagnostic evaluation and the quality of treatment of all lymphoma patients in Denmark. STUDY POPULATION: The LYFO database was established in 1982 as a seminational database including...... all lymphoma patients referred to the departments of hematology. The database became nationwide on January 1, 2000. MAIN VARIABLES: The main variables include both clinical and paraclinical variables as well as details of treatment and treatment evaluation. Up to four forms are completed for each......-100 years) and a male/female ratio of 1.23:1. Patients can be registered with any of 42 different subtypes according to the World Health Organization classifications. CONCLUSION: LYFO is a nationwide database for all lymphoma patients in Denmark and includes detailed information. This information is used...

  3. The modern Danish student

    DEFF Research Database (Denmark)

    Lassesen, Berit

    2007-01-01

    and personal aspects, 2) an internally motivated and existential "personal growth" orientation, 3) a process - rather than result-oriented attitude towards educational activities, 4) a short-term "here- and now" motivation, and 5) an ambivalent attitude towards who is responsible for the result of the learning......Abstract A study based on diaries written by 82 students at Roskilde University (Simonsen & Ulriksen, 1998) concluded that the attitudes regarding choice of education and educational activities of the "modern Danish student" are characterized by 1) an orientation towards the individualized....... Factor analyses revealed a number of internally consistent and theoretically relevant dimensions. 686 students from four different faculties at the University of Aarhus then completed the questionnaire. The results confirmed that the attitudes of philosophy students corresponded to those described...

  4. The Danish National Tests

    DEFF Research Database (Denmark)

    Beuchert, Louise Voldby; Nandrup, Anne Brink

    working with the first four rounds of the test data. We provide a brief introduction to adaptive testing, the available data and general data issues including missing data, test participation and data transformations. Additionally, we construct a standardized measure of the raw pupil ability estimate......In 2010, the Danish National Tests were implemented in the public compulsory schools as a mean of evaluating the performance of the public school system. The extensive test program consists of ten mandatory tests in six subjects in grades 2 through 8. In this paper, we share our insights from...... within each test and argue that this is often a more feasible measure for data analyses compared to the transformed test score presented to pupils and teachers. We provide the reader with preliminary analyses of the relation between pupils' national test results and a wide range of pupil background...

  5. The Danish Contracting System

    DEFF Research Database (Denmark)

    Bonke, Sten; Levring, Peter

    development trends are indicated. A third section describes the contemporary external, regulative framework of construction projects. In the two final sections the construction process is decomposed with regard to 1)phases and activities and 2)procurement forms, actors and functions.......The paper is mainly concerned with the institutional framework of the Danish construction industry, describing structures, rules and actors' roles within a perspective of nationally defined procedural guidelines on construction projects. These aspects are treated under the concept of a "contracting...... system". After a short introduction to the structure and activities of the industry the post-war development is reviewed, in particular emphasising the importance of the early industrialisation process which in an international perspective represents quite unique features. Furthermore the most recent...

  6. Danish soldiers in Iraq

    DEFF Research Database (Denmark)

    Nissen, Lars Ravnborg; Marott, Jacob Louis; Gyntelberg, Finn

    2011-01-01

    Using data from an occupational medical health surveillance program, we studied the associations between mental stressors and social support and the two outcome measures postdeployment psychological distress and multiple physical symptoms among Danish soldiers deployed to Iraq. The study was cross...... the assumption that other factors than combat exposure-psychosocial and cultural-are of importance in increasing psychological distress among soldiers deployed to Iraq. Additionally, we have shown that the reporting of multiple physical symptoms among the deployed soldiers is closely related to increased......-sectional and questionnaire-based with soldiers returning from the mission as the target group. Witnessing atrocities, fear of being physically harmed, feeling of insecurity, feeling of meaninglessness, and having been in touch with prisoners were associated with both outcome measures. In conclusion, our findings support...

  7. The Danish Depression Database

    DEFF Research Database (Denmark)

    Videbech, Poul Bror Hemming; Deleuran, Anette

    2016-01-01

    AIM OF DATABASE: The purpose of the Danish Depression Database (DDD) is to monitor and facilitate the improvement of the quality of the treatment of depression in Denmark. Furthermore, the DDD has been designed to facilitate research. STUDY POPULATION: Inpatients as well as outpatients...... as an evaluation of the risk of suicide are measured before and after treatment. Whether psychiatric aftercare has been scheduled for inpatients and the rate of rehospitalization are also registered. DESCRIPTIVE DATA: The database was launched in 2011. Every year since then ~5,500 inpatients and 7,500 outpatients...... have been registered annually in the database. A total of 24,083 inpatients and 29,918 outpatients have been registered. The DDD produces an annual report published on the Internet. CONCLUSION: The DDD can become an important tool for quality improvement and research, when the reporting is more...

  8. Cross-cultural Adaption and Validation of the Danish Voice Handicap Index

    DEFF Research Database (Denmark)

    Sorensen, Jesper Roed; Printz, Trine; Mehlum, Camilla Slot

    2018-01-01

    OBJECTIVES: We aimed to assess psychometric properties, including internal consistency, reliability, and clinical validity of the Danish version of the Voice Handicap Index (VHI). STUDY DESIGN: A cross-sectional survey study was carried out. METHODS: For validation, the existing nonvalidated Danish...

  9. The 2012 Danish Presidency of the Council of the European Union

    DEFF Research Database (Denmark)

    Manners, Ian James

    2013-01-01

    This assessment will examine three sides of the Danish Presidency: its historical context, the Danish priorities and the most difficult challenges.2 It will conclude that the Presidency was largely a function of the political and economic context in which Denmark found itself during January to June......, which was not the case during 2012....

  10. The Danish Sarcoma Database

    Directory of Open Access Journals (Sweden)

    Jorgensen PH

    2016-10-01

    Full Text Available Peter Holmberg Jørgensen,1 Gunnar Schwarz Lausten,2 Alma B Pedersen3 1Tumor Section, Department of Orthopedic Surgery, Aarhus University Hospital, Aarhus, 2Tumor Section, Department of Orthopedic Surgery, Rigshospitalet, Copenhagen, 3Department of Clinical Epidemiology, Aarhus University Hospital, Aarhus, Denmark Aim: The aim of the database is to gather information about sarcomas treated in Denmark in order to continuously monitor and improve the quality of sarcoma treatment in a local, a national, and an international perspective. Study population: Patients in Denmark diagnosed with a sarcoma, both skeletal and ekstraskeletal, are to be registered since 2009. Main variables: The database contains information about appearance of symptoms; date of receiving referral to a sarcoma center; date of first visit; whether surgery has been performed elsewhere before referral, diagnosis, and treatment; tumor characteristics such as location, size, malignancy grade, and growth pattern; details on treatment (kind of surgery, amount of radiation therapy, type and duration of chemotherapy; complications of treatment; local recurrence and metastases; and comorbidity. In addition, several quality indicators are registered in order to measure the quality of care provided by the hospitals and make comparisons between hospitals and with international standards. Descriptive data: Demographic patient-specific data such as age, sex, region of living, comorbidity, World Health Organization's International Classification of Diseases – tenth edition codes and TNM Classification of Malignant Tumours, and date of death (after yearly coupling to the Danish Civil Registration System. Data quality and completeness are currently secured. Conclusion: The Danish Sarcoma Database is population based and includes sarcomas occurring in Denmark since 2009. It is a valuable tool for monitoring sarcoma incidence and quality of treatment and its improvement, postoperative

  11. The Danish Nephrology Registry

    Directory of Open Access Journals (Sweden)

    Heaf J

    2016-10-01

    Full Text Available James Heaf Department of Medicine, Roskilde Hospital, University of Copenhagen, Roskilde, Denmark Aim of database: The Danish Nephrology Registry's (DNR primary function is to support the Danish public health authorities' quality control program for patients with end-stage renal disease in order to improve patient care. DNR also supplies epidemiological data to several international organizations and supports epidemiological and clinical research. Study population: The study population included patients treated with dialysis or transplantation in Denmark from January 1, 1990 to January 1, 2016, with retrospective data since 1964. Main variables: DNR registers patient data (eg, age, sex, renal diagnosis, and comorbidity, predialysis specialist treatment, details of eight dialysis modalities (three hemodialysis and five peritoneal dialysis, all transplantation courses, dialysis access at first dialysis, treatment complications, and biochemical variables. The database is complete (<1% missing data. Patients are followed until death or emigration. Descriptive data: DNR now contains 18,120 patients, and an average of 678 is added annually. Data for each transplantation course include donor details, tissue type, time to onset of graft function, and cause of graft loss. Registered complications include peritonitis in peritoneal dialysis patients, causes of peritoneal dialysis technique failure, and transplant rejections. Fifteen biochemical variables are registered, mainly describing anemia control, mineral and bone disease, nutritional and uremia status. Date and cause of death are also included. Six quality indicators are published annually, and have been associated with improvements in patient results, eg, a reduction in dialysis patient mortality, improved graft survival, and earlier referral to specialist care. Approximately, ten articles, mainly epidemiological, are published each year. Conclusion: DNR contains a complete description of end

  12. Holistic impact assessment and cost savings of rainwater harvesting at the watershed scale

    Directory of Open Access Journals (Sweden)

    Santosh R. Ghimire

    2017-03-01

    Full Text Available We evaluated the impacts of domestic and agricultural rainwater harvesting (RWH systems in three watersheds within the Albemarle-Pamlico river basin (southeastern U.S. using life cycle assessment (LCA and life cycle cost assessment. Life cycle impact assessment (LCIA categories included energy demand, fossil fuel, metals, ozone depletion, global warming, acidification, smog, blue and green water use, ecotoxicity, eutrophication, and human health effects. Building upon previous LCAs of near-optimal domestic and agricultural RWH systems in the region, we scaled functional unit LCIA scores for adoption rates of 25%, 50%, 75%, and 100% and compared these to conventional municipal water and well water systems. In addition to investigating watershed-scale impacts of RWH adoption, which few studies have addressed, potential life cycle cost savings due to reduced cumulative energy demand were scaled in each watershed for a more comprehensive analysis. The importance of managing the holistic water balance, including blue water (surface/ground water, green water (rainwater use, and annual precipitation and their relationship to RWH are also addressed. RWH contributes to water resource sustainability by offsetting surface and ground water consumption and by reducing environmental and human health impacts compared to conventional sources. A watershed-wide RWH adoption rate of 25% has a number of ecological and human health benefits including blue water use reduction ranging from 2–39 Mm3, cumulative energy savings of 12–210 TJ, and reduced global warming potential of 600–10,100 Mg CO2 eq. Potential maximum lifetime energy cost savings were estimated at $5M and $24M corresponding to domestic RWH in Greens Mill and agricultural RWH in Back Creek watersheds.

  13. A RAPID ASSESSMENT MODEL FOR UNDERSTANDING THE SOCIAL COST OF CARBON

    OpenAIRE

    STEPHEN C. NEWBOLD; CHARLES GRIFFITHS; CHRIS MOORE; ANN WOLVERTON; ELIZABETH KOPITS

    2013-01-01

    The "social cost of carbon" (SCC) is the present value of the stream of future damages from one additional unit of carbon emissions in a particular year. This paper develops a rapid assessment model for the SCC. The model includes the essential ingredients for calculating the SCC at the global scale and is designed to be transparent and easy to use and modify. Our goal is to provide a tool to help analysts and decision-makers quickly explore the implications of various modeling assumptions fo...

  14. Guidebook in using Cost Benefit Analysis and strategic environmental assessment for environmental planning in China

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2011-07-01

    Environmental planning in China may benefit from greater use of Cost Benefit Analysis (CBA) and Strategic Environmental Assessment (SEA) methodologies. We provide guidance on using these methodologies. Part I and II show the principles behind the methodologies as well as their theoretical structure. Part III demonstrates the methodologies in action in a range of different good practice examples. The case studies and theoretical expositions are intended to teach by way of example as well as by understanding the principles, and to help planners use the methodologies as correctly as possible.(auth)

  15. Decommissioning of the nuclear facilities at Risø National Laboratory. Descriptions and cost assessment

    OpenAIRE

    Lauridsen, K.

    2001-01-01

    The report is the result of a project initiated by Risø National Laboratory in June 2000 on request from the Minister of Research and Information Technology. It describes the nuclear facilities at Risø National Laboratory to be decommissioned and gives anassessment of the work to be done and the costs incurred. Three decommissioning scenarios were considered with decay times of 10, 25 and 40 years for the DR 3 reactor. The assessments conclude, however, that there will not be much to gain by ...

  16. Early assessment of cost-effectiveness of gastric electrical stimulation for diabetic nausea and vomiting

    DEFF Research Database (Denmark)

    Klinge, Mette; Rask, Peter; Ejskjaer, Niels

    2017-01-01

    Background/Aims Recurrent nausea and/or vomiting are common complications of diabetes mellitus. The conditions severely impact the quality of life of patients and often cause repeated admissions to hospital incurring significant healthcare costs. If standard treatment fails, gastric electrical...... because of recurrent nausea and/or vomiting, 30 were available for evaluation. The effect of treatment was assessed prospectively using symptom-diaries and the SF-36 questionnaires at baseline, after 6 and 12 months, and thereafter yearly. The number of days in hospital due to symptoms related...

  17. Assessing the Costs and Benefits of Resilience Investments: Tennessee Valley Authority Case Study

    Energy Technology Data Exchange (ETDEWEB)

    Allen, Melissa R. [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States); Wilbanks, Thomas J. [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States); Preston, Benjamin L. [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States); Kao, Shih-Chieh [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States); Bradbury, James [U.S. Department of Energy (DOE), Office of Energy Policy and Systems Analysis (EPSA), Washington, DC (United States)

    2017-01-01

    This report describes a general approach for assessing climate change vulnerabilities of an electricity system and evaluating the costs and benefits of certain investments that would increase system resilience. It uses Tennessee Valley Authority (TVA) as a case study, concentrating on the Cumberland River basin area on the northern side of the TVA region. The study focuses in particular on evaluating risks associated with extreme heat wave and drought conditions that could be expected to affect the region by mid-century. Extreme climate event scenarios were developed using a combination of dynamically downscaled output from the Community Earth System Model and historical heat wave and drought conditions in 1993 and 2007, respectively.

  18. The Danish Lung Cancer Registry

    DEFF Research Database (Denmark)

    Jakobsen, Erik; Rasmussen, Torben Riis

    2016-01-01

    AIM OF DATABASE: The Danish Lung Cancer Registry (DLCR) was established by the Danish Lung Cancer Group. The primary and first goal of the DLCR was to improve survival and the overall clinical management of Danish lung cancer patients. STUDY POPULATION: All Danish primary lung cancer patients since...... 2000 are included into the registry and the database today contains information on more than 50,000 cases of lung cancer. MAIN VARIABLES: The database contains information on patient characteristics such as age, sex, diagnostic procedures, histology, tumor stage, lung function, performance...... the results are commented for local, regional, and national audits. Indicator results are supported by descriptive reports with details on diagnostics and treatment. CONCLUSION: DLCR has since its creation been used to improve the quality of treatment of lung cancer in Denmark and it is increasingly used...

  19. The Danish Testicular Cancer database

    DEFF Research Database (Denmark)

    Daugaard, Gedske; Kier, Maria Gry Gundgaard; Bandak, Mikkel

    2016-01-01

    AIM: The nationwide Danish Testicular Cancer database consists of a retrospective research database (DaTeCa database) and a prospective clinical database (Danish Multidisciplinary Cancer Group [DMCG] DaTeCa database). The aim is to improve the quality of care for patients with testicular cancer (TC......) in Denmark, that is, by identifying risk factors for relapse, toxicity related to treatment, and focusing on late effects. STUDY POPULATION: All Danish male patients with a histologically verified germ cell cancer diagnosis in the Danish Pathology Registry are included in the DaTeCa databases. Data...... collection has been performed from 1984 to 2007 and from 2013 onward, respectively. MAIN VARIABLES AND DESCRIPTIVE DATA: The retrospective DaTeCa database contains detailed information with more than 300 variables related to histology, stage, treatment, relapses, pathology, tumor markers, kidney function...

  20. Entrepreneurial intention of Danish students

    DEFF Research Database (Denmark)

    Fietze, Simon; Boyd, Britta

    2017-01-01

    Purpose – The purpose of this paper is to describe the entrepreneurial intention (EI) among Danish university students applying the theory of planned behaviour. Design/methodology/approach – Using cross-sectional data from the Danish Global University Student Spirit Survey 2013 (n=1,027) the anal......Purpose – The purpose of this paper is to describe the entrepreneurial intention (EI) among Danish university students applying the theory of planned behaviour. Design/methodology/approach – Using cross-sectional data from the Danish Global University Student Spirit Survey 2013 (n=1...... of entrepreneurial climate and learning. Research limitations/implications – The study points to an improvement of entrepreneurship education through customised offers dependent on the student’s level of EI and entrepreneurial self-efficacy. Originality/value – Moreover, this study has proven that the JCA...

  1. Calculating the Social Costs of Carbon without knowing preferences : Comment on “A rapid assessment model for understanding the social cost of carbon”

    NARCIS (Netherlands)

    Gerlagh, R.

    The Social Costs of Carbon (SCC) equals the marginal welfare loss associated with one unit of emitted CO2, divided by the marginal welfare gain associated with one unit of consumption. In stochastic assessments, both the nominator and denominator can depend on uncertain parameters; specifically they

  2. Validation of the Test of Functional Health Literacy in Adults in a Danish population.

    Science.gov (United States)

    Emtekaer Haesum, Lisa Korsbakke; Ehlers, Lars; Hejlesen, Ole K

    2015-09-01

    To describe how the original American full-length version of the Test of Functional Health Literacy in Adults (TOFHLA) was translated and adapted for use in the Danish setting and culture. A reliable Danish version of the TOFHLA was created and pretested using patients diagnosed with chronic obstructive pulmonary disease (COPD) as case group. Forty-two patients with COPD completed the Danish TOFHLA and participated in a face-to-face interview concerning their basic demographics. Statistical analyses were conducted to explore the demographic data provided by the participants and to determine the internal consistency and reliability of the Danish TOFHLA. The mean age of sample was 68.7 years (range 34-86). The face validity, internal consistency and item to scale correlations of the Danish TOFHLA were determined and found to fulfil well-established criteria; on this basis, we found the reliability and consistency of the Danish TOFHLA to be satisfying. The Danish TOFHLA is now ready for application in future research projects, which test levels of functional health literacy in an elderly Danish population at risk of chronic diseases. The evolvement in the measurement of health literacy is still ongoing, as there is a need to refine existing methods. Until recently, there has been a total lack of instruments for assessing health literacy in Scandinavia; it is hoped that this development of the Danish TOFHLA will promote further research within the field of health literacy in Scandinavia and other European countries. © 2015 Nordic College of Caring Science.

  3. Cost versus life cycle assessment-based environmental impact optimization of drinking water production plants.

    Science.gov (United States)

    Capitanescu, F; Rege, S; Marvuglia, A; Benetto, E; Ahmadi, A; Gutiérrez, T Navarrete; Tiruta-Barna, L

    2016-07-15

    Empowering decision makers with cost-effective solutions for reducing industrial processes environmental burden, at both design and operation stages, is nowadays a major worldwide concern. The paper addresses this issue for the sector of drinking water production plants (DWPPs), seeking for optimal solutions trading-off operation cost and life cycle assessment (LCA)-based environmental impact while satisfying outlet water quality criteria. This leads to a challenging bi-objective constrained optimization problem, which relies on a computationally expensive intricate process-modelling simulator of the DWPP and has to be solved with limited computational budget. Since mathematical programming methods are unusable in this case, the paper examines the performances in tackling these challenges of six off-the-shelf state-of-the-art global meta-heuristic optimization algorithms, suitable for such simulation-based optimization, namely Strength Pareto Evolutionary Algorithm (SPEA2), Non-dominated Sorting Genetic Algorithm (NSGA-II), Indicator-based Evolutionary Algorithm (IBEA), Multi-Objective Evolutionary Algorithm based on Decomposition (MOEA/D), Differential Evolution (DE), and Particle Swarm Optimization (PSO). The results of optimization reveal that good reduction in both operating cost and environmental impact of the DWPP can be obtained. Furthermore, NSGA-II outperforms the other competing algorithms while MOEA/D and DE perform unexpectedly poorly. Copyright © 2016 Elsevier Ltd. All rights reserved.

  4. The Danish political twin study

    DEFF Research Database (Denmark)

    Klemmensen, Robert; Hobolt, Sara B; Dinesen, Peter Thisted

    2012-01-01

    We compare a recent Danish twin survey on political attitudes and behaviors to a nationally representative survey covering similar topics. We find very similar means and variances for most of our constructed scales of political attitudes and behaviors in the two surveys, although even small diffe...... differences tend to be statistically significant due to sample size. This suggests that the twin study can be used to make inferences on the heritability of several political traits in the Danish population....

  5. Exploring Danish Innovative Manufacturing Performance

    DEFF Research Database (Denmark)

    Perunovic, Zoran; Christiansen, Thomas Bøhm

    2005-01-01

    The paper explores several dimensions of Danish industry’s innovative performance with respect to the paradigm of the fifth generation innovation model that was suggested by Rothwell [Int. Market. Rev. 11 (1994) 7]. These dimensions include a general status of innovativeness in Danish companies, ...... manufacturing companies demonstrate an innovative performance close to the fourth generation of innovation, which is slightly different than it is perceived publicly....

  6. The Danish Alzheimer intervention study

    DEFF Research Database (Denmark)

    Waldemar, G; Waldorff, F B; Buss, D V

    2011-01-01

    Background: There is a lack of appropriately designed trials investigating the efficacy of psychosocial interventions for patients with mild dementia and their family caregivers. This paper reports the rationale and design of the Danish Alzheimer Disease Intervention Study and baseline characteri......Background: There is a lack of appropriately designed trials investigating the efficacy of psychosocial interventions for patients with mild dementia and their family caregivers. This paper reports the rationale and design of the Danish Alzheimer Disease Intervention Study and baseline...

  7. Danish Labour Market Activation Policies

    DEFF Research Database (Denmark)

    Kvist, Jon; Pedersen, LIsbeth

    2007-01-01

    Under the heading of flexicurity, Danish labour market activation policies are receiving international attention because of their perceived ability both to curb unemployment and to boost employment. Indeed, the objectives, target groups and design of activation policy have undergone a remarkable...... not only active labour market policies but also social and integration policies. Despite widespread popularity and belief in the positive effects of activation, little is actually known about its overall impact on the Danish economy....

  8. FaceTime validation study: Low-cost streaming video for cytology adequacy assessment.

    Science.gov (United States)

    Agarwal, Shweta; Zhao, Lichao; Zhang, Roy; Hassell, Lewis

    2016-03-01

    Adequacy assessment for fine-needle aspiration procedures is a standard of care in large medical centers. Although the benefits of this approach include higher adequacy rates with fewer passes, it costs cytopathologist time and affects other clinical responsibilities. The objective of the current study was to evaluate the use of mobile video streaming (FaceTime) technology with the help of smartphone adapters attached to microscopes for remote adequacy assessment of cytologic samples. The study consisted of 2 phases: Phase 1 was a retrospective assessment of 25 samples by a primary pathologist with simultaneous streaming to a second pathologist using a smartphone (iPhone/iPad) FaceTime connection. Data on the adequacy of each sample and preliminary diagnoses were recorded. In phase 2, live cases were assessed prospectively by an onsite primary pathologist and by a remote pathologist using an iPhone/iPad-FaceTime connection. The testing phase involved prospective assessment of additional samples with a resident or cytotechnologist as the slide driver. In phase 1, retrospective evaluation of 25 samples yielded considerable agreement (22 of 25 samples; 88%) between onsite and remote adequacy assessments. Three samples (12%) yielded results that did not agree, including 2 samples that were read as adequate in the onsite evaluation that were assessed as indeterminate using FaceTime. In phase 2 and in the testing phase, 14 samples exhibited considerable agreement on both adequacy and preliminary diagnosis (6 samples in phase 2 and 8 samples in the testing phase) and are currently available for reporting. Problems encountered include software version standardization, camera alignment, and (rarely) comprehension of the audio stream. The current data indicate that iPhone/iPad FaceTime technology can be used to perform remote adequacy assessments of fine-needle aspirations and can help save valuable time for pathologists. © 2015 American Cancer Society.

  9. Development and first assessment of a questionnaire for health care utilization and costs for cardiac patients

    Directory of Open Access Journals (Sweden)

    Hahmann Harry

    2008-09-01

    Full Text Available Abstract Background The valid and reliable measurement of health service utilization, productivity losses and consequently total disease-related costs is a prerequisite for health services research and for health economic analysis. Although administrative data sources are usually considered to be the most accurate, their use is limited as some components of utilization are not systematically captured and, especially in decentralized health care systems, no single source exists for comprehensive utilization and cost data. The aim of this study was to develop and test a questionnaire for the measurement of disease-related costs for patients after an acute cardiac event (ACE. Methods To design the questionnaire, the literature was searched for contributions to the assessment of utilization of health care resources by patient-administered questionnaires. Based on these findings, we developed a retrospective questionnaire appropriate for the measurement of disease-related costs over a period of 3 months in ACE patients. Items were generated by reviewing existing guidelines and by interviewing medical specialists and patients. In this study, the questionnaire was tested on 106 patients, aging 35–65 who were admitted for rehabilitation after ACE. It was compared with prospectively measured data; selected items were compared with administrative data from sickness funds. Results The questionnaire was accepted well (response rate = 88%, and respondents completed the questionnaire in an average time of 27 minutes. Concordance between retrospective and prospective data showed an intraclass correlation (ICC ranging between 0.57 (cost of medical intake and 0.9 (hospital days with the other main items (physician visits, days off work, medication clustering around 0.7. Comparison between self-reported and administrative data for days off work and hospitalized days were possible for n = 48. Respective ICCs ranged between 0.92 and 0.94, although differences in

  10. Comparative life cycle cost assessment of painted and hot-dip galvanized bridges.

    Science.gov (United States)

    Rossi, B; Marquart, S; Rossi, G

    2017-07-15

    The study addresses the life cycle cost assessment (LCCA) of steel bridges, focusing on the maintenance activities and the maintenance scenario. Firstly, the unit costs of maintenance activities and their durability (i.e. the time between two activities) are evaluated. Pragmatic data are provided for the environment category C4 and for three activities: Patch Up, Overcoating and Remove & Replace. A comparative LCCA for a typical hypothetic steel girder bridge is carried out, either painted or hot-dip galvanized (HDG), in the environmental class C4. The LCC versus the cumulated life is provided for both options. The initial cost of the steel unpainted option is only 50.3% of the HDG option. It is shown that after 'Overcoating' occurring at 18.5 years, the total Net Present Value (NPV) of the painted option surpasses that of the HDG option. A sensitivity analysis of the NPV to the cost and service life parameters, the escalation and discount rates is then performed. The discount and escalation rates, considerably influences the total LCC, following a non-linear trend. The total LCC decreases with the discount rate increasing and, conversely, increases with the escalation rate increasing. Secondly, the influence of the maintenance scenario on the total LCC is assessed based on a probabilistic approach. A permutation of the three independent maintenance activities assumed to occur six times over the life of the bridge is considered and a probability of occurrence is associated to each unique scenario. The most probable scenarios are then classified according to their NPV or achieved service life. This approach leads to the definition of a cost-effective maintenance scenario i.e. the scenario, within all the considered permutations, that has the minimum LCC in a range of lifespan. Besides, the probabilistic analysis also shows that, whatever the scenario, the return on investment period ranges between 18.5 years and 24.2 years. After that period, the HDG option becomes

  11. The Danish Intensive Care Database

    DEFF Research Database (Denmark)

    Christiansen, Christian Fynbo; Møller, Morten Hylander; Nielsen, Henrik

    2016-01-01

    AIM OF DATABASE: The aim of this database is to improve the quality of care in Danish intensive care units (ICUs) by monitoring key domains of intensive care and to compare these with predefined standards. STUDY POPULATION: The Danish Intensive Care Database (DID) was established in 2007 and incl......AIM OF DATABASE: The aim of this database is to improve the quality of care in Danish intensive care units (ICUs) by monitoring key domains of intensive care and to compare these with predefined standards. STUDY POPULATION: The Danish Intensive Care Database (DID) was established in 2007...... and includes virtually all ICU admissions in Denmark since 2005. The DID obtains data from the Danish National Registry of Patients, with complete follow-up through the Danish Civil Registration System. MAIN VARIABLES: For each ICU admission, the DID includes data on the date and time of ICU admission, type...... of admission, organ supportive treatments, date and time of discharge, status at discharge, and mortality up to 90 days after admission. Descriptive variables include age, sex, Charlson comorbidity index score, and, since 2010, the Simplified Acute Physiology Score (SAPS) II. The variables are recorded with 90...

  12. Assessing cost-effectiveness of specific LID practice designs in response to large storm events

    Science.gov (United States)

    Chui, Ting Fong May; Liu, Xin; Zhan, Wenting

    2016-02-01

    Low impact development (LID) practices have become more important in urban stormwater management worldwide. However, most research on design optimization focuses on relatively large scale, and there is very limited information or guideline regarding individual LID practice designs (i.e., optimal depth, width and length). The objective of this study is to identify the optimal design by assessing the hydrological performance and the cost-effectiveness of different designs of LID practices at a household or business scale, and to analyze the sensitivity of the hydrological performance and the cost of the optimal design to different model and design parameters. First, EPA SWMM, automatically controlled by MATLAB, is used to obtain the peak runoff of different designs of three specific LID practices (i.e., green roof, bioretention and porous pavement) under different design storms (i.e., 2 yr and 50 yr design storms of Hong Kong, China and Seattle, U.S.). Then, life cycle cost is estimated for the different designs, and the optimal design, defined as the design with the lowest cost and at least 20% peak runoff reduction, is identified. Finally, sensitivity of the optimal design to the different design parameters is examined. The optimal design of green roof tends to be larger in area but thinner, while the optimal designs of bioretention and porous pavement tend to be smaller in area. To handle larger storms, however, it is more effective to increase the green roof depth, and to increase the area of the bioretention and porous pavement. Porous pavement is the most cost-effective for peak flow reduction, followed by bioretention and then green roof. The cost-effectiveness, measured as the peak runoff reduction/thousand Dollars of LID practices in Hong Kong (e.g., 0.02 L/103 US s, 0.15 L/103 US s and 0.93 L/103 US s for green roof, bioretention and porous pavement for 2 yr storm) is lower than that in Seattle (e.g., 0.03 L/103 US s, 0.29 L/103 US s and 1.58 L/103 US s for

  13. Integrated Cost-Benefit Assessment of Customer-Driven Distributed Generatio

    Directory of Open Access Journals (Sweden)

    Čedomir Zeljković

    2014-06-01

    Full Text Available Distributed generation (DG has the potential to bring respectable benefits to electricity customers, distribution utilities and community in general. Among the customer benefits, the most important are the electricity bill reduction, reliability improvement, use of recovered heat, and qualifying for financial incentives. In this paper, an integrated cost-benefit methodology for assessment of customer-driven DG is presented. Target customers are the industrial and commercial end-users that are critically dependent on electricity supply, due to high consumption, high power peak demand or high electricity supply reliability requirements. Stochastic inputs are represented by the appropriate probability models and then the Monte Carlo simulation is employed for each investment alternative. The obtained probability distributions for the prospective profit are used to assess the risk, compare the alternatives and make decisions.

  14. The Danish National Lymphoma Registry: Coverage and Data Quality.

    Science.gov (United States)

    Arboe, Bente; El-Galaly, Tarec Christoffer; Clausen, Michael Roost; Munksgaard, Peter Svenssen; Stoltenberg, Danny; Nygaard, Mette Kathrine; Klausen, Tobias Wirenfeldt; Christensen, Jacob Haaber; Gørløv, Jette Sønderskov; Brown, Peter de Nully

    2016-01-01

    The Danish National Lymphoma Register (LYFO) prospectively includes information on all lymphoma patients newly diagnosed at hematology departments in Denmark. The validity of the clinical information in the LYFO has never been systematically assessed. To test the coverage and data quality of the LYFO. The coverage was tested by merging data of the LYFO with the Danish Cancer Register and the Danish National Patient Register, respectively. The validity of the LYFO was assessed by crosschecking with information from medical records in subgroups of patients. A random sample of 3% (N = 364) was made from all patients in the LYFO. In addition, four subtypes of lymphomas were validated: CNS lymphomas, diffuse large B-cell lymphomas, peripheral T-cell lymphomas, and Hodgkin lymphomas. A total of 1,706 patients from the period 2000-2012 were included. The positive predictive values (PPVs) and completeness of selected variables were calculated for each subgroup and for the entire cohort of patients. The comparison of data from the LYFO with the Danish Cancer Register and the Danish National Patient Register revealed a high coverage. In addition, the data quality was good with high PPVs (87% to 100%), and high completeness (92% to 100%). The LYFO is a unique, nationwide clinical database characterized by high validity, good coverage and prospective data entry. It represents a valuable resource for future lymphoma research.

  15. A case study assessing opportunity costs and ecological benefits of streamside management zones and logging systems for eastern hardwood forests

    Science.gov (United States)

    Chris B. LeDoux; Ethel Wilkerson

    2006-01-01

    Forest landowners, managers, loggers, land-use planners, and other decision and policy-makers need to understand the opportunity costs and ecological benefits associated with different widths of streamside management zones (SMZs). In this paper, a simulation model was used to assess the opportunity costs of SMZ retention for four different logging systems, two mature...

  16. Holistic Evaluation of Decentralized Water Reuse: Life Cycle Assessment and Cost Analysis of Membrane Bioreactor Systems in Water Reuse Implementation

    Science.gov (United States)

    Understand environmental and cost impacts of transitional decentralized MBR systems with sewer mining Assess aerobic MBRs (AeMBR) and anaerobic MBRs (AnMBR) Use LCA and life cycle cost (LCC) analysis to quantify impacts Investigate LCA and LCC performance of MBRs under various re...

  17. Assessing the microbiological performance and potential cost of boiling drinking water in urban Zambia.

    Science.gov (United States)

    Psutka, Rebecca; Peletz, Rachel; Michelo, Sandford; Kelly, Paul; Clasen, Thomas

    2011-07-15

    Boiling is the most common method of disinfecting water in the home and the benchmark against which other point-of-use water treatment is measured. In a six-week study in peri-urban Zambia, we assessed the microbiological effectiveness and potential cost of boiling among 49 households without a water connection who reported "always" or "almost always" boiling their water before drinking it. Source and household drinking water samples were compared weekly for thermotolerant coliforms (TTC), an indicator of fecal contamination. Demographics, costs, and other information were collected through surveys and structured observations. Drinking water samples taken at the household (geometric mean 7.2 TTC/100 mL, 95% CI, 5.4-9.7) were actually worse in microbiological quality than source water (geometric mean 4.0 TTC/100 mL, 95% CI, 3.1-5.1) (p water samples were reported to have actually been boiled at the time of collection from the home, suggesting over-reporting and inconsistent compliance. However, these samples were of no higher microbiological quality. Evidence suggests that water quality deteriorated after boiling due to lack of residual protection and unsafe storage and handling. The potential cost of fuel or electricity for boiling was estimated at 5% and 7% of income, respectively. In this setting where microbiological water quality was relatively good at the source, safe-storage practices that minimize recontamination may be more effective in managing the risk of disease from drinking water at a fraction of the cost of boiling.

  18. Toward a low-cost gait analysis system for clinical and free-living assessment.

    Science.gov (United States)

    Ladha, Cassim; Del Din, Silvia; Nazarpour, Kianoush; Hickey, Aodhan; Morris, Rosie; Catt, Michael; Rochester, Lynn; Godfrey, Alan

    2016-08-01

    Gait is an important clinical assessment tool since changes in gait may reflect changes in general health. Measurement of gait is a complex process which has been restricted to bespoke clinical facilities until recently. The use of inexpensive wearable technologies is an attractive alternative and offers the potential to assess gait in any environment. In this paper we present the development of a low cost analysis gait system built using entirely open source components. The system is used to capture spatio-temporal gait characteristics derived from an existing conceptual model, sensitive to ageing and neurodegenerative pathology (e.g. Parkinson's disease). We demonstrate the system is suitable for use in a clinical unit and will lead to pragmatic use in a free-living (home) environment. The system consists of a wearable (tri-axial accelerometer and gyroscope) with a Raspberry Pi module for data storage and analysis. This forms ongoing work to develop gait as a low cost diagnostic in modern healthcare.

  19. IMPACT OF HEALTH TECHNOLOGY ASSESSMENT IN LITIGATION CONCERNING ACCESS TO HIGH-COST DRUGS.

    Science.gov (United States)

    Aleman, Alicia; Perez Galan, Ana

    2017-01-01

    The impact of health technology assessment (HTA) in the judicialization of the right of health has not been deeply studied in Latin American countries. The purpose of this study is to review the process of judicialization of the access to high cost drugs in Uruguay and assess the impact HTAs have had on this process. The methodology used for this study included a comprehensive literature search in electronic databases, local journals, internal documents developed in the Ministry of Health, as well as conducting interviews with key informants. Judicialization of the access of high cost drugs has been increasing since 2010. The strategy of the Ministry of Health of Uruguay to decrease this problem included the organization of roundtables with judges and other stakeholders on the basis of HTA, the training of defense lawyers in the use and interpretation of HTA, and the participation of a professional who develops HTA in the preparation of the defense arguments. A year after the implementation of this strategy, 25 percent of writs of protection were won by the Ministry of Health. Even though the strategy implemented was effective in reducing the loss of litigations, it was not effective in reducing the growing number of writs of protection. It is essential to address this problem in a broad debate and to promote understanding between the parties.

  20. Assessment of economic benefits and costs of marine managed areas in Hawaii, 1998 - 2003 (NODC Accession 0001756)

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — This dataset combines the research results from a number of papers carried out under the study "Assessment of Economic Benefits and Costs of Marine Managed Areas in...

  1. Assessment of Economic Benefits and Costs of Marine Managed Areas in Hawaii 1998-2003 (NODC Accession 0001756)

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — This dataset combines the research results from a number of papers carried out under the study "Assessment of Economic Benefits and Costs of Marine Managed Areas in...

  2. A Novel Dynamic Algorithm for IT Outsourcing Risk Assessment Based on Transaction Cost Theory

    Directory of Open Access Journals (Sweden)

    Guodong Cong

    2015-01-01

    Full Text Available With the great risk exposed in IT outsourcing, how to assess IT outsourcing risk becomes a critical issue. However, most of approaches to date need to further adapt to the particular complexity of IT outsourcing risk for either falling short in subjective bias, inaccuracy, or efficiency. This paper proposes a dynamic algorithm of risk assessment. It initially forwards extended three layers (risk factors, risks, and risk consequences of transferring mechanism based on transaction cost theory (TCT as the framework of risk analysis, which bridges the interconnection of components in three layers with preset transferring probability and impact. Then, it establishes an equation group between risk factors and risk consequences, which assures the “attribution” more precisely to track the specific sources that lead to certain loss. Namely, in each phase of the outsourcing lifecycle, both the likelihood and the loss of each risk factor and those of each risk are acquired through solving equation group with real data of risk consequences collected. In this “reverse” way, risk assessment becomes a responsive and interactive process with real data instead of subjective estimation, which improves the accuracy and alleviates bias in risk assessment. The numerical case proves the effectiveness of the algorithm compared with the approach forwarded by other references.

  3. More of the same: Danish foreign and security policy after Afghanistan

    DEFF Research Database (Denmark)

    Jakobsen, Peter Viggo

    2016-01-01

    The deployment of ground forces to Helmand (2006-2014) resulted in the worst fighting experienced by the Danish army since its defeat to Prussia in 1864 and more casualties (43 fatalities and 214 wounded) than all other international operations conducted by the Danish armed forces since World War...... Two. The financial costs were also unprecedented as the total civilian and military expenditures on Afghanistan came to approximately €2.68 billion by the end of 2014. Although some politicians now regard the Afghan war as a mistake and more than half of the Danish population do not consider it worth...

  4. Mixed method versus full top-down microcosting for organ recovery cost assessment in a French hospital group.

    Science.gov (United States)

    Hrifach, Abdelbaste; Brault, Coralie; Couray-Targe, Sandrine; Badet, Lionel; Guerre, Pascale; Ganne, Christell; Serrier, Hassan; Labeye, Vanessa; Farge, Pierre; Colin, Cyrille

    2016-12-01

    The costing method used can change the results of economic evaluations. Choosing the appropriate method to assess the cost of organ recovery is an issue of considerable interest to health economists, hospitals, financial managers and policy makers in most developed countries. The main objective of this study was to compare a mixed method, combining top-down microcosting and bottom-up microcosting versus full top-down microcosting to assess the cost of organ recovery in a French hospital group. The secondary objective was to describe the cost of kidney, liver and pancreas recovery from French databases using the mixed method. The resources consumed for each donor were identified and valued using the proposed mixed method and compared to the full top-down microcosting approach. Data on kidney, liver and pancreas recovery were collected from a medico-administrative French database for the years 2010 and 2011. Related cost data were recovered from the hospital cost accounting system database for 2010 and 2011. Statistical significance was evaluated at P top-down microcosting method, median costs were found to be 21-36% lower than with the mixed method. The mixed method proposed appears to be a trade-off between feasibility and accuracy for the identification and valuation of cost components when calculating the cost of organ recovery in comparison to the full top-down microcosting approach.

  5. Impact of standardized clinical assessment and management plans on resource utilization and costs in children after the arterial switch operation.

    Science.gov (United States)

    Rathod, Rahul H; Jurgen, Brittney; Hamershock, Rose A; Friedman, Kevin G; Marshall, Audrey C; Samnaliev, Mihail; Graham, Dionne A; Jenkins, Kathy; Lock, James E; Powell, Andrew J

    2017-12-01

    Standardized Clinical Assessment and Management Plans (SCAMPs) are a quality improvement initiative designed to reduce unnecessary utilization, decrease practice variation, and improve patient outcomes. We created a novel methodology, the SCAMP managed episode of care (SMEOC), which encompasses multiple encounters to assess the impact of the arterial switch operation (ASO) SCAMP on total costs. All ASO SCAMP patients (dates March 2009 to July 2015) were compared to a control group of ASO patients (January 2001 to February 2009). Patients were divided into "younger" (total reduction in costs. In the older subgroup, the SCAMP had a 21% reduction in outpatient clinic visits (P total reduction in costs. The total cost savings of the ASO SCAMP was $216 649 in the first 6 years of the SCAMP. There was no difference in clinical outcomes between the historical and SCAMP cohorts. SCAMPs can improve resource utilization and reduce costs after the ASO operation while maintaining quality of care. © 2017 Wiley Periodicals, Inc.

  6. Use of external cost assessment and multi-criteria decision analysis for comparative evaluation of options for electricity supply

    Energy Technology Data Exchange (ETDEWEB)

    Hirschberg, S.; Dones, R.; Gantner, U

    2001-03-01

    The paper addresses external cost and multi-criteria analyses carried out for selected future electricity generating systems of interest under the Swiss conditions. The external cost estimates are based on an application of the 'impact pathway approach', enhanced by earlier experience from extensive Life Cycle Assessment (LCA). The estimated total costs, i.e. the sum of internal and external costs, may serve as a measure of economic and environmental efficiency of energy systems. The multi-criteria approach allows a more explicit consideration of the social dimension, which is highly important for the decision-making process. The applications of multi-criteria analyses illustrate the sensitivity of the results to the range of preferences expressed in the energy debate. Certain patterns in system ranking can be observed in spite of these sensitivities. Both total cost assessment and multi-criteria analysis are found to be useful, complementary instruments to support procedures for decision-making. (author)

  7. Future Air Quality in Danish Cities

    DEFF Research Database (Denmark)

    Jensen, S. S.; Berkowicz, R.; Winther, M.

    The impact of new EU vehicle emission and fuel quality directives on the future air quality in Danish cities has been modelled for comparison with new limit values in the new EU directive on assessment and management of urban air quality. Nested modelling was applied using a set of air quality...... and emission models to predict concentration levels in the regional background, urban background and at street level. Air pollution levels were predicted to decrease for NO2, CO and benzene (ozone increased slightly) and the results show that the levels will not exceed the new EU limit values in 2010 despite...

  8. The Danish Depression Database

    Directory of Open Access Journals (Sweden)

    Videbech P

    2016-10-01

    Full Text Available Poul Videbech,1 Anette Deleuran2 1Mental Health Centre Glostrup, Department of Clinical Medicine, University of Copenhagen, Glostrup, 2Psychiatric Centre Amager, Copenhagen S, Denmark Aim of database: The purpose of the Danish Depression Database (DDD is to monitor and facilitate the improvement of the quality of the treatment of depression in Denmark. Furthermore, the DDD has been designed to facilitate research. Study population: Inpatients as well as outpatients with depression, aged above 18 years, and treated in the public psychiatric hospital system were enrolled. Main variables: Variables include whether the patient has been thoroughly somatically examined and has been interviewed about the psychopathology by a specialist in psychiatry. The Hamilton score as well as an evaluation of the risk of suicide are measured before and after treatment. Whether psychiatric aftercare has been scheduled for inpatients and the rate of rehospitalization are also registered. Descriptive data: The database was launched in 2011. Every year since then ~5,500 inpatients and 7,500 outpatients have been registered annually in the database. A total of 24,083 inpatients and 29,918 outpatients have been registered. The DDD produces an annual report published on the Internet. Conclusion: The DDD can become an important tool for quality improvement and research, when the reporting is more complete. Keywords: quality assurance, suicide, somatic diseases, national database

  9. Esco in Danish municipalities

    DEFF Research Database (Denmark)

    Jensen, Jesper Ole; Hansen, Jesper Rohr; Nielsen, Susanne Balslev

    Purpose: The aim of this paper is to discuss the possible benefits of involving Energy Service Companies (ESCO) in realising energy savings in municipalities, and how ESCO projects can be formulated very differently in the various municipalities, according to building volume, use of technologies,......-house approach, which many municipalities are considering. Practical Implications: We suggest the practical implications of our findings, as a short characteristic of the different approaches, intended for municipalities to start up energy retrofitting of municipal buildings.......Purpose: The aim of this paper is to discuss the possible benefits of involving Energy Service Companies (ESCO) in realising energy savings in municipalities, and how ESCO projects can be formulated very differently in the various municipalities, according to building volume, use of technologies......, energy savings, type of collaboration etc. Background: Since 2008, several Danish municipalities have started energy retrofitting of municipal buildings, based on contracts with Energy Service Companies. In spite of the strong growth of ESCOs, there is also widespread scepticism about ESCO, as many...

  10. Danish Rural Eye Study

    DEFF Research Database (Denmark)

    Høeg, Tracy Beth; Ellervik, Christina; Buch, Helena

    2016-01-01

    , Danish Rural Eye Study (DRES). All DRES participants received a comprehensive general health examination preceding their eye examination, including measurement of best-corrected visual acuity (BCVA) for each eye, bilateral 45° retinal fundus photographs and further ophthalmological examination where...... indicated. RESULTS: Overall, 3826 of 3843 participants (99.6%) had bilateral visual acuity measurements. The overall frequency of VI (BCVA eye) was 0.4% (95% confidence interval, CI, 0.2-0.7%; n = 15) among all DRES participants, 0.6% (95% CI 0.3-1.0%; n = 15) among participants...... >50 years and 3.7% (95% CI 2.1-6.5%; n = 11) in participants >80 years. The primary causes of VI in the better-seeing eye were age-related macular degeneration (AMD) in 46.7% (7/15) and cataract in 26.7% (4/15). A total of 43.3% (n = 115) of participants >80 years were pseudophakic in one or both eyes...

  11. Flood damage in Italy: towards an assessment model of reconstruction costs

    Science.gov (United States)

    Sterlacchini, Simone; Zazzeri, Marco; Genovese, Elisabetta; Modica, Marco; Zoboli, Roberto

    2016-04-01

    Recent decades in Italy have seen a very rapid expansion of urbanisation in terms of physical assets, while demographics have remained stable. Both the characteristics of Italian soil and anthropic development, along with repeated global climatic stress, have made the country vulnerable to floods, the intensity of which is increasingly alarming. The combination of these trends will contribute to large financial losses due to property damage in the absence of specific mitigation strategies. The present study focuses on the province of Sondrio in Northern Italy (area of about 3,200 km²), which is home to more than 180,000 inhabitants and the population is growing slightly. It is clearly a hot spot for flood exposure, as it is primarily a mountainous area where floods and flash floods hit frequently. The model we use for assessing potential flood damage determines risk scenarios by overlaying flood hazard maps and economic asset data. In Italy, hazard maps are provided by Regional Authorities through the Hydrogeological System Management Plan (PAI) based on EU Flood Directive guidelines. The PAI in the study area includes both the large plain and the secondary river system and considers three hazard scenarios of Low, Medium and High Frequency associated with return periods of 20, 200 and 500 years and related water levels. By an overlay of PAI maps and residential areas, visualized on a GIS, we determine which existing built-up areas are at risk for flood according to each scenario. Then we investigate the value of physical assets potentially affected by floods in terms of market values, using the database of the Italian Property Market Observatory (OMI), and in terms of reconstruction costs, by considering synthetic cost indexes of predominant building types (from census information) and PAI water height. This study illustrates a methodology to assess flood damage in urban settlements and aims to determine general guidelines that can be extended throughout Italy

  12. Modeling of electricity savings in the Danish household sector using Balmorel

    DEFF Research Database (Denmark)

    Trivella, Alessio; Baldini, Mattia

    efficiency can compete with the cost of electricity supply from existing or new power plants. To assess the analysis, Balmorel, a linear optimization model for heat and power sectors, has been extended in order to assess the best possible investments in more efficient household appliances. The model is non......In this paper we examine the investments in energy-efficient household appliances from an energy system perspective. We consider a set of ten appliances constituting the majority of the electricity consumption in the private household sector, and investigate whether investing in improved energy...... the impact that changes in the Danish electricity consumption would have on the surrounding countries in terms of power system configuration and emission reduction....

  13. Assessing the Cost of an Invasive Forest Pathogen: A Case Study with Oak Wilt

    Science.gov (United States)

    Haight, Robert G.; Homans, Frances R.; Horie, Tetsuya; Mehta, Shefali V.; Smith, David J.; Venette, Robert C.

    2011-03-01

    Economic assessment of damage caused by invasive alien species provides useful information to consider when determining whether management programs should be established, modified, or discontinued. We estimate the baseline economic damage from an invasive alien pathogen, Ceratocystis fagacearum, a fungus that causes oak wilt, which is a significant disease of oaks ( Quercus spp.) in the central United States. We focus on Anoka County, Minnesota, a 1,156 km2 mostly urban county in the Minneapolis-Saint Paul metropolitan region. We develop a landscape-level model of oak wilt spread that accounts for underground and overland pathogen transmission. We predict the economic damage of tree mortality from oak wilt spread in the absence of management during the period 2007-2016. Our metric of economic damage is removal cost, which is one component of the total economic loss from tree mortality. We estimate that Anoka County has 5.92 million oak trees and 885 active oak wilt pockets covering 5.47 km2 in 2007. The likelihood that landowners remove infected oaks varies by land use and ranges from 86% on developed land to 57% on forest land. Over the next decade, depending on the rates of oak wilt pocket establishment and expansion, 76-266 thousand trees will be infected with discounted removal cost of 18-60 million. Although our predictions of removal costs are substantial, they are lower bounds on the total economic loss from tree mortality because we do not estimate economic losses from reduced services and increased hazards. Our predictions suggest that there are significant economic benefits, in terms of damage reduction, from preventing new pocket establishment or slowing the radial growth of existing pockets.

  14. Economics of immunization information systems in the United States: assessing costs and efficiency

    Directory of Open Access Journals (Sweden)

    Urquhart Gary A

    2006-08-01

    Full Text Available Abstract Background One of the United States' national health objectives for 2010 is that 95% of children aged Methods Data were collected from a national sampling frame of the 56 states/cities that received federal immunization grants under U.S. Public Health Service Act 317b and completed the federal 1999 Immunization Registry Annual Report. The sampling frame was stratified by IIS functional status, children's enrollment in the IIS, and whether the IIS had been developed as an independent system or was integrated into a larger system. These sites self-reported IIS developmental and operational program costs for calendar years 1998–2002 using a standardized data collection tool and underwent on-site interviews to verify reported data with information from the state/city financial management system and other financial records. A parametric cost-per-patient-record (CPR model was estimated. The model assessed the impact of labor and non-labor resources used in development and operations tasks, as well as the impact of information technology, local providers' participation and compliance with federal IIS performance standards (e.g., ensuring the confidentiality and security of information, ensure timely vaccination data at the time of patient encounter, and produce official immunization records. Given the number of records minimizing CPR, the additional amount of resources needed to meet national health goals for the year 2010 was also calculated. Results Estimated CPR was as high as $10.30 and as low as $0.09 in operating IIS. About 20% of IIS had between 2.9 to 3.2 million records and showed CPR estimates of $0.09. Overall, CPR was highly sensitive to local providers' participation. To achieve the 2010 goals, additional aggregated costs were estimated to be $75.6 million nationwide. Conclusion Efficiently increasing the number of records in IIS would require additional resources and careful consideration of various strategies to minimize CPR

  15. Assessing the cost of an invasive forest pathogen: a case study with oak wilt.

    Science.gov (United States)

    Haight, Robert G; Homans, Frances R; Horie, Tetsuya; Mehta, Shefali V; Smith, David J; Venette, Robert C

    2011-03-01

    Economic assessment of damage caused by invasive alien species provides useful information to consider when determining whether management programs should be established, modified, or discontinued. We estimate the baseline economic damage from an invasive alien pathogen, Ceratocystis fagacearum, a fungus that causes oak wilt, which is a significant disease of oaks (Quercus spp.) in the central United States. We focus on Anoka County, Minnesota, a 1,156 km(2) mostly urban county in the Minneapolis-Saint Paul metropolitan region. We develop a landscape-level model of oak wilt spread that accounts for underground and overland pathogen transmission. We predict the economic damage of tree mortality from oak wilt spread in the absence of management during the period 2007-2016. Our metric of economic damage is removal cost, which is one component of the total economic loss from tree mortality. We estimate that Anoka County has 5.92 million oak trees and 885 active oak wilt pockets covering 5.47 km(2) in 2007. The likelihood that landowners remove infected oaks varies by land use and ranges from 86% on developed land to 57% on forest land. Over the next decade, depending on the rates of oak wilt pocket establishment and expansion, 76-266 thousand trees will be infected with discounted removal cost of $18-60 million. Although our predictions of removal costs are substantial, they are lower bounds on the total economic loss from tree mortality because we do not estimate economic losses from reduced services and increased hazards. Our predictions suggest that there are significant economic benefits, in terms of damage reduction, from preventing new pocket establishment or slowing the radial growth of existing pockets.

  16. Intake of macro- and micronutrients in Danish vegans.

    Science.gov (United States)

    Kristensen, Nadja B; Madsen, Mia L; Hansen, Tue H; Allin, Kristine H; Hoppe, Camilla; Fagt, Sisse; Lausten, Mia S; Gøbel, Rikke J; Vestergaard, Henrik; Hansen, Torben; Pedersen, Oluf

    2015-10-30

    Since information about macro- and micronutrient intake among vegans is limited we aimed to determine and evaluate their dietary and supplementary intake. Seventy 18-61 years old Danish vegans completed a four-day weighed food record from which their daily intake of macro- and micronutrients was assessed and subsequently compared to an age-range-matched group of 1,257 omnivorous individuals from the general Danish population. Moreover, the vegan dietary and supplementary intake was compared to the 2012 Nordic Nutrition Recommendations (NNR). Dietary intake differed significantly between vegans and the general Danish population in all measured macro- and micronutrients (p vegans the intake of macro- and micronutrients (including supplements) did not reach the NNR for protein, vitamin D, iodine and selenium. Among vegan women vitamin A intake also failed to reach the recommendations. With reference to the NNR, the dietary content of added sugar, sodium and fatty acids, including the ratio of PUFA to SFA, was more favorable among vegans. At the macronutrient level, the diet of Danish vegans is in better accordance with the NNR than the diet of the general Danish population. At the micronutrient level, considering both diet and supplements, the vegan diet falls short in certain nutrients, suggesting a need for greater attention toward ensuring recommended daily intake of specific vitamins and minerals.

  17. Measuring the value of process improvement initiatives in a preoperative assessment center using time-driven activity-based costing.

    Science.gov (United States)

    French, Katy E; Albright, Heidi W; Frenzel, John C; Incalcaterra, James R; Rubio, Augustin C; Jones, Jessica F; Feeley, Thomas W

    2013-12-01

    The value and impact of process improvement initiatives are difficult to quantify. We describe the use of time-driven activity-based costing (TDABC) in a clinical setting to quantify the value of process improvements in terms of cost, time and personnel resources. Difficulty in identifying and measuring the cost savings of process improvement initiatives in a Preoperative Assessment Center (PAC). Use TDABC to measure the value of process improvement initiatives that reduce the costs of performing a preoperative assessment while maintaining the quality of the assessment. Apply the principles of TDABC in a PAC to measure the value, from baseline, of two phases of performance improvement initiatives and determine the impact of each implementation in terms of cost, time and efficiency. Through two rounds of performance improvements, we quantified an overall reduction in time spent by patient and personnel of 33% that resulted in a 46% reduction in the costs of providing care in the center. The performance improvements resulted in a 17% decrease in the total number of full time equivalents (FTE's) needed to staff the center and a 19% increase in the numbers of patients assessed in the center. Quality of care, as assessed by the rate of cancellations on the day of surgery, was not adversely impacted by the process improvements. © 2013 Published by Elsevier Inc.

  18. Analysis of hydrogen operation in the Danish Traffic System

    DEFF Research Database (Denmark)

    Jørgensen, Kaj

    1996-01-01

    The main report of a study of the utilisation of hydrogen in the Danish energy and traffic system.The report contains an overview and assessment of the potential hydrogen technologies as well as analyses of the energy and environmental effects of different applications in the Danish transport sec...... sector (passenger car, bus, van, truck). The report concludes that hydrogen along with electric and hybrid propulsion can be a very interesting element in a strategy for sustainable transport, but only if based mainly on renewable energy....

  19. Implementation of the Danish return-to-work program

    DEFF Research Database (Denmark)

    Aust, Birgit; D. Nielsen, Maj Britt; Grundtvig, Gry

    2015-01-01

    (defined as implementation consistent with the principles of the interdisciplinary RTW process). Five municipalities had high and eight had low fidelity scores. Similar large differences were found with regard to dose-delivered, particularly in the quality of cooperation with beneficiaries, employers...... of the Danish RTW program, however, large variations existed between municipalities. Establishment of well-functioning interdisciplinary RTW teams might require more time and resources, while ensuring early assessment and more frequent cooperation with employers might need more general adjustments in the Danish...

  20. The Danish Nonmelanoma Skin Cancer Dermatology Database.

    Science.gov (United States)

    Lamberg, Anna Lei; Sølvsten, Henrik; Lei, Ulrikke; Vinding, Gabrielle Randskov; Stender, Ida Marie; Jemec, Gregor Borut Ernst; Vestergaard, Tine; Thormann, Henrik; Hædersdal, Merete; Dam, Tomas Norman; Olesen, Anne Braae

    2016-01-01

    The Danish Nonmelanoma Skin Cancer Dermatology Database was established in 2008. The aim of this database was to collect data on nonmelanoma skin cancer (NMSC) treatment and improve its treatment in Denmark. NMSC is the most common malignancy in the western countries and represents a significant challenge in terms of public health management and health care costs. However, high-quality epidemiological and treatment data on NMSC are sparse. The NMSC database includes patients with the following skin tumors: basal cell carcinoma (BCC), squamous cell carcinoma, Bowen's disease, and keratoacanthoma diagnosed by the participating office-based dermatologists in Denmark. Clinical and histological diagnoses, BCC subtype, localization, size, skin cancer history, skin phototype, and evidence of metastases and treatment modality are the main variables in the NMSC database. Information on recurrence, cosmetic results, and complications are registered at two follow-up visits at 3 months (between 0 and 6 months) and 12 months (between 6 and 15 months) after treatment. In 2014, 11,522 patients with 17,575 tumors were registered in the database. Of tumors with a histological diagnosis, 13,571 were BCCs, 840 squamous cell carcinomas, 504 Bowen's disease, and 173 keratoakanthomas. The NMSC database encompasses detailed information on the type of tumor, a variety of prognostic factors, treatment modalities, and outcomes after treatment. The database has revealed that overall, the quality of care of NMSC in Danish dermatological clinics is high, and the database provides the necessary data for continuous quality assurance.