WorldWideScience

Sample records for countries case studies

  1. Contextualising case studies in entrepreneurship: A tandem approach to conducting a longitudinal cross-country case study

    DEFF Research Database (Denmark)

    Chetty, S. K.; Partanen, J.; Rasmussen, Erik Stavnsager

    2014-01-01

    Using predictive and effectuation logics as a framework, this research note explains how case study research was conducted to demonstrate rigour and relevance. The study involves a longitudinal cross-country case study on small and medium-sized firm growth and networks undertaken by research teams...... in three countries (Finland, Denmark and New Zealand) involving 33 firms. This research note outlines the implications of this research and provides valuable guidance and reflections upon opportunities for future research regarding the conduct of contextual studies in entrepreneurship without compromising...

  2. 16 case studies on the deployment of photovoltaic technologies in developing countries

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2003-09-15

    This report for the International Energy Agency (IEA) made by Task 9 of the Photovoltaic Power Systems (PVPS) programme presents 16 Case Studies on the deployment of photovoltaic technologies in developing countries. This guide provides information for all decision-makers in developing countries involved in the process of developing a PV project. These decision-makers can be found in institutions and host governments and also include PV project developers and sponsors, PV producers and suppliers, entrepreneurs, and NGOs. The case studies presented can help such decision-makers learn from past experience gained in the deployment of PV systems. They include experience gained in PV-related projects in various countries, including electrification, water desalination and solar home systems. Financing issues are, of course, also addressed.

  3. Multiple case study in seven European countries regarding culture-sensitive classroom quality assessment

    OpenAIRE

    Slot, P.L.; Cadima, Joana; Salminen, Jenni; Pastori, Giulia; Lerkkanen, Marja-Kristiina

    2016-01-01

    This report presents the findings of a multiple case study, conducted in seven European countries to examine common and culturally differing aspects of curriculum, pedagogy, and quality of Early Childhood Education and Care (ECEC) provisions in Europe. This multiple case study involved intensive data collection on structural characteristics, process quality, implemented curricula and pedagogical approaches in four ECEC centers in each of the seven countries that were considered examples of ‘g...

  4. Capacity Building for Women in African Countries: A Case Study of ...

    African Journals Online (AJOL)

    Capacity Building for Women in African Countries: A Case Study of Sierra Leone. ... In the case of women this has further inured from histories of discrimination most of which stems from socio-cultural factors and forces. Ongoing ... The paper is informed by conceptual analysis of existing literature and official documentation.

  5. Adoption of the HPV vaccine: a case study of three emerging countries.

    Science.gov (United States)

    Caro Martínez, Araceli; Espín Balbino, Jaime; Lemgruber, Alexandre; Martín Ruiz, Eva; Olry de Labry Lima, Antonio; García-Mochón, Leticia; Lessa, Fernanda

    2017-05-01

    The human papillomavirus (HPV) vaccine has recently attracted considerable attention in emerging countries, due to its potential to reduce the impact of HPV-related diseases. This case study sheds new light about the variety of HTA arrangements, methods and processes involved in the adoption and use of HPV vaccines in a selected sample of central, eastern and southern Europe and Latin America and the Caribbean, all of them emerging in the use of HTA. A multi-country case study was designed. Mixed methods, document review, semi-structured surveys and personal communication with experts, were used for data collection and triangulation. This study shows that common elements of good practice exist in the processes and methods used, with all countries arriving at the same appraisal recommendations. However, the influence of socio-politico-economic factors appears to be determinant on the final decisions and restrictions to access made. This case study intends to draw useful lessons for policymakers in emerging settings interested in the adoption of the HPV vaccine supported by evidence-informed processes, such as those offered by institutionalized HTA. Future studies are also recommended to elucidate the specific roles that social values and uncertainties play in vaccine decision-making across different societies.

  6. Multiple case study in seven European countries regarding culture-sensitive classroom quality assessment

    NARCIS (Netherlands)

    Slot, P.L.|info:eu-repo/dai/nl/328192694; Cadima, Joana; Salminen, Jenni; Pastori, Giulia; Lerkkanen, Marja-Kristiina

    This report presents the findings of a multiple case study, conducted in seven European countries to examine common and culturally differing aspects of curriculum, pedagogy, and quality of Early Childhood Education and Care (ECEC) provisions in Europe. This multiple case study involved intensive

  7. Impact of China on sub-Saharan Africa : Country Case Studies ...

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

    Impact of China on sub-Saharan Africa : Country Case Studies. China is emerging as a major power in the global economy. The broad-based nature of its industrial development has generated a sustained and high demand for oil and raw materials, a significant reason for the current strength of oil and other commodity ...

  8. Experience in Modelling Nuclear Energy Systems with MESSAGE: Country Case Studies

    International Nuclear Information System (INIS)

    2018-01-01

    Member States have recognized the increasing need to model future nuclear power scenarios in order to develop strategies for sustainable nuclear energy systems. The IAEA model for energy supply strategy alternatives and their general environmental impacts (MESSAGE) code is a tool that supports energy analysis and planning in Member States. This publication documents the experience gained on modelling and scenario analysis of nuclear energy systems (NES) using the MESSAGE code through various case studies performed by the participating Member States on evaluation and planning for nuclear energy sustainability at the regional or national level. The publication also elaborates on experience gained in modelling of global nuclear energy systems with a focus on specific aspects of collaboration among technology holder and technology user countries and the introduction of innovative nuclear technologies. It presents country case studies covering a variety of nuclear energy systems based on a once-through fuel cycle and a closed fuel cycle for thermal reactors, fast reactors and advanced systems. The feedback from case studies proves the analytical capabilities of the MESSAGE model and highlight the path forward for further advancements in the MESSAGE code and NES modelling.

  9. Implementing maternal death surveillance and response: a review of lessons from country case studies.

    Science.gov (United States)

    Smith, Helen; Ameh, Charles; Roos, Natalie; Mathai, Matthews; Broek, Nynke van den

    2017-07-17

    Maternal Death Surveillance and Response (MDSR) implementation is monitored globally, but not much is known about what works well, where and why in scaling up. We reviewed a series of country case studies in order to determine whether and to what extent these countries have implemented the four essential components of MDSR and identify lessons for improving implementation. A secondary analysis of ten case studies from countries at different stages of MDSR implementation, using a policy analysis framework to draw out lessons learnt and opportunities for improvement. We identify the consistent drivers of success in countries with well-established systems for MDSR, and common barriers in countries were Maternal Death Review (MDR) systems have been less successful. MDR is accepted and ongoing at subnational level in many countries, but it is not adequately institutionalised and the shift from facility based MDR to continuous MDSR that informs the wider health system still needs to be made. Our secondary analysis of country experiences highlights the need for a) social and team processes at facility level, for example the existence of a 'no shame, no blame' culture, and the ability to reflect on practice and manage change as a team for recommendations to be acted upon, b) health system inputs including adequate funding and reliable health information systems to enable identification and analysis of cases c) national level coordination of dissemination, and monitoring implementation of recommendations at all levels and d) mandatory notification of maternal deaths (and enforcement of this) and a professional requirement to participate in MDRs. Case studies from countries with established MDSR systems can provide valuable guidance on ways to set up the processes and overcome some of the barriers; but the challenge, as with many health system interventions, is to find a way to provide catalytic assistance and strengthen capacity for MDSR such that this becomes embedded in

  10. The Study Of Fiscal Sustainability For The Case Of Overindebted European Countries

    Directory of Open Access Journals (Sweden)

    Andreea STOIAN

    2012-12-01

    Full Text Available This study aims in analysing the fiscal sustainability for the case of European countries most affected by the economic downturn and sovereign debt: Portugal, Ireland, Italy, Greece and Spain. For that purpose, we apply fiscal reaction function which indicates the speed and the size of government response to shocks on public debt. We use annual data ranged on 1995-2013. The results show that only for the cases of Italy and Portugal governments managed to fulfil the conditions for a sustainable fiscal policy. For these countries, the response is positive and immediate. On contrary, for Ireland we detect a negative reaction in the sense of a decreasing primary surplus to the increase of public debt by 1 p.p.. For the cases of Greece and Spain, the results are not statistically significant and we cannot conclude whether fiscal policy is sustainable or not. But we can emphasize a positive reaction to the increase of public debt cost in the case of Spain.

  11. Female entrepreneurship in developing countries,  Barriers and Motivation : Case Study, Egypt and Brazil

    OpenAIRE

    Moustafa, Gihan; Santos, Ajoqué

    2016-01-01

    Entrepreneurship accounted by women has become important all over the world, especially in developing countries where it plays not only an economic role but a social role as well, changing communities and consequently, the whole society. The purpose of this paper is to identify the main motivation and barriers faced by women in developing countries, especially concerning the case study, namely Brazil and Egypt. In order to accomplish that, a deep literature review has been done and ten cases ...

  12. The impact of nation branding campaigns on country image. Case Study: Romania

    Directory of Open Access Journals (Sweden)

    Andrei Anca-Georgiana

    2017-06-01

    Full Text Available The purpose of this paper is to analyze how a nation branding campaign can influence the image of a country and to highlight its positive or negative impact on industries such as tourism and on people’s perception. In order to accomplish this objective, Romania was taken as a case study. Five of the most important nation branding campaigns in Romania, after 1989, were examined in comparison, analyzing the same indicators. In the end, the paper shows that if nation branding campaigns do not follow a long-term strategy with all actors involved in the process, its impact in country image may be rather negative.

  13. Case studies on employment-related health inequalities in countries representing different types of labor markets.

    Science.gov (United States)

    Kim, Il-Ho; Muntaner, Carles; Chung, Haejoo; Benach, Joan

    2010-01-01

    The authors selected nine case studies, one country from each cluster of their labor market inequalities typology, to outline the macro-political and economic roots of employment relations and their impacts on health. These countries illustrate variations in labor markets and health, categorized into a global empirical typology. The case studies illustrated that workers' health is significantly connected with labor market characteristics and the welfare system. For a core country, the labor market is characterized by a formal sector. The labor institutions of Sweden traditionally have high union density and collective bargaining coverage and a universal health care system, which correlate closely with positive health, in comparison with Spain and the United States. For a semi-periphery country, the labor market is delineated by a growing informal economy. Although South Korea, Venezuela, and El Salvador provide some social welfare benefits, a high proportion of irregular and informal workers are excluded from these benefits and experience hazardous working conditions that adversely affect their health. Lastly, several countries in the global periphery--China, Nigeria, and Haiti--represent informal work and severe labor market insecurity. In the absence of labor market regulations, the majority of their workers toil in the informal sector in unsafe conditions with inadequate health care.

  14. CORPORATE GOVERNANCE REGULATION IN EMERGING COUNTRIES. CASE OF ROMANIA

    Directory of Open Access Journals (Sweden)

    Claudiu George BOCEAN

    2010-01-01

    Full Text Available Most of the literature on corporate governance emphasizes that firms should be run in the interests of shareholders. This is a suitable objective function when markets are perfect and complete. In many emerging economies this is not the case: markets are imperfect and incomplete. Corporate governance issues are especially important in emerging countries, since these countries do not have the long-established financial institution infrastructure to deal with corporate governance issues. This paper discusses how emerging countries are dealing with corporate governance issues and the extra obstacles they have to overcome due to a lack of regulations. Romanian case study is examined.

  15. The Somalia Country Case Study. Mid-Decade Review of Progress towards Education for All.

    Science.gov (United States)

    Bennaars, Gerard A.; Seif, Huda A.; Mwangi, Doris

    In 1995, the International Consultative Forum on Education for All commissioned case studies in developing countries as part of a mid-decade review of progress in expanding access to basic education. This paper examines the situation in Somalia, where civil war has completely destroyed the infrastructure of education. Part 1 summarizes Somalia's…

  16. Brand Launching and Sustainingin a developing country : The case study of Honda on Vietnam Motorcycle Market

    OpenAIRE

    Nguyen, Thi Bich Ngoc; Nguyen, Thi Xuan Thu

    2009-01-01

      Abstract Date May 29th, 2009 Course Master Thesis EFO705, International Marketing Tutor Daniel Tolstoy Authors Thi Bich Ngoc Nguyen Thi Xuan Thu Nguyen Title Brand Launching and Sustaining in a Developing CountryPurpose The project is to investigate the Brand Launching and Sustaining in a The Case Study of Honda on Vietnam Motorcycle Market developing country through the study on how Honda has successfully launched and sustained its Brand on the Motorcycle Market of Vietnam. Problems Hond...

  17. Cost of dengue outbreaks: literature review and country case studies.

    Science.gov (United States)

    Stahl, Hans-Christian; Butenschoen, Vicki Marie; Tran, Hien Tinh; Gozzer, Ernesto; Skewes, Ronald; Mahendradhata, Yodi; Runge-Ranzinger, Silvia; Kroeger, Axel; Farlow, Andrew

    2013-11-06

    Dengue disease surveillance and vector surveillance are presumed to detect dengue outbreaks at an early stage and to save--through early response activities--resources, and reduce the social and economic impact of outbreaks on individuals, health systems and economies. The aim of this study is to unveil evidence on the cost of dengue outbreaks. Economic evidence on dengue outbreaks was gathered by conducting a literature review and collecting information on the costs of recent dengue outbreaks in 4 countries: Peru, Dominican Republic, Vietnam, and Indonesia. The literature review distinguished between costs of dengue illness including cost of dengue outbreaks, cost of interventions and cost-effectiveness of interventions. Seventeen publications on cost of dengue showed a large range of costs from 0.2 Million US$ in Venezuela to 135.2 Million US$ in Brazil. However, these figures were not standardized to make them comparable. Furthermore, dengue outbreak costs are calculated differently across the publications, and cost of dengue illness is used interchangeably with cost of dengue outbreaks. Only one paper from Australia analysed the resources saved through active dengue surveillance. Costs of vector control interventions have been reported in 4 studies, indicating that the costs of such interventions are lower than those of actual outbreaks. Nine papers focussed on the cost-effectiveness of dengue vaccines or dengue vector control; they do not provide any direct information on cost of dengue outbreaks, but their modelling methodologies could guide future research on cost-effectiveness of national surveillance systems.The country case studies--conducted in very different geographic and health system settings - unveiled rough estimates for 2011 outbreak costs of: 12 million US$ in Vietnam, 6.75 million US$ in Indonesia, 4.5 million US$ in Peru and 2.8 million US$ in Dominican Republic (all in 2012 US$). The proportions of the different cost components (vector control

  18. Cost of dengue outbreaks: literature review and country case studies

    Science.gov (United States)

    2013-01-01

    Background Dengue disease surveillance and vector surveillance are presumed to detect dengue outbreaks at an early stage and to save – through early response activities – resources, and reduce the social and economic impact of outbreaks on individuals, health systems and economies. The aim of this study is to unveil evidence on the cost of dengue outbreaks. Methods Economic evidence on dengue outbreaks was gathered by conducting a literature review and collecting information on the costs of recent dengue outbreaks in 4 countries: Peru, Dominican Republic, Vietnam, and Indonesia. The literature review distinguished between costs of dengue illness including cost of dengue outbreaks, cost of interventions and cost-effectiveness of interventions. Results Seventeen publications on cost of dengue showed a large range of costs from 0.2 Million US$ in Venezuela to 135.2 Million US$ in Brazil. However, these figures were not standardized to make them comparable. Furthermore, dengue outbreak costs are calculated differently across the publications, and cost of dengue illness is used interchangeably with cost of dengue outbreaks. Only one paper from Australia analysed the resources saved through active dengue surveillance. Costs of vector control interventions have been reported in 4 studies, indicating that the costs of such interventions are lower than those of actual outbreaks. Nine papers focussed on the cost-effectiveness of dengue vaccines or dengue vector control; they do not provide any direct information on cost of dengue outbreaks, but their modelling methodologies could guide future research on cost-effectiveness of national surveillance systems. The country case studies – conducted in very different geographic and health system settings - unveiled rough estimates for 2011 outbreak costs of: 12 million US$ in Vietnam, 6.75 million US$ in Indonesia, 4.5 million US$ in Peru and 2.8 million US$ in Dominican Republic (all in 2012 US$). The proportions of the

  19. A case study of polypharmacy management in nine European countries: Implications for change management and implementation.

    Science.gov (United States)

    McIntosh, Jennifer; Alonso, Albert; MacLure, Katie; Stewart, Derek; Kempen, Thomas; Mair, Alpana; Castel-Branco, Margarida; Codina, Carles; Fernandez-Llimos, Fernando; Fleming, Glenda; Gennimata, Dimitra; Gillespie, Ulrika; Harrison, Cathy; Illario, Maddalena; Junius-Walker, Ulrike; Kampolis, Christos F; Kardas, Przemyslaw; Lewek, Pawel; Malva, João; Menditto, Enrica; Scullin, Claire; Wiese, Birgitt

    2018-01-01

    Multimorbidity and its associated polypharmacy contribute to an increase in adverse drug events, hospitalizations, and healthcare spending. This study aimed to address: what exists regarding polypharmacy management in the European Union (EU); why programs were, or were not, developed; and, how identified initiatives were developed, implemented, and sustained. Change management principles (Kotter) and normalization process theory (NPT) informed data collection and analysis. Nine case studies were conducted in eight EU countries: Germany (Lower Saxony), Greece, Italy (Campania), Poland, Portugal, Spain (Catalonia), Sweden (Uppsala), and the United Kingdom (Northern Ireland and Scotland). The workflow included a review of country/region specific polypharmacy policies, key informant interviews with stakeholders involved in policy development and implementation and, focus groups of clinicians and managers. Data were analyzed using thematic analysis of individual cases and framework analysis across cases. Polypharmacy initiatives were identified in five regions (Catalonia, Lower Saxony, Northern Ireland, Scotland, and Uppsala) and included all care settings. There was agreement, even in cases without initiatives, that polypharmacy is a significant issue to address. Common themes regarding the development and implementation of polypharmacy management initiatives were: locally adapted solutions, organizational culture supporting innovation and teamwork, adequate workforce training, multidisciplinary teams, changes in workflow, redefinition of roles and responsibilities of professionals, policies and legislation supporting the initiative, and data management and information and communication systems to assist development and implementation. Depending on the setting, these were considered either facilitators or barriers to implementation. Within the studied EU countries, polypharmacy management was not widely addressed. These results highlight the importance of change

  20. A review of overseas financing mechanisms and incentives for commercial renewable energy projects. V. 2: Case study countries

    International Nuclear Information System (INIS)

    1996-01-01

    This second volume of a major study conducted for the United Kingdom Department of Trade and Industry aims to review financing mechanisms and incentives for the commercialisation of renewable energy projects. The countries included in this volume present case studies from countries identified as having particularly interesting current or past policies for the development and commercialisation of renewable energy technologies, namely Austria, Denmark, Germany, Greece, India, The Netherlands, Spain and two states in the United States of America. Data is presented on key facts, energy issues and organizations as well as energy and environmental policy for each country. The electricity supply industry, possibilities for renewable energy development, and incentive mechanisms in appropriate areas for development are also described for each country. (UK)

  1. Countdown to 2015 country case studies: what can analysis of national health financing contribute to understanding MDG 4 and 5 progress?

    Science.gov (United States)

    Mann, Carlyn; Ng, Courtney; Akseer, Nadia; Bhutta, Zulfiqar A; Borghi, Josephine; Colbourn, Tim; Hernández-Peña, Patricia; Huicho, Luis; Malik, Muhammad Ashar; Martinez-Alvarez, Melisa; Munthali, Spy; Salehi, Ahmad Shah; Tadesse, Mekonnen; Yassin, Mohammed; Berman, Peter

    2016-09-12

    Countdown to 2015 (Countdown) supported countries to produce case studies that examine how and why progress was made toward the Millennium Development Goals (MDGs) 4 and 5. Analysing how health-financing data explains improvements in RMNCH outcomes was one of the components to the case studies. This paper presents a descriptive analysis on health financing from six Countdown case studies (Afghanistan, Ethiopia, Malawi, Pakistan, Peru, and Tanzania), supplemented by additional data from global databases and country reports on macroeconomic, health financing, demographic, and RMNCH outcome data as needed. It also examines the effect of other contextual factors presented in the case studies to help interpret health-financing data. Dramatic increases in health funding occurred since 2000, where the MDG agenda encouraged countries and donors to invest more resources on health. Most low-income countries relied on external support to increase health spending, with an average 20-64 % of total health spending from 2000 onwards. Middle-income countries relied more on government and household spending. RMNCH funding also increased since 2000, with an average increase of 119 % (2005-2010) for RMNH expenditures (2005-2010) and 165 % for CH expenditures (2005-2011). Progress was made, especially achieving MDG 4, even with low per capita spending; ranging from US$16 to US$44 per child under 5 years among low-income countries. Improvements in distal factors were noted during the time frame of the analysis, including rapid economic growth in Ethiopia, Peru, and Tanzania and improvements in female literacy as documented in Malawi, which are also likely to have contributed to MDG progress and achievements. Increases in health and RMNCH funding accompanied improvements in outcomes, though low-income countries are still very reliant on external financing, and out-of-pocket comprising a growing share of funds in middle-income settings. Enhancements in tracking RMNCH expenditures

  2. Case Study for Effectiveness Analysis on Nuclear Regulatory Infrastructure Support for Emerging Nuclear Energy Countries

    Energy Technology Data Exchange (ETDEWEB)

    Lee, Y. E.; Byeon, M. J.; Yoo, J. W.; Lee, J. M.; Lim, J. H. [Korea Institute of Nuclear Safety, Daejeon (Korea, Republic of)

    2016-10-15

    The donor countries need to make decisions on various steps such as whether to fully accept newcomers’ requests, the depth of support, and how the supportive action will be carried out. Such is not an easy task due to limited time, resources, manpower, etc. Thus, creating an infrastructure to support emerging nuclear energy countries is needed. This paper suggests the resource portfolio concept used in business management and aims to analyze the validity of supporting the new entrants’ development of regulatory infrastructure as a case study. This study tries to develop a very simple Excel-based tool for assessing the supporting strategy quantitatively and screening the activities that is projected to be less effective and attractive. There are many countries, so called newcomers, which have expressed interests in developing their own nuclear power program. It has been recognized by the international community that every country considering embarking upon their own nuclear power program should establish their nuclear safety infrastructure to sustain a high level of nuclear safety. The newcomers have requested for considerable assistance from the IAEA and they already have bilateral cooperation programs with the advanced countries with matured nuclear regulatory programs. Currently, the regulatory bodies that provide support are confronted with two responsibilities as follows; the primary objective of the regulatory bodies is to ensure that the operator fulfills the responsibility to protect human health.

  3. Case Study for Effectiveness Analysis on Nuclear Regulatory Infrastructure Support for Emerging Nuclear Energy Countries

    International Nuclear Information System (INIS)

    Lee, Y. E.; Byeon, M. J.; Yoo, J. W.; Lee, J. M.; Lim, J. H.

    2016-01-01

    The donor countries need to make decisions on various steps such as whether to fully accept newcomers’ requests, the depth of support, and how the supportive action will be carried out. Such is not an easy task due to limited time, resources, manpower, etc. Thus, creating an infrastructure to support emerging nuclear energy countries is needed. This paper suggests the resource portfolio concept used in business management and aims to analyze the validity of supporting the new entrants’ development of regulatory infrastructure as a case study. This study tries to develop a very simple Excel-based tool for assessing the supporting strategy quantitatively and screening the activities that is projected to be less effective and attractive. There are many countries, so called newcomers, which have expressed interests in developing their own nuclear power program. It has been recognized by the international community that every country considering embarking upon their own nuclear power program should establish their nuclear safety infrastructure to sustain a high level of nuclear safety. The newcomers have requested for considerable assistance from the IAEA and they already have bilateral cooperation programs with the advanced countries with matured nuclear regulatory programs. Currently, the regulatory bodies that provide support are confronted with two responsibilities as follows; the primary objective of the regulatory bodies is to ensure that the operator fulfills the responsibility to protect human health

  4. D3.3 : report on “good practice” case studies of professional development in three countries

    DEFF Research Database (Denmark)

    Jensen, Bente

    This report presents ‘good practice case studies’ of exemplary approaches to innovative in-service professional development of ECEC practitioners in three countries: Denmark, Italy and Poland. The report is part of the project CARE “Curriculum Quality Analyses and Impact Review of European......, findings, limitations and discussion of results. This multiple case study involved data collection on innovative in-service professional development approaches in each of the three countries (Denmark, Italy, Poland) that were considered good examples of “innovative approaches to in-service PD” by local......’s well-being and learning. There is also a need for contact and exchange in the field and at the managers’ level, to single out possible paths for innovation, so as to understand how they work and how they can be adapted culturally in order to inspire and contribute to the development of effective...

  5. Waste management barriers in developing country hospitals: Case study and AHP analysis.

    Science.gov (United States)

    Delmonico, Diego V de Godoy; Santos, Hugo H Dos; Pinheiro, Marco Ap; de Castro, Rosani; de Souza, Regiane M

    2018-01-01

    Healthcare waste management is an essential field for both researchers and practitioners. Although there have been few studies using statistical methods for its evaluation, it has been the subject of several studies in different contexts. Furthermore, the known precarious practices for waste management in developing countries raise questions about its potential barriers. This study aims to investigate the barriers in healthcare waste management and their relevance. For this purpose, this paper analyses waste management practices in two Brazilian hospitals by using case study and the Analytic Hierarchy Process method. The barriers were organized into three categories - human factors, management, and infrastructure, and the main findings suggest that cost and employee awareness were the most significant barriers. These results highlight the main barriers to more sustainable waste management, and provide an empirical basis for multi-criteria evaluation of the literature.

  6. Child health and nutrition in Peru within an antipoverty political agenda: a Countdown to 2015 country case study

    OpenAIRE

    Huicho, L.; Segura, E.R.; Huayanay-Espinoza, C.A.; Niño de Guzman, J.; Restrepo-Méndez, M.C.; Tam, Y.; Barros, A.J.D.; Victora, C.G.; Hernández-Peña, P.

    2016-01-01

    Background Peru is an upper-middle-income country with wide social and regional disparities. In recent years, sustained multisectoral antipoverty programmes involving governments, political parties, and civil society have included explicit health and nutrition goals and spending increased sharply. We did a country case study with the aim of documenting Peru's progress in reproductive, maternal, neonatal, and child health from 2000–13, and explored the potential determinants. Methods We examin...

  7. Effect of culture on acceptance of telemedicine in Middle Eastern countries: case study of Jordan and Syria.

    Science.gov (United States)

    Alajlani, Mohannad; Clarke, Malcolm

    2013-04-01

    We investigated issues that affect the use and adoption of telemedicine in Middle Eastern countries, taking the Hashemite Kingdom of Jordan and the Syrian Arab Republic as case studies. Our study is based on interviews with key stakeholders (including doctors, technicians, engineers, and decision makers) and questionnaires administered to key stakeholders (including patients), ensuring opinion was gained from people from a full range of backgrounds and roles in the healthcare system. We found doctor and patient resistance was a major issue preventing the adoption of telemedicine in both countries, followed by poor infrastructure, lack of funding, and lack of information technology training. Our research identifies that culture is a greater issue than technical matters for the adoption of telemedicine in Middle Eastern countries. Based on our preliminary results we developed a guideline framework for each country that might be applied to telemedicine projects at the pre-implementation phase. The proposed guideline framework was validated through a return visit to the stakeholders and seeking further opinion.

  8. Risk factors for falls with severe fracture in elderly people living in a middle-income country: a case control study

    OpenAIRE

    Coutinho, Evandro SF; Fletcher, Astrid; Bloch, Katia V; Rodrigues, Laura C

    2008-01-01

    Abstract Background Fracture after falling has been identified as an important problem in public health. Most studies of risk factors for fractures due to falls have been carried out in developed countries, although the size of the elderly population is increasing fast in middle income countries. The objective of this paper is to identify risk factors for fall related to severe fractures in those aged 60 or more in a middle-income country. Methods A case-control study was carried out in Rio d...

  9. Implementation of e-commerce in developing countries: impact and its limitations-Albanian Case study

    Directory of Open Access Journals (Sweden)

    Genti Çela

    2016-07-01

    Full Text Available The implementation of Electronic Commerce (hereinafter referred to as "e-Commerce" in developed countries has been proven as an indisputable potential to ameliorate the efficiency and productivity in different areas, therefore, its implementation is attracting significant attention in developing countries. Despite its opportunities established in developed countries, there were many doubts about the e-commerce implementation in developing countries. That reluctance is heightened by the limited number of studies on e-commerce and the lack of legislation. This paper aims to contribute on filling the research gap by highlighting the e-commerce implementation in Albania as a developing country, its importance, the level of trust, its benefits, its positive or negative impacts and its limitations. This study will be continuously and accordingly updated with new evidence based on research results, along with future developments of Albania’s economic, political, social and demographic environment. This is because different areas represent different infrastructure and different social and economic characteristics, different levels of trust on transactions, different attitudes towards institutions. We have also take into consideration that different communities have different attitudes toward the acceptance and developments of e-Commerce system. In this paper, we present a comprehensive approach to e-commerce, concentrating specifically on Albanian case. Firstly we analyze the current situation of e-Commerce. Secondly we pay attention to the benefits and legal strategies for its implementation. The third step consists in presenting the relevant objectives. We believe and insist that the development of e-commerce in developing nations, - including Albania, has a positive perspective, if the government, companies and the public can better understand and implement e-Commerce.

  10. Countdown to 2015 country case studies: what can analysis of national health financing contribute to understanding MDG 4 and 5 progress?

    Directory of Open Access Journals (Sweden)

    Carlyn Mann

    2016-09-01

    Full Text Available Abstract Background Countdown to 2015 (Countdown supported countries to produce case studies that examine how and why progress was made toward the Millennium Development Goals (MDGs 4 and 5. Analysing how health-financing data explains improvements in RMNCH outcomes was one of the components to the case studies. Methods This paper presents a descriptive analysis on health financing from six Countdown case studies (Afghanistan, Ethiopia, Malawi, Pakistan, Peru, and Tanzania, supplemented by additional data from global databases and country reports on macroeconomic, health financing, demographic, and RMNCH outcome data as needed. It also examines the effect of other contextual factors presented in the case studies to help interpret health-financing data. Results Dramatic increases in health funding occurred since 2000, where the MDG agenda encouraged countries and donors to invest more resources on health. Most low-income countries relied on external support to increase health spending, with an average 20–64 % of total health spending from 2000 onwards. Middle-income countries relied more on government and household spending. RMNCH funding also increased since 2000, with an average increase of 119 % (2005–2010 for RMNH expenditures (2005–2010 and 165 % for CH expenditures (2005–2011. Progress was made, especially achieving MDG 4, even with low per capita spending; ranging from US$16 to US$44 per child under 5 years among low-income countries. Improvements in distal factors were noted during the time frame of the analysis, including rapid economic growth in Ethiopia, Peru, and Tanzania and improvements in female literacy as documented in Malawi, which are also likely to have contributed to MDG progress and achievements. Conclusions Increases in health and RMNCH funding accompanied improvements in outcomes, though low-income countries are still very reliant on external financing, and out-of-pocket comprising a growing share of funds in

  11. Country Branding and Country Image: Insights, Challenges and Prospects. The Case of Estonia

    Directory of Open Access Journals (Sweden)

    Same Siiri

    2014-06-01

    Full Text Available Gaining understanding about customers ’mindset and information on their experiences is a precondition for the formulation of an effective country branding strategy. What potential tourists might learn and how they can be made to feel about a place can help small and not very well-known countries compete with bigger and more popular tourist destinations. The article focuses on the effectiveness of Brand Estonia and claims that it is still a challenge, despite the existence of an ongoing strategy. It also favors the revision of the brand identity selection and the promotion of Estonian brand, and supports a customer-based approach for their assessment. Documentary and empirical evidence show that the image of Estonia among its most important target audiences in the field of tourism does not match the Estonian brand identity. The gap in-between was evidenced by the results and content analysis of 24 in-depth interviews made with a selected group of people well acquainted with the country as well as some branding experts. This article contributes to the existing case study literature with findings that also manifest opportunities to strengthen the country brand, if its formulation develops a realistic brand identity and its promotion is based on accurate, unique and appealing ideas. It proposes academic support to innovative or alternative concepts for the country branding, and comments on applications of this study to more specific fields and further research.

  12. Evaluating Decoupling Process in OECD Countries: Case Study of Turkey

    Science.gov (United States)

    An, Nazan; Şengün Ucal, Meltem; Kurnaz, M. Levent

    2017-04-01

    Climate change is at the top of the present and future problems facing humanity. Climate change is now largely attributed to human activities and economic activities are the source of human activities that cause climate change by creating pressure on the environment. Providing the sustainability of resources for the future seems possible by reducing the pressure of these economic activities on the environment. Given the increasing population pressure and growth-focused economies, it is possible to say that achieving decoupling is not so easy on a global basis. It is known that there are some problems in developing countries especially in terms of accessing reliable data in transition and implementation process of decoupling. Developed countries' decoupling practices and proper calculation methods can also be a guide for developing countries. In this study, we tried to calculate the comparative decoupling index for OECD countries and Turkey in terms of data suitability, and we showed the differences between them. We tried to indicate the level of decoupling (weak, stable, strong) for each country. We think that the comparison of Turkey can be an example in terms of developing countries. Acknowledgement: This research has been supported by Bogazici University Research Fund Grant Number 12220.

  13. Indexation of psychiatric journals from low- and middle-income countries: a survey and a case study

    Science.gov (United States)

    KIELING, CHRISTIAN; HERRMAN, HELEN; PATEL, VIKRAM; MARI, JAIR DE JESUS

    2009-01-01

    There is a marked underepresentation of low- and middle-income countries (LAMIC) in the psychiatric literature, which may reflect an overall low representation of LAMIC publications in databases of indexed journals. This paper investigates the worldwide distribution of indexed psychiatric journals. A survey in both Medline and ISI Web of Science was performed in order to identify journals in the field of psychiatry according to their country of origin. Two hundred and twenty-two indexed psychiatric journals were found. Of these, 213 originated from high-income countries and only nine (4.1%) from middle-income countries. None were found in low-income countries. We also present the experience of a LAMIC psychiatric journal, the Revista Brasileira de Psiquiatria, in its recent indexation process. This case study may serve as an example for other LAMIC journals to pursue indexation in major databases as a strategy to widen the international foundation of psychiatric research. There is an important need for the inclusion of LAMIC psychiatric publications in the major indexation databases. This process will require multiple agents to partner with journals from LAMIC to improve their quality and strengthen their chances of being indexed. PMID:19293959

  14. Network Resilience Analysis: Review Of Concepts And A Country-Level. Case Study

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    Mariusz Kamola

    2014-01-01

    Full Text Available This paper presents the rationale behind performing an analysis of Internet resilience in the sense of maintaining a connection of autonomous systems in the presence of failures or attacks — on a level of a single country. Next, the graph of a network is constructed that represents interconnections between autonomous systems. The connectivity of the graph is examined for cases of link or node failure. Resilience metrics are proposed, focusing on a single autonomous system or on overall network reliability. The process of geographic location of networking infrastructure is presented, leading to an analysis of network resilience in the case of a joint failure of neighboring autonomous systems.

  15. Using information technology for an improved pharmaceutical care delivery in developing countries. Study case: Benin.

    Science.gov (United States)

    Edoh, Thierry Oscar; Teege, Gunnar

    2011-10-01

    One of the problems in health care in developing countries is the bad accessibility of medicine in pharmacies for patients. Since this is mainly due to a lack of organization and information, it should be possible to improve the situation by introducing information and communication technology. However, for several reasons, standard solutions are not applicable here. In this paper, we describe a case study in Benin, a West African developing country. We identify the problem and the existing obstacles for applying standard ECommerce solutions. We develop an adapted system approach and describe a practical test which has shown that the approach has the potential of actually improving the pharmaceutical care delivery. Finally, we consider the security aspects of the system and propose an organizational solution for some specific security problems.

  16. Corporate carbon footprint for country Climate Change mitigation: A case study of a tannery in Turkey.

    Science.gov (United States)

    Kılıç, Eylem; Puig, Rita; Zengin, Gökhan; Zengin, Candaş Adıgüzel; Fullana-I-Palmer, Pere

    2018-09-01

    Assessment of carbon emissions and environmental impact of production is indispensable to achieve a sustainable industrial production in Turkey, especially for those companies willing to compete in new international green markets. In this case study, corporate carbon footprint of a representative Turkish tanning company was analyzed. Inventory and impact data are presented to help in the environmental decision-making process. The results indicate that significant environmental impacts were caused during the landfilling of solid wastes as well as the production of the electricity and fuel required in the tannery. Turkish tannery inventory data presented here for the first time will be useful for leather tanning company managers to calculate sustainability key indicators. Improving alternatives at country level were identified (increasing the renewable sources on electricity production and promote energy recovery in landfills) which would be useful not only to decrease greenhouse gas (GHG) emissions of tanning sector but also of other industries requiring electricity and producing organic wastes. Considering the substantial contribution of industrial processes to the Turkish carbon emissions (15.7%) (TUIK, 2013), work done on those areas would provide a sound improvement in environmental profile of Turkey. The importance to promote a national strategy to reduce GHG emissions in Turkey was discussed here, as well as its relation to corporate carbon footprint assessments. One of the significant points revealed from the case study is the lack of published country specific emission factors for Turkey, which is a fundamental prerequisite to promote corporate carbon footprint assessment within the country. Copyright © 2018 Elsevier B.V. All rights reserved.

  17. Avoidable cancer cases in the Nordic countries - The impact of overweight and obesity.

    Science.gov (United States)

    Andersson, Therese M-L; Weiderpass, Elisabete; Engholm, Gerda; Lund, Anne-Sofie Q; Olafsdottir, Elinborg; Pukkala, Eero; Stenbeck, Magnus; Storm, Hans

    2017-07-01

    Several types of cancers are causally linked to overweight and obesity, which are increasing in the Nordic countries. The aim of this study was to quantify the proportion of the cancer burden linked to overweight and obesity in the Nordic countries and estimate the potential for cancer prevention. Under different prevalence scenarios of overweight and obesity, the number of cancer cases in the Nordic countries in the next 30 years (i.e. 2016-2045) was estimated for 13 cancer sites and compared to the projected number of cancer cases if the prevalence stayed constant. The Prevent macro-simulation model was used. Over the period 2016-2045, 205,000 cancer cases out of the 2.1 million expected for the 13 cancer sites (9.5%) that have been studied, could be avoided in the Nordic countries by totally eliminating overweight and obesity in the target population. The largest proportional impact was found for oesophageal adenocarcinoma (24%), and the highest absolute impact was observed for colon (44638) and postmenopausal breast cancer (41135). Decreased prevalence of overweight and obesity would reduce the cancer burden in the Nordic countries. The results from this study form an important step to increase awareness and priorities in cancer control by controlling overweight and obesity in the population. Copyright © 2017 Elsevier Ltd. All rights reserved.

  18. Economic burden of torture for a refugee host country: development of a model and presentation of a country case study

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    Mpinga EK

    2014-04-01

    Full Text Available Emmanuel Kabengele Mpinga,1,* Conrad Frey,2,* Philippe Chastonay1,*1Institute of Social and Preventive Medicine, Faculty of Medicine, University of Geneva, Geneva, Switzerland; 2Psychiatric Clinic, Obwalden Cantonal Hospital, Sarnen, Switzerland*These authors contributed equally to this workBackground: Torture is an important social and political problem worldwide that affects millions of people. Many host countries give victims of torture the status of refugee and take care of them as far as basic needs; health care, professional reinsertion, and education. Little is known about the costs of torture. However, this knowledge could serve as an additional argument for the prevention and social mobilization to fight against torture and to provide a powerful basis of advocacy for rehabilitation programs and judiciary claims.Objectives: Development of a model for estimating the economic costs of torture and applying the model to a specific country.Methods: The estimation of the possible prevalence of victims of torture was based on a review of the literature. The identification of the socioeconomic factors to be considered was done by analogy with various health problems. The estimation of the loss of the productivity and of the economic burden of disease related to torture was done through the human capital approach and the component technique analysis.Case study: The model was applied to the situation in Switzerland of estimated torture victims Switzerland is confronted with.Results: When applied to the case study, the direct costs – such as housing, food, and clothing – represent roughly 130 million Swiss francs (CHF per year; whereas, health care costs amount to 16 million CHF per year, and the costs related to education of young people to 34 million CHF per year. Indirect costs, namely those costs related to the loss of the productivity of direct survivors of torture, have been estimated to one-third of 1 billion CHF per year. This jumps to

  19. Factors Influencing Adaptive Marine Governance in a Developing Country Context: a Case Study of Southern Kenya

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    Louisa S. Evans

    2011-06-01

    Full Text Available Adaptive governance can be conceptualized as distinct phases of: 1 understanding environmental change; 2 using this understanding to inform decision making; and 3 acting on decisions in a manner that sustains resilience of desirable system states. Using this analytical framework, we explore governance in practice in two case studies in Kenya, that reflect the "messiness" of contemporary coastal governance in many developing country contexts. Findings suggest that adaptive marine governance is unlikely to be a smooth process of learning, knowledge sharing, and responding. There are institutional, sociocultural, and political factors, past and present, that influence each phase of both local and state decision making. New local institutions related to fisher associations and Beach Management Units influence learning and knowledge sharing in ways contrary to those expected of institutions that enable collaborative fisheries management. Similarly, state decision making is relatively uninformed by the diverse knowledge systems available in the coastal zone, despite the rhetoric of participation. Historical relations and modes of working continue to play a significant role in mediating the potential for adaptive governance in the future. The case studies are illustrative and point to a number of institutional and political issues that would need to be addressed in processes of governance reform towards more adaptive management in developing country contexts.

  20. Peace Corps Water/Sanitation Case Studies and Analyses. Appropriate Technologies for Development. Case Study CS-4.

    Science.gov (United States)

    Talbert, Diana E., Comp.

    This document provides an overview of Peace Corps water and sanitation activities, five case studies (Thailand, Yemen, Paraguay, Sierra Leone, and Togo), programming guidelines, and training information. Each case study includes: (1) background information on the country's geography, population, and economics; (2) information on the country's…

  1. Controlling water pollution in developing and transition countries--lessons from three successful cases.

    Science.gov (United States)

    Kathuria, Vinish

    2006-03-01

    The policy prescription for solving environmental problems of developing countries and countries-in-transition (CIT) is slowly getting polarized into two viewpoints. One group of researchers and policy advocates including multilateral organizations upholds extensive use of market based instruments (MBIs) in these countries. The other group argues that institutions need to be built first or the policy makers should select the incremental or tiered approach taking into account the existing capabilities. The group also insists that the financial, institutional and political constraints make environmental regulation in these countries more problematic than in industrialized countries. In the short-run, the immediate needs of the developing countries can be addressed effectively by learning lessons from the difficulties encountered by a few successful cases and accordingly evolving an appropriate policy instrument. In this paper an attempt has been made to highlight three such cases from three different parts of the world--Malaysia (Asia-pacific), Poland (Eastern Europe) and Colombia (Latin America). The paper looks into what policy instruments led to a fall in water pollution levels in these countries and what role did MBIs play in this pollution mitigation? The case studies suggest that it is a combination of instruments--license fee, standards, charge and subsidies--reinforced by active enforcement that led to an overall improvement in environment compliance.

  2. Preservation of Cultural Heritage Embodied in Traditional Crafts in the Developing Countries. A Case Study of Pakistani Handicraft Industry

    Directory of Open Access Journals (Sweden)

    Yongzhong Yang

    2018-04-01

    Full Text Available Cultural heritage embodied in traditional crafts is an integral part of any nation which reflects the culture and tradition of a particular region. Although the importance of handicraft has been widely recognized, the literature regarding preservation of traditional craft is scarce. The present paper aimed to explore and identify issues faced by traditional craftsmanship in developing countries and to address those issues in order to contribute to the sustainability of traditional craft heritage and ensure continuous transmission of craft skills and knowledge from generation to generation. Our study identified several key issues which poses substantial challenges to the preservation of traditional craft heritage in developing countries. In order to add empirical evidence, we examined the case of Pakistani handicraft industry that provided further understanding of highlighted issues which traditional craft heritage face. We have suggested some policies to promote, develop and preserve the traditional craft heritage. The significance of these policy suggestions is underlined with the case study of Pakistan.

  3. Night-shift work and hematological cancers: a population based case-control study in three Nordic countries.

    Science.gov (United States)

    Talibov, Madar; Pukkala, Eero; Martinsen, Jan Ivar; Tryggvadottir, Laufey; Weiderpass, Elisabete; Hansen, Johnni

    2018-05-01

    Objective The aim of this case-control study was to assess the effect of night-shift work on the risk of hematological cancers. Methods The study included 39 371 leukemia, 56 713 non-Hodgkin lymphoma, 9322 Hodgkin lymphoma, and 26 188 multiple myeloma cases diagnosed between 1961 and 2005 in Finland, Sweden, and Iceland. Five controls for each case were selected from the Nordic Occupational Cancer Study (NOCCA) cohort, matched by year of birth, sex and country. Night-shift exposure was assessed by using the NOCCA job-exposure matrix (JEM). Odds ratios (OR) and 95% confidence intervals (95% CI) were calculated from conditional logistic regression models. Results Overall, night work was not associated with a risk of hematological cancers. We observed a small but non-significantly increased risk for leukemia (OR 1.07, 95% CI 0.99-1.16), especially for acute myeloid leukemia (OR 1.15, 95% CI 0.97-1.36) among workers exposed to a high level of cumulative night work exposure. Night work exposure was not associated with lymphatic cancers and multiple myeloma. Conclusion This study did not support associations between night-shift work and hematological cancers.

  4. Social determinants of health, universal health coverage, and sustainable development: case studies from Latin American countries.

    Science.gov (United States)

    de Andrade, Luiz Odorico Monteiro; Pellegrini Filho, Alberto; Solar, Orielle; Rígoli, Félix; de Salazar, Lígia Malagon; Serrate, Pastor Castell-Florit; Ribeiro, Kelen Gomes; Koller, Theadora Swift; Cruz, Fernanda Natasha Bravo; Atun, Rifat

    2015-04-04

    Many intrinsically related determinants of health and disease exist, including social and economic status, education, employment, housing, and physical and environmental exposures. These factors interact to cumulatively affect health and disease burden of individuals and populations, and to establish health inequities and disparities across and within countries. Biomedical models of health care decrease adverse consequences of disease, but are not enough to effectively improve individual and population health and advance health equity. Social determinants of health are especially important in Latin American countries, which are characterised by adverse colonial legacies, tremendous social injustice, huge socioeconomic disparities, and wide health inequities. Poverty and inequality worsened substantially in the 1980s, 1990s, and early 2000s in these countries. Many Latin American countries have introduced public policies that integrate health, social, and economic actions, and have sought to develop health systems that incorporate multisectoral interventions when introducing universal health coverage to improve health and its upstream determinants. We present case studies from four Latin American countries to show the design and implementation of health programmes underpinned by intersectoral action and social participation that have reached national scale to effectively address social determinants of health, improve health outcomes, and reduce health inequities. Investment in managerial and political capacity, strong political and managerial commitment, and state programmes, not just time-limited government actions, have been crucial in underpinning the success of these policies. Copyright © 2015 Elsevier Ltd. All rights reserved.

  5. Malaria control in Bhutan: case study of a country embarking on elimination

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    Yangzom Thinley

    2012-01-01

    Full Text Available Abstract Background Bhutan has achieved a major reduction in malaria incidence amid multiple challenges. This case study seeks to characterize the Bhutan malaria control programme over the last 10 years. Methods A review of the malaria epidemiology, control strategies, and elimination strategies employed in Bhutan was carried out through a literature review of peer-reviewed and grey national and international literature with the addition of reviewing the surveillance and vector control records of the Bhutan Vector-Borne Disease Control Programme (VDCP. Data triangulation was used to identify trends in epidemiology and key strategies and interventions through analysis of the VDCP surveillance and programme records and the literature review. Enabling and challenging factors were identified through analysis of socio-economic and health indicators, corroborated through a review of national and international reports and peer-review articles. Findings Confirmed malaria cases in Bhutan declined by 98.7% from 1994 to 2010. The majority of indigenous cases were due to Plasmodium vivax (59.9% and adult males are most at-risk of malaria. Imported cases, or those in foreign nationals, varied over the years, reaching 21.8% of all confirmed cases in 2006. Strategies implemented by the VDCP are likely to be related to the decline in cases over the last 10 years. Access to malaria diagnosis in treatment was expanded throughout the country and evidence-based case management, including the introduction of artemisinin-based combination therapy (ACT for P. falciparum, increasing coverage of high risk areas with Indoor Residual Spraying, insecticide-treated bed nets, and long-lasting insecticidal nets are likely to have contributed to the decline alongside enabling factors such as economic development and increasing access to health services. Conclusion Bhutan has made significant strides towards elimination and has adopted a goal of national elimination. A major

  6. An international labour migration to developing countries in Asia: a case study of Korea.

    Science.gov (United States)

    Kim, J K

    1996-12-01

    This study is based on a random sample of 431 temporary migrant workers from developing countries in Korea. Interviews were conducted from mid-October 1995 to mid-March 1996 with 105 Pakistanis, 77 Filipinos, 71 Sri Lankans, 67 Bangladeshi, 40 Indonesians, 26 individuals from Myanmar, 22 Chinese, 16 Nepalese, 2 Iranians, 2 Kazakstanians, 1 Malaysian, 1 Vietnamese, and 1 Ghanaian. Migration follows legal and illegal patterns. Legal trainee migrants leave before their contract time due to low pay, inadequate living conditions, forced overtime work, and lack of freedom. Trainees tend to be ethnic Koreans born in China and Chinese nationals. The number of illegal migrants is increasing. Foreign workers gain entry illegally through smuggling networks and legally through industrial work or tourist visas. Sample data reveal that the average age ranged from 26 to 32 years. Almost 70% were unmarried, and most were males. Filipinos tended to be older and show gender and marital balance. Age, marital status, religion, and education varied widely by ethnic group. Indonesians and Sri Lankans had lower household income than Pakistanis and Filipinos. Pakistanis tended to come from larger families. Total travel costs ranged from $3000 to $5000. Korea is one of four rapidly developing countries that shifted from being a major exporter of labor to a major importer of workers. Shortages of workers accompanied the shift. This case study illustrates that the traditional structural paradigm does not explain some unique features of international labor migration (ILM) in Asia, including the encouragement of illegal migration. The clandestine networks are different from those in developed countries. State policies mediate the flow of ILM.

  7. Increasing the Use of Urban Greenways in Developing Countries: A Case Study on Wutong Greenway in Shenzhen, China.

    Science.gov (United States)

    Chen, Yiyong; Gu, Weiying; Liu, Tao; Yuan, Lei; Zeng, Mali

    2017-05-23

    Given the benefits of urban greenways on the health and well-being of urban populations, the increased use of urban greenways has garnered increasing attention. Studies on urban greenways, however, have been mostly conducted in Western countries, whereas there is limited knowledge on greenway use in urban areas in developing countries. To address this shortcoming, the present study selected Wutong Greenway in Shenzhen, China, as a case study and focused on the use pattern and factors that influence the frequency and duration of urban greenway use in developing countries. An intercept survey of greenway users was conducted, and 1257 valid questionnaires were obtained. Multiple logistic regression analysis was used to examine the relationship between potential predictors and greenway use. Results showed that visitors with a varied sociodemographic background use Wutong Greenway with high intensity. Various factors affect the use of urban greenways, including individual and environmental factors and greenway use patterns. Unlike previous studies, we found that accommodation type, length of stay at present residence and mode of transportation to the greenway are important factors that affect greenway use. In contrast with studies conducted in Western countries, less-educated and low-income respondents visit the Wutong greenway even more frequently than others. Thus, the greenway is an important public asset that promotes social equity and that all residents can freely use. To better serve citizens, we suggest that the greenway network should be extended to other areas and that its environmental quality should be improved.

  8. A case study of an ESL Student learning English in an English Speaking Country

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    Wahyu Taufiq

    2016-09-01

    Full Text Available Different students who learn English as the second language has various problems and strategies to overcome. A case study on an international student who learns English as a second language in an English speaking country raised some problems he had and offered some strategies he used during the process of learning. The progress of learning from the first time coming and studying at a college in Australia was mainly the core data collected on this study. The data copes from his formal academic learning experience and also from informal situation that he met at his everyday life. This study applied qualitative research method and use interview and recording as the instruments. The data were analized through three stages: data reduction, data display, and conclusion drawing. The results of the study show that the learner experiences a range of English learning problems which happened after his coming to Australia and some strategies he used to overcome.

  9. Risk factors for falls with severe fracture in elderly people living in a middle-income country: a case control study

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    Bloch Katia V

    2008-08-01

    Full Text Available Abstract Background Fracture after falling has been identified as an important problem in public health. Most studies of risk factors for fractures due to falls have been carried out in developed countries, although the size of the elderly population is increasing fast in middle income countries. The objective of this paper is to identify risk factors for fall related to severe fractures in those aged 60 or more in a middle-income country. Methods A case-control study was carried out in Rio de Janeiro-Brazil based general hospitals between 2002–2003. Two hundred-fifty hospitalised cases of fracture were matched with 250 community controls by sex, age group and living area. Data were collected for socio-demographic variables, health status and drugs used before the fall. A conditional logistic regression model was fitted to identify variables associated with the risk of fall related severe fracture. Results Low body mass index, cognitive impairment, stroke and lack of urine control were associated with increased risk of severe fall related fractures. Benzodiazepines and muscle relaxants were also related to an increased risk of severe fractures while moderate use of alcohol was associated with reduced risk. Conclusion Although the association between benzodiazepines and fractures due to fall has been consistently demonstrated for old people, this has not been the case for muscle relaxant drugs. The decision to prescribe muscle relaxants for elderly people should take into account the risk of severe fracture associated with these drugs.

  10. Risk factors for falls with severe fracture in elderly people living in a middle-income country: a case control study.

    Science.gov (United States)

    Coutinho, Evandro S F; Fletcher, Astrid; Bloch, Katia V; Rodrigues, Laura C

    2008-08-26

    Fracture after falling has been identified as an important problem in public health. Most studies of risk factors for fractures due to falls have been carried out in developed countries, although the size of the elderly population is increasing fast in middle income countries. The objective of this paper is to identify risk factors for fall related to severe fractures in those aged 60 or more in a middle-income country. A case-control study was carried out in Rio de Janeiro-Brazil based general hospitals between 2002-2003. Two hundred-fifty hospitalised cases of fracture were matched with 250 community controls by sex, age group and living area. Data were collected for socio-demographic variables, health status and drugs used before the fall. A conditional logistic regression model was fitted to identify variables associated with the risk of fall related severe fracture. Low body mass index, cognitive impairment, stroke and lack of urine control were associated with increased risk of severe fall related fractures. Benzodiazepines and muscle relaxants were also related to an increased risk of severe fractures while moderate use of alcohol was associated with reduced risk. Although the association between benzodiazepines and fractures due to fall has been consistently demonstrated for old people, this has not been the case for muscle relaxant drugs. The decision to prescribe muscle relaxants for elderly people should take into account the risk of severe fracture associated with these drugs.

  11. PRUNE BELLY SYNDROME: CASE REPORT OF A FAILED MANAGEMENT IN A LOWINCOME COUNTRY.

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    Marcella Schiavone

    2016-04-01

    Full Text Available Prune Belly Syndrome (PBS is a rare congenital syndrome characterized by three main features: abdominal wall flaccidity, bilateral intra-abdominal cryptorchidism, and urologic abnormalities. In this study we describe the case of a 2,600 gr baby, born at the Central Hospital of Beira, Mozambique. Our study confirms that in a low-income country only conservative management can be delivered, and therefore prognosis is worse and less effective than high-income countries.

  12. Software Development Offshoring Competitiveness: A Case Study of ASEAN Countries

    Science.gov (United States)

    Bui, Minh Q.

    2011-01-01

    With the success of offshoring within the American software industry, corporate executives are moving their software developments overseas. The member countries of the Association of Southeast Asian Nations (ASEAN) have become a preferred destination. However, there is a lack of published studies on the region's software competitiveness in…

  13. Countdown to 2015 country case studies: what have we learned about processes and progress towards MDGs 4 and 5?

    Science.gov (United States)

    Moucheraud, Corrina; Owen, Helen; Singh, Neha S; Ng, Courtney Kuonin; Requejo, Jennifer; Lawn, Joy E; Berman, Peter

    2016-09-12

    Countdown to 2015 was a multi-institution consortium tracking progress towards Millennium Development Goals (MDGs) 4 and 5. Case studies to explore factors contributing to progress (or lack of progress) in reproductive, maternal, newborn and child health (RMNCH) were undertaken in: Afghanistan, Bangladesh, China, Ethiopia, Kenya, Malawi, Niger, Pakistan, Peru, and Tanzania. This paper aims to identify cross-cutting themes on how and why these countries achieved or did not achieve MDG progress. Applying a standard evaluation framework, analyses of impact, coverage and equity were undertaken, including a mixed methods analysis of how these were influenced by national context and coverage determinants (including health systems, policies and financing). The majority (7/10) of case study countries met MDG-4 with over two-thirds reduction in child mortality, but none met MDG-5a for 75 % reduction in maternal mortality, although six countries achieved >75 % of this target. None achieved MDG-5b regarding reproductive health. Rates of reduction in neonatal mortality were half or less that for post-neonatal child mortality. Coverage increased most for interventions administered at lower levels of the health system (e.g., immunisation, insecticide treated nets), and these experienced substantial political and financial support. These interventions were associated with ~30-40 % of child lives saved in 2012 compared to 2000, in Ethiopia, Malawi, Peru and Tanzania. Intrapartum care for mothers and newborns -- which require higher-level health workers, more infrastructure, and increased community engagement -- showed variable increases in coverage, and persistent equity gaps. Countries have explored different approaches to address these problems, including shifting interventions to the community setting and tasks to lower-level health workers. These Countdown case studies underline the importance of consistent national investment and global attention for achieving improvements

  14. The Impact of Taxation on Economic Growth: Case Study of OECD Countries

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    Macek Rudolf

    2015-01-01

    Full Text Available The aim of this paper is to evaluate the impact of individual types of taxes on the economic growth by utilizing regression analysis on the OECD countries for the period of 2000–2011. The impact of taxation is integrated into growth models by its impact on the individual growth variables, which are capital accumulation and investment, human capital and technology. The analysis in this paper is based on extended neoclassical growth model of Mankiw, Romer and Weil (1992, and for the verification of relation between taxation and economic growth the panel regression method is used. The taxation rate itself is not approximated only by traditional tax quota, which is characteristic by many insufficiencies, but also by the alternative World Tax Index which combines hard and soft data. It is evident from the results of both analyses that corporate taxation followed by personal income taxes and social security contribution are the most harmful for economic growth. Concurrently, in case of the value added tax approximated by tax quota, the negative impact on economic growth was not confirmed, from which it can be concluded that tax quota, in this case as the indicator of taxation, fails. When utilizing World Tax Index, a negative relation between these two variables was confirmed, however, it was the least quantifiable. The impact of property taxes was statistically insignificant. Based on the analysis results it is evident that in effort to stimulate economic growth in OECD countries, economic-politic authorities should lower the corporate taxation and personal income taxes, and the loss of income tax revenues should be compensated by the growth of indirect tax revenues.

  15. Release criteria from hospitals of 131I thyrotoxicosis therapy patients in developing countries - case study

    International Nuclear Information System (INIS)

    Muhammad, W.; Faaruq, S.; Matiullah; Hussain, A.; Khan, A. A.

    2006-01-01

    The current release limit, recommended by the International Atomic Energy Agency (IAEA) (1), from hospitals of patients undergoing 131 I thyrotoxicosis therapy is ∼1100 MBq (∼30 mCi). Owing to the difference in socio-economic conditions, literacy rate, family system, etc., this release limit may not be applicable in most of the developing countries like Pakistan. Therefore, the prime objective of this case study was to re-evaluate the release criteria for 131 I thyrotoxicosis therapy patients by taking into account their lifestyle, economic conditions and other facilities such as availability of private/public transport, etc. In this context, systematic studies were carried out and 50 patients (i.e. 35 outpatients and 15 inpatients) at the Nuclear Medicine Oncology and Radiotherapy Inst. (NORI), Islamabad, were studied. Exposure rate at the surface of the body and at a distance of 1 m from the standing patient was measured. Results obtained from this study showed that the dose equivalent delivered by these patients to their family members (particularly children) and general public was higher than annual dose limits recommended by the International Commission for Radiation Protection in their report ICRP Publication 60 (2). In the light of this study, it is recommended that the release activity limit of ∼370 MBq (or dose rate level of ∼10 μSv h -1 at 1 m from the patient) be adopted instead of ∼1100 MBq in developing countries like Pakistan. (authors)

  16. Conflicts in developing countries: a case study from Rio de Janeiro

    International Nuclear Information System (INIS)

    Bredariol, Celso Simoes; Magrini, Alessandra

    2003-01-01

    In developing countries, environmental conflicts are resolved mainly in the political arena. In the developed nations, approaches favoring structured negotiation support techniques are more common, with methodologies and studies designed especially for this purpose, deriving from Group Communications and Decision Theory. This paper analyzes an environmental dispute in the City of Rio de Janeiro, applying conflict analysis methods and simulating its settlement. It concludes that the use of these methodologies in the developing countries may be undertaken with adaptations, designed to train community groups in negotiating while fostering the democratization of the settlement of these disputes

  17. Ethnic Chinese Remigration from Southeast Asian Countries since 1960s: A Case Study of Malaysian Chinese Outflows

    OpenAIRE

    Kang Xiaoli

    2015-01-01

    Total outflows of Chinese from Southeast Asian countries since the Second World War reached around 3 million. They headed to the developed countries such as the United States, Canada, United Kingdom, Australia, France and Singapore. As for the case of Malaysia, large number of Malaysian Chinese remigrated to Singapore, United Kingdom, United States, Canada and Australia for new residence since the end of the Second World War. They left Malaysia because of political discrimination, economic re...

  18. Basic Education for Girls in Yemen: Country Case Study and Analysis. Mid-Decade Review of Progress towards Education for All.

    Science.gov (United States)

    Beatty, Sharon

    In 1995, the International Consultative Forum on Education for All (EFA) commissioned case studies in developing countries as part of a mid-decade review of progress in expanding access to basic education. This paper examines provision of basic education (grades 1-9) in Yemen, focusing on obstacles to girls' education in rural areas. The report…

  19. Incidence and risk factors of aplastic anemia in Latin American countries: the LATIN case-control study

    Science.gov (United States)

    Maluf, Eliane; Hamerschlak, Nelson; Cavalcanti, Alexandre Biasi; Júnior, Álvaro Avezum; Eluf-Neto, José; Falcão, Roberto Passetto; Lorand-Metze, Irene G.; Goldenberg, Daniel; Santana, Cézar Leite; de Oliveira Werneck Rodrigues, Daniela; da Motta Passos, Leny Nascimento; Rosenfeld, Luis Gastão Mange; Pitta, Marimilia; Loggetto, Sandra; Feitosa Ribeiro, Andreza A.; Velloso, Elvira Deolinda; Kondo, Andrea Tiemi; de Miranda Coelho, Erika Oliveira; Pintão, Maria Carolina Tostes; de Souza, Hélio Moraes; Borbolla, José Rafael; Pasquini, Ricardo

    2009-01-01

    Background Associations between aplastic anemia and numerous drugs, pesticides and chemicals have been reported. However, at least 50% of the etiology of aplastic anemia remains unexplained. Design and Methods This was a case-control, multicenter, multinational study, designed to identify risk factors for agranulocytosis and aplastic anemia. The cases were patients with diagnosis of aplastic anemia confirmed through biopsy or bone marrow aspiration, selected through an active search of clinical laboratories, hematology clinics and medical records. The controls did not have either aplastic anemia or chronic diseases. A total of 224 patients with aplastic anemia were included in the study, each case was paired with four controls, according to sex, age group, and hospital where the case was first seen. Information was collected on demographic data, medical history, laboratory tests, medications, and other potential risk factors prior to diagnosis. Results The incidence of aplastic anemia was 1.6 cases per million per year. Higher rates of benzene exposure (≥30 exposures per year) were associated with a greater risk of aplastic anemia (odds ratio, OR: 4.2; 95% confidence interval, CI: 1.82–9.82). Individuals exposed to chloramphenicol in the previous year had an adjusted OR for aplastic anemia of 8.7 (CI: 0.87–87.93) and those exposed to azithromycin had an adjusted OR of 11.02 (CI 1.14–108.02). Conclusions The incidence of aplastic anemia in Latin America countries is low. Although the research study centers had a high coverage of health services, the underreporting of cases of aplastic anemia in selected regions can be discussed. Frequent exposure to benzene-based products increases the risk for aplastic anemia. Few associations with specific drugs were found, and it is likely that some of these were due to chance alone. PMID:19734415

  20. Linking national and global population agendas: case studies from eight developing countries.

    Science.gov (United States)

    Lee, K; Walt, G

    1995-06-01

    This comparative study of the determinants of family planning policy initiation and implementation focuses on four pairs of countries: Zambia/Zimbabwe, Algeria/Tunisia, Pakistan/Bangladesh, and Philippines/Thailand. The conclusion is drawn that global efforts had an influence on national policy makers and on putting family planning issues on the policy agenda. Global impacts were affected by national economic and social conditions and the broader political and economic relations with Western countries. The absolute level of economic development was found to be unrelated to the timing of initiation of family planning on national policy agendas. Stronger national family planning programs occurred in countries where policy makers linked economic development at whatever level with the need to limit population growth. Pakistan and Thailand in the 1960s illustrated this commitment to family planning programs, and Zambia and Algeria illustrated the lack of connection between development and population growth at the policy level and the lack of family planning on the policy agenda. Affiliation with the West during the 1960s meant early initiation of family planning in Pakistan/Bangladesh and Philippines/Thailand. Stronger commitment to program implementation occurred only in Thailand during the 1970s and Zimbabwe during the 1980s. Commitment lessened in the Philippines and Pakistan. Program implementation and national support of family planning were viewed as also dependent upon domestic factors, such as sufficient resources. Algeria/Tunisia and Zambia/Zimbabwe were countries that promoted family planning only after national political ideology shifted and anti-imperialist sentiments subsided. The impact of the international Cairo conference on these countries was minimal in terms of policy change. Most of the countries however desired greater support from donors. Even objections from the Vatican and internal domestic pressures were insufficient to prevent countries such as

  1. Countdown to 2015 country case studies: what have we learned about processes and progress towards MDGs 4 and 5?

    Directory of Open Access Journals (Sweden)

    Corrina Moucheraud

    2016-09-01

    Full Text Available Abstract Background Countdown to 2015 was a multi-institution consortium tracking progress towards Millennium Development Goals (MDGs 4 and 5. Case studies to explore factors contributing to progress (or lack of progress in reproductive, maternal, newborn and child health (RMNCH were undertaken in: Afghanistan, Bangladesh, China, Ethiopia, Kenya, Malawi, Niger, Pakistan, Peru, and Tanzania. This paper aims to identify cross-cutting themes on how and why these countries achieved or did not achieve MDG progress. Methods Applying a standard evaluation framework, analyses of impact, coverage and equity were undertaken, including a mixed methods analysis of how these were influenced by national context and coverage determinants (including health systems, policies and financing. Results The majority (7/10 of case study countries met MDG-4 with over two-thirds reduction in child mortality, but none met MDG-5a for 75 % reduction in maternal mortality, although six countries achieved >75 % of this target. None achieved MDG-5b regarding reproductive health. Rates of reduction in neonatal mortality were half or less that for post-neonatal child mortality. Coverage increased most for interventions administered at lower levels of the health system (e.g., immunisation, insecticide treated nets, and these experienced substantial political and financial support. These interventions were associated with ~30–40 % of child lives saved in 2012 compared to 2000, in Ethiopia, Malawi, Peru and Tanzania. Intrapartum care for mothers and newborns -- which require higher-level health workers, more infrastructure, and increased community engagement -- showed variable increases in coverage, and persistent equity gaps. Countries have explored different approaches to address these problems, including shifting interventions to the community setting and tasks to lower-level health workers. Conclusions These Countdown case studies underline the importance of consistent

  2. The Adoption of Social Media in Nonprofit Organizations : The Case Study of the United Nations Country Team in Thailand

    OpenAIRE

    Panyam, Sinta

    2014-01-01

    The study examines the role of social media in non-profit organizations using the case study from the United Nations Development Programme (UNDP) in Thailand Country office. As Social media become a significant channel to raise the visibility and promote the work of the organization. The focus of this research examines what drives organizations adopting social media through a model built round four key factors, 1.) The importance of social media, 2.) The impact to image of the organization, 3...

  3. An overview of the circular economy among SMEs in the Basque country: A multiple case study

    Energy Technology Data Exchange (ETDEWEB)

    Ormazabal, M.; Prieto-Sandoval, V.; Jaca, C.; Santos, J.

    2016-07-01

    Purpose: This research analyzes the maturity of environmental management as well as the degree of to which the Circular Economy has been implemented in Basque SMEs. Design/methodology/approach: A total of 17 case studies were carried out in industrial SMEs companies in the Basque Country. Findings: The main results show that companies are limited to complying with the law and in many cases are worried about the image of the company, although they are not committed to environmental issues. There is still a lot to do in SMEs, as they are the companies that face the biggest challenges due to a lack of resources. Originality/value: Circular Economy aims to change a linear economy into promoting sustainability of the economy while also engaging in sustainable environmental protection. This research has focused on small and medium enterprises as they represent a 99% of companies in Europe and they are the ones that have the most difficulty reaching a stage of environmental excellence due to their limited resources.

  4. An overview of the circular economy among SMEs in the Basque country: A multiple case study

    International Nuclear Information System (INIS)

    Ormazabal, M.; Prieto-Sandoval, V.; Jaca, C.; Santos, J.

    2016-01-01

    Purpose: This research analyzes the maturity of environmental management as well as the degree of to which the Circular Economy has been implemented in Basque SMEs. Design/methodology/approach: A total of 17 case studies were carried out in industrial SMEs companies in the Basque Country. Findings: The main results show that companies are limited to complying with the law and in many cases are worried about the image of the company, although they are not committed to environmental issues. There is still a lot to do in SMEs, as they are the companies that face the biggest challenges due to a lack of resources. Originality/value: Circular Economy aims to change a linear economy into promoting sustainability of the economy while also engaging in sustainable environmental protection. This research has focused on small and medium enterprises as they represent a 99% of companies in Europe and they are the ones that have the most difficulty reaching a stage of environmental excellence due to their limited resources.

  5. Municipal solid waste management challenges in developing countries - Kenyan case study

    International Nuclear Information System (INIS)

    Henry, Rotich K.; Zhao Yongsheng; Dong Jun

    2006-01-01

    This paper provides an overview of the state of municipal solid waste management (MSWM) by local authorities in Kenya as a case study of a low-income developing country. Approaches of possible solutions that can be undertaken to improve municipal solid waste (MSW) services are discussed. Poor economic growth (1.1% in 1993) has resulted in an increase in the poverty level which presently stands at 56%. Migration from the rural areas to the urban areas has resulted in unplanned settlements in suburban areas accommodating about 60% of the urban population on only 5% urban land area. Political interference also hampers smooth running of local authorities. Vulnerability of pollution of surface and groundwater is high because local authorities rarely considered environmental impact in siting MSW disposal sites. Illegal dumping of MSW on the river banks or on the roadside poses environmental and economic threats on nearby properties. Poor servicing of MSW collection vehicles, poor state of infrastructure and the lack of adequate funding militate against optimization of MSW disposal service. The rural economy needs to be improved if rural-urban migration is to be managed. Involvement of stakeholders is important to achieve any meaningful and sustainable MSWM. The role of the informal sector through community-based organizations (CBOs), Non-Governmental Organizations (NGOs) and the private sector in offering solutions towards improvement of MSWM also is explored

  6. Secure E-Examination Systems Compared: Case Studies from Two Countries

    Directory of Open Access Journals (Sweden)

    Andrew E. Fluck

    2017-04-01

    Full Text Available Aim/Purpose: Electronic examinations have some inherent problems. Students have expressed negative opinions about electronic examinations (e-examinations due to a fear of, or unfamiliarity with, the technology of assessment, and a lack of knowledge about the methods of e-examinations. Background: Electronic examinations are now a viable alternative method of assessing student learning. They provide freedom of choice, in terms of the location of the examination, and can provide immediate feedback; students and institutions can be assured of the integrity of knowledge testing. This in turn motivates students to strive for deeper learning and better results, in a higher quality and more rigorous educational process. Methodology\t: This paper compares an e-examination system at FUT Minna Nigeria with one in Australia, at the University of Tasmania, using case study analysis. The functions supported, or inhibited, by each of the two e-examination systems, with different approaches to question types, cohort size, technology used, and security features, are compared. Contribution: The researchers’ aim is to assist stakeholders (including lecturers, invigilators, candidates, computer instructors, and server operators to identify ways of improving the process. The relative convenience for students, administrators, and lecturer/assessors and the reliability and security of the two systems are considered. Challenges in conducting e-examinations in both countries are revealed by juxtaposing the systems. The authors propose ways of developing more effective e-examination systems. Findings: The comparison of the two institutions in Nigeria and Australia shows e-examinations have been implemented for the purpose of selecting students for university courses, and for their assessment once enrolled. In Nigeria, there is widespread systemic adoption for university entrance merit selection. In Australia this has been limited to one subject in one state, rather

  7. Food waste quantification in primary production - The Nordic countries as a case study.

    Science.gov (United States)

    Hartikainen, Hanna; Mogensen, Lisbeth; Svanes, Erik; Franke, Ulrika

    2018-01-01

    Our understanding of food waste in the food supply chain has increased, but very few studies have been published on food waste in primary production. The overall aims of this study were to quantify the total amount of food waste in primary production in Finland, Sweden, Norway and Denmark, and to create a framework for how to define and quantify food waste in primary production. The quantification of food waste was based on case studies conducted in the present study and estimates published in scientific literature. The chosen scope of the study was to quantify the amount of edible food (excluding inedible parts like peels and bones) produced for human consumption that did not end up as food. As a result, the quantification was different from the existing guidelines. One of the main differences is that food that ends up as animal feed is included in the present study, whereas this is not the case for the recently launched food waste definition of the FUSIONS project. To distinguish the 'food waste' definition of the present study from the existing definitions and to avoid confusion with established usage of the term, a new term 'side flow' (SF) was introduced as a synonym for food waste in primary production. A rough estimate of the total amount of food waste in primary production in Finland, Sweden, Norway and Denmark was made using SF and 'FUSIONS Food Waste' (FFW) definitions. The SFs in primary production in the four Nordic countries were an estimated 800,000 tonnes per year with an additional 100,000 tonnes per year from the rearing phase of animals. The 900,000 tonnes per year of SF corresponds to 3.7% of the total production of 24,000,000 tonnes per year of edible primary products. When using the FFW definition proposed by the FUSIONS project, the FFW amount was estimated at 330,000 tonnes per year, or 1% of the total production. Copyright © 2017 Elsevier Ltd. All rights reserved.

  8. The average cost of measles cases and adverse events following vaccination in industrialised countries

    Directory of Open Access Journals (Sweden)

    Kou Ulla

    2002-09-01

    Full Text Available Abstract Background Even though the annual incidence rate of measles has dramatically decreased in industrialised countries since the implementation of universal immunisation programmes, cases continue to occur in countries where endemic measles transmission has been interrupted and in countries where adequate levels of immunisation coverage have not been maintained. The objective of this study is to develop a model to estimate the average cost per measles case and per adverse event following measles immunisation using the Netherlands (NL, the United Kingdom (UK and Canada as examples. Methods Parameter estimates were based on a review of the published literature. A decision tree was built to represent the complications associated with measles cases and adverse events following imminisation. Monte-Carlo Simulation techniques were used to account for uncertainty. Results From the perspective of society, we estimated the average cost per measles case to be US$276, US$307 and US$254 for the NL, the UK and Canada, respectively, and the average cost of adverse events following immunisation per vaccinee to be US$1.43, US$1.93 and US$1.51 for the NL, UK and Canada, respectively. Conclusions These average cost estimates could be combined with incidence estimates and costs of immunisation programmes to provide estimates of the cost of measles to industrialised countries. Such estimates could be used as a basis to estimate the potential economic gains of global measles eradication.

  9. Assessment of the Successes and Failures of Decentralized Energy Solutions and Implications for the Water–Energy–Food Security Nexus: Case Studies from Developing Countries

    Directory of Open Access Journals (Sweden)

    Dawit Diriba Guta

    2017-06-01

    Full Text Available Access to reliable and affordable energy is vital for sustainable development. In the off-grid areas of developing countries, decentralized energy solutions have received increasing attention due to their contributions to reducing poverty. However, most of the rural population in many developing countries still has little or no access to modern energy technologies. This paper assesses the factors that determine the successes and failures of decentralized energy solutions based on local harmonized case studies from heterogeneous contexts from Asia, sub-Saharan Africa, and South America. The case studies were analyzed through the coupled lenses of energy transition and the Water–Energy–Food Security (WEF Nexus. The findings indicate that access to modern decentralized energy solutions has not resulted in complete energy transitions due to various tradeoffs with the other domains of the WEF Nexus. On the other hand, the case studies point at the potential for improvements in food security, incomes, health, the empowerment of women, and resource conservation when synergies between decentralized energy solutions and other components of the WEF Nexus are present.

  10. Practical guidance material for the development, energy and climate country studies

    Energy Technology Data Exchange (ETDEWEB)

    Halsnaes, K.; Garg, A.; Olhoff, A.; Denton, F.

    2006-10-15

    The document is developed as part of the Development, Energy and Climate project in order to facilitate methodological consistency and the use of common assumptions in national case studies in Bangladesh, Brazil, China, India, Senegal and South Africa that are conducted as part of the project. In addition to this document the project and country studies are also based on in depth thematic work in three areas namely; 1) Development pathways and climate change; 2) Assessment of Policy Instruments in the Context of Current Market Structure, Institutional Capacities and Risks in Developing Countries; 3) Climate change impacts, vulnerability, and adaptation in the energy sector with a special emphasis given to linkages between adaptation and mitigation policies. The Development, Energy, and Climate project will identify promising energy policy options in the participating countries that are consistent with their national sustainable development objectives. The project teams from Bangladesh, Brazil, China, India, South Africa and Senegal will examine how energy sector policies can be evaluated using specific sustainable development indicators and existing analytical approaches and tools relevant to the countries. The country studies will address energy sector issues, adaptation policies, and alternative scenarios for technology penetration processes. The policy options and the sustainable development impacts of implementing these will be discussed in national stakeholder dialogues with broad participation of government, private sector and NGOs. Cross-country interactions about conceptual and common methodological issues will be covered in three thematic papers. The project will produce a synthesis of the country case studies as an input to various international processes in order to build support for approaches that integrate sustainable development, energy and climate policies. (au)

  11. Drug addict deaths in the Nordic countries: a study based on medicolegally examined cases in the five Nordic countries in 1991

    DEFF Research Database (Denmark)

    Steentoft, Anni; Teige, Brita; Holmgren, Per

    1996-01-01

    The study includes medicolegally examined deaths among drug addicts in 1991 in the five Nordic countries: Denmark, Finland, Iceland, Norway and Sweden. A common definition of ‘drug addict’ was applied by the participating countries. The greatest number of drug addict deaths per 105 inhabitants...... was observed in Denmark followed, in descending order by Norway, Sweden, Finland and finally Iceland with only four deaths. The main difference between the countries was found in the number of fatal poisonings. The distribution according to geographical regions showed that about half of all drug addict deaths...

  12. Participatory ergonomics intervention in an industrially developing country--a case study.

    Science.gov (United States)

    Helali, Faramarz; Lönnroth, Emma-Christin; Shahnavaz, Houshang

    2008-01-01

    In industrially developing countries, a few ergonomists have directed great efforts towards developing ergonomics awareness among managers and workers in organizations. There is little research on the degree of their success, though. Furthermore, access of organizations to ergonomics knowledge is usually very difficult, especially in industrially developing countries. Thus, building ergonomics awareness is certainly the first phase of the process. Three companies from one industry (44 people: 14 females and 30 males) participated in a project aimed at improving their work system. At the beginning, we needed to create a common goal and ensure participation with appropriate ergonomics tools. The findings of this study were the key issue for the ergonomics intervention (i.e., a shared vision, awakened need of change and learning). Further, to build ergonomics awareness and develop a continuous learning process in the company, it was necessary to use more ergonomics tools through workers' participation in different workplaces.

  13. The three waves in implementation of facility-based kangaroo mother care: a multi-country case study from Asia.

    Science.gov (United States)

    Bergh, Anne-Marie; de Graft-Johnson, Joseph; Khadka, Neena; Om'Iniabohs, Alyssa; Udani, Rekha; Pratomo, Hadi; De Leon-Mendoza, Socorro

    2016-01-27

    Kangaroo mother care has been highlighted as an effective intervention package to address high neonatal mortality pertaining to preterm births and low birth weight. However, KMC uptake and service coverage have not progressed well in many countries. The aim of this case study was to understand the institutionalisation processes of facility-based KMC services in three Asian countries (India, Indonesia and the Philippines) and the reasons for the slow uptake of KMC in these countries. Three main data sources were available: background documents providing insight in the state of implementation of KMC in the three countries; visits to a selection of health facilities to gauge their progress with KMC implementation; and data from interviews and meetings with key stakeholders. The establishment of KMC services at individual facilities began many years before official prioritisation for scale-up. Three major themes were identified: pioneers of facility-based KMC; patterns of KMC knowledge and skills dissemination; and uptake and expansion of KMC services in relation to global trends and national policies. Pioneers of facility-based KMC were introduced to the concept in the 1990s and established the practice in a few individual tertiary or teaching hospitals, without further spread. A training method beneficial to the initial establishment of KMC services in a country was to send institutional health-professional teams to learn abroad, notably in Colombia. Further in-country cascading took place afterwards and still later on KMC was integrated into newborn and obstetric care programs. The patchy uptake and expansion of KMC services took place in three phases aligned with global trends of the time: the pioneer phase with individual champions while the global focus was on child survival (1998-2006); the newborn-care phase (2007-2012); and lastly the current phase where small babies are also included in action plans. This paper illustrates the complexities of implementing a

  14. An overview of the circular economy among SMEs in the Basque country: A multiple case study

    Directory of Open Access Journals (Sweden)

    Marta Ormazabal

    2016-12-01

    Full Text Available Purpose: This research analyzes the maturity of environmental management as well as the degree of to which the Circular Economy has been implemented in Basque SMEs. Design/methodology/approach: A total of 17 case studies were carried out in industrial SMEs companies in the Basque Country. Findings: The main results show that companies are limited to complying with the law and in many cases are worried about the image of the company, although they are not committed to environmental issues. There is still a lot to do in SMEs, as they are the companies that face the biggest challenges due to a lack of resources. Originality/value: Circular Economy aims to change a linear economy into promoting sustainability of the economy while also engaging in sustainable environmental protection. This research has focused on small and medium enterprises as they represent a 99% of companies in Europe and they are the ones that have the most difficulty reaching a stage of environmental excellence due to their limited resources.

  15. Does autonomy for public hospitals in developing countries increase performance? Evidence-based case studies.

    Science.gov (United States)

    De Geyndt, Willy

    2017-04-01

    Governments in middle and low income countries have sought ways for the past decades to make their public hospitals more performing. The objectives of this assessment are to: (a) synthesize the experience of eleven countries at granting autonomy to their public hospitals and the obstacles encountered; (b) deduce which autonomy policies have or have not been effective documenting successes and failures; and (c) propose evidence-based recommendations to policy makers. Data for five countries are derived from the author's participation in the autonomy process augmented by current updates provided by national colleagues. Data for the other six countries are derived from publications available in the literature. Policies granting autonomy to public hospitals have had limited success. In all cases Boards of Directors have been created. Governance of autonomized hospitals by Boards however is obstructed by the resistance of central level entities to have their authority diminished. The Ministry of Finance tends to maintain control over revenues and expenditures. The Public Service Commission resists abdicating its role to hire, promote, transfer and dismiss government employees. The Ministry of Health attempts to keep its authority to appoint hospital staff, procure medical supplies and equipment; it may do so directly or indirectly by selecting and appointing Board members. Management information systems continue to collect activity measures to be aggregated at the national level for statistical purposes and do not provide financial and clinical data useful for decision making by the Boards and by senior management. Decentralizing decision making to the operational level has had limited success. Stakeholders at the central level devise strategies to maintain their power. Two main obstacles are delegating authority over human resources and finances that are sine qua non conditions for governing and increasing the performance of public hospitals. Copyright © 2017 Elsevier

  16. Potential of geographical variation analysis for realigning providers to value-based care. ECHO case study on lower-value indications of C-section in five European countries.

    Science.gov (United States)

    García-Armesto, Sandra; Angulo-Pueyo, Ester; Martínez-Lizaga, Natalia; Mateus, Céu; Joaquim, Inês; Bernal-Delgado, Enrique

    2015-02-01

    Although C-section is a highly effective procedure, literature abounds with evidence of overuse and particularly misuse, in lower-value indications such as low-risk deliveries. This study aims to quantify utilization of C-section in low-risk cases, mapping out areas showing excess-usage in each country and to estimate excess-expenditure as a proxy of the opportunity cost borne by healthcare systems. Observational, ecologic study on deliveries in 913 sub-national administrative areas of five European countries (Denmark, England, Portugal, Slovenia and Spain) from 2002 to 2009. The study includes a cross-section analysis with 2009 data and a time-trend analysis for the whole period. Main endpoints: age-standardized utilization rates of C-section in low-risk pregnancies and deliveries per 100 deliveries. Secondary endpoints: Estimated excess-cases per geographical unit of analysis in two scenarios of minimized utilization. C-section is widely used in all examined countries (ranging from 19% of Slovenian deliveries to 33% of deliveries in Portugal). With the exception of Portugal, there are no systematic variations in intensity of use across areas in the same country. Cross-country comparison of lower-value C-section leaves Denmark with 10% and Portugal with 2%, the highest and lowest. Such behaviour was stable over the period of analysis. Within each country, the scattered geographical patterns of use intensity speak for local drivers playing a major role within the national trend. The analysis conducted suggests plenty of room for enhancing value in obstetric care and equity in women's access to such within the countries studied. The analysis of geographical variations in lower-value care can constitute a powerful screening tool. © The Author 2015. Published by Oxford University Press on behalf of the European Public Health Association. All rights reserved.

  17. Gas pricing in developing countries: A case study of Pakistan

    International Nuclear Information System (INIS)

    Sohail, H.M.; Abid, M.S.; Ansari, A.M.

    1994-01-01

    Pakistan, a developing country, has gone through various phases of formulating gas pricing policies during its 40-year history of natural gas production and consumption. This paper identifies critical factors that influenced gas pricing policies in Pakistan and adverse effects experienced when any of these factors was not given proper consideration. For instance, on the producer's side, discounted pricing formulas discouraged further exploration and development, leaving high-potential areas unexplored and discovered fields dormant for more than a decade. On the consumer's side, subsidized gas prices encouraged consumption to rise steeply without new discoveries to offset additional surplus consumption. The paper also discusses various short- and long-term variables that should go into a gas pricing policy for developing countries. References to recent policies are also given, indicating how these variables were incorporated in real terms. The conclusions and recommendations, based on Pakistan's long experience with the gas industry, should be useful for other oil-importing countries rich in indigenous gas resources

  18. Exploring English-Language Teachers' Professional Development in Developing Countries: Cases from Syria and Pakistan

    Science.gov (United States)

    Dayoub, Ruba; Bashiruddin, Ayesha

    2012-01-01

    This paper attempts to present the findings of a study carried out in Pakistan that explored English-language teachers' professional development in developing countries. The main guiding question for the study was: How do English-language teachers at secondary schools learn to teach and develop professionally in Syria and Pakistan? Two cases were…

  19. A comparative study in disaster planning in selected countries

    Directory of Open Access Journals (Sweden)

    Mahmode M

    2007-11-01

    Full Text Available Background: Assessment of different strategic in disaster planning in selected countries. According to the international report indicating that IRAN is among the seven countries most susceptible to disaster, experiencing 31 known disasters out of 40 in the world, occurrence of 1536 moderate to severe earthquake, during 1370-80 and 712 other disasters at the same period it seems necessary to design a disaster plan."nMethods: This research is a comparative-descriptive and case based study in which the researcher used random sampling process in selecting the statistical society from both developed and developing countries. In this goal oriented research the necessary information are extracted from valid global reports, articles and many questionnaires which were subjected to scientific analysis."nResults: Studying different countries (which includes: Canada, Japan, India, USA, Turkey, Pakistan and Iran shows that there is a direct relationship between the level of countries development and their success in disaster planning and management (including preventive measures and confrontation. In most of the studied countries, decentralized planning caused many professional planners participate in different levels of disaster management which ultimately led to development of efficient and realistic plans which in turn decreased the catastrophic effects of disasters dramatically. The results of the aforementioned countries showed that a balanced approach to disaster plan with investment in prophylactic area is very important."nConclusion: As our country uses a centralized strategy for disaster management which has proven its ineffectiveness, the researcher suggests that we should change our approach in disaster management and let our planners participate from all levels include: provincial, rural and etc. This will led to a reality based planning and using all potential capacities in disaster management. According to this study it will be possible to use

  20. A study of work injuries in eight Asian countries.

    Science.gov (United States)

    Ong, C N; Phoon, W O; Tan, T C; Jeyaratnam, J; Cho, S C; Suma'mur, P K; Mahathevan, R; Reverente, B R; Wongphanich, W; Kogi, K

    1984-04-01

    This study is based on a survey conducted in Hong Kong, Indonesia, Korea, Malaysia, the Philippines, Singapore, Sri Lanka and Thailand on occupational injuries during the years 1975-1980. The number of work accidents have risen rapidly during this period in all of the 8 countries studied. In the case of Thailand, the total number of work injuries increased four fold from 1975-1978, whereas, in Singapore it has almost doubled in 6 years. The number of permanent disablement nearly trebled in Korea, and the Philippines for the year 1967-1980. The largest percentage of accidents are lost-time injuries in all of the 8 countries. Thailand had a three fold increase in lost-time injuries whilst in Hong Kong the figure doubled. Six out of the 8 countries indicated that the building construction industry had the largest number of fatal accidents, followed by the manufacturing industry.

  1. Sustainable development and climate change: Lessons from country studies

    DEFF Research Database (Denmark)

    Halsnæs, Kirsten; Shukla, P.; Garg, A.

    2008-01-01

    Sustainable development has been suggested as a framework for integrating development and climate change policies in developing countries. Mainstreaming climate change into sustainable development policies would allow these countries to achieve their development goals while addressing climate...... change. A number of research programmes have investigated how potential synergies could be achieved at national level and what kind of trade-offs between the various aspects of sustainable development have to be faced. An overview of these studies is provided, focusing on national case studies....... The energy and transportation sectors are covered in many studies, but some attention is also given to the infrastructure sector and water supply. Most existing development policies will not lead to a sustainable development pattern, since they insufficiently address climate change. However, good...

  2. Framework for energy policy and technology assessment in developing countries: a case study of Peru

    Energy Technology Data Exchange (ETDEWEB)

    Mubayi, V.; Palmedo, P.F.; Doernberg, A.B.

    1979-12-01

    The potential of various energy sources and technology options in meeting national economic and social development goals in developing countries is assessed. The resource options that are of interest are the development of indigenous resources. In general, two categories of options can be considered: those which correspond to the accelerated implementation of existing elements of the energy system and those which correspond to the introduction of a new technology, such as solar electricity. The various resource and technology options that must be analyzed with respect to a number of criteria or payoff functions are: total demand and fuel mix; reduction of oil consumption; national social goals; total energy costs; and environmental quality. First, a view is constructed of the energy implications of current national economic development plans. A consistent description of the future energy system of the country, under the assumption of current trends and policies is constructed for certain reference years in the future. The values of the payoff functions selected are then calculated for that reference case. The major resource and technology options are identified and the rates at which they can be implemented are determined. Finally, the impact on the various payoff functions of the implementation of each option is calculated. The basic element of the framework is the Reference Energy System, discussed in Secton 3. The energy policy analysis for Peru is used as a reference case. 11 references, 10 figures, 2 tables.

  3. Climate variability as a threat for countries progressing towards malaria elimination: The case study of Peru

    Science.gov (United States)

    Mousam, Aneela; Maggioni, Viviana; Quispe, Antonio; Aquila, Valentina

    2015-04-01

    Malaria cases reported by the Peruvian Ministry of Health demonstrate a 61% reduction of malaria in the last decade (2001- 2010). However, during the years 2011-14 malaria increased by ~2.7 folds in Peru and ~5 folds in Loreto, an Amazonian department that continues contributing over 90% of the malaria cases in Peru. Past studies have indicated that there is a strong association between climate variability and malaria rates. The purpose of this study is to test the hypothesis that climate variables have played a key role in the recent increase of malaria cases in Peru. Climate data, such as precipitation, temperature, humidity and surface pressure simulated by the NASA MERRA model during a 10-year ling time series (2004-2013) are used to verify this hypothesis. Preliminary data analyses show large deviations from the 10-year mean (i.e., climatological anomalies) in humidity, surface pressure, and temperature during 2010 up to four times larger than previous and subsequent years. An increase of 8% in precipitation yearly averages is observed in 2010, which also corresponds with the following reverse of the downward trend of malaria incidence, particularly in Loreto. The sudden amplification of climatological anomalies in 2010 could have set the environmental conditions that caused the re-emergence of malaria in 2011. Investigation is underway to link weekly malaria data from different districts in Peru to the climate conditions at those locations during the past ten years. This will be crucial in understanding why some countries, despite all necessary efforts, are unable to completely eliminate malaria.

  4. Should all suspected tuberculosis cases in high income countries be tested with GeneXpert?

    Science.gov (United States)

    Vella, Venanzio; Broda, Agnieszka; Drobniewski, Francis

    2018-05-01

    In countries with a low incidence of multidrug-resistant tuberculosis (MDR-TB), universal testing with GeneXpert might not be always cost-effective. This study provides hospital managers in low MDR-TB incidence countries with criteria on when decentralised universal GeneXpert testing would make sense. The alternatives taken into consideration include: universal microbiological culture and drug susceptibility testing (DST) only (comparator); as above but with concurrent centralized GeneXpert in a referral laboratory vs a decentralized GeneXpert system in every hospital to test smear-positive cases only; as above but testing all samples with GeneXpert regardless of smear status. The parameters were from the national TB statistics for England and from a systematic review. Decentralised GeneXpert to test any suspected TB case was the most cost-effective option when 6% or more TB patients belonged to the high-risk group, defined as previous TB diagnosis and or being born in countries with a high MDR-TB incidence. Hospital managers in England and other low MDR-TB incidence countries could use these findings to decide when to invest in GeneXpert or other molecular diagnostics with similar performance criteria for TB diagnostics. Copyright © 2017 Elsevier Ltd. All rights reserved.

  5. Developing countries and incipient industrialization: a case study of ...

    African Journals Online (AJOL)

    Botswana's small and large towns offer good examples of incipient industrialization and enterprise clustering in a developing economy. Using data from Lobatse, a small industrial centre in Botswana, this brief paper shows that clustering in developing countries does not necessarily induce high inter-firm relationships as is ...

  6. North Country Successes: Case Studies of Successful Entrepreneurs in the ANCA Region.

    Science.gov (United States)

    Chugh, Ram L.; Gandhi, Prem P.

    This study identifies the characteristics of both successful small businesses and their entrepreneurial owners in a 14-county area of the Adirondack North Country Association (ANCA). Of the 100 survey respondents representing successful small businesses, 50% had been in business for less than 14 years; 38% were in manufacturing; 48% employed more…

  7. Strategy of the Development of the Country: opinions and attitudes of the country people

    OpenAIRE

    Somerauerová, Jana

    2009-01-01

    The conception of country-side and village. Demographic development of country-side places. Case study of attitude and positions of village inhabitants outspreaded to the country-side development (opinion poll).

  8. The effect of education and economic growth in the labour market in transition economies - Case study for SEE countries

    Directory of Open Access Journals (Sweden)

    Majlinda Mazalliu

    2015-07-01

    Full Text Available In this research paper is analyzed labour market in transition economies with case study SEE countries and the main theoretical arguments for discussions are as following: the effects of education on labour market, improving labour market performance in SEE countries, structural reforms and economic policies for improving labour markets, relationship between level of education and growth on labour market. In methodology, the data is collected from international institutions and is calculated through STATA program. The main analyses include: descriptive statistic, multiple regression analysis and correlation matrix. The results of regression analysis and correlation matrix have shown that education has negative impact and negative correlation on labour market (labour market efficiency and labour market regulation. But, economic growth has shown positive impact and positive correlation on labour market (labour market efficiency and labour market regulation and all variables that are including in T-statistical analysis have shown non - significance on labour market.

  9. Determinants of Small Enterprises’ Performance in Developing Countries: A Bangladesh Case

    OpenAIRE

    Khondoker, Abdul Mottaleb; Sonobe, Tetsushi

    2011-01-01

    Family-based traditional microenterprises are abundant in developing countries, and in many cases they are a major source of income and employment for both urban and rural poor. With a few exceptions, however, most these family-based traditional microenterprises in the rural areas of developing countries seldom grow in terms of enterprises’ size and product quality. Thus, they tend to perform poorly relative to their growth potentials. The development of these family-based microenterprises wo...

  10. Towards Age-Friendly Hospitals in Developing Countries: A Case Study in Iran

    Directory of Open Access Journals (Sweden)

    Ahmad Ahmadi

    2015-03-01

    Full Text Available Background: Developing countries such as Iran are experiencing a growth in the elderly population. This is a challenge for healthcare providers and their families. This study investigated the extent in which hospitals at Tehran meet the criteria of age-friendly hospitals.Methods: In this descriptive study, using convenience sampling, 26 hospitals were selected in Tehran, the capital city of Iran. The instrument was a checklist included 50 items in the three dimensions of information and training of service providers, management systems in health care centers, physical environment and accessibility of hospitals.Results: Most hospitals were in a good condition regarding physical environment and access to public transportation, but in a poor condition for special healthcare programs for the elderly, teaching principles of geriatrics and gerontology, interaction of medical staff, physicians and nurses with senior patients and systems of priority for them.Conclusion: Due to the growing elderly population, it is necessary for health policymakers, especially in developing countries, to consider seriously the issue of elderly healthcare and their need for special outpatient and inpatient services.

  11. Towards a Science of Community Stakeholder Engagement in Biomedical HIV Prevention Trials: An Embedded Four-Country Case Study.

    Science.gov (United States)

    Newman, Peter A; Rubincam, Clara; Slack, Catherine; Essack, Zaynab; Chakrapani, Venkatesan; Chuang, Deng-Min; Tepjan, Suchon; Shunmugam, Murali; Roungprakhon, Surachet; Logie, Carmen; Koen, Jennifer; Lindegger, Graham

    2015-01-01

    Broad international guidelines and studies in the context of individual clinical trials highlight the centrality of community stakeholder engagement in conducting ethically rigorous HIV prevention trials. We explored and identified challenges and facilitators for community stakeholder engagement in biomedical HIV prevention trials in diverse global settings. Our aim was to assess and deepen the empirical foundation for priorities included in the GPP guidelines and to highlight challenges in implementation that may merit further attention in subsequent GPP iterations. From 2008-2012 we conducted an embedded, multiple case study centered in Thailand, India, South Africa and Canada. We conducted in-depth interviews and focus groups with respondents from different trial-related subsystems: civil society organization representatives, community advocates, service providers, clinical trialists/researchers, former trial participants, and key HIV risk populations. Interviews/focus groups were recorded, and coded using thematic content analysis. After intra-case analyses, we conducted cross-case analysis to contrast and synthesize themes and sub-themes across cases. Lastly, we applied the case study findings to explore and assess UNAIDS/AVAC GPP guidelines and the GPP Blueprint for Stakeholder Engagement. Across settings, we identified three cross-cutting themes as essential to community stakeholder engagement: trial literacy, including lexicon challenges and misconceptions that imperil sound communication; mistrust due to historical exploitation; and participatory processes: engaging early; considering the breadth of "community"; and, developing appropriate stakeholder roles. Site-specific challenges arose in resource-limited settings and settings where trials were halted. This multiple case study revealed common themes underlying community stakeholder engagement across four country settings that largely mirror GPP goals and the GPP Blueprint, as well as highlighting

  12. Towards a Science of Community Stakeholder Engagement in Biomedical HIV Prevention Trials: An Embedded Four-Country Case Study

    Science.gov (United States)

    Newman, Peter A.; Rubincam, Clara; Slack, Catherine; Essack, Zaynab; Chakrapani, Venkatesan; Chuang, Deng-Min; Tepjan, Suchon; Shunmugam, Murali; Roungprakhon, Surachet; Logie, Carmen; Koen, Jennifer; Lindegger, Graham

    2015-01-01

    Objectives Broad international guidelines and studies in the context of individual clinical trials highlight the centrality of community stakeholder engagement in conducting ethically rigorous HIV prevention trials. We explored and identified challenges and facilitators for community stakeholder engagement in biomedical HIV prevention trials in diverse global settings. Our aim was to assess and deepen the empirical foundation for priorities included in the GPP guidelines and to highlight challenges in implementation that may merit further attention in subsequent GPP iterations. Methods From 2008–2012 we conducted an embedded, multiple case study centered in Thailand, India, South Africa and Canada. We conducted in-depth interviews and focus groups with respondents from different trial-related subsystems: civil society organization representatives, community advocates, service providers, clinical trialists/researchers, former trial participants, and key HIV risk populations. Interviews/focus groups were recorded, and coded using thematic content analysis. After intra-case analyses, we conducted cross-case analysis to contrast and synthesize themes and sub-themes across cases. Lastly, we applied the case study findings to explore and assess UNAIDS/AVAC GPP guidelines and the GPP Blueprint for Stakeholder Engagement. Results Across settings, we identified three cross-cutting themes as essential to community stakeholder engagement: trial literacy, including lexicon challenges and misconceptions that imperil sound communication; mistrust due to historical exploitation; and participatory processes: engaging early; considering the breadth of “community”; and, developing appropriate stakeholder roles. Site-specific challenges arose in resource-limited settings and settings where trials were halted. Conclusions This multiple case study revealed common themes underlying community stakeholder engagement across four country settings that largely mirror GPP goals and the

  13. Towards a Science of Community Stakeholder Engagement in Biomedical HIV Prevention Trials: An Embedded Four-Country Case Study.

    Directory of Open Access Journals (Sweden)

    Peter A Newman

    Full Text Available Broad international guidelines and studies in the context of individual clinical trials highlight the centrality of community stakeholder engagement in conducting ethically rigorous HIV prevention trials. We explored and identified challenges and facilitators for community stakeholder engagement in biomedical HIV prevention trials in diverse global settings. Our aim was to assess and deepen the empirical foundation for priorities included in the GPP guidelines and to highlight challenges in implementation that may merit further attention in subsequent GPP iterations.From 2008-2012 we conducted an embedded, multiple case study centered in Thailand, India, South Africa and Canada. We conducted in-depth interviews and focus groups with respondents from different trial-related subsystems: civil society organization representatives, community advocates, service providers, clinical trialists/researchers, former trial participants, and key HIV risk populations. Interviews/focus groups were recorded, and coded using thematic content analysis. After intra-case analyses, we conducted cross-case analysis to contrast and synthesize themes and sub-themes across cases. Lastly, we applied the case study findings to explore and assess UNAIDS/AVAC GPP guidelines and the GPP Blueprint for Stakeholder Engagement.Across settings, we identified three cross-cutting themes as essential to community stakeholder engagement: trial literacy, including lexicon challenges and misconceptions that imperil sound communication; mistrust due to historical exploitation; and participatory processes: engaging early; considering the breadth of "community"; and, developing appropriate stakeholder roles. Site-specific challenges arose in resource-limited settings and settings where trials were halted.This multiple case study revealed common themes underlying community stakeholder engagement across four country settings that largely mirror GPP goals and the GPP Blueprint, as well as

  14. Scaling up specialist training in developing countries: lessons learned from the first 12 years of regional postgraduate training in Fiji – a case study

    Science.gov (United States)

    2012-01-01

    Background In 1997, regional specialist training was established in Fiji, consisting of one-year Postgraduate Diplomas followed by three-year master’s degree programs in anesthesia, internal medicine, obstetrics/gynecology, pediatrics and surgery. The evolution of these programs during the first 12 years is presented. Case description A case study utilizing mixed methods was carried out, including a prospective collection of enrolment and employment data, supplemented by semi-structured interviews. Between 1997 and 2009, 207 doctors (113 from Fiji and 94 from 13 other countries or territories in the Pacific) trained to at least the Postgraduate Diploma level. For Fiji graduates, 29.2% migrated permanently to developed countries, compared to only 8.5% for regional graduates (P Fiji is having an increasingly positive impact on the specialist workforce in the Pacific. With forethought, many of the difficulties we encountered may have been avoidable. Our experiences may help others who are establishing or expanding postgraduate training in developing countries to optimize the benefit of postgraduate training on their national and regional workforces. PMID:23270525

  15. Factors influencing trainee doctor emigration in a high income country: a mixed methods study.

    LENUS (Irish Health Repository)

    Clarke, Nicholas

    2017-09-25

    The Global Code of Practice on the International Recruitment of Health Personnel focuses particularly on migration of doctors from low- and middle-income countries. Less is understood about migration from high-income countries. Recession has impacted several European countries in recent years, and in some cases emigration has reached unprecedented levels. This study measures and explores the predictors of trainee doctor emigration from Ireland.

  16. ECONOMIC PROMOTION OF A SMALL COUNTRY – THE CASE OF SLOVENIA

    OpenAIRE

    Dejan Romih

    2014-01-01

    This paper examines the economic promotion of a small country in the case of Slovenia. It also examines the economic diplomacy, whose main activity is the promotion of an economy, in the same case. For Slovenia, economic promotion, especially trade and investment promotion, is particularly important. One of the reasons for this is the importance of foreign trade and investment for its economic growth and development.

  17. a case study ondo state

    African Journals Online (AJOL)

    user

    the design of a Government Cloud (G-Cloud) network for Ondo State Government which will ... network for a developing economy; a case study of ... France is one of those countries that favour .... Arequipa city. .... Where region 0 = Akure, 1 =.

  18. Operational Research for Developing Countries - a case of transfer of technology

    DEFF Research Database (Denmark)

    Vidal, Rene Victor Valqui; Ravn, Hans V.

    1986-01-01

    This paper is concerned with some fundamental aspects of the process of transfer of operational research from the industrialized countries to the Third World. Two complementary conceptions of operational research are identified: technical and social operational research. The main contribution of ...... of this paper is to regard the discussion of operational research for developing countries as a case of transfer of technology. Finally, some proposals for action and further research will be briefly outlined.......This paper is concerned with some fundamental aspects of the process of transfer of operational research from the industrialized countries to the Third World. Two complementary conceptions of operational research are identified: technical and social operational research. The main contribution...

  19. Applying the food technology neophobia scale in a developing country context. A case-study on processed matooke (cooking banana) flour in Central Uganda.

    Science.gov (United States)

    De Steur, Hans; Odongo, Walter; Gellynck, Xavier

    2016-01-01

    The success of new food technologies largely depends on consumers' behavioral responses to the innovation. In Eastern Africa, and Uganda in particular, a technology to process matooke into flour has been introduced with limited success. We measure and apply the Food technology Neophobia Scale (FTNS) to this specific case. This technique has been increasingly used in consumer research to determine consumers' fear for foods produced by novel technologies. Although it has been successful in developed countries, the low number and limited scope of past studies underlines the need for testing its applicability in a developing country context. Data was collected from 209 matooke consumers from Central Uganda. In general, respondents are relatively neophobic towards the new technology, with an average FTNS score of 58.7%, which hampers the success of processed matooke flour. Besides socio-demographic indicators, 'risk perception', 'healthiness' and the 'necessity of technologies' were key factors that influenced consumer's preference of processed matooke flour. Benchmarking the findings against previous FTNS surveys allows to evaluate factor solutions, compare standardized FTNS scores and further lends support for the multidimensionality of the FTNS. Being the first application in a developing country context, this study provides a case for examining food technology neophobia for processed staple crops in various regions and cultures. Nevertheless, research is needed to replicate this method and evaluate the external validity of our findings. Copyright © 2015 Elsevier Ltd. All rights reserved.

  20. The importance of Evolutionary Medicine in developing countries: A case for Pakistan's medical schools.

    Science.gov (United States)

    Enam, Syed Faaiz; Hashmi, Shumaila

    2018-01-01

    Evolutionary Medicine (EM) is a fundamental science exploring why our bodies are plagued with disease and hindered by limitations. EM views the body as an assortment of benefits, mistakes, and compromises molded over millennia. It highlights the role of evolution in numerous diseases encountered in community and family medicine clinics of developing countries. It enables us to ask informed questions and develop novel responses to global health problems. An understanding of the field is thus crucial for budding doctors, but its study is currently limited to a handful of medical schools in high-income countries. For the developing world, Pakistan's medical schools may be excellent starting posts as the country is beset with communicable and non-communicable diseases that are shaped by evolution. Remarkably, Pakistani medical students are open to studying and incorporating EM into their training. Understanding the principles of EM could empower them to tackle growing health problems in the country. Additionally, some difficulties that western medical schools face in integrating EM into their curriculum may not be a hindrance in Pakistan. We propose solutions for the remaining challenges, including obstinate religious sentiments. Herein, we make the case that incorporating EM is particularly important in developing countries such as Pakistan and that it is achievable in its medical student body.

  1. Telemedicine utilization to support the management of the burns treatment involving patient pathways in both developed and developing countries: a case study.

    Science.gov (United States)

    Syed-Abdul, Shabbir; Scholl, Jeremiah; Chen, Chiehfeng Cliff; Santos, Martinho D P S; Jian, Wen-Shan; Liou, Der-Ming; Li, Yu-Chuan

    2012-01-01

    This case study reports on the utilization of telemedicine to support the management of the burns treatment in the islands of Sao Tome and Principe by Taipei Medical University-affiliated hospital in Taiwan. The authors share experiences about usage of telemedicine to support treatment of the burn victims in a low-income country that receive reconstructive surgery in a developed country. Throughout the entire care process, telemedicine has been used not only to provide an expert advice from distance but also to help establish and maintain the doctor-patient relationship, to keep patients in contact with their families, and to help educate and consult the medical personal physically present in Sao Tome and Principe. This case study presents the details of how this process has been conducted to date, on what were learned from this process, and on issues that should be considered to improve this process in the future. The authors plan to create instructional videos and post them on YouTube to aid clinical workers providing similar treatment during the acute care and rehabilitation process and also to support eLearning in many situations where it otherwise is not possible to use videoconferencing to establish real-time contact between doctors at the local site and remote specialists.

  2. DEVELOPING COUNTRIES AND CORPORATE GOVERNANCE. THE CASE OF ROMANIA

    Directory of Open Access Journals (Sweden)

    GIOVANA IUHASZ

    2015-03-01

    Full Text Available During the past years, developing countries have become extremely interesting for researchers, as well as for capital investors. Dominated by growth and industrialization, but lacking macroeconomic indicator stability or sufficiently mature financial markets, these countries make it acutely necessary to identify measures that will stimulate foreign investors to invest and that will ensure the financial stability for SMEs. One such measure is increasing the quality of corporate governance at the level of small and medium-sized enterprises, where it is currently almost absent. This article aims to help raise awareness of the need to implement good corporate management practices at the level of companies in developing countries and especially in Romania. This paper uses a questionnaire in order to evaluate the state of the corporate governance in Timis county and offers some suggestions on what should be done for a higher corporate governance quality in the case of small and medium-sized companies in Romania, with the purpose of establishing a connection between governance quality and business performance of SMEs

  3. Implications of Public External Debt for Social Spending: A Case Study of Selected Asian Developing Countries

    OpenAIRE

    Sadia Shabbir; Hafiz M. Yasin

    2015-01-01

    For developing countries with budgetary and balance-of-payments gaps to meet, maintaining large stakes of external debt is not free of cost. Highly indebted countries have to set aside a sizeable fraction of their scarce resources to service their debt, which naturally affects their development spending in general and allocations for the social sector in particular. This study examines the behavior of seven developing Asian countries and analyzes the impact of public external debt on social s...

  4. Risk of injury after alcohol consumption from case-crossover studies in five countries from the America’s

    Science.gov (United States)

    Borges, Guilherme; Orozco, Ricardo; Monteiro, Maristela; Cherpitel, Cheryl; Then, Eddy Pérez; López, Víctor A.; Bassier-Paltoo, Marcia; Weil A., Donald; de Bradshaw, Aldacira M

    2012-01-01

    Aims This study aimed to: 1) provide relative risk (RR) estimates between acute alcohol use and injuries from emergency departments in the Dominican Republic, Guatemala, Guyana, Nicaragua and Panama, and 2) test whether the RR differs if two control periods for the estimates were used. Design Case-crossover methodology was used to obtain estimates of the RR of having an injury within six hours after drinking alcohol, using a pair-matching design with control periods of the same time of day the day prior to injury, and the same time of day and day of week the week prior to injury. Setting Emergency departments(EDs). Participants 2,503 injured patients from EDs were interviewed between 2010–2011, with a response rate of 92.6%. Measurements Number of drinks consumed within six hours prior to the injury and in the two control periods. Findings The RR of injury after drinking alcohol was 4.38 (95% confidence interval CI= 3.29–5.84) using as the control period the prior week, and 5.35 (CI=3.50–8.17) using as a control period the prior day. The RR was 5.08 (CI=4.15–6.23) in multiple matching. Those drinking 1–2 drinks had a RR of 4.85 (CI=3.12–7.54); those drinking 3–5 a RR of 5.00 (CI =3.47–7.18); those drinking 6–15 a RR of 4.54 (CI=3.36–6.14); and those drinking 16 or more a RR of 10.42 (CI=4.38–24.79). Conclusions As in other countries, alcohol drinking is a trigger for an injury in all five countries. The use of more than one control period give further strength to these findings from case-crossover analysis. PMID:22775508

  5. EIA in the Baltic countries. The case of three oil terminals

    Energy Technology Data Exchange (ETDEWEB)

    Holm-Hansen, J. [ed.

    1995-12-31

    Environmental Impact Assessment (EIA) in the Baltic Countries: The Case of Three Oil Terminals is the second phase of a research and exchange project that has been going on between Baltic and Nordic experts on Environmental Impact Assessment since 1992. The objective of the projects is to contribute to the capability of the Baltic states in carrying out EIAs. By scrutinizing the processes of the EIAs carried out for three Baltic oil terminals, working groups consisting of both Nordic and Baltic EIA experts have sought to highlight the practical implications of the `EIA vocabulary` eagerly taught by Western experts and perhaps even more eagerly studied by their `Eastern` counterparts during the last few years. The three cases were: Lithuania, Oil Port of Klaipeda; Latvia, Oil Terminal in Liepaja; Estonia, Muuga Port. (au)

  6. Factors influencing trainee doctor emigration in a high income country: a mixed methods study.

    OpenAIRE

    Clarke, Nicholas; Crowe, Sophie; Humphries, Niamh; Conroy, Ronan; O'Hare, Simon; Kavanagh, Paul; Brugha, Ruairi F

    2017-01-01

    BACKGROUND: The Global Code of Practice on the International Recruitment of Health Personnel focuses particularly on migration of doctors from low- and middle-income countries. Less is understood about migration from high-income countries. Recession has impacted several European countries in recent years, and in some cases emigration has reached unprecedented levels. This study measures and explores the predictors of trainee doctor emigration from Ireland. METHODS: Using a partially mixed ...

  7. Risk factors for community-acquired urinary tract infections caused by ESBL-producing enterobacteriaceae--a case-control study in a low prevalence country.

    Directory of Open Access Journals (Sweden)

    Arne Søraas

    Full Text Available Community-acquired urinary tract infection (CA-UTI is the most common infection caused by extended-spectrum β-lactamase (ESBL-producing Enterobacteriaceae, but the clinical epidemiology of these infections in low prevalence countries is largely unknown. A population based case-control study was conducted to assess risk factors for CA-UTI caused by ESBL-producing E. coli or K. pneumoniae. The study was carried out in a source population in Eastern Norway, a country with a low prevalence of infections caused by ESBL-producing Enterobacteriaceae. The study population comprised 100 cases and 190 controls with CA-UTI caused by ESBL-producing and non-ESBL-producing E. coli or K. pneumoniae, respectively. The following independent risk factors of ESBL-positive UTIs were identified: Travel to Asia, The Middle East or Africa either during the past six weeks (Odds ratio (OR = 21; 95% confidence interval (CI: 4.5-97 or during the past 6 weeks to 24 months (OR = 2.3; 95% CI: 1.1-4.4, recent use of fluoroquinolones (OR = 16; 95% CI: 3.2-80 and β-lactams (except mecillinam (OR = 5.0; 95% CI: 2.1-12, diabetes mellitus (OR = 3.2; 95% CI: 1.0-11 and recreational freshwater swimming the past year (OR = 2.1; 95% CI: 1.0-4.0. Factors associated with decreased risk were increasing number of fish meals per week (OR = 0.68 per fish meal; 95% CI: 0.51-0.90 and age (OR = 0.89 per 5 year increase; 95% CI: 0.82-0.97. In conclusion, we have identified risk factors that elucidate mechanisms and routes for dissemination of ESBL-producing Enterobacteriaceae in a low prevalence country, which can be used to guide appropriate treatment of CA-UTI and targeted infection control measures.

  8. The relevance of global energy governance for Arab countries: The case of Morocco

    International Nuclear Information System (INIS)

    Fritzsche, Kerstin; Zejli, Driss; Taenzler, Dennis

    2011-01-01

    Global climate and energy governance have led to the creation of a wide range of international and regional institutions, initiatives and financial mechanisms dedicated to fostering renewable energies. Furthermore, a low-carbon economy has evolved in recent years. The objective of this paper is to assess the potential benefits and merits of these institutions, initiatives and mechanisms from the perspective of the Middle East and North Africa (MENA) region. The central questions are if and how these organizations, initiatives and finance mechanisms could support a country from MENA in its efforts to implement large-scale capacities for renewable energy production. For this purpose, Morocco was chosen as a case study. The findings in this paper indicate that the existing institutions and financial mechanisms do not sum up to a coordinated governance approach, although the main needs of a country or region appear to be addressed. The existing institutions and financial mechanisms vary significantly in their ability to support countries, especially those taking the lead in renewable energy implementation. - Research highlights: → A coordinated governance approach is missing for the encouragement of renewable energy application. → Existing institutions and financial mechanisms vary significantly in their ability to support countries. → Front runner countries, such as Morocco, may not find all of their needs adequately addressed.

  9. Establishment of Risk based microbiological criteria in the Nordic countries: A case study on Campylobacter in broiler meat

    DEFF Research Database (Denmark)

    Nauta, Maarten

    Microbiological criteria (MCs) offer a practical tool for food safety control and they are currently under discussion internationally. To meet the present scientific standards, there is an increasing demand for so- called “risk based” microbiological criteria that are based on risk assessment....... In this project we studied the potentials for setting risk based microbiological criteria on Campylobacter in chicken meat by studying the potential impact that specific microbiological criteria would have in different Nordic countries. This is done on the basis of different data sets that have been collected...... based microbiological criteria, the “case-by-case” risk assessment methodology is used (Christensen et al 2013) and its impact is analysed on the basis of the same data sets. In both approaches the same risk assessment model for Campylobacter in broiler meat is used. The difference between...

  10. Intercultural communication in business between China and Arabic countries : Case company: Zhejiang Lianmei Co., Ltd

    OpenAIRE

    Sun, Rong

    2012-01-01

    Intercultural communication plays a very important role in international commercial intercourse. China and Arabic countries both have a long history and unique culture. With the process of globalization, the contact between China and Arabic countries become more and more frequent, especially in business intercourses. In that case, business meetings the between two parties are inevitable. The main purpose of this thesis was to give theoretical cultural knowledge and practical case informat...

  11. Overview of knowledge transfer in MENA countries - The case of Egypt

    NARCIS (Netherlands)

    Nour, S.

    2014-01-01

    This paper provides an overview of knowledge transfer and explains the factors that enable or impede absorption capacity and knowledge transfer in the MENA countries, with particular reference to the case of Egypt. We employ the conceptual framework used in the international literature on absorption

  12. US country studies program: Results from mitigation studies

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1996-12-31

    This paper describes the U.S. Country Studies Program which was implemented to support the principles and objectives of the Framework Convention on Climate Change (FCCC). There were three principle objectives in this program: to enhance capabilities to conduct climate change assessments, prepare action plans, and implement technology projects; to help establish a process for developing and implementing national policies and measures; to support principles and objective of the FCCC. As a result, 55 countries are completing studies, more than 2000 analysts engaged in the studies have been trained, and there is a much broader understanding and support for climate change concerns. The article describes experiences of some countries, and general observations and conclusions which are broadly seperated into developed countries and those with economies in transition.

  13. Case studies of nurseries in Malawi

    DEFF Research Database (Denmark)

    Namoto, M.; Likoswe, M.G.

    This study of 42 case studies of nurseries was made as part of a major sample survey of 360 nurseries in 6 districts in Malawi. The purpose of the study was to let the small nurseries in the country explain in their own words how they source seed, how and for whom they produce seedlings......, and to explain about their problems and opportunities in the nursery business. The assessment was made within the framework of Improved Seed Supply for Agroforestry in African Countries (ISSAAC), a Danida supported programme implemented in cooperation between Forest & Landscape Denmark and World Agroforestry...

  14. Do countries rely on the World Health Organization for translating research findings into clinical guidelines? A case study.

    Science.gov (United States)

    Noor, Ramadhani A; Geldsetzer, Pascal; Bärnighausen, Till; Fawzi, Wafaie

    2016-10-06

    The World Health Organization's (WHO) antiretroviral therapy (ART) guidelines have generally been adopted rapidly and with high fidelity by countries in sub-Saharan Africa. Thus far, however, WHO has not published specific guidance on nutritional care and support for (non-pregnant) adults living with HIV despite a solid evidence base for some interventions. This offers an opportunity for a case study on whether national clinical guidelines in sub-Saharan Africa provide concrete recommendations in the face of limited guidance by WHO. This study, therefore, aims to determine if national HIV treatment guidelines in sub-Saharan Africa contain specific guidance on nutritional care and support for non-pregnant adults living with HIV. We identified the most recent national HIV treatment guidelines in sub-Saharan African countries with English as an official language. Using pre-specified criteria, we determined for each guideline whether it provides guidance to clinicians on each of five components of nutritional care and support for adults living with HIV: assessment of nutritional status, dietary counseling, micronutrient supplementation, ready-to-use therapeutic or supplementary foods, and food subsidies. We found that national HIV treatment guidelines in sub-Saharan Africa generally do not contain concrete recommendations on nutritional care and support for non-pregnant adults living with HIV. Given that decisions on nutritional care and support are inevitably being made at the clinician-patient level, and that clinicians have a relative disadvantage in systematically identifying, summarizing, and weighing up research evidence compared to WHO and national governments, there is a need for more specific clinical guidance. In our view, such guidance should at a minimum recommend daily micronutrient supplements for adults living with HIV who are in pre-ART stages, regular dietary counseling, periodic assessment of anthropometric status, and additional nutritional

  15. Globalization of the pharmaceutical industry and the growing dependency of developing countries: the case of Turkey.

    Science.gov (United States)

    Semin, Semih; Güldal, Dilek

    2008-01-01

    In developing countries, the effect of globalization on the pharmaceutical sector has resulted in a decrease in exportation and domestic production, accompanied by an increase in importation of pharmaceuticals and a rise in prices and expenditures. As an example of a developing country, Turkey has been facing the long-standing and increasing pressure of global regulations placed on its pharmaceutical sector. This has led to an increasing dependency on multinational companies and a gradual deterioration of an already weakened domestic pharmaceutical sector. This case study of Turkey offers points to consider in the world of increasing globalization, as it offers lessons on ways of examining the effects of globalization on the pharmaceutical industry of developing countries.

  16. A National Regulatory Authority set up in a developing country: case of Mali

    International Nuclear Information System (INIS)

    Kone, Nagantie

    2008-01-01

    Full text: The Republic of Mali is member of the International Atomic Energy Agency since 1961. Of since the creation of the IAEA, some African countries are members. The technical cooperation with the Agency started in the years 1975. Through that cooperation, many pacific uses of nuclear techniques have been introduced, then developed at different levels in many socio- economic domains as medicine, agriculture, research, and so on. That development of nuclear techniques use has occurred without legislation at all or in some limited cases with part of the legislation of the colonizing country), in a precise field (like radiography in medicine). Later the need of regulatory infrastructure implementation started. That implementation has followed several ways in the different African countries. Also, it started earlier in countries which had advanced activities in nuclear techniques and very later in others. Most if not all of these infrastructure (say regulatory board) were created by the greatest users of the nuclear techniques, the Ministry of Health in most cases or Energy Commission for Countries having a research reactor. After the years 90, the Agency has developed new vision in the implementation of Regulatory Authorities. The new innovation was: 1-) Development of Regulatory Authority with independent statute (decisions and finance); 2-) Assuming post graduate training in developing countries to come other the lack of human resources. That new strategy of the IAEA has facilitated the apparition and development of several new regulatory authorities. We are going to develop here the progress done by one of these new regulatory authorities, through five years being. (author)

  17. Botswana country study

    Energy Technology Data Exchange (ETDEWEB)

    1999-09-01

    This study was carried out in Botswana, Tanzania and Zambia as part of the project `Climate Change Mitigation in Southern Africa` funded by the Danish International Development Agency (Danida). The project was conducted parallel to the UNEP/GEF project `Economics of Greenhouse Gas Limitations` which involved 8 other developing countries and 2 regional projects in Latin America and the SADC region. The limitation of greenhouse gas (GHG) emissions is a complex issue, intimately connected with economic development at local, national, regional and global levels. Key economic sectors such as energy, agriculture, industry and forestry all produce GHGs, and are likely to be affected directly and indirectly by any mitigation policy. The UNEP Greenhouse Gas Abatement Costing Studies, initiated in 1991, attempted to address these complex issues, developing a methodological framework and testing it through practical application in ten countries. (EHS) 28 refs.

  18. Five case studies of multifamily weatherization programs

    Energy Technology Data Exchange (ETDEWEB)

    Kinney, L; Wilson, T.; Lewis, G. [Synertech Systems Corp. (United States); MacDonald, M. [Oak Ridge National Lab., TN (United States)

    1997-12-31

    The multifamily case studies that are the subject of this report were conducted to provide a better understanding of the approach taken by program operators in weatherizing large buildings. Because of significant variations in building construction and energy systems across the country, five states were selected based on their high level of multifamily weatherization. This report summarizes findings from case studies conducted by multifamily weatherization operations in five cities. The case studies were conducted between January and November 1994. Each of the case studies involved extensive interviews with the staff of weatherization subgrantees conducting multifamily weatherization, the inspection of 4 to 12 buildings weatherized between 1991 and 1993, and the analysis of savings and costs. The case studies focused on innovative techniques which appear to work well.

  19. Strengthening care for injured persons in less developed countries: a case study of Ghana and Mexico.

    Science.gov (United States)

    Mock, Charles; Arreola-Risa, Carlos; Quansah, Robert

    2003-01-01

    In all countries, the priority for reducing road traffic injuries should be prevention. Nonetheless, there are low-cost ways to strengthen the care of injured persons, that will help to lower the toll from road traffic. The purpose of this review was to elucidate ways to accomplish this goal in the context of less developed countries. Studies selected for this review were obtained by Medline review, selecting on key words such as trauma, injury, trauma care, essential health services, and developing country. Articles pertaining to any country and all available years were considered. In addition, the authors utilized articles from the gray literature and journals from Mexico and Ghana that are not Medline referenced. Studies surveyed point to road safety and other forms of injury prevention, as well as prehospital care, as likely priorities for developing countries. Nonetheless, hospital-based improvements can contribute to decreases in mortality and, especially, decreases in disability. For both prehospital and hospital based care, studies revealed several critical weak points to address in: (1) human resources (staffing and training); (2) physical resources (equipment, supplies, and infrastructure); and (3) administration and organization. The 'essential services' approach, which has contributed to progress in a variety of fields of international health, needs to be developed for the care of the injured. This would define the trauma treatment services that could realistically be made available to virtually every injured person. It would then address the inputs of human resources, physical resources, and administration necessary to assure these services optimally in the different geographic and socioeconomic environments worldwide. Finally, it would identify and target deficiencies in these inputs that need to be strengthened.

  20. How does the scientific progress in developing countries affect bibliometric impact measures of developed countries? A counterfactual case study on China

    Energy Technology Data Exchange (ETDEWEB)

    Stahlschmidt, S.; Hinze, S.

    2016-07-01

    Many developed countries have found their bibliometric impact measures to be improving over the last decade. Also the BRICS states, the economically largest group of developing countries, observe a similar pattern. This uniform growth seems puzzling, as not every country can improve its relative performance to all other countries. A possible explanation for this uniform growth might be found in the dynamic environment and especially in the exponential growth of Chinese publications. We like to analyze how this unprecedented growth of contributions from a single country with its specific bibliometric characteristics affects the whole bibliometric measurement process. We show that due to the lowly cited Chinese publications the overall corpus of scientific publications grows especially in the lower tail and argue that this unequal increase in publications benefits especially the bibliometric impact measures of developed countries. The actual magnitude of this effect will be derived by contrasting the actual bibliometric world with a counterfactual one without China. (Author)

  1. Clean Energy Consumption and Economic Growth: A Case Study for Developing Countries

    OpenAIRE

    Fotourehchi, Zahra

    2017-01-01

    In this paper, we analyze the long-run causality relationship between renewable/clean energy consumption and economic growth during the period 1990-2012 for 42 developing countries, under the Canning and Pedroni (2008) long-run causality test, which indicates that there is long-run positive causality running from renewable energy to real GDP. This means that for developing countries where renewable energy consumption has a positive long-run causal effect on real GDP, renewable energy dependen...

  2. Technology transfer of nuclear power development in developing countries: Case study of China

    International Nuclear Information System (INIS)

    He Jiachen; Shen Wenquan; Zhang Luqing

    2000-01-01

    This paper describes the specific experiences in the technology transfer of nuclear power in China, a country that both imported and developed indigenous nuclear technology. Based on this experience some recommendations are presented that should be considered particularly by the developing countries. (author)

  3. Male-female differences in the number of reported incident dengue fever cases in six Asian countries

    Directory of Open Access Journals (Sweden)

    Martha Anker

    2011-06-01

    Full Text Available Introduction. Demographic factors, such as age and sex, are associated with the likelihood of exposure to Aedes aegypti, the vector for dengue. However, dengue date disaggregated by both sex and ageare not routinely reported or analyzed by national surveillance systems. This study analysed the reported number of incident dengue cases by age and sex for six countries in Asia. Methods. Data for the Lao People's Democratic Republic, the Philippines, Singapore and Sri Lanka were obtained from DengueNet; the number of male and female dengue cases was available for four age groups ( 15 years over a cumulative period of six to 10 years. Data for Cambodia (2010 and Malaysia (1997–2008 were obtained from their respective ministries of health. Results. An excess of males was found among reported dengue cases > 15 years of age. This pattern was observed consistently over several years across six culturally and economically diverse countries. Discussion. These data indicated the importance of reporting data stratified by both sex and age since collapsing the data over all ages would have masked some of the observed differences. In order to target preventive measures appropriately, assessment of gender by age is important for dengue because biological or gender-related factors can change over the human lifespan and gender-related factors may differ across countries.

  4. The Experiences of Host Country Nationals in International Schools: A Case-Study from Malaysia

    Science.gov (United States)

    Bailey, Lucy

    2015-01-01

    Although there has been considerable research into expatriate children attending international schools, there has been little investigation into children who attend international schools within their own nation. Seeking to redress this imbalance, this article analyses interview data from a small-scale study of host country nationals attending an…

  5. A poor country clothing the rich countries: case of garment trade in Bangladesh

    Directory of Open Access Journals (Sweden)

    Muhammad Mahboob Ali

    2016-12-01

    Full Text Available The ready-made garment industry of Bangladesh is one of the largest formal manufacturing sectors. It has played a key role in the country’s process of industrialisation, empowerment of women, export oriented development and growth. Workers from poor socio-economic backgrounds are working in the garment industry. Their health, safety and working conditions are very poor and not protected. There is a lack of regular inspection and compliance with local law in buildings and factories. This led to the collapse of the eight story Rana Plaza building in the capital Dhaka on the 24th of April 2013, “killing 1,100 workers and 2,500 injured”2 . The main aim of the study is to assess the impact of Rana Plaza Tragedy, where RMG workers make garments for multinational brands of Australia, Europe and USA, and the advantage which took these companies of the absence of labour laws, workplace health and safety standards, building standards, long working hours and low wages in Bangladesh. The study used both primary and secondary data including related case studies. The practical application of the study is to develop formal ethical, labour-law, health and safety standards for a factory worker; construction; institutions and courts for monitoring the supplier’s behaviour onshore and large multinational firms offshore. The study recommends to protect the rights of women workers who are sowing garments for the fashion conscious consumers from the developed countries. Future research will explore inclusive growth for workers and how to stimulate inclusive sustainable business for export led garment industry.

  6. The usefulness of air quality monitoring and air quality impact studies before the introduction of reformulated gasolines in developing countries. Mexico City, a real case study

    Energy Technology Data Exchange (ETDEWEB)

    Bravo, H.A.; Torres, R.J. [Universidad Nacional Autonoma de Mexico (Mexico). Section de Contaminacion Ambiental

    2000-07-01

    Urban air pollution is a major environmental problem in several developing countries in the world. This phenomenon seems to be related to the growth of both the urban population in large cities and the number of old and poorly maintained car fleets. The expected rise of population in the next century in countries which suffer from lack of capital for air pollution control, means that there is a great potential for the worsening of the air quality. The worldwide promote policy to phase out lead in gasolines has not proved to be an adequate option in improving the environmental quality. Mexico City Metropolitan Area (MCMA) represents a case in which the introduction of reformulated gasolines in an old car fleet has resulted in the reduction of the airborne lead levels but has worsened the ozone concentration of its urban atmosphere. This paper critically analyzes the chronological evolution of the ozone air pollution problem in MCMA after the successive occurrence of several changes in the formulation of low leaded and unleaded gasolines. It also presents evidences of the usefulness potential of air quality monitoring activities and air quality impact studies on the definition of realistic fuel reformulation policies of developing countries. (author)

  7. Implementation of renewable energy technology - Opportunities and barriers. Summary of country studies

    Energy Technology Data Exchange (ETDEWEB)

    Painuly, J.P.; Fenhann, J.V.

    2002-07-01

    The project was launched to identify barriers to the implementation of renewable energy technologies (RETs) and explore measures to overcome the identified barriers. National institutions in Egypt, Ghana and Zimbabwe carried out the country studies based on the basic methodological framework provided by the UNEP Centre. The objectives of the project included strengthening institutional capacity for analysis and implementation of RET projects in the participating countries and bring out experiences on RETs barriers and removal measures for dissemination so that others can benefit from the knowledge so gained. An important highlight of the studies was involvement of stake holders in the process of identification of barriers and measures to remove them. A preliminary identification of relevant RETs for their countries was done by the country teams in the initial stage of the project. After that, national workshops involving various stake holders were held between July and September 1999 to discuss the RETs and barriers to their implementation. Based on the discussions, a few important RETs were identified for more detailed study. PV systems for rural electrification, solar water heating systems and large-scale biogas system were identified and analysed for barriers in the Egypt country study. Economic, information and policy barriers were identified as major barriers for these technologies. Solar water pumps, biogas and small hydro were the focus of study in Ghana. In this case also, economic, information and policy barriers were found to be the important barriers for the selected technologies. In the case of Zimbabwe, focus was on identification of primary and secondary barriers to RETs dissemination. The primary barriers included lack of capacity to develop proposals, lack of information for policy making and framework for information dissemination. The study concluded that the secondary barriers as seen and experienced by the stake holders are due to primary

  8. Smart electrification : microgrid concept for remote areas in developing countries : Indian case study

    NARCIS (Netherlands)

    Upadhyay, G.; Nguyen, P.H.; Ribeiro, P.F.; Kling, W.L.; Claessens, B.; Hommelberg, M.P.F.

    2012-01-01

    After a long history of development, power systems are entering in so-called smart grid period. Smart grids aim to support not only the developed countries by integration of state-of-the-art ICT technologies, but also developing countries with more efficient and flexible energy supply options. This

  9. Hydrologic modeling for water resource assessment in a developing country: the Rwanda case study

    Science.gov (United States)

    Steve McNulty; Erika Cohen Mack; Ge Sun; Peter Caldwell

    2016-01-01

    Accurate water resources assessment using hydrologic models can be a challenge anywhere, but particularly for developing countries with limited financial and technical resources. Developing countries could most benefit from the water resource planning capabilities that hydrologic models can provide, but these countries are least likely to have the data needed to run ...

  10. Technology and knowledge transfer from Annex 1 countries to non Annex 2 countries under the Kyoto Protocol's Clean Development Mechanism (CDM). An empirical case study of CDM projects implemented in Malaysia

    Energy Technology Data Exchange (ETDEWEB)

    Hansen, Ulrich Elmer

    2008-10-15

    The CDM constitutes a central element in political discussions on climate change concerning means to facilitate transfer of technology and knowledge, regarding greenhouse gas (GHG) mitigation technologies, from Annex 1 countries to Non Annex 1 countries. The purpose of this thesis is therefore to answer the question of what role the CDM plays in relation to transfer of technology and knowledge. The thesis relies on multiple sources of qualitative data and is conducted as a multiple case study of thirteen CDM projects implemented in Malaysia. It focuses on the companies involved in implementation of specific technologies in these projects and the channels that can facilitate the transfer process. The aim of the thesis is therefore to provide insights into the dynamics of technology transfer at the micro-level. An analytical framework is put forward on which it can be concluded that the CDM only plays a role in one out of the thirteen projects examined. The thesis may contribute to provide a background on which future provisions concerning technology transfer in the CDM, and/or other mechanisms that involve GHG mitigation activities in Non Annex 1 countries. (au)

  11. Countdown to 2015 country case studies: systematic tools to address the "black box" of health systems and policy assessment.

    Science.gov (United States)

    Singh, Neha S; Huicho, Luis; Afnan-Holmes, Hoviyeh; John, Theopista; Moran, Allisyn C; Colbourn, Tim; Grundy, Chris; Matthews, Zoe; Maliqi, Blerta; Mathai, Matthews; Daelmans, Bernadette; Requejo, Jennifer; Lawn, Joy E

    2016-09-12

    Evaluating health systems and policy (HSP) change and implementation is critical in understanding reproductive, maternal, newborn and child health (RMNCH) progress within and across countries. Whilst data for health outcomes, coverage and equity have advanced in the last decade, comparable analyses of HSP changes are lacking. We present a set of novel tools developed by Countdown to 2015 (Countdown) to systematically analyse and describe HSP change for RMNCH indicators, enabling multi-country comparisons. International experts worked with eight country teams to develop HSP tools via mixed methods. These tools assess RMNCH change over time (e.g. 1990-2015) and include: (i) Policy and Programme Timeline Tool (depicting change according to level of policy); (ii) Health Policy Tracer Indicators Dashboard (showing 11 selected RMNCH policies over time); (iii) Health Systems Tracer Indicators Dashboard (showing four selected systems indicators over time); and (iv) Programme implementation assessment. To illustrate these tools, we present results from Tanzania and Peru, two of eight Countdown case studies. The Policy and Programme Timeline tool shows that Tanzania's RMNCH environment is complex, with increased funding and programmes for child survival, particularly primary-care implementation. Maternal health was prioritised since mid-1990s, yet with variable programme implementation, mainly targeting facilities. Newborn health only received attention since 2005, yet is rapidly scaling-up interventions at facility- and community-levels. Reproductive health lost momentum, with re-investment since 2010. Contrastingly, Peru moved from standalone to integrated RMNCH programme implementation, combined with multi-sectoral, anti-poverty strategies. The HSP Tracer Indicators Dashboards show that Peru has adopted nine of 11 policy tracer indicators and Tanzania has adopted seven. Peru costed national RMNCH plans pre-2000, whereas Tanzania developed a national RMNCH plan in 2006 but

  12. Screening for genital tuberculosis in a limited resource country: case report.

    Science.gov (United States)

    Namani, Sadie; Qehaja-Buçaj, Emine; Namani, Diellëza

    2017-02-07

    Screening for benign or malignant process of pelvis in young females is a challenge for a physician in a limited resource country. Tuberculosis should be always considered in the differential diagnosis of a pelvic mass in countries with high prevalence of tuberculosis. Negative results of analysis of peritoneal fluid for acid-fast staining, late cultures, and unavailability of new diagnostics methods such as polymerase chain reaction and adenosine deaminase of the aspirated fluid from peritoneal cavity can often result in invasive diagnostic procedures such as laparotomy. We report a case of a 24 year old Albanian unemployed female living in urban place in Kosovo who presented with abdominal pain, loss of appetite, fever, headache, a weight loss, nonproductive cough and menstrual irregularity for three weeks. In this example case, the patient with cystic mass in tubo-ovarial complex and elevated serum cancer antigen 125 levels was diagnosed for genital tuberculosis after performing laparotomy. Caseose mass found in left tubo-ovarial complex and histopathological examination of biopsied tissue were the fastest diagnostic tools for confirming pelvis TB. The Lowenstein-Jensen cultures were positive after six weeks and her family history was positive for tuberculosis. Young females with abdominopelvic mass, ascites, a positive family history for tuberculosis and high serum cancer antigen 125, should always raise suspicion of tuberculosis especially in a limited resource country. A laparoscopy combined with peritoneal biopsy should be performed to confirm the diagnosis as this could lead to a prevention of unnecessary laparotomies.

  13. Assessment of benefits of research reactors in less developed countries. A case study of the Dalat reactor in Vietnam

    International Nuclear Information System (INIS)

    Hien, P.D.

    1999-01-01

    The analysis of data on nuclear research reactor (NRR) and socio-economic conditions across countries reveals highly significant relationships of reactor power with GDP and R and D expenditure. The trends revealed can be used as preliminary guides for feasibility assessment of investment in a NRR. Concerning reactor performance, i.e. the number of reactor operation days per year, the covariation with R and D expenditure is most significant, but moderate, implying that there are other controlling factors, e.g. the engagement of country in nuclear power development. Thus, the size of the R and D fund is a most significant indicator to look at in reactor planning. Unfortunately, the lack of adequate R and D funding is a common and chronic problem in less developed countries. As NRR is among the biggest R and D investment in less developed countries, adequate cost benefit assessment is rightfully required. In the case of Vietnam, during 15 years of operation of a 500 kW NRR 2300 Ci of radioisotopes were delivered and 45,000 samples were analysed for multielemental compositions. From a pure financial viewpoint these figures would still be insignificant to justify the investment. However, the impact of the reactor on the technological development seems not to be a matter of pro and cons. The status of reactor utilization and lessons learned are presented and discussed. (author)

  14. Assessment of benefits of research reactors in less developed countries. A case study of the Dalat reactor in Vietnam

    Energy Technology Data Exchange (ETDEWEB)

    Hien, P.D. [Vietnam Atomic Energy Agency, Hanoi (Viet Nam)

    1999-08-01

    The analysis of data on nuclear research reactor (NRR) and socio-economic conditions across countries reveals highly significant relationships of reactor power with GDP and R and D expenditure. The trends revealed can be used as preliminary guides for feasibility assessment of investment in a NRR. Concerning reactor performance, i.e. the number of reactor operation days per year, the covariation with R and D expenditure is most significant, but moderate, implying that there are other controlling factors, e.g. the engagement of country in nuclear power development. Thus, the size of the R and D fund is a most significant indicator to look at in reactor planning. Unfortunately, the lack of adequate R and D funding is a common and chronic problem in less developed countries. As NRR is among the biggest R and D investment in less developed countries, adequate cost benefit assessment is rightfully required. In the case of Vietnam, during 15 years of operation of a 500 kW NRR 2300 Ci of radioisotopes were delivered and 45,000 samples were analysed for multielemental compositions. From a pure financial viewpoint these figures would still be insignificant to justify the investment. However, the impact of the reactor on the technological development seems not to be a matter of pro and cons. The status of reactor utilization and lessons learned are presented and discussed. (author)

  15. Romania biomass energy. Country study

    Energy Technology Data Exchange (ETDEWEB)

    Burnham, M; Easterly, J L; Mark, P E; Keller, A [DynCorp, Alexandria, VA (United States)

    1995-12-01

    The present report was prepared under contract to UNIDO to conduct a case study of biomass energy use and potential in Romania. The purpose of the case study is to provide a specific example of biomass energy issues and potential in the context of the economic transition under way in eastern Europe. The transition of Romania to a market economy is proceeding at a somewhat slower pace than in other countries of eastern Europe. Unfortunately, the former regime forced the use of biomass energy with inadequate technology and infrastructure, particularly in rural areas. The resulting poor performance thus severely damaged the reputation of biomass energy in Romania as a viable, reliable resource. Today, efforts to rejuvenate biomass energy and tap into its multiple benefits are proving challenging. Several sound biomass energy development strategies were identified through the case study, on the basis of estimates of availability and current use of biomass resources; suggestions for enhancing potential biomass energy resources; an overview of appropriate conversion technologies and markets for biomass in Romania; and estimates of the economic and environmental impacts of the utilization of biomass energy. Finally, optimal strategies for near-, medium- and long-term biomass energy development, as well as observations and recommendations concerning policy, legislative and institutional issues affecting the development of biomass energy in Romania are presented. The most promising near-term biomass energy options include the use of biomass in district heating systems; cofiring of biomass in existing coal-fired power plants or combined heat and power plants; and using co-generation systems in thriving industries to optimize the efficient use of biomass resources. Mid-term and long-term opportunities include improving the efficiency of wood stoves used for cooking and heating in rural areas; repairing the reputation of biogasification to take advantage of livestock wastes

  16. Romania biomass energy. Country study

    International Nuclear Information System (INIS)

    Burnham, M.; Easterly, J.L.; Mark, P.E.; Keller, A.

    1995-01-01

    The present report was prepared under contract to UNIDO to conduct a case study of biomass energy use and potential in Romania. The purpose of the case study is to provide a specific example of biomass energy issues and potential in the context of the economic transition under way in eastern Europe. The transition of Romania to a market economy is proceeding at a somewhat slower pace than in other countries of eastern Europe. Unfortunately, the former regime forced the use of biomass energy with inadequate technology and infrastructure, particularly in rural areas. The resulting poor performance thus severely damaged the reputation of biomass energy in Romania as a viable, reliable resource. Today, efforts to rejuvenate biomass energy and tap into its multiple benefits are proving challenging. Several sound biomass energy development strategies were identified through the case study, on the basis of estimates of availability and current use of biomass resources; suggestions for enhancing potential biomass energy resources; an overview of appropriate conversion technologies and markets for biomass in Romania; and estimates of the economic and environmental impacts of the utilization of biomass energy. Finally, optimal strategies for near-, medium- and long-term biomass energy development, as well as observations and recommendations concerning policy, legislative and institutional issues affecting the development of biomass energy in Romania are presented. The most promising near-term biomass energy options include the use of biomass in district heating systems; cofiring of biomass in existing coal-fired power plants or combined heat and power plants; and using co-generation systems in thriving industries to optimize the efficient use of biomass resources. Mid-term and long-term opportunities include improving the efficiency of wood stoves used for cooking and heating in rural areas; repairing the reputation of biogasification to take advantage of livestock wastes

  17. Students' perceptions and doubts about menstruation in developing countries: a case study from India.

    Science.gov (United States)

    Chothe, Vikas; Khubchandani, Jagdish; Seabert, Denise; Asalkar, Mahesh; Rakshe, Sarika; Firke, Arti; Midha, Inuka; Simmons, Robert

    2014-05-01

    Menstrual education is a vital aspect of adolescent health education. Culture, awareness, and socioeconomic status often exert profound influence on menstrual practices. However, health education programs for young women in developing countries do not often address menstrual hygiene, practices, and disorders. Developing culturally sensitive menstrual health education and hygiene programs for adolescent females has been recommended by professional health organizations like the World Health Organization and UNICEF. These programs cannot be developed without understanding existing myths and perceptions about menstruation in adolescent females of developing countries. Thus, the purpose of this qualitative study from India was to document existing misconceptions regarding menstruation and perceptions about menarche and various menstrual restrictions that have been understudied. Out of the 612 students invited to participate by asking questions, 381 girls participated by asking specific questions about menstruation (response rate = 62%). The respondents consisted of 84 girls from sixth grade, 117 from seventh grade, and 180 from eighth grade. The questions asked were arranged into the following subthemes: anatomy and physiology, menstrual symptoms, menstrual myths and taboos, health and beauty, menstrual abnormalities, seeking medical advice and home remedies; sanitary pads usage and disposal; diet and lifestyle; and sex education. Results of our study indicate that students had substantial doubts about menstruation and were influenced by societal myths and taboos in relation to menstrual practices. Parents, adolescent care providers, and policy makers in developing countries should advocate for comprehensive sexuality education and resources (e.g., low-cost sanitary pads and school facilities) to promote menstrual health and hygiene promotion.

  18. Tanzania country study

    Energy Technology Data Exchange (ETDEWEB)

    Meena, H E [Centre for Energy, Environment, Science and Technology, Dar es Salaam (Tanzania, United Republic of)

    1998-10-01

    An objective of this study is to analyse the role of the land use sectors of Tanzania (especially forestry) on mitigation of greenhouse gases. Specific emphasis is placed on the relationship between forestry and energy supply from biomass. This is a follow up study on an earlier effort which worked on mitigation options in the country without an in-depth analysis of the forestry and land use sectors. (au)

  19. Zambia country study

    Energy Technology Data Exchange (ETDEWEB)

    1999-09-01

    The Zambia Country Study, which was part of the Danida-funded project Climate Change Mitigation in Southern Africa: Phase 2, aimed at methodological development, national mitigation analysis and institutional capacity building in Zambia. The study comprised the following five elements: Comprehensive evaluation of national social and economic development framework for climate change; Baseline scenario(s) projection(s); Mitigation scenario(s) projection(s); Macro-economic assessment; Implementation Issues. (au) 17 refs.

  20. Tanzania country study

    International Nuclear Information System (INIS)

    Meena, H.E.

    1998-01-01

    An objective of this study is to analyse the role of the land use sectors of Tanzania (especially forestry) on mitigation of greenhouse gases. Specific emphasis is placed on the relationship between forestry and energy supply from biomass. This is a follow up study on an earlier effort which worked on mitigation options in the country without an in-depth analysis of the forestry and land use sectors. (au)

  1. TOURISM AND POVERTY IN DEVELOPING COUNTRIES. THE CASE OF INDIA AND ROMANIA

    Directory of Open Access Journals (Sweden)

    Daniel BADULESCU

    2015-12-01

    Full Text Available Sustainable tourism has become lately an important issue addressing the question of over-exploiting and degradation of resources. The topic is quite more challenging and presents particular importance in the case of developing countries, facing also social issues and the poverty of large segments of population. This paper investigates, based on surveying experts’ opinion, the impact of mass tourism vs. voluntary tourism vs. pro-poor tourism in India and Romania, two very different countries but facing similar challenges, and it highlights the similar issues but also the differences concerning the economic, social and environmental effects of these forms of tourism.

  2. Library services and user satisfaction in developing countries: a case study.

    Science.gov (United States)

    Mairaj, Muhammad Ijaz; Naseer, Mirza Muhammad

    2013-12-01

    Punjab Institute of Cardiology (PIC) is a recognised teaching hospital for cardiac care in the Punjab province of Pakistan. PIC has established a library to fulfil the research and information needs of health care professionals. This study aims to evaluate the satisfaction of users with the services of PIC library. A purposive sample of 15 health care professionals was selected. A semistructured interview technique based on an interview guide was used for collection of data. The data were qualitatively analysed using a thematic approach. Users of PIC library were satisfied with the library collection, organisation, reference and circulation services, staff attitudes, cooling and heating. They were concerned about library space, hours, furniture and environment, and suggested more availability of electronic library services, newer collections, better Internet access and comfortable furniture. The study proved useful to investigate users' satisfaction with the services of PIC library. It concludes that the PIC library should maintain and strengthen the services with which users are satisfied, and improve those about which they are concerned. The study will be useful to libraries in other developing countries for improvement in their services. © 2013 The authors. Health Information and Libraries Journal © 2013 Health Libraries Group.

  3. Cost-effectiveness of female human papillomavirus vaccination in 179 countries: a PRIME modelling study.

    Science.gov (United States)

    Jit, Mark; Brisson, Marc; Portnoy, Allison; Hutubessy, Raymond

    2014-07-01

    Introduction of human papillomavirus (HPV) vaccination in settings with the highest burden of HPV is not universal, partly because of the absence of quantitative estimates of country-specific effects on health and economic costs. We aimed to develop and validate a simple generic model of such effects that could be used and understood in a range of settings with little external support. We developed the Papillomavirus Rapid Interface for Modelling and Economics (PRIME) model to assess cost-effectiveness and health effects of vaccination of girls against HPV before sexual debut in terms of burden of cervical cancer and mortality. PRIME models incidence according to proposed vaccine efficacy against HPV 16/18, vaccine coverage, cervical cancer incidence and mortality, and HPV type distribution. It assumes lifelong vaccine protection and no changes to other screening programmes or vaccine uptake. We validated PRIME against existing reports of HPV vaccination cost-effectiveness, projected outcomes for 179 countries (assuming full vaccination of 12-year-old girls), and outcomes for 71 phase 2 GAVI-eligible countries (using vaccine uptake data from the GAVI Alliance). We assessed differences between countries in terms of cost-effectiveness and health effects. In validation, PRIME reproduced cost-effectiveness conclusions for 24 of 26 countries from 17 published studies, and for all 72 countries in a published study of GAVI-eligible countries. Vaccination of a cohort of 58 million 12-year-old girls in 179 countries prevented 690,000 cases of cervical cancer and 420,000 deaths during their lifetime (mostly in low-income or middle-income countries), at a net cost of US$4 billion. HPV vaccination was very cost effective (with every disability-adjusted life-year averted costing less than the gross domestic product per head) in 156 (87%) of 179 countries. Introduction of the vaccine in countries without national HPV vaccination at present would prevent substantially more cases

  4. Comparative study on demographic-economic model-building for three selected countries of the ESCAP region.

    Science.gov (United States)

    1980-01-01

    The research project involves building models for 3 selected ESCAP countries, Indonesia, Japan, and the Republic of Korea, which are at different stages of demographic transition. This project involves country level research workd esigned, implemented, and monitored with the assistance of ESCAP. Accordingly the 1st Study Directors' Meeting was held in Bangkok during November 16-30, 1979 in a series of informal interactive working sessions for Study Directors, modelling experts, and resource persons. The participants were Study Directors from the above mentioned countries and a few experts from Malaysia, Thailand, ILO, UNRISD, and IBRD. The main objective of the meeting was to help finance the basic model framework in order that National Study Directors will be able to commence their modelling work after the Meeting. As evidenced by the Report of the 1st Study Directors' Meeting, this objective was achieved. Following this meeting, the 3 case studies are being simultaneously undertaken in countries by national study teams with technical support provided by ESCAP.

  5. Radiotherapy in small countries.

    Science.gov (United States)

    Barton, Michael B; Zubizarreta, Eduardo H; Polo Rubio, J Alfredo

    2017-10-01

    To examine the availability of radiotherapy in small countries. A small country was defined as a country with a population less than one million persons. The economic status of each country was defined using the World Bank Classification. The number of cancers in each country was obtained from GLOBOCAN 2012. The number of cancer cases with an indication or radiotherapy was calculated using the CCORE model. There were 41 countries with a population of under 1 million; 15 were classified as High Income, 15 Upper Middle Income, 10 Lower Middle Income and one Low Income. 28 countries were islands. Populations ranged from 799 (Holy See) to 886450 (Fiji) and the total number of cancer cases occurring in small countries was 21,043 (range by country from 4 to 2476). Overall the total number of radiotherapy cases in small countries was 10982 (range by country from 2 to 1239). Radiotherapy was available in all HIC islands with 80 or more new cases of cancer in 2012 but was not available in any LMIC island. Fiji was the only LMIC island with a large radiotherapy caseload. Similar caseloads in non-island LMIC all had radiotherapy services. Most non-island HIC did not have radiotherapy services presumably because of the easy access to radiotherapy in neighbouring countries. There are no radiotherapy services in any LMIC islands. Copyright © 2017. Published by Elsevier Ltd.

  6. Occupational exposure to asbestos and risk of cholangiocarcinoma: a population-based case-control study in four Nordic countries.

    Science.gov (United States)

    Farioli, Andrea; Straif, Kurt; Brandi, Giovanni; Curti, Stefania; Kjaerheim, Kristina; Martinsen, Jan Ivar; Sparen, Pär; Tryggvadottir, Laufey; Weiderpass, Elisabete; Biasco, Guido; Violante, Francesco Saverio; Mattioli, Stefano; Pukkala, Eero

    2018-03-01

    To assess the association between occupational exposure to asbestos and the risk of cholangiocarcinoma (CC). We conducted a case-control study nested in the Nordic Occupational Cancer (NOCCA) cohort. We studied 1458 intrahepatic CC (ICC) and 3972 extrahepatic CC (ECC) cases occurring among subjects born in 1920 or later in Finland, Iceland, Norway and Sweden. Each case was individually matched by birth year, gender and country to five population controls. The cumulative exposure to asbestos (measured in fibres (f)/ml × years) was assessed by applying the NOCCA job-exposure matrix to data on occupations collected during national population censuses (conducted in 1960, 1970, 1980/81 and 1990). Odds ratios (OR) and 95% CI were estimated using conditional logistic regression models adjusted by printing industry work. We observed an increasing risk of ICC with cumulative exposure to asbestos: never exposed, OR 1.0 (reference category); 0.1-4.9 f/mL × years, OR 1.1 (95% CI 0.9 to 1.3); 5.0-9.9 f/mL × years, OR 1.3 (95% CI 0.9 to 2.1); 10.0-14.9 f/mL × years, OR 1.6 (95% CI 1.0 to 2.5); ≥15.0 f/mL × years, OR 1.7 (95% CI 1.1 to 2.6). We did not observe an association between cumulative asbestos exposure and ECC. Our study provides evidence that exposure to asbestos might be a risk factor for ICC. Our findings also suggest that the association between ECC and asbestos is null or weaker than that observed for ICC. Further studies based on large industrial cohorts of asbestos workers and possibly accounting for personal characteristics and clinical history are needed. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

  7. Mergers and Acquisitions in the Banking Sector: The Case of Western Balkan Countries / BKT Albania

    Directory of Open Access Journals (Sweden)

    Lulzim Rashiti

    2016-11-01

    Full Text Available This paper aims to explain the financial system which is the engine force for the development of a trade economy. This system ensures payment means in economy and has an impact on its real activity, through the implementation of financial intermediation, acquisitions and mergers in the banking industry that have occurred in recent years in the Western Balkan countries, and monetary policy transmission in these countries. In developing countries, among which are also: Serbia, Macedonia, Albania, Montenegro, etc., banking industry is o" en almost the most important area in the financial system. Therefore, this paper will focus on the way the acquisitions and mergers occurred in the banking system, by assuming that many of the conclusions are applicable to the entire financial system in the Western Balkans. This paper will elaborate on this aspect a case study that deals with the acquisition of Banka Kombetare Tregtare (National Commercial Bank in Albania by the Turkish company Calik Holding (Akif Bank.

  8. Lifetime occupational exposure to metals and welding fumes, and risk of glioma: a 7-country population-based case-control study.

    Science.gov (United States)

    Parent, Marie-Elise; Turner, Michelle C; Lavoué, Jérôme; Richard, Hugues; Figuerola, Jordi; Kincl, Laurel; Richardson, Lesley; Benke, Geza; Blettner, Maria; Fleming, Sarah; Hours, Martine; Krewski, Daniel; McLean, David; Sadetzki, Siegal; Schlaefer, Klaus; Schlehofer, Brigitte; Schüz, Joachim; Siemiatycki, Jack; van Tongeren, Martie; Cardis, Elisabeth

    2017-08-25

    Brain tumor etiology is poorly understood. Based on their ability to pass through the blood-brain barrier, it has been hypothesized that exposure to metals may increase the risk of brain cancer. Results from the few epidemiological studies on this issue are limited and inconsistent. We investigated the relationship between glioma risk and occupational exposure to five metals - lead, cadmium, nickel, chromium and iron- as well as to welding fumes, using data from the seven-country INTEROCC study. A total of 1800 incident glioma cases and 5160 controls aged 30-69 years were included in the analysis. Lifetime occupational exposure to the agents was assessed using the INTEROCC JEM, a modified version of the Finnish job exposure matrix FINJEM. In general, cases had a slightly higher prevalence of exposure to the various metals and welding fumes than did controls, with the prevalence among ever exposed ranging between 1.7 and 2.2% for cadmium to 10.2 and 13.6% for iron among controls and cases, respectively. However, in multivariable logistic regression analyses, there was no association between ever exposure to any of the agents and risk of glioma with odds ratios (95% confidence intervals) ranging from 0.8 (0.7-1.0) for lead to 1.1 (0.7-1.6) for cadmium. Results were consistent across models considering cumulative exposure or duration, as well as in all sensitivity analyses conducted. Findings from this large-scale international study provide no evidence for an association between occupational exposure to any of the metals under scrutiny or welding fumes, and risk of glioma.

  9. Space-based Communications Infrastructure for Developing Countries

    Science.gov (United States)

    Barker, Keith; Barnes, Carl; Price, K. M.

    1995-01-01

    This study examines the potential use of satellites to augment the telecommunications infrastructure of developing countries with advanced satellites. The study investigated the potential market for using satellites in developing countries, the role of satellites in national information infractructures (NII), the technical feasibility of augmenting NIIs with satellites, and a nation's financial conditions necessary for procuring satellite systems. In addition, the study examined several technical areas including onboard processing, intersatellite links, frequency of operation, multibeam and active antennas, and advanced satellite technologies. The marketing portion of this study focused on three case studies: China, Brazil, and Mexico. These cases represent countries in various stages of telecommunication infrastructure development. The study concludes by defining the needs of developing countries for satellites, and recommends steps that both industry and NASA can take to improve the competitiveness of U.S. satellite manufacturing.

  10. Ethnic Chinese Remigration from Southeast Asian Countries since 1960s: A Case Study of Malaysian Chinese Outflows

    Directory of Open Access Journals (Sweden)

    Kang Xiaoli

    2015-08-01

    Full Text Available Total outflows of Chinese from Southeast Asian countries since the Second World War reached around 3 million. They headed to the developed countries such as the United States, Canada, United Kingdom, Australia, France and Singapore. As for the case of Malaysia, large number of Malaysian Chinese remigrated to Singapore, United Kingdom, United States, Canada and Australia for new residence since the end of the Second World War. They left Malaysia because of political discrimination, economic restrictions, and unequal educational and cultural treatment. According to Malaysia census data and natural population growth rate, this paper made estimation that by 201 0 a total of 1.13 million ethnic Chinese had migrated out of Malaysia. After deducting the number of ethnic Chinese moving to Malaysia, the Malaysian Chinese migrating abroad reached 1.05 million. Malaysian Chinese left Malaysia in the manner of permanent residents and short-term migrants. Permanent residents include those in the skill stream, family stream and those with special eligibility. Short-term migrants refer to visiting scholars, foreign students, guest labor, business expatriates and expatriate professionals. As a matter of fact, there has been a serious brain drain through Chinese remigration from Malaysia.

  11. Social costs of illicit financial flows in low- and middle-income countries: the case of infant vaccination coverage.

    Science.gov (United States)

    Ortega, Bienvenido; Sanjuán, Jesús; Casquero, Antonio

    2018-03-01

    The liberalization of capital flows is generally associated with prospects of higher growth. However, in developing countries, opening the capital account may also facilitate the flow of capital out of the country through illicit financial flows (IFFs). Given that IFFs drain the scarce public resources available to finance the provision of public goods and services, the extent of illicit capital flows from developing countries is serious cause for concern. In this context, as a first step in analysing the social costs of IFFs in developing countries, this article studied the relationship between IFFs and infant immunization coverage rates. Data for 56 low- and middle-income countries for the period 2002-13 were used in the empirical analysis. The main result was that the relative level of IFFs to total trade negatively impacted vaccination coverage but only in the case of countries with very high levels of perceived corruption. In this case, the total effect of an annual 1 p.p. increase in the ratio of IFFs to total trade was to reduce the level of vaccination coverage rates over the coming years by 0.19 p.p. Given that there was an annual average of 18 million infants in this cluster of 25 countries, this result suggests that at least 34 000 children may not receive this basic health care intervention in the future as a consequence of this increase in IFFs in any particular year. © The Author 2017. Published by Oxford University Press in association with The London School of Hygiene and Tropical Medicine. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

  12. ECONOMIC PROMOTION OF A SMALL COUNTRY – THE CASE OF SLOVENIA

    Directory of Open Access Journals (Sweden)

    Dejan ROMIH

    2014-06-01

    Full Text Available This paper examines the economic promotion of a small country in the case of Slovenia, which is facing certain economic and social problems. One reason for this is the current financial and economic crisis, which is continuing to affect the country’s economy. Economic promotion is therefore very important for Slovenia and its economic performance in both the short and long run.

  13. Russia Foreign Policy In Latin America - Case Study Of Nicaragua

    Science.gov (United States)

    2017-05-23

    case study of Nicaragua deeper than the previous thesis. It relates a study to the larger, ongoing dialogue in the literature, filling in gaps and...RUSSIA FOREIGN POLICY IN LATIN AMERICA — CASE STUDY OF NICARAGUA A thesis presented to the Faculty of the U.S. Army Command and...countries, in which case further publication or sale of copyrighted images is not permissible. ii REPORT DOCUMENTATION PAGE Form Approved OMB No

  14. Renewable energy in the Baltic countries: the case of hydropower

    International Nuclear Information System (INIS)

    Punys, P.; Dumbrauskas, A.; Rimkus, Z.; Streimikiene, D.

    2006-01-01

    This paper analyses the use of renewable energy sources (RES) dedicated mainly for electricity generation in the Baltic countries (Estonia, Latvia and Lithuania). Hydropower sector including both large (medium) and small power plants is particularly considered. The region has very limited energy resources of its own and is heavily dependent on the import of the primary energy sources (in some way except Estonia). The main objective of energy policy of the Baltic countries is to reduce such a total dependence by favouring the use of RES. A brief description of energy sector is given, focusing on electricity generation. RES potential currently in use and to be exploited in the future, buy- back rates of the key sources are presented. The countries' target broken down according to the individual RES to meet the EU 'green' electricity directive (2001/77/CE) are presented. Small and large hydropower potential is analyzed, a general overview of hydro-plants in operation and planned schemes is provided. A particular attention is devoted to environmental and social aspects of hydropower development. The requirements of the protected areas in relation to dam construction are analyzed, an estimation of resistance to small hydropower development is shown. The environmental legislation including forbidden rivers for damming actually in force in the Baltic countries is considered; hydropower image perceptible by general public, NGOs and official environmental bodies are discussed. The causes and legal basis of the promulgation of the list of forbidden rivers are revealed. A conclusion is drawn that the contradiction between two EU legal frameworks - environmental protection and promotion of renewables, in the case of hydropower, exists. The evaluation of the quantitative impact of the forbidden rivers on small hydropower resources in Lithuania proves. the environmental legislation is one of the strictest in the European countries. (authors)

  15. Economic feasibility study of regional centers for nuclear fuel reprocessing in the developing countries

    International Nuclear Information System (INIS)

    Bakeshloo, A.A.

    1977-01-01

    The fuel cycle costs for the following three different economic alternatives were studied: (1) Reprocessing in an industrialized country (such as the U.S.); (2) Reprocessing in the individual developing country; (3) Reprocessing in a regional center. The nuclear fuel cycle cost for the ''Throw-away'' fuel cycle was evaluated. Among the six regions which were considered in this study, region one (South America including Mexico) was selected for the economic analysis of the nuclear fuel cycle for the above three alternatives. For evaluation of the cases where the fuel is reprocessed in a regional center or in an individual developing country, a unit reprocessing cost equation was developed. An economic evaluation was developed to estimate the least expensive method for transporting radioactive nuclear material by either leased or purchased shipping casks. The necessary equations were also developed for estimating plutonium transportation and the safeguard costs. On the basis of nuclear material and services requirements and unit costs for each component, the levelized nuclear fuel cycle costs for each alternative were estimated. Finally, by a comparison of cost, among these three alternatives plus the ''Throw-away'' case,it was found that it is not at all economical to build individual reprocessing plants inside the developing countries in region one. However, it also was found that the economic advantage of a regional center with respect to the first alternative is less than a 4% difference between their total fuel cycle costs. It is concluded that there is no great economic advantage in any developing countries to seek to process their fuel in one of the advanced countries. Construction of regional reprocessing centers is an economically viable concept

  16. Systematic mapping study of information communication technology research for agriculture (in case of developing Countries)

    DEFF Research Database (Denmark)

    Zewge, Amanuel; Dittrich, Yvonne

    2015-01-01

    Context: A rural community in a developing country is a socially complex and infrastructural weak environment that demands clear understanding of the social, economical, cultural, and political precondition before implementing information commutation technology (ICT) innovations. Objective: This ...... for an ongoing discourse to fill identified gaps from software engineering, computer science or information system research perspective. Keywords: design method, information system, development, agriculture.......: This work aims to conduct a Systematic Mapping Study (SMS) to get an in-depth understanding about ICT based researches for agriculture in developing countries. Method: A systematic mapping study was carried out to investigate and distill the state-of-the-art from ranked journals and conference publications....... In doing so, data extraction task was carried out using fifteen variables. Eg. What kinds of research challenges and contributions were reported to design ICTs based solutions? Which disciplines (knowledge areas) were most explored? Result: ICT in agriculture has gained attention over the past few years...

  17. Measuring turbidity, and indicator to evaluate drinkability of waters in Southern countries? Approaches from Burkina Faso, Sudan and Argentina case studies

    Science.gov (United States)

    Lavie, Emilie; Robert, Elodie

    2013-04-01

    The relationship between proportion of suspended solids, dissolved oxygen and bacteriology has long been proven (Brock, 1966; Lechevallier et al., 1985; Bustina and Levallois, 2003; Chang and Liao, 2012), bacteria need coarse elements to hang on and develop. However, water bacteriology analyses are difficult to implement in southern countries. They are expensive and require sterile equipment, transport in cold conditions and a nearby laboratory, which remains difficult in remote areas under these hot latitudes. Yet, simple measurement devices allow to know in a few minutes the water turbidity. Is turbidity an efficient tool to evaluate the drinkability of water when no bacteriological analyses are possible? The results proposed here are taken from three different studies whose purposes were to measure different physical, chemical and bacteriological parameters of water used for human and/or animal consumption. One of the finalities was to propose a method, at lower cost, to evaluate the drinkability of water for consumption. Four case studies were chosen: the basin of the Doubegue River in Burkina Faso is a rural area of a developing country, where drinking water is taken from the alluvial aquifer close to the surface. Furthermore, the laundry is washed and the children play in running streams. Major expansion of the cultivated lands since 1980s has brought important soils losses, thus a chronicle contamination of surface water with suspended solids (Robert, 2012). The Mendoza and Tunuyán Rivers Basins in Argentina, an emerging country, have snow-glaciar regimes with naturally turbid waters. They supply drinking water to two towns, Mendoza and Tunuyán cities, respectively 1 million and 40,000 inhabitants. However, these two streams -whose watersheds are common- do not present the same managements: the Mendoza River has been equipped with large hydraulic infrastructures, moving the turbid waters into clear and erosive ones (Lavie, 2009), while the Tunuyán River

  18. An Investigation of Determinants Global Entrepreneurship: Multi-Country Panel Studies

    Directory of Open Access Journals (Sweden)

    Riznaldi Akbar

    2016-06-01

    Full Text Available This study examines the validity of governmental supports and policies; and financing for entrepreneurs in the context of global entrepreneurial activities. Our studies are based on the rich datasets of the Global Entrepreneurship Monitor (GEM database covering 108 countries from 2001 to 2014. In this study, we examine whether countries with more favorable policies and supports towards entrepreneurship and availability of financing for entrepreneurs would result in the higher country’s entrepreneurial activities. We use total early-stage entrepreneurial activity (TEA, a percentage of 18 - 64 year old population who are either a nascent entrepreneur or an owner manager of a new business, as our dependent variable to represent country’s entrepreneurial activities. There are two main explanatory variables used in the study: governmental supports and financing for entrepreneurs. The governmental supports represents the extent to which public policies support entrepreneurship as a relevant economic issue, while financing for entrepreneurs indicates the availability of financial resources for small and medium enterprises (SMEs including grants and subsidies. We also include three control variables of basic school entrepreneurial education and training; physical and services infrastructure; and cultural and social norms to test the significance of these factors to the country’s entrepreneurial activities. This study adopts panel regression model augmented with control variables. We favor Random Effect model as opposed to Fixed Effect or Pooled OLS model as Hausman and Breusch–Pagan test suggest. Our results suggest that there is no evident that government supports have significant contribution to country’s entrepreneurial activities.  In other words, entrepreneurial activities are more flourished in a country that has not set entrepreneurship as relevant economic issues as it might be the case for many emerging countries. The availability of

  19. Business Registration Reform Case Studies : Malaysia

    OpenAIRE

    Olaisen, John

    2009-01-01

    This collection of case studies describes experiences and draws lessons from varied business registration reform programs in economies in vastly different stages of development: Bulgaria, Estonia, Ireland, Madagascar, and Malaysia. Over the last twenty years, a number of countries have recognized the importance of smooth and efficient business start up procedures. A functioning business re...

  20. Is it worth offering a routine laparoscopic cholecystectomy in developing countries? A Thailand case study

    Directory of Open Access Journals (Sweden)

    Teerawattananon Yot

    2005-10-01

    Full Text Available Abstract Objective The study aims to investigate whether laparoscopic cholecystectomy (LC is a cost-effective strategy for managing gallbladder-stone disease compared to the conventional open cholecystectomy(OC in a Thai setting. Design and Setting Using a societal perspective a cost-utility analysis was employed to measure programme cost and effectiveness of each management strategy. The costs borne by the hospital and patients were collected from Chiang Rai regional hospital while the clinical outcomes were summarised from a published systematic review of international and national literature. Incremental cost per Quality Adjusted Life Year (QALY derived from a decision tree model. Results The results reveal that at base-case scenario the incremental cost per QALY of moving from OC to LC is 134,000 Baht under government perspective and 89,000 Baht under a societal perspective. However, the probabilities that LC outweighed OC are not greater than 95% until the ceiling ratio reaches 190,000 and 270,000 Baht per QALY using societal and government perspective respectively. Conclusion The economic evaluation results of management options for gallstone disease in Thailand differ from comparable previous studies conducted in developed countries which indicated that LC was a cost-saving strategy. Differences were due mainly to hospital costs of post operative inpatient care and value of lost working time. The LC option would be considered a cost-effective option for Thailand at a threshold of three times per capita gross domestic product recommended by the committee on the Millennium Development Goals.

  1. Budget transparency on maternal health spending: a case study in five Latin American countries.

    Science.gov (United States)

    Malajovich, Laura; Alcalde, Maria Antonieta; Castagnaro, Kelly; Barroso, Carmen

    2012-06-01

    Progress in reducing maternal mortality has been slow and uneven, including in Latin America, where 23,000 women die each year from preventable causes. This article is about the challenges civil society organizations in Latin America faced in assessing budget transparency on government spending on specific aspects of maternity care, in order to hold them accountable for reducing maternal deaths. The study was carried out by the International Planned Parenthood, Western Hemisphere Region and the International Budget Partnership in five Latin American countries--Costa Rica, El Salvador, Guatemala, Panama and Peru. It found that only in Peru was most of the information they sought available publicly (from a government website). In the other four countries, none of the information was available publicly, and although it was possible to obtain at least some data from ministry and health system sources, the search process often took a complex course. The data collected in each country were very different, depending not only on the level of budget transparency, but also on the existence and form of government data collection systems. The obstacles that these civil society organizations faced in monitoring national and local budget allocations for maternal health must be addressed through better budgeting modalities on the part of governments. Concrete guidelines are also needed for how governments can better capture data and track local and national progress. Copyright © 2012 Reproductive Health Matters. Published by Elsevier Ltd. All rights reserved.

  2. On the Appropriateness of Incident Management Systems in Developing Countries: A Case from the UAE

    Directory of Open Access Journals (Sweden)

    Faouzi Kamoun

    2010-12-01

    Full Text Available Road traffic incidents are eliciting growing public concerns due to their devastating social, economical, and environmental impacts. The severity of these random events is particularly alarming in developing countries, where the situation is just worsening. Recently, Incident Management Systems (IMSs have been proposed as powerful tools to enhance the coordination and management of rescue operations during traffic accidents. However, most of the available commercial IMS solutions are designed for large metropolitan cities and within the contexts of developed nations. This paper explores the issues of appropriateness and customization of IMS solutions in developing countries through an exploratory inquiry consisting of a case study from the United Arab Emirates (UAE. The paper also explores the important issues related to managing the organizational changes that an IMS introduces to the operations of the command and control room. This contribution calls for the development of more comprehensive theoretical frameworks that can guide towards the implementation of appropriate IMS solutions in developing countries. Our research highlights the need for developing countries to acquire appropriate IMS solutions that are tailored to the local organizational work context in which these systems will be used. The experience reported herein can also inspire other public safety agencies in developing countries to consider the option of developing customized IMS solutions that best suit their needs.

  3. Occupational exposure to wood dust and risk of nasal and nasopharyngeal cancer: A case-control study among men in four nordic countries-With an emphasis on nasal adenocarcinoma.

    Science.gov (United States)

    Siew, Sie Sie; Martinsen, Jan Ivar; Kjaerheim, Kristina; Sparén, Pär; Tryggvadottir, Laufey; Weiderpass, Elisabete; Pukkala, Eero

    2017-12-15

    The current study aims to provide stronger evidence to aid in our understanding of the role of cumulative occupational exposure to (softwood-dominated) mixed wood dust in aetiology of nasal cancer. We included broad exposure occurred in a range of wood-processing occupation across varied industries in four Nordic countries. A population-based case-control study was conducted on all male cases with nasal adenocarcinoma (393 cases), other types of nasal cancer (2,446) and nasopharyngeal cancer (1,747) diagnosed in Finland, Sweden, Norway and Iceland between 1961 and 2005. For each case, five male controls, who were alive at the time of diagnosis of the case (index date), were randomly selected, matched by birth-year and country. Cumulative exposures (CE)s to wood dust and formaldehyde before the index date were quantified based on a job-exposure matrix linked to occupational titles derived from population censuses. Hazard ratios (HRs) for the CE of wood dust were estimated by conditional logistic regression, adjusted for CE to formaldehyde and 95% confidence intervals (CIs) were calculated. There was an increasing risk of nasal adenocarcinoma related to wood dust exposure. The HR in the highest CE category of wood dust (≥ 28.82 mg/m 3 -years) was 16.5 (95% CI 5.05-54.1). Neither nonadenocarcinoma of the nose nor nasopharyngeal cancer could be linked to wood dust exposure. CE to softwood-dominated mixed wood dusts is strongly linked with elevated risk in nasal adenocarcinoma but not with other types of nasal or nasopharyngeal cancer. © 2017 UICC.

  4. The politico-economics of electricity planning in developing countries: A case study of Ghana

    International Nuclear Information System (INIS)

    Abdul-Salam, Yakubu; Phimister, Euan

    2016-01-01

    Off-grid technologies are increasingly being proposed as a way of ensuring cost efficient universal access to electricity in many developing countries. However, many un-electrified communities would prefer access to electricity via the national grid rather than off-grid technologies. Electricity planning based on cost efficiency alone could therefore be undermined by political pressure from discontented communities that are assigned off-grid technologies. Using a case study of un-electrified communities in Ghana, we develop an electricity planning algorithm based on hierarchical lexicographic programming and consider specifications where the priorities are adjusted to give weight to (1) cost efficiency and (2) political economy considerations so that communities with larger populations (and therefore votes) are given priority in terms of grid electrification. The results emphasise the need to incorporate the political economy considerations in the national planning of universal electrification, showing significant regional differences in terms of where grid extensions ought to be placed. Incorporating a political economy perspective in national planning also suggests that the most important policy trade-offs shift from considering the grid versus off-grid balance to focussing more on the effectiveness of grid investment in providing universal access. - Highlights: • There is a focus on grid and off-grid electricity planning based on economics. • However community preferences for grid introduces a political dimension to planning. • We develop an algorithm to examine the politico-economics of electricity planning. • We find different priorities yield significant regional differences in grid access. • We find that greater policy focus on the effectiveness of grid investment is needed.

  5. Agreement among healthcare professionals in ten European countries in diagnosing case-vignettes of surgical-site infections.

    Directory of Open Access Journals (Sweden)

    Gabriel Birgand

    Full Text Available OBJECTIVE: Although surgical-site infection (SSI rates are advocated as a major evaluation criterion, the reproducibility of SSI diagnosis is unknown. We assessed agreement in diagnosing SSI among specialists involved in SSI surveillance in Europe. METHODS: Twelve case-vignettes based on suspected SSI were submitted to 100 infection-control physicians (ICPs and 86 surgeons in 10 European countries. Each participant scored eight randomly-assigned case-vignettes on a secure online relational database. The intra-class correlation coefficient (ICC was used to assess agreement for SSI diagnosis on a 7-point Likert scale and the kappa coefficient to assess agreement for SSI depth on a three-point scale. RESULTS: Intra-specialty agreement for SSI diagnosis ranged across countries and specialties from 0.00 (95%CI, 0.00-0.35 to 0.65 (0.45-0.82. Inter-specialty agreement varied from 0.04 (0.00-0.62 in to 0.55 (0.37-0.74 in Germany. For all countries pooled, intra-specialty agreement was poor for surgeons (0.24, 0.14-0.42 and good for ICPs (0.41, 0.28-0.61. Reading SSI definitions improved agreement among ICPs (0.57 but not surgeons (0.09. Intra-specialty agreement for SSI depth ranged across countries and specialties from 0.05 (0.00-0.10 to 0.50 (0.45-0.55 and was not improved by reading SSI definition. CONCLUSION: Among ICPs and surgeons evaluating case-vignettes of suspected SSI, considerable disagreement occurred regarding the diagnosis, with variations across specialties and countries.

  6. Carbon emissions and sequestration in forests: Case studies from seven developing countries

    Energy Technology Data Exchange (ETDEWEB)

    Makundi, W.; Sathaye, J. (eds.) (Lawrence Berkeley Lab., CA (United States)); Ravindranath, N.H.; Somashekhar, B.S.; Gadgil, M. (Indian Inst. of Science, Bangalore, (India). Center for Ecological Sciences and ASTRA); Deying, Xu (Chinese Academy of Forestry, Beijing, (China). Research Inst. of Forestry)

    1992-08-01

    As part of the effort to understand the sources of carbon dioxide and other major greenhouse gases, the Tropical Forestry and Global Climate Change Research Network (F-7) was established. The countries taking part in the F-7 Network -- Brazil, China, India, Indonesia, Malaysia, Mexico, Nigeria and Thailand -- possess large tracts of tropical forests and together experience the bulk of large scale tropical deforestation. Integreation of work of indigenous researchers and institutions from the participating countries should allow for the gathering of on-site information into the more general and universally available base of knowledge. The information contained in this report represents the results of the first phase of the F-7 project, which had the explicit aim of providing quantitative data on forestry-related carbon emissions from India and China.

  7. Carbon emissions and sequestration in forests: Case studies from seven developing countries

    International Nuclear Information System (INIS)

    Makundi, W.; Sathaye, J.; Ravindranath, N.H.; Somashekhar, B.S.; Gadgil, M.; Deying, Xu

    1992-08-01

    As part of the effort to understand the sources of carbon dioxide and other major greenhouse gases, the Tropical Forestry and Global Climate Change Research Network (F-7) was established. The countries taking part in the F-7 Network -- Brazil, China, India, Indonesia, Malaysia, Mexico, Nigeria and Thailand -- possess large tracts of tropical forests and together experience the bulk of large scale tropical deforestation. Integreation of work of indigenous researchers and institutions from the participating countries should allow for the gathering of on-site information into the more general and universally available base of knowledge. The information contained in this report represents the results of the first phase of the F-7 project, which had the explicit aim of providing quantitative data on forestry-related carbon emissions from India and China

  8. Fertility Decline in Pakistan 1980-2006 : A Case Study

    OpenAIRE

    World Bank

    2010-01-01

    Pakistan was selected as a case study because of its estimated 40 percent decline in fertility between 1980 and 2006. Pakistan's high fertility rate began to decline gradually after the late 1980s and has continued to fall since then, though progress has been uneven and there have been signs of a slowdown in recent years. Unlike the other four case study countries (Algeria, Botswana, Iran,...

  9. FOREIGN DIRECT INVESTMENT IN POST-CONFLICT COUNTRIES: THE CASE OF IRAQ’S OIL AND ELECTRICITY SECTORS

    Directory of Open Access Journals (Sweden)

    Ghassan Faraj Hanna

    2014-04-01

    Full Text Available Foreign direct investment is new phenomenon to Iraq, a post conflict country with abundance of natural resources. With dominant state-controlled public sector, attracting foreign investment is an added challenge to an economy devastated by years of wars. A qualitative case study was conducted to assess determinants of foreign direct investment in Iraq’s energy sector. Data was collected from interviews with business and government subject matter experts, and a review of publically available documents. Lack of security, political instability, corruption, and inadequate government policies towards foreign direct investment as symptoms found and typically shared by other post-conflict countries. The persistence of violence was not seen as a deterrent; however, foreign direct investment activity in the energy sector was virtually limited to the semi-autonomous region of Kurdistan. Investments were either wholly-owned or joint-venture enterprises. Implications to other post conflict countries, using Kuwait and Nigeria as illustrative examples, are presented and recommendations made.

  10. Participatory Research for Adaptive Water Management in a Transition Country - a Case Study from Uzbekistan

    Directory of Open Access Journals (Sweden)

    Darya Hirsch

    2010-09-01

    Full Text Available Participatory research has in recent years become a popular approach for problem-oriented scientific research that aims to tackle complex problems in a real management context. Within the European Union project NeWater, stakeholder processes were initiated in seven case studies to develop approaches for adaptive water management. The Uzbek part of the Amudarya River basin was one of the studied river basins. However, given the current political and cultural context in Uzbekistan, which provides little room for stakeholder participation, it was unclear to what extent participation could be realized there. In this paper, we present an evaluation of the participatory research carried out in the Amudarya case study with respect to (i the choice and application of different participatory methods and their adaptation to the given political, socioeconomic, and cultural environment, (ii their usefulness in improving system understanding and developing strategies and measures to improve water management and monitoring, and (iii their acceptance and suitability for enhancing policy-making processes in the Amudarya River basin context. The main lessons learned from the comparison of the different participatory methods were (1 the stakeholder process provided an opportunity for meetings and discussions among stakeholders from different organizational levels and thus promoted communication between different levels and organizations, and (2 in a context where most stakeholders are not generally involved in policy-making, there is a danger of raising expectations that a research project cannot meet, e.g., of transferring local interests to higher levels. Our experience shows that in order to choose participatory methods and adapt them to the Uzbek cultural and political setting (and most likely this applies to other post-Soviet transition countries as well, four aspects should be taken into account: the time required to prepare and apply the method, good

  11. Appropriate information systems in underdeveloped countries: The case of the Sudan

    International Nuclear Information System (INIS)

    Wesley, C.; Weyers, R.

    1990-05-01

    Considers the application of new technology to information systems in underdeveloped countries taking the case of the National Documentation Centre (NDC) in Khartoum, Sudan as an example. Describes the implementation of a project there to improve information collection and dissemination using microcomputers and micrographics. The scope of the project is to collect conventional and non-conventional documents produced in and about Sudan in the areas of science, technology and the social sciences, and to maintain databases containing bibliographic, research project, institutional and personnel data. Examines the advantages of microcomputers for underdeveloped countries and other technological developments such as CD-ROM, desktop publishing, expert systems and factors such as exchange of data, repackaging of information, and cooperation, all of which are likely to have an impact on scientific and technological information provision in the 1990s. Considers constraints to introducing new technology (hardware/software procurement and maintenance, operating conditions, existing document delivery systems, absence of information sharing culture) but argues that a longer term development strategy which allows for training, long term funding, cooperation and appropriate computer applications will result in sustainable information systems development in underdeveloped countries. (author). 11 refs

  12. Appropriate information systems in underdeveloped countries: The case of the Sudan

    Energy Technology Data Exchange (ETDEWEB)

    Wesley, C; Weyers, R [National Council for Research, Khartoum (Sudan). National Documentation Centre

    1990-05-01

    Considers the application of new technology to information systems in underdeveloped countries taking the case of the National Documentation Centre (NDC) in Khartoum, Sudan as an example. Describes the implementation of a project there to improve information collection and dissemination using microcomputers and micrographics. The scope of the project is to collect conventional and non-conventional documents produced in and about Sudan in the areas of science, technology and the social sciences, and to maintain databases containing bibliographic, research project, institutional and personnel data. Examines the advantages of microcomputers for underdeveloped countries and other technological developments such as CD-ROM, desktop publishing, expert systems and factors such as exchange of data, repackaging of information, and cooperation, all of which are likely to have an impact on scientific and technological information provision in the 1990s. Considers constraints to introducing new technology (hardware/software procurement and maintenance, operating conditions, existing document delivery systems, absence of information sharing culture) but argues that a longer term development strategy which allows for training, long term funding, cooperation and appropriate computer applications will result in sustainable information systems development in underdeveloped countries. (author). 11 refs.

  13. The Image of the Country in Journalists’ Tweets – Case Study

    Directory of Open Access Journals (Sweden)

    Banias Oksana

    2016-12-01

    Full Text Available This article attempts to assess the role of Twitter in international communication on the basis of intentionally selected part of reality. The aim of this paper is to evaluate the potential impact of messages, posted in the microblogging service by the internationally recognized journalist, on creating the image of Poland in the world. Case study was carried out on the example of Anne Applebaum’s Twitter account.

  14. COUNTRY-OF-ORIGIN EFFECTS ON PURCHASING DOMESTIC PRODUCTS: THE CASE OF ROMANIA

    Directory of Open Access Journals (Sweden)

    Roxana-Denisa STOENESCU

    2015-06-01

    Full Text Available Previous studies revealed that ethnocentric consumers are more willing to purchase a domestic product. Furthermore, country-of-origin has a direct impact on consumers’ decision to buy a product in such a manner that a positive country image can substitute other missing qualities of the product. On the other hand, a strong brand is not expected to compensate for a negative country-of-origin perception. Many brands rely on their home country as a warranty for quality and prestige, in order to gain consumers’ interest and attention. This paper examines the moderating role of variables such as perceived quality, ethnocentrism and familiarity in determining a consumer to buy a domestic product. Through exploratory research, this study aims to investigate to what extent Romania, as country-of-origin for its local products, influences consumers’ decision making process. The major contributions of the study consist of identifying the elements that play a role in consumers’ product evaluation based on the country-of-origin and to improve the understanding of country image effects on the buying intention.

  15. Exploring evidence-policy linkages in health research plans: A case study from six countries

    Directory of Open Access Journals (Sweden)

    Oladepo Oladimeji

    2008-03-01

    Full Text Available Abstract The complex evidence-policy interface in low and middle income country settings is receiving increasing attention. Future Health Systems (FHS: Innovations for Equity, is a research consortium conducting health systems explorations in six Asian and African countries: Bangladesh, India, China, Afghanistan, Uganda, and Nigeria. The cross-country research consortium provides a unique opportunity to explore the research-policy interface. Three key activities were undertaken during the initial phase of this five-year project. First, key considerations in strengthening evidence-policy linkages in health system research were developed by FHS researchers through workshops and electronic communications. Four key considerations in strengthening evidence-policy linkages are postulated: development context; research characteristics; decision-making processes; and stakeholder engagement. Second, these four considerations were applied to research proposals in each of the six countries to highlight features in the research plans that potentially strengthen the research-policy interface and opportunities for improvement. Finally, the utility of the approach for setting research priorities in health policy and systems research was reflected upon. These three activities yielded interesting findings. First, developmental consideration with four dimensions – poverty, vulnerabilities, capabilities, and health shocks – provides an entry point in examining research-policy interfaces in the six settings. Second, research plans focused upon on the ground realities in specific countries strengthens the interface. Third, focusing on research prioritized by decision-makers, within a politicized health arena, enhances chances of research influencing action. Lastly, early and continued engagement of multiple stakeholders, from local to national levels, is conducive to enhanced communication at the interface. The approach described has four main utilities: first

  16. Community level composting in a developing country: case study of KIWODET, Tanzania

    NARCIS (Netherlands)

    Oberlin, A.S.; Szanto, G.L.

    2011-01-01

    Environmentally sustainable waste management practices have a limited relevance and viability in developing countries. Despite a technological potential, composting initiatives often share this fate. Little is known about the functioning of community level composting, which is reportedly the optimal

  17. E-government factors to reduce administrative and finance corruption in Arab countries: Case study Iraqi oil sector

    Science.gov (United States)

    Mohammed, M. A.; Eman, Y.; Hussein, A. H.; Hasson, A. R.

    2015-12-01

    Arab countries face the corruption issues in its several public organizations. The corruption in these countries is considered as the main challenge. The oil sector is one of the public sectors that have huge level of corruption. However, the Iraqi economy had become dependable on oil sector daring the last three decades, and on the contrary, of what other oil countries did. The capital is considered as one of the essential factor for economic development. The revenues of oil exports will stay the essential source for economic development in Iraq in the future in order to reduce being dependable on oil. Since the beginning of the 3rd thousands, the world witnessed great rise in the demand on oil, but the Iraqi exports of crude oil come to be less than its similarities in the seventeenths of last century. So our oil sector is still in need of deep study. This study focuses on technological technique that can make huge decrease for corruption in oil sector in Iraq. However, e-government is considered as the best techniques that can decrease the corruption. Thus, this study bases on challenges that effect on build successful e-government project in Iraqi oil industry.

  18. LiveDiverse: Case study area, Greater Kruger South Africa

    CSIR Research Space (South Africa)

    Nortje, Karen

    2011-01-01

    Full Text Available Livelihoods and Biodiversity in Developing Countries Case study area: Greater Kruger, South Africa January 2011 Kolhapur, India Where are we? HARDSHIP LIVELIHOODS NATURE & BIODIVERSITY BELIEFS & CULTURAL PRACTISE threesansinv foursansinv onesansinv...

  19. Distributional effects of climate policies. Studies on households and countries in Europe

    Energy Technology Data Exchange (ETDEWEB)

    Kerkhof, A.

    2009-09-18

    Concerns about inequitable distributions of burdens among and within countries are a serious barrier for the implementation of climate policies. Insight into such distributional effects is highly relevant for adequate action by policy-makers. The aim of this thesis is to examine the possible distributional effects of climate policies among and within European countries. First, the greenhouse gas (GHG) emissions of household consumption in different income groups and countries are quantified, taking into account the life-cycle of goods and services. Additionally, the cost distributions of economic instruments are considered. The findings show that the variation in household GHG emissions among countries and income groups depends on both (1) the household consumption level and pattern, and (2) the life-cycle GHG emissions of basic and luxury goods. The Dutch case studies show that the share of GHG emissions from basic goods, such as food and housing, is larger than the share of GHG emissions from luxury goods. Accordingly, low-income households will carry a relatively higher burden in the case of a CO2 tax than high-income households. This unequal distribution of costs may be diminished by extending the scope op the tax with non-CO2 GHG, like methane and nitrous oxide. Climate policies will probably have similar effects in the UK. In contrast, climate policies will probably lead to a relatively higher burden for high-income households in Sweden and Norway. These national differences can be partly explained by differences in national conditions, like energy supply and population density.

  20. Distributional effects of climate policies. Studies on households and countries in Europe

    International Nuclear Information System (INIS)

    Kerkhof, A.

    2009-01-01

    Concerns about inequitable distributions of burdens among and within countries are a serious barrier for the implementation of climate policies. Insight into such distributional effects is highly relevant for adequate action by policy-makers. The aim of this thesis is to examine the possible distributional effects of climate policies among and within European countries. First, the greenhouse gas (GHG) emissions of household consumption in different income groups and countries are quantified, taking into account the life-cycle of goods and services. Additionally, the cost distributions of economic instruments are considered. The findings show that the variation in household GHG emissions among countries and income groups depends on both (1) the household consumption level and pattern, and (2) the life-cycle GHG emissions of basic and luxury goods. The Dutch case studies show that the share of GHG emissions from basic goods, such as food and housing, is larger than the share of GHG emissions from luxury goods. Accordingly, low-income households will carry a relatively higher burden in the case of a CO2 tax than high-income households. This unequal distribution of costs may be diminished by extending the scope op the tax with non-CO2 GHG, like methane and nitrous oxide. Climate policies will probably have similar effects in the UK. In contrast, climate policies will probably lead to a relatively higher burden for high-income households in Sweden and Norway. These national differences can be partly explained by differences in national conditions, like energy supply and population density

  1. Household food wastage in a developing country: A case study of Mamelodi Township in South Africa

    CSIR Research Space (South Africa)

    Ramukhwatho, FR

    2014-10-01

    Full Text Available In many developing countries, including those with food shortages a large portion of household waste is estimated to be food. This paper reports on findings of a research study conducted in one of South Africa’s largest townships (Mamelodi) within...

  2. Report from Mongolia – How much do we know about the incidence of rare cases in less developed countries: a case series

    Directory of Open Access Journals (Sweden)

    Dünser Martin W

    2008-11-01

    Full Text Available Abstract Introduction Case reports are important instruments to describe rare disease conditions and give a rough estimation of their global incidence. Even though collected in international databases, most case reports are published by clinicians from industrialized nations and little is known about the incidence of rare cases in less developed countries, which are home to 75% of the world's population. Case presentation We present seven patients who suffered from diseases which are either considered to be rare or have not yet been described before according to international databases, but occurred during a 5-month period in one intensive care unit of a less developed country. During the observation period, patients with a spontaneous infratentorial subdural hematoma (Asian, female, 41 years, general exanthema and acute renal failure after diesel ingestion (Asian, male, 30 years, transient cortical blindness complicating hepatic encephalopathy (Asian, female, 49 years, Fournier gangrene complicating acute necrotizing pancreatitis (Asian, male, 37 years, acute renal failure due to acetic acid intoxication (Asian, male, 42 years, haemolytic uremic syndrome following septic abortion (Asian, female, 45 years, and a metal needle as an unusual cause of chest pain (Asian, male, 41 years were treated. According to the current literature, all seven disease conditions are considered either rare or have so far not yet been reported. Conclusion The global incidence of rare cases may be underestimated by contemporary international databases. Diseases which are currently considered to be rare in industrialized nations may occur at a higher frequency in less developed countries. Reasons may not only be a geographically different burden of certain diseases, limited diagnostic and therapeutic facilities, but also a relevant publication bias.

  3. Information and Communication Technologies and Poverty Reduction in Developing Countries : the Case of Sub Saharan Africa countries

    Directory of Open Access Journals (Sweden)

    Lot Tcheeko

    2006-12-01

    Full Text Available There is a growing interest in using Information and Communication Technologies (ICTs to support poverty reduction efforts and strategies in the framework of the Millennium Development Goals (MDGs. These interest ended up revealing how much the Poverty Reduction Strategy Papers (PRSPs of many african nations have underestimated the importance of ICTs as a development tool. The fact that so little was mentionned about the use of ICTs for poverty alleviation and creation of employment highlighted the confusion, and uncertainty of decision makers. At the country level, ICT is still to be effectively integrated into national poverty alleviation and development strategies. The question then is how ICTs can help achieve those objectives. How can ICTs be used as tools to fight against poverty? Poverty is widely recognized as multidimensional, encompassing food security, health, education, rights, security and dignity, amongst others as stressed by Bachelor and al in a model showing the intricate linkages between ICTs and most PRSP goals. The link between ICTs and poverty reduction strategy is therefore not that obvious. Although, researchers and development partners involved in poverty alleviation recognize more easily the linkage between ICT and poverty reduction strategies. In any case, it is a prerequisite to have a conducive environment and country readiness for ICTs implementation. Unfortunately, in many Sub-Saharan Africa countries, there is not yet a clear and effective policy and strategy for the use of ICT.

  4. Updated Global Burden of Cholera in Endemic Countries

    Science.gov (United States)

    Ali, Mohammad; Nelson, Allyson R.; Lopez, Anna Lena; Sack, David A.

    2015-01-01

    Background The global burden of cholera is largely unknown because the majority of cases are not reported. The low reporting can be attributed to limited capacity of epidemiological surveillance and laboratories, as well as social, political, and economic disincentives for reporting. We previously estimated 2.8 million cases and 91,000 deaths annually due to cholera in 51 endemic countries. A major limitation in our previous estimate was that the endemic and non-endemic countries were defined based on the countries’ reported cholera cases. We overcame the limitation with the use of a spatial modelling technique in defining endemic countries, and accordingly updated the estimates of the global burden of cholera. Methods/Principal Findings Countries were classified as cholera endemic, cholera non-endemic, or cholera-free based on whether a spatial regression model predicted an incidence rate over a certain threshold in at least three of five years (2008-2012). The at-risk populations were calculated for each country based on the percent of the country without sustainable access to improved sanitation facilities. Incidence rates from population-based published studies were used to calculate the estimated annual number of cases in endemic countries. The number of annual cholera deaths was calculated using inverse variance-weighted average case-fatality rate (CFRs) from literature-based CFR estimates. We found that approximately 1.3 billion people are at risk for cholera in endemic countries. An estimated 2.86 million cholera cases (uncertainty range: 1.3m-4.0m) occur annually in endemic countries. Among these cases, there are an estimated 95,000 deaths (uncertainty range: 21,000-143,000). Conclusion/Significance The global burden of cholera remains high. Sub-Saharan Africa accounts for the majority of this burden. Our findings can inform programmatic decision-making for cholera control. PMID:26043000

  5. Countdown to 2015 country case studies: systematic tools to address the “black box” of health systems and policy assessment

    Directory of Open Access Journals (Sweden)

    Neha S. Singh

    2016-09-01

    Full Text Available Abstract Background Evaluating health systems and policy (HSP change and implementation is critical in understanding reproductive, maternal, newborn and child health (RMNCH progress within and across countries. Whilst data for health outcomes, coverage and equity have advanced in the last decade, comparable analyses of HSP changes are lacking. We present a set of novel tools developed by Countdown to 2015 (Countdown to systematically analyse and describe HSP change for RMNCH indicators, enabling multi-country comparisons. Methods International experts worked with eight country teams to develop HSP tools via mixed methods. These tools assess RMNCH change over time (e.g. 1990–2015 and include: (i Policy and Programme Timeline Tool (depicting change according to level of policy; (ii Health Policy Tracer Indicators Dashboard (showing 11 selected RMNCH policies over time; (iii Health Systems Tracer Indicators Dashboard (showing four selected systems indicators over time; and (iv Programme implementation assessment. To illustrate these tools, we present results from Tanzania and Peru, two of eight Countdown case studies. Results The Policy and Programme Timeline tool shows that Tanzania’s RMNCH environment is complex, with increased funding and programmes for child survival, particularly primary-care implementation. Maternal health was prioritised since mid-1990s, yet with variable programme implementation, mainly targeting facilities. Newborn health only received attention since 2005, yet is rapidly scaling-up interventions at facility- and community-levels. Reproductive health lost momentum, with re-investment since 2010. Contrastingly, Peru moved from standalone to integrated RMNCH programme implementation, combined with multi-sectoral, anti-poverty strategies. The HSP Tracer Indicators Dashboards show that Peru has adopted nine of 11 policy tracer indicators and Tanzania has adopted seven. Peru costed national RMNCH plans pre-2000, whereas

  6. When ageing and disasters collide: Lessons from 16 international case studies

    International Nuclear Information System (INIS)

    Powell, S.; Plouffe, L.; Gorr, P.

    2009-01-01

    Sixteen case studies examined the impact of various natural disasters and conflict-related emergencies on older people, the strengths and gaps in emergency planning, response and recovery, and the contributions older people made to their families and communities. Case examples were chosen from both developed and developing countries. Older persons suffered disproportionate impacts in several cases. Regardless of the country's level of prosperity, those most affected tended to be economically disadvantaged, disabled or frail, women, socially isolated, or caregivers of family members. Emergency responders were often not aware of distinct needs or abilities of older persons and not equipped to respond appropriately. The best emergency practices recognised and included specific needs within mainstream efforts and integrated older persons in community planning, response and recovery activities. This paper presents the 'lessons learned' from these case studies and makes the case for greater attention to this segment of the population in emergency management. (authors)

  7. Renewable energy policies in the Gulf countries. A case study of the carbon-neutral 'Masdar City' in Abu Dhabi

    International Nuclear Information System (INIS)

    Reiche, Danyel

    2010-01-01

    The Gulf countries are largely dependent on exporting oil and natural gas for their national budgets. They mainly use domestic fossil fuels for their domestic energy supply. In spite of favorable geographic conditions, especially for solar energy, renewable energies are still a niche application. Abu Dhabi, besides Dubai, the most important emirate in the United Arab Emirates (UAE), has now started a process of 'transforming oil wealth into renewable energy leadership', and has set the long-term goal of a 'transition from a 20th Century, carbon-based economy into a 21st Century sustainable economy'. This article is a case study about 'Masdar City', a planned carbon-neutral town in Abu Dhabi. The article describes the key characteristics of Masdar City, analyses the drivers behind the project, identifies the main actors for its implementation, and seeks obstacles to creation and development as well as the policy behind Masdar City. Finally, a first judgment of possible diffusion effects of the project is done. (author)

  8. Developed-developing country partnerships: Benefits to developed countries?

    Directory of Open Access Journals (Sweden)

    Syed Shamsuzzoha B

    2012-06-01

    Full Text Available Abstract Developing countries can generate effective solutions for today’s global health challenges. This paper reviews relevant literature to construct the case for international cooperation, and in particular, developed-developing country partnerships. Standard database and web-based searches were conducted for publications in English between 1990 and 2010. Studies containing full or partial data relating to international cooperation between developed and developing countries were retained for further analysis. Of 227 articles retained through initial screening, 65 were included in the final analysis. The results were two-fold: some articles pointed to intangible benefits accrued by developed country partners, but the majority of information pointed to developing country innovations that can potentially inform health systems in developed countries. This information spanned all six WHO health system components. Ten key health areas where developed countries have the most to learn from the developing world were identified and include, rural health service delivery; skills substitution; decentralisation of management; creative problem-solving; education in communicable disease control; innovation in mobile phone use; low technology simulation training; local product manufacture; health financing; and social entrepreneurship. While there are no guarantees that innovations from developing country experiences can effectively transfer to developed countries, combined developed-developing country learning processes can potentially generate effective solutions for global health systems. However, the global pool of knowledge in this area is virgin and further work needs to be undertaken to advance understanding of health innovation diffusion. Even more urgently, a standardized method for reporting partnership benefits is needed—this is perhaps the single most immediate need in planning for, and realizing, the full potential of international

  9. Developed-developing country partnerships: benefits to developed countries?

    Science.gov (United States)

    Syed, Shamsuzzoha B; Dadwal, Viva; Rutter, Paul; Storr, Julie; Hightower, Joyce D; Gooden, Rachel; Carlet, Jean; Bagheri Nejad, Sepideh; Kelley, Edward T; Donaldson, Liam; Pittet, Didier

    2012-06-18

    Developing countries can generate effective solutions for today's global health challenges. This paper reviews relevant literature to construct the case for international cooperation, and in particular, developed-developing country partnerships. Standard database and web-based searches were conducted for publications in English between 1990 and 2010. Studies containing full or partial data relating to international cooperation between developed and developing countries were retained for further analysis. Of 227 articles retained through initial screening, 65 were included in the final analysis. The results were two-fold: some articles pointed to intangible benefits accrued by developed country partners, but the majority of information pointed to developing country innovations that can potentially inform health systems in developed countries. This information spanned all six WHO health system components. Ten key health areas where developed countries have the most to learn from the developing world were identified and include, rural health service delivery; skills substitution; decentralisation of management; creative problem-solving; education in communicable disease control; innovation in mobile phone use; low technology simulation training; local product manufacture; health financing; and social entrepreneurship. While there are no guarantees that innovations from developing country experiences can effectively transfer to developed countries, combined developed-developing country learning processes can potentially generate effective solutions for global health systems. However, the global pool of knowledge in this area is virgin and further work needs to be undertaken to advance understanding of health innovation diffusion. Even more urgently, a standardized method for reporting partnership benefits is needed--this is perhaps the single most immediate need in planning for, and realizing, the full potential of international cooperation between developed and

  10. eHealth in Denmark: a case study.

    Science.gov (United States)

    Kierkegaard, Patrick

    2013-12-01

    Denmark is widely regarded as a leading country in terms of eHealth integration and healthcare delivery services. The push for eHealth adoption over that past 20 years in the Danish health sector has led to the deployment of multiple eHealth technologies. However, in reality the Danish healthcare suffers from eHealth system fragmentation which has led to eHealth's inability to reach full potential in delivering quality healthcare service. This paper will presents a case study of the current state of eHealth in the Danish healthcare system and discuss the current challenges the country is facing today.

  11. Export Credit Insurances in Developing Countries: The Case of Turkey and IMT Countries

    Directory of Open Access Journals (Sweden)

    Cihat Koksal

    2018-05-01

    Full Text Available Export credit insurance is one of the substantial tools to promote export in a country. This paper endeavours to find out the effect of Export Credit Insurance covered by Export Credit Agencies on the developing countries’ export figures and GDP. The countries subject to the analysis are Turkey and Indonesia, Malaysia, Thailand also known as IMT Countries. The relationship between export value, economic growth and export credit insurances will be analyzed using Vector Autoregression (VAR Model.

  12. ALTER-GLOBALISM AND DEVELOPMENT IN MIGRATION CONDITIONS. THE CASE OF AN EAST EUROPEAN COUNTRY

    Directory of Open Access Journals (Sweden)

    Alina HALLER

    2017-12-01

    Full Text Available Globalisation is a process that brings advantages and disadvantages to all states, regardless of their stage of development. The relative deprivation, especially the financial one, of the developing countries is a reason of frustration, which motivates the emigration decision; hence our orientation to alter-globalism. In this paper, I intend to highlight by means of analysis, synthesis, deduction, induction, and statistic data, the causes and types of migration in Romania’s case, one of the main European countries where the immigrants originate from. We will see how globalisation manifests itself in a twofold manner in the economy and the society of a developing country, just like migration. We will show why a poor country is avoided by immigrants and deserted, as a result of immigration, by its own population, while, just like the developed states, it is likely to face the same demographic, economic and social problems, considering that the process of demographic transition is already manifested.

  13. Surgical Residency Training in Developing Countries: West African College of Surgeons as a Case Study.

    Science.gov (United States)

    Ajao, Oluwole Gbolagunte; Alao, Adekola

    2016-01-01

    In 1904, William Halsted introduced the present model of surgical residency program which has been adopted worldwide. In some developing countries, where surgical residency training programs are new, some colleges have introduced innovations to the Halsted's original concept of surgical residency training. These include 1) primary examination, 2) rural surgical posting, and 3) submission of dissertation for final certification. Our information was gathered from the publications on West African College of Surgeons' (WACS) curriculum of the medical schools, faculty papers of medical schools, and findings from committees of medical schools. Verbal information was also gathered via interviews from members of the WACS. Additionally, our personal experience as members and examiners of the college are included herein. We then noted the differences between surgical residency training programs in the developed countries and that of developing countries. The innovations introduced into the residency training programs in the developing countries are mainly due to the emphasis placed on paper qualifications and degrees instead of performance. We conclude that the innovations introduced into surgical residency training programs in developing countries are the result of the misconception of what surgical residency training programs entail. Published by Elsevier Inc.

  14. Effective coverage and systems effectiveness for malaria case management in sub-Saharan African countries.

    Directory of Open Access Journals (Sweden)

    Katya Galactionova

    Full Text Available Scale-up of malaria preventive and control interventions over the last decade resulted in substantial declines in mortality and morbidity from the disease in sub-Saharan Africa and many other parts of the world. Sustaining these gains will depend on the health system performance. Treatment provides individual benefits by curing infection and preventing progression to severe disease as well as community-level benefits by reducing the infectious reservoir and averting emergence and spread of drug resistance. However many patients with malaria do not access care, providers do not comply with treatment guidelines, and hence, patients do not necessarily receive the correct regimen. Even when the correct regimen is administered some patients will not adhere and others will be treated with counterfeit or substandard medication leading to treatment failures and spread of drug resistance. We apply systems effectiveness concepts that explicitly consider implications of health system factors such as treatment seeking, provider compliance, adherence, and quality of medication to estimate treatment outcomes for malaria case management. We compile data for these indicators to derive estimates of effective coverage for 43 high-burden Sub-Saharan African countries. Parameters are populated from the Demographic and Health Surveys and other published sources. We assess the relative importance of these factors on the level of effective coverage and consider variation in these health systems indicators across countries. Our findings suggest that effective coverage for malaria case management ranges from 8% to 72% in the region. Different factors account for health system inefficiencies in different countries. Significant losses in effectiveness of treatment are estimated in all countries. The patterns of inter-country variation suggest that these are system failures that are amenable to change. Identifying the reasons for the poor health system performance and

  15. Financial Shenanigans : A Case Study of Nigeria

    OpenAIRE

    Onitilo, Nnenna Chidimma

    2015-01-01

    This study investigates the identified cases of financial shenanigans in between 2001 and 2009 in Nigeria. The scope of this study includes the identification of the common attempts and approaches used by companies and the motivations for financial shenanigans. A cross country comparison of the characteristics of the corporate reporting environments between Nigeria and Malaysia was also carried out. This study finds that the most common attempt used by the sample companies are majorly revenue...

  16. An Investigation of the Influence of the Worldwide Governance and Competitiveness on Accounting Fraud Cases: A Cross-Country Perspective

    Directory of Open Access Journals (Sweden)

    Rabeea Sadaf

    2018-02-01

    Full Text Available This article examines how worldwide governance, global competiveness, and other institutional determinants have influenced the number of accounting fraud cases in several countries. The researchers have focused more closely on the importance of ‘good governance’ as one of the indicators of development objectives in itself. The institutional perspective is employed to explain the complexity of frauds in different societies which can be compatible for the purposes of international judgments in order to increase the effectiveness of previous forensic accounting theories. In this paper, a linear regression model is tested where governance, competitiveness, and other institutional variables are associated with a measure of accounting fraud cases. From our results, we can merely claim that an increased level of controlled corruption and political stability might reduce the number of fraud cases in various countries, while more effective and independent governance services with a higher freedom of expression seemed to increase them. The existence of accounting crimes also appeared to be a suitable proxy of better competitiveness. Anglo-Saxon countries have more stated fraud cases than other countries, attributed, perhaps, to the finest commercial courts with the most professional and least corrupt judges in the world, with centuries of precedent cases and experience in dealing with fraud. Moreover, we believe that a better understanding of fraud detection is a potentially important element in forensic accounting analytics in the success of governance policies to enhance development and reduce the risk of bankruptcies related to the reported fraud cases of enterprises.

  17. Poliovirus excretion among persons with primary immune deficiency disorders: summary of a seven-country study series.

    Science.gov (United States)

    Li, Li; Ivanova, Olga; Driss, Nadia; Tiongco-Recto, Marysia; da Silva, Rajiva; Shahmahmoodi, Shohreh; Sazzad, Hossain M S; Mach, Ondrej; Kahn, Anna-Lea; Sutter, Roland W

    2014-11-01

    Persons with primary immune deficiency disorders (PID), especially those disorders affecting the B-cell system, are at substantially increased risk of paralytic poliomyelitis and can excrete poliovirus chronically. However, the risk of prolonged or chronic excretion is not well characterized in developing countries. We present a summary of a country study series on poliovirus excretion among PID cases. Cases with PID from participating institutions were enrolled during the first year and after obtaining informed consent were tested for polioviruses in stool samples. Those cases excreting poliovirus were followed on a monthly basis during the second year until 2 negative stool samples were obtained. A total of 562 cases were enrolled in Bangladesh, China, Iran, Philippines, Russia, Sri Lanka, and Tunisia during 2008-2013. Of these, 17 (3%) shed poliovirus, including 2 cases with immunodeficient vaccine-derived poliovirus. Poliovirus was detected in a single sample from 5/17 (29%) cases. One case excreted for more than 6 months. None of the cases developed paralysis during the study period. Chronic polioviruses excretion remains a rare event even among individuals with PID. Nevertheless, because these individuals were not paralyzed they would have been missed by current surveillance; therefore, surveillance for polioviruses among PID should be established. © The Author 2014. Published by Oxford University Press on behalf of the Infectious Diseases Society of America. All rights reserved. For Permissions, please e-mail: journals.permissions@oup.com.

  18. Developing national obesity policy in middle-income countries: a case study from North Africa.

    Science.gov (United States)

    Holdsworth, Michelle; El Ati, Jalila; Bour, Abdellatif; Kameli, Yves; Derouiche, Abdelfettah; Millstone, Erik; Delpeuch, Francis

    2013-12-01

    The prevalence of overweight and obesity is a rapidly growing threat to public health in both Morocco and Tunisia, where it is reaching similar proportions to high-income countries. Despite this, a national strategy for obesity does not exist in either country. The aim of this study was to explore the views of key stakeholders towards a range of policies to prevent obesity, and thus guide policy makers in their decision making on a national level. Using Multicriteria Mapping, data were gathered from 82 stakeholders (from 33 categories in Morocco and 36 in Tunisia) who appraised 12 obesity policy options by reference to criteria of their own choosing. The feasibility of policies in practical or political terms and their cost were perceived as more important than how effective they would be in reducing obesity. There was most consensus and preference for options targeting individuals through health education, compared with options that aimed at changing the environment, i.e. modifying food supply and demand (providing healthier menus/changing food composition/food sold in schools); controlling information (advertising controls/mandatory labelling) or improving access to physical activity. In Tunisia, there was almost universal consensus that at least some environmental-level options are required, but in Morocco, participants highlighted the need to raise awareness within the population and policy makers that obesity is a public health problem, accompanied by improving literacy before such measures would be accepted. Whilst there is broad interest in a range of policy options, those measures targeting behaviour change through education were most valued. The different socioeconomic, political and cultural contexts of countries need to be accounted for when prioritizing obesity policy. Obesity was not recognized as a major public health priority; therefore, convincing policy makers about the need to prioritize action to prevent obesity, particularly in Morocco, will be

  19. Developing national obesity policy in middle-income countries: a case study from North Africa

    Science.gov (United States)

    Holdsworth, Michelle; El Ati, Jalila; Bour, Abdellatif; Kameli, Yves; Derouiche, Abdelfettah; Millstone, Erik; Delpeuch, Francis

    2013-01-01

    Background The prevalence of overweight and obesity is a rapidly growing threat to public health in both Morocco and Tunisia, where it is reaching similar proportions to high-income countries. Despite this, a national strategy for obesity does not exist in either country. The aim of this study was to explore the views of key stakeholders towards a range of policies to prevent obesity, and thus guide policy makers in their decision making on a national level. Methods Using Multicriteria Mapping, data were gathered from 82 stakeholders (from 33 categories in Morocco and 36 in Tunisia) who appraised 12 obesity policy options by reference to criteria of their own choosing. Results The feasibility of policies in practical or political terms and their cost were perceived as more important than how effective they would be in reducing obesity. There was most consensus and preference for options targeting individuals through health education, compared with options that aimed at changing the environment, i.e. modifying food supply and demand (providing healthier menus/changing food composition/food sold in schools); controlling information (advertising controls/mandatory labelling) or improving access to physical activity. In Tunisia, there was almost universal consensus that at least some environmental-level options are required, but in Morocco, participants highlighted the need to raise awareness within the population and policy makers that obesity is a public health problem, accompanied by improving literacy before such measures would be accepted. Conclusion Whilst there is broad interest in a range of policy options, those measures targeting behaviour change through education were most valued. The different socioeconomic, political and cultural contexts of countries need to be accounted for when prioritizing obesity policy. Obesity was not recognized as a major public health priority; therefore, convincing policy makers about the need to prioritize action to prevent

  20. Lower educational level is a predictor of incident type 2 diabetes in European countries: the EPIC-InterAct study.

    Science.gov (United States)

    Sacerdote, Carlotta; Ricceri, Fulvio; Rolandsson, Olov; Baldi, Ileana; Chirlaque, Maria-Dolores; Feskens, Edith; Bendinelli, Benedetta; Ardanaz, Eva; Arriola, Larraitz; Balkau, Beverley; Bergmann, Manuela; Beulens, Joline W J; Boeing, Heiner; Clavel-Chapelon, Françoise; Crowe, Francesca; de Lauzon-Guillain, Blandine; Forouhi, Nita; Franks, Paul W; Gallo, Valentina; Gonzalez, Carlos; Halkjær, Jytte; Illner, Anne-Kathrin; Kaaks, Rudolf; Key, Timothy; Khaw, Kay-Tee; Navarro, Carmen; Nilsson, Peter M; Dal Ton, Susanne Oksbjerg; Overvad, Kim; Pala, Valeria; Palli, Domenico; Panico, Salvatore; Polidoro, Silvia; Quirós, J Ramón; Romieu, Isabelle; Sánchez, María-José; Slimani, Nadia; Sluijs, Ivonne; Spijkerman, Annemieke; Teucher, Birgit; Tjønneland, Anne; Tumino, Rosario; van der A, Daphne; Vergnaud, Anne-Claire; Wennberg, Patrik; Sharp, Stephen; Langenberg, Claudia; Riboli, Elio; Vineis, Paolo; Wareham, Nicholas

    2012-08-01

    Type 2 diabetes mellitus (T2DM) is one of the most common chronic diseases worldwide. In high-income countries, low socioeconomic status seems to be related to a high incidence of T2DM, but very little is known about the intermediate factors of this relationship. Method We performed a case-cohort study in eight Western European countries nested in the EPIC study (n = 340, 234, 3.99 million person-years of follow-up). A random sub-cohort of 16,835 individuals and a total of 12,403 incident cases of T2DM were identified. Crude and multivariate-adjusted hazard ratios (HR) were estimated for each country and pooled across countries using meta-analytical methods. Age-, gender- and country-specific relative indices of inequality (RII) were used as the measure of educational level and RII tertiles were analysed. Compared with participants with a high educational level (RII tertile 1), participants with a low educational level (RII tertile 3) had a higher risk of T2DM [HR: 1.77, 95% confidence interval (CI): 1.69-1.85; P-trend level and risk of T2DM that is only partially explained by variations in BMI.

  1. Ride-sharing business model for sustainability in developing country: Case Study Nebengers, Indonesia

    Science.gov (United States)

    Asirin, Asirin; Azhari, Danang

    2018-05-01

    The growth of population and urban economy increased the need for humans’ mobility to support their activities. On the other hand, online Information and Communication Technology (ICT) is growing rapidly and more affordable. Within few years, there is some sharing economy business formed by using online platform. This condition brings through the emergence of ride-sharing business model using an online platform which can be beneficial to sustainability. This research aims to explore one of ridesharing business models which use the online platform and its impact on sustainability. This research used the procedure of case study method with a single case study of Nebengers. This research explores the case study with the scope of this research is limited by using several conceptual frameworks, they are sharing economy business model, four elements of a business model for sustainability (BMfS), Social Construction of Technology (SCoT), sustainable mobility and agency theory. Nebengers is a sharing economy business using online platform that historically can be explained using Social Construction of Technology (SCoT) Theory. There are conflicts between nebengers entrepreneur and the city government. Nebengers disrupts traditional and formal public transportation services which are managed by the government. However, nebengers also contributes to achieve the city government goal in developing sustainable mobility. The future challenge is how to arrange ride-sharing collaborative governance business model for sustainability in the cities in Indonesia.

  2. Hungary country study

    Energy Technology Data Exchange (ETDEWEB)

    Uerge-Vorsatz, D.; Fuele, M. [eds.

    1999-09-01

    Hungary recognises the importance of limiting greenhouse gas emissions in order to prevent or mitigate their impact on the global climate. On an international level, Hungary is not a significant carbon dioxide emitter, neither to the absolute degree nor on a per capita basis. This means that the principal reason for Hungarian participation in emission`s reduction is not perceivable international consequences but solidarity and participation in the common action of the countries of the world. Hungary is a signatory to both the Framework Convention on Climate Change and the Kyoto protocol. However, the (Hungarian) National Environmental Program also emphasises that the fulfilment of international conventions must happen at a level and pace reasonable for Hungary. The goal of this study is to investigate the potentials, costs and implementation strategies of greenhouse gas abatement in Hungary. First presented is a background of Hungary`s economy and a summary of the economic transitions in Hungary. A brief description of the Hungarian energy sector is included, with a short summary of carbon dioxide emissions, and of the Hungarian forestry sector. The following chapter is devoted to the development of baseline scenarios, from bottom-up and top-down perspectives. In the chapter on mitigation, the spectrum of energy efficiency measures in the residential and public sectors is discussed. Fifteen specific measures, whose impact is considered important, are selected and discussed in detail. The cost curves are developed for the discussed mitigation options. Then, we discuss the issues related to the implementation of energy efficiency measures in the Hungarian residential and commercial sectors. After a general background and a framework on the implementation of the energy efficiency measures in the sectors chosen, we elaborate on the practicality of these concepts. As a case study, the concept and the feasibility of carbon/energy taxes are examined. To complete the

  3. Mauritius country study

    Energy Technology Data Exchange (ETDEWEB)

    Manraj, D D [Central Statistical Office (Mauritius)

    1998-10-01

    Mauritius has no known oil, gas or coal reserves but is only endowed with limited renewable energy resources namely hydropower and bagasse. Bagasse represents about one third of the country`s energy requirements and meets almost all of the sugar industries energy demand. Projects identified for mitigation options are: Energy Sector - Renewable Sources (Solar, Wind, Biomass); Transport Sector - Fuel switching and Mass transit transport; Manufacturing Sector - Increase efficiency of energy use in the manufacturing process. (EG)

  4. Nuclear Safety Culture Assessment for a Newcomer Country: Case Study of Jordan

    International Nuclear Information System (INIS)

    Khasawneh, Khalid; Park, Yun Woon

    2016-01-01

    For countries initiating or considering to start their nuclear power programs; developing a successful safety culture is of a great challenge, owing to lack of experience and the sensitive nature of the nuclear industry in general. The Jordanian case was chosen since Jordan is in the early stages of its nuclear program and the establishment of an effective safety culture is crucial to guarantee the safe operation of its future nuclear facilities. It also should be noted that Fukushima accident has adversely affected the progress of the Jordanian nuclear program driven by the negative public opinion. The government shifts the policies toward enhancing the nuclear safety by enforcing the communication between the engaged parties and openness and transparency with public. In the wake of Fukushima accident the Jordanian government reassured the appropriate siting criteria and siting review, the leadership and the organizations commitment to nuclear safety by adopting advanced reactor technology, the consideration of modern operator accident mitigation strategies and the increased and close cooperation with IAEA and adherence to evolving international safety standards. The progress in the Jordanian nuclear power project in order to satisfy the IAEA requirements was quantified and ranked. A good progress was shown in some aspects, for example in the multicultural and multi-national elements and the establishment of an independent and effective regulatory body. However, some elements, concerning the understanding of the safety culture, management system of the regulatory body and the cultural assessment was not satisfied and an urgent need to focus on and enhance those aspects are required by the Jordanian government. Some elements, for example the leadership, communication and competence, have partial fulfillment of the IAEA requirements. However enhancing those aspects is required in the short and the mid-term in order to guarantee a well-established nuclear power

  5. Nuclear Safety Culture Assessment for a Newcomer Country: Case Study of Jordan

    Energy Technology Data Exchange (ETDEWEB)

    Khasawneh, Khalid; Park, Yun Woon [KAIST, Daejeon (Korea, Republic of)

    2016-05-15

    For countries initiating or considering to start their nuclear power programs; developing a successful safety culture is of a great challenge, owing to lack of experience and the sensitive nature of the nuclear industry in general. The Jordanian case was chosen since Jordan is in the early stages of its nuclear program and the establishment of an effective safety culture is crucial to guarantee the safe operation of its future nuclear facilities. It also should be noted that Fukushima accident has adversely affected the progress of the Jordanian nuclear program driven by the negative public opinion. The government shifts the policies toward enhancing the nuclear safety by enforcing the communication between the engaged parties and openness and transparency with public. In the wake of Fukushima accident the Jordanian government reassured the appropriate siting criteria and siting review, the leadership and the organizations commitment to nuclear safety by adopting advanced reactor technology, the consideration of modern operator accident mitigation strategies and the increased and close cooperation with IAEA and adherence to evolving international safety standards. The progress in the Jordanian nuclear power project in order to satisfy the IAEA requirements was quantified and ranked. A good progress was shown in some aspects, for example in the multicultural and multi-national elements and the establishment of an independent and effective regulatory body. However, some elements, concerning the understanding of the safety culture, management system of the regulatory body and the cultural assessment was not satisfied and an urgent need to focus on and enhance those aspects are required by the Jordanian government. Some elements, for example the leadership, communication and competence, have partial fulfillment of the IAEA requirements. However enhancing those aspects is required in the short and the mid-term in order to guarantee a well-established nuclear power

  6. The Case Study Of Ilorin, Kwara State, Nigeria *Olanrew

    African Journals Online (AJOL)

    Choice-Academy

    Ethiopian Journal of Environmental Studies and Management Vol.2 No.2. 2009. * Department ... The Climate Effect of Urbanization in A City of Developing Country: The Case Study Of. Ilorin, Kwara ... (1995) called it network city while Dear (2000) described it as ... local and regional climate and even large scale atmosphere ...

  7. The Digital Divide in Developing Countries: A Case for Distance Education

    Directory of Open Access Journals (Sweden)

    Kenneth E. Paprock

    2006-12-01

    Full Text Available Although distance education is catching up in almost all countries in the world, it is still little known and less studied in many of the developing countries. Given such a lack of coverage even in the Western educational literature, the possibilities of finding in-depth exchanges concerning distance education in developing countries are very limited. This presentation presents the existing 'digital gap' in the world, and focuses on three important barriers to distance education or learning are: 1 the lack of resources 2 lack of infrastructures, and 3 lack of recurrent funding necessary to acquire or develop appropriate software and courseware on a continuous basis, and maintain, service and replace the equipment. Technologists and educators need to enter the developing world, study the market and then modify their wares according to local needs with the help of local industry and labor-force. This is one important way of building meaningful collaborations and partnerships between the developed and developing countries.

  8. The Impact of Factors Affecting Environmental Pollution with Emphasis on Trade Openness in Different Countries (Case study CO2 emission

    Directory of Open Access Journals (Sweden)

    hosein mohammadi

    2015-05-01

    Full Text Available Urbanization, population growth and moving from traditional manufacturing industry to accelerate the process of economic development and parallel, significant environmental impacts are left. The purpose of this study is to investigate the effect of different variables such as trade openness, comparative advantage, production levels and other important variables affecting the emission of carbon dioxide gas in various countries of the world. Stata11 software was used to estimate the panel data model of 77 countries over the years 2010-1980. The results indicate that propagation environment, and in particular CO2, in all four groups of countries are associated with prior emission, with a per capita income direct link but with the square of it correlates inversely and have direct link with the ratio of capital to labor and with the square of it correlates inversely and trade openness in high-income countries and moderate negative effect in low-income and middle-income countries is directly related to the bottom.

  9. Risk factors for ischaemic and intracerebral haemorrhagic stroke in 22 countries (the INTERSTROKE study)

    DEFF Research Database (Denmark)

    O'Donnell, Martin J; Xavier, Denis; Liu, Lisheng

    2010-01-01

    BACKGROUND: The contribution of various risk factors to the burden of stroke worldwide is unknown, particularly in countries of low and middle income. We aimed to establish the association of known and emerging risk factors with stroke and its primary subtypes, assess the contribution of these risk...... factors to the burden of stroke, and explore the differences between risk factors for stroke and myocardial infarction. METHODS: We undertook a standardised case-control study in 22 countries worldwide between March 1, 2007, and April 23, 2010. Cases were patients with acute first stroke (within 5 days......; 18.8%, 11.2-29.7); regular physical activity (0.69, 0.53-0.90; 28.5%, 14.5-48.5); diabetes mellitus (1.36, 1.10-1.68; 5.0%, 2.6-9.5); alcohol intake (1.51, 1.18-1.92 for more than 30 drinks per month or binge drinking; 3.8%, 0.9-14.4); psychosocial stress (1.30, 1.06-1.60; 4.6%, 2...

  10. Cross border mobility of nurse educators: Case studies from ...

    African Journals Online (AJOL)

    The purpose of the study was to raise awareness on cross border mobility of nurse educators and draw on Foucault's analysis to conceptualise the means by which cross border migration of nurse educators could be revisited. A case study design of seven nurse educators who had migrated and came back to their countries ...

  11. Acid deposition study in the Asian countries

    Energy Technology Data Exchange (ETDEWEB)

    Soon, Ting-Kueh [Tunku Abdul Rahman College, Kuala Lumpur (Malaysia); Lau, Wai-Yoo [Malaysian Scientific Association, Kuala Lumpur (Malaysia)

    1996-12-31

    The Association of South East Asian Nations or ASEAN is a regional association of seven countries, namely Indonesia, Malaysia, Philippines, Singapore, Thailand, Brunei and Vietnam, located at the south eastern part of the Asian continent. Together with the East Asian States of Japan, China, Korea and Taiwan, this part of the world is experiencing rapid economic growth, especially in the last decade. Rapid industrialization has resulted in an increased demand for energy in the manufacturing and transport sectors, and also for infrastructure development. This has led to a significant increase in gaseous emissions and a corresponding increase in atmospheric acidity. Acid deposition study in the ASEAN countries began in the mid-70s when Malaysia first started her acid rain monitoring network in 1976. This was followed closely by Singapore and the other ASEAN countries in the 80s. By now all ASEAN countries have their own acid rain monitoring networks with a number of these countries extending the monitoring to dry deposition as well.

  12. Fatal varicella in immigrants from tropical countries: Case reports and forensic perspectives.

    Science.gov (United States)

    Guadagnini, Gianni; Lo Baido, Simone; Poli, Francesca; Govi, Annamaria; Borin, Sveva; Fais, Paolo; Pelotti, Susi

    2018-05-01

    The primary Varicella Zoster Virus (VZV) infection results in varicella, a generally benign, self-limiting disease in immunocompetent children. Despite the usual course a possible fatal evolution of the primary infection is observed predominantly in immunocompromised subjects and in adults, especially emigrating from tropical regions. Two cases of fatal varicella have been investigated and discussed. Death occurred in two patients over 40 years of age, coming from South Asia and receiving chronic immunosuppressive therapy. The forensic expert must be cautious and consider all clinical records in managing fatal varicella cases, bearing in mind risk factors and pre-existing conditions such as age, geographical provenance and pathological comorbidity, which may lead to a bad prognosis irrespective of therapies. Based on the severe and fatal course observed in the reported cases, an extension of the immunization program appears advisable for immigrants from tropical countries, especially before scheduled immunotherapy. Copyright © 2018 Elsevier B.V. All rights reserved.

  13. Energy policies and the adaptations to the new economic framework: The case of twelve countries during the 1973-1983 period

    International Nuclear Information System (INIS)

    Bourgeois, B.; Criqui, P.; Percebois, J.

    1986-10-01

    Based upon case studies on twelve energy importing countries in 1973 (United States, Japan, Federal Republic of Germany, France, United Kingdom, Italy, Brazil, Argentina, Ivory Coast, India, South Korea and Thailand), this paper is an attempt to illustrate the diversity of national energy policies and industrial strategies which have been set up to adjust to the transformation of the world economy in the field of energy and international trade since 1973. Analysing some simple indicators such as the share of oil imports in total energy imports, the rate of national self-reliance for energy and the energy intensity of GDP, we show that the energy policies implemented in industrialised countries lead to quite homogeneous global results, whereas the responses of developing countries as regards oil shocks were more heterogeneous. Some countries have emphasized the decrease in the energy content of GDP whereas others have stressed the development of the national supply or the diversification of energy imports. The consequences of these choices will differ according to the future energy context (if there are sharp cuts in oil prices in particular). In all cases the influence of the socio-political and institutional context on energy options can be clearly observed. In a second part, we study the respective weight of energy and manufactured goods exchanges in the evolution of the balance of trade, using the following indicators: share of the energy and of the manufactured goods balance in total GDP and the ratio of the energy balance to the manufactured goods balance. Then very diverse situations can be observed. However four countries (Japan, FRG, Italy and South Korea) show rather similar features: a large manufactured goods surplus, which far exceeds the energy deficit. In other words some countries have chosen to compensate for their energy vulnerability by an aggressive commercial policy on external markets; on the contrary others have deliberately oriented

  14. International Trade as an Engine of Growth in Developing Countries ...

    African Journals Online (AJOL)

    This study examines international trade as an engine of growth in developing countries, a case study of Nigeria. A review of the literature reveals that countries that are more open to international trade tends to experience higher growth rate and per-capital income than countries who do not trade or closed economy.

  15. Self-regulation and the new challenges in journalism: Comparative study across European countries

    Directory of Open Access Journals (Sweden)

    Matthias Karmasin

    2011-01-01

    Full Text Available The objective of this article is to compare the self-regulatory systems of the journalistic profession in Austria, Germany, Denmark, Estonia, Spain, France and Poland. Based on the analysis of the different cases and situations in these seven countries, we offer a comparative analysis of the existence of: ethical codes, pro-consumers associations, print and audiovisual press councils, level of organization and unionism among journalists. The results reveal deficiencies in the European systems as well as progressions in the implementation of self-regulation tools in the journalistic profession, mainly in the field of print and audiovisual media. In most European countries under study, online newspapers lack self-regulatory tools, except for the regulation coming from their parent print or broadcast media companies.

  16. Strategies for reducing emissions and depositions in Central and Eastern European countries: The case of Slovakia

    International Nuclear Information System (INIS)

    Van Harmelen, T.; Stoffer, A.; De Kruijk, H.; Salamonova, A.

    1995-06-01

    A detailed case study on developments and reduction of acidifying SO 2 and NO x emissions from the energy system was conducted for Slovakia. Scenarios and the Energy Flow Optimization Model - Environment (EFOM-ENV) of the European Union (DG 12) were applied for the first time in Slovakia and were similar to those that were used in the other European country studies in preparation of the Second Sulphur Protocol. Slovak SO 2 emissions can be reduced at low marginal costs but high total national costs compared with e.g. the Netherlands. The main reasons for this are the high sulphur content of (brown) coal that has a high share in national energy consumption, a relatively high energy intensity, lower wages, and the fact that most Western countries already have reduced their SO 2 emissions in the past. Marginal NO x emission reduction costs are similar to those of Western countries and national total NO x reduction costs are relatively high. In contrast with fuel switching, retrofitting of existing technologies is an attractive SO 2 and NO x reduction option in the short term. High interest and discount rates due to capital scarcity increases emissions and emission reduction costs. Therefore, short term involvement of Western investors could lead to European cost-effective emission reduction. 17 figs., 5 tabs., 2 appendices, 20 refs

  17. Estimating and explaining the effect of education and income on head and neck cancer risk: INHANCE consortium pooled analysis of 31 case-control studies from 27 countries.

    Science.gov (United States)

    Conway, David I; Brenner, Darren R; McMahon, Alex D; Macpherson, Lorna M D; Agudo, Antonio; Ahrens, Wolfgang; Bosetti, Cristina; Brenner, Hermann; Castellsague, Xavier; Chen, Chu; Curado, Maria Paula; Curioni, Otávio A; Dal Maso, Luigino; Daudt, Alexander W; de Gois Filho, José F; D'Souza, Gypsyamber; Edefonti, Valeria; Fabianova, Eleonora; Fernandez, Leticia; Franceschi, Silvia; Gillison, Maura; Hayes, Richard B; Healy, Claire M; Herrero, Rolando; Holcatova, Ivana; Jayaprakash, Vijayvel; Kelsey, Karl; Kjaerheim, Kristina; Koifman, Sergio; La Vecchia, Carlo; Lagiou, Pagona; Lazarus, Philip; Levi, Fabio; Lissowska, Jolanta; Luce, Daniele; Macfarlane, Tatiana V; Mates, Dana; Matos, Elena; McClean, Michael; Menezes, Ana M; Menvielle, Gwenn; Merletti, Franco; Morgenstern, Hal; Moysich, Kirsten; Müller, Heiko; Muscat, Joshua; Olshan, Andrew F; Purdue, Mark P; Ramroth, Heribert; Richiardi, Lorenzo; Rudnai, Peter; Schantz, Stimson; Schwartz, Stephen M; Shangina, Oxana; Simonato, Lorenzo; Smith, Elaine; Stucker, Isabelle; Sturgis, Erich M; Szeszenia-Dabrowska, Neonila; Talamini, Renato; Thomson, Peter; Vaughan, Thomas L; Wei, Qingyi; Winn, Deborah M; Wunsch-Filho, Victor; Yu, Guo-Pei; Zhang, Zuo-Feng; Zheng, Tongzhang; Znaor, Ariana; Boffetta, Paolo; Chuang, Shu-Chun; Ghodrat, Marianoosh; Amy Lee, Yuan-Chin; Hashibe, Mia; Brennan, Paul

    2015-03-01

    Low socioeconomic status has been reported to be associated with head and neck cancer risk. However, previous studies have been too small to examine the associations by cancer subsite, age, sex, global region and calendar time and to explain the association in terms of behavioral risk factors. Individual participant data of 23,964 cases with head and neck cancer and 31,954 controls from 31 studies in 27 countries pooled with random effects models. Overall, low education was associated with an increased risk of head and neck cancer (OR = 2.50; 95% CI = 2.02 - 3.09). Overall one-third of the increased risk was not explained by differences in the distribution of cigarette smoking and alcohol behaviors; and it remained elevated among never users of tobacco and nondrinkers (OR = 1.61; 95% CI = 1.13 - 2.31). More of the estimated education effect was not explained by cigarette smoking and alcohol behaviors: in women than in men, in older than younger groups, in the oropharynx than in other sites, in South/Central America than in Europe/North America and was strongest in countries with greater income inequality. Similar findings were observed for the estimated effect of low versus high household income. The lowest levels of income and educational attainment were associated with more than 2-fold increased risk of head and neck cancer, which is not entirely explained by differences in the distributions of behavioral risk factors for these cancers and which varies across cancer sites, sexes, countries and country income inequality levels. © 2014 UICC.

  18. Biomass energy policy in Africa: selected case studies

    International Nuclear Information System (INIS)

    Kgathi, D.L.; Hall, D.O.; Hategeka, A.; Sekhwela, M.B.M.

    1997-01-01

    The majority of the population in the continent of Africa depend on biomass as a source of energy. Woodfuel (charcoal and fuelwood), the most important source of energy, is a subject of major concern in developing countries mainly because of its increasing scarcity, and recently because of its importance to the debate on climate change as its use is associated with emission on the greenhouse gases (GHG's). The book discusses the biomass energy problem and the policy options for addressing it in Botswana and Rwanda. Though the studies mainly draw their material from the surveys undertaken in these countries, extensive use is made of the existing general literature on this subject. The two case studies on Botswana address the nature, extent, and policy implications of the fuelwood problem, including the extent to which it contributes to deforestation. The Rwanda case studies examine the seasonal and spatial variation of the consumption of biomass energy (woodfuel and residues) and the evolution of the energy policy process with particular reference to biomass energy. A number of policy recommendations are made which may not only be relevant to Botswana and Rwanda, but also to other developing countries in a similar situation. The book thus makes a valuable contribution to the scarce literature on energy and environment in Africa. The multi-disciplinarity of the book makes it more valuable to a large number of readers. It will be an important reference material for policy makers and researchers in Africa as well as other developing countries. AFREPREN The African Energy Policy Research Network (AFREPREN) promotes research on energy issues relevant to the formulation and implementation of policy by African governments. It also aims to build research capability as well as mobilize existing expertise to address both near- and long-term challenges faced by the energy sector in Africa. (UK)

  19. Market Entry Strategies of Passenger Carmakers – The Case Study of the Czech Republic

    Directory of Open Access Journals (Sweden)

    Hana Machková

    2015-09-01

    Full Text Available In 2014, the Czech automotive industry had a record-breaking year with 1 278 000 motor vehicles manufactured. This was a result of the investment of three major carmakers, who entered into the Czech Republic, because they believed in the industrial capacity of the country and its strategic location in Central Europe. The goal of this article is to analyze the different entry strategies into the Czech market and to compare the results of different strategic approaches for both foreign private investors and the recipient country. The main research method used in this article is a case study. In our case studies, we will analyze the cases of the Volkswagen group and its acquisition of the manufacturer Škoda, the greenfield investment of Hyundai, and the strategic alliance of the French car producer PSA with Japanese Toyota who had founded the TPCA joint venture in the Czech Republic. All three case studies show examples of good practices and prove that foreign direct investment (FDI has the potential to generate employment, raise productivity, transfer skills and technology, enhance exports and contribute to the long-term economic development of the country.

  20. Symposium on development and utilization of biomass energy resources in developing countries. Proceedings. V. 2: Country case studies

    International Nuclear Information System (INIS)

    1995-12-01

    The present publication presents the results of three UNIDO-sponsored case studies, each with a separate abstract, concerned with perspectives of development and utilisation of biomass energy resources in Brazil, Philippines and Romania. Emphasis is put on identifying regional biomass energy resources. Policies and strategies governing as well as barriers limiting the development and utilization of biomass energy are discussed. Innovative technologies as well as technology transfer related to biomass energy utilisation are dealt with, together with economic and environmental issues

  1. The Influence of the Country of Origin Image on Brand Equity: A Study of Spanish Banks

    Directory of Open Access Journals (Sweden)

    Michel Alves Prado

    2015-09-01

    Full Text Available As there are few studies on the influence of the country of origin image on brand equity for services companies (as it is the case of financial institutions, the aim of this paper is to analyze the influence of the country of origin image on the brand equity of Spanish banks. A descriptive and quantitative research was employed, using the survey method to verify the hypothesis that the country of origin image (Spain positively influences the brand equity of Spanish banks. The main statistical analyzes were the  factor analysis and the multiple regression analysis. As a result, it was found that the Attitude dimension underlying the variable Brand equity of Spanish banks suffered more influence than the Awareness dimension. Furthermore, it was found that the country of origin image positively influences the brand equity of Spanish banks. The technical aspects, in general, influence more than friendly aspects, thus implying a direction for the Spain brand development strategy focused on these aspects. Limitations of this study include the use of a non-probability sample and the use of Spanish banks as the object of study. We suggest the development of new works in the services area, in different categories and with different countries of origin, in order to provide further discussion and theoretical basis for future studies and strategic actions, aiming to create and improve the image of countries.

  2. What can be learned from practical cases of green economy? –studies from five European countries

    NARCIS (Netherlands)

    Pitkänen, K.; Antikainen, R.; Droste, N.; Loiseau, E.; Saikku, L.; Aissani, L.; Hansjürgens, B.; Kuikman, P.J.; Leskinen, P.; Thomsen, M.

    2016-01-01

    The transition to green economies has been mediated by concrete cases and experiments in a variety of different industrial and social sectors. What is lacking, is research that would synthesize key findings and “lessons learned” across a variety of cases. In this study, we explore ten cases of

  3. Evaluation of the medical imaging procedures for the diagnosis of liver diseases: Part II. Experiments on the effectiveness of diagnostic interpretation of liver images in 103 cases collected from nine participating countries

    International Nuclear Information System (INIS)

    Fukuhisa, Kenjiro; Tateno, Yukio; Matsumoto, Toru; Fukuda, Morimichi; Sasaki, Yasuhito; Shishido, Fumio

    1996-01-01

    Part one of this report was a computer analysis of the results of nuclear medicine scintiscan (NM) and ultrasound (US) images obtained from a collection of liver disease cases in Japan, reported and interpreted by 126 physicians from 10 participating countries. While conducting Part I, we collected images for use in Part II of this study from participating institutions in each of the participating countries. These images were from liver disease cases with conditions similar to the cases in Part I of this study and with clinical information including final diagnoses. From those cases, we selected cases considered to be appropriate for this study. The images from the selected cases were copied onto the same type of recording medium as that used for the originals, and was added with brief clinical information (sex, age, liver function test classification, and tumor marker examination of AFP and CEA values) to each copy. We then distributed these copies among all the participating countries and asked physicians to interpret and give a final diagnosis in each case. Liver scintigraphy, sonographic findings, clinical history and laboratory investigation were analysed and interpreted

  4. The validity of vignettes in cross country health studies

    DEFF Research Database (Denmark)

    Pozzoli, Dario; Gupta, Nabanita Datta; Kristensen, Nicolai

    Cross-country comparisons of subjective assessments may be ham-pered by sub-population speci.c response style. To correct for this, the use of vignettes has become increasingly popular - notably within cross-country health studies. However, the validity of vignettes as a means to re-scale across ...... that the assumption of RC is not innocous and that our extended model improves the fit and significantly changes the cross-country rankings of health vis-á-vis the standard Chopit model.......Cross-country comparisons of subjective assessments may be ham-pered by sub-population speci.c response style. To correct for this, the use of vignettes has become increasingly popular - notably within cross-country health studies. However, the validity of vignettes as a means to re-scale across...

  5. CAREM X INPRO case study

    International Nuclear Information System (INIS)

    Florido, P.C.; Brasnarof, D.; Delmastro, D.; Azpitarte, O.E.

    2004-01-01

    In order to assess and compare the performance of innovative nuclear energy systems INPRO has defined a set of basic principles, user requirements and criteria to be met in different areas (economics, sustainability and environment, safety, waste management and proliferation). This paper illustrates the use of INPRO methodology to a particular reactor system. Argentina is performing CAREM X Nuclear System Case Study based on CAREM nuclear reactor and Once Through Fuel Cycle, using SIGMA for enriched uranium production, and a deep geological repository for final disposal of high level waste after surface intermediate storage in horizontal natural convection silos, to verify INPRO (International Project on Innovative Nuclear Reactors and Fuel Cycles) methodology. 6 aspects have been considered: 1) enrichment based on Sigma enrichment plant (gas diffusion technology), 2) conversion to UO 2 , 3) fuel manufacturing, 4) CAREM-300 based reactor technology, 5) intermediate spent fuel storage, and 6) deep geological repository of spent fuels. Projections show that developing countries could play a crucial role in the deployment of nuclear energy, in the next fifty years. This case study will be highly useful for checking INPRO methodology for this scenario. In this paper, the preliminary findings of the Case Study are presented, including proposals to improve the INPRO methodology

  6. Carbon Market and Integrated Waste Solutions : a Case Study of ...

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

    Carbon Market and Integrated Waste Solutions : a Case Study of Indonesia ... dual purpose of helping developing countries achieve sustainable development ... with a view to devising integrated waste management solutions in urban centres ... and disseminate them through national, regional and international networks.

  7. Exploring the transition to DRGs in Developing Countries: A case study in Shanghai, China

    Science.gov (United States)

    Wang, Zhaoxin; Liu, Rui; Li, Ping; Jiang, Chenghua

    2014-01-01

    Objective: With the success of DRGs (Diagnosis Related Groups) in developing countries, this prospective payment system has been imported into China from the early 21st century. However, DRGs has been struggling and has made little progress since (its adoption in) 2004. This study contributes to the debate on how to bridge the pay-for-service (system/scheme) and DRGs (Diagnosis Related Groups) during the transitional period of payment reform in China. Methods: From 2008 to 2012, sixty regional general hospitals in Shanghai were divided into three groups according to their economic level, and one hospital was picked from each group randomly. After ranking of morbidity, 22130 patients with hypertension or coronary heart disease were chosen as sample. Using multiple linear regression analysis, the inter relationships between the total medical expenses of the inpatients, and age, gender of the inpatients, length of stay, region and economic level of the hospitals were examined. Results: The main findings were (1) Age, LOS and the economic level of treatment location had a statistically significant impact on patients with hypertension or coronary heart disease. However, gender is only a significant factor to patients with coronary heart disease. The results suggested that age, LOS and the economic level of treatment location should be considered in formulating pricing standards for the hypertension patient group. Besides the above mentioned factors, gender should also be considered in formulating pricing standards for the coronary heart disease patient group. (2) Under the premise of limited resources, developing countries should first narrow down to screen for common and frequently occurring diseases, then study the key factors which affect the treatment cost of the diseases. Conclusion: Simplification of the DRGs standard- setting process based on standardized clinical pathways and accurate costing will greatly increase the efficiency of implementing DRGs in the

  8. Symposium on development and utilization of biomass energy resources in developing countries. Proceedings. V. 2: Country case studies

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1995-12-01

    The present publication presents the results of three UNIDO-sponsored case studies, each with a separate abstract, concerned with perspectives of development and utilisation of biomass energy resources in Brazil, Philippines and Romania. Emphasis is put on identifying regional biomass energy resources. Policies and strategies governing as well as barriers limiting the development and utilization of biomass energy are discussed. Innovative technologies as well as technology transfer related to biomass energy utilisation are dealt with, together with economic and environmental issues Refs, figs, tabs

  9. Bank concentration, country income and financial development in ...

    African Journals Online (AJOL)

    kirstam

    between bank concentration and financial development in the SADC region. ... 5The study findings suggest that bank assets in SADC are concentrated in ... a country's cities/administrative regions, or across countries within a regional ... sector emphasises the importance of local embeddedness, networks, ...... The Case of.

  10. Successful Minority Pedagogy in Mathematics: US and Japanese Case Studies

    Science.gov (United States)

    Ahn, Ruth; Catbagan, Paula; Tamayo, Kristin; I, Ji Yeong; Lopez, Mario; Walker, Pamela

    2015-01-01

    This study examines best practices in teaching mathematics to minority students through two case studies conducted at high-minority junior high schools in the USA and Japan. Observations, interviews, and conversations with the teachers in both countries focused on the research question: how do teachers successfully teach mathematics to minority…

  11. Ranking structures and rank-rank correlations of countries: The FIFA and UEFA cases

    Science.gov (United States)

    Ausloos, Marcel; Cloots, Rudi; Gadomski, Adam; Vitanov, Nikolay K.

    2014-04-01

    Ranking of agents competing with each other in complex systems may lead to paradoxes according to the pre-chosen different measures. A discussion is presented on such rank-rank, similar or not, correlations based on the case of European countries ranked by UEFA and FIFA from different soccer competitions. The first question to be answered is whether an empirical and simple law is obtained for such (self-) organizations of complex sociological systems with such different measuring schemes. It is found that the power law form is not the best description contrary to many modern expectations. The stretched exponential is much more adequate. Moreover, it is found that the measuring rules lead to some inner structures in both cases.

  12. Staffing Foreign Subsidiaries with Parent Country Nationals or Host Country Nationals?

    DEFF Research Database (Denmark)

    Dörrenbächer, Christoph; Gammelgaard, Jens; McDonald, Frank

    captures the effects of PCN verses HCN managers on key characteristics of subsidiaries. The results of the study indicate that the PCN/HCN dichotomy widely used in the international staffing literature needs to take account of the following issues: First: The study confirms theoretical assumptions based...... on social capital theory that subsidiaries led by HCNs are more embedded in the host country's external environment (by having more frequent relationships with host country customers, suppliers and competitors). However, the study reveals that the assumed advantages PCN led subsidiaries have...... to the local institutional environment (HRM). Our study finds that this is also the case with regard to strategic decisions on financial control as well as on R&D and new product development. Third: On average, HCN led subsidiaries perform significantly better than PCN led subsidiaries with regard to sales...

  13. Using causal loop diagrams for the initialization of stakeholder engagement in soil salinity management in agricultural watersheds in developing countries: a case study in the Rechna Doab watershed, Pakistan.

    Science.gov (United States)

    Inam, Azhar; Adamowski, Jan; Halbe, Johannes; Prasher, Shiv

    2015-04-01

    Over the course of the last twenty years, participatory modeling has increasingly been advocated as an integral component of integrated, adaptive, and collaborative water resources management. However, issues of high cost, time, and expertise are significant hurdles to the widespread adoption of participatory modeling in many developing countries. In this study, a step-wise method to initialize the involvement of key stakeholders in the development of qualitative system dynamics models (i.e. causal loop diagrams) is presented. The proposed approach is designed to overcome the challenges of low expertise, time and financial resources that have hampered previous participatory modeling efforts in developing countries. The methodological framework was applied in a case study of soil salinity management in the Rechna Doab region of Pakistan, with a focus on the application of qualitative modeling through stakeholder-built causal loop diagrams to address soil salinity problems in the basin. Individual causal loop diagrams were developed by key stakeholder groups, following which an overall group causal loop diagram of the entire system was built based on the individual causal loop diagrams to form a holistic qualitative model of the whole system. The case study demonstrates the usefulness of the proposed approach, based on using causal loop diagrams in initiating stakeholder involvement in the participatory model building process. In addition, the results point to social-economic aspects of soil salinity that have not been considered by other modeling studies to date. Copyright © 2015 Elsevier Ltd. All rights reserved.

  14. Evolution of the radiological protection policy. Applications in developing countries. IPEN a case of study

    International Nuclear Information System (INIS)

    Gordon, A.M.P.L.; Sordi, G.M.A. A.

    2006-01-01

    This paper aims to show the radiological protection development in Brazil from the beginning, when President Joao Cafe Filho signed an agreement with the U.S.A. In this agreement, Brazil joined the 'Atoms for Peace' program established on August 3., 1955. Yet in 1955, Brazil participated as a foundation member in the International Atomic Energy Agency (IAEA). As a result, the Iea - 'Instituto de Energia Atomica'- was created on August 31., 1956 and a research reactor type swimming pool was installed to produce radioisotopes and prepare experts in the field of nuclear activities. This reactor is maintained in operation at the Instituto de Pesquisas Energeticas e Nucleares (IPEN), former Iea. Having the Iea as a case of study, we analyze the radiological protection evolution during the fifty years of its life. We correlate this development with the Brazilian National Nuclear Energy Commission (CNEN) Regulations. CNEN was also created in 1956. The first safety standard in Brazil was delivered in 1973. Therefore, this paper will focus the radiological protection development at national level. Both institutions followed the international radiological protection recommendations, under the difficulties imposed by the historical conditions of a developing country. In order to have an outline of the radiological protection development, we inform that it was started as a section of the Radiological Division at the Iea. At that time, the Iea had four divisions. The radiological protection was performed by four people, being two physicists and two technicians that accomplished all the duties. On that occasion, approximately 30 people operated the Iea. The work staff at IPEN increased, arriving to 1600 people in 1998, including 150 persons in the radiological protection activities. Nowadays, 1200 people, including 100 persons in the health physics duties operate the IPEN. (authors)

  15. Evolution of the radiological protection policy. Applications in developing countries. IPEN a case of study

    Energy Technology Data Exchange (ETDEWEB)

    Gordon, A.M.P.L.; Sordi, G.M.A. A. [Instituto de Pesquisas Energeticas e Nucleares - IPEN, Sao Paulo (Brazil)

    2006-07-01

    This paper aims to show the radiological protection development in Brazil from the beginning, when President Joao Cafe Filho signed an agreement with the U.S.A. In this agreement, Brazil joined the 'Atoms for Peace' program established on August 3., 1955. Yet in 1955, Brazil participated as a foundation member in the International Atomic Energy Agency (IAEA). As a result, the Iea - 'Instituto de Energia Atomica'- was created on August 31., 1956 and a research reactor type swimming pool was installed to produce radioisotopes and prepare experts in the field of nuclear activities. This reactor is maintained in operation at the Instituto de Pesquisas Energeticas e Nucleares (IPEN), former Iea. Having the Iea as a case of study, we analyze the radiological protection evolution during the fifty years of its life. We correlate this development with the Brazilian National Nuclear Energy Commission (CNEN) Regulations. CNEN was also created in 1956. The first safety standard in Brazil was delivered in 1973. Therefore, this paper will focus the radiological protection development at national level. Both institutions followed the international radiological protection recommendations, under the difficulties imposed by the historical conditions of a developing country. In order to have an outline of the radiological protection development, we inform that it was started as a section of the Radiological Division at the Iea. At that time, the Iea had four divisions. The radiological protection was performed by four people, being two physicists and two technicians that accomplished all the duties. On that occasion, approximately 30 people operated the Iea. The work staff at IPEN increased, arriving to 1600 people in 1998, including 150 persons in the radiological protection activities. Nowadays, 1200 people, including 100 persons in the health physics duties operate the IPEN. (authors)

  16. Risk Factors Profile of Shoulder Dystocia in Oman: A Case Control Study

    OpenAIRE

    Maha M. Al-Khaduri; Rania Mohammed Abudraz; Sayed G. Rizvi; Yahya M. Al-Farsi

    2014-01-01

    Objective: This study aimed to assess the risk factor profile of shoulder dystocia and associated neonatal complications in Oman, a developing Arab country. Methods: A retrospective case-control study was conducted among 111 cases with dystocia and 111 controls, identified during 1994-2006 period in a tertiary care hospital in Oman. Controls were randomly selected among women who did not have dystocia, and were matched to cases on the day of delivery. Data related to potential risk factor...

  17. Case Study: Testing with Case Studies

    Science.gov (United States)

    Herreid, Clyde Freeman

    2015-01-01

    This column provides original articles on innovations in case study teaching, assessment of the method, as well as case studies with teaching notes. This month's issue discusses using case studies to test for knowledge or lessons learned.

  18. Barriers and facilitators to care for the terminally ill: a cross-country case comparison study of Canada, England, Germany, and the United States.

    Science.gov (United States)

    Klinger, Christopher A; Howell, Doris; Zakus, David; Deber, Raisa B

    2014-02-01

    Why do many patients not die at their preferred location? Analyze system-level characteristics influencing the ability to implement best practices in delivering care for terminally ill adults (barriers and facilitators). Cross-country comparison study from a "most similar-most different" perspective, triangulating evidence from a scoping review of the literature, document analyses, and semi-structured key informant interviews. Case study of Canada, England, Germany, and the United States. While similar with regard to leading causes of death, patient needs, and potential avenues to care, different models of service provision were employed in the four countries studied. Although hospice and palliative care services were generally offered with standard care along the disease continuum and in various settings, and featured common elements such as physical, psycho-social, and spiritual care, outcomes (access, utilization, etc.) varied across jurisdictions. Barriers to best practice service provision included legislative (including jurisdictional), regulatory (e.g. education and training), and financial issues as well as public knowledge and perception ("giving up hope") challenges. Advance care planning, dedicated and stable funding toward hospice and palliative care, including caregiver benefits, population aging, and standards of practice and guidelines to hospice and palliative care, were identified as facilitators. Successful implementation of effective and efficient best practice approaches to care for the terminally ill, such as shared care, requires concerted action to align these system-level characteristics; many factors were identified as being essential but not sufficient. Policy implementation needs to be tailored to the respective health-care system(s), monitored, and fine-tuned.

  19. Scaling up specialist training in developing countries: lessons learned from the first 12 years of regional postgraduate training in Fiji – a case study

    Directory of Open Access Journals (Sweden)

    Oman Kimberly

    2012-12-01

    Full Text Available Abstract Background In 1997, regional specialist training was established in Fiji, consisting of one-year Postgraduate Diplomas followed by three-year master’s degree programs in anesthesia, internal medicine, obstetrics/gynecology, pediatrics and surgery. The evolution of these programs during the first 12 years is presented. Case description A case study utilizing mixed methods was carried out, including a prospective collection of enrolment and employment data, supplemented by semi-structured interviews. Between 1997 and 2009, 207 doctors (113 from Fiji and 94 from 13 other countries or territories in the Pacific trained to at least the Postgraduate Diploma level. For Fiji graduates, 29.2% migrated permanently to developed countries, compared to only 8.5% for regional graduates (P coup d’etat in 2000. By 2005, interviews suggested a dynamic of political instability initially leading to resignations, leading to even heavier workloads, compounded by academic studies that seemed unlikely to lead to career benefit. This was associated with loss of hope and downward spirals of further resignations. After 2006, however, Master’s graduates generally returned from overseas placements, had variable success in career progression, and were able to engage in limited private practice. Enrolments and retention stabilized and increased. Discussion and evaluation Over time, all specialties have had years when the viability and future of the programs were in question, but all have recovered to varying degrees, and the programs continue to evolve and strengthen. Prospective clarification of expected career outcomes for graduates, establishment of career pathways for diploma-only graduates, and balancing desires for academic excellence with workloads that trainees were able to bear may have lessened ongoing losses of trainees and graduates. Conclusions Despite early losses of trainees, the establishment of regional postgraduate training in Fiji is

  20. The first safe country

    Directory of Open Access Journals (Sweden)

    Raffaela Puggioni

    2012-06-01

    Full Text Available The Dublin II Regulation makes the first safe country of refuge solelyresponsible for refugees and asylum seekers. In the case of Italy, thefirst responsible country has not been acting responsibly.

  1. Drugs, sex, money and power: An HPV vaccine case study

    DEFF Research Database (Denmark)

    Haas, Marion; Ashton, Toni; Blum, Kerstin

    2009-01-01

      In this paper we compare the experiences of seven industrialized countries in considering approval and introduction of the world's first cervical cancer-preventing vaccine. Based on case studies, articles from public agencies, professional journals and newspapers we analyse the public debate...... about the vaccine, examine positions of stakeholder groups and their influence on the course and outcome of this policy process. The analysis shows that the countries considered here approved the vaccine and established related immunization programs exceptionally quickly even though there still exist...... many uncertainties as to the vaccine's long-term effectiveness, cost-effectiveness and safety. Some countries even bypassed established decision-making processes. The voice of special interest groups has been prominent in all countries, drawing on societal values and fears of the public. Even though...

  2. Macroeconomic factors and foreign portfolio investment volatility: A case of South Asian countries

    Directory of Open Access Journals (Sweden)

    Yahya Waqas

    2015-12-01

    Full Text Available Macroeconomic factors play a pivotal role in attracting foreign investment in the country. This study investigates the relationship between macroeconomic factors and foreign portfolio investment volatility in South Asian countries. The monthly data is collected for the period ranging from 2000 to 2012 for four Asian countries i.e. China, India, Pakistan and Sri Lanka because monthly data is ideal for measuring portfolio investment volatility. For measuring volatility in foreign portfolio investment, GARCH (1,1 is used because shocks are responded quickly by this model. The results reveal that there exists significant relationship between macroeconomic factors and foreign portfolio investment volatility. Thus, less volatility in international portfolio flows is associated with high interest rate, currency depreciation, foreign direct investment, lower inflation, and higher GDP growth rate of the host country. Thus findings of this study suggest that foreign portfolio investors focus on stable macroeconomic environment of country.

  3. Assessment of international mitigation costing studies in developing countries

    International Nuclear Information System (INIS)

    Halsnaes, K.

    1995-01-01

    The establishment of the Framework Convention on Climate change has motivated a large number of mitigation costing studies of developing countries. A variety of modelling approaches and input assumptions have been employed, and studies have been carried out by a range of institutions, including international research institutions, consultants and national organisations. This paper attempts to bring together the main results and characteristics of some of the major recent studies. In spite of the diversity of teams involved in the studies, the similarities in scenario definitions and in the bottom-up approach used for the energy sector analysis, enable some key macro indicators and results of the studies to be compared. Two main coordinated country study efforts have been carried out: by the Lawrence Berkeley Laboratory (LBL) and by UNEP collaborating Centre on Energy and Environment (UCCEE). The results and methodological framework of these country studies are assessed in relation to similar country study activities for China, West Africa and South East Asia in order to evaluate possible common conclusions. (au) 13 refs

  4. Assessing the energy vulnerability: Case of industrialised countries

    International Nuclear Information System (INIS)

    Gnansounou, Edgard

    2008-01-01

    The emergence of new big consumer countries on the energy markets and the perspective of oil and gas depletion at the end of the current century raise the concerns about fair distribution of the remaining resources for the common and sustainable well-being of the mankind. High volatility of energy prices discourages the investment and delays the energy technology transition. Voluntary measures are needed mainly in industrialised countries in order to develop alternative and sustainable energy sources, to enable technology transfer towards emerging and developing countries and to avoid struggle for energy procurement. In this paper, a composite index of energy demand/supply weaknesses is defined as a proxy of energy vulnerability. The proposed index is based on several indicators such as energy intensity, oil and gas import dependency, CO 2 content of primary energy supply, electricity supply weaknesses and non-diversity in transport fuels. The assessment of this composite index for selected industrialised countries is discussed as well as the sensitivity to various factors

  5. Medical tourism’s impact for health systems: A study from three Asian countries

    Directory of Open Access Journals (Sweden)

    Ala`a Nimer AbuKhalifeh

    2015-12-01

    Full Text Available Medical tourism is a growing phenomenon with policy implications for health systems, particularly of destination countries. Private actors and governments in Southeast Asia are promoting the medical tourist industry, but the potential impact on health systems, particularly in terms of equity in access and availability for local consumers, is unclear. This article presents a conceptual framework that outlines the policy implications of medical tourism’s growth for health systems, illustration on the cases of Thailand, Singapore and Malaysia, three provincial centres for medical tourism, via an extensive review of academic and grey literature. Variables for further analysis of the potential impact of medical tourism on health systems are also identified. The framework can provide a basis for empirical, in country studies weighing the benefits and disadvantages of medical tourism for health systems. The policy implications described are of particular relevance for policymakers and industry practitioners in other Southeast Asian countries with similar health systems where governments have expressed interest in facilitating the growing of the medical tourist industry.

  6. Energy consumption, prices and economic growth in three SSA countries: A comparative study

    International Nuclear Information System (INIS)

    Odhiambo, Nicholas M.

    2010-01-01

    In this paper we examine the causal relationship between energy consumption and economic growth in three sub-Saharan African countries, namely South Africa, Kenya and Congo (DRC). We incorporate prices as an intermittent variable in a bivariate setting between energy consumption and economic growth-thereby creating a simple trivariate framework. Using the ARDL-bounds testing procedure, we find that the causality between energy consumption and economic growth varies significantly across the countries under study. The results show that for South Africa and Kenya there is a unidirectional causal flow from energy consumption to economic growth. However, for Congo (DRC) it is economic growth that drives energy consumption. These findings have important policy implications insofar as energy conservation policies are concerned. In the case of Congo (DRC), for example, the implementation of energy conservation policies may not significantly affect economic growth because the country's economy is not entirely energy dependent. However, for South Africa and Kenya there is a need for more energy supply augmentations in order to cope with the long-run energy demand. In the short-run, however, the two countries should explore more efficient and cost-effective sources of energy in order to address the energy dependency problem.

  7. Country report: a methodology

    International Nuclear Information System (INIS)

    Colin, A.

    2013-01-01

    This paper describes a methodology which could be applicable to establish a country report. In the framework of nuclear non proliferation appraisal and IAEA safeguards implementation, it is important to be able to assess the potential existence of undeclared nuclear materials and activities as undeclared facilities in the country under review. In our views a country report should aim at providing detailed information on nuclear related activities for each country examined taken 'as a whole' such as nuclear development, scientific and technical capabilities, etc. In order to study a specific country, we need to know if there is already an operating nuclear civil programme or not. In the first case, we have to check carefully if it could divert nuclear material, if there are misused declared facilities or if they operate undeclared facilities and conduct undeclared activities aiming at manufacturing nuclear weapon. In the second case, we should pay attention to the development of a nuclear civil project. A country report is based on a wide span of information (most of the time coming from open sources but sometimes coming also from confidential or private ones). Therefore, it is important to carefully check the nature and the credibility (reliability?) of these sources through cross-check examination. Eventually, it is necessary to merge information from different sources and apply an expertise filter. We have at our disposal a lot of performing tools to help us to assess, understand and evaluate the situation (cartography, imagery, bibliometry, etc.). These tools allow us to offer the best conclusions as far as possible. The paper is followed by the slides of the presentation. (author)

  8. Analysis of Socio-Economic Indicators on Different Bioenergy Case Studies

    NARCIS (Netherlands)

    van Eijck, Janske; Faaij, André

    2014-01-01

    Socio-economic indicators are not fully developed and operational while this is an important aspect of sustainability. Seven case studies were analyzed within the Global-Bio-Pact project covering seven countries and five feedstock types. The 100 indicators that are identified are analyzed and

  9. Carbon emissions and sequestration in forests: Case studies from seven developing countries

    Energy Technology Data Exchange (ETDEWEB)

    Makundi, W.; Sathaye, J. (eds.) (Lawrence Berkeley Lab., CA (United States)); Cerutti, O.M.; Ordonez, M.J.; Minjarez, R.D. (Universidad Nacional Autonoma de Mexico, Mexico City (Mexico) Centro de Ecologia)

    1992-08-01

    Estimates of carbon emissions from deforestation in Mexico are derived for the year 1985 and for two contrasting scenarios in 2025. Carbon emissions are calculated through an in-depth review of the existing information on forest cover deforestation mtes and area affected by forest fires as well as on forests' carbon-related biological characteristics. The analysis covers both tropical -- evergreen and deciduous -- and temperate -- coniferous and broadleaf -- closed forests. Emissions from the forest sector are also compared to those from energy and industry. Different policy options for promoting the sustainable management of forest resources in the country are discussed. The analysis indicates that approximately 804,000 hectares per year of closed forests suffered from major perturbations in the mid 1980's in Mexico, leading to an annual deforestation mte of 668,000 hectares. Seventy five percent of total deforestation is concentrated in tropical forests. The resulting annual carbon balance is estimated in 53.4 million tons per year, and the net committed emissions in 45.5 million tons or 41% and 38%, respectively, of the country's total for 1985--87. The annual carbon balance from the forest sector in 2025 is expected to decline to 16.5 million tons in the low emissions scenario and to 22.9 million tons in the high emissions scenario. Because of the large uncertainties in some of the primary sources of information, the stated figures should be taken as preliminary estimates.

  10. Report on decision-making of geological disposal. Discussion based on case study

    International Nuclear Information System (INIS)

    Hiruzawa, Shigenobu

    2004-01-01

    History of geological disposal from 1950 to 2000 in the world and some examples of change of policy in France, Sweden and Canada are explained. On the case study of three countries, investigations of background of the change, site decision process, communication, flexible concept of disposal are stated. Japan decided the high level radioactive waste is disposed in underground (300m deeper) under the Law Concerning the Final Disposal of Special Radioactive Waste in June, 2000. NUMO (Nuclear Waste Management Organization of Japan) was established to manage disposal of radioactive waste in October, 2000. NUMO started to accept application for the site of disposal in the country in December, 2002. The above case study is a good guide to promote geological disposal of radioactive waste. (S.Y.)

  11. Bhutanese Students' Views of Nature of Science: a Case Study of Culturally Rich Country

    Science.gov (United States)

    Das, Pabi Maya; Faikhamta, Chatree; Punsuvon, Vittaya

    2017-07-01

    This study is aimed at exploring ninth-grade Bhutanese students' views of nature of science (NOS). A total of 389 students from middle secondary and higher secondary schools from the eastern, western, southern and central regions of Bhutan took part in this study. To generate a representative population, a stratified random sampling technique was used. An adopted and adapted version of the Students Understanding of Science and Scientific Inquiry (SUSSI) comprised Likert-type items, and open-ended questions were used as a research tool. Quantitative data were analysed using descriptive statistics, and the qualitative data were analysed and categorized into naïve, transitional and informed views. The results indicated that the majority of the Bhutanese students held naïve views on sociocultural embeddedness, scientific laws, scientific theories and science as a body of knowledge. The study has an implication for curriculum developers and teaching professionals, particularly in culturally rich countries, that explicit instruction of NOS should be reframed based on students' cultural backgrounds and their indigenous knowledge.

  12. Spectrum of interstitial lung diseases at a tertiary center in a developing country: A study of 803 subjects.

    Directory of Open Access Journals (Sweden)

    Sahajal Dhooria

    Full Text Available The spectrum of interstitial lung diseases (ILDs have mainly been reported from the developed countries; data from developing countries is sparse and conflicting. The aim of this study is to describe the distribution of various ILDs from a developing country.This is an analysis of prospectively collected clinical, radiological and histological data of consecutive subjects (age >12 years with ILDs from a single tertiary care medical center. The diagnosis of the specific subtype of ILD was made according to standard criteria for various ILDs.A total of 803 subjects (mean age, 50.6 years; 50.2% women were enrolled between March 2015 to February 2017 of which 566 (70.5% were diagnosed during the study period (incident cases. Sarcoidosis (42.2%, idiopathic pulmonary fibrosis (IPF, 21.2%, connective tissue disease (CTD-related ILDs (12.7%, hypersensitivity pneumonitis (10.7%, and non-IPF idiopathic interstitial pneumonias (9.2% were the most common ILDs. The spectrum of ILDs was not significantly different (p = 0.87 between incident and prevalent cases. A histopathological specimen was obtained in 49.9% of the subjects yielding a histologically confirmed diagnosis in 40.6%. A diagnostic procedure was not performed in 402 subjects; the most common reasons were presence of definite usual interstitial pneumonia pattern on high resolution computed tomography and patients' unwillingness to undergo the procedure.Sarcoidosis, IPF and CTD-ILDs were the most common ILDs seen at a tertiary center in northern India similar to the spectrum reported from developed countries. More studies are required from developing countries to ascertain the spectrum of ILDs in different geographic locales.

  13. Issues of construction health and safety in developing countries: a case of Jordan

    Directory of Open Access Journals (Sweden)

    Suhair Zaid Alkilani

    2013-09-01

    Full Text Available The construction industry is widely regarded as one of the most significant interms of its impact on health and safety (H&S. Recent findings suggestthat in developing countries H&S awareness and performance is low. In this paper,the current state of H&S on construction sites in Jordan was explored usinga two-part investigation. The first part introduces the area of research in aliterature based study of on-site safety. The second part is a case study onthe Jordanian construction industry and its current H&S practices. Primary datawas collected from field visits, expert interviews and semi-structuredquestionnaires. Supporting secondary data was collected from archival studiesand related research literature. The research findings highlight a lack of governmentcommitment exemplified by regulations, policies and legal constraints thatlimit the operational efficiency of those government departments responsiblefor H&S management, and hindering the development of good H&S practice.Research results also highlight the key constraints of good H&S practice fromthe perspective of construction contractors.The study concludes with discussion ofpotential solutions toimprove H&S performance on construction sites in Jordan.

  14. A Fair Path Toward Universal Coverage: National Case Study for ...

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

    A Fair Path Toward Universal Coverage: National Case Study for Ethiopia, Uganda, and Zambia. As national health systems in developing countries make progress toward achieving universal health service coverage, many face ethical challenges. In its 2010 World Health Report, the World Health Assembly called on the ...

  15. Seasonal variation among tuberculosis suspects in four countries

    DEFF Research Database (Denmark)

    Mabaera, Biggie; Naranbat, Nymadawa; Katamba, Achilles

    2009-01-01

    The objective of the study was to analyze monthly trends across a calendar year in tuberculosis suspects and sputum smear-positive cases based on nationally representative samples of tuberculosis laboratory registers from Moldova, Mongolia, Uganda and Zimbabwe. Out of the 47 140 suspects registered...... in the tuberculosis laboratory registers, 13.4% (6312) were cases. The proportion varied from country to country, Moldova having the lowest (9%) and Uganda the highest (21%). From the monthly proportion of suspects and cases among total suspects and cases, seasonal variations were most marked in Mongolia which, among...... attendance to diagnostic laboratory services, evidenced by the contrasting findings of Mongolia (extreme continental northern climate) compared to Uganda (equatorial climate). A combination of external and possibly endogenous factors seems to determine whether tuberculosis suspects and cases present...

  16. Country variations in depressive symptoms profile in Asian countries: Findings of the Research on Asia Psychotropic Prescription (REAP) studies.

    Science.gov (United States)

    Chee, Kok-Yoon; Tripathi, Adarsh; Avasthi, Ajit; Chong, Mian-Yoon; Xiang, Yu-Tao; Sim, Kang; Si, Tian-Mei; Kanba, Shigenobu; He, Yan-Ling; Lee, Min-Soo; Fung-Kum Chiu, Helen; Yang, Shu-Yu; Kuga, Hironori; Udormatn, Pichet; Kallivayalil, Roy A; Tanra, Andi J; Maramis, Margarita; Grover, Sandeep; Chin, Loi-Fei; Dahlan, Rahima; Mohamad Isa, Mohd Fadzli; Ebenezer, Esther Gunaseli M; Nordin, Norhayati; Shen, Winston W; Shinfuku, Naotaka; Tan, Chay-Hoon; Sartorius, Norman

    2015-09-01

    This study was to assess differences in the symptom profile of depressive illness across various countries/territories in Asia. The study was a part of the Research on Asia Psychotropic Prescription project. The participating countries/territories include China, Hong Kong, India, Indonesia, Japan, Korea, Malaysia, Singapore, Taiwan, and Thailand. The pattern of depressive symptoms in 1,400 subjects with depressive disorder from 42 psychiatric centers in 10 Asian countries/territories was assessed. We collected information on socio-demographic and clinical characteristics with a standardized protocol and data collection procedure. The most common presentations of depressive symptoms were persistent sadness, loss of interest, and insomnia. Similar findings were found regardless of the region, country, or its income level. Patients with depressive disorder from high-income countries presented significantly more with vegetative symptom cluster (P countries had significantly more with both mood (P countries, patients with depressive symptoms had significantly less mood symptom cluster (P countries/territories, core depressive symptoms remain the same. Variations have been found in presentation of depressive symptoms with regards to the level of income of countries. Physical or vegetative symptoms were reported more by centers in higher income countries, while depressive cognition and suicidal thoughts/acts were more frequently reported from lower income countries. © 2015 Wiley Publishing Asia Pty Ltd.

  17. The Impact of Conflict on International Student Mobility: A Case Study of International Students Studying in Israel

    Science.gov (United States)

    Ben-Tsur, Dalia

    2009-01-01

    This paper explores the impact of conflict on international student mobility. Through an examination of undergraduate, international students studying in Israel, this case study questions how and if a situation of ongoing violent conflict affects international student travel decisions to study in a host country. Contrary to assumptions of…

  18. Dynamic functional studies in nuclear medicine in developing countries

    International Nuclear Information System (INIS)

    1989-01-01

    The Proceedings document some of the trials and tribulations involved in setting up nuclear medicine facilities in general and specifically as regards nuclear medicine applications for the diagnosis of the diseases prevalent in the less developed countries. Most of the 51 papers deal with various clinical applications of dynamic functional studies. However, there was also a session on quality control of the equipment used, and a panel discussion critically looked at the problems and potential of dynamic studies in developing countries. This book will be of interest and use not only to those practising nuclear medicine in the developing countries, but it may also bring home to users in developed countries how ''more can be done with less''. Refs, figs and tabs

  19. Comparison of temporal realistic telecommunication base station exposure with worst-case estimation in two countries

    International Nuclear Information System (INIS)

    Mahfouz, Z.; Verloock, L.; Joseph, W.; Tanghe, E.; Gati, A.; Wiart, J.; Lautru, D.; Hanna, V. F.; Martens, L.

    2013-01-01

    The influence of temporal daily exposure to global system for mobile communications (GSM) and universal mobile telecommunications systems and high speed down-link packet access (UMTS-HSDPA) is investigated using spectrum analyser measurements in two countries, France and Belgium. Temporal variations and traffic distributions are investigated. Three different methods to estimate maximal electric-field exposure are compared. The maximal realistic (99 %) and the maximal theoretical extrapolation factor used to extrapolate the measured broadcast control channel (BCCH) for GSM and the common pilot channel (CPICH) for UMTS are presented and compared for the first time in the two countries. Similar conclusions are found in the two countries for both urban and rural areas: worst-case exposure assessment overestimates realistic maximal exposure up to 5.7 dB for the considered example. In France, the values are the highest, because of the higher population density. The results for the maximal realistic extrapolation factor at the weekdays are similar to those from weekend days. (authors)

  20. Comparison of temporal realistic telecommunication base station exposure with worst-case estimation in two countries.

    Science.gov (United States)

    Mahfouz, Zaher; Verloock, Leen; Joseph, Wout; Tanghe, Emmeric; Gati, Azeddine; Wiart, Joe; Lautru, David; Hanna, Victor Fouad; Martens, Luc

    2013-12-01

    The influence of temporal daily exposure to global system for mobile communications (GSM) and universal mobile telecommunications systems and high speed downlink packet access (UMTS-HSDPA) is investigated using spectrum analyser measurements in two countries, France and Belgium. Temporal variations and traffic distributions are investigated. Three different methods to estimate maximal electric-field exposure are compared. The maximal realistic (99 %) and the maximal theoretical extrapolation factor used to extrapolate the measured broadcast control channel (BCCH) for GSM and the common pilot channel (CPICH) for UMTS are presented and compared for the first time in the two countries. Similar conclusions are found in the two countries for both urban and rural areas: worst-case exposure assessment overestimates realistic maximal exposure up to 5.7 dB for the considered example. In France, the values are the highest, because of the higher population density. The results for the maximal realistic extrapolation factor at the weekdays are similar to those from weekend days.

  1. Challenges for Sustainable Energy Sectors in Developing Countries- with Case Studies from Zambia, Zimbabwe, India and Thailand

    Energy Technology Data Exchange (ETDEWEB)

    Andersen, Regine

    1998-12-31

    Most of the developing countries have severe constraints on economic development caused by serious problems in their power sector. This report analyses the technical and financial situation of the sector from the perspective of sustainable electricity strategies. The core problem of the electricity sector is the complete lack of energy efficiency at all levels from generation to end user. The current emphasis on private participation in new electricity generation projects fails to solve the core problem and even diverts attention from the real challenge. An arm`s length relationship between governments and utilities is of central importance for a sound performance of the power sector. But more autonomous power sector decisions, such as reformed tariff structures, might contribute to inflation and political unrest. This is a main barrier to steps towards power sector autonomy. Another barrier is the lack of institutional capacity, despite over staffed utilities. Most important is the fact that the organizational structures are designed for supply-side management and that the incentive structures for good performance are often weak. The case of Thailand shows that end-use efficiency can be developed considerably by means of incentives and regulations and that transparency was an important condition for achieving this. The real challenge for development cooperation is to support the improvement of energy efficiency at all levels and the institutional and financial preconditions. It is also an important challenge to support developing countries in preparing for future utilization of viable new renewable energy carriers. Apart from this, it is important to continue the work for environmental impact assessments of planned power projects, and to support measures for minimizing the environmental impacts of old power plants. 48 refs., 2 figs.

  2. Challenges for Sustainable Energy Sectors in Developing Countries- with Case Studies from Zambia, Zimbabwe, India and Thailand

    Energy Technology Data Exchange (ETDEWEB)

    Andersen, Regine

    1997-12-31

    Most of the developing countries have severe constraints on economic development caused by serious problems in their power sector. This report analyses the technical and financial situation of the sector from the perspective of sustainable electricity strategies. The core problem of the electricity sector is the complete lack of energy efficiency at all levels from generation to end user. The current emphasis on private participation in new electricity generation projects fails to solve the core problem and even diverts attention from the real challenge. An arm`s length relationship between governments and utilities is of central importance for a sound performance of the power sector. But more autonomous power sector decisions, such as reformed tariff structures, might contribute to inflation and political unrest. This is a main barrier to steps towards power sector autonomy. Another barrier is the lack of institutional capacity, despite over staffed utilities. Most important is the fact that the organizational structures are designed for supply-side management and that the incentive structures for good performance are often weak. The case of Thailand shows that end-use efficiency can be developed considerably by means of incentives and regulations and that transparency was an important condition for achieving this. The real challenge for development cooperation is to support the improvement of energy efficiency at all levels and the institutional and financial preconditions. It is also an important challenge to support developing countries in preparing for future utilization of viable new renewable energy carriers. Apart from this, it is important to continue the work for environmental impact assessments of planned power projects, and to support measures for minimizing the environmental impacts of old power plants. 48 refs., 2 figs.

  3. Pilot Study on Harmonisation of Reactor Safety in WENRA Countries

    International Nuclear Information System (INIS)

    2003-03-01

    Most of the objectives, set for the Pilot Study, were met. It can be concluded that the methodology was adequate for its purpose. National requirements on selected safety issues have been systematically compared and the major gaps and differences have been identified. Convenient overviews have been provided of differences and similarities between the countries. Furthermore, the conclusions are based on a safety justification and are detailed enough to provide input to a further more detailed analysis on the national level. It was not possible, however, to provide fully verified conclusions about the implementation of the reference levels in the different countries. This has to do with the following constraints on the study: In line with the Terms of Reference, the comparison of formal requirements did not address the more detailed use of criteria and methods to verify compliance. The same requirement could be enforced differently in different regulatory systems, and hence lead to different implementation. The Pilot Study also assessed the implementation, but it was not possible to do this in sufficient detail to identify such differences. The implementation was assessed on the basis of current knowledge of the respective regulatory body, but it was not possible to provide the panels with evidence of the implementation. For these reasons, conclusions about implemented safety provisions in the different countries should be drawn with precaution. The introduction of the panel assessments greatly improved the quality and consistency of the comparison assessments. Uncertainties in the assessments are mainly connected with lack of time to make a detailed analysis in some cases. The reliability of the assessments seems to be sufficient for the objectives of the Pilot Study. The introduction of the IAEA safety standards in the study proved to be helpful and provided confidence in the scope and strictness of the reference levels. This Pilot Study has contributed to

  4. The Role of Small Countries in Post-Soviet Territorial Restructuring: the Baltic Case

    Directory of Open Access Journals (Sweden)

    Smirnov V.

    2014-12-01

    Full Text Available This author analyses the 2013 Lithuanian presidency of the EU in the context of the Ukrainian crisis and evaluates the contribution of Latvia and Estonia (the former Soviet republics set to preside over the EU in 2015 and 2018 to the shift in the power balance in the post-Soviet space. Through assessing the actions of small countries in promoting the Eastern Partnership programme with an emphasis on the anti-Russian agenda, the author concludes that they will inflict harm on the EU in a long-term perspective. These former Soviet republics no longer rely on mere diplomacy, but resort to a whole new problematic narrative, where Russia is described as an “aggressive and unpredictable neighbour” that poses the “threat from the East.” Being more mobile, small countries are able to concentrate power and resources in one or several key areas. This makes it possible for these countries to take advantage of international politics (even if the consequences of such steps are miscalculated and “feed” on it through — so metimes consciously — creating “conflict nodes” in the relations between major players. This is especially true in the case of states that do not bear responsibility for global stability.

  5. National innovation system in less successful developing countries

    DEFF Research Database (Denmark)

    Intarakumnerd, Patarapong; Chairatana, Pun-arj; Tangchitpiboon, Tipawan

    2002-01-01

    This paper, using Thailand as a case study, aims at understanding the national innovation system (NIS) in developing countries which are less successful in technological catching-up. In contrast to developed countries, the development level of Thailand’s NIS does not link to its economic structural...... development level. As Thailand moves from agricultural to an increasingly industrial economy, its NIS remains weak and fragmented. The mismatch between the two affected Thailand’s competitiveness and partially contributed to the recent economic crisis. Studies of NIS in countries like Thailand should focus...

  6. Evaluating performance of local case-mix system by international comparison: a case study in Beijing, China.

    Science.gov (United States)

    Jian, Wei-Yan; Lu, Ming; Cui, Tao; Hu, Mu

    2011-01-01

    Case-mix is an important tool for health planning and management in many countries. As a major developing country, China is considering the introduction of the case-mix system in the health reform. Beijing, the capital of China, developed a local case-mix version whose performance needs to be evaluated before utilization. The objective of this study was to evaluate the performance of the case-mix system developed in Beijing by comparing it with those used in Australia and the U.S.A. A total of 1.3 million inpatient records from 154 hospitals in Beijing in 2008 were grouped respectively using three case-mix systems: (i) Beijing Diagnosis Related Groups (BJ-DRGs); (ii) US-based All Patient DRGs; and (iii) Australian Refined DRGs. Coefficient of variation (CV) and reduction in variance (RIV) were used to measure the performance of DRGs system. The BJ-DRGs produced the best CV and RIV results for expenditure. However, at the level of Major Diagnostic Category (MDC), three MDCs of BJ-DRGs gave the poorest RIVs for both expenditure and length of stay. Although the performance of BJ-DRGs was acceptable, further revision and improvement is needed. Comparisons with other mature DRGs versions can assist in identifying the improvement priorities of the local version. Copyright © 2011 John Wiley & Sons, Ltd.

  7. The dilemma of BME research projects in developing countries: a case study.

    Science.gov (United States)

    Zahedi, Edmond; Attar, Hamid Movahedian

    2011-01-01

    Researchers are faced with huge challenges when undertaking BME research projects in developing countries. Various administrative, technical, economic and even cultural barriers have to be overcome whereas the quality and quantity of the output has to be comparable with the developed world in order to make results publishable. This paper uses a real project context to highlight the major problems and the necessity of a holistic approach which would take into consideration all stakeholders interests. It is only by tackling problems such as relationship between academia-industry and administration efficiency at their root that significant progress can be achieved.

  8. A Career Advice Helpline: A Case Study from South Africa

    Science.gov (United States)

    Flederman, Patricia

    2011-01-01

    This case study presents the new career guidance helpline managed by the South African Qualifications Authority in South Africa, a middle-income country. The National Qualifications Framework and Career Advice Helpline represent a national equity-driven initiative using technology to expand access. The model has drawn on contemporary international…

  9. The Management of Training in Multinational Corporations: Comparative Case Studies.

    Science.gov (United States)

    Noble, Charles

    1997-01-01

    Case studies of British and Australian multinational corporations in the food and drink industry investigated how training and development are managed. Competency-based education and industry boards are important elements in both countries. Lack of a training culture in the industry and little innovation in training were observed. (SK)

  10. Development of women's human capital and its impact on economic growth and total factor productivity: A case study of selected OECD countries

    Directory of Open Access Journals (Sweden)

    Hajar Mostafaee

    2013-06-01

    Full Text Available Experiences of developed countries and various studies in the context of economic growth of developing countries have shown that economic growth is not only explained by physical capital and labor force but also, and more importantly, by human capital. The later variable should be entered, as a major determinant, in the endogenous growth model. With the concern of important role of human capital in this research, the primary objective of this paper is to explore the effect of gender discrimination of human capital on economic growth and factor productivity in Iran and the selected OECD countries. More specifically, to indicate the economic capability of educated females, we use data of the considered countries over the period 1974-2008, to estimate the relevant models of growth and productivity. The implication is to compare the empirical results obtained for Iran and the selected developed countries.

  11. Case studies on the use of biotechnologies and on biosafety provisions in four African countries.

    Science.gov (United States)

    Black, Robert; Fava, Fabio; Mattei, Niccolo; Robert, Vincent; Seal, Susan; Verdier, Valerie

    2011-12-20

    This review is based on a study commissioned by the European Commission on the evaluation of scientific, technical and institutional challenges, priorities and bottlenecks for biotechnologies and regional harmonisation of biosafety in Africa. Biotechnology was considered within four domains: agricultural biotechnologies ('Green'), industrial biotechnologies and biotechnologies for environmental remediation ('White'), biotechnologies in aquaculture ('Blue') and biotechnologies for healthcare ('Red'). An important consideration was the decline in partnerships between the EU and developing countries because of the original public antipathy to some green biotechnologies, particularly genetically modified organisms (GMOs) and food from GM crops in Europe. The study focus reported here was West Africa (Ghana, Senegal, Mali and Burkina Faso). The overall conclusion was that whereas high-quality research was proceeding in the countries visited, funding is not sustained and there is little evidence of practical application of biotechnology and benefit to farmers and the wider community. Research and development that was being carried out on genetically modified crop varieties was concentrating on improving food security and therefore unlikely to have significant impact on EU markets and consumers. However, there is much non-controversial green biotechnology such as molecular diagnostics for plant and animal disease and marker-assisted selection for breeding that has great potential application. Regarding white biotechnology, it is currently occupying only a very small industrial niche in West Africa, basically in the sole sector of the production of liquid biofuels (i.e., bio-ethanol) from indigenous and locally planted biomass (very often non-food crops). The presence of diffused small-scale fish production is the basis to develop and apply new (Blue) aquaculture technologies and, where the research conditions and the production sector can permit, to increase this type of

  12. Patterns of clinical mentorship in undergraduate nurse education: A comparative case analysis of eleven EU and non-EU countries.

    Science.gov (United States)

    Dobrowolska, Beata; McGonagle, Ian; Kane, Roslyn; Jackson, Christine S; Kegl, Barbara; Bergin, Michael; Cabrera, Esther; Cooney-Miner, Dianne; Di Cara, Veronika; Dimoski, Zvonko; Kekus, Divna; Pajnkihar, Majda; Prlić, Nada; Sigurdardottir, Arun K; Wells, John; Palese, Alvisa

    2016-01-01

    In spite of the number of studies available in the field and policy documents developed both at the national and the international levels, there is no reliable data available regarding the variation of roles occupied by clinical mentors (CMs) across countries. To describe and compare the CM's role; responsibilities; qualifications; employment requirements and experience in undergraduate nurse education as enacted in 11 European Union (EU) and non- EU countries. A case study design. A panel of expert nurse educators from 11 countries within and outside of the EU (Croatia, Czech Republic, England, Iceland, Ireland, Italy, Poland, Serbia, Slovenia, Spain, and the USA). A questionnaire containing both quantitative and qualitative questions was developed and agreed by the panel using a Nominal Group Technique (NGT); four cycles of data collection and analysis were conducted involving key experts in nursing education in each country. In all countries, there are at least two types of clinical mentorship dedicated to undergraduate nursing students: the first is offered by higher education institutions, and the second is offered by health care providers. Variation was noted in terms of profile, responsibilities and professional requirements to act as a CM; however, the CM role is mainly carried out by registered nurses, and in most countries there are no special requirements in terms of education and experience. Those who act as CMs at the bedside continue to manage their usual caseload, thus the role adds to their work burden. Whilst it is imperative to have respect for the different national traditions in undergraduate nurse education, the globalisation of the nursing workforce and greater opportunities for student mobility during the course of their undergraduate education suggests that in areas such as clinical mentorship, jurisdictions, particularly within the EU, should work towards greater system harmonisation. Copyright © 2015 Elsevier Ltd. All rights reserved.

  13. Country characteristics and acute diarrhea in children from developing nations: a multilevel study.

    Science.gov (United States)

    Pinzón-Rondón, Ángela María; Zárate-Ardila, Carol; Hoyos-Martínez, Alfonso; Ruiz-Sternberg, Ángela María; Vélez-van-Meerbeke, Alberto

    2015-08-21

    Each year 2.5 billion cases of diarrheal disease are reported in children under five years, and over 1,000 die. Country characteristics could play a role on this situation. We explored associations between country characteristics and diarrheal disease in children under 5 years of age, adjusting by child, mother and household attributes in developing countries. This study included 348,706 children from 40 nations. We conducted a multilevel analysis of data from the Demographic and Health Surveys and the World Bank. The prevalence of acute diarrhea was 14 %. Country inequalities (OR = 1.335; 95 % CI 1.117-1.663) and country's low income (OR = 1.488; 95 % CI 1.024-2.163) were associated with diarrhea, and these country characteristics changed the associations of well-known determinants of diarrhea. Specifically, living in poor countries strengthens the association of poor household wealth and mother's lack of education with the disease. Other factors associated with diarrhea were female sex of the child (OR = 0.922; 95 % CI 0.900-0.944), age of the child (OR = 0.978; 95 % CI 0.978-0.979), immunization status (OR = 0.821; 95 % CI 0.799-0.843), normal birthweight (OR = 0.879; 95 % CI 0.834-0.926), maternal age (OR = 0.987; 95 % CI 0.985-0.989), lack of maternal education (OR = 1.416; 95 % CI 1.283-1.564), working status of the mother (OR = 1.136; 95 % CI 1.106-1.167), planned pregnancy (OR = 0.774; 95 % CI 0.753-0.795), a nuclear family structure (OR = 0.949; 95 % CI 0.923-0.975), and household wealth (OR = 0.948; 95 % CI 0.921-0.977). Inequalities and lack of resources at the country level in developing countries -but not health expenditure- were associated with acute diarrhea, independently of child, family and household features. The broad environment considerably modifies well-known social determinants of acute diarrhea and public health campaigns designed to target diarrhea should consider macro characteristics of the

  14. A multi-country study of intussusception in children under 2 years of age in Latin America: analysis of prospective surveillance data.

    Science.gov (United States)

    Sáez-Llorens, Xavier; Velázquez, F Raúl; Lopez, Pio; Espinoza, Felix; Linhares, Alexandre C; Abate, Hector; Nuñez, Ernesto; Venegas, Guillermo; Vergara, Rodrigo; Jimenez, Ana L; Rivera, Maribel; Aranza, Carlos; Richardson, Vesta; Macias-Parra, Mercedes; Palacios, Guillermo Ruiz; Rivera, Luis; Ortega-Barria, Eduardo; Cervantes, Yolanda; Rüttimann, Ricardo; Rubio, Pilar; Acosta, Camilo J; Newbern, Claire; Verstraeten, Thomas; Breuer, Thomas

    2013-05-27

    Intussusception (IS) is a form of acute intestinal obstruction that occurs mainly in infants and is usually of unknown cause. An association between IS and the first licensed rotavirus vaccine, a reassortant-tetravalent, rhesus-based rotavirus vaccine (RRV-TV), led to the withdrawal of the vaccine. New rotavirus vaccines have now been developed and extensively studied for their potential association with IS. This study aimed to describe the epidemiology and to estimate the incidence of IS in Latin American infants prior to new vaccine introduction. Children under 2 years of age representing potential IS cases were enrolled in 16 centers in 11 Latin American countries from January 2003 to May 2005. IS cases were classified as definite, probable, possible or suspected as stated on the Brighton Collaboration Working Group guidelines. From 517 potential cases identified, 476 (92%) cases were classified as definite, 21 probable, 10 possible and 10 suspected for intussusception. Among the 476 definite IS cases, the median age at presentation was 6.4 months with 89% of cases aged days with a high prevalence of surgery as the primary treatment (65%). Most cases (88%) made a complete recovery, but 13 (3%) died. No clear seasonal pattern of IS cases emerged. This study describes the epidemiology and estimates the incidence of IS in Latin American infants prior to the introduction of new rotavirus vaccines. The incidence of IS was found to vary between different countries, as observed in previous studies. Clinical study identifier 999910/204 (SERO-EPI-IS-204).

  15. Renewable energy policies in the Gulf countries. A case study of the carbon-neutral 'Masdar City' in Abu Dhabi

    Energy Technology Data Exchange (ETDEWEB)

    Reiche, Danyel [Department of Political Studies and Public Administration (PSPA), American University of Beirut, Jesup Hall, Room 205, P.O. Box 11-0236, Riad El Solh, Beirut 1107 2020 (Lebanon); Wuppertal Institute (Germany)

    2010-01-15

    The Gulf countries are largely dependent on exporting oil and natural gas for their national budgets. They mainly use domestic fossil fuels for their domestic energy supply. In spite of favorable geographic conditions, especially for solar energy, renewable energies are still a niche application. Abu Dhabi, besides Dubai, the most important emirate in the United Arab Emirates (UAE), has now started a process of 'transforming oil wealth into renewable energy leadership', and has set the long-term goal of a 'transition from a 20th Century, carbon-based economy into a 21st Century sustainable economy'. This article is a case study about 'Masdar City', a planned carbon-neutral town in Abu Dhabi. The article describes the key characteristics of Masdar City, analyses the drivers behind the project, identifies the main actors for its implementation, and seeks obstacles to creation and development as well as the policy behind Masdar City. Finally, a first judgment of possible diffusion effects of the project is done. (author)

  16. Renewable Energy Policies in the Gulf countries: A case study of the carbon-neutral 'Masdar City' in Abu Dhabi

    Energy Technology Data Exchange (ETDEWEB)

    Reiche, Danyel, E-mail: dr09@aub.edu.l [Department of Political Studies and Public Administration (PSPA), American University of Beirut, Jesup Hall, Room 205, P.O. Box 11-0236, Riad El Solh, Beirut 1107 2020 (Lebanon); Wuppertal Institute (Germany)

    2010-01-15

    The Gulf countries are largely dependent on exporting oil and natural gas for their national budgets. They mainly use domestic fossil fuels for their domestic energy supply. In spite of favorable geographic conditions, especially for solar energy, renewable energies are still a niche application. Abu Dhabi, besides Dubai, the most important emirate in the United Arab Emirates (UAE), has now started a process of 'transforming oil wealth into renewable energy leadership,' and has set the long-term goal of a 'transition from a 20th Century, carbon-based economy into a 21st Century sustainable economy.' This article is a case study about 'Masdar City,' a planned carbon-neutral town in Abu Dhabi. The article describes the key characteristics of Masdar City, analyses the drivers behind the project, identifies the main actors for its implementation, and seeks obstacles to creation and development as well as the policy behind Masdar City. Finally, a first judgment of possible diffusion effects of the project is done.

  17. Medical Publications (2002-2009 of Islamic Countries; A Medline-Based Study Compared To Non-Islamic Countries

    Directory of Open Access Journals (Sweden)

    Mousa Majidi

    2010-09-01

    Full Text Available Background: The number of scientific publication by a countryis an important indication of its science generation and development.The aim of this study was to compare the publicationsin medical sciences of Islamic countries from 2002-2009with those of a number of developed countries.Methods: The PubMed and CIA World Fact Book were used toextract the number of publications and socioeconomic status oftarget countries, respectively. The number of publications, publicationsper million population, gross domestic product (GDPper capita, population below poverty line (PBP and type ofpublications of the countries were compared.Results: The publications of Islamic countries increased from6906 in 2002 to 21656 in 2009. There was a positive correlationbetween GDP per capita and publication per million. However,publication productivity did not decrease significantly with theincrease of PBP. Turkey and Iran were top two among Islamiccountries in terms of the number of publications and growth ofthe rate of scientific publication, respectively. Islamic countriesdo lag behind developed countries in terms of the number ofpublication and the rate of growth.Conclusion: There is a wide gap between developed and Islamiccountries and among Islamic countries themselves interms of the number and the rate of growth of publication inmedical sciences.

  18. Millions Learning: Scaling up Quality Education in Developing Countries

    Science.gov (United States)

    Robinson, Jenny Perlman; Winthrop, Rebecca

    2016-01-01

    "Millions Learning: Scaling up Quality Education in Developing Countries" tells the story of where and how quality education has scaled in low- and middle-income countries. The story emerges from wide-ranging research on scaling and learning, including 14 in-depth case studies from around the globe. Ultimately, "Millions…

  19. Cluster Policy in the Light of Institutional Context—A Comparative Study of Transition Countries

    Directory of Open Access Journals (Sweden)

    Tine Lehmann

    2015-10-01

    Full Text Available The business environment in transition countries is often extraordinarily challenging for companies. The transition process these countries find themselves in leads to constant changes in the institutional environment. Hence, institutional voids prevail. These institutional voids cause competitive disadvantages for small and medium enterprises. Cluster policy can address these competitive disadvantages. As cluster policy generally aims at supporting companies’ competitive advantage by spurring innovation and productivity, it can help to bridge institutional voids. This article’s research question aims at analyzing and comparing cluster policies in the institutional context of two transition countries (Serbia and Tunisia and analyzes to what extent cluster policies in these two countries are adapted to institutional voids prevailing there. The case studies offer insights into apparent difficulties of clusters in bridging formal institutional voids, as well as, notably, into the informal void of skill mismatches in the labor market. Still, for some specific voids, clusters do at least implicitly assume a bridging role. While the cluster policies examined do not explicitly target the institutional voids identified, cluster management can—in the course of time—align its service offering more closely with these voids. Bottom-up designed cluster policies can play an especially important role in such an evolution towards bridging institutional voids.

  20. Simulating partially illegal markets of private tanker water providers on the country level: A multi-agent, hydroeconomic case-study of Jordan

    Science.gov (United States)

    Klassert, C. J. A.; Yoon, J.; Gawel, E.; Klauer, B.; Sigel, K.; Talozi, S.; Lachaut, T.; Selby, P. D.; Knox, S.; Gorelick, S.; Tilmant, A.; Harou, J. J.; Mustafa, D.; Medellin-Azuara, J.; Rajsekhar, D.; Avisse, N.; Zhang, H.

    2016-12-01

    In arid countries around the world, markets of private small-scale water providers, mostly delivering water via tanker trucks, have emerged to balance the shortcomings of public water supply systems. While these markets can provide substantial contributions to meeting customers' water demands, they often partially rely on illegal water abstractions, thus imposing an unregulated and unmonitored strain on ground and surface water resources. Despite their important impacts on water users' welfare and resource sustainability, these markets are still poorly understood. We use a multi-agent, hydroeconomic simulation model, developed as part of the Jordan Water Project, to investigate the role of these markets in a country-wide case-study of Jordan. Jordan's water sector is characterized by a severe and growing scarcity of water resources, high intermittency in the public water network, and a strongly increasing demand due to an unprecedented refugee crisis. The tanker water market serves an important role in providing water from rural wells to households and commercial enterprises, especially during supply interruptions. In order to overcome the lack of direct data about this partially illegal market, we simulate demand and supply for tanker water. The demand for tanker water is conceptualized as a residual demand, remaining after a water user has depleted all available cheap and qualitatively reliable piped water. It is derived from residential and commercial demand functions on the basis of survey data. Tanker water supply is determined by farm simulation models calculating the groundwater pumping cost and the agricultural opportunity cost of tanker water. A market algorithm is then used to match rural supplies with users' demands, accounting for survey data on tanker operators' transport costs and profit expectations. The model is used to gain insights into the size of the tanker markets in all 89 subdistricts of Jordan and their responsiveness to various policy

  1. Income inequality and obesity prevalence among OECD countries.

    Science.gov (United States)

    Su, Dejun; Esqueda, Omar A; Li, Lifeng; Pagán, José A

    2012-07-01

    Using recent pooled data from the World Health Organization Global Infobase and the World Factbook compiled by the Central Intelligence Agency of the United States, this study assesses the relation between income inequality and obesity prevalence among 31 OECD countries through a series of bivariate and multivariate linear regressions. The United States and Mexico well lead OECD countries in both obesity prevalence and income inequality. A sensitivity analysis suggests that the inclusion or exclusion of these two extreme cases can fundamentally change the findings. When the two countries are included, the results reveal a positive correlation between income inequality and obesity prevalence. This correlation is more salient among females than among males. Income inequality alone is associated with 16% and 35% of the variations in male and female obesity rates, respectively, across OECD countries in 2010. Higher levels of income inequality in the 2005-2010 period were associated with a more rapid increase in obesity prevalence from 2002 to 2010. These associations, however, virtually disappear when the US and Mexico have been excluded from the analysis. Findings from this study underscore the importance of assessing the impact of extreme cases on the relation between income inequality and health outcomes. The potential pathways from income inequality to the alarmingly high rates of obesity in the cases of the US and Mexico warrant further research.

  2. Distribution of country of origin in studies used in Cochrane Reviews.

    Directory of Open Access Journals (Sweden)

    Robert F Wolff

    Full Text Available BACKGROUND AND OBJECTIVE: Inclusion in systematic reviews is one important component in judging the potential impact of clinical studies upon practice and hence the 'value for money' of spending for clinical research. This study aims to quantify the distribution of countries of origin of clinical studies used in Cochrane Reviews (CRs, and to link these data to the size of a country and to its spending on research. METHODS: Random sample of publications used for CRs published in Issue 1 2008 and of publications used in CRs in the field of complementary and alternative medicine (CAM. Publications without original data were excluded. Likely countries of origin determined based on abstracts/full texts. CIA World Factbook (population data and OECD database (economic data were used. RESULTS: 1,000 random entries out of 140,005 references available in all specialities. In 876 (91.4% of 959 eligible studies, country of origin was determined. The USA was the leading contributor (36.0% of the studies, followed by UK (13.4%, Canada (5.3%, Australia and Sweden (3.7%. In the CAM sample, country of origin was determined in 458 (93.5% of 497 assessed studies. Again, the USA was the leading contributor (24.9%, with China also emerging as a significant contributor (24.7% in this field. For both samples, the contribution of smaller countries (especially Scandinavian countries, Greece, and Ireland became more noteworthy when considered in relation to population size and research spending. CONCLUSIONS: Our results support the leading roles of both the USA and the UK in publishing clinical papers. The emerging role of China can be seen, particularly related to CAM studies. Taking into account size of population and economic power, countries like France, Germany, Italy, and Spain provide small contributions. In contrast, smaller countries like Australia, Denmark, Finland, Ireland, New Zealand, and Sweden also play major roles.

  3. Strategies for reducing emissions and depositions in Central and Eastern European countries: The case of the Czech Republic

    International Nuclear Information System (INIS)

    Van Harmelen, T.; De Kruijk, H.; Stoffer, A.; Maly, M.

    1995-06-01

    A detailed case study on developments and reduction of acidifying SO 2 and NO x emissions from the energy system was conducted for the Czech Republic. Scenarios and the Energy Flow Optimization Model - Environment (EFOM-ENV) of the European Union (DG 12) were applied for the first time in the Czech Republic and were similar to those that were used in the other European country studies in preparation of the Second Sulphur Protocol. Czech SO 2 emissions can be reduced at low marginal costs, but at high total national costs compared with e.g. the Netherlands. The main reasons for this are the high sulphur content of (brown) coal, that has a high share in national energy consumption, a relatively high energy intensity, low wages, and the fact that most Western countries already have reduced their SO 2 emissions in the past. Marginal NO x emission reduction costs are similar to those of Western countries and national total NO x reduction costs are relatively high. In contrast with fuel switching, retrofitting of existing technologies is an attractive SO 2 and NO x reduction option in the short term. High interest and discount rates due to capital scarcity increases emissions and emission reduction costs. Therefore, short term involvement of Western investors could lead to European cost-effective emission reduction. 17 figs., 5 tabs., 2 appendices, 20 refs

  4. Planned Change in Agrarian Countries.

    Science.gov (United States)

    Niehoff, Arthur H.

    The report provides operationally relevant concepts and guidelines for persons responsible for planning and implementing development projects in agrarian countries. A framework for describing or evaluating the conduct of development projects is proposed, and applied to the results of an analysis of 203 case studies of past projects. Influences,…

  5. Public Health Responses to and Challenges for the Control of Dengue Transmission in High-Income Countries: Four Case Studies.

    Directory of Open Access Journals (Sweden)

    Elvina Viennet

    2016-09-01

    Full Text Available Dengue has a negative impact in low- and lower middle-income countries, but also affects upper middle- and high-income countries. Despite the efforts at controlling this disease, it is unclear why dengue remains an issue in affluent countries. A better understanding of dengue epidemiology and its burden, and those of chikungunya virus and Zika virus which share vectors with dengue, is required to prevent the emergence of these diseases in high-income countries in the future. The purpose of this review was to assess the relative burden of dengue in four high-income countries and to appraise the similarities and differences in dengue transmission. We searched PubMed, ISI Web of Science, and Google Scholar using specific keywords for articles published up to 05 May 2016. We found that outbreaks rarely occur where only Aedes albopictus is present. The main similarities between countries uncovered by our review are the proximity to dengue-endemic countries, the presence of a competent mosquito vector, a largely nonimmune population, and a lack of citizens' engagement in control of mosquito breeding. We identified important epidemiological and environmental issues including the increase of local transmission despite control efforts, population growth, difficulty locating larval sites, and increased human mobility from neighboring endemic countries. Budget cuts in health and lack of practical vaccines contribute to an increased risk. To be successful, dengue-control programs for high-income countries must consider the epidemiology of dengue in other countries and use this information to minimize virus importation, improve the control of the cryptic larval habitat, and engage the community in reducing vector breeding. Finally, the presence of a communicable disease center is critical for managing and reducing future disease risks.

  6. Public Health Responses to and Challenges for the Control of Dengue Transmission in High-Income Countries: Four Case Studies.

    Science.gov (United States)

    Viennet, Elvina; Ritchie, Scott A; Williams, Craig R; Faddy, Helen M; Harley, David

    2016-09-01

    Dengue has a negative impact in low- and lower middle-income countries, but also affects upper middle- and high-income countries. Despite the efforts at controlling this disease, it is unclear why dengue remains an issue in affluent countries. A better understanding of dengue epidemiology and its burden, and those of chikungunya virus and Zika virus which share vectors with dengue, is required to prevent the emergence of these diseases in high-income countries in the future. The purpose of this review was to assess the relative burden of dengue in four high-income countries and to appraise the similarities and differences in dengue transmission. We searched PubMed, ISI Web of Science, and Google Scholar using specific keywords for articles published up to 05 May 2016. We found that outbreaks rarely occur where only Aedes albopictus is present. The main similarities between countries uncovered by our review are the proximity to dengue-endemic countries, the presence of a competent mosquito vector, a largely nonimmune population, and a lack of citizens' engagement in control of mosquito breeding. We identified important epidemiological and environmental issues including the increase of local transmission despite control efforts, population growth, difficulty locating larval sites, and increased human mobility from neighboring endemic countries. Budget cuts in health and lack of practical vaccines contribute to an increased risk. To be successful, dengue-control programs for high-income countries must consider the epidemiology of dengue in other countries and use this information to minimize virus importation, improve the control of the cryptic larval habitat, and engage the community in reducing vector breeding. Finally, the presence of a communicable disease center is critical for managing and reducing future disease risks.

  7. ALTER-GLOBALISM AND DEVELOPMENT IN MIGRATION CONDITIONS. THE CASE OF AN EAST EUROPEAN COUNTRY

    OpenAIRE

    Alina HALLER

    2017-01-01

    Globalisation is a process that brings advantages and disadvantages to all states, regardless of their stage of development. The relative deprivation, especially the financial one, of the developing countries is a reason of frustration, which motivates the emigration decision; hence our orientation to alter-globalism. In this paper, I intend to highlight by means of analysis, synthesis, deduction, induction, and statistic data, the causes and types of migration in Romania’s case, one of the m...

  8. Opportunities, constraints and constrained opportunities - A study on mothers' working time patterns in 22 European countries

    Directory of Open Access Journals (Sweden)

    Milla Salin

    2014-11-01

    Full Text Available The aim of this study was to analyze mothers’ working time patters across 22 European countries. The focu was on three questions: how much mothers prefer to work, how much they actually work, and to what degree their preferred and actual working times are (inconsistent with each other. The focus was on cross-national differences in mothers’ working time patterns, comparison of mothers’ working times to that of childless women and fathers, as well as on individual- and country-level factors that explain the variation between them. In the theoretical background, the departure point was an integrative theoretical approach where the assumption is that there are various kinds of explanations for the differences in mothers’ working time patterns – namely structural, cultural and institutional – , and that these factors are laid in two levels: individual- and country-levels. Data were extracted from the European Social Survey (ESS 2010 / 2011. The results showed that mothers’ working time patterns, both preferred and actual working times, varied across European countries. Four clusters were formed to illustrate the differences. In the full-time pattern, full-time work was the most important form of work, leaving all other working time forms marginal. The full-time pattern was perceived in terms of preferred working times in Bulgaria and Portugal. In polarised pattern countries, full-time work was also important, but it was accompanied by a large share of mothers not working at all. In the case of preferred working times, many Eastern and Southern European countries followed it whereas in terms of actual working times it included all Eastern and Southern European countries as well as Finland. The combination pattern was characterised by the importance of long part-time hours and full-time work. It was the preferred working time pattern in the Nordic countries, France, Slovenia, and Spain, but Belgium, Denmark, France, Norway, and Sweden

  9. Environmental policy implementation in developing countries

    International Nuclear Information System (INIS)

    Gamman, J.K.

    1990-01-01

    This study examines why national and international policies intended to protect limited natural resources in developing countries are not effectively implemented. It employs a comparative-policy implementation in three developing countries, Barbados, St. Lucia and St. Kitts, and three foreign assistance agencies, the US Agency for International Development, the Inter-American Development Bank and the Organization of American States. The decision-making process within the countries and donor agencies is closed, preventing key stakeholders from participating. In two instances, the mutually reinforcing behavior of top officials in the countries and the donor agencies led to decisions that prevented natural resources from being protected. In all three cases, strategies to implement environmental policies failed to account for four major elements: national politics, behavior in the donor agency, the culture of decision making, and economic necessity. The existing-decision making process in both developing countries and donor agencies is dysfunctional

  10. Success Factors for e-Learning in a Developing Country: A Case Study of Serbia

    Science.gov (United States)

    Raspopovic, Miroslava; Jankulovic, Aleksandar; Runic, Jovana; Lucic, Vanja

    2014-01-01

    In this paper, DeLone and McLean's updated information system model was used to evaluate the success of an e-Learning system and its courses in a transitional country like Serbia. In order to adapt this model to an e-Learning system, suitable success metrics were chosen for each of the evaluation stages. Furthermore, the success metrics for…

  11. Overseas oil-development policy of resource-poor countries: A case study from Japan

    International Nuclear Information System (INIS)

    Koike, Masanari; Mogi, Gento; Albedaiwi, Waleed H.

    2008-01-01

    Japan, currently the world's third largest oil consumer, depends on imports for almost all of its oil needs. Owing to this high level of dependence, Japanese citizens as well as the economy have historically been vulnerable. In the past, certain incidents caused by the interruption of oil imports have resulted in fatal damages to the country. In order to reduce these risks, the Japanese government has supported overseas exploration and development activities of the domestic upstream oil industry, which has not proven as successful as expected. This paper presents the experiences, policies, and the structure of Japan's attempts to increase the share of domestic oil needs met by development activities. While conducting this study, both internal and external constraints were encountered. In addition to the lack of domestic oil reserves, factors including the institutional design of cooperation between government and private industries, the early history of the upstream industry, the target area of overseas development, and the changing environment have created impediments toward achieving the targets. In 2006, Japan again set a new target for doubling the ratio of self-developed oil in its total imports by 2030, and will face challenges in clearing the above-mentioned hurdles

  12. Tanzania country study

    Energy Technology Data Exchange (ETDEWEB)

    1999-09-01

    Objectives of this study are to analyse the role of the land use sectors of Tanzania (especially forestry) on mitigation of greenhouse gases. Specific emphasis is placed on the relationship between forestry and energy supply from biomass, as well as other forestry products. This is a follow up study on an earlier effort which worked on mitigation options in the country without and in-depth analysis of the forestry and land use sectors. Analysis of the mitigation scenario has been based on Comprehensive Mitigation Analysis (COMAP). This study has analysed the forestry and land use sector behaviour on the basis of the current policies on land and environment. Furthermore three scenarios have been developed on the basis of what is expected to happen in the sectors, the worse scenario being a catastrophic one where if things takes the business as usual trend then the forest resources will easily be depleted. The TFAP scenario takes into account the implementation of the current plans as scheduled while the mitigation scenario takes into account the GHG mitigation in the implementation of the plans. A Comprehensive Mitigation Analysis Process (COMAP) has been used to analyse the GHG and cost implications of the various programmes under the mitigation scenario. (au) 30 refs.

  13. Within country inequalities in caesarean section rates: observational study of 72 low and middle income countries.

    Science.gov (United States)

    Boatin, Adeline Adwoa; Schlotheuber, Anne; Betran, Ana Pilar; Moller, Ann-Beth; Barros, Aluisio J D; Boerma, Ties; Torloni, Maria Regina; Victora, Cesar G; Hosseinpoor, Ahmad Reza

    2018-01-24

    To provide an update on economic related inequalities in caesarean section rates within countries. Secondary analysis of demographic and health surveys and multiple indicator cluster surveys. 72 low and middle income countries with a survey conducted between 2010 and 2014 for analysis of the latest situation of inequality, and 28 countries with a survey also conducted between 2000 and 2004 for analysis of the change in inequality over time. Women aged 15-49 years with a live birth during the two or three years preceding the survey. Data on caesarean section were disaggregated by asset based household wealth status and presented separately for five subgroups, ranging from the poorest to the richest fifth. Absolute and relative inequalities were measured using difference and ratio measures. The pace of change in the poorest and richest fifths was compared using a measure of excess change. National caesarean section rates ranged from 0.6% in South Sudan to 58.9% in the Dominican Republic. Within countries, caesarean section rates were lowest in the poorest fifth (median 3.7%) and highest in the richest fifth (median 18.4%). 18 out of 72 study countries reported a difference of 20 percentage points or higher between the richest and poorest fifth. The highest caesarean section rates and greatest levels of absolute inequality were observed in countries from the region of the Americas, whereas countries from the African region had low levels of caesarean use and comparatively lower levels of absolute inequality, although relative inequality was quite high in some countries. 26 out of 28 countries reported increases in caesarean section rates over time. Rates tended to increase faster in the richest fifth (median 0.9 percentage points per year) compared with the poorest fifth (median 0.2 percentage points per year), indicating an increase in inequality over time in most of these countries. Substantial within country economic inequalities in caesarean deliveries remain

  14. Retrospective exposure assessment and quality control in an international multi-centre case-control study

    DEFF Research Database (Denmark)

    Tinnerberg, H; Heikkilä, P; Huici-Montagud, A

    2003-01-01

    The paper presents the exposure assessment method and quality control procedure used in an international, multi-centre case-control study within a joint Nordic and Italian cohort. This study was conducted to evaluate whether occupational exposure to carcinogens influenced the predictivity of high...... was higher among the original assessors (the assessor from the same country as the subject) than the average prevalence assessed by the other four in the quality control round. The original assessors classified more job situations as exposed than the others. Several reasons for this are plausible: real...... country-specific differences, differences in information available to the home assessor and the others and misunderstandings or difficulties in translation of information. To ensure the consistency of exposure assessments in international retrospective case-control studies it is important to have a well...

  15. Emergency management in the countries without nuclear power plants: the Italian case study

    International Nuclear Information System (INIS)

    Franzero, S.; Giaimo, G.; Pizzi, R.

    2003-01-01

    warning network (called REMRAD) and a national complementary network (GAMMA), both operated by the National Environmental Protection Agency (NEPA) and supported by the national firemen network. The latter, built up during the 'cold war' era, was completely checked and reorganised in the 90s to suite for a more detailed radiometric survey. In case of emergency, an intensification of the laboratory measures conducted by the regional environmental protection agencies is provided too. All the data coming from the radiometric networks, together with the weather forecasts and other information provided by specific data bases, are collected in a computer system called ARIES, that processes forecasts and patterns of a possible radioactive plume an the whole Europe. Italy, as a member state of the European Union, signed the protocol for the radiological data exchange EURDEP and is connected to the urgent radiological information exchange ECURIE. In addition, according to the International Atomic Energy Agency (IAEA) Conventions on early notification and assistance, Italy designated its own competent authorities for the radiological emergencies or nuclear accidents that can happen inside (DCP and NEPA) and in foreign countries (DCP). Italy also designated its own national warning point (NEPA). Participating regularly in international exercises organized by the European Union, the IAEA and the Nuclear Energy Agency, and arranging specific national exercises, allows Italy to frequently review the entire emergency management support system and to refine the countermeasures contained in the national plan. figs. 2 (author)

  16. Congenital Anomalies Associated with Trisomy 18 or Trisomy 13 : A Registry-Based Study in 16 European Countries, 2000-2011

    NARCIS (Netherlands)

    Springett, Anna; Wellesley, Diana; Greenlees, Ruth; Loane, Maria; Addor, Marie-Claude; Arriola, Larraitz; Bergman, Jorieke; Cavero-Carbonell, Clara; Csaky-Szunyogh, Melinda; Draper, Elizabeth S.; Garne, Ester; Gatt, Miriam; Haeusler, Martin; Khoshnood, Babak; Klungsoyr, Kari; Lynch, Catherine; Dias, Carlos Matias; McDonnell, Robert; Nelen, Vera; O'Mahony, Mary; Pierini, Anna; Queisser-Luft, Annette; Rankin, Judith; Rissmann, Anke; Rounding, Catherine; Stoianova, Sylvia; Tuckerz, David; Zymak-Zakutnia, Natalya; Morris, Joan K.

    2015-01-01

    The aim of this study was to examine the prevalence of trisomies 18 and 13 in Europe and the prevalence of associated anomalies. Twenty-five population-based registries in 16 European countries provided data from 2000-2011. Cases included live births, fetal deaths (20+ weeks' gestation), and

  17. Crisis management to avoid damage for corporate reputation: the case of retail chain crisis in the Baltic countries

    OpenAIRE

    Šontaitė-Petkevičienė, Miglė

    2014-01-01

    This paper analyses crisis management in relation to its effect on corporate reputation. It provides theoretical analysis of crises management actions that contribute to avoid damage for corporate reputation. Empirical research of the paper provides case analysis of retail chain “Maxima” crisis management in the Baltic countries. Even though retail chain “Maxima” has made several mistakes during crisis, in general crisis was managed properly so this case provides valuable insights how prevent...

  18. Do informal caregivers for elderly in the community use support measures? A qualitative study in five European countries.

    Science.gov (United States)

    Willemse, Evi; Anthierens, Sibyl; Farfan-Portet, Maria Isabel; Schmitz, Olivier; Macq, Jean; Bastiaens, Hilde; Dilles, Tinne; Remmen, Roy

    2016-07-16

    Informal caregivers are essential figures for maintaining frail elderly at home. Providing informal care can affect the informal caregivers' physical and psychological health and labour market participation capabilities. They need support to prevent caregiver burden. A variety of existing support measures can help the caregiver care for the elderly at home, but with some limitations. The objective of this review was to explore the experiences of informal caregivers caring for elderly in the community with the use of supportive policy measures in Belgium and compare these to the experiences in other European countries. An empirical qualitative case study research was conducted in five European countries (Belgium, The Netherlands, Luxembourg, France and Germany). Semi-structured interviews were conducted with informal caregivers and their dependent elderly. Interview data from the different cases were analysed. In particular data from Belgium was compared to data from the cases abroad. Formal services (e.g. home care) were reported to have the largest impact on allowing the caregiver to care for the dependent elderly at home. One of the key issues in Belgium is the lack of timely access to reliable information about formal and informal services in order to proactively support the informal caregiver. Compared to the other countries, informal caregivers in Belgium expressed more difficulties in accessing support measures and navigating through the health system. In the other countries information seemed to be given more timely when home care was provided via care packages. To support the informal caregiver, who is the key person to support the frail elderly, fragmentation of information regarding supportive policy measures is an important issue of concern.

  19. OPPORTUNITIES TO INCREASE THE VALUE OF SLOVENIA’S TRADE IN GOODS WITH THE PACIFIC RIM COUNTRIES – THE CASE OF AUSTRALIA

    Directory of Open Access Journals (Sweden)

    DEJAN ROMIH

    2014-10-01

    Full Text Available Slovenia is, like many other countries, especially small ones, dependent on exports and imports of goods and services. European countries are Slovenia’s main trade partners, together accounting for almost 90 per cent of the value of Slovenia’s trade in goods. There are various reasons for this, such as the relatively short distance between Slovenia and other European countries. If Slovenia wants to increase the value of its trade with non-European countries, it should adopt a number of measures, such as increasing the effectiveness and efficiency of its trade promotion. In this paper the authors discuss opportunities to increase the value of Slovenia’s trade in goods with the Pacific Rim countries by focusing on the specific case of Australia.

  20. Vitamin D status in mothers with pre-eclampsia and their infants: a case-control study from Serbia, a country without a vitamin D fortification policy.

    Science.gov (United States)

    Djekic-Ivankovic, Marija; Weiler, Hope; Jones, Glenville; Kaufmann, Martin; Kaludjerovic, Jovana; Aleksic-Velickovic, Vesna; Mandić, Ljuba M; Glibetic, Maria

    2017-07-01

    The objective of the present study was to determine if vitamin D intake and status are associated with pre-eclampsia in a country without a vitamin D fortification policy. A case-control study of pregnancies with (case) and without (control) pre-eclampsia was conducted from January to April when UVB is minimal. Maternal and cord blood obtained at delivery were measured for plasma 25-hydroxycholecalciferol (25-OH-D3), 3-epimer of 25-OH-D3 (3-epi-25-OH-D3) and 24,25-dihydroxycholecalciferol (24,25-(OH)2D3) by LC-MS/MS and maternal 1,25-dihydroxyvitamin D (1,25-(OH)2D). Differences between groups were tested with ANOVA and Bonferroni post hoc tests (Pcase: 11·2 (sd 5·1); control: 16·1 (sd 5·7) ng/ml; P=0·0006), 25-OH-D3 (case: 10·0 (sd 4·9); control: 14·2 (sd 5·8) ng/ml; P=0·002), 3-epi-25-OH-D3 (case: 0·5 (sd 0·2); control: 0·7 (sd 0·2) ng/ml; P=0·0007) and 1,25-(OH)2D (case: 56·5 (sd 26·6); control: 81·0 (sd 25·7) pg/ml; P=0·018), while 24,25-(OH)2D3 was not different between groups. Infants did not differ in total plasma 25-OH-D, 25-OH-D3, 3-epi-25-OH-D3 and 24,25-(OH)2D3, but the mean proportion of 3-epi-25-OH-D3 was higher in the infant case group (case: 7·9 (sd 1·1); control: 7·0 (sd 1·4) % of total 25-OH-D3; P=0·005). A high prevalence of vitamin D deficiency, as defined by plasma 25-OH-D<12 ng/ml, was observed in 47 % of all mothers and 77 % of all infants. These data underscore the need for prenatal vitamin D supplementation and a food fortification policy in Serbia.

  1. The paradoxes of gender mainstreaming in developing countries: The case of health care in Papua New Guinea.

    Science.gov (United States)

    Lamprell, Gina; Greenfield, David; Braithwaite, Jeffrey

    2015-01-01

    Gender mainstreaming developed as the global strategy for gender equality nearly two decades ago. Since then it has faced criticism for its technocratic application, and its role in the de-politicisation and neutralisation of the women's movement in gender policy-making. In the health sector, this incongruity is exacerbated by a traditional bio-medical approach to women's issues. In this paper, we ask whether gender mainstreaming can be made to work in the health sectors of developing countries where these challenges, as well as women's poor health status, are further complicated by a raft of local traditional, cultural, political and socioeconomic barriers. To answer these questions, we present a case study of Papua New Guinea (PNG), one of the world's most disadvantaged and politically challenging countries. We review data on women's health in PNG and analyse PNG's aspirational and actual performance on gender mainstreaming, looking at: international commitments; political will and capacity; national policies and programmes; and the women's movement along with civil society's participation. We find numerous paradoxes between the aims of gender mainstreaming and the necessary conditions for its success.

  2. Inequality, Economic Growth and Trade Openness: a Study Case for Central and Eastern Countries (ECE

    Directory of Open Access Journals (Sweden)

    Olimpia Neagu

    2016-08-01

    Full Text Available The paper analyzes the phenomenon of income inequality in ten countries from Eastern and Central Europe (ECE, by highlighting two aspects: (1 the link between growth and income inequality; (2 the effects of trade openess and other key factors on income inequality, such as: foreign direct investment (FDI, market capitalization and educational level of labour force. The method used was the Panel Data Analysis with statistical data from the period of 2000-2014. An increasing effect in income inequality was identified due to the trade openess, the inward stock of ISD and the market capitalization and an equalizing effect in the income distribution generated by the educational level of labour force. A positive association was also found between the growth of PIB per capita level and the increase of income inequality in the examined countries.

  3. CASE STUDY: POLICIES, STRATEGIES AND RESPONSES TO PLAGIARISM IN SLOVAKIA

    Directory of Open Access Journals (Sweden)

    FOLTYNEK, Tomas

    2014-03-01

    Full Text Available The European project “Impact of Policies for Plagiarism in Higher Education Across Europe“ has identified best practices and gaps related to plagiarism in different European countries. Slovakia is one of interesting ones, where national repository for plagiarism detection was established. However, there are still gaps in terms of policies and overall understanding of plagiarism. This case study describes what happened in Slovakia in last few years, compares the situation with other European countries and discusses the results. Additionally, the number of occurrences of the terms “plagiarism” and “academic integrity” in media and on the Internet is examined in relation to recent changes.

  4. An investigation on economic growth and tax: A case study of D8 countries from 1990 to 2009

    Directory of Open Access Journals (Sweden)

    Nahid Abedini Najafabadi

    2012-10-01

    Full Text Available Experiences of different countries with efficient tax systems have shown that the high share of tax resources than non-tax sources could prevent many unpleasant economical events. In other words, an efficient tax system could ensure economic system against many different risks. Tax is also a primary source for developing economy used by government. In this study, we investigate the relationship between economic growth and tax among D8 countries using panel data from 1990 to 2009. The results indicate growth domestic product is the most important factor and these governments could collect more tax as the economic figures improve. The results of our survey show that an increase of one percent on GDP will increase taxable income for about 0.0014119 percent. The tourism has more impact since an increase of one unit in tourism's income; taxable income will increase for about 10.26257 units. One the contrary to other variables, unemployment has a negative impact on taxable income.

  5. Risk factors for ischaemic and intracerebral haemorrhagic stroke in 22 countries (the INTERSTROKE study): a case-control study

    DEFF Research Database (Denmark)

    O'Donnell, M.J.; Serpault, Damien Xavier; Xiufeng, Liu

    2010-01-01

    Background The contribution of various risk factors to the burden of stroke worldwide is unknown, particularly in countries of low and middle income. We aimed to establish the association of known and emerging risk factors with stroke and its primary subtypes, assess the contribution of these ris...

  6. Sustainable Waste Water Treatment in Developing Countries: A Case Study of IIT Kharagpur Campus

    Science.gov (United States)

    Das, Sutapa; Bokshi, Sanjit

    2017-06-01

    Treatment of wastewater and its reuse in irrigation and agriculture can mitigate the inevitable scarcity of safe drinking water in coming decades. For developing countries like India and especially in its under-privileged regions, it is high time to focus on sustainable wastewater treatment which will be economical and easy to construct, operate and maintain by unskilled users without much dependency on electricity. Addressing this issue, various sustainable methods of wastewater treatment was critically analyzed and the Waste Stabilization Pond system was selected. A facility was designed for 20,000 residents of Indian Institute of Technology Kharagpur campus based on its geo-climatic and wastewater characteristics. Detailed calculations were carried out to demonstrate the effluent quality with reduced BOD and E-coli is suitable for unrestricted irrigation. This project with minor customisation can act as a prototype for adjacent vast rural areas where land is available but water, electricity and skilled technicians are not. If implemented, this project will bear social benefits beyond campus such as water supply to drought prone areas, better harvest and rural employment. Moreover, it underpins government' several initiatives to develop rural infrastructure and inclusive growth of the country.

  7. Systematic Mapping Study of Information Technology for Development in Agriculture (The Case of Developing Countries)

    DEFF Research Database (Denmark)

    Zewge, Amanuel; Dittrich, Yvonne

    2017-01-01

    With its rapid proliferation in the developing world, information and communication technology (ICT) has been accepted as an opportunity to assist disadvantaged people. Many projects have piloted ICT supporting rural communities in developing countries. Such rural communities are socially complex...

  8. Critical Studies on Men in Ten European Countries

    DEFF Research Database (Denmark)

    Pringle, Keith; Hearn, Jeff (and 13 other network partners)

    2002-01-01

    This article is one the work of The European Research Network on Men in Europe project “The Social Problem and Societal Problematization of Men and Masculinities” (2000-2003), funded by the European Commission. The Network comprises women and men researchers with range of disciplinary backgrounds...... of statistical sources on men's practices in the ten countries, are presented. This is the second of four articles reviewing critical studies on men in the ten countries through different methods and approaches....

  9. Case study of nuclear power planning

    International Nuclear Information System (INIS)

    Covarrubias, A.J.; Lane, J.A.

    1976-01-01

    An improved version of the computer programme WASP (Wien Automatic System Planning) is described by the example of a case study. The aim of an optimal power plant development within the economic development is reached over several steps the most important parameters of which are explained in detail. To use the method it is necessary to know and to describe the energy and electricity supply situation of the country referred to. The programme development described has proved to be good in use in an international frame. The IAEA offers its help to all prospected customers in their initial period with the programme WASP. (UA) [de

  10. Comparative Study of Physics Curriculum in Iran with Several Other Countries

    Science.gov (United States)

    Shekarbaghani, Ashrafoalsadat

    2016-01-01

    This article is a qualitative study, which was done in 2013-2014. In this study using a comparative study was conducted to compare physics curriculum elements of Iran with the countries studied. Countries studied: Singapore, Turkey, India, England and Australia have diverse educational system. In this study, the structure of the educational…

  11. Nuclear energy for developing countries

    International Nuclear Information System (INIS)

    Kemery, L.S.

    1980-01-01

    This paper examines the circumstances which must prevail before a reasonable technical, administrative and sociological case can be made to justify the introduction of nuclear power technology to a developing country. The role played by the IAEA in responding to needs of developing countries is considered and problems of nuclear plant safety and materials safeguards discussed. Plans for nuclear power in several developing countries are outlined

  12. Avoidable cancers in the Nordic countries-The impact of alcohol consumption.

    Science.gov (United States)

    Andersson, Therese M-L; Engholm, Gerda; Pukkala, Eero; Stenbeck, Magnus; Tryggvadottir, Laufey; Storm, Hans; Weiderpass, Elisabete

    2018-05-05

    Alcohol consumption is an important and preventable cause of cancer. The aim of this study was to quantify the proportion of the cancer burden in the Nordic countries linked to alcohol and estimate the potential for cancer prevention by changes in alcohol consumption. Using the Prevent macro-simulation model, the number of cancer cases in the Nordic countries over a 30-year period (2016-2045) was modelled for six sites, under different scenarios of changing alcohol consumption, and compared to the projected number of cases if constant alcohol consumption prevailed. The studied sites were colorectal, post-menopausal breast, oral cavity and pharynx, liver, larynx as well as oesophageal squamous cell carcinoma. The alcohol consumption was based on the categories of non-drinkers/occasional drinkers, light drinkers (12.5 and ≤ 50 g/day) and heavy drinkers (>50 g/day). About 83,000 cancer cases could be avoided in the Nordic countries in a 30-year period if alcohol consumption was entirely eliminated, which is 5.5% of the expected number of cases for the six alcohol-related cancer types. With a 50% reduction in the proportion with moderate alcohol consumption by year 2025, 21,500 cancer cases could be avoided. The number of avoidable cases was highest for post-menopausal breast and colorectal cancer, but the percentage was highest for oesophageal squamous cell carcinoma. The results from this study can be used to understand the potential impact and significance of primary prevention programmes targeted towards reducing the alcohol consumption in the Nordic countries. Copyright © 2018 Elsevier Ltd. All rights reserved.

  13. Tradeable CO2 emission permits. A quantitative analysis of a TEP system between Annex I countries

    International Nuclear Information System (INIS)

    Koutstaal, P.R.; Kram, T.; Van Rooijen, S.N.M.

    1997-11-01

    Tradeable emission permits can be a cost-effective way to achieve emission reductions between countries or firms. In this study, the role of trading CO 2 emission permits between the Annex I countries of the FCCC is analysed. It is assumed that only countries are allowed to trade and that there is a perfect market without transaction costs and strategic behaviour. For several cases, the consequences for abatement costs, before and after trade, the volume of permits traded and emissions per capita are studied. Moreover, the gains from trade are determined. This study was undertaken before the Kyoto conference, therefore as a starting point for the different cases it was assumed that all countries should reduce their emissions with 10%. The cases studied are: a flat rate of 10% for each country; the differentiated EU distribution combined with a 10% reduction for the other OECD countries; and the so-called Triptych approach applied to all OECD countries. Two trading systems are considered, one covering only the OECD countries and one which also covers Middle and Eastern European countries (in a simplified way). Furthermore, two extreme cases are studied for the OECD trading scheme: equal costs (after trade) per unit of GNP and equal emission per capita (before trade). Tradeable emission permits will considerably reduce total costs compared with no trade by about 50%. The EU will considerably reduce total costs compared with no trade by about 50%. The EU will be a net exporter of permits in an OECD trading scheme (without Middle and Eastern Europe), mainly because the low costs possibilities for reduction of CO 2 emissions in Germany and the United Kingdom. 13 refs

  14. Can the right to health inform public health planning in developing countries? A case study for maternal healthcare from Indonesia.

    Science.gov (United States)

    D'Ambruoso, Lucia; Byass, Peter; Nurul Qomariyah, Siti

    2008-09-09

    Maternal mortality remains unacceptably high in developing countries despite international advocacy, development targets, and simple, affordable and effective interventions. In recent years, regard for maternal mortality as a human rights issue as well as one that pertains to health, has emerged. We study a case of maternal death using a theoretical framework derived from the right to health to examine access to and quality of maternal healthcare. Our objective was to explore the potential of rights-based frameworks to inform public health planning from a human rights perspective. Information was elicited as part of a verbal autopsy survey investigating maternal deaths in rural settings in Indonesia. The deceased's relatives were interviewed to collect information on medical signs, symptoms and the social, cultural and health systems circumstances surrounding the death. In this case, a prolonged, severe fever and a complicated series of referrals culminated in the death of a 19-year-old primagravida at 7 months gestation. The cause of death was acute infection. The woman encountered a range of barriers to access; behavioural, socio-cultural, geographic and economic. Several serious health system failures were also apparent. The theoretical framework derived from the right to health identified that none of the essential elements of the right were upheld. The rights-based approach could identify how and where to improve services. However, there are fundamental and inherent conflicts between the public health tradition (collective and preventative) and the right to health (individualistic and curative). As a result, and in practice, the right to health is likely to be ineffective for public health planning from a human rights perspective. Collective rights such as the right to development may provide a more suitable means to achieve equity and social justice in health planning.

  15. Economic and social impact of diabetes mellitus in a low-income country: A case-control study in Sudan.

    Science.gov (United States)

    Elrayah-Eliadarous, Hind A; Östenson, Claes-Göran; Eltom, Mohamed; Johansson, Pia; Sparring, Vibeke; Wahlström, Rolf

    2017-12-01

    Diabetes mellitus accounts for 11% of total health expenditure worldwide, and most people with diabetes live in low- and middle-income countries. The present study examined the economic and social effects attributed to diabetes in Sudan by calculating out-of-pocket medical expenses and the health and social effects of the disease for people with diabetes (n = 375) and their families compared with a non-diabetic control group (n = 375), matched for age, sex, and residence area. Data were obtained in 2013 in four states within the Sudan, via structured interviews, using instruments from the International Diabetes Federation. Descriptive statistics were used to analyze differences between case and control participants. The median total annual medical expenditure was fourfold higher for people with than without diabetes (US$579 vs US$148, respectively). Annual mean expenditure was 85% higher for those with diabetes (US$1004 vs US$544). People with diabetes were also significantly more likely to suffer from serious comorbidities, such as cardiovascular disorders and foot ulcers, compared with control participants. Moreover, those with diabetes reported a higher proportion of personal adverse social effects, such as being prevented from doing paid work or participating in education, both for themselves and their families. The high economic burden and adverse social effects on people with diabetes and their families in Sudan call for the development of evidence-based policy and program strategies for the prevention and management of diabetes, with an emphasis on low-resource communities. © 2017 Ruijin Hospital, Shanghai Jiaotong University School of Medicine and John Wiley & Sons Australia, Ltd.

  16. Corporate Governance Practices in Developing Countries: The Case for Kenya

    OpenAIRE

    Benjamin Mwanzia Mulili; Dr. Peter Wong

    2011-01-01

    This paper examines the concept of corporate governance from a historical perspective. The paper explores how the agency theory and stewardship theory affect corporate governance practices. The focus of the paper is on public universities in Kenya. An extensive review of literature indicates that the ideals of good corporate governance have been adopted by developing countries since the 1980s. Developing countries differ from developed countries in a wide variety of ways. Therefore, there is ...

  17. Stagnant neonatal mortality and persistent health inequality in middle-income countries: a case study of the Philippines.

    Directory of Open Access Journals (Sweden)

    Aleli D Kraft

    Full Text Available BACKGROUND: The probability of survival through childhood continues to be unequal in middle-income countries. This study uses data from the Philippines to assess trends in the prevalence and distribution of child mortality and to evaluate the country's socioeconomic-related child health inequality. METHODOLOGY: Using data from four Demographic and Health Surveys we estimated levels and trends of neonatal, infant, and under-five mortality from 1990 to 2007. Mortality estimates at national and subnational levels were produced using both direct and indirect methods. Concentration indices were computed to measure child health inequality by wealth status. Multivariate regression analyses were used to assess the contribution of interventions and socioeconomic factors to wealth-related inequality. FINDINGS: Despite substantial reductions in national under-five and infant mortality rates in the early 1990s, the rates of declines have slowed in recent years and neonatal mortality rates remain stubbornly high. Substantial variations across urban-rural, regional, and wealth equity-markers are evident, and suggest that the gaps between the best and worst performing sub-populations will either be maintained or widen in the future. Of the variables tested, recent wealth-related inequalities are found to be strongly associated with social factors (e.g. maternal education, regional location, and access to health services, such as facility-based delivery. CONCLUSION: The Philippines has achieved substantial progress towards Millennium Development Goal 4, but this success masks substantial inequalities and stagnating neonatal mortality trends. This analysis supports a focus on health interventions of high quality--that is, not just facility-based delivery, but delivery by trained staff at well-functioning facilities and supported by a strong referral system--to re-start the long term decline in neonatal mortality and to reduce persistent within-country

  18. Stagnant neonatal mortality and persistent health inequality in middle-income countries: a case study of the Philippines.

    Science.gov (United States)

    Kraft, Aleli D; Nguyen, Kim-Huong; Jimenez-Soto, Eliana; Hodge, Andrew

    2013-01-01

    The probability of survival through childhood continues to be unequal in middle-income countries. This study uses data from the Philippines to assess trends in the prevalence and distribution of child mortality and to evaluate the country's socioeconomic-related child health inequality. Using data from four Demographic and Health Surveys we estimated levels and trends of neonatal, infant, and under-five mortality from 1990 to 2007. Mortality estimates at national and subnational levels were produced using both direct and indirect methods. Concentration indices were computed to measure child health inequality by wealth status. Multivariate regression analyses were used to assess the contribution of interventions and socioeconomic factors to wealth-related inequality. Despite substantial reductions in national under-five and infant mortality rates in the early 1990s, the rates of declines have slowed in recent years and neonatal mortality rates remain stubbornly high. Substantial variations across urban-rural, regional, and wealth equity-markers are evident, and suggest that the gaps between the best and worst performing sub-populations will either be maintained or widen in the future. Of the variables tested, recent wealth-related inequalities are found to be strongly associated with social factors (e.g. maternal education), regional location, and access to health services, such as facility-based delivery. The Philippines has achieved substantial progress towards Millennium Development Goal 4, but this success masks substantial inequalities and stagnating neonatal mortality trends. This analysis supports a focus on health interventions of high quality--that is, not just facility-based delivery, but delivery by trained staff at well-functioning facilities and supported by a strong referral system--to re-start the long term decline in neonatal mortality and to reduce persistent within-country inequalities in child health.

  19. Conceptual design and quantification of phosphorus flows and balances at the country scale: The case of France

    Science.gov (United States)

    Senthilkumar, Kalimuthu; Nesme, Thomas; Mollier, Alain; Pellerin, Sylvain

    2012-06-01

    Global biogeochemical cycles have been deeply modified by human activities in recent decades. But detailed studies analyzing the influence of current economic and social organizations on global biogeochemical cycles within a system perspective are still required. Country level offers a relevant scale for assessing nutrient management and identifying key driving forces and possible leaks in the nutrient cycle. Conceptual modeling helps to quantify nutrient flows within the country and we developed such an approach for France. France is a typical Western European country with intensive agriculture, trade and an affluent diet, all of which may increase internal and external P flows. Phosphorus (P) was taken as a case study because phosphate rock is a non-renewable resource which future availability is becoming increasingly bleak. A conceptual model of major P flows at the country scale was designed. France was divided into agriculture, industry, domestic, import and export sectors, and each of these sectors was further divided into compartments. A total of 25 internal and eight external P flows were identified and quantified on a yearly basis for a period of 16 years (from 1990 to 2006) in order to understand long-term P flows. All the P flows were quantified using the substance flow analysis principle. The results showed that the industrial sector remained the largest contributor to P flows in France, followed by the agriculture and domestic sectors. Soil P balance was positive. However, a positive P balance of 18 kg P ha-1 in 1990 was reduced to 4 kg P ha-1 in 2006, mainly due to the reduced application of inorganic P fertilizer. The overall country scale P balance was positive, whereas half of this additional P was lost to the environment mainly through the landfilling of municipal and industrial waste, disposal of treated wastewater from which P was partially removed, and P losses from agricultural soils though erosion and leaching. Consequences for global P

  20. Impact of global health governance on country health systems: the case of HIV initiatives in Nigeria.

    Science.gov (United States)

    Chima, Charles Chikodili; Homedes, Nuria

    2015-06-01

    Three global health initiatives (GHIs) - the US President's Emergency Plan for AIDS Relief, the Global Fund to Fight AIDS, Tuberculosis and Malaria, and the World Bank Multi-Country HIV/AIDS Program - finance most HIV services in Nigeria. Critics assert that GHIs burden fragile health systems in resource-poor countries and that health system limitations in these countries constrain the achievement of the objectives of GHIs. This study analyzed interactions between HIV GHIs and the Nigerian Health System and explored how the impact of the GHIs could be optimized. A country case study was conducted using qualitative methods, including: semi-structured interviews, direct observation, and archival review. Semi-structured interviews were held with key informants selected to reach a broad range of stakeholders including policymakers, program managers, service providers, representatives of donor agencies and their implementing partners; the WHO country office in Nigeria; independent consultants; and civil society organizations involved in HIV work. The fieldwork was conducted between June and August 2013. HIV GHIs have had a mixed impact on the health system. They have enhanced availability of and access to HIV services, improved quality of services, and strengthened health information systems and the role of non-state actors in health care. On the negative end, HIV donor funding has increased dependency on foreign aid, widened disparities in access to HIV services, done little to address the sustainability of the services, crowded out non-HIV health services, and led to the development of a parallel supply management system. They have also not invested significantly in the production of new health workers and have not addressed maldistribution problems, but have rather contributed to internal brain drain by luring health workers from the public sector to non-governmental organizations and have increased workload for existing health workers. There is poor policy direction

  1. Needs for Professional Education to Optimize Cervical Cancer Screenings in Low-Income Countries: a Case Study from Tanzania.

    Science.gov (United States)

    Lavelle, Anne E; Su, Dejun; Kahesa, Crispin; Soliman, Amr S

    2017-09-11

    Cervical cancer is a significant health problem in many developing countries. Due to limited treatment facilities for cancer in Tanzania, a screening referral program was developed between two urban clinics and Ocean Road Cancer Institute (ORCI), the only cancer treatment center in Tanzania. This study aimed to evaluate the effectiveness of the program and to identify opportunities for professional education. The study included 139 patients who were referred to ORCI from the screening clinics of Magomeni and Temeke between January 2015 and May 2016. Abstracted data from the medical records included patient age, screening results, and treatment. Eight nurses performing screening at the three locations were interviewed about their screening experience. Over half of the referrals (51.9%) were false positives. False positive diagnosis was more common among younger patients (35.68 ± 8.6 years) (p education of nurses and improvement in the health systems. Continuous education of nurses may increase the effectiveness of cervical screening. Health system enhancement of screening facilities such as provision of Lugol's iodine, more space for screening, and consistency and completion of screening records are needed to increase the accuracy of cervical screening and referrals in Tanzania and other similar low-income countries.

  2. Humanitarian logistics: Review and case study of Zimbabwean experiences

    Directory of Open Access Journals (Sweden)

    Charles Mbohwa

    2010-11-01

    Full Text Available This paper reviews and presents findings on mini-case studies done on the difficulties and problems faced by humanitarian organisations in running logistics systems in Zimbabwe. Document analysis was done and this was complemented by mini-case studies and semi-structured interviews and site visits. Mini-case studies of the operations of the World Food Programme, the International Red Cross Society and the Zimbabwe Red Cross Society, the World Health Organisation, the United Nations Children's Fund and the Zimbabwean Civil Protection Organisation in Zimbabwe are discussed. These clarify the difficulties and problems faced such as the lack of trained logistics personnel, lack of access to specialised humanitarian logistics courses and research information, the difficulty in using and adapting existing logistics systems in attending to humanitarian logistics and the lack of collaborative efforts that address the area specifically. This study seeks to use primary and secondary information to inform decision-making in humanitarian logistics with possible lessons for neighbouring countries, other regions in Africa and beyond. Activities on collaborative networks that are beneficial to humanitarian logistics are also suggested.

  3. Enabling frameworks for low-carbon technology transfer to small emerging economies: Analysis of ten case studies in Chile

    International Nuclear Information System (INIS)

    Pueyo, Ana

    2013-01-01

    Technology transfer is crucial to reduce the carbon intensity of developing countries. Enabling frameworks need to be in place to allow foreign technologies to flow, to be absorbed and to bring about technological change in the recipient country. This paper contributes to identifying these enabling factors by analysing 10 case studies of low-carbon technology transfer processes based in Chile. Our findings show the importance of strong economic and institutional fundamentals, a sound knowledge base, a sizable and stable demand and a functioning local industry. Policy recommendations are derived to improve the penetration of foreign low-carbon technologies in developing countries, focusing on the particularities of small and medium emerging economies. - Highlights: ► We analyse 10 case studies of low carbon technology transfer to Chile. ► We identify enablers of technology transfer to developing countries. ► We provide policy recommendations focusing on small and medium economies.

  4. Towards the Importance for Sustainable Development: Case Study: Albania

    Directory of Open Access Journals (Sweden)

    Klodiana Gorica

    2015-05-01

    Full Text Available Information has become an important element without which society cannot achieve its objectives. The term “information society” is increasingly used nowadays, because of the importance and necessity of information in today's dynamic environment. Western countries are convinced that the information society will result in economic and social benefits (Audenhove 2000. Organization for Economic Cooperation and Development (OECD, notes that information infrastructures are expected to stimulate economic growth, increase productivity, create jobs, and improve on the quality of life (Gichoya 2005. It is for these reasons that many studies state that the role of ICTs as enablers of sustainable development is growing. The overall goal of this paper is to point out the importance of ICT market development for the sustainable development of all the economy and the final development of Information society, especially in developing countries, where Albania is the case study illustration. The first step of this research is to show the importance of studying ICTs in the light of building an information society. In fact, the efforts of a country to build an information society, in order to benefit in terms of sustainable development, are closely related to the efforts of building strong information infrastructures and a growing ICT sector. Many indicators related to Information society measurement deal in fact with the infrastructures needed and the products and services of ICT sector. But, failures to submit ICT in contexts which are contrary to techno-economic rationality are reflected in many cases in developing countries. Thus, a defining characteristic of this research is to understand the contexts that confront ICT and information systems development in developing countries in terms of their conditions. In fact the development of ICT sector, depend not only on the political, economic and social conditions of each country, but also on the phase of e

  5. Teaching Recent History in Countries that Have Experienced Human Rights Violations: Case Studies from Chile

    Science.gov (United States)

    Toledo, Maria Isabel; Magendzo, Abraham; Gazmuri, Renato

    2011-01-01

    Incorporating recent history into the educational curricula of countries that have experienced human rights violations combines the complexities of teaching history, teaching recent history, and human rights education. Recent history makes a historical analysis of social reality and a historiographical analysis of the immediate. It is located…

  6. Social sustainability in developing country suppliers : an exploratory study in the readymade garments industry of Bangladesh

    OpenAIRE

    Huq, Fahian; Stevenson, Mark; Zorzini, Marta

    2014-01-01

    Purpose: The purpose of this paper is to investigate why developing country suppliers are adopting socially sustainable practices and how the implementation process is both impeded and enabled. Design/methodology/approach: A multi-case study approach is adopted based on four ready made garment (RMG) industry suppliers in Bangladesh and the Bangladeshi buying houses of two large UK retailers. The primary mode of data collection is exploratory face-to-face interviews with 14 senior representati...

  7. Global and regional effects of potentially modifiable risk factors associated with acute stroke in 32 countries (INTERSTROKE): a case-control study.

    Science.gov (United States)

    O'Donnell, Martin J; Chin, Siu Lim; Rangarajan, Sumathy; Xavier, Denis; Liu, Lisheng; Zhang, Hongye; Rao-Melacini, Purnima; Zhang, Xiaohe; Pais, Prem; Agapay, Steven; Lopez-Jaramillo, Patricio; Damasceno, Albertino; Langhorne, Peter; McQueen, Matthew J; Rosengren, Annika; Dehghan, Mahshid; Hankey, Graeme J; Dans, Antonio L; Elsayed, Ahmed; Avezum, Alvaro; Mondo, Charles; Diener, Hans-Christoph; Ryglewicz, Danuta; Czlonkowska, Anna; Pogosova, Nana; Weimar, Christian; Iqbal, Romaina; Diaz, Rafael; Yusoff, Khalid; Yusufali, Afzalhussein; Oguz, Aytekin; Wang, Xingyu; Penaherrera, Ernesto; Lanas, Fernando; Ogah, Okechukwu S; Ogunniyi, Adesola; Iversen, Helle K; Malaga, German; Rumboldt, Zvonko; Oveisgharan, Shahram; Al Hussain, Fawaz; Magazi, Daliwonga; Nilanont, Yongchai; Ferguson, John; Pare, Guillaume; Yusuf, Salim

    2016-08-20

    Stroke is a leading cause of death and disability, especially in low-income and middle-income countries. We sought to quantify the importance of potentially modifiable risk factors for stroke in different regions of the world, and in key populations and primary pathological subtypes of stroke. We completed a standardised international case-control study in 32 countries in Asia, America, Europe, Australia, the Middle East, and Africa. Cases were patients with acute first stroke (within 5 days of symptom onset and 72 h of hospital admission). Controls were hospital-based or community-based individuals with no history of stroke, and were matched with cases, recruited in a 1:1 ratio, for age and sex. All participants completed a clinical assessment and were requested to provide blood and urine samples. Odds ratios (OR) and their population attributable risks (PARs) were calculated, with 99% confidence intervals. Between Jan 11, 2007, and Aug 8, 2015, 26 919 participants were recruited from 32 countries (13 447 cases [10 388 with ischaemic stroke and 3059 intracerebral haemorrhage] and 13 472 controls). Previous history of hypertension or blood pressure of 140/90 mm Hg or higher (OR 2·98, 99% CI 2·72-3·28; PAR 47·9%, 99% CI 45·1-50·6), regular physical activity (0·60, 0·52-0·70; 35·8%, 27·7-44·7), apolipoprotein (Apo)B/ApoA1 ratio (1·84, 1·65-2·06 for highest vs lowest tertile; 26·8%, 22·2-31·9 for top two tertiles vs lowest tertile), diet (0·60, 0·53-0·67 for highest vs lowest tertile of modified Alternative Healthy Eating Index [mAHEI]; 23·2%, 18·2-28·9 for lowest two tertiles vs highest tertile of mAHEI), waist-to-hip ratio (1·44, 1·27-1·64 for highest vs lowest tertile; 18·6%, 13·3-25·3 for top two tertiles vs lowest), psychosocial factors (2·20, 1·78-2·72; 17·4%, 13·1-22·6), current smoking (1·67, 1·49-1·87; 12·4%, 10·2-14·9), cardiac causes (3·17, 2·68-3·75; 9·1%, 8·0-10·2), alcohol consumption (2·09, 1·64

  8. Climate-related electricity demand-side management in oil-exporting countries--the case of the United Arab Emirates

    International Nuclear Information System (INIS)

    Al-Iriani, Mahmoud A.

    2005-01-01

    The oil crisis of the 1970s has increased the concern about the continuity of oil imports flow to major oil-importing developed countries. Numerous policy measures including electricity demand-side management (DSM) programs have been adopted in such countries. These measures aim at reducing the growing need for electricity power that increases the dependency on imported foreign oil and damages the environment. On the other hand, the perception that energy can be obtained at very low cost in oil-rich countries led to less attention being paid to the potential of DSM policies in these countries. This paper discusses such potential using the case of the United Arab Emirates (UAE). Since air conditioning is a major source of electric energy consumption, the relationship between climate conditions and electric energy consumption is considered. An electricity demand model is constructed using time series techniques. The fitted model seems to represent these relationships rather well. Forecasts for electricity consumption using the estimated model indicate that a small reduction in cooling degrees requirement might induce a significant reduction in electric energy demand. Hence, a DSM program is proposed with policy actions to include, among others, measures to reduce cooling degrees requirement

  9. A Comparative Study of Costumes for Religious Festivals in ASEAN Countries

    OpenAIRE

    Jaruphan Supprung

    2014-01-01

    Aims of this research were to study the major religious festivals of merit making and joyful celebrations (nationwide) in each country of ASEAN countries and to compare the costumes for these major religious festivals among these countries. This documentary research employed qualitative research methodology. The findings of the research disclosed that there are 28 main religious festivals in ASEAN countries: 3 Islamic festivals in Brunei Darussalam such as Hari Raya Aidiladha Festival, Maulud...

  10. A model approach for analysing trends in energy supply and demand at country level: case study of industrial development in China

    International Nuclear Information System (INIS)

    Miranda-da-Cruz, S.M.

    2007-01-01

    Ideally, national energy supply and demand choices would be based on comprehensive models and predictions of the energy sources, energy transformations, energy carriers and energy end-uses expected to play major roles into the foreseeable future (20-40 years). However, in many cases, the necessary detailed, high quality, consistent and timely data is not available for such comprehensive models to be constructed, in particular in large and complex developing economies expected to be major energy users in the near future. In the developing countries that are the focus of UNIDO's work, attention has been concentrated on making progress simultaneously on two fronts: (a) a dramatic decrease in energy intensity, particularly in activities linked to industrial production and (b) a major increase in the contribution of local renewable energy to limit growth in fossil fuel use. National policies need to be oriented towards a strict and strategic monitoring of the respective energy matrices with a simultaneous focus on both fronts. Robust assessments of industrial development trends throughout the whole 20-40 year transition phase are needed to achieve both objectives. Until more comprehensive energy-related models can be built up, to overcome the limited availability of data at country level it is proposed that a simple energy supply and demand model analysis consisting of three phases be used for identifying the consistency of future scenarios and corresponding policy requirements. This model analysis, which is a dynamic exercise, consists, first, of an analysis at aggregate level of the current and future national energy matrices; secondly, an analysis of perspectives for decreasing the energy intensity of the most inefficient systems or industrial sectors; and thirdly, an analysis of perspectives for increasing the supply and cost-effectiveness of sustainable energy sources. As an illustration of this model approach, the case of China is analysed with emphasis on the

  11. A study of phage- and ribotype patterns of Staphylococcus aureus isolated from bovine mastitis in the Nordic countries

    DEFF Research Database (Denmark)

    Aarestrup, Frank Møller; Wegener, Henrik Caspar; Jensen, N.E.

    1997-01-01

    This study was conducted to investigate the geographical distribution of phage and ribotypes of Staphylococcus aureus causing bovine mastitis in the 5 Nordic countries. A total of 403 isolates of S. aureus was isolated from 403 different dairy herds. One hundred five strains were isolated...... of the isolates of ribotype 1 belonged to phage type 29/52. This combined type accounted for 17% of all the 403 isolates. These findings show that a large number of different types of S. aureus can be isolated from cases of bovine mastitis. However, few types predominate within different countries....... These predominating types seem to be specific in each country, however, a single type was common for both Denmark, Sweden and Finland. This could suggest differences in the virulence or in modes of transmission of predominating and rare types of S. aureus associated with bovine mastitis....

  12. The roles and needs of community health workers in developing countries: an exploratory case study in South Africa

    CSIR Research Space (South Africa)

    Khalala, G

    2013-01-01

    Full Text Available counseling and testing. Community Health Workers play a significant role in primary health care provision to vulnerable communities[5][6]. Although the importance of Community Health Workers in the provision of primary health care to rural... slightly urbanized (Soweto). In terms of data collection, group interviews and questionnaires were used as data collection tools. 1) Selection of case studies Case study was chosen as an appropriate approach as this study sought to explore...

  13. Social work in diverse ethno-cultural contexts: a case study of Nigeria

    African Journals Online (AJOL)

    A case study of Nigeria was conducted to ascertain the impact of social work on the country's ethno-cultural diversity and its impartation of local knowledge to the profession via a triangulation technique, which involved searching for evidence of multicultural social work, culturally rooted social development, indigenous social ...

  14. Metrology in Pharmaceutical Industry - A Case Study

    International Nuclear Information System (INIS)

    Yuvamoto, Priscila D.; Fermam, Ricardo K. S.; Nascimento, Elizabeth S.

    2016-01-01

    Metrology is recognized by improving production process, increasing the productivity, giving more reliability to the measurements and consequently, it impacts in the economy of a country. Pharmaceutical area developed GMP (Good Manufacture Practice) requeriments, with no introduction of metrological concepts. However, due to Nanomedicines, it is expected this approach and the consequent positive results. The aim of this work is to verify the level of metrology implementation in a Brazilian pharmaceutical industry, using a case study. The purpose is a better mutual comprehension by both areas, acting together and governmental support to robustness of Brazilian pharmaceutical area. (paper)

  15. PROJECT-DRIVEN SOFTWARE BUSINESS IN TRANSILVANIA - A CASE STUDY

    Directory of Open Access Journals (Sweden)

    Radu Marius

    2015-07-01

    Full Text Available The fairly low salaries of the IT workers compared to the Western countries, the skills and the location have supported outsourcing become one of the most competitive Romanian sectors. IT sector in Romania maintains a steady growth favoured by outsourcing companies. Moreover Romania is highly competitive when you take into account the level of technical proficiency and soft skills in the country. Romanian labour force can drive relevant projects even in small teams. This case study explores the realty of Romanian IT companies profiles. It presents in comparison two companies bases on organizational and strategic dimensions: project approach orientation, leadership, project value driven, and social responsibility. The corporate goal of the first company presented in the case study - Fortech - is to achieve the best adaptive organizational structure which can sustain its competitive advantage. This advantage results from combination of three main ingredients: scaled up human resource capital, versatile knowledge management and adaptability to customer needs. Fortech manages and administrates and execute their business activities using project management methodologies and practices in order to achieve the strategic goals. On the other hand Dolphin Kiss Company is a “Python boutique agency” created around a single contract and organized on a single project. The project was contracted with a top company from telecommunication industry. The company is a small team of creative software engineers focused on developing a very innovative software business solution. This case study is an empirical qualitative research intended to depict the main differences between two relevant company profiles present in the actual economic context: small team – results oriented – highly skilled VS large structure of outsourcing teams – matrix organized – customer oriented. The case study constructs a space for debates regarding the potential evolution of the

  16. Guillain-Barré syndrome and adjuvanted pandemic influenza A (H1N1) 2009 vaccine: multinational case-control study in Europe

    OpenAIRE

    Dieleman, Jeanne; Romio, Silvana; Johansen, Kari; Weibel, Daniel; Bonhoeffer, Jan; Sturkenboom, Miriam

    2011-01-01

    textabstractObjective: To assess the association between pandemic influenza A (H1N1) 2009 vaccine and Guillain-Barré syndrome. Design: Case-control study. Setting: Five European countries. Participants: 104 patients with Guillain-Barré syndrome and its variant Miller-Fisher syndrome matched to one or more controls. Case status was classified according to the Brighton Collaboration definition. Controls were matched to cases on age, sex, index date, and country. Main outcome measures: Relative ...

  17. CASE STUDY CRITIQUE; UPPER CLINCH CASE STUDY

    Science.gov (United States)

    Case study critique: Upper Clinch case study (from Research on Methods for Integrating Ecological Economics and Ecological Risk Assessment: A Trade-off Weighted Index Approach to Integrating Economics and Ecological Risk Assessment). This critique answers the questions: 1) does ...

  18. The world economy of petroleum products and the strategy of a petroleum company from exporting country: Cases of SONATRACH (Algeria), KPC (Kuwait), PEMEX (Mexico), PDVSA (Venezuela). Second volume

    International Nuclear Information System (INIS)

    Preure, M.

    1992-12-01

    This thesis contains 2 volumes. In this second volume, the author describes the industrial and technological developments and the strategy of petroleum companies in exporting countries. The main industrial strategies studied are national integration strategy in a planned economy (case of Algeria) or in a controlled-liberal economy (case of Mexico) and international integration strategies to the lower part of petroleum industry and external growth (cases of Kuwait and Venezuela). Technological strategies studied are development of a national engineering, information, research programs/ development and innovation. The last chapter takes stock of research and development programs for petroleum products (case of Mexico) . 258 refs., 103 tabs

  19. Laparoscopy in management of appendicitis in high-, middle-, and low-income countries: a multicenter, prospective, cohort study.

    Science.gov (United States)

    2018-04-05

    Appendicitis is the most common abdominal surgical emergency worldwide. Differences between high- and low-income settings in the availability of laparoscopic appendectomy, alternative management choices, and outcomes are poorly described. The aim was to identify variation in surgical management and outcomes of appendicitis within low-, middle-, and high-Human Development Index (HDI) countries worldwide. This is a multicenter, international prospective cohort study. Consecutive sampling of patients undergoing emergency appendectomy over 6 months was conducted. Follow-up lasted 30 days. 4546 patients from 52 countries underwent appendectomy (2499 high-, 1540 middle-, and 507 low-HDI groups). Surgical site infection (SSI) rates were higher in low-HDI (OR 2.57, 95% CI 1.33-4.99, p = 0.005) but not middle-HDI countries (OR 1.38, 95% CI 0.76-2.52, p = 0.291), compared with high-HDI countries after adjustment. A laparoscopic approach was common in high-HDI countries (1693/2499, 67.7%), but infrequent in low-HDI (41/507, 8.1%) and middle-HDI (132/1540, 8.6%) groups. After accounting for case-mix, laparoscopy was still associated with fewer overall complications (OR 0.55, 95% CI 0.42-0.71, p introduction, laparoscopy could significantly improve outcomes for patients in low-resource environments. NCT02179112.

  20. The European I-MOVE Multicentre 2013-2014 Case-Control Study. Homogeneous moderate influenza vaccine effectiveness against A(H1N1)pdm09 and heterogenous results by country against A(H3N2).

    LENUS (Irish Health Repository)

    Valenciano, Marta

    2015-06-04

    In the first five I-MOVE (Influenza Monitoring Vaccine Effectiveness in Europe) influenza seasons vaccine effectiveness (VE) results were relatively homogenous among participating study sites. In 2013-2014, we undertook a multicentre case-control study based on sentinel practitioner surveillance networks in six European Union (EU) countries to measure 2013-2014 influenza VE against medically-attended influenza-like illness (ILI) laboratory-confirmed as influenza. Influenza A(H3N2) and A(H1N1)pdm09 viruses co-circulated during the season.

  1. Implementing EHR in a developing country: potential challenges and benefits

    OpenAIRE

    Tanko, Abdulai

    2009-01-01

    Developing countries are slow adopters of new technologies, particularly with regards to the health services of these countries. This study explores the data collection and management challenges in a Ghanaian hospital using an interpretative case study approach and proposes implementing an Electronic Health Record (EHR) system as a solution to these challenges. The Technology Acceptance Model (TAM), Actor Network Theory (ANT) and Computer Supported Cooperative Work (CSCW) are used in discussi...

  2. Case Studies for Management Development in Bangladesh. Fourth Book. Parepared for the World Bank/Bangladesh Management Education and Training Project.

    Science.gov (United States)

    McLean, Gary N.

    This document contains five case studies of management and finance situations in Bangladesh, which are intended to foster classroom discussion and thereby advance management development in that country. One to four discussion questions follow each case study. The titles and authors of the case studies on management are: "Azir Ahmed & Co.,…

  3. The International Prevalence Study on Physical Activity: results from 20 countries

    Directory of Open Access Journals (Sweden)

    Bowles Heather R

    2009-03-01

    Full Text Available Abstract Background Physical activity (PA is one of the most important factors for improving population health, but no standardised systems exist for international surveillance. The International Physical Activity Questionnaire (IPAQ was developed for international surveillance. The purpose of this study was a comparative international study of population physical activity prevalence across 20 countries. Methods Between 2002–2004, a standardised protocol using IPAQ was used to assess PA participation in 20 countries [total N = 52,746, aged 18–65 years]. The median survey response rate was 61%. Physical activity levels were categorised as "low", "moderate" and "high". Age-adjusted prevalence estimates are presented by sex. Results The prevalence of "high PA" varied from 21–63%; in eight countries high PA was reported for over half of the adult population. The prevalence of "low PA" varied from 9% to 43%. Males more frequently reported high PA than females in 17 of 20 countries. The prevalence of low PA ranged from 7–41% among males, and 6–49% among females. Gender differences were noted, especially for younger adults, with males more active than females in most countries. Markedly lower physical activity prevalence (10% difference with increasing age was noted in 11 of 19 countries for males, but only in three countries for women. The ways populations accumulated PA differed, with some reporting mostly vigorous intensity activities and others mostly walking. Conclusion This study demonstrated the feasibility of international PA surveillance, and showed that IPAQ is an acceptable surveillance instrument, at least within countries. If assessment methods are used consistently over time, trend data will inform countries about the success of their efforts to promote physical activity.

  4. Country branding emerging from citizens’ emotions and the perceptions of competitive advantage: the case of Malaysia

    OpenAIRE

    Che-Ha, Norbani; Nguyen, Bang; Yahya, Wan Kalthom; Melewar, T. C.; Chen, Yeo Pei

    2016-01-01

    This article aims to examine the elements of country branding from the perspectives of a country’s citizens. In this exploration, the study constructs their views toward the country using both emotion (affect) and perceptions of competitive advantage and subsequently conceptualizes and tests a framework of internal country-branding elements. Using a survey approach, the study generated a total sample of 445 respondents across Malaysia. Structural equation modeling was employed to analyze the ...

  5. Natural gas in developing countries

    International Nuclear Information System (INIS)

    Holwerda, B.

    1998-01-01

    Everywhere in the world plans are being made to stimulate the natural gas industry in developing countries. High investment costs are the biggest problem almost everywhere. Even countries with a closed economy realize that they do not get far without foreign capital. Cases are presented for Africa, Pakistan, and Indonesia

  6. Code for ethical international recruitment practices: the CGFNS alliance case study.

    Science.gov (United States)

    Shaffer, Franklin A; Bakhshi, Mukul; Dutka, Julia To; Phillips, Janice

    2016-06-30

    Projections indicate a global workforce shortage of approximately 4.3 million across the health professions. The need to ensure an adequate supply of health workers worldwide has created a context for the increased global migration of these professionals. The global trend in the migration of health professionals has given rise to the international recruitment industry to facilitate the passage of health workers from source to destination countries. This is particularly the case in the United States, where the majority of immigrant health professionals have come by way of the recruiting industry. This industry is largely unregulated in the United States as well as in many other countries, for which voluntary codes have been used as a means to increase transparency of the recruitment process, shape professional conduct, and mitigate harm to foreign-educated health workers. The CGFNS Alliance case study presented herein describes a multi-stakeholder effort in the United States to promote ethical recruitment practices. Such codes not only complement the WHO Global Code of Practice but are necessary to maximize the impact of these global standards on local settings. This case study offers both a historical perspective and a conceptual framework for examining the multiplicity of factors affecting the migration of human resources for health. The lessons learned provide critical insights into the factors pertaining to the relevancy and effectiveness of the WHO Code from the perspectives of both source and destination countries. This study provides a conceptual model for examining the usefulness of the WHO Code as well as how best to ensure its viability, sustainability, relevancy, and effectiveness in the global environment. This case study concludes with recommendations for evolving business models that need to be in place to strengthen the effectiveness of the WHO Code in the marketplace and to ensure its impact on the international recruitment industry in advancing

  7. Mauritius country study

    International Nuclear Information System (INIS)

    Manraj, D.D.

    1998-01-01

    Mauritius has no known oil, gas or coal reserves but is only endowed with limited renewable energy resources namely hydropower and bagasse. Bagasse represents about one third of the country's energy requirements and meets almost all of the sugar industries energy demand. Projects identified for mitigation options are: Energy Sector - Renewable Sources (Solar, Wind, Biomass); Transport Sector - Fuel switching and Mass transit transport; Manufacturing Sector - Increase efficiency of energy use in the manufacturing process. (EG)

  8. Formation of common cultural competence in country studies ...

    African Journals Online (AJOL)

    ... in country studies classes (based on Turkish language teaching practice) ... the acquisition of common cultural competence in foreign language education. ... analysis of methodological frameworks offered by Russian and foreign specialists.

  9. PRELIMINARY STUDY TO PRIMARY EDUCATION FACILITIES (A Comparison Study between Indonesia and Developed Countries

    Directory of Open Access Journals (Sweden)

    Lucy Yosita

    2006-01-01

    Full Text Available This writing is a preliminary study to condition of primary education facilities in Indonesia, and then comparing these with theories as well as various relevant cases aimed to know the problem more obviously. Basically, there is difference between primary education facilities in Indonesia with those in developed countries. Meanwhile on the other hand, the condition as well as the completion of education facility is actually as the main factor contributes to address the purpose of learning process. If building design, interior and also site plan were dynamic in form, space, colour and tools, those would be probably more stimulate activity and influence into the growth of students. However, lastly, it is still required further analysis, as an example analysis to student's behaviour in spaces of learning environment, more detail and within enough time, not only at indoor but also at outdoor.

  10. [Costly drugs: analysis and proposals for the Mercosur countries].

    Science.gov (United States)

    Marín, Gustavo H; Polach, María Andrea

    2011-08-01

    Determine how the Mercosur countries access, regulate, and finance costly drugs and propose joint selection and financing strategies at the subregional level. Qualitative design, using content analyses of primary and secondary sources, document reviews, interviews, focus groups, and case studies. The variables selected included: selection criteria, access, financing, and regulations in the various countries. Costly drugs were divided into those that do not alter the natural course of the disease and those with demonstrated efficacy, using the defined daily dose to compare the costs of classical treatments and those involving costly drugs. The Mercosur countries generally lack formal strategies for dealing with the demand for costly drugs, and governments and insurers wind up financing them by court order. The case studies show that there are costly drugs whose efficacy has not been established but that nonetheless generate demand. The fragmentation of procurement, international commitments with regard to intellectual property, and low negotiating power exponentially increase the price of costly drugs, putting health system finances in jeopardy. Costly drugs must be regulated and rationally selected so that only those that substantively benefit people are accepted. To finance the drugs so selected, common country strategies are needed that include such options as flexible in trade agreements, the creation of national resource funds, or joint procurement by countries to enhance their negotiating power.

  11. Industrial Clusters and CSR in Developing Countries

    DEFF Research Database (Denmark)

    Fayyaz, Anjum; Lund-Thomsen, Peter; Lindgreen, Adam

    2017-01-01

    - and medium-sized enterprises (SMEs). A case study of the Sialkot football-manufacturing cluster in Pakistan indicates that donor-funded support of CSR initiatives in industrial clusters in developing countries may be short-lived, due to the political economy of aid, the national context of CSR implementation...

  12. Naso-ethmoidal encephalocele with bilateral orbital extension: report of a case in a western country.

    Science.gov (United States)

    Secci, Francesca; Consales, Alessandro; Merciadri, Paolo; Ravegnani, Giuseppe Marcello; Piatelli, Gianluca; Pavanello, Marco; Cama, Armando

    2013-10-01

    Encephalocele is a rare congenital malformation of the central nervous system with protrusion of cranial content (meninges, brain, and ventricles in different combinations) beyond the normal confines of the skull. Anterior encephaloceles occur with a high frequency in Southeast Asia, while in the Western countries occipital encephaloceles prevail. The treatment of an anterior (naso-ethmoidal) encephalocele involves a neurosurgeon or a multidisciplinary team (neurosurgeon, maxillofacial surgeon, plastic surgeon, and ENT surgeon) dealing with craniofacial surgery. Goals of surgery include removal or repositioning of nonfunctional cerebral tissue, closure of the dura, and reconstruction of skeletal and cutaneous structures. The prognosis depends from the anatomical site, volume of neural contents, and the presence of coexisting malformations. We report the case of an Italian child suffering from a naso-ethmoidal encephalocele with bilateral orbital extension. The surgical treatment was performed in two steps. Sincipital encephalocele is a complex pathology without a unique standardized surgical treatment. Its low incidence in Western countries can make its management particularly tricky.

  13. Global National Qualifications Framework Inventory: Country Cases from EU and ETF Partner Countries

    Science.gov (United States)

    Cedefop - European Centre for the Development of Vocational Training, 2013

    2013-01-01

    Certificates, diplomas and titles are commonly known as qualifications. Their purpose is to show employers, training providers, and individuals what the person holding the qualification has learned and can do. Every country issues many different qualifications, but for the European labor market to work as intended--that is for European citizens to…

  14. Breast-milk substitutes: a new old-threat for breastfeeding policy in developing countries. A case study in a traditionally high breastfeeding country.

    Directory of Open Access Journals (Sweden)

    Hubert Barennes

    Full Text Available BACKGROUND: Developing countries with traditionally breastfeeding are now experiencing the increasing pressure of formula milk marketing. This may endanger lives and undermine the efforts of national policies in achieving the objectives of the Millennium Development Goals. We examined the use of, and factors for use, of all available breast-milk substitutes (BMS in a country with a traditionally high rate of breastfeeding. METHODS: Randomised multi-stage sampling surveys in 90 villages in 12/17 provinces in Laos. PARTICIPANTS: 1057 mothers with infants under 24 months of age. TOOLS: 50-query questionnaire and a poster of 22 BMS (8 canned or powdered milk; 6 non-dairy; 6 formulas; 2 non-formulas. OUTCOME MEASURES INCLUDED: prevalence of use and age of starting BMS in relation to socio-demographic characteristics and information sources, by univariate and multivariate analyses. RESULTS: Of 1057 mothers: 72.5% currently breastfed; 25.4% gave BMS (10.6% infant formula; 19.6% gave BMS before 6 months of age (of them: 83% non-dairy or cereals; mean age: 2.9 months; 95% Confidence interval: 2.6-3.2. One formula and one non-formula product accounted for 85% of BMS. BMS were considered as milk by the majority of mothers. Thai TV was the main source of information on BMS for mothers. Lao Loum mothers (the main ethnic group living in concrete houses with good sanitary conditions, were more likely than others to use BMS before 6 months (OR: 1.79, (1.15-2.78, p<0.009. Mothers who fed their infants colostrum at birth were less likely to use BMS before 6 months of age (OR: 0.63, (0.41-0.99, p = 0.04. Unemployed mothers living in rural areas were less likely to consider BMS better than breast milk. CONCLUSION: In Laos, mothers with the highest socio-economic status are showing a tendency to give up breastfeeding. Successful educational strategies and advocacy measures should be urgently developed to promote and sustain breastfeeding in developing countries.

  15. Environmental accident and its treatment in a developing country: a case study on China.

    Science.gov (United States)

    Hou, Yu

    2012-08-01

    Along with their rapid progress, developing countries have had to deal with more environmental problems, which have been a cause for concern among policy makers and the public in general. This study cites two accidents that happened in China in 2006 that caused serious environmental problems in nearby communities and discusses the problems these accidents created and the resulting disputes among the concerned people. Pollution-causing accidents not only pose threats to the health of the victims but also give rise to environmental disputes that jeopardise national security and social stability. Conflicts normally ensue following a pollution-causing accident, which are more likely to happen within a development zone or industrial park. Few environmental conflicts in the past decades were resolved through litigation. Nevertheless, there are lapses in the regulatory system, which have to be addressed to ensure that the public's rights and interests are protected. Currently, reports on pollution-causing accidents are difficult to obtain and are often released very late. A majority of industrial firms operate without environmental clearance, thus highlighting the government's inefficiency in environmental management. It is about time that the Chinese government takes seriously the use of the Environmental Impact Assessment.

  16. Cross-Country Entrepreneurial Intentions Study: The Danube Region Perspective

    Directory of Open Access Journals (Sweden)

    Urban Šebjan

    2016-12-01

    Full Text Available In this article, we investigate how entrepreneurial intentions of individuals in the eight countries of the Danube region are shaped by different components of individuals’ personal attitudes, the subjective norm and personal behavioral control. We analyze the internal structure of these components as well as some demographic and human capital factors. Cultural and developmental differences influencing variation in causal effects among variables in the model are analyzed. Structural equation modeling is used for data obtained by adult population surveys within the GEM research. Results of our study show that the entrepreneurial intention model is applicable across countries and that the internal effects among components of motivational antecedents exist, although not all hypothesized relationships are confirmed. Our study suggests that the process from perception to intention is similarly shaped across the eight countries of the Danube region, although there are several differences in the magnitude of causal effects as well as differences regarding influential factors.

  17. Harmonization of community health worker programs for HIV: A four-country qualitative study in Southern Africa.

    Directory of Open Access Journals (Sweden)

    Jan-Walter De Neve

    2017-08-01

    Full Text Available Community health worker (CHW programs are believed to be poorly coordinated, poorly integrated into national health systems, and lacking long-term support. Duplication of services, fragmentation, and resource limitations may have impeded the potential impact of CHWs for achieving HIV goals. This study assesses mediators of a more harmonized approach to implementing large-scale CHW programs for HIV in the context of complex health systems and multiple donors.We undertook four country case studies in Lesotho, Mozambique, South Africa, and Swaziland between August 2015 and May 2016. We conducted 60 semistructured interviews with donors, government officials, and expert observers involved in CHW programs delivering HIV services. Interviews were triangulated with published literature, country reports, national health plans, and policies. Data were analyzed based on 3 priority areas of harmonization (coordination, integration, and sustainability and 5 components of a conceptual framework (the health issue, intervention, stakeholders, health system, and context to assess facilitators and barriers to harmonization of CHW programs. CHWs supporting HIV programs were found to be highly fragmented and poorly integrated into national health systems. Stakeholders generally supported increasing harmonization, although they recognized several challenges and disadvantages to harmonization. Key facilitators to harmonization included (i a large existing national CHW program and recognition of nongovernmental CHW programs, (ii use of common incentives and training processes for CHWs, (iii existence of an organizational structure dedicated to community health initiatives, and (iv involvement of community leaders in decision-making. Key barriers included a wide range of stakeholders and lack of ownership and accountability of non-governmental CHW programs. Limitations of our study include subjectively selected case studies, our focus on decision-makers, and limited

  18. Country's image as judged by international indices: Case of Tanzania

    African Journals Online (AJOL)

    This paper presented various international indices and how Tanzania is judged by them. The purpose was to reveal to different stakeholders and policy makers how this country is perceived by outsiders such as foreign donor countries, investors, tourist or international bodies. The methodology involved empirical review of ...

  19. An exploratory case control study of risk factors for hepatitis E in rural Bangladesh.

    Directory of Open Access Journals (Sweden)

    Alain B Labrique

    Full Text Available Hepatitis E virus (HEV is the major cause of epidemic and sporadic hepatitis globally. Outbreaks are associated with fecal contamination of drinking water, yet the environmental reservoir of HEV between epidemics remains unclear. In contrast to neighboring countries, where epidemics and sporadic disease co-occur, HEV-endemic communities in rural Bangladesh seldom report outbreaks; sporadic hepatitis E is reported from urban and rural areas of the country. Besides typical enteric risk factors, other routes for HEV infection and disease are unclear. We conducted monthly household surveillance of a southern Bangladeshi community of 23,500 people to find incident cases of acute hepatitis E over a 22 month period. An algorithm was used to capture 279 candidate cases, of which 46 were confirmed acute HEV infections. An exploratory case-control study was conducted to identify putative risk factors for disease. Nearly 70% of cases were over 15 years old. Female gender seemed protective (OR:0.34 against hepatitis E in this conservative setting, as was the use of sanitary latrines (OR:0.28. Socioeconomic status or animal exposures were not significant predictors of disease, although outdoor employment and recent urban travel were. Unexpectedly, recent contact with a "jaundiced" patient and a history of injection exposure in the 3 months prior to disease (OR:15.50 were significant. Susceptible individuals from "endemic" communities share similar enteric exposure risks to those commonly associated with tourists from non-endemic countries. This study also raises the novel possibility of parenteral and person-to-person transmission of HEV in non-epidemic, sporadic disease settings.

  20. Schemes of Funding Music Research in Italy: A Case Study in Comparison with other European Countries

    Directory of Open Access Journals (Sweden)

    Carolyn Gianturco

    2015-02-01

    Full Text Available The awareness of the central government and other supportive agencies in Italy as to the need for research to be accomplished in music and music history in that country is determined by first stating what that support has been for such research in the 1990s, together with its accessibility to groups and/or individuals working in that field, and then reporting how such aid has been reduced in the more recent times of financial crises. In order to assess Italy’s position not in isolation but more realistically by considering it within a broader geographical frame, the same investigation has been accomplished for a group of other culturally developed countries in Europe which offer sufficient areas of comparison: Spain, France, England, Germany. Sadly, Italy does not come off well. Perhaps surprisingly but still sadly this is shown not to be due to the present financial crises but to a long-standing absence of respect for the entire musical history of the country and for the need that it be known and understood thoroughly. In short, the government in Italy seems not to have been sufficiently aware of its responsibility to acknowledge and preserve its musical patrimony by adequately supporting research which aims at uncovering the country’s rich past, understanding it, and thereby making it available to professional performing musicians and, through them, also to the people of Italy and the rest of the world.

  1. Carbon emissions and sequestration in forests: Case studies from seven developing countries. Volume 4: Mexico: Draft

    Energy Technology Data Exchange (ETDEWEB)

    Makundi, W.; Sathaye, J. [eds.] [Lawrence Berkeley Lab., CA (United States); Cerutti, O.M.; Ordonez, M.J.; Minjarez, R.D. [Universidad Nacional Autonoma de Mexico, Mexico City (Mexico) Centro de Ecologia

    1992-08-01

    Estimates of carbon emissions from deforestation in Mexico are derived for the year 1985 and for two contrasting scenarios in 2025. Carbon emissions are calculated through an in-depth review of the existing information on forest cover deforestation mtes and area affected by forest fires as well as on forests` carbon-related biological characteristics. The analysis covers both tropical -- evergreen and deciduous -- and temperate -- coniferous and broadleaf -- closed forests. Emissions from the forest sector are also compared to those from energy and industry. Different policy options for promoting the sustainable management of forest resources in the country are discussed. The analysis indicates that approximately 804,000 hectares per year of closed forests suffered from major perturbations in the mid 1980`s in Mexico, leading to an annual deforestation mte of 668,000 hectares. Seventy five percent of total deforestation is concentrated in tropical forests. The resulting annual carbon balance is estimated in 53.4 million tons per year, and the net committed emissions in 45.5 million tons or 41% and 38%, respectively, of the country`s total for 1985--87. The annual carbon balance from the forest sector in 2025 is expected to decline to 16.5 million tons in the low emissions scenario and to 22.9 million tons in the high emissions scenario. Because of the large uncertainties in some of the primary sources of information, the stated figures should be taken as preliminary estimates.

  2. Cancer epidemiology in developing countries

    International Nuclear Information System (INIS)

    Whelan, S.L.

    2002-01-01

    It is estimated that there were over 10 million new cancer cases in 2000, 5.4 million of them occurring in the developing countries (Parkin et al, 2001). The marked geographical variation in cancer occurrence results in differing therapeutic priorities: North America has more new cancer cases than South-Central Asia, but there are more deaths from cancer in South-Central Asia, reflecting a different pattern of cancer rather than differences in prognosis. Prediction of future trends is difficult, but the impact of population increase and ageing will be significant, with an expected 63% increase in the population of the less developed countries in 50 years. Four sites of cancer namely breast, cervix, colorectal and nasopharyngeal carcinoma are reviewed, looking at their present and possible future importance in the context of developing countries and their aetiology

  3. Hukum Lingkungan dan Pertanggungjawaban Strict Liability dalam Sistem Hukum Common Law (Studi Kasus Cambridge Water Co. Ltd v. Eastern Countries Leather Plc

    Directory of Open Access Journals (Sweden)

    Mahfud Mahfud

    2010-12-01

    Full Text Available ABSTRACT: The possibilities for pollution control still offered today Blackburn J.’s celebrated rule of strict liability, now almost 130 years old, has ensured its continuing popularity. There can be few tort lawyers, however, who have not increasingly wondered how much time should be devoted to a case which has received little judicial attention in recent years, and which was last subjected to detailed consideration by the House of Lords nearly 50 years ago, until, that is, the much-published decision of the House of Lords in Cambridge Water Co. Ltd v. Eastern Countries Leather Plc.   (Environmental Law and The Strict Liability Application In the Common Law System (The Case Study of Cambridge Water Co. Ltd V. Eastern Countries Leather Plc

  4. Country of origin effect on luxury brands evaluation: an experimental study

    Directory of Open Access Journals (Sweden)

    Andrea Kassouf Pizzinatto

    2014-08-01

    Full Text Available This study investigates the country of origin effect in luxury brands evaluation, theory that concerns the stereotype developed in the mind of consumers from a negative or positive image of the country where the product was manufactured, influencing product brand evaluation image. The methodological process was conducted with experiments, involving manipulation of variables thought printed advertisings, stimulus, as developed especially for the research, in three different situations: first the negative country of origin effect (with bad manufacture quality stereotyped image; second the positive country of origin effect (with good manufacture quality stereotyped image; e a third without any mention of the country of origin. Data were collected through printed questionnaires, answered by 330 people. Results indicated that luxury brand evaluation is not affected by positive country of origin stimulus, but it can influence positively the non luxury brands. The negative country of origin affects both, luxury and non luxury brands, however the effect is superior in non luxury brands. In the stimulus without mention regarding the country of origin, the brand luxury evaluation was not highly affected. However it improved the evaluation of non luxury brands, when compared with the negative country of origin stimulus.

  5. A review of case studies evaluating economic incentives to promote occupational safety and health

    NARCIS (Netherlands)

    Elsler, D.; Treutlein, D.; Rydlewska, I.; Frusteri, L.; Krüger, H.; Veerman, T.; Eeckelaert, L.; Roskams, N.; Broek, K. van den; Taylor, T.N.

    2010-01-01

    Objectives: In many European countries, external economic incentives are discussed as a policy instrument to promote occupational safety and health (OSH) in enterprises. This narrative case study review aims to support policy-makers in organizations providing such incentives by supplying information

  6. External validation of the use of vignettes in cross-country health studies

    DEFF Research Database (Denmark)

    Datta Gupta, Nabanita; Kristensen, Nicolai; Pozzoli, Dario

    2010-01-01

    Cross-country comparisons of subjective assessments are rendered difficult if not impossible because of sub-population specific response style. To correct for this, the use of vignettes has become increasingly popular, notably within cross-country health studies. However, the validity of vignette...... and vignettes. Our results indicate that the assumption of RC is not innocuous and that our extended model relaxing this assumption improves the fit and significantly changes the cross-country rankings of health vis-a-vis the standard Chopit model.......Cross-country comparisons of subjective assessments are rendered difficult if not impossible because of sub-population specific response style. To correct for this, the use of vignettes has become increasingly popular, notably within cross-country health studies. However, the validity of vignettes...

  7. External Validation of the Use of Vignettes in Cross-Country Health Studies

    DEFF Research Database (Denmark)

    Datta Gupta, Nabanita; Kristensen, Nicolai; Pozzoli, Dario

    Cross-country comparisons of subjective assessments are rendered difficult if not impossible because of sub-population specific response style. To correct for this, the use of vignettes has become increasingly popular, notably within cross-country health studies. However, the validity of vignette...... and vignettes. Our results indicate that the assumption of RC is not innocuous and that our extended model relaxing this assumption improves the fit and significantly changes the cross-country rankings of health vis-à-vis the standard Chopit model.......Cross-country comparisons of subjective assessments are rendered difficult if not impossible because of sub-population specific response style. To correct for this, the use of vignettes has become increasingly popular, notably within cross-country health studies. However, the validity of vignettes...

  8. External validation of the use of vignettes in cross-country health studies

    DEFF Research Database (Denmark)

    Gupta, Nabanita Datta; Kristensen, Nicolai; Pozzoli, Dario

    Cross-country comparisons of subjective assessments are rendered difficult if not impossible because of sub-population specific response style. To correct for this, the use of vignettes has become increasingly popular, notably within cross-country health studies. However, the validity of vignette...... and vignettes. Our results indicate that the assumption of RC is not innocous and that our extended model relaxing this assumption improves the fit and significantly changes the cross-country rankings of health vis-\\'{a}-vis the standard Chopit model.......Cross-country comparisons of subjective assessments are rendered difficult if not impossible because of sub-population specific response style. To correct for this, the use of vignettes has become increasingly popular, notably within cross-country health studies. However, the validity of vignettes...

  9. Prospects and opportunities for achieving the MDGs in post-conflict countries: a case study of Sierra Leone and Liberia

    NARCIS (Netherlands)

    Humphreys, M.; Richards, P.

    2005-01-01

    In this paper we examine the strategies being employed by post-conflict countries in Africa to achieve the Millennium Development Goals. We argue that to attain these goals, these countries will need to alter the way they undertake development planning. Rather than design strategies to achieve best

  10. Export opportunities in developing countries

    International Nuclear Information System (INIS)

    Sullivan, J.

    1992-01-01

    Developing countries will offer major opportunities to US exporters of energy and related environmental equipment in the next ten years. These opportunities arise because the markets in developing countries will be growing much faster than those in the developed countries during this period, and because these countries will not in most cases have strong domestic manufacturers to compete against. US technologies will help these countries solve their energy, environmental, and economic development problems, and help the US solve its serious trade balance problems. This market will represent over $200 billion between now and 2000. There are, however, many potential problems. These include a lack of focus and coordination among US government trade assistance organizations, a lack of interest on the part of US firms in exporting and an unwillingness to make the needed investments, barriers put up by the governments of potential foreign customers, and strong international competition. This paper describes how the United States Agency for International Development's (A.I.D.) Office of Energy and other US agencies are helping US firms resolve these problems with a comprehensive program of information, trade promotion assistance, and co-funding of feasibility studies. In addition, there are monies available to match unfair concessionary financing offered by our major competitors

  11. Child health and nutrition in Peru within an antipoverty political agenda: a Countdown to 2015 country case study.

    Science.gov (United States)

    Huicho, Luis; Segura, Eddy R; Huayanay-Espinoza, Carlos A; de Guzman, Jessica Niño; Restrepo-Méndez, Maria Clara; Tam, Yvonne; Barros, Aluisio J D; Victora, Cesar G

    2016-06-01

    Peru is an upper-middle-income country with wide social and regional disparities. In recent years, sustained multisectoral antipoverty programmes involving governments, political parties, and civil society have included explicit health and nutrition goals and spending increased sharply. We did a country case study with the aim of documenting Peru's progress in reproductive, maternal, neonatal, and child health from 2000-13, and explored the potential determinants. We examined the outcomes of health interventions coverage, under-5 mortality, neonatal mortality, and prevalence of under-5 stunting. We obtained data from interviews with key informants, a literature review of published and unpublished data, national censuses, and governmental reports. We obtained information on social determinants of health, including economic growth, poverty, unmet basic needs, urbanisation, women's education, water supply, fertility rates, and child nutrition from the annual national households surveys and the Peruvian Demographic and Health Surveys. We obtained national mortality data from the Interagency Group for Child Mortality Estimation, and calculated subnational rates from 11 surveys. Analyses were stratified by region, wealth quintiles, and urban or rural residence. We calculated coverage indicators for the years 2000-13, and we used the Lives Saved Tool (LiST) to estimate the effect of changes in intervention coverage and in nutritional status on mortality. From 2000 to 2013, under-5 mortality fell by 58% from 39·8 deaths per 1000 livebirths to 16·7. LiST, which was used to predict the decline in mortality arising from changes in fertility rates, water and sanitation, undernutrition, and coverage of indicators of reproductive, maternal, neonatal, and child health predicted that the under-5 mortality rate would fall from 39·8 to 28·4 per 1000 livebirths, accounting for 49·2% of the reported reduction. Neonatal mortality fell by 51% from 16·2 deaths per 1000 livebirths

  12. Area Handbook Series: Indonesia: A Country Study,

    Science.gov (United States)

    1992-11-01

    carry a selendang, a long stretch of cloth draped over the shoulder, which on less formal occasions was used to carry babies or objects. Urban...vols.) (The Asia Society.) New York: Scribner’s, 1988. 419 Indonesia: A Country Study Foss, Christopher F. (ed.). Jane’s Armour and Artillery, 1991-92

  13. Cross-country Differences in Reporting Practices – the Case of Provisions for Liabilities

    Directory of Open Access Journals (Sweden)

    Katarzyna Klimczak

    2017-11-01

    Full Text Available Purpose: The aim of the study was to explore and compare reporting practices on provisions for liabilities in different countries. Methodology: The research was limited to the types of provisions that are addressed in the International Accounting Standard 37 - Provisions, Contingent Liabilities and Contingent Assets. For the purpose of the study, financial statements of the biggest public companies in Great Britain, Germany and Poland have been chosen to be taken into consideration. The following detailed issues have been explored: - Presentation of the types of provisions in a statement of financial position and additional notes to a financial statement, - Presentation of the amounts of provisions made, used, and reversed during a given period and the effects of changes in the discount rate, - Scope and quality of descriptions of the nature of obligations presented by entities. The results of the analysis have been viewed from two perspectives - the areas of compliance and non-compliance of reporting on provisions with IFRS have been identified and a comparison of the extent of compliance with particular requirements between companies from different countries has been developed. Findings: The results of the analysis have revealed that companies from selected countries demonstrate different levels of compliance with International Financial Reporting Standards (IFRS. Substantial differences in the scope and the quality of descriptive disclosures on provisions have been also identified. Originality/value: The study contributes to the research on cross-country differences in reporting practices and indicates the need for a further analysis of the underlying determinants

  14. MULTIPLE SELECTIONS OF ALTERNATIVES UNDER CONSTRAINTS: CASE STUDY OF EUROPEAN COUNTRIES IN AREA OF RESEARCH AND DEVELOPMENT

    Directory of Open Access Journals (Sweden)

    Andrea Furková

    2015-04-01

    Full Text Available This paper is given over to a multicriteria evaluation approach to the issue of international comparison of research and development indicators. The policy activities in R&D (Research & Development area are significant parts of many national programs of many EU member states. There are several reasons for governments to take active role in stimulation investment in R&D. R&D are generally considered to be the main engine of long-run economic growth. Also The European Commission pays more attention to R&D activities and provides more and more resources to these activities through Community Framework Programs. We decided to exploit multi-attribute decision-making to evaluate R&D indicators of European countries. As multi-attribute decision-making method Topsis method was applied. Topis method has provided us complete ranking of the countries taking into account indicators such as patent applications, total intramural R&D expenditure, human resources in science and technology, employment in knowledge-intensive activities and business enterprise R&D expenditure. Having these results in a hand; we proceed to making multiple selections of countries under constraints. Our main goal was to suggest an optimization model for resources distribution - subsides for R&D encouragement, i.e. to find an optimal selection of several alternatives given a set of constraints. To make a decision concerning proper countries selection we employed optimization model inspired by Promethee V, which enables us to take into account the results of previous empirical part and, at the same time, to take into account defined constraints. Formulated binary linear programming model could be useful support decision making tool in the process of resources distribution - subsides for R&D encouragement.

  15. Mortuary based injury surveillance for low-mid income countries: process evaluation of pilot studies.

    Science.gov (United States)

    Kipsaina, Chebiwot; Ozanne-Smith, Joan; Bartolomeos, Kidist; Routley, Virginia

    2015-08-01

    Globally, injury is the fourth major cause of death and the third leading contributor to Disability Adjusted Life Years lost due to health conditions, with the greatest burden borne by low-middle income countries (LMICs) where injury data is scarce. In the absence of effective vital registration systems, mortuaries have been shown to provide an alternative source of cause of death information for practitioners and policy makers to establish strategic injury prevention policies and programs. This evaluation sought to assess the feasibility of implementing a standardised fatal injury data collection process to systematically collect relevant fatal injury data from mortuaries. The process evaluation is described. A manual including a one page data collection form, coding guide, data dictionary, data entry and analysis program was developed through World Health Organization and Monash University Australia collaboration, with technical advice from an International Advisory Group. The data collection component was piloted in multiple mortuaries, in five LMICs (Egypt, India, Sri-Lanka, Tanzania and Zambia). Process evaluation was based on a questionnaire completed by each country's Principal Investigator. Questionnaires were completed for data collections in urban and rural mortuaries between September 2010 and February 2011. Of the 1795 reported fatal injury cases registered in the participating mortuaries, road traffic injury accounted for the highest proportion of cases, ranging from 22% to 87%. Other causes included burns, poisoning, drowning and falls. Positive system attributes were feasibility, acceptability, usefulness, timeliness, and simplicity and data field completeness. Some limitations included short duration of the pilot studies, limited injury data collector training and apparent underreporting of cases to the medico-legal system or mortuaries. The mortuary has been shown to be a potential data source for identifying injury deaths and their circumstances

  16. Does Cyberbullying Prevalence Among Adolescents Relate With Country Socioeconomic and Development Indicators? An Ecological Study of 31 Countries.

    Science.gov (United States)

    Soares, Sara; Brochado, Sandra; Barros, Henrique; Fraga, Sílvia

    2017-10-01

    In addition to individual characteristics, it is also important to evaluate how the environment may influence the dynamics of cyberbullying. We aim to study the correlation between cyberbullying prevalence among adolescents and selected country-level indicators. We used two different data sources: data from a previously published literature review, to identify information on cyberbullying prevalence across countries, and data from the World Bank databases, to extract information on country-level indicators. A correlation matrix was used to present the association between the selected country-level indicators and the prevalence of cyberbullying. We observed a statistically significant negative correlation between cyberbullying victimization (cybervictims and cyberbully-victims, respectively) and gross domestic product (r = -.474 and -.842), gross national income (r = -.485 and -.758), enrollment in secondary (r = -.446 and -.898) and tertiary education (r = -.222 and -.881), the number of secure Internet servers (r = -.118 and -.794), and the number of Internet users (r = -.190 and -.818). A country's educational level seems to be an important contributor to the occurrence of cyberbullying.

  17. Methodological variation in economic evaluations conducted in low- and middle-income countries: information for reference case development.

    Science.gov (United States)

    Santatiwongchai, Benjarin; Chantarastapornchit, Varit; Wilkinson, Thomas; Thiboonboon, Kittiphong; Rattanavipapong, Waranya; Walker, Damian G; Chalkidou, Kalipso; Teerawattananon, Yot

    2015-01-01

    Information generated from economic evaluation is increasingly being used to inform health resource allocation decisions globally, including in low- and middle- income countries. However, a crucial consideration for users of the information at a policy level, e.g. funding agencies, is whether the studies are comparable, provide sufficient detail to inform policy decision making, and incorporate inputs from data sources that are reliable and relevant to the context. This review was conducted to inform a methodological standardisation workstream at the Bill and Melinda Gates Foundation (BMGF) and assesses BMGF-funded cost-per-DALY economic evaluations in four programme areas (malaria, tuberculosis, HIV/AIDS and vaccines) in terms of variation in methodology, use of evidence, and quality of reporting. The findings suggest that there is room for improvement in the three areas of assessment, and support the case for the introduction of a standardised methodology or reference case by the BMGF. The findings are also instructive for all institutions that fund economic evaluations in LMICs and who have a desire to improve the ability of economic evaluations to inform resource allocation decisions.

  18. Development challenges of resource-rich countries: the case of oil ...

    African Journals Online (AJOL)

    This paper discusses some of the challenges that confront oil-rich developing countries in their development quest. It stresses that one of the surest ways governments in oil-rich developing countries have at their disposal to avoid the so-called curse of oil is through the insulation of fiscal policy from the volatility associated ...

  19. Methodology for the Study of the Envelope Airtightness of Residential Buildings in Spain: A Case Study

    Directory of Open Access Journals (Sweden)

    Feijó-Muñoz Jesús

    2018-03-01

    Full Text Available Air leakage and its impact on the energy performance of dwellings has been broadly studied in countries with cold climates in Europe, US, and Canada. However, there is a lack of knowledge in this field in Mediterranean countries. Current Spanish building regulations establish ventilation rates based on ideal airtight envelopes, causing problems of over-ventilation and substantial energy losses. The aim of this paper is to develop a methodology that allows the characterization of the envelope of the housing stock in Spain in order to adjust ventilation rates taking into consideration air leakage. A methodology that is easily applicable to other countries that consider studying the airtightness of the envelope and its energetic behaviour improvement is proposed. A statistical sampling method has been established to determine the dwellings to be tested, considering relevant variables concerning airtightness: climate zone, year of construction, and typology. The air leakage rate is determined using a standardized building pressurization technique according to European Standard EN 13829. A representative case study has been presented as an example of the implementation of the designed methodology and results are compared to preliminary values obtained from the database.

  20. Business Ethics in Third World Countries. A Romanian Representative Case: Roşia Montană

    Directory of Open Access Journals (Sweden)

    Iuliana Zaharia

    2010-03-01

    Full Text Available Roşia Montană case became representative by its complexity, considering the interaction of the economic with other social sectors on one hand, and on the other hand, considering the context of a economy on the globalization edge in a South-eastern European country 'rebuilt' after 1989 and in a permanent 'reform' of 20 years, representative by the way the economics dictates to the politics, sealing the road to sustainable disaster in an "era of sustainable development”. Edifying symbol of the times that we live at the beginning of the XXIst century, maintaing the focus on the Romanian opened wound Roşia Montană is equivalent to a live lesson about the survival or the collapse of the (human ecosystem. About the morality as a reality of another order than that of biological life and as a sine qua non condition of the humanity preservation.Note: The aggregate term Third World was challenged as misleading starting with the Cold War period, because it got various meanings depending on different points of view: 1. it was used to define during the Cold War the countries that remained non-aligned or not moving at all with either capitalism and NATO (which along with its allies represented the First World or communism and the Soviet Union (which along with its allies represented the Second World; 2. it has also a completely different definition according to human development index – the term Third World, when used today generally denotes countries that have not "developed" to the same levels as OECD countries, and which are thus in the process of "developing"; 3. in the 1980s, economist Peter Bauer offered a competing definition for the term Third World, claiming that the attachment of Third World status to a particular country was not based on any stable economic or political criteria, and was a mostly arbitrary process. The large diversity of countries that were considered to be part of the Third World, from Indonesia to Afghanistan, ranged

  1. Paediatric abdominal tuberculosis in developed countries: case series and literature review.

    Science.gov (United States)

    Delisle, Megan; Seguin, Jade; Zeilinski, David; Moore, Dorothy L

    2016-03-01

    To provide an insight into the presentation, diagnosis and management of paediatric abdominal tuberculosis (TB) in developed countries. The records of all children at the Montreal Children's Hospital (MCH) admitted with abdominal TB between 1990 and 2014 were reviewed. An automated and manual literature search from 1946 to 2014 was performed. (1) CASE SERIES: six cases were identified at the MCH. All were male between 5 and 17 years of age. All were from populations known to have high rates of TB (aboriginal, immigrant). Three underwent major surgical interventions and three underwent ultrasound (US) or CT aspiration or biopsy for diagnosis. (2) LITERATURE REVIEW: 29 male (64%) and 16 female subjects (36%) aged between 14 months and 18 years were identified, including the MCH patients. All patients except one were from populations with a high incidence of TB. Most presented with a positive tuberculin skin test (90%), abdominal pain (76%), fever (71%) and weight loss (68%). On imaging, 22 (49%) were classified with gastrointestinal TB with colonic wall irregularity (41%) and 19 (42%) with peritoneal TB with ascites (68%). A positive culture was obtained in 33 (73%) patients. Three cases used CT- or US-guided aspiration or biopsy to obtain tissue samples. A surgical intervention was performed in 34 (76%) children; 13 (38%) of these were for diagnosis. Diagnosis based on clinical features (abdominal pain, fever and weight loss) and CT- or US-guided aspiration or biopsy may encourage physicians to adopt a more conservative approach to abdominal TB. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/

  2. Medical incidents in developing countries: A few case studies from Nigeria.

    Science.gov (United States)

    Chukwuneke, F N

    2015-12-01

    The moral worth of a clinician's, action in patients' management depends exclusively on the moral acceptability of the rule of obligation to duty on which the clinician acts. Since every rational being thinks of him or herself as an end, all people must act in such a way that they treat humanity, whether in their own person or in the person of another, always as an end and never simply as a means. A duty of care is, therefore, paramount in the relationship between clinician and patient. While litigation in healthcare system is rapidly increasing globally, which affords individual explanation and compensation for perceived wrong diagnosis and treatment; it is still rudimentary in Nigeria. This default position has made most health care providers indifferent in the presence of gross clinical negligence and medical errors. Though most Nigerians may be aware of their rights to institute legal action in situations such as, negligence with serious harm or death, but, the socioeconomic factors, cultural, and religious notions among other reasons within the society often makes litigation impossible for an individual. Attributing every medical adverse event in the course of treatment as "God's Will" and the saying "It's God's Time" for every death among most African people has also become a great impediment to curbing clinical negligence in our environment. This paper presents a few case studies from author's experience and complaints from patients during clinical practice.

  3. A case study of career related challenges of expatriate Indian professionals in the GCC countries.

    OpenAIRE

    Naithani, Pranav

    2013-01-01

    The success of an overseas employment contract is significantly influenced by career related challenges. This paper presents the findings of a primary research conducted in the three GCC countries (Bahrain, Oman and the UAE) to comprehend the key career related challenges faced by professional Indian expatriates. This paper also explores the influence of demographic factors on career related challenges and concludes with the analysis of overall findings.

  4. A case study of career related challenges of expatriate Indian professionals in the GCC countries

    OpenAIRE

    Naithani, Pranav

    2013-01-01

    The success of an overseas employment contract is significantly influenced by career related challenges. This paper presents the findings of a primary research conducted in the three GCC countries (Bahrain, Oman and the UAE) to comprehendthe key career related challenges faced by professional Indian expatriates. This paper also explores the influence of demographic factors on career related challenges and concludes with the analysis of overall findings.

  5. Energy consumption and economic growth: The case of oil exporting countries

    International Nuclear Information System (INIS)

    Mehrara, Mohsen

    2007-01-01

    This paper examines the causal relationship between the per capita energy consumption and the per capita GDP in a panel of 11 selected oil exporting countries by using panel unit-root tests and panel cointegration analysis. The results show a unidirectional strong causality from economic growth to energy consumption for the oil exporting countries. The findings have practical policy implications for decision makers in the area of macroeconomic planning. In most major oil exporting countries, government policies keep domestic prices bellow free market level, resulting in high levels of domestic energy consumption. The results imply that the energy conservation through reforming energy price policies has no damaging repercussions on economic growth for this group of countries. (author)

  6. CASE STUDY: POLICIES, STRATEGIES AND RESPONSES TO PLAGIARISM IN SLOVAKIA

    OpenAIRE

    FOLTYNEK, Tomas; KRAVJAR, Julius; GLENDINNING, Irene

    2014-01-01

    The European project “Impact of Policies for Plagiarism in Higher Education Across Europe“ has identified best practices and gaps related to plagiarism in different European countries. Slovakia is one of interesting ones, where national repository for plagiarism detection was established. However, there are still gaps in terms of policies and overall understanding of plagiarism. This case study describes what happened in Slovakia in last few years, compares the situation with other European c...

  7. Imported malaria in children in industrialized countries, 1992-2002.

    Science.gov (United States)

    Stäger, Katrin; Legros, Fabrice; Krause, Gérard; Low, Nicola; Bradley, David; Desai, Meghna; Graf, Simone; D'Amato, Stefania; Mizuno, Yasutaka; Janzon, Ragnhild; Petersen, Eskild; Kester, John; Steffen, Robert; Schlagenhauf, Patricia

    2009-02-01

    Children account for an appreciable proportion of total imported malaria cases, yet few studies have quantified these cases, identified trends, or suggested evidence-based prevention strategies for this group of travelers. We therefore sought to identify numbers of cases and deaths, Plasmodium species, place of malaria acquisition, preventive measures used, and national origin of malaria in children. We analyzed retrospective data from Australia, Denmark, France, Germany, Italy, Japan, the Netherlands, Sweden, Switzerland, the United Kingdom, and the United States and data provided by the United Nations World Tourism Organization. During 1992-2002, >17,000 cases of imported malaria in children were reported in 11 countries where malaria is not endemic; most (>70%) had been acquired in Africa. Returning to country of origin to visit friends and relatives was a risk factor. Malaria prevention for children should be a responsibility of healthcare providers and should be subsidized for low-income travelers to high-risk areas.

  8. A multi-country approach for attributing human salmonellosis to animal reservoirs

    DEFF Research Database (Denmark)

    de Knegt, Leonardo

    in order to extrapolate results to countries with less data availability, as a first step to perform source attribution of Salmonella in a more global perspective. Cases of foodborne salmonellosis in humans were attributed to travel, outbreaks and four animal reservoirs, namely pigs, broilers, turkeys...... here on referred to as “travel information”), human cases originating from outbreaks with and without a confirmed source and amounts of the meat or eggs of each animal reservoir originating from each country and available for consumption in each country. Thus, special data management, analysis...... with the lack of good-quality data for such studies. The project has also achieved results that may lay the groundwork for future attempts to develop Salmonella source attribution estimates in a more global perspective....

  9. Characteristics and Host Country Drivers of Chinese FDI in Europe

    DEFF Research Database (Denmark)

    Gammeltoft, Peter; Fasshauer, Kirsten

    2017-01-01

    The present study of direct investment from mainland China into Europe complements and extends prior studies by building on a firm-level database comprising of 548 Chinese subsidiaries in 26 countries in EU and EFTA. The study identifies and characterises three segments of subsidiaries...... are particularly important host country factors for attracting Chinese FDI. There is no strong correlation between aggregate national R&D spending and Chinese knowledge-seeking investments, reflecting that such investments tend to be individual and highly idiosyncratic cases. Rather than a wholesale adoption...

  10. Studying abroad: a multiple case study of nursing students' international experiences.

    Science.gov (United States)

    Green, Barbara F; Johansson, Inez; Rosser, Megan; Tengnah, Cassam; Segrott, Jeremy

    2008-11-01

    This paper examines the experiences of nursing students undertaking an international placement during their pre-registration education. The study took place in two schools--one in the United Kingdom, and one in Sweden. The move of nursing education into higher education enabled students to participate in international exchange programmes. Previous research demonstrates that students participating in such programmes may gain enhanced cultural awareness and experience personal and professional growth. The study comprised a multiple case study, utilising semi-structured individual and group interviews and documentary analysis. Eighteen students from the UK and 14 from Sweden participated. Participants described an increase in confidence, self-reliance and professional knowledge and skills resulting from their international placement. There was an awareness of how healthcare roles differ between countries and a change in attitudes to others from different backgrounds and cultures. The differences between the two cases were marginal. Whilst there was support from both home and host universities this varied between the international placement providers. The international placements were beneficial; however, there is a need for change in the preparation, support and monitoring of students, greater engagement with the partner institutions, and more effective mentoring of staff.

  11. Corporate Social Responsibility in the Oil Industry-Comparative Case Studies Of Chinese Oil Enterprises In Five Latin American Countries

    Science.gov (United States)

    Wu, Wenyuan

    This dissertation evaluates and compares social and environmental records of Chinese national oil companies (NOCs) operating in Latin America from the early 21st century to 2015. Five countries representing the entirety of Chinese NOCs' physical presence are selected: Peru, Ecuador, Argentina, Colombia, and Venezuela. The project discovers that Chinese NOCs demonstrate the highest level of social responsibility in Peru and the lowest in Venezuela, with the other three countries constituting intermediate observations. The differences in social responsibility records are then causally traced to variances in the host countries' regulatory frameworks and civil society capacities. Chinese NOCs are found to be most willing to commit to social responsibility under an enabling regulatory environment in which the host government facilitates competitiveness and decentralization in its hydrocarbons industry while upholding inclusive policies regarding its civil society. Moreover, these NOCs are most likely to follow through on their CSR commitments when faced with a unified and collaborative civil society. These major findings yield important policy lessons for both the host government and the civil society in developing countries with abundance in energy resources.

  12. [Nutrition and population: study of three countries].

    Science.gov (United States)

    1988-12-01

    The cases of Mexico, Kenya, and India are described to illustrate the difficulty of assuring national food supplies in the face of rapid population growth. In 1985, despite a world cereal surplus, some 700 million of the earth's poorest inhabitants lacked sufficient food to support a normal life, and some 17 million children died of malnutrition or diseases aggravated by malnutrition. 16% of today's Third World population lacks sufficient food to maintain health. Rapid population growth is a cause of hunger in both countries and households. In already densely populated countries such as Bangladesh, population growth reduces the availability of agricultural land for each rural family, causing rural incomes to decrease and worsening rural unemployment. Few developing countries have been able to avoid serious urban unemployment and underemployment. Unstable governments try to calm urban unrest by concentrating all social and economic investment in the cities, causing suffering and diminished production in the countryside. Today more than 60 countries have food deficits. The majority of them are poor and becoming poorer. India, Kenya, and Mexico have had relative success in balancing food production and population growth, but each still has malnutrition due to inadequate economic policies for most of the poor and to implacable population growth. India's population of 785 million is growing at a rate of 2.3%/year. 1984 per capita calorie consumption was 92% of the required minimum. The poorest 20% of the population shared 7% of total household income. Since 1950 food production in India has almost tripled, but population nearly doubled in the same years. Poor food distribution and unequal agricultural progress have meant that malnutrition continues to plague India. Approximately 45% of the population suffered some degree of malnutrition in 1986. It is unlikely that India's future agricultural progress will be as rapid as that of the past 3 decades. Erosion

  13. BUSINESS STRATEGIES IN UNSTABLE INSTITUTIONAL ENVIRONMENT – CASE OF BRIC COUNTRIES

    Directory of Open Access Journals (Sweden)

    Branko Rakita,

    2012-11-01

    Full Text Available The visionary idea of BRIC1 countries and their leading position in the development of globaleconomy, conceived by the leading investment bank Goldman Sachs more than a decade ago, cameunder heavy skepticism. However, what many doubted came true. At the end of 2011 BRIC countriesgenerated approximately 26% of global GDP, and their share in the growth of global GDP was morethan 50%. The impressive growth of BRIC countries has been in large measure due to FDI inflow2.Intensive FDI inflow and economic development have not been followed by improved institutionalefficiency. This article will show that inefficient institutions in BRIC countries have not beendiscouraging to MNCs3, who were predominantly led by the extent and the growth dynamics of themarket. Modifications to business strategies applied in developed countries by MNCs, in order tomanage unstable institutional environment in BRIC countries, will be analyzed. The conclusion isthat the key modification is establishment of strong relationships with local stakeholders, in order forMNCs to gain necessary knowledge of the new business environment and create a sound basis forinstitutional efficiency improvement.

  14. Annex I commitments: adverse economic impacts on developing countries: myth or reality?

    Energy Technology Data Exchange (ETDEWEB)

    Pathak, M.K.; Gupta, S.; Bhandari, P. [Tata Energy Research Institute, New Delhi (India)

    2000-07-01

    This document examines the claim that legally binding commitments undertaken by Annex I Parties to reduce greenhouse gas (GHG) emissions would result in adverse economic impacts on developing countries. This is examined through the case of the Indian economy. The impact of a range of carbon taxes on trade between India and the US (a major trading partner) is analysed, using a partial, static framework. This study reveals that impacts on India of commitments of Annex I countries to comply with emissions reduction targets 'prima facie' are marginal. However, economies importing capital intensive products from Annex I countries are likely to have adverse second-order impacts. In such a scenario, there is a case for increased south-south trade with increased flows from countries with a large industrial base. Higher costs in Annex I countries will have a two-fold effect on developing economies in the long-term: more rapid evolution of their indigenous industrial base and positive environmental transitions that accompany development. (author)

  15. National benchmarking against GLOBALGAP : Case studies of Good Agricultural Practices in Kenya, Malaysia, Mexico and Chile

    NARCIS (Netherlands)

    Valk, van der O.M.C.; Roest, van der J.G.

    2009-01-01

    This desk study examines the experiences and lessons learned from four case studies of countries aiming at the GLOBALGAP benchmarking procedure for national Good Agricultural Practices, namely Chile, Kenya, Malaysia, and Mexico. Aspects that determine the origin and character of the benchmarking

  16. Price dispersion in neighboring countries in the Western Balkans - the case of the Macedonian tomato industry

    Directory of Open Access Journals (Sweden)

    Blazhe JORDANOV

    2013-03-01

    Full Text Available The aim of this paper was to analyze the degree of change in price and co- movement of prices between markets. The distinctiveness of the study is that it introduced a single product (highly perishable product price relationship analysis between a pair of spatially separated markets in the countries of the Western Balkan. This study attempts to comprehend to what extent the Macedonian domestic market is integrated into the regional markets, as well as to understand the relationship between the spatially separated regional markets. The data refer to the domestic Macedonian market and four different regional markets (Croatia, Serbia, Kosovo and Montenegro, as major importers of Macedonian fresh tomatoes. These countries were part of a common market until the 1990s and in the past period transited to a market economy. The method used is common time series analysis through unit root test, co-integration test and causality test. The study showed that the Macedonian economy, especially in terms of the tomato industry, is highly vulnerable and dependant on external markets. Future developments do not only depend upon the advances in the country, but also on developments in the export destinations. This also applies to the other concerned countries in the regions. The main finding is that a small country such as Macedonia is absorbed by developments in other countries in the region. This finding is supported by the results of the study that demonstrated a high level of co-integration between the domestic and regional markets.

  17. Indoor particulate matter in developing countries: a case study in Pakistan and potential intervention strategies

    Science.gov (United States)

    Nasir, Zaheer Ahmad; Colbeck, Ian; Ali, Zulfiqar; Ahmad, Shakil

    2013-06-01

    Around three billion people, largely in low and middle income countries, rely on biomass fuels for their household energy needs. The combustion of these fuels generates a range of hazardous indoor air pollutants and is an important cause of morbidity and mortality in developing countries. Worldwide, it is responsible for four million deaths. A reduction in indoor smoke can have a significant impact on lives and can help achieve many of the Millennium Developments Goals. This letter presents details of a seasonal variation in particulate matter (PM) concentrations in kitchens using biomass fuels as a result of relocating the cooking space. During the summer, kitchens were moved outdoors and as a result the 24 h average PM10, PM2.5 and PM1 fell by 35%, 22% and 24% respectively. However, background concentrations of PM10 within the village increased by 62%. In locations where natural gas was the dominant fuel, the PM concentrations within the kitchen as well as outdoors were considerably lower than those in locations using biomass. These results highlights the importance of ventilation and fuel type for PM levels and suggest that an improved design of cooking spaces would result in enhanced indoor air quality.

  18. Indoor particulate matter in developing countries: a case study in Pakistan and potential intervention strategies

    International Nuclear Information System (INIS)

    Nasir, Zaheer Ahmad; Colbeck, Ian; Ali, Zulfiqar; Ahmad, Shakil

    2013-01-01

    Around three billion people, largely in low and middle income countries, rely on biomass fuels for their household energy needs. The combustion of these fuels generates a range of hazardous indoor air pollutants and is an important cause of morbidity and mortality in developing countries. Worldwide, it is responsible for four million deaths. A reduction in indoor smoke can have a significant impact on lives and can help achieve many of the Millennium Developments Goals. This letter presents details of a seasonal variation in particulate matter (PM) concentrations in kitchens using biomass fuels as a result of relocating the cooking space. During the summer, kitchens were moved outdoors and as a result the 24 h average PM 10 , PM 2.5 and PM 1 fell by 35%, 22% and 24% respectively. However, background concentrations of PM 10 within the village increased by 62%. In locations where natural gas was the dominant fuel, the PM concentrations within the kitchen as well as outdoors were considerably lower than those in locations using biomass. These results highlights the importance of ventilation and fuel type for PM levels and suggest that an improved design of cooking spaces would result in enhanced indoor air quality. (letter)

  19. An overview of food waste management in developing countries: Current status and future perspective.

    Science.gov (United States)

    Thi, Ngoc Bao Dung; Kumar, Gopalakrishnan; Lin, Chiu-Yue

    2015-07-01

    Food waste (FW) related issues in developing countries is currently considered to be a major threatening factor for sustainable development and FW management systems. Due to incomplete FW management systems, many developing countries are facing challenges, such as environmental and sanitary problems that are caused by FW. The difference in FW generation trends between developing countries and developed countries was reviewed in this work, which demonstrated that the effects of income level, population growth, and public participation in FW management are very important. Thus, this work aimed to provide an overview of recycling activities, related regulations, and current FW treatment technology in developing countries by following some case studies. Taiwan, has been suggested as being a successful case in terms of FW management, and is therefore a typical model for developing countries to follow. Finally, an integrative management system as a suitable model for FW management has been suggested for developing countries. Copyright © 2015 Elsevier Ltd. All rights reserved.

  20. Integrating care for older people with complex needs: key insights and lessons from a seven-country cross-case analysis.

    Science.gov (United States)

    Wodchis, Walter P; Dixon, Anna; Anderson, Geoff M; Goodwin, Nick

    2015-01-01

    To address the challenges of caring for a growing number of older people with a mix of both health problems and functional impairment, programmes in different countries have different approaches to integrating health and social service supports. The goal of this analysis is to identify important lessons for policy makers and service providers to enable better design, implementation and spread of successful integrated care models. This paper provides a structured cross-case synthesis of seven integrated care programmes in Australia, Canada, the Netherlands, New Zealand, Sweden, the UK and the USA. All seven programmes involved bottom-up innovation driven by local needs and included: (1) a single point of entry, (2) holistic care assessments, (3) comprehensive care planning, (4) care co-ordination and (5) a well-connected provider network. The process of achieving successful integration involves collaboration and, although the specific types of collaboration varied considerably across the seven case studies, all involved a care coordinator or case manager. Most programmes were not systematically evaluated but the two with formal external evaluations showed benefit and have been expanded. Case managers or care coordinators who support patient-centred collaborative care are key to successful integration in all our cases as are policies that provide funds and support for local initiatives that allow for bottom-up innovation. However, more robust and systematic evaluation of these initiatives is needed to clarify the 'business case' for integrated health and social care and to ensure successful generalization of local successes.

  1. Gender Inequality and Growth : The Case of Rich vs. Poor Countries

    OpenAIRE

    Amin, Mohammad; Kuntchev, Veselin; Schmidt, Martin

    2015-01-01

    This paper uses cross-section data for 107 countries to explore the relationship between gender inequality and economic growth. The paper departs from the literature by using a broad measure of gender inequality that goes well beyond gender inequality in education, which has been the focus of most studies. Another novelty of the paper lies in exploring heterogeneity in the growth-gender in...

  2. Biomass energy potential in Brazil. Country study

    Energy Technology Data Exchange (ETDEWEB)

    Moreira, J [Biomass Users Network-Brazil Regional Office, Sao Paulo (Brazil)

    1995-12-01

    The present paper was prepared as a country study about the biomass potential for energy production in Brazil. Information and analysis of the most relevant biomass energy sources and their potential are presented in six chapters. Ethanol fuel, sugar-cane bagasse, charcoal, vegetable oil, firewood and other biomass-derived fuels are the objects of a historical review, in addition to the presentation of state-of-the-art technologies, economic analysis and discussion of relevant social and environmental issues related to their production and use. Wherever possible, an evaluation, from the available sources of information and based on the author`s knowledge, is performed to access future perspectives of each biomass energy source. Brazil is a country where more than half of the energy consumed is provided from renewable sources of energy, and biomass provides 28% of the primary energy consumption. Its large extension, almost all located in the tropical and rainy region, provides an excellent site for large-scale biomass production, which is a necessity if biomass is to be used to supply a significant part of future energy demand. Even so, deforestation has occurred and is occurring in the country, and the issue is discussed and explained as mainly the result of non-energy causes or the use of old and outdated technologies for energy production. (author) 115 refs, figs, tabs

  3. Biomass energy potential in Brazil. Country study

    International Nuclear Information System (INIS)

    Moreira, J.

    1995-01-01

    The present paper was prepared as a country study about the biomass potential for energy production in Brazil. Information and analysis of the most relevant biomass energy sources and their potential are presented in six chapters. Ethanol fuel, sugar-cane bagasse, charcoal, vegetable oil, firewood and other biomass-derived fuels are the objects of a historical review, in addition to the presentation of state-of-the-art technologies, economic analysis and discussion of relevant social and environmental issues related to their production and use. Wherever possible, an evaluation, from the available sources of information and based on the author's knowledge, is performed to access future perspectives of each biomass energy source. Brazil is a country where more than half of the energy consumed is provided from renewable sources of energy, and biomass provides 28% of the primary energy consumption. Its large extension, almost all located in the tropical and rainy region, provides an excellent site for large-scale biomass production, which is a necessity if biomass is to be used to supply a significant part of future energy demand. Even so, deforestation has occurred and is occurring in the country, and the issue is discussed and explained as mainly the result of non-energy causes or the use of old and outdated technologies for energy production. (author)

  4. Industrial biotechnology for developing countries: The case for ...

    African Journals Online (AJOL)

    Attempts to diversify the energy portfolios of developed countries with green technologies have brought competition between food and fuel for crop production resources to the forefront of public policy debates. ... Keywords: Barriers to trade, energy policy, genetically modified (GM) crops, international trade, land-use policy

  5. Comparing Youth Opinions toward Compulsory Voting across Five Countries

    Science.gov (United States)

    Pesek, Jessamay T.

    2014-01-01

    This study uses a comparative case study design to examine youth (ages 13-20) opinions toward compulsory voting across five democratic countries: Colombia, Ecuador, Mexico, Peru, and the United States. Youth responses toward compulsory voting demonstrate how youth come to learn about citizen rights and responsibilities with varied understandings…

  6. Application of patient safety indicators internationally: a pilot study among seven countries.

    Science.gov (United States)

    Drösler, Saskia E; Klazinga, Niek S; Romano, Patrick S; Tancredi, Daniel J; Gogorcena Aoiz, Maria A; Hewitt, Moira C; Scobie, Sarah; Soop, Michael; Wen, Eugene; Quan, Hude; Ghali, William A; Mattke, Soeren; Kelley, Edward

    2009-08-01

    To explore the potential for international comparison of patient safety as part of the Health Care Quality Indicators project of the Organization for Economic Co-operation and Development (OECD) by evaluating patient safety indicators originally published by the US Agency for Healthcare Research and Quality (AHRQ). A retrospective cross-sectional study. Acute care hospitals in the USA, UK, Sweden, Spain, Germany, Canada and Australia in 2004 and 2005/2006. Routine hospitalization-related administrative data from seven countries were analyzed. Using algorithms adapted to the diagnosis and procedure coding systems in place in each country, authorities in each of the participating countries reported summaries of the distribution of hospital-level and overall (national) rates for each AHRQ Patient Safety Indicator to the OECD project secretariat. Each country's vector of national indicator rates and the vector of American patient safety indicators rates published by AHRQ (and re-estimated as part of this study) were highly correlated (0.821-0.966). However, there was substantial systematic variation in rates across countries. This pilot study reveals that AHRQ Patient Safety Indicators can be applied to international hospital data. However, the analyses suggest that certain indicators (e.g. 'birth trauma', 'complications of anesthesia') may be too unreliable for international comparisons. Data quality varies across countries; undercoding may be a systematic problem in some countries. Efforts at international harmonization of hospital discharge data sets as well as improved accuracy of documentation should facilitate future comparative analyses of routine databases.

  7. Comparative study of the variables for determining unit processing cost of irradiated food products in developing countries : case study of Ghana

    International Nuclear Information System (INIS)

    Banini, G.K; Emi-Reynolds, G.; Kassapu, S.N.

    1997-01-01

    A method for estimating unit cost of gamma treated food products in a developing country like Ghana is presented. The method employs the cost of cobalt source requirement, capital and operating costs, dose requirements etc. and relates these variables to various annual throughput at a gamma processing facility. In situations where the cost of foreign components or devices are required, the assumptions have been based on those of Kunstadt and Steeves. Otherwise, the prevailing conditions existing in Ghana have been used. The study reveals that the unit processing cost for gamma treatment foods in such a facility is between 8.0 to 147.2 US dollars per tonne. (author). 9 refs., 4 figs

  8. Cryptosporidiosis in Saudi Arabia and neighboring countries

    International Nuclear Information System (INIS)

    Areeshi, Mohammed Y.; Hart, C.A.; Beeching, N.J.

    2007-01-01

    Cryptosporidium is a coccidian protozoan parasite of the intestinal tract that causes severe and sometimes fatal watery diarrhea in immunocompromised patients and self-limiting but prolonged diarrheal disease in immunocompetent individuals. It exists naturally in animals and can be zoonotic. Although cryptosporidiosis is a significant cause of diarrheal disease in both developing and developed countries, it is more prevalent in developing countries and in tropical environments. We examined the epidemiology and disease burden of Cryptosporidium in Saudi Arabia and neighboring countries by reviewing 23 published studies of Cryptosporidium and etiology of diarrhea in between 1986 and 2006. The prevalence of Cryptosporidium infection in human's ranged from 1% to 37% with a median of 4%, while in animals it was for different species of animals and geographic locations of the studies. Most cases of cryptosporidiosis occurred among children less than 7 years of age and particularly in the first two years of life. The seasonality of Cryptosporidium varied depending on the geographic locations of the studies but it generally most prevalent in the rainy season. The most commonly identified species was Cryptosporidium parvum while C.hominis was detected only in one study from Kuwait. The cumulative experience from Saudi Arabia and four neighboring countries (Kuwait, Oman, Jordan and Iraq) suggest that Cryptosporidium is an important cause of diarrhea in human and cattle. However, the findings of this review also demonstrate the limitations of the available data regarding Cryptosporidium species and strains in circulation in these countries. (author)

  9. Reciprocal Relations between Official Development Assistance Recipient and Donor Countries: Case of South Korean Overseas Construction Business and Southeast Asian Countries’ Economy

    Directory of Open Access Journals (Sweden)

    Suk-Won Lee

    2017-12-01

    Full Text Available In developing countries, official development assistance (ODA is generally perceived to be an alternative means to develop infrastructure. Donor countries may expect benefits such as increased construction project orders in recipient countries. However, it remains arguable whether ODA contributes to reciprocal relations between recipient and donor countries. The case of South Korea can provide empirical data given that its government has expanded the amount of ODA to encourage overseas construction business while supporting Southeast Asian countries. In this research, gross national income (GNI, gross domestic product (GDP, foreign direct investment (FDI, and construction project orders awarded by South Korean construction companies in Vietnam, Bangladesh and Sri Lanka are analyzed according to the variation of ODA awarded by South Korea. The analysis results show that the influence of ODA upon economic situation of recipient countries varies according to their economic volume and development policy. From the donor country’s perspective, enhanced performance of construction business can be expected by means of cooperation with local construction business.

  10. The cephaloceles: A clinical, epidemiological and therapeutic study of 50 cases.

    Science.gov (United States)

    Kabré, A; Zabsonre, D S; Sanou, A; Bako, Y

    2015-08-01

    Cephaloceles are congenital malformations characterized by externalization of the meninges and/or brain tissue through a congenital skull bone defect. In developed countries, this malformation is rare but in our developing countries, this pathology remains one of our concerns. To describe the epidemiological, clinical and therapeutic aspects of the cephaloceles. A retrospective study was conducted from 2007 to 2013 on all cases of cephalocele supported in the department of neurosurgery of the Yalgado Ouédraogo University Teaching Hospital of Ouagadougou. The malformations were supplemented by CT scan. All patients were operated. The surgical procedure in cephaloceles of the convexity consisted of a direct approach. Sincipital cephaloceles were operated by transcranial approach or combined approach associating transcranial and transnasal approaches. Fifty patients were gathered during the 7-year period. There were 18 boys and 32 girls. The ages ranged from 1 day to 11 years. The cephaloceles were located on the vault of the skull in 78%; the lesion was sincipital in 22%. The malformation was covered with normal skin in 92%; it was pediculated in 78%. CT scan allowed the classification of cases as meningo-encephaloceles in 31 cases (62%) and meningoceles in 18 cases (36%) and one pure encephalocele. The immediate postoperative course was uneventful in 42 cases (84%); 8 postoperative deaths were recorded. At medium and long term, 4 patients (8%) developed complications of psychomotor deficiency in 3 cases and hydrocephalus in 1 case. The main reasons for the poor prognosis were superinfection, hydrocephalus and/or other brain malformations. Cephaloceles remain relatively frequent in our practice. After surgery, mental failure and hydrocephalus can occur impairing the prognosis. The most suitable solution is a policy of prevention with folic acid treatment before and during pregnancy and following up adequate pregnancies. Copyright © 2015 Elsevier Masson SAS. All

  11. Case-Control Studies of Sporadic Enteric Infections: A Review and Discussion of Studies Conducted Internationally from 1990 to 2009

    Science.gov (United States)

    Fullerton, Kathleen E.; Scallan, Elaine; Kirk, Martyn D.; Mahon, Barbara E.; Angulo, Frederick J.; de Valk, Henriette; van Pelt, Wilfrid; Gauci, Charmaine; Hauri, Anja M.; Majowicz, Shannon; O’Brien, Sarah J.

    2015-01-01

    Epidemiologists have used case-control studies to investigate enteric disease outbreaks for many decades. Increasingly, case-control studies are also used to investigate risk factors for sporadic (not outbreak-associated) disease. While the same basic approach is used, there are important differences between outbreak and sporadic disease settings that need to be considered in the design and implementation of the case-control study for sporadic disease. Through the International Collaboration on Enteric Disease “Burden of Illness” Studies (the International Collaboration), we reviewed 79 case-control studies of sporadic enteric infections caused by nine pathogens that were conducted in 22 countries and published from 1990 through to 2009. We highlight important methodological and study design issues (including case definition, control selection, and exposure assessment) and discuss how approaches to the study of sporadic enteric disease have changed over the last 20 years (e.g., making use of more sensitive case definitions, databases of controls, and computer-assisted interviewing). As our understanding of sporadic enteric infections grows, methods and topics for case-control studies are expected to continue to evolve; for example, advances in understanding of the role of immunity can be used to improve control selection, the apparent protective effects of certain foods can be further explored, and case-control studies can be used to provide population-based measures of the burden of disease. PMID:22443481

  12. Travel-associated gonorrhoea in four Nordic countries, 2008 to 2013.

    Science.gov (United States)

    Beauté, Julien; Cowan, Susan; Hiltunen-Back, Eija; Kløvstad, Hilde; Velicko, Inga; Spiteri, Gianfranco

    2017-05-18

    Travel may be associated with a higher risk of gonorrhoea and infection by antibiotic-resistant strains. The objective of this study was to estimate the risk for gonorrhoea among travellers from four Nordic European countries using surveillance data and to identify at-risk travellers to help target interventions. We retrieved gonorrhoea surveillance data from Denmark, Finland, Norway and Sweden and tourism denominator data from the Statistical Office of the European Union. A travel-associated case of gonorrhoea was defined as one for which the reported country of infection differed from the reporting country. During 2008-2013, the four countries reported 3,224 travel-associated gonorrhoea cases, of which 53% were among individuals below 35 years of age. The overall risk associated with travel abroad was 2.4 cases per million nights abroad. The highest risk was observed with travel to Asia (9.4). Cases more likely to be reported as travel-associated were: males, heterosexuals of both sexes, people older than 65 years, and foreign-born individuals. More effective interventions targeting young adults and other at-risk groups are needed. The use of travel-planning websites and social media should be explored further. This article is copyright of The Authors, 2017.

  13. Case series

    African Journals Online (AJOL)

    ebutamanya

    2016-04-27

    Apr 27, 2016 ... Laparoscopic surgery for groin hernia in a third world country: a report of 9 cases of ... Concerning mesh repair, the (open) LICHENSTEIN and laparoscopic inguinal hernia techniques are ... Two cases were bilateral, 5 unilateral and all of them primary. ... In Africa, This approach is still marginal; few studies.

  14. Optimal gasoline tax in developing, oil-producing countries: The case of Mexico

    International Nuclear Information System (INIS)

    Antón-Sarabia, Arturo; Hernández-Trillo, Fausto

    2014-01-01

    This paper uses the methodology of Parry and Small (2005) to estimate the optimal gasoline tax for a less-developed oil-producing country. The relevance of the estimation relies on the differences between less-developed countries (LDCs) and industrial countries. We argue that lawless roads, general subsidies on gasoline, poor mass transportation systems, older vehicle fleets and unregulated city growth make the tax rates in LDCs differ substantially from the rates in the developed world. We find that the optimal gasoline tax is $1.90 per gallon at 2011 prices and show that the estimate differences are in line with the factors hypothesized. In contrast to the existing literature on industrial countries, we show that the relative gasoline tax incidence may be progressive in Mexico and, more generally, in LDCs. - Highlights: • We estimate the optimal gasoline tax for a typical less-developed, oil-producing country like Mexico. • The relevance of the estimation relies on the differences between less-developed and industrial countries. • The optimal gasoline tax is $1.90 per gallon at 2011 prices. • Distance-related pollution damages, accident costs and gas subsidies account for the major differences. • Gasoline tax incidence may be progressive in less developed countries

  15. Carbon emissions and sequestration in forests: Case studies from seven developing countries. Volume 3, India and China

    Energy Technology Data Exchange (ETDEWEB)

    Makundi, W.; Sathaye, J. [eds.] [Lawrence Berkeley Lab., CA (United States); Ravindranath, N.H.; Somashekhar, B.S.; Gadgil, M. [Indian Inst. of Science, Bangalore, (India). Center for Ecological Sciences and ASTRA; Deying, Xu [Chinese Academy of Forestry, Beijing, (China). Research Inst. of Forestry

    1992-08-01

    As part of the effort to understand the sources of carbon dioxide and other major greenhouse gases, the Tropical Forestry and Global Climate Change Research Network (F-7) was established. The countries taking part in the F-7 Network -- Brazil, China, India, Indonesia, Malaysia, Mexico, Nigeria and Thailand -- possess large tracts of tropical forests and together experience the bulk of large scale tropical deforestation. Integreation of work of indigenous researchers and institutions from the participating countries should allow for the gathering of on-site information into the more general and universally available base of knowledge. The information contained in this report represents the results of the first phase of the F-7 project, which had the explicit aim of providing quantitative data on forestry-related carbon emissions from India and China.

  16. The Country of Origin Effect on the Evaluation of Special Beers and the Consumers’ Purchase Intention: An Experimental Study

    Directory of Open Access Journals (Sweden)

    Michel Gehlen Bassani

    2018-04-01

    Full Text Available Objetives: analyze the country of origin effect on the perceived product quality, the price-willingness to pay and the consumer’s purchase intention.Method: experimental (experiment, with a factorial design 4 (Country of Origin: Germany, China, Brazil, and a control’s group x 1 (Product: special Pilsen beer. For data analysis, a quantitative statistical approach was performed with data processed by means a multivariate analysis of variance (MANOVA, applying post-hoc tests. The sample consisted of 159 respondents who were distributed in the four experimental groups.Originality/Relevance: the study approached the country of origin effect on consumer perception and its relationship with perceived quality, willingness to pay and purchase intention of special beer.Results: the results show that the country of origin effect, as an extrinsic attribute, has a significant role in the perceived quality, willingness to pay and consumers’ purchase intentions.Theoretical/Methodological Contrbutions: the development of the research allowed us to analyze, in the evaluation of a product, in this case, special beer (Pilsen type, the strength of an extrinsic factor, that is, the country of origin effect, and its influence on the perceived quality, the price-willingness to pay and the consumer’s purchase intention.

  17. Fostering Cross-Cultural Understanding Through E-Learning: Russian-American Forum Case-Study.

    Directory of Open Access Journals (Sweden)

    Ekaterina V. Talalakina

    2010-09-01

    Full Text Available Abstract— The importance of cross-cultural understanding is accelerated nowadays by globalization and joint efforts of different countries in the face of global challenges. Countries’ educational systems display attempts to incorporate cross-cultural studies in their curricula across all stages of formal learning. Many higher education institutions offer special courses aimed at promoting cross-cultural studies. One of the tools used to facilitate the process is e-learning. The present article examines the case study of an internet-based collaboration between two higher education institutions – State University Higher School of Economics in Russia and Champlain College in the USA – in fostering cross-cultural understanding. The project is based on the study of individualistic and collectivistic values within the framework of two corresponding courses studied at both institutions. The topicality of the study is determined by the growing importance of the cooperation of two countries on the international affairs arena, on the one hand, and the fundamental differences of the countries’ underlying value system, on the other. In particular, a post-soviet Russia is generally viewed as a developing democracy representing the collectivistic end of the value spectrum, whereas the USA is considered as an extreme case of individualistic value system. The comparison and contrast of the two systems conducted simultaneously by the representatives of both cultures (students of the two universities within a specifically built internet forum comprises the base of the project. The case study covers the project’s objectives, its background, the rationale behind its content choice, the design of the e-learning tool, the profile of the participants of the project, its implementation stages and its outcome. The major findings of the case study deal with the process of building cross-cultural awareness, reinforcing students’ analytical skills and

  18. Characteristics of non-clustered tuberculosis in a low burden country

    DEFF Research Database (Denmark)

    Kamper-Jørgensen, Zaza; Andersen, Aase Bengaard; Kok-Jensen, Axel

    2012-01-01

    Molecular genotyping studies often focus on clustered tuberculosis and recent transmission. Less attention has been paid to non-clustered tuberculosis. However, non-clustered cases also contribute significantly to the tuberculosis burden, especially in low-incidence countries. The objective...... of this study is to characterize non-clustered tuberculosis cases in Denmark and point out potential implications for tuberculosis control. The study is based on nationwide IS6110-RFLP genotyping of tuberculosis cases from 1992 through 2004, corresponding to 98% of culture verified cases. Of 3988 cases, 45......% were non-clustered. Both Danes and immigrants had a peak incidence of non-clustered tuberculosis at older ages, 80-89 years (4.3 cases/10(5) population/year) and 60-69 years (28.8 cases/10(5) population/year), respectively. In addition, immigrants had a peak at 20-29 years (43.2 cases/10(5) inhabitants...

  19. Methodological variation in economic evaluations conducted in low- and middle-income countries: information for reference case development.

    Directory of Open Access Journals (Sweden)

    Benjarin Santatiwongchai

    Full Text Available Information generated from economic evaluation is increasingly being used to inform health resource allocation decisions globally, including in low- and middle- income countries. However, a crucial consideration for users of the information at a policy level, e.g. funding agencies, is whether the studies are comparable, provide sufficient detail to inform policy decision making, and incorporate inputs from data sources that are reliable and relevant to the context. This review was conducted to inform a methodological standardisation workstream at the Bill and Melinda Gates Foundation (BMGF and assesses BMGF-funded cost-per-DALY economic evaluations in four programme areas (malaria, tuberculosis, HIV/AIDS and vaccines in terms of variation in methodology, use of evidence, and quality of reporting. The findings suggest that there is room for improvement in the three areas of assessment, and support the case for the introduction of a standardised methodology or reference case by the BMGF. The findings are also instructive for all institutions that fund economic evaluations in LMICs and who have a desire to improve the ability of economic evaluations to inform resource allocation decisions.

  20. Conflict or cooperation over global warming policy? An analysis based on the interaction of countries

    International Nuclear Information System (INIS)

    Ihara, D.M.

    1991-01-01

    Response to climatic change due to global warming, rather than being the common response of humankind to a common problem, may well be the product of decisions made by countries with diverse and possibly divergent interests. This study analyzes the interactions of countries with diverse interests. The analysis begins with a one period, two-country case with a single fossil fuel and without binding agreements, without side payments between countries, and without prior history of fossil fuel use. The cases implied by relaxing restrictions are then analyzed. The study shows explicitly how countries' global warming policy decisions could define a prisoners dilemma game. It characterizes cooperative outcomes such as the Nash bargaining solution and Coasean bargaining. It compares non-side-payment outcomes with the side-payment outcomes implied by tradeable carbon-emission quotas. The small estimated elasticities suggest that economic growth may not be greatly reduced by restricting fossil fuel use and that economic growth may depend primarily on non-fossil fuel factors

  1. Clustered tuberculosis in a low-burden country

    DEFF Research Database (Denmark)

    Kamper-Jørgensen, Z; Andersen, A B; Kok-Jensen, A

    2012-01-01

    Molecular genotyping of Mycobacterium tuberculosis has proved to be a powerful tool in tuberculosis surveillance, epidemiology, and control. Based on results obtained through 15 years of nationwide IS6110 restriction fragment length polymorphism (RFLP) genotyping of M. tuberculosis cases in Denmark......, a country on the way toward tuberculosis elimination, we discuss M. tuberculosis transmission dynamics and point to areas for control interventions. Cases with 100% identical genotypes (RFLP patterns) were defined as clustered, and a cluster was defined as cases with an identical genotype. Of 4,601 included...... cases, corresponding to 76% of reported and 97% of culture-verified tuberculosis cases in the country, 56% were clustered, of which 69% were Danes. Generally, Danes were more often in large clusters (= 50 persons), older (mean age, 45 years), and male (male/female ratio, 2.5). Also, Danes had a higher...

  2. Immigrant Arrival and Tuberculosis among Large Immigrant- and Refugee-Receiving Countries, 2005–2009

    Directory of Open Access Journals (Sweden)

    Zachary White

    2017-01-01

    Full Text Available Objective. Tuberculosis control in foreign-born populations is a major public health concern for Australia, Canada, New Zealand, United Kingdom, and the United States, large immigrant- and refugee-receiving countries that comprise the Immigration and Refugee Health Working Group (IRHWG. Identifying and comparing immigration and distribution of foreign-born tuberculosis cases are important for developing targeted and collaborative interventions. Methods. Data stratified by year and country of birth from 2005 to 2009 were received from these five countries. Immigration totals, tuberculosis case totals, and multidrug-resistant tuberculosis (MDR TB case totals from source countries were analyzed and compared to reveal similarities and differences for each member of the group. Results. Between 2005 and 2009, there were a combined 31,785,002 arrivals, 77,905 tuberculosis cases, and 888 MDR TB cases notified at the federal level in the IRHWG countries. India, China, Vietnam, and the Philippines accounted for 41.4% of the total foreign-born tuberculosis cases and 42.7% of the foreign-born MDR tuberculosis cases to IRHWG. Interpretation. Collaborative efforts across a small number of countries have the potential to yield sizeable gains in tuberculosis control for these large immigrant- and refugee-receiving countries.

  3. Imported Malaria in Children in Industrialized Countries, 1992–2002

    Science.gov (United States)

    Stäger, Katrin; Legros, Fabrice; Krause, Gérard; Low, Nicola; Bradley, David; Desai, Meghna; Graf, Simone; D’Amato, Stefania; Mizuno, Yasutaka; Janzon, Ragnhild; Petersen, Eskild; Kester, John; Steffen, Robert

    2009-01-01

    Children account for an appreciable proportion of total imported malaria cases, yet few studies have quantified these cases, identified trends, or suggested evidence-based prevention strategies for this group of travelers. We therefore sought to identify numbers of cases and deaths, Plasmodium species, place of malaria acquisition, preventive measures used, and national origin of malaria in children. We analyzed retrospective data from Australia, Denmark, France, Germany, Italy, Japan, the Netherlands, Sweden, Switzerland, the United Kingdom, and the United States and data provided by the United Nations World Tourism Organization. During 1992–2002, >17,000 cases of imported malaria in children were reported in 11 countries where malaria is not endemic; most (>70%) had been acquired in Africa. Returning to country of origin to visit friends and relatives was a risk factor. Malaria prevention for children should be a responsibility of healthcare providers and should be subsidized for low-income travelers to high-risk areas. PMID:19193261

  4. The Effects of Capital Outflows from Neighboring Countries on a Home Country’s Terms of Trade and Real Exchange Rate: The Case of East Asia

    Directory of Open Access Journals (Sweden)

    Sammo Kang

    2005-06-01

    Full Text Available While there is an extensive body of empirical analyses showing that currency crises tend to be regionally concentrated to specific areas and contagious to countries with high levels of trade, there has been insufficient research on the mechanisms underlying such tendencies. Using a two¡ⓒcountry model, we investigate the possibility of deterioration in the terms of trade and a rise in the real exchange rate of a home country in the case of capital outflows from its trade partner. In addition, an empirical analysis of East Asian countries conclusively shows that some countries conform to the model. Generally, neighboring countries trade extensively with one another for reasons like low logistics costs. This paper finds that such patterns of trade can be one reason for a currency crisis being regional.

  5. Cross-country learning in public procurement : An exploratory study

    NARCIS (Netherlands)

    Nijboer, Kimberly; Senden, Shirin; Telgen, Jan

    2017-01-01

    All countries use public procurement to some degree to further policy objectives such as sustainability, innovation, fighting fraud and corruption, value for taxpayers’ money etc. Countries may learn from past successes and failures in other countries while implementing these policies: cross-country

  6. Plagiarism, Cheating and Research Integrity: Case Studies from a Masters Program in Peru.

    Science.gov (United States)

    Carnero, Andres M; Mayta-Tristan, Percy; Konda, Kelika A; Mezones-Holguin, Edward; Bernabe-Ortiz, Antonio; Alvarado, German F; Canelo-Aybar, Carlos; Maguiña, Jorge L; Segura, Eddy R; Quispe, Antonio M; Smith, Edward S; Bayer, Angela M; Lescano, Andres G

    2017-08-01

    Plagiarism is a serious, yet widespread type of research misconduct, and is often neglected in developing countries. Despite its far-reaching implications, plagiarism is poorly acknowledged and discussed in the academic setting, and insufficient evidence exists in Latin America and developing countries to inform the development of preventive strategies. In this context, we present a longitudinal case study of seven instances of plagiarism and cheating arising in four consecutive classes (2011-2014) of an Epidemiology Masters program in Lima, Peru, and describes the implementation and outcomes of a multifaceted, "zero-tolerance" policy aimed at introducing research integrity. Two cases involved cheating in graded assignments, and five cases correspond to plagiarism in the thesis protocol. Cases revealed poor awareness of high tolerance to plagiarism, poor academic performance, and widespread writing deficiencies, compensated with patchwriting and copy-pasting. Depending on the events' severity, penalties included course failure (6/7) and separation from the program (3/7). Students at fault did not engage in further plagiarism. Between 2011 and 2013, the Masters program sequentially introduced a preventive policy consisting of: (i) intensified research integrity and scientific writing education, (ii) a stepwise, cumulative writing process; (iii) honor codes; (iv) active search for plagiarism in all academic products; and (v) a "zero-tolerance" policy in response to documented cases. No cases were detected in 2014. In conclusion, plagiarism seems to be widespread in resource-limited settings and a greater response with educational and zero-tolerance components is needed to prevent it.

  7. An epidemiological study of road traffic accident cases admitted in a tertiary care hospital.

    Science.gov (United States)

    Pathak, S M; Jindal, A K; Verma, A K; Mahen, A

    2014-01-01

    Road traffic accidents are a leading cause of mortality and morbidity globally. In India, more than a million are injured annually and about a lakh are killed in road traffic accidents.(1) It causes the country to lose around 55,000 crores annually which is 2-3% of Gross Domestic Production (GDP).(2) This cross sectional study was conducted to elucidate the role of various factors involved in road traffic accidents. Road traffic accident cases admitted to a tertiary care hospital between 01 Oct 2009 and 28 Feb 2011 were included in the study. A total of 182 patients were studied. Information was collected through questionnaire, hospital records and on-site visit. OPD cases, comatose patients and deaths were excluded. Two-wheelers were the commonest vehicle involved in vehicular accidents. Most accidents happened at a speed of 40-60 km/h (37.9%). Most of the patients were aged between 20 and 30 years. Majority had a driving experience of less than 5 years. Monsoons witnessed 46.7% cases. Most cases occurred between 6 and 10 pm. Among severe injuries, the commonest was lower limb fractures (19.8%). There are multiple factors associated with road traffic accidents which due to the lack of road safety measures in the country are playing their role. It is the need of the hour to address this issue and formulate comprehensive, scientific and practical rules and regulations as well as evaluate its enforcement.

  8. Area Handbook Series: Vietnam: A Country Study

    Science.gov (United States)

    1987-12-01

    cough, measles, poliomyelitis, chicken pox , typhoid fever, acute encepha- litis, and acute meningitis. Hanoi claimed in 1970 that alcoholic cirrhosis...Country Study the people of Van Lang grew other grains and beans and raised stock, mainly buffaloes, chickens , and pigs. Pottery-making and bamboo...152 Cuba 550-45 Malaysia 550-22 Cyprus 550-161 Mauritania 550-158 Czechoslovakia 550-79 Mexico 550-36 Dominican Republic/Haiti 550-76 Mongolia 550-52

  9. Insight into Groundwater Flow within a Crystalline Aquifer. Case Study of the Ursuya Mount, Northern Basque Country (France)

    International Nuclear Information System (INIS)

    Jaunat, J.; Huneau, F.; Dupuy, A.; Franceschi, M.; Coustumer, P. Le; Celle-Jeanton, H.

    2011-01-01

    The Ursuya Mount is one of the main water supplies of the Northern Basque Country. A study is being conducted since 2009 on this aquifer in order to improve the knowledge on its potential and its hydrodynamics properties. Two hydrological cycles are required to get the necessary data to meet the following objectives: clarifying the aquifer potential of the site both quantitatively and qualitatively; determining the geographic and seasonal variations; understanding the origin and the flow pattern of the groundwater; evaluating the groundwater residence times and the areas of preferential recharge. Here, we present only some geochemical and isotopic data. Thus, structural or hydrodynamic approaches will not be discussed.

  10. Hospital branding in Italy: A pilot study based on the case method.

    Science.gov (United States)

    Esposito, Annamaria

    2017-01-01

    The article investigates if, and in affirmative case how, Italian hospitals are managing corporate brand communication. Thanks to results of qualitative research, this article offers insights on Italian hospital branding. The pilot study based in the case method is to be considered a starting point for wider investigations on this topic, and it is useful for managers and practitioners who want to understand the role of corporate brand in hospital communication management and to connect health care professionals with the audience in a meaningful way in those countries in which the health care system is a mix of both public and private institutions.

  11. IMMIGRATION GROWTH TENDENCIES IN OECD COUNTRIES

    Directory of Open Access Journals (Sweden)

    Imran SARIHASAN

    2016-12-01

    Full Text Available Immigration became one of the relevant economic topics in recent years. Over the centuries millions of people have migrated, despite the physical, cultural etc. obstacles, to other lands in search of better lives for themselves and their children. In the context of development, globalization and labor market mobility, it is necessary to further analyze the determinants and consequences of migration not only on the host country, but also on the sending country. The increased interest and availability of data keeps this subject in the attention of economists all over the world. In this case an increase in immigration became very significant ıssue for policymakers. The aims of this study are to describe immigration growth tendencies and to answer how much is the average growth rate of foreıgn born population. Thus, in order to measure the native and foreign-born unemployed migrants, twenty-seven OECD countries were used in this research paper.

  12. Utilizing Municipal Trees: Ideas From Across the Country

    Science.gov (United States)

    Stephen M. Bratkovich

    2001-01-01

    To show how municipal tree removals can be utilized for traditional wood products, this publication highlights 16 successful projects from around the country. These case studies are organized by the different types of participants: State and regional partnerships, municipalities, tree service firms, entrepreneurs, and sawmills. Contact information is provided for each...

  13. Volunteers in Palliative Care - A Comparison of Seven European Countries: A Descriptive Study.

    Science.gov (United States)

    Woitha, Kathrin; Hasselaar, Jeroen; van Beek, Karen; Radbruch, Lukas; Jaspers, Birgit; Engels, Yvonne; Vissers, Kris

    2015-07-01

    In Europe, volunteers have an important role in the delivery of palliative care. As part of the EU co-funded Europall project, 4 aspects of volunteering in palliative care were studied for 7 European countries (Belgium, England, France, Germany, the Netherlands, Poland, and Spain). These included (1) involvement of volunteers in palliative care, (2) organization of palliative care volunteering, (3) legal regulations concerning volunteering, and (4) education and training of palliative care volunteering. A literature search combined with an interview study. Information from the scientific literature, and country-specific policy documents were obtained and completed, along with data of consecutive semi-structured interviews with experts in the field of palliative care in the participating countries. In all countries, volunteers appeared to be involved in palliative care, yet their involvement across health care settings differed per country. England, for example, has the highest number of volunteers whereas Spain has the lowest number. Volunteering is embedded in law and regulations in all participating countries except for England and the Netherlands. In all participating countries, training programs are available and volunteers are organized, both on a national and a regional level. This study provides a descriptive overview of volunteer work in palliative care in 7 European countries, with a focus on the organizational aspects. Further research should concentrate on the roles and responsibilities of volunteers in the care for the terminally ill in different European health systems. © 2014 World Institute of Pain.

  14. The diffusion of medical technology, local conditions, and technology re-invention: a comparative case study on coronary stenting.

    Science.gov (United States)

    Hashimoto, Hideki; Noguchi, Haruko; Heidenreich, Paul; Saynina, Olga; Moreland, Abigail; Miyazaki, Shunichi; Ikeda, Shunya; Kaneko, Yoshihiro; Ikegami, Naoki

    2006-12-01

    Innovation of medical technology is a major driving force behind the increase in medical expenditures in developed countries. Previous studies identified that the diffusion of medical technology varied across countries according to the characteristics of regulatory policy and payment systems. Based on Roger's diffusion of innovation theory, this study purported to see how local practice norms, the evolving nature of diffusing technology, and local clinical needs in addition to differences in politico-economic systems would affect the process of innovation diffusion. Taking a case of coronary stenting, an innovative therapeutic technology in early 1990s, we provided a case study of hospital-based data between two teaching high-tech hospitals in Japan and the US for discussion. Stenting began to be widely used in both countries when complementary new technology modified its clinical efficacy, but the diffusion process still differed between the two hospitals due to (1) distinctive payment systems for hospitals and physicians, (2) practice norms in favor of percutaneous intervention rather than bypass surgery that was shaped by payment incentives and cultural attitudes, and (3) local patient's clinical characteristics that the technology had to be tailored for. The case study described the diffusion of stent technology as a dynamic process between patients, physicians, hospitals, health care systems, and technology under global and local conditions.

  15. Barriers to innovation in small-scale industries: case study from the briquetting industry in India

    NARCIS (Netherlands)

    Clancy, Joy S.

    2001-01-01

    This paper focuses on the innovation process in small- and medium-scale industries in developing countries, raking the briquetting (densification of biomass) as a case study. The technical efficiency was found to vary significantly between firms, which can be attributed to the lack of technological

  16. Developing an appropriate digital hearing aid for low-resource countries: a case study.

    Science.gov (United States)

    Israsena, P; Isaradisaikul, S; Noymai, A; Boonyanukul, S; Hemakom, A; Chinnarat, C; Navacharoen, N; Lekagul, S

    2013-01-01

    This paper reviews the development process and discusses the key findings which resulted from our multidisciplinary research team's effort to develop an alternative digital hearing suitable for low-resource countries such as Thailand. A cost-effective, fully programmable digital hearing aid, with its specifications benchmarking against WHO's recommendations, was systematically designed, engineered, and tested. Clinically it had undergone a full clinical trial that employed the outcome measurement protocol adopted from the APHAB, the first time implemented in Thai language. Results indicated that using the hearing aid improves user's satisfaction in terms of ease of communication, background noises, and reverberation, with clear benefit after 3 and 6 months, confirming its efficacy. In terms of engineering, the hearing aid also proved to be robust, passing all the designated tests. As the technology has successfully been transferred to a local company for the production phase, we also discuss other challenges that may arise before the device can be introduced into the market.

  17. Focus Studies of Geographically Connected Countries: Analysis of Regionally Oriented Studies in Political Science Publications 1996-2012

    Directory of Open Access Journals (Sweden)

    Andreja Petković

    2013-01-01

    Full Text Available This article studies the focus studies of geographically connected and geographically not connected countries, i.e. regional and comparative regional studies. In the first part of the article, a description of the role and development of this type of studies as a subdiscipline of comparative politics is provided. In the second part, I present the results of quantitative analysis of the content of articles published in the academic journals published or co-published by the Faculty of Political Science, University of Zagreb. The objects of analysis are regional studies of South-East Europe published in the journals. The main goal of this article is to determine which countries in their regional surroundings are researched the most by Croatian political scientists (and other authors who publish such articles in Croatian or English language in those journals, and which countries Croatia is most often compared to. This research has shown that, with regard to studies of the region, Croatian political scientists mostly focus on the countries of the former Yugoslavia.

  18. Yogic breathing and Ayurveda in aphasia: a case study.

    Science.gov (United States)

    Mohapatra, Bijoyaa; Marshall, Rebecca Shisler; Laures-Gore, Jacqueline

    2014-01-01

    We present a case study of a woman who used yogic breathing as Ayurvedic medicine in her recovery from poststroke aphasia. Ayurvedic medicine is one of the most ancient medicines of the world, but it is not widely used for aphasia rehabilitation in many Western countries. The description of this case aims to further the understanding of the benefits that this type of medicine may provide to poststroke patients living with aphasia. After her stroke, the patient received brief conventional language therapy for her aphasia. At 5 weeks post stroke, she received no further conventional rehabilitation; instead, she consulted with a Vedic priest. She followed a regimen of different body manipulations, yogic breathing techniques, and ingestion of coconut oil. Cognitive and language testing was performed throughout a 3-month period while she was involved in this therapy. Overall, improvement was noted in language, visual attention, and some mood measures. Although case studies lead to limited conclusions, changes were observed for this individual using Ayurvedic medicine. Given the changes in language and some aspects of cognition seen in this patient, further exploration of the effectiveness of yogic breathing and Ayurvedic medicine in the treatment of poststroke aphasia is warranted.

  19. Nuclear Power in Countries with Limited Electrical Grid Capacities: The Case of Armenia. A Report of the International Project on Innovative Nuclear Reactors and Fuel Cycles (INPRO)

    International Nuclear Information System (INIS)

    2015-12-01

    This publication addresses issues relating to nuclear power deployment faced by countries with electrical grids of limited capacity and stability. In particular, technology issues and related institutional measures as well as some technical and economic options for managing spent fuel and radioactive waste applicable in these circumstances are addressed. It aims to assist States implementing a nuclear power programme in the development of a comprehensive approach to the long term management of spent nuclear fuel and radioactive waste that is technically sound, environmentally responsible, economically feasible and acceptable to all stakeholders. Armenia was selected as a case study and the data obtained from the studies performed led to general recommendations which could be applicable to some other countries with similar economies and grid characteristics

  20. Sustainable food production in marginal lands—Case of GDLA member countries

    Directory of Open Access Journals (Sweden)

    Shabbir A. Shahid

    2013-06-01

    Full Text Available Sustainable food production in the changing climate and dwindling water resources in the Global Dry Land Alliance (GDLA member countries is a real challenge, especially when considering marginal lands in dryland systems. The definition of marginal land is very vague and defined from different perspectives (pragmatism about marginal lands. Dryland itself indicates "marginality" due to water stress. In general, the abandoned agriculture land where food production is not economical, and has low inherent productivity potential is considered marginal; however, a land may be marginal for agriculture but vital for grazing. In this paper attempts have been made to give review of literature (water stress, extent of marginal saline lands, marginality. Policy matters (development of soil, water and agriculture strategies that GDLA and member countries should consider for future sustainable food production in their countries, including but not limited to, assessment of land resources for agriculture potential, defining, mapping and characterizing marginal lands, and use of innovative technologies (conservation agriculture, climate smart agriculture, integrated soil reclamation program and capacity building for food production, are discussed. The international perception (FAO, UNEP, CGIAR on marginal lands is also described. An innovative approach of using national biocapacity and ecological footprint is used to assess marginality of GDLA member countries. Ecological overshoot (using 1.5 earth planets and biocapacity debtor and creditor countries are highlighted. Challenges and best management practices for food production in marginal lands are included. Other important issues, like leasing land abroad, GDLA strategic food reserves and best management practices, innovative ideas for food production are shared. Finally recommendations are drafted for actions by GDLA, its member countries and the partners.

  1. Cost-Efficient and Sustainable Deployment of Renewable Energy Sources towards the 20% Target by 2020, and beyond. Summary of case studies for cooperation mechanisms

    Energy Technology Data Exchange (ETDEWEB)

    Dalla Longa, F. [ECN Policy Studies, Amsterdam (Netherlands); Klinge Jacobsen, H.; Pade Hnasen, L. [Technical University of Denmark DTU, Lyngby (Denmark); Tantareanu, C. [Center for Promotion of Clean and Efficient Energy ENERO, Bucharest (Romania); Caldes-Gomez, N.; Santamaria-Belda, M. [CIEMAT, Madrid (Spain)

    2012-09-15

    This document is a summary report highlighting the main aspect analyzed in the RES4LESS case studies. The document starts with an introductory chapter where the background that led to the selection of the case studies is outlined. In the following three chapters the case studies are presented, highlighting the most relevant results. A brief chapter concludes the document, giving an outlook on the follow-up activities of the RES4LESS project. This summary is intended not only as an introduction to the RES4LESS cases studies, but also as a guideline to read and interpret the in-depth analysis carried out in the final documents that describe the case studies in detail. These documents will be published in September 2012 on the RES4LESS website, www.res4less.eu. The objective of the RES4LESS project is to develop a Roadmap to cost-efficient deployment of energy from renewable sources (RES) in Europe, via cross-border cooperation mechanisms. The Commission has indicated that the 2020 targets for renewable energy (European Commission 2009) can be achieved through cooperation between Member States. This cooperation could lead to win-win situations, when a country with a large low-cost potential for renewable electricity could sell part of its surplus to a country with a limited and/or expensive potential. In the project, first a scoping exercise has been carried out to identify which countries could be candidates for cooperation. Next, three case studies have been elaborated to give a better view of what these cooperation mechanisms would entail in practice. The analysis has focused on renewable electricity (RES-E), although cooperation mechanisms could also be envisaged for renewable heat. Among the Member States providing the largest and cheapest surpluses Denmark, Romania and Spain have been chosen as Host Countries for the RES4LESS case studies. The technologies considered in the case studies are Offshore Wind for Denmark, Biomass for Romania, and CSP for Spain.

  2. Epidemiological studies of cognitive impairment and dementia across Eastern and Middle European countries (epidemiology of dementia in Eastern and Middle European Countries).

    Science.gov (United States)

    Kiejna, A; Frydecka, D; Adamowski, T; Bickel, H; Reynish, E; Prince, M; Caracciolo, B; Fratiglioni, L; Georges, J

    2011-02-01

    To determine the availability and the consistency of prevalence findings of epidemiological studies on cognitive impairment and dementia conducted in Eastern and Middle Europe. We adopted a stepwise multimethod study approach consisting of iterative literature searches for epidemiological articles published between 1990 and 2006 and subsequent data analyses of published material, reanalyses of existing accessible epidemiological data sets and expert inquiries in Eastern and Middle European countries. Systematic computer-assisted searches used the keywords: "dementia", "Alzheimer", "cognitive impairment", "incidence", "prevalence", "epidemiology" in combination with the name of the relevant countries or "Europe" in English and Polish language. We supplemented the literature search with a review of the references in the articles that were identified during the initial search. We were able to find few regional and country-specific epidemiological studies of various kinds (population-based, cohort, cross-sectional studies) and conducted on different restricted population groups of patients (from neurological units, out-patients units, residential homes). No studies were identified from most of the countries taken under consideration and the ones we found were characterized by an immense diversity with a considerable degree of clinical and methodological variations. The few studies that there are suggest prevalence rates of dementia in Eastern Europe similar to those in Western Europe. There is strong need for epidemiological studies in Eastern and Middle Europe, as well as for greater coordination and standardization of methods to improve the quality and comparability of epidemiological data to determine the prevalences' rates of dementia in all the EU countries. Copyright © 2010 John Wiley & Sons, Ltd.

  3. Risk Factors Profile of Shoulder Dystocia in Oman: A Case Control Study

    Science.gov (United States)

    Al-Khaduri, Maha M.; Abudraz, Rania Mohammed; Al-Farsi, Yahya M.

    2014-01-01

    Objective This study aimed to assess the risk factor profile of shoulder dystocia and associated neonatal complications in Oman, a developing Arab country. Methods A retrospective case-control study was conducted among 111 cases with dystocia and 111 controls, identified during 1994-2006 period in a tertiary care hospital in Oman. Controls were randomly selected among women who did not have dystocia, and were matched to cases on the day of delivery. Data related to potential risk factors, delivery, and obstetric complications were collected. Results Dystocia was significantly associated with older maternal age, higher parity, larger BMI, diabetes, and previous record of dystocia. In addition, dystocia was associated more with vacuum and forceps deliveries. Routine traction (51%) was the most used manoeuvre. Among dystocia cases, 13% were associated with fetal complications of which Erb’s Palsy was the most prevalent (79%). Conclusion Our finding of significant associations with risk factors lays out the ground to develop a predictability index for shoulder dystocia, which would help in making it preventable. Further p rospective studies are required to confirm the obtained results. PMID:25337307

  4. Risk Factors Profile of Shoulder Dystocia in Oman: A Case Control Study

    Directory of Open Access Journals (Sweden)

    Maha M. Al-Khaduri

    2014-09-01

    Full Text Available Objective: This study aimed to assess the risk factor profile of shoulder dystocia and associated neonatal complications in Oman, a developing Arab country. Methods: A retrospective case-control study was conducted among 111 cases with dystocia and 111 controls, identified during 1994-2006 period in a tertiary care hospital in Oman. Controls were randomly selected among women who did not have dystocia, and were matched to cases on the day of delivery. Data related to potential risk factors, delivery, and obstetric complications were collected. Results: Dystocia was significantly associated with older maternal age, higher parity, larger BMI, diabetes, and previous record of dystocia. In addition, dystocia was associated more with vacuum and forceps deliveries. Routine traction (51% was the most used manoeuvre. Among dystocia cases, 13% were associated with fetal complications of which Erb’s Palsy was the most prevalent (79%. Conclusion: Our finding of significant associations with risk factors lays out the ground to develop a predictability index for shoulder dystocia, which would help in making it preventable. Further prospective studies are required to confirm the obtained results.

  5. Renewable Energy Country Profiles. Caribbean

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2012-09-15

    IRENA Renewable Energy Country Profiles take stock of the latest developments in the field of renewables at country level around the world. Each profile combines analysis by IRENA's specialists with the latest available country data and additional information from a wide array of sources. The resulting reports provide a brief yet comprehensive picture of the situation with regard to renewable energy, including energy supply, electrical generation and grid capacity, and access. Energy policies, targets and projects are also considered, along with each country's investment climate and endowment with renewable energy resources. The energy statistics presented here span the period from 2009 until 2012, reflecting varying timelines in the source material. Since data availability differs from country to country, wider regional comparisons are possible only for the latest year with figures available for every country included. Despite the time lag in some cases, the evident differences and disparities between countries and regions around the world remain striking. The current package of country profiles is just a starting point. The geographic scope will continue to expand, and existing profiles will be enhanced with new indicators, with the whole series maintained as a live product on the IRENA website (www.irena.org)

  6. Identifying barriers to the availability and use of Magnesium Sulphate Injection in resource poor countries: a case study in Zambia.

    Science.gov (United States)

    Ridge, Anna L; Bero, Lisa A; Hill, Suzanne R

    2010-12-16

    Pre-eclampsia and eclampsia are serious complications of pregnancy and major causes of maternal mortality and morbidity worldwide. According to systematic reviews and WHO guidelines magnesium sulphate injection (MgSO4) should be the first -line treatment for severe pre-eclampsia and eclampsia. Studies have shown that this safe and effective medicine is unavailable and underutilized in many resource poor countries. The objective of this study was to identify barriers to the availability and use of MgSO4 in the Zambian Public Health System. A 'fishbone' (Ishikawa) diagram listing probable facilitators to the availability and use of MgSO4 identified from the literature was used to develop an assessment tool. Barriers to availability and use of MgSO4 were assessed at the regulatory/government, supply, procurement, distribution, health facility and health professional levels. The assessment was completed during August 2008 using archival data, and observations at a pragmatic sample of health facilities providing obstetric services in Lusaka District, Zambia. The major barrier to the availability of MgSO4 within the public health system in Zambia was lack of procurement by the Ministry of Health. Other barriers identified included a lack of demand by health professionals at the health centre level and a lack of in-service training in the use of MgSO4. Where there was demand by obstetricians, magnesium sulphate injection was being procured from the private sector by the hospital pharmacy despite not being registered and licensed for use for the treatment of severe pre-eclampsia and eclampsia by the national Pharmaceutical Regulatory Authority. The case study in Zambia highlights the complexities that underlie making essential medicines available and used appropriately. The fishbone diagram is a useful theoretical framework for illustrating the complexity of translating research findings into clinical practice. A better understanding of the supply system and of the pattern

  7. National borders effectively halt the spread of rabies: the current rabies epidemic in China is dislocated from cases in neighboring countries.

    Science.gov (United States)

    Guo, Zhenyang; Tao, Xiaoyan; Yin, Cuiping; Han, Na; Yu, Jinning; Li, Hao; Liu, Haizhou; Fang, Wei; Adams, James; Wang, Jun; Liang, Guodong; Tang, Qing; Rayner, Simon

    2013-01-01

    China has seen a massive resurgence of rabies cases in the last 15 years with more than 25,000 human fatalities. Initial cases were reported in the southwest but are now reported in almost every province. There have been several phylogenetic investigations into the origin and spread of the virus within China but few reports investigating the impact of the epidemic on neighboring countries. We therefore collected nucleoprotein sequences from China and South East Asia and investigated their phylogenetic and phylogeographic relationship. Our results indicate that within South East Asia, isolates mainly cluster according to their geographic origin. We found evidence of sporadic exchange of strains between neighboring countries, but it appears that the major strain responsible for the current Chinese epidemic has not been exported. This suggests that national geographical boundaries and border controls are effective at halting the spread of rabies from China into adjacent regions. We further investigated the geographic structure of Chinese sequences and found that the current epidemic is dominated by variant strains that were likely present at low levels in previous domestic epidemics. We also identified epidemiological linkages between high incidence provinces consistent with observations based on surveillance data from human rabies cases.

  8. Institutional reforms and their impact on rural electrification: Case studies in South and Southeast Asia

    Energy Technology Data Exchange (ETDEWEB)

    Shrestha, R.M.; Kumar, S.; Toodoc, M.J.; Sharma, S.

    2004-04-01

    and relieving the financial burden of electricity institutions by sharing the costs of electricity supply with the private sector and the electricity consumers. The subregion, therefore, cover a wide continuum on the reform scale and present an interesting case study for analysing the issues of electricity (a sut-sector of energy) access to the poor and the impacts of reform. The objective of the study was to examine the reforms in the electricity sector that have crucial influence on electricity access. The study assessed whether the institutional restructuring and major reforms mentioned above had had impacts on the access to electricity among the poor. Three country case studies were chosen for assessment: Thailand, Bangladesh, and Vietnam. These countries in the subregion represented diverse economic standing as well as different approaches in increasing electricity access among the people. The selected reform measures in the three countries were assessed with respect to the following indicators: 1) Electrification levels. 2) Electrification rates. 3) Average or per capita kWh consumption. 4) Average electricity tariffs; and Electricity expenditures as percentage of total household expenditures. As various reform measures were undertaken in the past, the study had chosen few reform measures for Bach country case study for assessment. In the absence of electricity and affordability data by income classes (poor and non-poor), the study used electricity data of rural and urban population as a proxy of the poor and the nonpoor households, respectively. (BA)

  9. Optimizing community case management strategies to achieve equitable reduction of childhood pneumonia mortality: An application of Equitable Impact Sensitive Tool (EQUIST) in five low- and middle-income countries.

    Science.gov (United States)

    Waters, Donald; Theodoratou, Evropi; Campbell, Harry; Rudan, Igor; Chopra, Mickey

    2012-12-01

    The aim of this study was to populate the Equitable Impact Sensitive Tool (EQUIST) framework with all necessary data and conduct the first implementation of EQUIST in studying cost-effectiveness of community case management of childhood pneumonia in 5 low- and middle-income countries with relation to equity impact. Wealth quintile-specific data were gathered or modelled for all contributory determinants of the EQUIST framework, namely: under-five mortality rate, cost of intervention, intervention effectiveness, current coverage of intervention and relative disease distribution. These were then combined statistically to calculate the final outcome of the EQUIST model for community case management of childhood pneumonia: US$ per life saved, in several different approaches to scaling-up. The current 'mainstream' approach to scaling-up of interventions is never the most cost-effective. Community-case management appears to strongly support an 'equity-promoting' approach to scaling-up, displaying the highest levels of cost-effectiveness in interventions targeted at the poorest quintile of each study country, although absolute cost differences vary by context. The relationship between cost-effectiveness and equity impact is complex, with many determinants to consider. One important way to increase intervention cost-effectiveness in poorer quintiles is to improve the efficiency and quality of delivery. More data are needed in all areas to increase the accuracy of EQUIST-based estimates.

  10. International Development Partnerships and Diffusion of Renewable Energy Technologies in Developing Countries: Cases in Latin America

    Science.gov (United States)

    Platonova, Inna

    Access to energy is vital for sustainable development and poverty alleviation, yet billions of people in developing countries continue to suffer from constant exposure to open fires and dangerous fuels, such as kerosene. Renewable energy technologies are being acknowledged as suitable solutions for remote rural communities in much of the developing world and international development non-governmental organizations (NGOs) increasingly play important roles in the diffusion of these technologies via development partnerships. While these partnerships are widely promoted, many questions related to their functioning and effectiveness remain open. To advance the theory and practice, this interdisciplinary exploratory research provides in-depth insights into the nature of international NGO-driven development partnerships in rural renewable energy and their effectiveness based on the case studies in Talamanca, Costa Rica and Cajamarca, Peru. The analysis of the nature of development partnerships shows that partnerships in the case studies differ in structure, size and diversity of actors due to differentiation in the implementation strategies, technological complexities, institutional and contextual factors. A multi-theoretical approach is presented to explain the multiple drivers of the studied development partnerships. The research highlights partnership constraints related to the provision of rural renewable energy, the organizational type and institutional environments. Based on the case studies this research puts forward theoretical propositions regarding the factors that affect the effectiveness of the partnerships. In terms of the partnership dynamics dimension, several key factors of success are confirmed from the existing literature, namely shared values and goals, complementary expertise and capacities, confidence and trust, clear roles and responsibilities, effective communication. Additional factors identified are personality match and continuity of staff. In

  11. Area Handbook Series: Israel: A Country Study

    Science.gov (United States)

    1988-12-01

    kid- napping of Nazi war criminal Adolph Eichmann from Argentina. Another kidnapping, in 1986, brought to Israel for prosecution the nuclear...penalty could be imposed for treason or for conviction for Nazi war crimes but, as of 1988, 331 Israel: A Country Study Eichmann was the only person to be...See land ownership Eichmann , Adolph, 331-32 extensive threat concept, 267-68 Eisenhower, Dwight D., 58 Ezekiel, 11 Eisenstadt, S. N., 83 Ezra, II

  12. Possibilities for Negotiated Agreements on Energy Efficiency in CEE Countries

    International Nuclear Information System (INIS)

    Stanic, Z.

    1997-01-01

    This article summarises the results of the four month study of the possibilities for using Negotiated Agreements on Energy Efficiency between Government and Industry as a tool for improving energy efficiency in the CEE industrial sector. Negotiated Agreements are becoming increasingly popular in many countries as a potential means of addressing environmental problems (SO 2 , NO x and CO 2 ) and resource depletion (the use of fossil fuels), without adversely affecting economic development. In the report the use of these instrument in a number of countries is considered and described in view of developing a framework for assessing the possibilities for such agreements in CEE countries. The framework was applied through a case-study of Poland and a quick 'scan' of Belarus, Croatia and Latvia. (author)

  13. Rationale and design of INTERSTROKE: a global case-control study of risk factors for stroke

    DEFF Research Database (Denmark)

    O'Donnell, M; Serpault, Damien Xavier; Diener, C

    2010-01-01

    Stroke is a major global health problem. It is the third leading cause of death and the leading cause of adult disability. INTERHEART, a global case-control study of acute myocardial infarction in 52 countries (29,972 participants), identified nine modifiable risk factors that accounted for >90% ...

  14. The contribution of case study design to supporting research on Clubhouse psychosocial rehabilitation.

    Science.gov (United States)

    Raeburn, Toby; Schmied, Virginia; Hungerford, Catherine; Cleary, Michelle

    2015-10-01

    Psychosocial Clubhouses provide recovery-focused psychosocial rehabilitation to people with serious mental illness at over 300 sites in more than 30 countries worldwide. To deliver the services involved, Clubhouses employ a complex mix of theory, programs and relationships, with this complexity presenting a number of challenges to those undertaking Clubhouse research. This paper provides an overview of the usefulness of case study designs for Clubhouse researchers; and suggests ways in which the evaluation of Clubhouse models can be facilitated. The paper begins by providing a brief explanation of the Clubhouse model of psychosocial rehabilitation, and the need for ongoing evaluation of the services delivered. This explanation is followed by an introduction to case study design, with consideration given to the way in which case studies have been used in past Clubhouse research. It is posited that case study design provides a methodological framework that supports the analysis of either quantitative, qualitative or a mixture of both types of data to investigate complex phenomena in their everyday contexts, and thereby support the development of theory. As such, case study approaches to research are well suited to the Clubhouse environment. The paper concludes with recommendations for future Clubhouse researchers who choose to employ a case study design. While the quality of case study research that explores Clubhouses has been variable in the past, if applied in a diligent manner, case study design has a valuable contribution to make in future Clubhouse research.

  15. LNG as a strategy to establish developing countries' gas markets: The Brazilian case

    International Nuclear Information System (INIS)

    Alberto Rechelo Neto, Carlos; Sauer, Ildo Luis

    2006-01-01

    This paper aims to evaluate, from a Brazilian case study, if the natural gas trade can be viewed as a good opportunity for developing countries located geographically close to Western Europe and North America gas markets. Initially, the paper presents an overview of the Brazilian natural gas industry and evaluates the balance between supply and demand in each main region of Brazil. Then, it analyzes the evolution of the international gas trade, which is expected to increase rapidly (LNG particularly). Finally, the paper analyses the financial viability of the Brazilian LNG project in a context of high volatility of natural gas prices in the international market. To take this uncertainty into account, North-American natural gas prices are modelled according to the ORNSTEIN-UHLENBECK process (with EIA data over the period 1985-2003). By using an approach based on Monte-Carlo simulations and under the assumption that imports are guaranteed since the North American gas price would be higher than the breakeven of the Brazilian project, the model aims to test the hypothesis that export can promote the development of the Brazilian Northeastern gas market. LNG project is here compared to the Petrobras pipelines project, which is considered as the immediate solution for the Northeastern gas shortage. As a conclusion, this study shows that the LNG export will be vulnerable to the risks associated to the natural gas prices volatility observed on the international market

  16. The economics of soil conservation in developing countries: the case of crop residue mulching

    NARCIS (Netherlands)

    Erenstein, O.C.A.

    1999-01-01

    The study contributes to the search for a methodology to assess soil conservation, particularly in developing countries. The study first assesses the economics of soil conservation in general - with special emphasis on the relationships between technology, economic analysis and policy implications.

  17. Pharmacovigilance activities in ASEAN countries.

    Science.gov (United States)

    Suwankesawong, Wimon; Dhippayom, Teerapon; Tan-Koi, Wei-Chuen; Kongkaew, Chuenjid

    2016-09-01

    This study aimed to explore the current landscape and identify challenges of pharmacovigilance (PV) among Association of Southeast Asian Nations (ASEAN) countries. This cross-sectional survey collected data from May 2014 to December 2015. Questionnaires seeking to collect information on resources, processes, roles and responsibility, and functions of PV systems were sent to relevant persons in the ASEAN countries. Functions of PV centers were measured using the minimum World Health Organization requirements for a functional national PV system. Performances of PV centers were measured by the following: (1) the indicators related to the average number of individual case safety reports (ICSR); (2) presence of signal detection activities and subsequent action; and (3) contribution to the global vigilance database. Cambodia, Indonesia, Laos, Malaysia, the Philippines, Singapore, Thailand, and Vietnam completed the survey. PV systems in four surveyed countries (Indonesia, Malaysia, Singapore, and Thailand) achieved all aspects of the World Health Organization minimum requirement for a functional national PV system; the remaining countries were deemed to have unclear communication strategies and/or no official advisory committee. Average numbers of recent ICSR national returns ranged from 7 to 3817 reports/year/million population; three countries (Malaysia, Singapore, and Thailand) demonstrated good performance in reporting system and reported signal detection activities and subsequent actions. All participating countries had submitted ICSRs to the Uppsala Monitoring Center during the survey period (2013-2015). Four participating countries had functional PV systems. PV capacity, functionality, and legislative framework varied depending on local healthcare ecosystem networks. Implementing effective communication strategies and/or technical assistance from the advisory committee are needed to strengthen PV in ASEAN. Copyright © 2016 John Wiley & Sons, Ltd. Copyright

  18. Trends in net survival from cervical cancer in six European Latin countries: results from the SUDCAN population-based study.

    Science.gov (United States)

    Haelens, Annemie; Roche, Laurent; Bastos, Joana; Woronoff, Anne-Sophie; Zorzi, Manuel; Francart, Julie

    2017-01-01

    Cancer survival is a key measure of the effectiveness of a healthcare system. As differences in healthcare systems are present among European Latin countries, it is of interest to look specifically at their similarities and differences in terms of cancer survival. Incident cases were extracted from the EUROCARE-V database for France, Italy, Spain, Switzerland, Portugal, and Belgium. One and 5-year net survivals (NS) were calculated for the period 2000-2004 using the Pohar-Perme estimator. Trends in NS over the 1992-2004 period and changes in the pattern of cancer excess mortality rate until 5 years after diagnosis were examined using a multivariate excess mortality rate model. There were moderate differences in age-standardized NS between countries (5-year NS range: 83-88%), but significant differences in the age groups 15-54 and 55-74 years (at 5 years up to +16 and +18% between any two countries). During the study period, excess mortality and NS improved in Italy, Spain, and Portugal. In Italy and Portugal, this improvement was slightly similar at ages 40, 55, and 70 whereas, in Spain, there was a sharp increase in NS at age 55. Because of this improvement, excess mortality and NS were similar in all six countries in 2004. Excess mortality peaked around 1 year after diagnosis in the youngest ages, but decreased gradually in the elderly. Detailed analyses showed differences in excess mortality and NS from cervical cancer between European Latin countries. However, these differences decreased over the study period because of the considerable improvement in Spain, Italy, and Portugal.

  19. The emergence of a health insurance system in a developing country: the case of South Korea.

    Science.gov (United States)

    Cho, S

    1989-12-01

    In an attempt to understand the social forces and the economic and political conditions under which new social policies emerge in developing countries, this study outlines factors affecting the introduction of the health insurance system in South Korea. The emergence of the South Korean health insurance system was influenced by changing labor needs of the industrial sector, increasing social expectations, external and international pressures, increasing medical costs, and class conflict. These pressures compelled the South Korean government to respond to demands for the introduction of new social welfare policies in the 1970s. In the case of South Korea, the new health insurance system resulted from the government's attempts to cope with political, economic, and social pressures rather than from an ideological commitment to the well-being of the population. The resulting insurance system was a way to maintain the social order and legitimacy of the regime, and a means to promote the health of groups important to defense or production.

  20. Student's Plagiarisms in Higher Learning Institutions in the Era of Improved Internet Access: Case Study of Developing Countries

    Science.gov (United States)

    Anney, Vicent Naano; Mosha, Mary Atanas

    2015-01-01

    This study investigated students' plagiarism practices in Tanzania higher learning institutions by involving two universities-one public and one private university as a case study. The universities involved have honour code and policies for plagiarism detection however they do not employ software for checking students' plagiarism. The study…

  1. Fueling the Gig Economy: A Case Study Evaluation of Upwork.com

    OpenAIRE

    Daryl D. Green; Craig Walker; Abdulrahman Alabulththim; Daniel Smith; Michele Phillips

    2018-01-01

    With recent downsizing of talented professionals and the power of globalization to provide opportunities for more underdeveloped countries, the gig economy is a source of influence in today’s generation of professionals. Online outsourcing media have shown to be valuable resources for companies who need a specific set of skills for a limited period. This case study evaluates Upwork.com, one of the leading freelance websites in the gig economy; this article provides insights on how others shou...

  2. Slum upgrading in developing countries: lessons from Ghana and ...

    African Journals Online (AJOL)

    The proliferation of slums in many cities of the developing countries has ... slum upgrading in Ghana and Kenya as model examples to make a case for .... improvement in housing, and still others, infrastructural development. ..... Class Summer Research Report), City and Regional Planning: International and Area Studies.

  3. Paying for Mitigation: A Multiple Country Study

    Energy Technology Data Exchange (ETDEWEB)

    Carlsson, Fredrik; Kataria, Mitesh; Krupnick, Alan; Lampi, Elina; Loefgren, Aasa; Ping Qin; Chung, Susie; Sterner, Thomas

    2010-05-15

    Unique survey data from a contingent valuation study conducted in three different countries (China, Sweden, and the United States) were used to investigate the ordinary citizen's willingness to pay (WTP) for reducing CO{sub 2} emissions. We find that a large majority of the respondents in all three countries believe that the mean global temperature has increased over the last 100 years and that humans are responsible for the increase. A smaller share of Americans, however, believes these statements, when compared to the Chinese and Swedes. A larger share of Americans is also pessimistic and believes that nothing can be done to stop climate change. We also find that Sweden has the highest WTP for reductions of CO{sub 2}, while China has the lowest. Thus, even though the Swedes and Chinese are similar to each other in their attitudes toward climate change, they differ considerably in their WTP. When WTP is measured as a share of household income, the willingness to pay is the same for Americans and Chinese, while again higher for the Swedes

  4. Legal Frontiers in the Global Dissemination of Technology and Knowledge: Three Case Studies

    DEFF Research Database (Denmark)

    Tang, Yi Shin

    2008-01-01

    This article explores a few alternatives to the traditional legal and economic theories regarding the problem of global dissemination of knowledge and technology to developing countries. In particular, it examines three cases in which the classical notion of intellectual property rights seems...... to have been exploited in favor of developing countries, both through its conventional application and through more flexible views of such legal institution. The first case deals with the phenomenon of peer production through electronic networks; the second discusses the regulation of trademarks...... in the context of collective rights; and finally, the third case tackles the recent problem of the so-called "abandonwares" and its implications of economic and legal nature....

  5. Violence as a public health problem: an ecological study of 169 countries.

    Science.gov (United States)

    Wolf, Achim; Gray, Ron; Fazel, Seena

    2014-03-01

    Individual level risk factors for violence have been widely studied, but little is known about country-level determinants, particularly in low and middle-income countries. We hypothesized that income inequality, through its detrimental effects on social cohesion, would be related to an increase in violence worldwide, and in low and middle-income countries in particular. We examined country-level associations of violence with socio-economic and health-related factors, using crime statistics from the United Nations Office on Drugs and Crime, and indicators from the Human Development Report published by the United Nations Development Programme. Using regression models, we measured relationships between country-level factors (age, education, measures of income, health expenditure, and alcohol consumption) and four violent outcomes (including measures of violence-related mortality and morbidity) in up to 169 countries. We stratified our analyses comparing high with low and middle-income countries, and analysed longitudinal data on homicide and income inequality in high-income countries. In low and middle-income countries, income inequality was related to homicide, robbery, and self-reported assault (all p's public policy interventions reducing alcohol consumption may contribute to reducing violence rates. Our main finding was that income inequality was related to violence in low and middle-income countries. Public health should advocate for global action to moderate income inequality to reduce the global health burden of violence. Copyright © 2013 The Authors. Published by Elsevier Ltd.. All rights reserved.

  6. Electricity distribution industry restructuring in South Africa: A case study

    International Nuclear Information System (INIS)

    Gaunt, C.T.

    2008-01-01

    For 20 years there has been vigorous debate about restructuring the large, developed electricity industry in South Africa, but the plans have not been implemented. The justification of the proposed restructuring illustrates the different expectations of the participants in the electricity industry. The case study reviews what has occurred against a background of some theories about organisations, and identifies six key issues. Some lessons include the need to adopt an industry structure compatible with the objectives of electricity distribution in developing countries, the unsuitability of orthodox approaches to organisations, that no industry structure appears to be significantly better than others, industry restructuring of public sector utilities has a significant political dimension, restructuring can fail even if there is support from a high level of government, and indecision and uncertainty have serious negative consequences. The experience should be helpful for other developing countries considering structural change of their electricity industry

  7. Decision support framework for evaluating the operational environment of forest bioenergy production and use: Case of four European countries.

    Science.gov (United States)

    Pezdevšek Malovrh, Špela; Kurttila, Mikko; Hujala, Teppo; Kärkkäinen, Leena; Leban, Vasja; Lindstad, Berit H; Peters, Dörte Marie; Rhodius, Regina; Solberg, Birger; Wirth, Kristina; Zadnik Stirn, Lidija; Krč, Janez

    2016-09-15

    Complex policy-making situations around bioenergy production and use require examination of the operational environment of the society and a participatory approach. This paper presents and demonstrates a three-phase decision-making framework for analysing the operational environment of strategies related to increased forest bioenergy targets. The framework is based on SWOT (strengths, weaknesses, opportunities and threats) analysis and the Simple Multi-Attribute Rating Technique (SMART). Stakeholders of four case countries (Finland, Germany, Norway and Slovenia) defined the factors that affect the operational environments, classified in four pre-set categories (Forest Characteristics and Management, Policy Framework, Technology and Science, and Consumers and Society). The stakeholders participated in weighting of SWOT items for two future scenarios with SMART technique. The first scenario reflected the current 2020 targets (the Business-as-Usual scenario), and the second scenario contained a further increase in the targets (the Increase scenario). This framework can be applied to various problems of environmental management and also to other fields where public decision-making is combined with stakeholders' engagement. The case results show that the greatest differences between the scenarios appear in Germany, indicating a notably negative outlook for the Increase scenario, while the smallest differences were found in Finland. Policy Framework was a highly rated category across the countries, mainly with respect to weaknesses and threats. Intensified forest bioenergy harvesting and utilization has potentially wide country-specific impacts which need to be anticipated and considered in national policies and public dialogue. Copyright © 2016 Elsevier Ltd. All rights reserved.

  8. Decalcified allograft in repair of lytic lesions of bone: A study to evolve bone bank in developing countries

    Directory of Open Access Journals (Sweden)

    Anil Kumar Gupta

    2016-01-01

    Full Text Available Background: The quest for ideal bone graft substitutes still haunts orthopedic researchers. The impetus for this search of newer bone substitutes is provided by mismatch between the demand and supply of autogenous bone grafts. Bone banking facilities such as deep frozen and freeze-dried allografts are not so widely available in most of the developing countries. To overcome the problem, we have used partially decalcified, ethanol preserved, and domestic refrigerator stored allografts which are economical and needs simple technology for procurement, preparation, and preservation. The aim of the study was to assess the radiological and functional outcome of the partially decalcified allograft (by weak hydrochloric acid in patients of benign lytic lesions of bone. Through this study, we have also tried to evolve, establish, and disseminate the concept of the bone bank. Materials and Methods: 42 cases of lytic lesions of bone who were treated by decalcified (by weak hydrochloric acid, ethanol preserved, allografts were included in this prospective study. The allograft was obtained from freshly amputated limbs or excised femoral heads during hip arthroplasties under strict aseptic conditions. The causes of lytic lesions were unicameral bone cyst ( n = 3, aneurysmal bone cyst ( n = 3, giant cell tumor ( n = 9, fibrous dysplasia ( n = 12, chondromyxoid fibroma, chondroma, nonossifying fibroma ( n = 1 each, tubercular osteomyelitis ( n = 7, and chronic pyogenic osteomyelitis ( n = 5. The cavity of the lesion was thoroughly curetted and compactly filled with matchstick sized allografts. Results: Quantitative assessment based on the criteria of Sethi et al. (1993 was done. There was complete assimilation in 27 cases, partial healing in 12 cases, and failure in 3 cases. Functional assessment was also done according to which there were 29 excellent results, 6 good, and 7 cases of failure (infection, recurrence, and nonunion of pathological fracture. We

  9. Hosting mega sport events in a small country: The (real impact on the development - cases of Croatia and Serbia

    Directory of Open Access Journals (Sweden)

    Šimić-Banović Ružica

    2017-01-01

    Full Text Available Majority of studies on the impact of the sports events on country's development are produced before the events take place and as such are in favour of the bidding process. When comparing these ex ante analyses to the ex post evidence, it has been in most cases obvious that they have been overly optimistic. This paper analyses the ex ante analysis provided by the Croatian bidding committee for the European Football Championship 2012. In addition to that, the ex ante study for the World Handball Championship 2009 in Croatia and (insufficient data for the handball championships that took place in Serbia were analysed as well. This paper contributes both to the debate on the realistic approach of several failed and won bids, and the debate on the future bids for the other sport events.

  10. Engaging recreational fishers in management and conservation: global case studies.

    Science.gov (United States)

    Granek, E F; Madin, E M P; Brown, M A; Figueira, W; Cameron, D S; Hogan, Z; Kristianson, G; de Villiers, P; Williams, J E; Post, J; Zahn, S; Arlinghaus, R

    2008-10-01

    Globally, the number of recreational fishers is sizeable and increasing in many countries. Associated with this trend is the potential for negative impacts on fish stocks through exploitation or management measures such as stocking and introduction of non-native fishes. Nevertheless, recreational fishers can be instrumental in successful fisheries conservation through active involvement in, or initiation of, conservation projects to reduce both direct and external stressors contributing to fishery declines. Understanding fishers' concerns for sustained access to the resource and developing methods for their meaningful participation can have positive impacts on conservation efforts. We examined a suite of case studies that demonstrate successful involvement of recreational fishers in conservation and management activities that span developed and developing countries, temperate and tropical regions, marine and freshwater systems, and open- and closed-access fisheries. To illustrate potential benefits and challenges of involving recreational fishers in fisheries management and conservation, we examined the socioeconomic and ecological contexts of each case study. We devised a conceptual framework for the engagement of recreational fishers that targets particular types of involvement (enforcement, advocacy, conservation, management design [type and location], research, and monitoring) on the basis of degree of stakeholder stewardship, scale of the fishery, and source of impacts (internal or external). These activities can be enhanced by incorporating local knowledge and traditions, taking advantage of leadership and regional networks, and creating collaborations among various stakeholder groups, scientists, and agencies to maximize the probability of recreational fisher involvement and project success.

  11. Labor Market Institutions, Mobility, and Dualization in the Nordic Countries

    Directory of Open Access Journals (Sweden)

    Jørgen Svalund

    2013-01-01

    Full Text Available Comparing the Nordic countries, this article examines different combinations of permanent and temporary employment protection legislation, and whether such differences are reflected in patterns of labor market transitions. We find higher levels of transitions from unemployment to temporary contracts in Sweden and Finland, with lax regulation of temporary contracts and strict regulation of permanent contracts. Further, temporary employees are integrated into permanent contracts in countries with lax (Denmark or strict (Norway regulation of permanent contracts, while this is not the case in Finland and Sweden. For these countries, the study indicates a certain degree of labor market duality, with low mobility from temporary to permanent employment contracts.

  12. Is Tourism Development a Sustainable Economic Growth Strategy in the Long Run? Evidence from GCC Countries

    Directory of Open Access Journals (Sweden)

    Abdulkarim K. Alhowaish

    2016-06-01

    Full Text Available The main objective of this study is to investigate the causal relationship between tourism development and economic growth in Gulf Cooperation Council (GCC countries in a multivariate model, using panel data for the period 1995–2012. The study adopts a panel Granger causality analysis approach to assess the contribution of tourism to economic growth in GCC countries as a whole, and in each individual country. In the case of GCC countries as a whole, the results show a one-way Granger causality, from economic growth to tourism growth. Furthermore, Kuwait, Saudi Arabia, Qatar, and the United Arab Emirates follow the path of economy-driven tourism growth, as hypothesized. The reverse hypothesis (i.e., tourism-led growth hypothesis holds true for Bahrain, while there is no causal relationship between tourism and economic growth in the case of Oman.

  13. Area Handbook Series. Philippines: A Country Study

    Science.gov (United States)

    1991-06-01

    the Philippines’ own claim to Sabah, the territory in northeastern Bor- neo that had become a Malaysian state in 1963. Marcos and the Road to Martial...north, was on the risc 50 Historical Setting In 1969 the Moro National Liberation Front (MNLF) was or- ganized on Malaysian soil. The MNLF conducted an...particularly so where the 7enter was itself a full-scale 91 Philippines: A Country Study town, complete with restaurants, cinemas , banks, specialty

  14. Area Handbook Series. Albania: A Country Study

    Science.gov (United States)

    1992-04-01

    inadequa prenal cue, tbe proportion of preature births increse •d from 7 to 11 perent between 197 amd early 1992. Hospits lacked es- sen"h mecidmund erp...were urgently needed to deal with the multiplying number of privately owned cars. Albanian entrepreneurs also 151 Albania: A Country Study imported... entrepreneurs from the reta marketplace. At first, peasants began setting up road- side fruit and vegetables stands or carrying their produce to mar- kets in

  15. Use of butter and cheese in 10 European countries - A case of contrasting educational differences

    DEFF Research Database (Denmark)

    Prattala, R. S.; Groth, Margit Velsing; Oltersdorf, U. S.

    2003-01-01

    Background: This paper alms to analyse socioeconomic variation in the use of cheese and butter in Europe by reviewing existing dietary surveys. It explores whether socioeconomic differences in the intake of these foods follow a similar pattern in all countries. Methods: An overview of available s...... classes prefer modern foods,. lower classes traditional foods....... studies on socioeconomic differences in food habits in Europe over the period 1985-1997 was performed. Twenty studies from 10 countries included information on cheese and butter. A simple directional vote-counting method was used to register the association between educational level add consumption...

  16. Sustainable recycling of municipal solid waste in developing countries

    International Nuclear Information System (INIS)

    Troschinetz, Alexis M.; Mihelcic, James R.

    2009-01-01

    This research focuses on recycling in developing countries as one form of sustainable municipal solid waste management (MSWM). Twenty-three case studies provided municipal solid waste (MSW) generation and recovery rates and composition for compilation and assessment. The average MSW generation rate was 0.77 kg/person/day, with recovery rates from 5-40%. The waste streams of 19 of these case studies consisted of 0-70% recyclables and 17-80% organics. Qualitative analysis of all 23 case studies identified barriers or incentives to recycling, which resulted in the development of factors influencing recycling of MSW in developing countries. The factors are government policy, government finances, waste characterization, waste collection and segregation, household education, household economics, MSWM (municipal solid waste management) administration, MSWM personnel education, MSWM plan, local recycled-material market, technological and human resources, and land availability. Necessary and beneficial relationships drawn among these factors revealed the collaborative nature of sustainable MSWM. The functionality of the factor relationships greatly influenced the success of sustainable MSWM. A correlation existed between stakeholder involvement and the three dimensions of sustainability: environment, society, and economy. The only factors driven by all three dimensions (waste collection and segregation, MSWM plan, and local recycled-material market) were those requiring the greatest collaboration with other factors

  17. Pre-entry screening programmes for tuberculosis in migrants to low-incidence countries: a systematic review and meta-analysis.

    Science.gov (United States)

    Aldridge, Robert W; Yates, Tom A; Zenner, Dominik; White, Peter J; Abubakar, Ibrahim; Hayward, Andrew C

    2014-12-01

    Several high-income countries have pre-entry screening programmes for tuberculosis. We aimed to establish the yield of pre-entry screening programmes to inform evidence-based policy for migrant health screening. We searched six bibliographic databases for experimental or observational studies and systematic reviews, which reported data on migrant screening for active or latent tuberculosis by any method before migration to a low-incidence country. Primary outcomes were principal reported screening yield of active tuberculosis, yield of culture-confirmed cases, and yield of sputum smear for acid-fast bacilli cases. Where appropriate, fixed-effects models were used to summarise the yield of pre-entry screening across included studies. We identified 15 unique studies with data for 3 739 266 migrants screened pre-entry for tuberculosis between 1982 and 2010. Heterogeneity was high for all primary outcomes. After stratification by prevalence in country of origin, heterogeneity was reduced for culture-confirmed and smear-confirmed cases. Yield of culture-confirmed cases increased with prevalence in the country of origin, and summary estimates ranged from 19·7 (95% CI 10·3-31·5) cases identified per 100 000 individuals screened in countries with a prevalence of 50-149 cases per 100 000 population to 335·9 (283·0-393·2) per 100 000 in countries with a prevalence of greater than 350 per 100 000 population. Targeting high-prevalence countries could result in the highest yield for active disease. Pre-entry screening should be considered as part of a broad package of measures to ensure early diagnosis and effective management of migrants with active tuberculosis, and be integrated with initiatives that address the health needs of migrants. Wellcome Trust, UK National Institute for Health Research, Medical Research Council, Public Health England. Copyright © 2014 Aldridge et al. Open Access article distributed under the terms of CC BY. Published by Elsevier

  18. Decentralized domestic wastewater systems in developing countries: the case study of Harare (Zimbabwe)

    Science.gov (United States)

    Chirisa, Innocent; Bandauko, Elmond; Matamanda, Abraham; Mandisvika, Gladys

    2017-06-01

    Until recently there has been little, if any, concern over revamping let alone improving wastewater management system in Zimbabwe's urban areas given the dominance and institutionalised water-borne system. Yet, the current constraints in this system and the immensity of urbanisation in the country begs and compels planners, engineers and systems thinkers to rethink what best can work as a sustainable wastewater system. With particular reference to the ever-expanding Harare metropolitan region, this article provides an evaluative analysis on the potentiality, risks and strategies that can be adopted by Harare and its satellites in addressing the problems of the conventional wastewater management system. The suggested framework of operation is a decentralised domestic wastewater collection and treatment system which however has its own multifarious risks. Using systems dynamics conceptualisation of the potentiality, opportunities, risks and strategies, the paper seeks to model the path and outcomes of this decentralised domestic wastewater collection and treatment system and also suggests a number of policy measures and strategies that the city of Harare and its satellites can adopt.

  19. Area Handbook Series: Cuba; a Country Study,

    Science.gov (United States)

    1986-01-01

    xix Chapter 1. Historical Setting. ...................................... Elizabeth de Lima ...Guane Rio Santo L F AntonClarao -22 % Fei ienfuegos Moron kNulvo Gerona Playa Sancti 11-,Giron Spirntu Jhoi ~~ ~Trinidad Cg a Tunas de Zaza * National...schol- arly literature. xi Country Profile 0 0l Country _ Formal Name: Cuba (Rep6blica de Cuba). Short Form: Cuba. Term for Citizens: Cubans. Capital

  20. Case Study Research Methodology

    Directory of Open Access Journals (Sweden)

    Mark Widdowson

    2011-01-01

    Full Text Available Commenting on the lack of case studies published in modern psychotherapy publications, the author reviews the strengths of case study methodology and responds to common criticisms, before providing a summary of types of case studies including clinical, experimental and naturalistic. Suggestions are included for developing systematic case studies and brief descriptions are given of a range of research resources relating to outcome and process measures. Examples of a pragmatic case study design and a hermeneutic single-case efficacy design are given and the paper concludes with some ethical considerations and an exhortation to the TA community to engage more widely in case study research.

  1. Using ergonomics checkpoints to support a participatory ergonomics intervention in an industrially developing country (IDC)--a case study.

    Science.gov (United States)

    Helali, Faramarz

    2009-01-01

    To achieve ergonomics awareness in 3 subsidiary companies, an intervention team was formed. The aims of this study were to implement basic ergonomics through a participatory ergonomics intervention process that can support a continuous learning process and lead to an improvement in health and safety as well as in the work systems in the organization. The findings of this study (i.e., method, continuous learning and integration) were key to making the participatory ergonomics intervention successful. Furthermore, 4 issues of the ergonomics checkpoints (i.e., work schedules, work tasks, healthy work organization and learning) for assessing the work system were found suitable for both changing work schedules and for improving the work system. This paper describes the result of this project and also the experiences gained and the conclusions reached from using the International Labour Office's ergonomics checkpoints in the industries of industrially developing country.

  2. Project management case studies

    CERN Document Server

    Kerzner, Harold R

    2013-01-01

    A new edition of the most popular book of project management case studies, expanded to include more than 100 cases plus a ""super case"" on the Iridium Project Case studies are an important part of project management education and training. This Fourth Edition of Harold Kerzner''s Project Management Case Studies features a number of new cases covering value measurement in project management. Also included is the well-received ""super case,"" which covers all aspects of project management and may be used as a capstone for a course. This new edition:Contains 100-plus case studies drawn from re

  3. Stagnant Neonatal Mortality and Persistent Health Inequality in Middle-Income Countries: A Case Study of the Philippines

    Science.gov (United States)

    Kraft, Aleli D.; Nguyen, Kim-Huong; Jimenez-Soto, Eliana; Hodge, Andrew

    2013-01-01

    Background The probability of survival through childhood continues to be unequal in middle-income countries. This study uses data from the Philippines to assess trends in the prevalence and distribution of child mortality and to evaluate the country’s socioeconomic-related child health inequality. Methodology Using data from four Demographic and Health Surveys we estimated levels and trends of neonatal, infant, and under-five mortality from 1990 to 2007. Mortality estimates at national and subnational levels were produced using both direct and indirect methods. Concentration indices were computed to measure child health inequality by wealth status. Multivariate regression analyses were used to assess the contribution of interventions and socioeconomic factors to wealth-related inequality. Findings Despite substantial reductions in national under-five and infant mortality rates in the early 1990s, the rates of declines have slowed in recent years and neonatal mortality rates remain stubbornly high. Substantial variations across urban-rural, regional, and wealth equity-markers are evident, and suggest that the gaps between the best and worst performing sub-populations will either be maintained or widen in the future. Of the variables tested, recent wealth-related inequalities are found to be strongly associated with social factors (e.g. maternal education), regional location, and access to health services, such as facility-based delivery. Conclusion The Philippines has achieved substantial progress towards Millennium Development Goal 4, but this success masks substantial inequalities and stagnating neonatal mortality trends. This analysis supports a focus on health interventions of high quality – that is, not just facility-based delivery, but delivery by trained staff at well-functioning facilities and supported by a strong referral system – to re-start the long term decline in neonatal mortality and to reduce persistent within-country inequalities in child

  4. Landslide Economics: Concepts and Case Studies

    Science.gov (United States)

    Klose, Martin; Damm, Bodo

    2015-04-01

    Landslide economics is vital for fundamental understanding of landslide risk as dealing with two important topics: (i) impact assessment, either as damage statistics or cost modeling, and (ii) vulnerability assessment, i.e., the study of exposure, sensitivity, and resilience to landslide damage, ideally from both sociotechnical and financial perspective (e.g., Crovelli and Coe, 2009; Wills et al., 2014). Many aspects addressed in landslide economics have direct influence on landslide risk, including: (i) human activity is often a major causative factor of landslides, not only by predisposing or triggering them, but also as a result of inadequate (low-cost) landslide mitigation; (ii) the level of tolerable or acceptable risk, a measure driving a large part of landslide costs in industrialized countries, is highly variable, differing between individuals, public or private organizations, and societies, with its nature being to change over time; and (iii) decision makers are faced with finding the right balance in landslide mitigation, thus need to weight diverse geological and socioeconomic factors that control its effectiveness in both technical and financial terms (e.g., Klose et al., 2014a). A large part of the complexity in assessing landslide risk as measured by economic costs is due to unique problems in understanding of (i) what types of landslide damage affect human activity and infrastructure in which way, (ii) how society contributes and responds to various kinds of damage, and (iii) how landslide damage is valued in monetary terms. Landslide economics shows the potential to take account of these sociocultural factors to the benefit of risk analysis (e.g., Klose et al., 2014b). The present contribution introduces local and regional case studies in which different economic issues of landslide risk are highlighted using the example of public infrastructures in NW Germany. A special focus is on the following topics: (i) risk culture and created risk, (ii

  5. From vulnerability to resilience. The challenge of adaptation to climate change. Case studies from Bangladesh, Brazil, China, India, South Africa and Korea

    Energy Technology Data Exchange (ETDEWEB)

    Garg, A.; Halsnaes, K.; Wha-Jin Han; Jin Hwan Hwang; Jung Eun Kim

    2007-12-15

    The focus of this report is providing adaptation responses through selected case studies in developing countries. The case studies cover diverse themes such as water, agriculture, role of bioenergy in enhancing resilience and infrastructure. These address adaptation policies to provide general insights about synergies and tradeoffs between national sustainable development policies and climate change, and the implementation measures required to obtain attractive policy options, including adaptation. The report includes a short introduction to the project and its approach and summaries of the country studies. The report draws conclusions on enhancing the resilience of vulnerable populations and systems to the adverse impacts of climate change. This is the challenge of adaptation. (au)

  6. TWHY CCCTB DISADVANTAGES LESS DEVELOPED COUNTRIES OF THE EUROPEAN UNION

    Directory of Open Access Journals (Sweden)

    Daniela PÎRVU

    2013-06-01

    Full Text Available From its appearance, the Common Consolidated Corporate Tax Base generated numerous de-bates and controversies since its effects cannot be precisely measured. Two of the factors in the formula for allocating common consolidated corporate tax base are susceptible to disadvantage some Member States. This paper demonstrates, by a case study in Romania, that the tax sharing mechanism, through the payroll factor, disadvantages less developed countries of the European Union. These countries will record losses of corporate income tax revenues.

  7. Rationale and design of INTERSTROKE: a global case-control study of risk factors for stroke

    DEFF Research Database (Denmark)

    O'Donnell, M; Serpault, Damien Xavier; Diener, C

    2010-01-01

    with a first stroke within 72 h of hospital presentation in whom CT or MRI is performed. Proxy respondents are used for cases unable to communicate. Etiological and topographical stroke subtype is documented for all cases. Controls are hospital- and community-based, matched for gender, ethnicity and age (+/-5...... years). A questionnaire (cases and controls) is used to acquire information on known and proposed risk factors for stroke. Cardiovascular (e.g. blood pressure) and anthropometric (e.g. waist-to-hip ratio) measurements are obtained at the time of interview. Nonfasting blood samples and random urine......-income countries is inadequate, where a very large burden of stroke occurs. Accordingly, a similar epidemiological study is required for stroke, to inform effective population-based strategies to reduce the risk of stroke. Methods: INTERSTROKE is an international, multicenter case-control study. Cases are patients...

  8. Individual Characteristics of Entrepreneurs in Transition Countries. The Albanian Case

    Directory of Open Access Journals (Sweden)

    Areti Stringa

    2009-06-01

    Full Text Available The transition process in Albania, as in other ex-communist countries, stopped the enterprise development. The increasing number of small and medium enterprises is the most promising consequence of the transition process. Several researches in western countries have demonstrated that entrepreneurship involves objective and subjective factors and is interrelated with environmental objective factors and individual subjective ones. Our research examines clear characteristics of the businesses’ analysis, the performance of the entrepreneurs themselves (their background and personal characteristics, their motivation to start a business and the perceptions of the different characteristics and the aspects of the businesses they run.

  9. The effect of female labour force in economic growth and sustainability in transition economies - case study for SEE countries

    Directory of Open Access Journals (Sweden)

    Majlinda Mazalliu

    2015-07-01

    Full Text Available In this research paper, the main theoretical arguments for discussions are as following: female labour force participation in transition countries, female employment in economic sectors and their main barriers, and the contributions of female labour force in economic growth. In methodology, the secondary data are used, and they are calculated through STATA program. The main analysis include: descriptive statistic, regression analysis and correlation matrix. Based on empirical results, the regression analysis has found that economic growth and government effectiveness has a negative impact on female labour force. Financial market development, enterprises reforms, and innovation have a positive impact on female labour force in SEE (South Eastern European countries. In T-statistic analysis all independent variables have shown a negative significance (T <2 on female labour force. In correlation, economic growth and financial development market have negative correlation on female labour force, but other variables have shown positive correlation. SEE countries should develop the female labour force in their economies, so their role may be crucial toward different economic problems and challenges in the modern economy.

  10. Economic gradients in early child neurodevelopment: A multi-country study

    Science.gov (United States)

    Wehby, George L.; McCarthy, Ann Marie

    2013-01-01

    Little is known about the importance of household wealth for child neurodevelopment very early in life including during infancy. Previous studies have focused on specific developmental domains instead of more holistic multi-domain measures of neurodevelopment and on economic effects for the “average” child instead of evaluating the heterogeneity in economic gradients by different levels of developmental ability. Furthermore, not much is known about whether economic gradients in early child neurodevelopment are country-specific or generalizable between populations. We evaluate wealth gradients in child neurodevelopment, an important predictor of future health and human capital, between ages 3 and 24 months in four South American countries. We also assess the heterogeneity in these gradients at different locations of the neurodevelopment distribution using quantile regression. Employing a unique dataset of 2032 children with neurodevelopment measures obtained by physicians in 2005–2006, we find a large positive wealth gradient in neurodevelopment in Brazil. The wealth gradient is larger for children at higher neurodevelopment rankings, suggesting that wealth is associated with child development inequalities in the form of a wider gap between low and high achievers on neurodevelopment in Brazil. This result highlights the need to target poverty in Brazil as a key factor in health and human capital disparities earlier in life rather than later as early developmental deficits will be carried forward and possibly multiplied later in life. More importantly, small or insignificant wealth gradients are generally found in the other countries. These results suggest that wealth gradients in child neurodevelopment are country-specific and vary with population demographic, health, and socioeconomic characteristics. Therefore, findings from previous studies based on specific populations may not be generalizable to other countries. Furthermore, wealth gradients in child

  11. Segmentation and informality in Vietnam : a survey of the literature: country case study on labour market segmentation

    OpenAIRE

    Cling, Jean-Pierre; Razafindrakoto, Mireille; Roubaud, François

    2014-01-01

    Labour market segmentation is usually defined as the division of the labour markets into separate sub-markets or segments, distinguished by different characteristics and behavioural rules (incomes, contracts, etc.). The economic debate on the segmentation issue has been focusing in developed countries, and especially in Europe, on contractual segmentation and dualism.

  12. Initiative for 100% rural electrification in developing countries: Case study of Senegal

    International Nuclear Information System (INIS)

    Diouf, Boucar; Pode, Ramchandra; Osei, Rita

    2013-01-01

    Sub-Saharan Africa has the lowest access to electricity in the World. In Senegal, less than 25% of the rural population benefit of electricity service. Solar energy offers an important potential to Senegal with over 3000 h of sunlight a year. This is a real opportunity to generalize the access to electricity. But, the efforts to bridge the gap must be diversified and completed. We approach the problem of rural electrification with a different point of view. Grid expansion and centralized solutions may be adequate for villages with a population organized in high-density of habitations. Small size villages or those with highly dispersed population may need different propositions because of cost. These regions will not be the priority of electrification programs. Furthermore, this rural population is characterized by its low income and saving. Such a conjuncture suggests the opportunity of a service based fees model for access to electricity. On the basis of a fees-for-service model, individual standalone photovoltaic systems may be a more appropriate solution to cover the priority needs of lighting and mobile phones battery charge for telecommunication. We present a pilot project in a village of Senegal to support the model and demonstrate its feasibility. - Highlights: • Rural electrification in developing countries. • Problems of access to electricity in rural areas. • Fees-for-service solution for small villages/highly dispersed population villages. • Situation of Senegal. • Presentation of a pilot project in a small village of Senegal

  13. Burden of cardiovascular disease across 29 countries and GPs’ decision to treat hypertension in oldest-old

    Science.gov (United States)

    Streit, Sven; Gussekloo, Jacobijn; Burman, Robert A.; Collins, Claire; Kitanovska, Biljana Gerasimovska; Gintere, Sandra; Gómez Bravo, Raquel; Hoffmann, Kathryn; Iftode, Claudia; Johansen, Kasper L.; Kerse, Ngaire; Koskela, Tuomas H.; Peštić, Sanda Kreitmayer; Kurpas, Donata; Mallen, Christian D.; Maisonneuve, Hubert; Merlo, Christoph; Mueller, Yolanda; Muth, Christiane; Ornelas, Rafael H.; Šter, Marija Petek; Petrazzuoli, Ferdinando; Rosemann, Thomas; Sattler, Martin; Švadlenková, Zuzana; Tatsioni, Athina; Thulesius, Hans; Tkachenko, Victoria; Torzsa, Peter; Tsopra, Rosy; Tuz, Canan; Verschoor, Marjolein; Viegas, Rita P. A.; Vinker, Shlomo; de Waal, Margot W. M.; Zeller, Andreas; Rodondi, Nicolas; Poortvliet, Rosalinde K. E.

    2018-01-01

    Objectives We previously found large variations in general practitioner (GP) hypertension treatment probability in oldest-old (>80 years) between countries. We wanted to explore whether differences in country-specific cardiovascular disease (CVD) burden and life expectancy could explain the differences. Design This is a survey study using case-vignettes of oldest-old patients with different comorbidities and blood pressure levels. An ecological multilevel model analysis was performed. Setting GP respondents from European General Practice Research Network (EGPRN) countries, Brazil and New Zeeland. Subjects This study included 2543 GPs from 29 countries. Main outcome measures GP treatment probability to start or not start antihypertensive treatment based on responses to case-vignettes; either low (80 years of age).  • In this study including 1947 GPs from 29 countries, we found that a high country-specific cardiovascular disease (CVD) burden (i.e. myocardial infarction and/or stroke) was associated with a higher GP treatment probability in patients aged >80 years.  • However, the association was modified by country-specific life expectancy at age 60. While there was a positive association for GPs in countries with a low life expectancy at age 60, there was no association in countries with a high life expectancy at age 60.  • These findings help explaining some of the large variation seen in the decision as to whether or not to treat hypertension in the oldest-old. PMID:29366388

  14. Area Handbook Series: Egypt: A Country Study

    Science.gov (United States)

    1991-01-01

    iI~torical Settinlg Sphinx and pyramids at Giza (Al jizah) THE ROOTS OF EGYPTIAN civilization go back more than 6,000 years to the beginning of...built by Snoferu, the first king of the Fourth Dynasty. His son and successor, Kheops, built the Great Pyramid at Giza (AlJizah); this, with its two... Pyramid and Sphinx at Giza , Fourth Dynasty, ca. 2540 B. C. Courtesy Boris Boguslavsky 19 Egypt: A Country Study In June 640, reinforcements for the Arab

  15. Survey of existing studies of smart grids and consumers - Nordic countries

    DEFF Research Database (Denmark)

    Hansen, Meiken; Borup, Mads

    2014-01-01

    is on household consumers; not on industrial companies or other private or public organisations. The present report focuses on studies in the Nordic region, i.e., studies in Denmark, Finland, Iceland, Norway and Sweden. Initially this report was part of a dual delivery, where 1) focused on the Nordic countries......The objective of this survey is to map smart grid studies that address private consumers. The survey shall identify what knowledge there exists about consumer and user behaviour in connection to smart grids and, moreover, how consumers and users are approached in the studies made. The focus......; and 2) focused on selected projects in other countries. This present report is the work completed in relation to the first part....

  16. Crises Solutions for SMEs Case Study: ERP Cloud vs Classic Solution

    Directory of Open Access Journals (Sweden)

    Gabriela GHEORGHE

    2012-11-01

    Full Text Available Information Technology has responded to the crisis by change and innovation. The phenomenon of cloud computing represents a huge chance for a country like Romania, as a technologically low economy has, from the start, a handicap. Cloud technologies redefine concepts such as saving time and money, flexibility, scalability and global access, transforming them into business advantages. This case study wishes to argument the software provider’s decision to change his strategy, choosing an “all inclusive” solution.

  17. Case Report: Severe Imported Influenza Infections Developed during Travel in Reunion Island.

    Science.gov (United States)

    Allyn, Jérôme; Brottet, Elise; Antok, Emmanuel; Dangers, Laurence; Persichini, Romain; Coolen-Allou, Nathalie; Roquebert, Bénédicte; Allou, Nicolas; Vandroux, David

    2017-12-01

    We report two cases of severe influenza infection imported by tourist patients from their country of origin and developed during travel. While studies have reported cases of influenza infections acquired during travel, here we examine two cases of severe influenza infection contracted in the country of origin that led to diagnosis and therapeutic problems in the destination country. No international recommendation exists concerning influenza vaccination before travel, and few countries recommend it for all travelers. Our study suggests that travel should be canceled when infectious signs are observed before departure. Influenza is a very common infection that is often benign, but sometimes very severe. The most severe cases include shock, acute respiratory distress syndrome (ARDS), myocarditis, rhabdomyolysis, and multiple organ failure. Management can require exceptional therapies, such as extracorporeal membrane oxygenation. A number of studies have focused on influenza infection in travelers. Cases of influenza acquired during travel have been reported in this literature, but no study has examined cases of influenza imported from the country of origin and developed while abroad. The latter situation may lead to 1) diagnostic problems during the nonepidemic season or in places where diagnostic techniques are lacking and 2) therapeutic difficulties resulting from the unavailability of techniques for the management of severe influenza infection in tourist areas. Here, we report two cases of extremely severe influenza infection imported by tourists from their country of origin and developed during travel.

  18. Reforming the IMF to Increase FDI Led Economic Growth: The Case of Latin American and Caribbean Countries

    Directory of Open Access Journals (Sweden)

    Ashraf Mahate

    2018-01-01

    Full Text Available There is a strong body of literature that finds a direct connection between inward foreign direct investment and economic growth in the host country. At the same time, economic growth in the host country attracts additional Foreign Direct Investment (FDI. This bidirectional relationship can be supported by the IMF through its lending program to countries to assist in dealing with short-term shocks as well as managing more long-term structural issues. In fact, the IMF programs in theory should provide an indicator to potential investors that the country is committed to making a change and opening its economy, which are typical requirements under IMF conditions. IMF intervention should lead to a positive impact on inward FDI. This study examines the impact of IMF-support programs on inward FDI for a sample of Latin American and Caribbean Countries. The results from this study reveal that being on an IMF borrowing program has a negative impact on inward FDI in the second and third year. We argue that being on an IMF borrowing program does not provide inward FDI with the seal of approval that it requires in making an investment.

  19. Attributes of quality programs in universities in developing countries: Case studies of two private universities in Ecuador and beyond

    Science.gov (United States)

    Uriguen, Monica I.

    This study sought to identify the key attributes of high-quality programs with an eye toward helping developing countries such as Ecuador advance program quality. The dissertation is divided into five chapters: (1) introduction to high-quality programs; (2) literature review of attributes of high-quality programs; (3) grounded theory method (including interviews with 60 individuals) used to identify program attributes that enhance student learning; (4) findings; and (5) conclusions and recommendations. Following are the five clusters and thirteen attributes of high-quality programs that I identified: Cluster One: Highly Qualified Participants: (1) Highly Qualified Faculty, and (2) Highly Qualified Students; Cluster Two: Learning-Centered Cultures: (3) Shared Program Direction Focused on Learning, (4) Real-World Learning Experiences, (5) Reading-Centered Culture, and (6) Supportive and Risk-Taking Environment; Cluster Three: Interactive Teaching and Learning: (7) Integrative learning: Theory with Practice, Self with Subject, and (8) Exclusive Tutoring and Mentoring; Cluster Four: Connected Program Requirements: (9) Planned Breadth and Depth Course Work, and (10) Tangible Products; and Cluster Five: Adequate Resources: (11) Support for Students, (12) Support for Faculty, and (13) Support for Campus Infrastructure. The study was guided by Haworth and Conrad's (1997) "Engagement Theory of High-Quality Programs." Eleven of the attributes of high-quality programs are closely connected to Haworth and Conrad's theory and the other two attributes---real-world learning experiences and a reading-centered culture---make the signature theoretical contributions of the study. Real-world learning experiences encourage the active involvement of stakeholders in designing curricula with real-world learning experiences. The second attribute---a reading-centered culture---has never before been identified in the literature. There are four key differences between Haworth and Conrad

  20. Country Equity: an empirical investigation of the image of brazilian and chisene footwear among chilean consumers

    Directory of Open Access Journals (Sweden)

    Anita Fernandes Koenigsdorf

    2014-08-01

    Full Text Available Based on the concept of country equity, which has been adapted from the construct of brand equity to the specific case of country brands, this study aimed at empirically investigating the influence of country equity on the attitudes of foreign consumers towards a specific product category. The model developed by Pappu and Quester (2010, formed by five dimensions (country awareness, macro country image, micro country image, perceived quality and country loyalty was combined with affective indicators from Häubl (1996. The proposed model was tested in a non durable products category, footwear. Results did not support the proposed dimensions