Utilization of antiepileptic drugs during pregnancy: Comparative patterns in 38 countries based on data from the EURAP registry

DEFF Research Database (Denmark)

Battino, D.; Bonizzoni, E.; Craig, J.

2009-01-01

We assessed the utilization of antiepileptic drugs (AEDs), 1999-2005, in 4,798 prospective epilepsy pregnancies from 38 countries participating in EURAP, an international AED and pregnancy registry. Prominent differences in utilization patterns were observed across the various countries. Exposure...... to second-generation AEDs ranged from 3.5% in India and 7.3% in Italy to 75% in Denmark. Even wider variation was recorded in exposure to individual AEDs. The utilization of second-generation AEDs increased over time (for lamotrigine, from 9.9% of all pregnancies before 2001 to 29.6% after 2003......). The differences in use of individual AEDs across countries probably reflect lack of evidence concerning the optimal treatment of epilepsy in women of childbearing age, as well as variation in country-specific traditions, medication costs, and drug promotion. Our observations underscore the need for comparative...

WOMEN'S EDUCATION AND UTILIZATION OF MATERNAL HEALTH SERVICES IN AFRICA: A MULTI-COUNTRY AND SOCIOECONOMIC STATUS ANALYSIS.

Science.gov (United States)

Tsala Dimbuene, Zacharie; Amo-Adjei, Joshua; Amugsi, Dickson; Mumah, Joyce; Izugbara, Chimaraoke O; Beguy, Donatien

2017-11-06

There is an abundant literature on the relationship between women's education and maternal and child outcomes, including antenatal and postnatal care, onset of antenatal care and skilled birth attendance. However, few studies have adopted the 'equity' lens, despite increasing evidence that inequities between rich and poor are increasing although maternal and child mortality is declining. This study examined the differential effects of women's education within different socioeconomic strata in Africa. The most recent Demographic and Health Surveys (DHS) conducted in the Democratic Republic of the Congo, Egypt, Ghana, Nigeria and Zimbabwe were used. In each country, the original sample was stratified into three socioeconomic groups: poor, middle and rich. For each maternal health service utilization variable, the gross and net effects of women's education, controlling for age, parity, religion, marital status, health insurance, access to health facilities, partner's education and current place of residence, were estimated using logistic regression, taking into account the complex sampling design of the DHS. The findings revealed country-specific variations in maternal health service utilization, and for most indicators there was a clear gradient among socioeconomic strata: women living in better-off households exhibited greater access to, and utilization of, maternal health services. Multivariate analyses revealed that women's education had a positive association with type of antenatal care provider, timing and frequency of antenatal care visits, place of delivery and presence of a skilled birth attendant at delivery. Many other factors were found to be significantly associated with maternal health service utilization. For instance, parity had a negative and significant association with timing of first antenatal care visit. Likewise, partner's education was positively and statistically associated with timing of first antenatal care visit. It is argued that an over

Is vaccination good value for money? A review of cost-utility analyses of vaccination strategies in eight European countries

Directory of Open Access Journals (Sweden)

Marco Barbieri

2016-12-01

Full Text Available Objective: The objective of this study is to review published cost-utility analyses of vaccination strategies in eight European countries and to assess whether there are differences in cost-effectiveness terms among countries and vaccinations. Methods: A systematic search of the literature was conducted using the National Health Service Economic Evaluation Database and the PubMed database. Cost-utility analyses of any type of vaccination that used quality-adjusted life years (QALYs as measure of benefit and conducted in Belgium, France, Germany, Italy, Spain, Sweden, the Netherlands or the UK were included. Results: A total of 94 studies were identified. As a result of our search methodology, the vast majority of studies were conducted in the Netherlands or UK (33 and 30 studies, respectively. The most frequent vaccination types were against Human papillomavirus (HPV with 23 studies, followed by vaccination against pneumococcal infections (19 studies. The analysed vaccinations were generally cost-effective but with high variability. Considering an incremental cost effectiveness ratio (ICER of 40,000€/QALY, we noticed that the following vaccinations studies are below this threshold, i.e. all varicella and influenza (with one outlier studies, 90% of the studies for HPV and 75% of the studies for pneumococcal vaccinations. Rotavirus vaccination was considered as not cost-effective, with only 30% of studies below the threshold of 40,000€/QALY. There was no clear trend for vaccinations being more cost-effective in some countries. Conclusions: The published literature has shown that vaccination strategies are generally cost-effective in European countries. High heterogeneity in the results among studies and countries was found.

Is vaccination good value for money? A review of cost-utility analyses of vaccination strategies in eight European countries

OpenAIRE

Barbieri, Marco; Capri, Stefano

2016-01-01

Objective: The objective of this study is to review published cost-utility analyses of vaccination strategies in eight European countries and to assess whether there are differences in cost-effectiveness terms among countries and vaccinations. Methods: A systematic search of the literature was conducted using the National Health Service Economic Evaluation Database and the PubMed database. Cost-utility analyses of any type of vaccination that used quality-adjusted life years (QALYs) as me...

Economic status, education and empowerment: implications for maternal health service utilization in developing countries.

Directory of Open Access Journals (Sweden)

Saifuddin Ahmed

2010-06-01

Full Text Available Relative to the attention given to improving the quality of and access to maternal health services, the influence of women's socio-economic situation on maternal health care use has received scant attention. The objective of this paper is to examine the relationship between women's economic, educational and empowerment status, introduced as the 3Es, and maternal health service utilization in developing countries.The analysis uses data from the most recent Demographic and Health Surveys conducted in 31 countries for which data on all the 3Es are available. Separate logistic regression models are fitted for modern contraceptive use, antenatal care and skilled birth attendance in relation to the three covariates of interest: economic, education and empowerment status, additionally controlling for women's age and residence. We use meta-analysis techniques to combine and summarize results from multiple countries. The 3Es are significantly associated with utilization of maternal health services. The odds of having a skilled attendant at delivery for women in the poorest wealth quintile are 94% lower than that for women in the highest wealth quintile and almost 5 times higher for women with complete primary education relative to those less educated. The likelihood of using modern contraception and attending four or more antenatal care visits are 2.01 and 2.89 times, respectively, higher for women with complete primary education than for those less educated. Women with the highest empowerment score are between 1.31 and 1.82 times more likely than those with a null empowerment score to use modern contraception, attend four or more antenatal care visits and have a skilled attendant at birth.Efforts to expand maternal health service utilization can be accelerated by parallel investments in programs aimed at poverty eradication (MDG 1, universal primary education (MDG 2, and women's empowerment (MDG 3.

Economic status, education and empowerment: implications for maternal health service utilization in developing countries.

Science.gov (United States)

Ahmed, Saifuddin; Creanga, Andreea A; Gillespie, Duff G; Tsui, Amy O

2010-06-23

Relative to the attention given to improving the quality of and access to maternal health services, the influence of women's socio-economic situation on maternal health care use has received scant attention. The objective of this paper is to examine the relationship between women's economic, educational and empowerment status, introduced as the 3Es, and maternal health service utilization in developing countries. The analysis uses data from the most recent Demographic and Health Surveys conducted in 31 countries for which data on all the 3Es are available. Separate logistic regression models are fitted for modern contraceptive use, antenatal care and skilled birth attendance in relation to the three covariates of interest: economic, education and empowerment status, additionally controlling for women's age and residence. We use meta-analysis techniques to combine and summarize results from multiple countries. The 3Es are significantly associated with utilization of maternal health services. The odds of having a skilled attendant at delivery for women in the poorest wealth quintile are 94% lower than that for women in the highest wealth quintile and almost 5 times higher for women with complete primary education relative to those less educated. The likelihood of using modern contraception and attending four or more antenatal care visits are 2.01 and 2.89 times, respectively, higher for women with complete primary education than for those less educated. Women with the highest empowerment score are between 1.31 and 1.82 times more likely than those with a null empowerment score to use modern contraception, attend four or more antenatal care visits and have a skilled attendant at birth. Efforts to expand maternal health service utilization can be accelerated by parallel investments in programs aimed at poverty eradication (MDG 1), universal primary education (MDG 2), and women's empowerment (MDG 3).

The situation of computer utilization in radiation therapy in Japan and other countries and problems

International Nuclear Information System (INIS)

Onai, Yoshio

1981-01-01

The uses of computers in radiation therapy are various, such as radiation dose calculation, clinical history management, radiotherapeutical instrument automation and biological model. To grasp the situation in this field, a survey by questionnaire was carried out internationally at the time of the 7th International Conference on the Use of Computers in Radiation Therapy held in Kawasaki and Tokyo in September, 1980. The surveyed nations totaled 21 including Japan; the number of facilities answered were 203 in Japan and 111 in other countries, and the period concerned is December, 1979, to September, 1980. The results of the survey are described as follows: areas of use of computers in hospitals, computer utilization in radiation department, computer uses in radiation therapy, and evaluation of radiotherapeutical computer uses and problems. (J.P.N.)

[The informed consent in international clinical trials including developing countries].

Science.gov (United States)

Montenegro Surís, Alexander; Monreal Agüero, Magda Elaine

2008-01-01

The informed consent procedure has been one of the most important controversies of ethical debates about clinical trials in developing countries. In this essay we present our recommendations about important aspects to consider in the informed consent procedure for clinical trials in developing countries. We performed a full publications review identified by MEDLINE using these terms combinations: informed consent, developing countries, less developed countries and clinical trials. To protect volunteers in less developed countries should be valuated the importance of the community in the informed consent proceeding. The signing and dating of the informed consent form is not always the best procedure to document the informed consent. The informed consent form should be written by local translators. Alternative medias of communications could be needed for communicatios of the information to volunteers. Comparing with developed countries the informed consent proceeding in clinical trials in developing countries frequently require additional efforts. The developing of pragmatic researches is needed to implement informed consent proceedings assuring subjects voluntarily in each developing country. The main aspects to define in each clinical trial for each country are the influence of the community, the effective communication of the information, the documentation of the informed consent and local authority's control.

The MARCOPOLO Study of Ustekinumab Utilization and Efficacy in a Real-World Setting: Treatment of Patients with Plaque Psoriasis in Asia-Pacific Countries

Science.gov (United States)

Youn, Sang Woong; Tsai, Tsen-Fang; Theng, Colin; Choon, Siew-Eng; Wiryadi, Benny E.; Pires, Antonio; Tan, Weihao

2016-01-01

Background Ustekinumab is a fully human monoclonal antibody approved for the treatment of chronic moderate-to-severe plaque psoriasis in adults. However, factors including efficacy, tolerability, ease of use, and cost burden may affect ustekinumab utilization. Noncompliance may, in turn, affect treatment response. Objective To evaluate ustekinumab utilization in the real-world setting in Asia-Pacific countries. Methods In this phase 4 observational study conducted in Indonesia, Malaysia, Singapore, Korea, and Taiwan, adults with plaque psoriasis receiving ustekinumab were followed for up to 52 weeks. Study endpoints were the proportion of all patients using ustekinumab according to label-recommended intervals and the proportion of Korean patients who achieved a psoriasis area severity index 75 response at week 16. Safety was assessed by monitoring adverse events. Results Overall, 169 patients received ustekinumab (Korea, n=102; other countries, n=67). Just over half (56.2%) of patients used ustekinumab with the label-recommended interval from baseline to week 40; the proportion was higher in Korea (73.5%) than in other countries (29.9%), probably because ustekinumab was provided without charge for Korean patients up to week 40. Noncompliance increased after week 40 in Korea and from week 28 in other Asia-Pacific countries, with cost cited as the most common reason. At week 16, 56.9% of Korean patients achieved a Psoriasis Area Severity Index 75 response. Safety results were in line with those seen in previous studies. Conclusion More than half of all patients in Asia-Pacific countries used ustekinumab as per the label-recommended dose interval, but reimbursement variations between countries may have confounded overall results. PMID:27081271

Transferability of results of cost utility analyses for biologicals in inflammatory conditions for Central and Eastern European countries.

Science.gov (United States)

Gulácsi, László; Rencz, Fanni; Péntek, Márta; Brodszky, Valentin; Lopert, Ruth; Hevér, Noémi V; Baji, Petra

2014-05-01

Several Central and Eastern European (CEE) countries require cost-utility analyses (CUAs) to support reimbursement formulary listing. However, CUAs informed by local evidence are often unavailable, and the cost-effectiveness of the several currently reimbursed biologicals is unclear. To estimate the cost-effectiveness as multiples of per capita GDP/quality adjusted life years (QALY) of four biologicals (infliximab, etanercept, adalimumab, golimumab) currently reimbursed in six CEE countries in six inflammatory rheumatoid and bowel disease conditions. Systematic literature review of published cost-utility analyses in the selected conditions, using the United Kingdom (UK) as reference country and with study selection criteria set to optimize the transfer of results to the CEEs. Prices in each CEE country were pro-rated against UK prices using purchasing power parity (PPP)-adjusted per capita GDP, and local GDP per capita/QALY ratios estimated. Central and Eastern European countries list prices were 144-333% higher than pro rata prices. Out of 85 CUAs identified by previous systematic literature reviews, 15 were selected as a convenience sample for estimating the cost-effectiveness of biologicals in the CEE countries in terms of per capita GDP/QALY. Per capita GDP/QALY values varied from 0.42 to 6.4 across countries and conditions (Bulgaria: 0.97-6.38; Czech Republic: 0.42-2.76; Hungary: 0.54-3.54; Poland: 0.59-3.90; Romania: 0.77-5.07; Slovakia: 0.55-3.61). While results must be interpreted with caution, calculating pro rata (cost-effective) prices and per capita GDP/QALY ratios based on CUAs can aid reimbursement decision-making in the absence of analyses using local data.

The European Utility Requirement Document

International Nuclear Information System (INIS)

Roche, I.I.

1999-01-01

The major European electricity producers work on a common requirement document for future LWR plants since 1992. They aim at requirements acceptable together by the owners, the public and the authorities. Thus the designers can develop standard LWR designs acceptable everywhere in Europe and the utilities can open their consultations to vendors on common bases. Such a standardisation promotes an improvement of generation costs and of safety : public and authorities acceptance should be improved as well ; significant savings are expected in development and construction costs. Since the early stages of the project, the EUR group has grown significantly. It now includes utilities from nine European countries. Utilities from two other European countries are joining the group. Specific cooperation agreements are also in progress with a few extra-European partners

Cervical cancer screening and practice in low resource countries ...

African Journals Online (AJOL)

While developed countries have recorded significant reduction in the incidence of cervical cancer owing to organizedscreening programs, treatment of premalignant cervical lesions, and follow‑up of treated cases, developing countries including Nigeria are yet to optimally utilize screening services due to lack of organized ...

Direct utilization of geothermal energy

International Nuclear Information System (INIS)

Lund, J. W.

2010-01-01

The worldwide application of geothermal energy for direct utilization is reviewed. This paper is based on the world update for direct-use presented at the World Geothermal Congress 2010 in Bali, Indonesia (WGC2010) which also includes material presented at three world geothermal congresses in Italy, Japan and Turkey (WGC95, WGC2000 and WGC2005). This report is based on country update papers prepared for WGC2010 and data from other sources. Final update papers were received from 70 countries of which 66 reported some direct utilization of geothermal energy for WGC2010. Twelve additional countries were added to the list based on other sources of information. The 78 countries having direct utilization of geothermal energy, is a significant increase from the 72 reported in 2005, the 58 reported in 2000, and the 28 reported in 1995. An estimate of the installed thermal power for direct utilization at the end of 2009, reported from WGC2010 is 48,493 MW th , almost a 72 % increased over the 2005 data, growing at a compound rate of 11.4% annually with a capacity factor of 0.28. The thermal energy used is 423,830 TJ/year (117,740 GWh/yr), about a 55% increase over 2005, growing at a compound rate of 9.2% annually. The distribution of thermal energy used by category is approximately 47.2% for ground-source heat pumps, 25.8% for bathing and swimming (including balneology), 14.9% for space heating (of which 85% is for district heating), 5.5% for greenhouses and open ground heating, 2.8% for industrial process heating, 2.7% for aquaculture pond and raceway heating, 0.4% for agricultural drying, 0.5% for snow melting and cooling, and 0.2% for other uses. Energy savings amounted to 250 million barrels (38 million tonnes) of equivalent oil annually, preventing 33 million tonnes of carbon and 107 million tonnes of CO 2 being released to the atmosphere which includes savings in geothermal heat pump cooling (compared to using fuel oil to generate electricity). (author)

Direct Utilization of Geothermal Energy

Directory of Open Access Journals (Sweden)

John W. Lund

2010-08-01

Full Text Available The worldwide application of geothermal energy for direct utilization is reviewed. This paper is based on the world update for direct-use presented at the World Geothermal Congress 2010 in Bali, Indonesia (WGC2010 [1] which also includes material presented at three world geothermal congresses in Italy, Japan and Turkey (WGC95, WGC2000 and WGC2005. This report is based on country update papers prepared for WGC2010 and data from other sources. Final update papers were received from 70 countries of which 66 reported some direct utilization of geothermal energy for WGC2010. Twelve additional countries were added to the list based on other sources of information. The 78 countries having direct utilization of geothermal energy, is a significant increase from the 72 reported in 2005, the 58 reported in 2000, and the 28 reported in 1995. An estimate of the installed thermal power for direct utilization at the end of 2009, reported from WGC2010 is 48,493 MWt, almost a 72 % increased over the 2005 data, growing at a compound rate of 11.4% annually with a capacity factor of 0.28. The thermal energy used is 423,830 TJ/year (117,740 GWh/yr, about a 55% increase over 2005, growing at a compound rate of 9.2% annually. The distribution of thermal energy used by category is approximately 47.2% for ground-source heat pumps, 25.8% for bathing and swimming (including balneology, 14.9% for space heating (of which 85% is for district heating, 5.5% for greenhouses and open ground heating, 2.8% for industrial process heating, 2.7% for aquaculture pond and raceway heating, 0.4% for agricultural drying, 0.5% for snow melting and cooling, and 0.2% for other uses. Energy savings amounted to 250 million barrels (38 million tonnes of equivalent oil annually, preventing 33 million tonnes of carbon and 107 million tonnes of CO2 being release to the atmosphere which includes savings in geothermal heat pump cooling (compared to using fuel oil to generate electricity.

Utilization of ionizing radiations and radioisotopes in plant breeding and crop improvement in Arab countries

International Nuclear Information System (INIS)

Abo-Hegazi, A.M.T.

1983-01-01

A review for research work in the field of utilizing ionizing radiations and radioisotopes in plant breeding and crop improvement conducted in Arab countries has been summerized and discussed in the light of some economic features of the crop or the plant on national or regional (arab) level. Among the 241 articles in the above mentioned fields reviewed, around 230 articles were conducted in Egypt, 6 in Iraq, 2 in Algeria and 2 in Sudan. Some of the articles dealing with more than one crop and/or more than one type of radiation or radioisotope

Utilization of health care services by migrants in Europe

DEFF Research Database (Denmark)

Graetz, V.; Rechel, B.; Groot, W.

2017-01-01

: Compared with previous systematic reviews, the results indicate a clearer picture of the differences in health service utilization between migrants and non-migrants in Europe. Areas timely for developing research: A comprehensive comparison across European countries is impossible because the number......Introduction: Our study reviewed the empirical evidence on the utilization of health care services by migrants in Europe, and on differences in health service utilization between migrants and non-migrants across European countries. Sources of data: A systematic literature review was performed......, searching the databases Medline, Cinahl and Embase and covering the period from January 2009 to April 2016. The final number of articles included was 39. Areas of agreement: Utilization of accident and emergency services and hospitalizations were higher among migrants compared with non-migrants in most...

Water Loss Management: Tools and Methods for Developing Countries

OpenAIRE

Mutikanga, H.E.

2012-01-01

Water utilities in developing countries are struggling to provide customers with a reliable level of service due to their peculiar water distribution characteristics including poorly zoned networks with irregular supply operating under restricted budgets. These unique conditions demand unique tools and methods for water loss control. Water loss management: Tools and Methods for Developing Countries provide a decision support toolbox (appropriate tools and methodologies) for assessing, quantif...

Regulation and competition in public utilities: Electric utility management in Italy and other industrialized countries

International Nuclear Information System (INIS)

Fraquelli, G.

1992-01-01

In industrialized countries, electric power has become a vital energy resource requiring significant efforts on the part of national institutions to establish and maintain sound management and energy supply strategies. The situation in Italy reflects world trends in that electric power in this country now accounts for over one-third of total energy consumption and this percentage is expected to increase steadily through to the year 2000. This endorsement of electric power is having a strong impact on quality of life and on international relations as Italy, in order to ensure security of energy supplies, is actively pursuing of strategy of energy source and supplier diversification. With reference to recent proposals, in line with European Communities free market strategies, to deregulate the Italian electric power industry, this paper briefly analyzes the current institutional nature of ENEL (the Italian National Electricity Board) and compares the Italian electric power industry and market situation with that of Japan and the USA. The various aspects taken into consideration include investment, rate structure, quality of service, management methods and competition. An analysis is made of the most pressing difficulties currently troubling ENEL and suggestions are made as to the best courses of action to be taken

Symposium on development and utilization of biomass energy resources in developing countries. Proceedings. V. 1: Thematic papers

International Nuclear Information System (INIS)

1995-12-01

The present publication consists of papers, each with a separate abstract, from fourteen countries giving broad perspectives on the development and utilisation of biomass energy resources. 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

78 FR 36768 - Battery Utility of Ohio, LLC; Supplemental Notice That Initial Market-Based Rate Filing Includes...

Science.gov (United States)

2013-06-19

... DEPARTMENT OF ENERGY Federal Energy Regulatory Commission [Docket No. ER13-1667-000] Battery Utility of Ohio, LLC; Supplemental Notice That Initial Market-Based Rate Filing Includes Request for... Battery Utility of Ohio, LLC's application for market-based rate authority, with an accompanying rate...

Symposium on development and utilization of biomass energy resources in developing countries. Proceedings. V. 1: Thematic papers

Energy Technology Data Exchange (ETDEWEB)

NONE

1995-12-01

The present publication consists of papers, each with a separate abstract, from fourteen countries giving broad perspectives on the development and utilisation of biomass energy resources. 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

Immigrants' utilization of specialist mental healthcare according to age, country of origin, and migration history: a nation-wide register study in Norway.

Science.gov (United States)

Abebe, Dawit Shawel; Lien, Lars; Elstad, Jon Ivar

2017-06-01

As the immigrant population rises in Norway, it becomes ever more important to consider the responsiveness of health services to the specific needs of these immigrants. It has been questioned whether access to mental healthcare is adequate among all groups of immigrants. This study aims to examine the use of specialist mental healthcare services among ethnic Norwegians and specific immigrants groups. Register data were used from the Norwegian Patient Registry and Statistics Norway. The sample (age 0-59) consisted of 3.3 million ethnic Norwegians and 200,000 immigrants from 11 countries. Poisson regression models were applied to examine variations in the use of specialist mental healthcare during 2008-2011 according to country of origin, age group, reason for immigration, and length of stay. Immigrant children and adolescents had overall significantly lower use of specialist mental healthcare than ethnic Norwegians of the same age. A distinct exception was the high utilization rate among children and youth from Iran. Among adult immigrants, utilization rates were generally lower than among ethnic Norwegians, particularly those from Poland, Somalia, Sri Lanka, and Vietnam. Adult immigrants from Iraq and Iran, however, had high utilization rates. Refugees had high utilization rates of specialist mental healthcare, while labour immigrants had low use. Utilization rates of specialist mental healthcare are lower among immigrants than Norwegians. Immigrants from Poland, Somalia, Sri Lanka, and Vietnam, had generally quite low rates, while immigrants from Iran had high utilization rates. The findings suggest that specialist mental healthcare in Norway is underutilized among considerable parts of the immigrant population.

Water Loss Management: Tools and Methods for Developing Countries

NARCIS (Netherlands)

Mutikanga, H.E.

2012-01-01

Water utilities in developing countries are struggling to provide customers with a reliable level of service due to their peculiar water distribution characteristics including poorly zoned networks with irregular supply operating under restricted budgets. These unique conditions demand unique tools

Water Loss Management : Tools and Methods for Developing Countries

NARCIS (Netherlands)

Mutikanga, H.E.

2012-01-01

Water utilities in developing countries are struggling to provide customers with a reliable level of service due to their peculiar water distribution characteristics including poorly zoned networks with irregular supply operating under restricted budgets. These unique conditions demand unique tools

Urban Slums and Children's Health in Less-Developed Countries

Directory of Open Access Journals (Sweden)

Andrew K. Jorgenson

2015-08-01

Full Text Available We utilize first-difference panel regression analysis to assess the direct effect of urban slumprevalence on national level measures of under-5 mortality rates over the period 1990 to 2005.Utilizing data on 80 less developed countries, the results illustrate increasing urban slumprevalence over the period is a robust predictor of increasing child mortality rates. This effectobtains net the statistically significant influence of gross domestic product per capita, fertilityrate, and educational enrollment. Cross-sectional analyses for 2005 that include additionalcontrols provide further evidence of the mortality / urban slum relationship. The results confirmurban slum prevalence growth is an important contextual dynamic whereby the socialproduction of child mortality is enacted in the less developed countries.

Electric network interconnection of Mashreq Arab Countries

International Nuclear Information System (INIS)

El-Amin, I.M.; Al-Shehri, A.M.; Opoku, G.; Al-Baiyat, S.A.; Zedan, F.M.

1994-01-01

Power system interconnection is a well established practice for a variety of technical and economical reasons. Several interconnected networks exist worldwide for a number of factors. Some of these networks cross international boundaries. This presentation discusses the future developments of the power systems of Mashreq Arab Countries (MAC). MAC consists of Bahrain, Egypt, Iraq, Jordan, Kuwait, Lebanon, Oman, Qatar, Saudi Arabia, United Arab Emirates (UAE), and Yemen. Mac power systems are operated by government or semigovernment bodies. Many of these countries have national or regional electric grids but are generally isolated from each other. With the exception of Saudi Arabia power systems, which employ 60 Hz, all other MAC utilities use 50 Hz frequency. Each country is served by one utility, except Saudi Arabia, which is served by four major utilities and some smaller utilities serving remote towns and small load centers. The major utilities are the Saudi Consolidated electric Company in the Eastern Province (SCECO East), SCECO Center, SCECO West, and SCECO South. These are the ones considered in this study. The energy resources in MAC are varied. Countries such as Egypt, Iraq, and Syria have significant hydro resources.The gulf countries and Iraq have abundant fossil fuel, The variation in energy resources as well as the characteristics of the electric load make it essential to look into interconnections beyond the national boundaries. Most of the existing or planned interconnections involve few power systems. A study involving 12 countries and over 20 utilities with different characteristics represents a very large scale undertaking

Utility requirements for fusion

International Nuclear Information System (INIS)

Vondrasek, R.J.

1982-02-01

This report describes work done and results obtained during performance of Task 1 of a study of Utility Requirements and Criteria for Fusion Options. The work consisted of developing a list of utility requirements for fusion optics containing definition of the requirements and showing their relative importance to the utility industry. The project team members developed a preliminary list which was refined by discussions and literature searches. The refined list was recast as a questionnaire which was sent to a substantial portion of the utility industry in this country. Forty-three questionnaire recipients responded including thirty-two utilities. A workshop was held to develop a revised requirements list using the survey responses as a major input. The list prepared by the workshop was further refined by a panel consisting of vice presidents of the three project team firms. The results of the study indicate that in addition to considering the cost of energy for a power plant, utilities consider twenty-three other requirements. Four of the requirements were judged to be vital to plant acceptability: Plant Capital Cost, Financial Liability, Plant Safety and Licensability

Women's autonomy in health care decision-making in developing countries: a synthesis of the literature.

Science.gov (United States)

Osamor, Pauline E; Grady, Christine

2016-01-01

Autonomy is considered essential for decision-making in a range of health care situations, from health care seeking and utilization to choosing among treatment options. Evidence suggests that women in developing or low-income countries often have limited autonomy and control over their health decisions. A review of the published empirical literature to identify definitions and methods used to measure women's autonomy in developing countries describe the relationship between women's autonomy and their health care decision-making, and identify sociodemographic factors that influence women's autonomy and decision-making regarding health care was carried out. An integrated literature review using two databases (PubMed and Scopus) was performed. Inclusion criteria were 1) publication in English; 2) original articles; 3) investigations on women's decision-making autonomy for health and health care utilization; and 4) developing country context. Seventeen articles met inclusion criteria, including eleven from South Asia, five from Africa, and one from Central Asia. Most studies used a definition of autonomy that included independence for women to make their own choices and decisions. Study methods differed in that many used study-specific measures, while others used a set of standardized questions from their countries' national health surveys. Most studies examined women's autonomy in the context of reproductive health, while neglecting other types of health care utilized by women. Several studies found that factors, including age, education, and income, affect women's health care decision-making autonomy. Gaps in existing literature regarding women's autonomy and health care utilization include gaps in the areas of health care that have been measured, the influence of sex roles and social support, and the use of qualitative studies to provide context and nuance.

Constraints to waste utilization and disposal

Energy Technology Data Exchange (ETDEWEB)

Steadman, E.N.; Sondreal, E.A.; Hassett, D.J.; Eylands, K.E.; Dockter, B.A. [Univ. of North Dakota, Grand Forks, ND (United States)

1995-12-01

The value of coal combustion by-products for various applications is well established by research and commercial practice worldwide. As engineering construction materials, these products can add value and enhance strength and durability while simultaneously reducing cost and providing the environmental benefit of reduced solid waste disposal. In agricultural applications, gypsum-rich products can provide plant nutrients and improve the tilth of depleted soils over large areas of the country. In waste stabilization, the cementitious and pozzolanic properties of these products can immobilize hazardous nuclear, organic, and metal wastes for safe and effective environmental disposal. Although the value of coal combustion by-products for various applications is well established, the full utilization of coal combustion by-products has not been realized in most countries. The reasons for the under utilization of these materials include attitudes that make people reluctant to use waste materials, lack of engineering standards for high-volume uses beyond eminent replacement, and uncertainty about the environmental safety of coal ash utilization. More research and education are needed to increase the utilization of these materials. Standardization of technical specifications should be pursued through established standards organizations. Adoption of uniform specifications by government agencies and user trade associations should be encouraged. Specifications should address real-world application properties, such as air entrainment in concrete, rather than empirical parameters (e.g., loss on ignition). The extensive environmental assessment data already demonstrating the environmental safety of coal ash by-products in many applications should be more widely used, and data should be developed to include new applications.

Gonorrhoea and gonococcal antimicrobial resistance surveillance networks in the WHO European Region, including the independent countries of the former Soviet Union.

Science.gov (United States)

Unemo, Magnus; Ison, Catherine A; Cole, Michelle; Spiteri, Gianfranco; van de Laar, Marita; Khotenashvili, Lali

2013-12-01

Antimicrobial resistance (AMR) in Neisseria gonorrhoeae has emerged for essentially all antimicrobials following their introduction into clinical practice. During the latest decade, susceptibility to the last remaining options for antimicrobial monotherapy, the extended-spectrum cephalosporins (ESC), has markedly decreased internationally and treatment failures with these ESCs have been verified. In response to this developing situation, WHO and the European Centre for Disease Prevention and Control (ECDC) have published global and region-specific response plans, respectively. One main component of these action/response plans is to enhance the surveillance of AMR and treatment failures. This paper describes the perspectives from the diverse WHO European Region (53 countries), including the independent countries of the former Soviet Union, regarding gonococcal AMR surveillance networks. The WHO European Region has a high prevalence of resistance to all previously recommended antimicrobials, and most of the first strictly verified treatment failures with cefixime and ceftriaxone were also reported from Europe. In the European Union/European Economic Area (EU/EEA), the European gonococcal antimicrobial surveillance programme (Euro-GASP) funded by the ECDC is running. In 2011, the Euro-GASP included 21/31 (68%) EU/EEA countries, and the programme is further strengthened annually. However, in the non-EU/EEA countries, internationally reported and quality assured gonococcal AMR data are lacking in 87% of the countries and, worryingly, appropriate support for establishment of a GASP is still lacking. Accordingly, national and international support, including political and financial commitment, for gonococcal AMR surveillance in the non-EU/EEA countries of the WHO European Region is essential.

Solar Kilns: Feasibility of Utilizing Solar Energy for Drying Lumber in Developing Countries,

Science.gov (United States)

1977-01-01

each additional operation performed in the country. These industries are labor intensiveand "value added" manufacture is significant. There is...Bureau, Climatological Division. 1970. Clima - tological normals (1951-1970) for the Philippines, Manila. 3 Wernstedt, F. L., and J. E. Spencer. 1967...effectiveness. The construction costs, including labor , are based largely on material and labor costs in the Philippines. Where this information was

Effect of mHealth in improving antenatal care utilization and skilled birth attendance in low- and middle-income countries: a systematic review protocol.

Science.gov (United States)

Abraha, Yosef G; Gebrie, Serebe A; Garoma, Desalegn A; Deribe, Fasil M; Tefera, Mamuye H; Morankar, Sudhakar

2017-07-01

The objective of this review is to identify and synthesize the best available evidence on the effect of mobile health (mHealth) interventions in antenatal care utilization and skilled birth attendance in low- and middle-income countries.More specifically, the review questions are as follows.

The impact of demographic, health-related and social factors on dental services utilization: Systematic review and meta-analysis.

Science.gov (United States)

Reda, Seif Magdy; Krois, Joachim; Reda, Sophie Franziska; Thomson, William Murray; Schwendicke, Falk

2018-04-16

Regular and/or preventive dental services utilization is an indicator of healthcare access and associated with improved health outcomes. We assessed the proportion of individuals regularly/preventively utilizing dental services, and how this was affected by demographic, health-related and social factors. Three electronic databases (Medline, Embase, Central) were searched (2005-2017). We included observational studies investigating the association between preventive/regular dental service utilization and age, oral and general health, edentulism, family structure and health literacy. The proportion of individuals with regular/preventive utilization overall and in different sub-groups were extracted. Random-effects meta-analyses, with subgroup analyses by region, were performed. Meta-regression was used to assess whether and how associations changed with time and countries' human developmental status (HDI). 103 studies on 7,395,697 participants from 28 countries were included. The global mean (95% CI) proportion of individuals regularly/preventively utilizing dental services was 54% (50-59%). In countries with higher HDI, more individuals regularly/preventively utilized services (p Age did not have a significant impact on utilization in adults (OR = 1.00; 0.89-1.12). Utilization was significantly lower in younger than older children (OR = 0.52; 0.46-0.59), individuals with poorer general health (OR = 0.73; 0.65-0.80) and poorer oral health (OR = 0.64; 0.52-0.75), edentulous individuals (OR = 0.32; 0.23-0.41), and individuals with less supportive family structures (OR = 0.81; 0.73-0.89) or poor health literacy (OR = 0.41; 0.01-0.81). The observed differences within populations did not significantly change with time and were universally present. Regular/preventive utilization varied widely between and within countries. Understanding and tackling the reasons underlying this may help to consistently improve utilization. Higher developmental

Eye care utilization by older adults in low, middle, and high income countries

Directory of Open Access Journals (Sweden)

Vela Claudia

2012-04-01

Full Text Available Abstract Background The risk of visual impairment increases dramatically with age and therefore older adults should have their eyes examined at least every 1 to 2 years. Using a world-wide, population-based dataset, we sought to determine the frequency that older people had their eyes examined. We also examined factors associated with having a recent eye exam. Methods The World Health Surveys were conducted in 70 countries throughout the world in 2002-2003 using a random, multi-stage, stratified, cluster sampling design. Participants 60 years and older from 52 countries (n = 35,839 were asked "When was the last time you had your eyes examined by a medical professional?". The income status of countries was estimated using gross national income per capita data from 2003 from the World Bank website. Prevalence estimates were adjusted to account for the complex sample design. Results Overall, only 18% (95% CI 17, 19 of older adults had an eye exam in the last year. The rate of an eye exam in the last year in low, lower middle, upper middle, and high income countries was 10%, 24%, 22%, and 37% respectively. Factors associated with having an eye exam in the last year included older age, female gender, more education, urban residence, greater wealth, worse self-reported health, having diabetes, and wearing glasses or contact lenses (p Conclusions Given that older adults often suffer from age-related but treatable conditions, they should be seen on a regular basis to prevent visual impairment and its disabling consequences.

Utilities and Power - Sector Report. Malaysia: including electricity, gas, water, sewerage, telecommunications and information technology

Energy Technology Data Exchange (ETDEWEB)

NONE

1996-10-01

This report is one of a series designed to introduce British exporters to the opportunities offered by the Malaysian market. The Seventh Malaysia Plan, covering the five year period, 1996-2000, contains an ambitious menu of infrastructure projects. Total expenditure under the Plan is envisaged at RM450 billion, of which around RM380 billion will be sourced from the private sector. This is an indication of the wealth accumulated within the Malaysian economy. The infrastructure developments identified are designed to take the country towards Vision 2020. These infrastructure developments will continue to make the country highly attractive to foreign investors, who were the catalyst for Malaysia`s explosive growth over the last few years. Malaysian Corporations have also grown rapidly and are becoming international investors and traders in their own right, including in the United Kingdom. As they expand, seeking new markets, they are looking also for partners with whom they can share technology and jointly develop projects. Such companies are often ideal partners for UK companies wishing to enter the Malaysian and Asian market. Malaysia offers opportunities to companies prepared to make the small effort to know and understand the country and its people. This report will assist companies to develop a useful understanding of the market. (author)

Women's autonomy in health care decision-making in developing countries: a synthesis of the literature

Directory of Open Access Journals (Sweden)

Osamor PE

2016-06-01

Full Text Available Pauline E Osamor, Christine Grady Department of Bioethics, Clinical Center, National Institutes of Health, Bethesda, MD, USA Abstract: Autonomy is considered essential for decision-making in a range of health care situations, from health care seeking and utilization to choosing among treatment options. Evidence suggests that women in developing or low-income countries often have limited autonomy and control over their health decisions. A review of the published empirical literature to identify definitions and methods used to measure women’s autonomy in developing countries describe the relationship between women’s autonomy and their health care decision-making, and identify sociodemographic factors that influence women’s autonomy and decision-making regarding health care was carried out. An integrated literature review using two databases (PubMed and Scopus was performed. Inclusion criteria were 1 publication in English; 2 original articles; 3 investigations on women’s decision-making autonomy for health and health care utilization; and 4 developing country context. Seventeen articles met inclusion criteria, including eleven from South Asia, five from Africa, and one from Central Asia. Most studies used a definition of autonomy that included independence for women to make their own choices and decisions. Study methods differed in that many used study-specific measures, while others used a set of standardized questions from their countries’ national health surveys. Most studies examined women’s autonomy in the context of reproductive health, while neglecting other types of health care utilized by women. Several studies found that factors, including age, education, and income, affect women’s health care decision-making autonomy. Gaps in existing literature regarding women’s autonomy and health care utilization include gaps in the areas of health care that have been measured, the influence of sex roles and social support, and the

The Nordic countries as a cohort for pharmacoepidemiological research

DEFF Research Database (Denmark)

Furu, Kari; Wettermark, Björn; Andersen, Morten

2010-01-01

issues. To perform cross-national pharmacoepidemiological studies, resources, networks and time are needed, as well as methods for pooling data. Interpretation of results needs to account for inter-country heterogeneity and the possibility of spurious relationships. The Nordic countries have a unique......The Nordic countries have a long tradition of registry-based epidemiological research. Many population-based health registries were established in the 1960s, with use of unique personal identifiers facilitating linkage between registries. In recent years, each country has established a national...... health registries. Comparisons are facilitated by many similarities among the databases, including data source, content, coverage and methods used for drug utilization studies and record linkage. There are, however, some differences in coding systems and validity, as well as in some access and technical...

Quantitative studies of water and sanitation utilities: a literature survey

OpenAIRE

Berg, Sanford V; Marques, Rui Cunha

2010-01-01

This paper performs a literature update of quantitative studies of water and sanitation services (WSS). There are 190 studies which use cost or production functions to evaluate the performance of WSS utilities. The studies examine (1) the scale, scope or density economies of utilities in a particular country or region, (2) the influence of ownership on efficiency, (3) the existence and power of incentives associated with different governance systems (including external regulation), and (4) pe...

Cannabis Use and Drug Related Problems Among Adolescents in 27 European Countries: The Utility of the Prevention Paradox

Directory of Open Access Journals (Sweden)

Romelsjö Anders

2014-10-01

Full Text Available AIMS – To study the prevalence of cannabis use and drug-related problems among European adolescents and the utility of the prevention paradox. METHODS – Survey data from the European School Survey Project on Alcohol and Other Drugs (ESPAD in 2007 in the 27 countries with information about drug use and drug-related problems was used. We analysed the proportion of all drug-related problems that occurred in a high risk group and among others who had used cannabis in the previous 12 months. The cut-off for the high risk group was chosen to include 10-15 % of the most frequent cannabis users. RESULTS – The high risk groups accounted for a substantial, but a minority, of drug-related problems among boys as well as girls. A minority of those who had used cannabis reported any drug-related problem. The proportion of adolescents with drug-related problems and the average number of problems increased with frequency of cannabis use. CONCLUSIONS – We find support for policy measures of more general character, supported by the prevention paradox. However, this does not exclude a policy supporting frequent drug users if they can be identified

Radioimmunotherapy: Opportunities, obstacles and challenges, with special reference to developing countries

International Nuclear Information System (INIS)

Divgi, C.

2001-01-01

The targeting characteristics of, combined with the ease of radionuclide conjugation to, monoclonal antibodies makes them ideally suited for the selective delivery of potentially cytotoxic radioactivity to tumour. While early murine monoclonal antibodies were immunogenic, precluding repeat administration, genetic engineering has made possible the development of less immunogenic molecules, including fragments that can be grown in bacterial systems at relatively low cost. It is therefore currently feasible to produce relatively non-immunogenic tumour targeting antibody molecules at a reasonable cost, permitting their application in developing countries. As with chemotherapy, the utility of radioimmunotherapy has been most evident in lymphoma and leukemia. Progress in solid tumours has been exciting but slow. As with thyroid cancer therapy, the most utilized radionuclide in radioimmunotherapy has been iodine-131. The use of radioimmunotherapy as first- or second-line therapy in lymphoma and leukemia is being studied, and it appears likely that radioimmunotherapy could be a suitable, lower-cost alternative to chemotherapy in the treatment of these disorders, especially in developing countries. The cost-benefit of radioimmunotherapy compared to chemotherapy is especially stark when the cost of treating complications of chemotherapy is taken into account. Radioimmunotherapy as cost-effective therapy in developing countries is therefore feasible and has tremendous potential. This review will highlight milestones and pitfalls; suggest guidelines for future development; and outline potential clinical utility for radioimmunotherapy in developing countries. (author)

Determinants of debt rescheduling in Eastern European countries

Directory of Open Access Journals (Sweden)

Laušev Jelena

2011-01-01

Full Text Available This study utilizes Panel Logit Models applied to a set of macroeconomic, financial, and political variables to estimate the debt rescheduling probabilities of 15 Eastern European countries during the transition period from 1990-2005. These transition economies became a very attractive region for foreign investment. Specifically, the region became the largest recipient of net non-FDI flows among all emerging market regions in 2005. Therefore, it is relevant for policy makers and institutional and private foreign investors to investigate factors that influence debt rescheduling probabilities, as these may directly affect the size of and return on investments in these countries. Our findings suggest that policy efforts focused on reducing government expenditure, attracting foreign direct investment, increasing export revenues, and keeping a good repayment record result in low debt rescheduling probabilities and, in turn, decrease the cost of debt for these countries. This is a common finding for all countries in the sample, including those that have become EU members.

DECOMPOSING THE SOCIOECONOMIC INEQUALITY IN UTILIZATION OF MATERNAL HEALTH CARE SERVICES IN SELECTED COUNTRIES OF SOUTH ASIA AND SUB-SAHARAN AFRICA.

Science.gov (United States)

Goli, Srinivas; Nawal, Dipty; Rammohan, Anu; Sekher, T V; Singh, Deepshikha

2017-10-30

The gap in access to maternal health care services is a challenge of an unequal world. In 2015, each day about 830 women died due to complications of pregnancy and childbirth. Almost all of these deaths occurred in low-resource settings, and most could have been prevented. This study quantified the contributions of the socioeconomic determinants of inequality to the utilization of maternal health care services in four countries in diverse geographical and cultural settings: Bangladesh, Ethiopia, Nepal and Zimbabwe. Data from the 2010-11 Demographic and Health Surveys of the four countries were used, and methods developed by Wagstaff and colleagues for decomposing socioeconomic inequalities in health were applied. The results showed that although the Concentration Index (CI) was negative for the selected indicators, meaning maternal health care was poorer among lower socioeconomic status groups, the level of CI varied across the different countries for the same outcome indicator: CI of -0.1147, -0.1146, -0.2859 and -0.0638 for inequalities in maternal health care varied across the selected countries. The findings are significant for a global understanding of the various determinants of maternal health care use in high-maternal-mortality settings in different geographical and socio-cultural contexts.

Utilities reforms and corruption in developing countries

International Nuclear Information System (INIS)

Estache, Antonio; Goicoechea, Ana; Trujillo, Lourdes

2009-01-01

This paper shows empirically that 'privatization' in the energy, telecommunications, and water sectors, and the introduction of independent regulators in those sectors, have not always had the expected effects on access, affordability, or quality of services. It also shows that corruption leads to adjustments in the quantity, quality, and price of services consistent with the profit-maximizing behavior that one would expect from monopolies in the sector. Finally, our results suggest that privatization and the introduction of independent regulators have, at best, only partial effects on the consequences of corruption for access, affordability, and quality of utilities services. (author)

Utilities reforms and corruption in developing countries

Energy Technology Data Exchange (ETDEWEB)

Estache, Antonio [ECARES, Universite Libre de Bruxelles, Brussels (Belgium); Goicoechea, Ana [The World Bank, Washington, DC (United States); Trujillo, Lourdes [DAEA, Universidad de Las Palmas de Gran Canaria (Spain); Centre for Transport Studies, University College of London (United Kingdom)

2009-06-15

This paper shows empirically that 'privatization' in the energy, telecommunications, and water sectors, and the introduction of independent regulators in those sectors, have not always had the expected effects on access, affordability, or quality of services. It also shows that corruption leads to adjustments in the quantity, quality, and price of services consistent with the profit-maximizing behavior that one would expect from monopolies in the sector. Finally, our results suggest that privatization and the introduction of independent regulators have, at best, only partial effects on the consequences of corruption for access, affordability, and quality of utilities services. (author)

Health Care Spending in the United States and Other High-Income Countries.

Science.gov (United States)

Papanicolas, Irene; Woskie, Liana R; Jha, Ashish K

2018-03-13

Health care spending in the United States is a major concern and is higher than in other high-income countries, but there is little evidence that efforts to reform US health care delivery have had a meaningful influence on controlling health care spending and costs. To compare potential drivers of spending, such as structural capacity and utilization, in the United States with those of 10 of the highest-income countries (United Kingdom, Canada, Germany, Australia, Japan, Sweden, France, the Netherlands, Switzerland, and Denmark) to gain insight into what the United States can learn from these nations. Analysis of data primarily from 2013-2016 from key international organizations including the Organisation for Economic Co-operation and Development (OECD), comparing underlying differences in structural features, types of health care and social spending, and performance between the United States and 10 high-income countries. When data were not available for a given country or more accurate country-level estimates were available from sources other than the OECD, country-specific data sources were used. In 2016, the US spent 17.8% of its gross domestic product on health care, and spending in the other countries ranged from 9.6% (Australia) to 12.4% (Switzerland). The proportion of the population with health insurance was 90% in the US, lower than the other countries (range, 99%-100%), and the US had the highest proportion of private health insurance (55.3%). For some determinants of health such as smoking, the US ranked second lowest of the countries (11.4% of the US population ≥15 years smokes daily; mean of all 11 countries, 16.6%), but the US had the highest percentage of adults who were overweight or obese at 70.1% (range for other countries, 23.8%-63.4%; mean of all 11 countries, 55.6%). Life expectancy in the US was the lowest of the 11 countries at 78.8 years (range for other countries, 80.7-83.9 years; mean of all 11 countries, 81.7 years), and infant

Utilization of Stimulants and Atomoxetine for Attention-Deficit/Hyperactivity Disorder among 5.4 Million Children Using Population-Based Longitudinal Data

DEFF Research Database (Denmark)

Furu, Kari; Karlstad, Øystein; Zoëga, Helga

2017-01-01

Use of stimulants to treat attention-deficit/hyperactivity disorder (ADHD) has increased over the past two decades and varies substantially between countries. The objective of this multinational population-based study was to examine utilization of ADHD drugs (stimulants and atomoxetine) including...... the importance of close monitoring of treatment for ADHD among children.......Use of stimulants to treat attention-deficit/hyperactivity disorder (ADHD) has increased over the past two decades and varies substantially between countries. The objective of this multinational population-based study was to examine utilization of ADHD drugs (stimulants and atomoxetine) including...... comedication with other psychotropic drugs in the entire child population in the five Nordic countries. We included longitudinal data on dispensed ADHD drugs from five Nordic prescription registers during 2008-2012, which in 2012 comprised 48,296 individuals among 5.42 million inhabitants aged 0-17 years...

Do country-specific preference weights matter in the choice of mapping algorithms? The case of mapping the Diabetes-39 onto eight country-specific EQ-5D-5L value sets.

Science.gov (United States)

Lamu, Admassu N; Chen, Gang; Gamst-Klaussen, Thor; Olsen, Jan Abel

2018-03-22

To develop mapping algorithms that transform Diabetes-39 (D-39) scores onto EQ-5D-5L utility values for each of eight recently published country-specific EQ-5D-5L value sets, and to compare mapping functions across the EQ-5D-5L value sets. Data include 924 individuals with self-reported diabetes from six countries. The D-39 dimensions, age and gender were used as potential predictors for EQ-5D-5L utilities, which were scored using value sets from eight countries (England, Netherland, Spain, Canada, Uruguay, China, Japan and Korea). Ordinary least squares, generalised linear model, beta binomial regression, fractional regression, MM estimation and censored least absolute deviation were used to estimate the mapping algorithms. The optimal algorithm for each country-specific value set was primarily selected based on normalised root mean square error (NRMSE), normalised mean absolute error (NMAE) and adjusted-r 2 . Cross-validation with fivefold approach was conducted to test the generalizability of each model. The fractional regression model with loglog as a link function consistently performed best in all country-specific value sets. For instance, the NRMSE (0.1282) and NMAE (0.0914) were the lowest, while adjusted-r 2 was the highest (52.5%) when the English value set was considered. Among D-39 dimensions, the energy and mobility was the only one that was consistently significant for all models. The D-39 can be mapped onto the EQ-5D-5L utilities with good predictive accuracy. The fractional regression model, which is appropriate for handling bounded outcomes, outperformed other candidate methods in all country-specific value sets. However, the regression coefficients differed reflecting preference heterogeneity across countries.

Safety assessment of foods from genetically modified crops in countries with developing economies.

Science.gov (United States)

Delaney, Bryan

2015-12-01

Population growth particularly in countries with developing economies will result in a need to increase food production by 70% by the year 2050. Biotechnology has been utilized to produce genetically modified (GM) crops for insect and weed control with benefits including increased crop yield and will also be used in emerging countries. A multicomponent safety assessment paradigm has been applied to individual GM crops to determine whether they as safe as foods from non-GM crops. This paper reviews methods to assess the safety of foods from GM crops for safe consumption from the first generation of GM crops. The methods can readily be applied to new products developed within country and this paper will emphasize the concept of data portability; that safety data produced in one geographic location is suitable for safety assessment regardless of where it is utilized. Copyright © 2015 The Authors. Published by Elsevier Ltd.. All rights reserved.

A snapshot of geothermal energy potential and utilization in Turkey

International Nuclear Information System (INIS)

Erdogdu, Erkan

2009-01-01

Turkey is one of the countries with significant potential in geothermal energy. It is estimated that if Turkey utilizes all of her geothermal potential, she can meet 14% of her total energy need (heat and electricity) from geothermal sources. Therefore, today geothermal energy is an attractive option in Turkey to replace fossil fuels. Besides, increase in negative effects of fossil fuels on the environment has forced many countries, including Turkey, to use renewable energy sources. Also, Turkey is an energy importing country; more than two-thirds of her energy requirement is supplied by imports. In this context, geothermal energy appears to be one of the most efficient and effective solutions for sustainable energy development and environmental pollution prevention in Turkey. Since geothermal energy will be used more and more in the future, its current potential, usage, and assessment in Turkey is the focus of the present study. The paper not only presents a review of the potential and utilization of the geothermal energy in Turkey but also provides some guidelines for policy makers. (author)

Preconception health assessment in China, Lebanon and the Philippines: applicability to other countries.

Science.gov (United States)

Reeve, Mary-Elizabeth; Charafeddine, Lama; Zhong, Nanbert; Padilla, Carmencita D; Yunis, Khalid; El Rafei, Reem; Alamiddine, Kawthar; Zhao, Xinliang; Jiang, Xiaoqing; Howson, Christopher P

2014-07-01

To test the utility of a preconception checklist tool in identifying preconception health needs of women in three countries; China, Lebanon and the Philippines. An academic medical center within each country participated in the development and testing of a preconception checklist tool, which was administered over a 6 month period to selected target groups in each country. The checklist provided valuable data on the preconception health of 6,530 women. Aggregated data identified common preconception health needs across all countries, including provision of modern contraceptives and adequate immunization coverage; HIV and STI screening; treatment for anemia; and counseling for maintenance of a healthy weight. A preconception checklist tool was found to be useful in distinct cultural settings. The study was a pilot. Future steps include validation and standardization of the checklist, data from which could be used to help shape preconception care policies and implementation strategies.

Utilization and Monetization of Healthcare Data in Developing Countries.

Science.gov (United States)

Bram, Joshua T; Warwick-Clark, Boyd; Obeysekare, Eric; Mehta, Khanjan

2015-06-01

In developing countries with fledgling healthcare systems, the efficient deployment of scarce resources is paramount. Comprehensive community health data and machine learning techniques can optimize the allocation of resources to areas, epidemics, or populations most in need of medical aid or services. However, reliable data collection in low-resource settings is challenging due to a wide range of contextual, business-related, communication, and technological factors. Community health workers (CHWs) are trusted community members who deliver basic health education and services to their friends and neighbors. While an increasing number of programs leverage CHWs for last mile data collection, a fundamental challenge to such programs is the lack of tangible incentives for the CHWs. This article describes potential applications of health data in developing countries and reviews the challenges to reliable data collection. Four practical CHW-centric business models that provide incentive and accountability structures to facilitate data collection are presented. Creating and strengthening the data collection infrastructure is a prerequisite for big data scientists, machine learning experts, and public health administrators to ultimately elevate and transform healthcare systems in resource-poor settings.

Co-operation of the CMEA member countries in the development of different reactor types, including certain aspects of their nuclear fuel cycle

International Nuclear Information System (INIS)

Panasenkov, A.; Barbur, I.; Barchenkov, A.; Molnar, L.; Tolpygo, V.; Khake, V.; Shcherbinin, B.

1977-01-01

The report gives an account of the problems of the projected development of atomic power and evaluates its role in the fuel and power complex and long-range development of interconnected power systems of the CMEA member countries. The report emphasizes the importance of scientific and technical co-operation in the creation of thermal and fast-neutron power reactors with 1000-1500MW(e) units, and in the elaboration of nuclear plants for heating services. The positive experience of the international scientific and research group of scientists of the CMEA member countries carrying out reactor-physics studies on critical assemblies is mentioned. The report contains basic conclusions from the forecasts for nuclear power in the CMEA member countries up to 1990, including forecasting methodology; the role of nuclear power plants in saving natural and enriched uranium for a projected period; and the impact of nuclear power development rates on its structure (thermal and fast reactor ratio). It lists the impacts of scientific and technical co-operation of the CMEA member countries on the fuel cycle, including the transport of spent nuclear fuel, its recovery, reprocessing and radioactive waste disposal. Particular effects of co-operation of the CMEA member countries on the radiation safety of nuclear power plants and environmental protection are analysed. The report notes the role of the international economic associations Interatomenergo and Interatominstrument in the accelerated development of nuclear power. (author)

Problems associated with nuclear energy utilization in developing countries

International Nuclear Information System (INIS)

Aybers, N.

1975-01-01

The special problems of integrating nuclear power into the overall national power system of a developing country are reviewed. Topics such as optimal size selection, policy for nuclear fuel cycle, and choice of reactor type are examined. The results of these analyses as applied to Turkey are presented. The impact of safety and regulatory matters are discussed

Energy profiles of selected Latin American and Caribbean countries. Report series No. 2

Energy Technology Data Exchange (ETDEWEB)

Wu, K.

1994-07-01

Countries in this report include Argentina, Bolivia, Brazil, Chile, Colombia, Ecuador, Mexico, Peru, Trinidad and Tobago, and Venezuela. These ten countries are the most important oil and gas producers in the Latin American and the Caribbean region. In the following sections, the primary energy supply (oil, gas, coal, hydroelectricity, and nuclear power whenever they are applicable), primary energy consumption, downstream oil sector development, gas utilization are discussed for each of the ten countries. The report also presents our latest forecasts of petroleum product consumption in each country toward 2000, which form the basis of the outlook for regional energy production and consumption outlined in Report No 1. Since the bulk of primary energy supply and demand is hydrocarbons for many countries, brief descriptions of the important hydrocarbons policy issues are provided at the end of the each country sections.

Export and Economic Growth in the West Balkan Countries

Directory of Open Access Journals (Sweden)

Florentina Xhelili Krasniqi

2017-09-01

Full Text Available The aim of this paper is to explore the effects of exports and other variables (foreign direct investment, remittances, capital formation, and labour force on economic growth in West Balkan countries (Albania, Kosovo, Macedonia, Montenegro, Bosnia and Herzegovina and Serbia. This study utilizes a strongly balanced panel data over the 2005-2015 period for Western Balkan countries using the ordinary least squares method (OLS, ie Pooled regression model to evaluate the parameters. The relationship between export and economic growth has turned to be statistically significant and positively related for the countries under the study. Results also indicate the statistically significant positive relationship between economic growth and other variables included in the model such is remittances, capital formation, and labor. The relationship between economic growth and foreign direct investment has turned out to be statistically insignificant and negatively related.

Utility of radiotracer methodology in scientific research of industrial relevancy

International Nuclear Information System (INIS)

Kolar, Z.I.

1990-01-01

Utilization of radiotracer methodology in industrial research provides substantial scientific rather than directly demonstrable economic benefits. These benefits include better understanding of industrial processes and subsequently the development of new ones. Examples are given of the use of radiotracers in technological studies and the significance of the obtained results is put down. Creative application of radiotracer methodology may contribute to the economic development and technological advancement of all countries including the developing ones. (orig.) [de

Capacity Utilization in European Railways

DEFF Research Database (Denmark)

Khadem Sameni, Melody; Landex, Alex

2013-01-01

and unprecedented approach for this aim. Relative operational efficiency of 24 European railways in capacity utilization is studied for the first time by data envelopment analysis (DEA). It deviates from previous applications of DEA in the railway industry that are conducted to analyze cost efficiency of railways....... Six DEA models quantify various aspects of micro, macro and quality of railway capacity utilization in these countries. New inputs like gross domestic product, population and area of the country help to provide a better picture of the status of railways. Passenger satisfaction data about different...... aspects of railway services in European countries has recently been quantified by European commission and are used for the first time in the literature. Invaluable insights can be inferred from the results which can provide a ground basis for railway practitioners and policy makers....

Women’s autonomy in health care decision-making in developing countries: a synthesis of the literature

Science.gov (United States)

Osamor, Pauline E; Grady, Christine

2016-01-01

Autonomy is considered essential for decision-making in a range of health care situations, from health care seeking and utilization to choosing among treatment options. Evidence suggests that women in developing or low-income countries often have limited autonomy and control over their health decisions. A review of the published empirical literature to identify definitions and methods used to measure women’s autonomy in developing countries describe the relationship between women’s autonomy and their health care decision-making, and identify sociodemographic factors that influence women’s autonomy and decision-making regarding health care was carried out. An integrated literature review using two databases (PubMed and Scopus) was performed. Inclusion criteria were 1) publication in English; 2) original articles; 3) investigations on women’s decision-making autonomy for health and health care utilization; and 4) developing country context. Seventeen articles met inclusion criteria, including eleven from South Asia, five from Africa, and one from Central Asia. Most studies used a definition of autonomy that included independence for women to make their own choices and decisions. Study methods differed in that many used study-specific measures, while others used a set of standardized questions from their countries’ national health surveys. Most studies examined women’s autonomy in the context of reproductive health, while neglecting other types of health care utilized by women. Several studies found that factors, including age, education, and income, affect women’s health care decision-making autonomy. Gaps in existing literature regarding women’s autonomy and health care utilization include gaps in the areas of health care that have been measured, the influence of sex roles and social support, and the use of qualitative studies to provide context and nuance. PMID:27354830

Optimal timing in the privatisation of a utility in an emerging country: the case of electricity distribution in Delhi

International Nuclear Information System (INIS)

Ruet, Joel

2006-01-01

Privatisation of utilities in emerging countries is impeded by informational problems. We analyse privatisation of utilities as a process, focusing on the creation of information that arises both before and after the transfer of property. We take the example of the privatisation of electricity in Delhi (). We examine the interest in creating as much information as possible before the transfer of property, and propose a model based on a trade-off between the potential benefits of creating information prior to selling of assets, vs. facing the costs of delays associated with the risks of a state's failure in creating this information prior to privatisation. We operationalise the model in the case of Delhi and argue that, in similar conditions, it is reasonable and profitable to invest a few years in information building (). We test the robustness of this model with what risks to be the most stringent critique: the inefficiency of the state (). We conclude that this simple model is fit for a clear and transparent decision-making on privatisation and reforms

HIV Viral Load Trends in Six Eastern Caribbean Countries Utilizing a Regional Laboratory Referral Service: Implications for Treatment as Prevention.

Science.gov (United States)

Landis, R Clive; Carmichael-Simmons, Kelly; Hambleton, Ian R; Best, Anton

2015-01-01

Since 2009, seven countries in the Organization of Eastern Caribbean States (OECS), Antigua & Barbuda, Dominica, Grenada, Montserrat, St. Kitts & Nevis, Saint Lucia, and St. Vincent & the Grenadines, have been utilizing a laboratory referral service for HIV-1 viral load (VL) offered by The Ladymeade Reference Unit (LRU) Laboratory, Barbados. The objective of this study was to evaluate 5 year VL trends in the six larger OECS countries participating in this regional referral service. Blood samples were collected in source countries and transported to Barbados as frozen plasma according to a standardized protocol. Plasma specimens were amplified by RT PCR on a Roche TaqMan 48 analyser (Roche Diagnostics, Panama City, Panama). VL was considered optimally suppressed below a threshold level of < 200 HIV-1 copies/mL of blood. The same threshold was used as a binary indicator in an analysis of the secular change in VL suppression. Montserrat was excluded due to insufficient number of samples. A steady rise in VL referrals from OECS countries was recorded, rising from 312 samples in 2009 to 1,060 samples in 2013. A total of 3,543 samples were tested, with a sample rejection rate (9.2%) mostly due to breaks in the cold chain. Aggregate VL data showed the odds of VL suppression in the Eastern Caribbean improved by 66% for each additional year after 2009 (Odds Ratio 1.66 [95% CI 1.46 to 1.88]; p<0.001). We demonstrate the feasibility of establishing a regional laboratory referral service for HIV VL monitoring in the Eastern Caribbean. Aggregate VL trends showed a significant year-on-year improvement in VL suppression, implying public health benefits through treatment as prevention in the OECS. VL provides a powerful monitoring & evaluation tool for strengthening HIV programs at country level among the small island states participating in this regional referral network.

HIV Viral Load Trends in Six Eastern Caribbean Countries Utilizing a Regional Laboratory Referral Service: Implications for Treatment as Prevention.

Directory of Open Access Journals (Sweden)

R Clive Landis

Full Text Available Since 2009, seven countries in the Organization of Eastern Caribbean States (OECS, Antigua & Barbuda, Dominica, Grenada, Montserrat, St. Kitts & Nevis, Saint Lucia, and St. Vincent & the Grenadines, have been utilizing a laboratory referral service for HIV-1 viral load (VL offered by The Ladymeade Reference Unit (LRU Laboratory, Barbados. The objective of this study was to evaluate 5 year VL trends in the six larger OECS countries participating in this regional referral service.Blood samples were collected in source countries and transported to Barbados as frozen plasma according to a standardized protocol. Plasma specimens were amplified by RT PCR on a Roche TaqMan 48 analyser (Roche Diagnostics, Panama City, Panama. VL was considered optimally suppressed below a threshold level of < 200 HIV-1 copies/mL of blood. The same threshold was used as a binary indicator in an analysis of the secular change in VL suppression. Montserrat was excluded due to insufficient number of samples.A steady rise in VL referrals from OECS countries was recorded, rising from 312 samples in 2009 to 1,060 samples in 2013. A total of 3,543 samples were tested, with a sample rejection rate (9.2% mostly due to breaks in the cold chain. Aggregate VL data showed the odds of VL suppression in the Eastern Caribbean improved by 66% for each additional year after 2009 (Odds Ratio 1.66 [95% CI 1.46 to 1.88]; p<0.001.We demonstrate the feasibility of establishing a regional laboratory referral service for HIV VL monitoring in the Eastern Caribbean. Aggregate VL trends showed a significant year-on-year improvement in VL suppression, implying public health benefits through treatment as prevention in the OECS. VL provides a powerful monitoring & evaluation tool for strengthening HIV programs at country level among the small island states participating in this regional referral network.

The diversity of regulation and public financing of IVF in Europe and its impact on utilization.

Science.gov (United States)

Berg Brigham, K; Cadier, B; Chevreul, K

2013-03-01

How do the different forms of regulation and public financing of IVF affect utilization in otherwise similar European welfare state systems? Countries with more liberal social eligibility regulations had higher levels of IVF utilization, which diminished as the countries' policies became more restrictive. Europe is a world leader in the development and utilization of IVF, yet surveillance reveals significant differences in uptake among countries which have adopted different approaches to the regulation and and public financing of IVF. A descriptive and comparative analysis of legal restrictions on access to IVF in 13 of the EU15 countries that affirmatively regulate and publicly finance IVF. Using 2009 data from the European Society of Human Reproduction and Embryology study of regulatory frameworks in Europe and additional legislative research, we examined and described restrictions on access to IVF in terms of general eligibility, public financing and the scope of available services. Multiple correspondence analysis was used to identify patterns of regulation and groups of countries with similar regulatory patterns and to explore the effects on utilization of IVF, using data from the most recent European and international IVF monitoring reports. Regulations based on social characteristics of treatment seekers who are not applicable to other medical treatments, including relationship status and sexual orientation, appear to have the greatest impact on utilization. Countries with the most generous public financing schemes tend to restrict access to covered IVF to a greater degree. However, no link could be established between IVF utilization and the manner in which coverage was regulated or the level of public financing. Owing to the lack of data regarding the actual level of public versus private financing of IVF it is impossible to draw conclusions regarding equity of access. Moreover, the regulatory and utilization data were not completely temporally matched in

European Utility Requirements: European nuclear energy

International Nuclear Information System (INIS)

Komsi, M.; Patrakka, E.

1997-01-01

The work procedure and the content of the European Utility Requirements (EUR) concerning the future LWRs is described in the article. European Utility Requirements, produced by utilities in a number of European countries, is a document specifying the details relating to engineered safety, operating performance, reliability and economics of the reactors to be built by manufacturers for the European market

Bureaucratic Complexity and Impacts of Corruption in Utilities

OpenAIRE

Tøndel, Line; Søreide, Tina

2008-01-01

This paper explores how the relationship between bureaucratic complexity and corruption affects the performance in utilities. We observe considerable variation in the performance of the utilities across countries, also across countries which appear to be relatively similar in terms of GDP per capita. Our hypothesis is that corruption is an important explanatory factor. In particular, corruption coupled with a complex regulatory structure can have negative effects on performance in this sector...

Introduction and Utilization of High Priced HCV Medicines across Europe; Implications for the Future

Science.gov (United States)

de Bruijn, Winnie; Ibáñez, Cristina; Frisk, Pia; Bak Pedersen, Hanne; Alkan, Ali; Vella Bonanno, Patricia; Brkičić, Ljiljana S.; Bucsics, Anna; Dedet, Guillaume; Eriksen, Jaran; Fadare, Joseph O.; Fürst, Jurij; Gallego, Gisselle; Godói, Isabella P.; Guerra Júnior, Augusto A.; Gürsöz, Hakkı; Jan, Saira; Jones, Jan; Joppi, Roberta; Kerman, Saim; Laius, Ott; Madzikwa, Newman; Magnússon, Einar; Maticic, Mojca; Markovic-Pekovic, Vanda; Massele, Amos; Ogunleye, Olayinka; O'Leary, Aisling; Piessnegger, Jutta; Sermet, Catherine; Simoens, Steven; Tiroyakgosi, Celda; Truter, Ilse; Thyberg, Magnus; Tomekova, Kristina; Wladysiuk, Magdalena; Vandoros, Sotiris; Vural, Elif H.; Zara, Corinne; Godman, Brian

2016-01-01

Background: Infection with the Hepatitis C Virus (HCV) is a widespread transmittable disease with a diagnosed prevalence of 2.0%. Fortunately, it is now curable in most patients. Sales of medicines to treat HCV infection grew 2.7% per year between 2004 and 2011, enhanced by the launch of the protease inhibitors (PIs) boceprevir (BCV) and telaprevir (TVR) in addition to ribavirin and pegylated interferon (pegIFN). Costs will continue to rise with new treatments including sofosbuvir, which now include interferon free regimens. Objective: Assess the uptake of BCV and TVR across Europe from a health authority perspective to offer future guidance on dealing with new high cost medicines. Methods: Cross-sectional descriptive study of medicines to treat HCV (pegIFN, ribavirin, BCV and TVR) among European countries from 2008 to 2013. Utilization measured in defined daily doses (DDDs)/1000 patients/quarter (DIQs) and expenditure in Euros/DDD. Health authority activities to influence treatments categorized using the 4E methodology (Education, Engineering, Economics and Enforcement). Results: Similar uptake of BCV and TVR among European countries and regions, ranging from 0.5 DIQ in Denmark, Netherlands and Slovenia to 1.5 DIQ in Tayside and Catalonia in 2013. However, different utilization of the new PIs vs. ribavirin indicates differences in dual vs. triple therapy, which is down to factors including physician preference and genotypes. Reimbursed prices for BCV and TVR were comparable across countries. Conclusion: There was reasonable consistency in the utilization of BCV and TVR among European countries in comparison with other high priced medicines. This may reflect the social demand to limit the transmission of HCV. However, the situation is changing with new curative medicines for HCV genotype 1 (GT1) with potentially an appreciable budget impact. These concerns have resulted in different prices across countries, with their impact on budgets and patient outcomes

Education and training on radiation safety for Asian countries

International Nuclear Information System (INIS)

Kitahara, Y.; Sakurai, N.; Kamei, M.

1993-01-01

The long-term program for development and Utilization of nuclear energy planned by Japan Atomic Energy Commission decided to promote the international corporation with Asian countries in nuclear fields. PNC (Power Reactor and Nuclear Fuel Development Corporation) has three programs in radiation safety field. They are STA program, JICA program and IAEA/RCA program. It is necessary to continue international cooperative activities to establish safety culture for development and utilization of nuclear energy in Asian countries

Utility Leadership in Defining Requirements for Advanced Light Water Reactors

International Nuclear Information System (INIS)

Sugnet, William R.; Layman, William H.

1990-01-01

It is appropriate, based on twenty five years of operating experience, that utilities take a position of leadership in developing the technical design and performance requirements for the next generations of nuclear electric generating plants. The U. S. utilities, through the Electric Power Research Institute, began an initiative in 1985 to develop such Utility requirements. Many international Utility organizations, including Korea Electric Power Corporation, have joined as full participants in this important Utility industry initiative. In light of the closer linkage among countries of the world due to rapid travel and telecommunications, it is also appropriate that there be international dialogue and agreement on the principal standards for nuclear power plant acceptability and performance. The Utility/EPRI Advanced Light Water Reactor Program guided by the ALRR Utility Steering Committee has been very successful in developing these Utility requirements. This paper will summarize the state of development of the ALRR Utility Requirements for Evolutionary Plants, recent developments in their review by the U. S. Nuclear Regulatory Commission, resolution of open issues, and the extension of this effort to develop a companion set of ALRR Utility Requirements for plants employing passive safety features

THE ANALYSIS OF THE RELATION COUNTRY RISK – MULTIPLE VALUE

Directory of Open Access Journals (Sweden)

Cristina Nicolescu

2016-12-01

Full Text Available Financial theory state that high expected growth, low risk in the company’s sector and low interest rates will push multiples higher. In this respect the goal of the empirical work is to examine country risk-multiple value relation, for the companies from emerging and frontier markets such as Central and East European ones. Specific control variables have been included in the model as proxy for growth opportunities, profitability, capital structure, and asset utilization. Using panel data analysis for period 2010-2015 as well as other financial variables for a sample of Central and East European countries during 2010-2015. The results partially support financial theories, mainly the significance of country risk and debt ratio and reject the growth opportunities hypothesis.

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

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

Projected uranium requirements of developing countries

International Nuclear Information System (INIS)

Anon.

1990-01-01

The objective of this paper is to examine the uranium requirements of developing countries both in aggregate and individually. Although the cumulative uranium requirements of these countries are expected to account for less than eight percent of total requirements, the fact that many of these countries are expressing renewed interest in nuclear is, in itself, encouraging. The countries analyzed in this paper are Argentina, Brazil, Egypt, India, Israel, Mexico, Pakistan, South Africa, South Korea and Taiwan. For each country, the existing and planned nuclear capacity levels have been identified and capacity factors have been projected. For countries with no previous nuclear power, the world weighted average capacity factor for the specific reactor type is utilized. Other factors influencing nuclear power demand and operations of these developing countries will be discussed, and finally, uranium requirements based on a calculated optimal tails assay of .30 will be provided

Is debt replacing equity in regulated privatized infrastructure in developing countries?

OpenAIRE

da Silva, Luis Correia; Estache, Antonio; Jarvela, Sakari

2004-01-01

The main purpose of this paper is to describe the evolution of the financing structure of regulated privatized utilities and transport companies. To do so, the authors rely on a sample of 121 utilities distributed over 16 countries, and 23 transport infrastructure operators and 23 transport services operators distributed over 23 countries. They show that leverage rates vary significantly a...

Does the distribution of healthcare utilization match needs in Africa?

Science.gov (United States)

Bonfrer, Igna; van de Poel, Ellen; Grimm, Michael; Van Doorslaer, Eddy

2014-10-01

An equitable distribution of healthcare use, distributed according to people's needs instead of ability to pay, is an important goal featuring on many health policy agendas worldwide. However, relatively little is known about the extent to which this principle is violated across socio-economic groups in Sub-Saharan Africa (SSA). We examine cross-country comparative micro-data from 18 SSA countries and find that considerable inequalities in healthcare use exist and vary across countries. For almost all countries studied, healthcare utilization is considerably higher among the rich. When decomposing these inequalities we find that wealth is the single most important driver. In 12 of the 18 countries wealth is responsible for more than half of total inequality in the use of care, and in 8 countries wealth even explains more of the inequality than need, education, employment, marital status and urbanicity together. For the richer countries, notably Mauritius, Namibia, South Africa and Swaziland, the contribution of wealth is typically less important. As the bulk of inequality is not related to need for care and poor people use less care because they do not have the ability to pay, healthcare utilization in these countries is to a large extent unfairly distributed. The weak average relationship between need for and use of health care and the potential reporting heterogeneity in self-reported health across socio-economic groups imply that our findings are likely to even underestimate actual inequities in health care. At a macro level, we find that a better match of needs and use is realized in those countries with better governance and more physicians. Given the absence of social health insurance in most of these countries, policies that aim to reduce inequities in access to and use of health care must include an enhanced capacity of the poor to generate income. Published by Oxford University Press in association with The London School of Hygiene and Tropical Medicine �

Contract-based electricity markets in developing countries: Overcoming inefficiency constraints

Science.gov (United States)

Perera, M. N. Susantha

The electric utility sector throughout the world has been undergoing significant changes. It is changing from its traditional, central-station generation model managed under a vertically integrated monopoly to a more market-dependent business. In the rich industrialized countries, this change has progressed rapidly with the emergence of competitive markets---not only in the area of electricity generation, but also in the extension of such markets down to the level of retail domestic consumer. Developing countries, on the other hand, are trying to attract much-needed investment capital for their power sector expansion activities, particularly for the expansion of generating capacity, through the involvement of the private sector. Unlike their industrialized counterparts, they are facing many limitations in transforming the mostly government-owned monopolies into market-driven businesses, thereby creating an environment that is conducive to private sector participation. Amongst these limitations are the lack of a well-developed, local private sector or domestic financial market that can handle the sophisticated power sector financing; inadequate legal and regulatory frameworks that can address the many complexities of private power development; and numerous risk factors including political risks. This dissertation research addresses an important inefficiency faced by developing countries in the new contract-based market structure that has emerged within these countries. It examines the inefficiencies brought on by restrictions in the contracts, specifically those arising from the guaranteed purchase conditions that are typically included in contracts between the purchasing utility and independent power producers in this new market. The research attempts to provide a solution for this problem and proposes a methodology that enables the parties to conduct their businesses in a cost-efficient manner within a cooperative environment. The situation described above is

Utility involvement in uranium exploration and development - a growing trend

International Nuclear Information System (INIS)

Sullivan, R.P.; Riedel, D.W.

1980-01-01

Nuclear power commitments by United States utilities at the beginning of 1979 represent 137,000 MW(e) of capacity from 147 nuclear units scheduled for operation by 1985 plus an additional 52,000 MW(e) from 48 units scheduled beyond 1985. Including the minority owners there are over 100 independent electric utilities in the United States of America with some financial commitment to these 195 nuclear power plants. United States uranium requirements to the year 2000 have been projected at 35 to 40% of the world requirements (exclusive of centrally planned economies). Also United States uranium resources represent a substantial fraction of present estimated world resources. Thus, decisions by US electric utilities regarding their financial involvement in uranium exploration and development can be expected to have a large impact on the development of the world-wide uranium industry. Unlike the situation in most countries with large commitments to nuclear power, the US government is not directly involved financially in uranium exploration and development except in a supportive role to the industry as a whole. Investment decisions by US utilities and US mining companies are based on their individual perceptions of the risks and benefits to be gained. Public attitudes towards nuclear power and public regulatory commission treatment of utility expenditures for resource development vary throughout the country. Thus, US utilities have shown a wide range of responses in formulating their uranium procurement strategies. About half the utilities with nuclear commitments are at present involved financially in uranium exploration and development. This paper traces the development of this trend and elaborates on the types of financial involvement and the factors that affect a utility's selection of its overall uranium procurement strategy

The critical issue of nuclear power plant safety in developing countries

International Nuclear Information System (INIS)

Rosen, M.

1977-01-01

A little more than a decade from now, large commercial nuclear power facilities will be in operation in almost 40 countries, of which approximately one-half are presently considered industrially less developed. Ambitious nuclear programmes coupled with minimal and frequently under-staffed regulatory and utility organizations are only one aspect of the difficulties related to the safety of nuclear plants that face these developing countries. Inherent problems of meeting current safety standards and requirements for the significantly non-standard nuclear power plant exports can be compounded by financial considerations that may lead to purchases of reactors of various types, from more than one supplier country and with different safety standards and requirements. An examination of these issues points to the necessity and opportunity for effective action which could include provision for adequate funding for safety considerations in the purchase contract, and for sufficient regulatory assistance and training from the developed countries. The article will introduce the topic, discuss specific examples, and offer some suggestions. (author)

Regulatory difficulties in a developing country

International Nuclear Information System (INIS)

Jacobs, W.R. Jr.

1978-01-01

The regulatory agency assigned the task of regulating the initial entry into the field of nuclear power generation by a developing country has a very difficult job. Based on the authors' experience during the start-up and initial operation of Ko-Ri Unit I, the first power reactor in the Republic of Korea, observations on regulatory difficulties and recommendations for improved regulatory effectiveness are offered. The problem areas can be loosely grouped into three general categories: (1) Lack of adequate technical knowledge which is the basis for all effective regulation; (2) Difficulties with understanding and utilization of the required regulatory documentation; (3) Failure to establish the proper regulatory environment. Examples are cited from actual experience during the Ko-Ri Unit I start-up to demonstrate the impact that regulatory activities can have on a plant construction and testing programme. The problems encountered are not unique to developing countries but also exist in the United States of America. Recommendations are offered which should be beneficial to either newly formed regulatory agencies or agencies wishing to improve their abilities and effectiveness. These include: (1) Additional training of regulatory inspectors in plant operations; (2) Additional experience gained by participation in regulatory activities in other countries; (3) Increased attention given to regulatory documents, especially plant technical specifications; (4) Establishment of formal lines of communication between the utility and the regulatory agency; (5) Clear definition of regulatory responsibilities to avoid areas of overlapping jurisdiction; (6) Active participation by the regulatory staff very early in the project. It is hoped that these and other recommendations offered will greatly improve regulatory effectiveness and at the same time demonstrate that when the decision is made to 'go nuclear', a strong commitment must be made to develop and support a technically

Including sustainability issues in nurse education: A comparative study of first year student nurses' attitudes in four European countries.

Science.gov (United States)

Richardson, Janet; Heidenreich, Thomas; Álvarez-Nieto, Carmen; Fasseur, Fabienne; Grose, Jane; Huss, Norma; Huynen, Maud; López-Medina, Isabel M; Schweizer, Angélick

2016-02-01

Education in sustainable development is a goal recognised by a large number of countries and a vital concept in healthcare. It is therefore important that nurse education incorporates elements of sustainable development into nursing education curricula. However, there is limited research on student nurses' attitudes towards sustainability and no comparison of attitudes towards sustainability and its inclusion in the nursing curriculum across Europe. This project aims to assess student nurses' attitudes towards sustainability, its relevance to nursing and its inclusion in the nursing curricula. 1. To assess base-line attitudes at the start of nursing and midwifery training; 2. To compare sustainability awareness between students participating in training in a number of European universities. A comparative survey design using the Sustainability Attitudes in Nursing Survey (SANS_2) questionnaire. Nursing classes of Universities and Nursing Schools in four European countries were investigated using a questionnaire consisting of five sustainability-related items. 916 nursing students (UK: 450, Germany: 196, Spain: 124, Switzerland: 146). Standard descriptive and inferential statistical methods were used to establish psychometric quality (Principal Components Analysis, Cronbach's alpha, Pearson correlations) and compare student nurses from the four countries. The reliability of SANS_2 was good (Cronbach's alpha=.82) and the five items loaded on a single factor which explained 58% of variance. ANOVA of the SANS_2 total score showed significant differences between countries with German nursing students showing more sustainability awareness than students from the UK and Spain. SANS_2 is a reliable instrument to assess nursing students' sustainability awareness; there are significant differences in sustainability awareness of students of different European countries. Limitations of the study include non-random sampling, possible method effects and social desirability effects

Direct Heat Utilization of Geothermal Resources Worldwide 2005

Energy Technology Data Exchange (ETDEWEB)

Lund, John W.

2000-01-01

Direct utilization of geothermal energy consists of various forms for heating and cooling instead of converting the energy for electric power generation. The geothermal resources that can be utilized are in the lower temperature range that are more wide-spread than the higher temperature resources used for electricity generation. The major areas of direct utilization are: heating of swimming pools and for balneology; space heating and cooling including district heating; agriculture applications (greenhouse heating and crop drying); aquaculture applications; industrial processing; and geothermal heat pumps. Direct utilization projects are reported in 72 countries with an installed capacity of 28,268 MWt and annual energy use of 273,372 TJ (75,943 GWh) reported in 2005. The equivalent annual savings in fuel oil amounts to 170 million barrels (25.4 million tonnes) and 24 million tonnes in carbon emissions to the atmosphere. Recent trends are to combined geothermal heat and power projects in order to maximize the use of the resource and improve the economics of the project. With the recent increases in fossil fuel prices, it is estimated that direct utilizations will more than double in the next 10 years.

Assessing public and private sector contributions in reproductive health financing and utilization for six sub-Saharan African countries.

Science.gov (United States)

Nguyen, Ha; Snider, Jeremy; Ravishankar, Nirmala; Magvanjav, Oyunbileg

2011-05-01

The present study provides evidence to support enhanced attention to reproductive health and comprehensive measures to increase access to quality reproductive health services. We compare and contrast the financing and utilization of reproductive health services in six sub-Saharan African countries using data from National Health Accounts and Demographic and Health Surveys. Spending on reproductive health in 2006 ranged from US$4 per woman of reproductive age in Ethiopia to US$17 in Uganda. These are below the necessary level for assuring adequate services given that an internationally recommended spending level for family planning alone was US$16 for 2006. Moreover, reproductive health spending shows signs of decline in tandem with insufficient improvement in service utilization. Public providers played a predominant role in antenatal and delivery care for institutional births, but home deliveries with unqualified attendants dominated. The private sector was a major supplier of condoms, oral pills and IUDs. Private clinics, pharmacies and drug vendors were important sources of STI treatment. The findings highlight the need to commit greatly increased funding for reproductive health services as well as more policy attention to the contribution of public, private and informal providers and the role of collaboration among them to expand access to services for under-served populations. Copyright © 2011 Reproductive Health Matters. Published by Elsevier Ltd. All rights reserved.

Utilization of research reactors

International Nuclear Information System (INIS)

1962-01-01

About 200 research reactors are now in operation in different parts of the world, and at least 70 such facilities, which are in advanced stages of planning and construction, should be critical within the next two or three years. In the process of this development a multitude of problems are being encountered in formulating and carrying out programs for the proper utilization of these facilities, especially in countries which have just begun or are starting their atomic energy work. An opportunity for scientific personnel from different Member States to discuss research reactor problems was given at an international symposium on the Programing and Utilization of Research Reactors organized by the Agency almost immediately after the General Conference session. Two hundred scientists from 35 countries, as well as from the European Nuclear Energy Agency and EURATOM, attended the meeting which was held in Vienna from 16 to 21 October 1961

Investigating water meter performance in developing countries: A ...

African Journals Online (AJOL)

High levels of water losses in distribution systems are the main challenge that water utilities in developing countries currently face. The water meter is an essential tool for both the utility and the customers to measure and monitor consumption. When metering is inefficient and coupled with low tariffs, the financial ...

Perception and Utilization of Primary Health Care Services in a Semi ...

African Journals Online (AJOL)

Objective: The health status of most people living in developing countries of the world remains poor. Linked to this are some factors, of which low utilization of PHC facilities remain a major issue. This study therefore aimed to determine the utilization of PHC services in a sub-urban community in a developing country in West ...

Bureau Management Technologies and Information Systems in Developing Countries

OpenAIRE

Mehmet Altınöz

2008-01-01

This study focuses on bureau management technologies and information systems in developing countries. Developing countries use such systems which facilitate executive and organizational functions through the utilization of bureau management technologies and provide the executive staff with necessary information. The concepts of data and information differ from each other in developing countries, and thus the concepts of data processing and information processing are di...

Rural electrification. Utilities' chafe or challenge?

International Nuclear Information System (INIS)

Zomers, A.N.

2001-01-01

The majority of people living in developing countries do not have access to electricity and most of these two billion people live in rural areas. Social and political pressure to supply power to these areas will increase and the question will not be whether these areas will get electricity, but when. This book contains a comprehensive analysis of rural electrification programmes implemented in both industrialised and developing countries. The impact of current developments and trends on the approach to rural electricity supply in these countries is also examined. The author has identified a number of critical success factors for rural electrification, such as a politically and socially stable environment, an appropriate electrification process, support from the international community, and a utility organisation based on decentralisation and operational autonomy. The broad handling of the subject makes this book useful to utility managers, development agencies, academics, and others involved in the electrification of rural and remote areas refs

Reactor physics needs in developing countries

International Nuclear Information System (INIS)

Solanilla, R.

1980-01-01

The aim of this paper the identification of needs on Reactor Physics in developing countries embarked in the installation and later on in the operation of Commercial Nuclear Power Plants. In this context the main task of Reactor Physics should be focused in the application of Physical models with inclusion of thermohydraulic process to solve the various realistic problems which appear to ensure a safe, economical and reliable core design and reactor operation. The first part of the paper deals with the scope of Reactor Physics and its interrelation with other disciplines as seen from the view point of developing countries possibilities. Needs requiring a quick response, i.e., those demands coming during the development of a specific Nuclear Power Plant Project, are summarized in the second part of the lecture. Plant startup has been chosen as reference to separate two categories of requirements: Requirements prior to startup phase include reactor core verification, licensing aspects review and study of fuel utilization alternatives; whereas the period during and after startup mainly embraces codes checkup and normalization, core follow-up and long term prediction

Alternative method of highway traffic safety analysis for developing countries using delphi technique and Bayesian network.

Science.gov (United States)

Mbakwe, Anthony C; Saka, Anthony A; Choi, Keechoo; Lee, Young-Jae

2016-08-01

Highway traffic accidents all over the world result in more than 1.3 million fatalities annually. An alarming number of these fatalities occurs in developing countries. There are many risk factors that are associated with frequent accidents, heavy loss of lives, and property damage in developing countries. Unfortunately, poor record keeping practices are very difficult obstacle to overcome in striving to obtain a near accurate casualty and safety data. In light of the fact that there are numerous accident causes, any attempts to curb the escalating death and injury rates in developing countries must include the identification of the primary accident causes. This paper, therefore, seeks to show that the Delphi Technique is a suitable alternative method that can be exploited in generating highway traffic accident data through which the major accident causes can be identified. In order to authenticate the technique used, Korea, a country that underwent similar problems when it was in its early stages of development in addition to the availability of excellent highway safety records in its database, is chosen and utilized for this purpose. Validation of the methodology confirms the technique is suitable for application in developing countries. Furthermore, the Delphi Technique, in combination with the Bayesian Network Model, is utilized in modeling highway traffic accidents and forecasting accident rates in the countries of research. Copyright © 2016 Elsevier Ltd. All rights reserved.

Co-operation of the CMEA member countries in the developing power reactors of various types, including some aspects of their nuclear fuel cycles

International Nuclear Information System (INIS)

Barbur, I.; Barchenkov, A.; Molnar, L; Panasenkov, A.; Tolpygo, V.; Hake, V.; Shcherbinin, B.

1977-01-01

The report gives an account of the problems of projected development of atomic power and evaluates its role in the fuel and power complex and long-range development of interconnected power systems of the CMEA member countries. The report emphasizes the importance of scientific and technical co-operation in the creation of power reactors on thermal and fast neutrons with 1000-1500 MW unit electric capacity as well as in the elaboration of nuclear plants for heating services. It notes the positive experience of the International scientific and research group of scientists of the CMEA member countries carrying out reactor-physical studies on the critical assembly and its contribution to the elaboration of power reactors. The report contains basic conclusions from the development forecast for nuclear power of the CMEA member countries up to 1990 including forecasting methodology; role of nuclear power plants in saving natural and enriched uranium for a projected period; impact of nuclear power development rates on its structure (thermal and fast reactor ratio); relation between the beginning of mass commissioning of nuclear power plants with fast reactors and the integral demand for nuclear fuel; scale of required capacities of fuel cycle services; time dependence of fuel cycle on nuclear fuel requirements. It examines the problems and lists the results of scientific and technical co-operation of the CMEA member countries in the field of fuel cycle, including the transport of spent nuclear fuel, its recovery, reprocessing and radioactive waste disposal. Particular questions of co-operation of the CMEA member countries to secure radiation safety of nuclear power plants and environmental protection are analyzed. The report notes the role of international economic associations - ''Interatomenergo'' and ''Interatominstrument'' - in the accelerated development of nuclear power on the basis of cooperation and specialization in the manufacture of equipment for nuclear power

Utility applications and broadband networks

Energy Technology Data Exchange (ETDEWEB)

Chebra, R.; Taylor, P.

2003-02-01

A detailed analytical model of a cable network that would be capable of providing utilities with such services as automatic meter reading, on-line ability to remotely connect and disconnect commodity service, outage notification, tamper detection, direct utility-initiated load control, indirect user prescribed load control, and user access to energy consumption information, is described. The paper provides an overview of of the zones of focus that must be addressed -- market assessment, competitive analysis, product identification, economic model development, assessment of skill set requirements, performance monitoring and tracking, and various technical issues -- to identify any gaps in the organisation's ability to fully develop such a plan. Developers of the model field tested it in 1995 using some benchmarks that were available at that time, and found that the benefit afforded by direct labor saving was not sufficient to cover the capital expenditure of the advanced utility gateway connected to the cable network. However, since 1995 the unanticipated shift in the derived consumer value from a host of cable-based communications services has rendered these original projections irrelevant. Since national communications organizations concentrate on 'tier one' or at best 'tier two' cities (roughly corresponding to the NFL franchise cities and baseball farm team cities), the uncovered rural and suburban areas of the country create a significant digital divide within the population. The developers of the model contend that these unserviced areas provide utilities, especially municipal utilities, with an excellent opportunity to step into the gap and provide a full range of services that includes water, electricity and communications. The proposed model provides the foundation for utilities upon which to base their ultimate implementation decisions.

Fostering applications of neutron scattering techniques in developing countries: IAEA's role

Energy Technology Data Exchange (ETDEWEB)

Paranjpe, Shriniwas K. [Division of Physical and Chemical Sciences, International Atomic Energy Agency, Wagramer Strasse 5, A-1400 Vienna (Austria)]. E-mail: S.K.Paranjpe@iaea.org; Mank, G. [Division of Physical and Chemical Sciences, International Atomic Energy Agency, Wagramer Strasse 5, A-1400 Vienna (Austria); Ramamoorthy, N. [Division of Physical and Chemical Sciences, International Atomic Energy Agency, Wagramer Strasse 5, A-1400 Vienna (Austria)

2006-11-15

Over the last 60 years research reactors have played an important role in technological and socio-economical development of mankind. Neutron scattering has been the workhorse for research and development in materials science. Developing countries with moderate flux research reactors have also been involved in using this technique. The reactors and the facilities around them have a large potential for applications, while their under-utilization has been a concern for many member states. The International Atomic Energy Agency (IAEA) has been supporting its member states in the enhancement of utilization of their research reactors. Technical meetings focussing on the area of current interests with potential applications are organized under the project on 'effective utilization of research reactors,' e.g. on residual stress measurement, neutron reflectometry. Coordinated research projects (CRPs) bring together scientists from developed and developing countries, build collaborations, and exchange expertise and technology. The CRPs on research reactor utilization include topics like development of small-angle neutron scattering applications and development of sources and imaging systems for neutron radiography. New CRPs on the measurement of residual stress and accelerator-driven neutron sources will be initiated soon. The results from these meetings of CRPs are published as technical documents of the IAEA that would act as guidelines for capacity building for research reactor managers. This paper will present some of the salient features of IAEA activities in promoting research reactor utilization.

PNRA Process for Utilizing Experience Feedback for Enhancing Nuclear Safety

International Nuclear Information System (INIS)

Shah, Z.H.

2016-01-01

One of the elements essential for any organization to become a learning organization is to learn from its own and others experience. The importance of utilizing experience feedback for enhancing operational safety is highlighted in nuclear industry again and again and this has resulted in establishment of several national and international forums. In addition, IAEA action plan on nuclear safety issued after Fukushima accident further highlighted the importance of experience sharing among nuclear community to enhance global nuclear safety regime. PNRA utilizes operating experience feedback gathered through different sources in order to improve its regulatory processes. During the review of licensing submissions, special emphasis is given to utilize the lessons learnt from experience feedback relating to nuclear industry within and outside the country. This emphasis has gradually resulted in various safety improvements in the facilities and processes. Accordingly, PNRA has developed a systematic process of evaluation of international operating experience feedback with the aim to create safety conscious approach. This process includes collecting information from different international forums such as IAEA, regulatory bodies of other countries and useful feedback of past accidents followed by its screening, evaluation and suggesting recommendations both for PNRA and its licensees. As a result of this process, several improvements concerning regulatory inspection plans of PNRA as well as in regulatory decision making and operational practices of licensees have been highlighted. This paper will present PNRA approach for utilizing experience feedback in its regulatory processes for enhancing / improving nuclear safety. (author)

Energy utilization, environmental pollution and renewable energy sources in Turkey

Energy Technology Data Exchange (ETDEWEB)

Ocak, M.; Ocak, Z.; Bilgen, S.; Keles, S.; Kaygusuz, K. [Karadeniz Technical University, Trabzon (Turkey). Dept. of Chemistry

2004-04-01

In this study, energy utilization and its major environmental impacts are discussed from the standpoint of sustainable development, including anticipated patterns of future energy use and subsequent environmental issues in Turkey. Several aspects relating to energy utilization, renewable energy, energy efficiency, environment and sustainable development are examined from both current and future perspectives. Turkey is an energy importing country, more than half of the energy requirement has been supplied by imports. Domestic oil and lignite reserves are limited, and the lignites are characterised by high ash, sulfur and moisture content. Because of increasing energy consumption, environmental pollution is becoming a serious problem in the future for the country. In this regard, renewable energy resources appear to be one of the most efficient and effective solutions for sustainable energy development and environmental pollution prevention in Turkey. Turkey's geographical location has several advantages for extensive use of most of these renewable energy sources. Especially hydropower, biomass, geothermal, solar and wind energy should be considered and seriously supported by governments and private sectors.

Energy utilization, environmental pollution and renewable energy sources in Turkey

International Nuclear Information System (INIS)

Ocak, M.; Ocak, Z.; Bilgen, S.; Keles, S.; Kaygusuz, K.

2004-01-01

In this study, energy utilization and its major environmental impacts are discussed from the standpoint of sustainable development, including anticipated patterns of future energy use and subsequent environmental issues in Turkey. Several aspects relating to energy utilization, renewable energy, energy efficiency, environment and sustainable development are examined from both current and future perspectives. Turkey is an energy importing country, more than half of the energy requirement has been supplied by imports. Domestic oil and lignite reserves are limited, and the lignites are characterised by high ash, sulfur and moisture content. Because of increasing energy consumption, environmental pollution is becoming a serious problem in the future for the country. In this regard, renewable energy resources appear to be one of the most efficient and effective solutions for sustainable energy development and environmental pollution prevention in Turkey. Turkey's geographical location has several advantages for extensive use of most of these renewable energy sources. Especially hydropower, biomass, geothermal, solar and wind energy should be considered and seriously supported by governments and private sectors

[Baltic connections : archival guide to the maritime relations of the countries around the Baltic Sea (including the Netherlands) 1450-1800)] / Enn Küng

Index Scriptorium Estoniae

Küng, Enn

2009-01-01

Arvustus: Baltic connections : archival guide to the maritime relations of the countries around the Baltic Sea (including the Netherlands) 1450-1800). Leiden, Boston : Brill, 2007. Lisaks raamatule on arhiivijuht kättesaadav ka elektrooniliselt http://www.balticconnections.net/

Alternatives for the treatment and disposal of healthcare wastes in developing countries

International Nuclear Information System (INIS)

Diaz, L.F.; Savage, G.M.; Eggerth, L.L.

2005-01-01

Waste production in healthcare facilities in developing countries has brought about a variety of concerns due to the use of inappropriate methods of managing the wastes. Inappropriate treatment and final disposal of the wastes can lead to adverse impacts to public health, to occupational health and safety, and to the environment. Unfortunately, most economically developing countries suffer a variety of constraints to adequately managing these wastes. Generally in developing countries, few individuals in the staff of the healthcare facility are familiar with the procedures required for a proper waste management program. Furthermore, the management of wastes usually is delegated to poorly educated laborers who perform most activities without proper guidance and insufficient protection. This paper presents some of the most common treatment and disposal methods utilized in the management of infectious healthcare wastes in developing countries. The methods discussed include: autoclave; microwave; chemical disinfection; combustion (low-, medium-, and high-technology); and disposal on the ground (dump site, controlled landfill, pits, and sanitary landfill). Each alternative for treatment and disposal is explained, including a description of the types of wastes that can and cannot be treated. Background information on the technologies also is included in order to provide information to those who may not be familiar with the details of each alternative. In addition, a brief presentation of some of the emissions from each of the treatment and disposal alternatives is presented

The trend of 99mTc generator in FNCA countries

International Nuclear Information System (INIS)

Genka, Tsuguo; Machi, Sueo

2004-01-01

In the 2001 Workshop on Utilization of Research Reactors held in Beijing, eight delegates from the FNCA countries, namely China, Indonesia, Japan, Korea, Malaysia, the Philippines, Thailand and Vietnam, for the 99m Tc Generator Project, presented papers or orally pleaded the current status of utilization and production in terms of 99 Mo solution, 99 Mo/ 99m Tc generator or extracted 99m Tc solution in each country. This paper is a brief compilation of these topics and some additional information obtained afterward the workshop. (author)

Utilization of byproducts and waste materials from meat, poultry and fish processing industries: a review.

Science.gov (United States)

Jayathilakan, K; Sultana, Khudsia; Radhakrishna, K; Bawa, A S

2012-06-01

India is bestowed with vast livestock wealth and it is growing at the rate of 6% per annum. The contribution of livestock industry including poultry and fish is increasing substantially in GDP of country which accounts for >40% of total agricultural sector and >12% of GDP. This contribution would have been much greater had the animal by-products been also efficiently utilized. Efficient utilization of by-products has direct impact on the economy and environmental pollution of the country. Non-utilization or under utilization of by-products not only lead to loss of potential revenues but also lead to the added and increasing cost of disposal of these products. Non-utilization of animal by-products in a proper way may create major aesthetic and catastrophic health problems. Besides pollution and hazard aspects, in many cases meat, poultry and fish processing wastes have a potential for recycling raw materials or for conversion into useful products of higher value. Traditions, culture and religion are often important when a meat by-product is being utilized for food. Regulatory requirements are also important because many countries restrict the use of meat by-products for reasons of food safety and quality. By-products such as blood, liver, lung, kidney, brains, spleen and tripe has good nutritive value. Medicinal and pharmaceutical uses of by-product are also highlighted in this review. Waste products from the poultry processing and egg production industries must be efficiently dealt with as the growth of these industries depends largely on waste management. Treated fish waste has found many applications among with which the most important are animal feed, biodiesel/biogas, dietectic products (chitosan), natural pigments (after extraction) and cosmetics (collagen). Available information pertaining to the utilization of by-products and waste materials from meat, poultry and fish and their processing industries has been reviewed here.

Potential for sharing nuclear power infrastructure between countries

International Nuclear Information System (INIS)

2006-10-01

The introduction or expansion of a nuclear power programme in a country and its successful execution is largely dependent on the network of national infrastructure, covering a wide range of activities and capabilities. The infrastructure areas include legal framework, safety and environmental regulatory bodies, international agreements, physical facilities, finance, education, training, human resources and public information and acceptance. The wide extent of infrastructure needs require an investment that can be too large or onerous for the national economy. The burden of infrastructure can be reduced significantly if a country forms a sharing partnership with other countries. The sharing can be at regional or at multinational level. It can include physical facilities, common programmes and knowledge, which will reflect in economic benefits. The sharing can also contribute in a significant manner to harmonization of codes and standards in general and regulatory framework in particular. The opportunities and potential of sharing nuclear power infrastructure is determined by the objectives, strategy and scenario of the national nuclear power programme. A review of individual infrastructure items shows that there are several opportunities for sharing of nuclear power infrastructure between countries if they cooperate with each other. International cooperation and sharing of nuclear power infrastructure are not new. This publication provides criteria and guidance for analyzing and identifying the potential for sharing of nuclear power infrastructure during the stages of nuclear power project life cycle. The target users are decision makers, advisers and senior managers in utilities, industrial organizations, regulatory bodies and governmental organizations in countries adopting or extending nuclear power programmes. This publication was produced within the IAEA programme directed to increase the capability of Member States to plan and implement nuclear power

Barriers to Utilizing ICT in Education in Jordan

Science.gov (United States)

Alkhawaldeh, Nayef Ibrahim; Menchaca, Michael

2014-01-01

This study explored barriers to utilizing information and communication technologies (ICT) for teaching and learning in the country of Jordan as indicated by participating stakeholders: students, teachers, and administrators. Jordan is a developing country in the heart of the Middle East with both tremendous opportunity as well as significant…

Genetic opportunities to enhance sustainability of pork production in developing countries: A model for food animals

International Nuclear Information System (INIS)

Forsberg, C.W.; Golovan, S.P.; Ajakaiye, A.; Fan, M.Z.; Hacker, R.R.; Phillips, J.P.; Meidinger, R.G.; Kelly, J.M.

2005-01-01

Currently there is a shortage of food and potable water in many developing countries. Superimposed upon this critical situation, because of the increasing urban wealth in these countries, there is a strong trend of increased consumption of meat, and pork in particular. The consequence of this trend will be increased agricultural pollution, resulting not only from greater use of chemical fertilizer, but also from manure spread on land as fertilizer that may enter freshwater and marine ecosystems causing extensive eutrophication and decreased water quality. The application of transgenic technologies to improve the digestive efficiency and survival of food animals, and simultaneously decreasing their environmental impact is seen as an opportunity to enhance sustainability of animal agriculture without continued capital inputs. Transgenes expressed in pigs that have potential include, for example, genes coding for phytase, lactalbumin and lactoferrin. At the University of Guelph, Escherichia coli phytase has been expressed in the salivary glands of the pig. Selected lines of these pigs utilize plant phytate phosphorus efficiently as a source of phosphorus and excrete faecal material with more than a 60 percent reduction in phosphorus content. Because of their capacity to utilize plant phytate phosphorus and to produce less polluting manure they have a valuable trait that will contribute to enhanced sustainability of pork production in developing countries, where there is less access to either high quality phosphate supplement or phytase enzyme to include in the diet. Issues that require continued consideration as a prelude to the introduction of transgenic animals into developing countries include food and environmental safety, and consumer acceptance of meat products from genetically modified animals. (author)

Utilization of rice straw and different treatments to improve its feed value for ruminants: A review

NARCIS (Netherlands)

Sarnklong, C.; Cone, J.W.; Pellikaan, W.F.; Hendriks, W.H.

2010-01-01

This paper gives an overview of the availability, nutritive quality, and possible strategies to improve the utilization of rice straw as a feed ingredient for ruminants. Approximately 80% of the rice in the world is grown by small-scale farmers in developing countries, including South East Asia. The

Cost-Utility Analysis of Extending Public Health Insurance Coverage to Include Diabetic Retinopathy Screening by Optometrists.

Science.gov (United States)

van Katwyk, Sasha; Jin, Ya-Ping; Trope, Graham E; Buys, Yvonne; Masucci, Lisa; Wedge, Richard; Flanagan, John; Brent, Michael H; El-Defrawy, Sherif; Tu, Hong Anh; Thavorn, Kednapa

2017-09-01

Diabetic retinopathy (DR) is one of the leading causes of vision loss and blindness in Canada. Eye examinations play an important role in early detection. However, DR screening by optometrists is not always universally covered by public or private health insurance plans. This study assessed whether expanding public health coverage to include diabetic eye examinations for retinopathy by optometrists is cost-effective from the perspective of the health care system. We conducted a cost-utility analysis of extended coverage for diabetic eye examinations in Prince Edward Island to include examinations by optometrists, not currently publicly covered. We used a Markov chain to simulate disease burden based on eye examination rates and DR progression over a 30-year time horizon. Results were presented as an incremental cost per quality-adjusted life year (QALY) gained. A series of one-way and probabilistic sensitivity analyses were performed. Extending public health coverage to eye examinations by optometrists was associated with higher costs ($9,908,543.32) and improved QALYs (156,862.44), over 30 years, resulting in an incremental cost-effectiveness ratio of $1668.43/QALY gained. Sensitivity analysis showed that the most influential determinants of the results were the cost of optometric screening and selected utility scores. At the commonly used threshold of $50,000/QALY, the probability that the new policy was cost-effective was 99.99%. Extending public health coverage to eye examinations by optometrists is cost-effective based on a commonly used threshold of $50,000/QALY. Findings from this study can inform the decision to expand public-insured optometric services for patients with diabetes. Copyright © 2017 International Society for Pharmacoeconomics and Outcomes Research (ISPOR). Published by Elsevier Inc. All rights reserved.

Labour Productivity Convergence in 52 Industries: A Panel Data Analysis of Some European Countries

Directory of Open Access Journals (Sweden)

Tahir Mahmood

2012-01-01

Full Text Available Beta convergence and the speed of convergence of labour productivity for 52 industries are studied with a panel of data including 13 European countries. We use fixed effect approach to model the heterogeneity across countries. In primary sector and in service sector, the existence of -convergence is found for all industries. In manufacturing sector, convergence is found for all industries except for electronic and computing equipment industries. In general the speed of convergence estimates show slow adjustment. Speed is highest in the capital intensive industries. In primary production the convergence is slowest in agriculture and fastest in fishing industry. In manufacturing sector the convergence is slowest in food, drink and tobacco, and it is fastest in oil refining and nuclear fuel manufacturing industries. By augmenting the productivity models with labour utilization variable speeds up the convergence. Labour utilization is positively related to productivity growth in primary production industries, ICT producing manufacturing industries, and ICT producing services industries.

GRS current activities in East-European countries overview

International Nuclear Information System (INIS)

Teske, H.; Janke, R.

2001-01-01

This report presents the following items: agreement between the Federal Government and Utility Companies about the future utilization of the existing nuclear power plants in Germany, June 2001; GRS current activities in the Eastern European countries; science-technical co-operation with Russia; assessment of safety significance of the events for German NPP; Leningrad in-depth safety assessment, co-operation SEC NRS and GRS

Factors affecting the use of prenatal care by non-western women in industrialized western countries: a systematic review.

Science.gov (United States)

Boerleider, Agatha W; Wiegers, Therese A; Manniën, Judith; Francke, Anneke L; Devillé, Walter L J M

2013-03-27

Despite the potential of prenatal care for addressing many pregnancy complications and concurrent health problems, non-western women in industrialized western countries more often make inadequate use of prenatal care than women from the majority population do. This study aimed to give a systematic review of factors affecting non-western women's use of prenatal care (both medical care and prenatal classes) in industrialized western countries. Eleven databases (PubMed, Embase, PsycINFO, Cochrane, Sociological Abstracts, Web of Science, Women's Studies International, MIDIRS, CINAHL, Scopus and the NIVEL catalogue) were searched for relevant peer-reviewed articles from between 1995 and July 2012. Qualitative as well as quantitative studies were included. Quality was assessed using the Mixed Methods Appraisal Tool. Factors identified were classified as impeding or facilitating, and categorized according to a conceptual framework, an elaborated version of Andersen's healthcare utilization model. Sixteen articles provided relevant factors that were all categorized. A number of factors (migration, culture, position in host country, social network, expertise of the care provider and personal treatment and communication) were found to include both facilitating and impeding factors for non-western women's utilization of prenatal care. The category demographic, genetic and pregnancy characteristics and the category accessibility of care only included impeding factors.Lack of knowledge of the western healthcare system and poor language proficiency were the most frequently reported impeding factors. Provision of information and care in women's native languages was the most frequently reported facilitating factor. The factors found in this review provide specific indications for identifying non-western women who are at risk of not using prenatal care adequately and for developing interventions and appropriate policy aimed at improving their prenatal care utilization.

Nuclear energy consumption and economic growth in OECD countries: Cross-sectionally dependent heterogeneous panel causality analysis

International Nuclear Information System (INIS)

Nazlioglu, Saban; Lebe, Fuat; Kayhan, Selim

2011-01-01

The purpose of this study is to determine the direction causality between nuclear energy consumption and economic growth in OECD countries. The empirical model that includes capital and labor force as the control variables is estimated for the panel of fourteen OECD countries during the period 1980-2007. Apart from the previous studies in the nuclear energy consumption and economic growth relationship, this study utilizes the novel panel causality approach, which allows both cross-sectional dependency and heterogeneity across countries. The findings show that there is no causality between nuclear energy consumption and economic growth in eleven out of fourteen cases, supporting the neutrality hypothesis. As a sensitivity analysis, we also conduct Toda-Yamamoto time series causality method and find out that the results from the panel causality analysis are slightly different than those from the time-series causality analysis. Thereby, we can conclude that the choice of statistical tools in analyzing the nature of causality between nuclear energy consumption and economic growth may play a key role for policy implications. - Highlights: → Causality between nuclear energy consumption and economic growth is examined for OECD countries. → Panel causality method, which allows cross-sectional dependency and heterogeneity, is utilized. → The neutrality hypothesis is supported.

Utilization of coalbed methane

Energy Technology Data Exchange (ETDEWEB)

Gustavson, J.B. [Gustavson Associates Inc., Boulder, CO (United States)

1996-02-01

Substantial progress has been made in capturing coalbed methane (CBM gas), which constitutes a valuable source of clean burning energy. It is of importance to study the various potential uses of coalbed methane and to understand the various technologies required, as well as their economics and any institutional constraints. In industrialised countries, the uses of coalbed methane are almost solely dependent on microeconomics; coalbed methane must compete for a market against natural gas and other energy sources - and frequently, coalbed methane is not competitive against other energy sources. In developing countries, on the other hand, particularly where other sources of energy are in short supply, coalbed methane economics yield positive results. Here, constraints to development of CBM utilization are mainly lack of technology and investment capital. Sociological aspects such as attitude and cultural habits, may also have a strong negative influence. This paper outlines the economics of coalbed methane utilization, particularly its competition with natural gas, and touches upon the many different uses to which coalbed methane may be applied. 24 refs., 4 figs.

Evaluation of Antibacterial Utilization in Olabisi Onabanjo University ...

African Journals Online (AJOL)

This is particularly important as most hospitals in the country if not all have neglected the Drug Utilization Review aspects of Drug and Therapeutic Committee roles. It can also form basis for intervention be it educational, managerial or regulatory. METHODS: It is a retrospective drug utilization review studies, in addition a ...

Optimal utilization of electric power in the Nordic countries

International Nuclear Information System (INIS)

Magnusson, G.; Gjelsvik, E.

1992-01-01

It is attempted to address the questions of which advantages the equilibrium solution would have for the energy market under free trade conditions, how Nordic electric power can be used optimally and what the trading pattern looks like, which kind of competition the transmission of electricity via cables to Iceland and other Nordic countries will meet in the United Kingdom (UK) and the Continent, how high the option values are of trading with electric power via cables from, for example, Iceland to the UK and how great the profit could be from a more effective use of electricity for aluminium production in Norway and Iceland. Data are given on consumer prices for 1990 in Scandinavia, Germany and the UK, and a few graphs and a map illustrate the text. (AB)

CDM Country Guides

International Nuclear Information System (INIS)

2005-01-01

Under the Integrated Capacity Strengthening for the Clean Development Mechanism (ICS-CDM) programme, IGES presents the CDM Country Guides, a series of manuals on CDM project development for Cambodia, China, India, Indonesia, the Philippines, and Thailand. These guidebooks aim at facilitating CDM project developments in Asia by providing essential information to both project developers and potential investors. Chapter 1, Introduction, is a summary of issues that developers and investors in CDM projects should be aware of. Includes tips for readers to effectively use the guidebook to find specific information. Chapter 2, Country Profile, comprises a profile that provides a broad picture of the country, including social, economic, and political information, as well as an overview of the country's energy situation, which is important for project development and investment. Chapter 3, The CDM Project Cycle, gives an explanation of the general CDM project cycle, which includes identifying a project, issuance of carbon credits, requirements, and stakeholders for each process. Chapter 4, Possible CDM Projects in the Country, is an overview of the country's potential resources and sectoral or project type categories that hold potential for CDM projects. Chapter 5, Government Authorities, gives a comprehensive picture of the CDM-related institutional framework and its inter-organisational relationships. Chapter 6, CDM Project Approval Procedures and Requirements Steps, informs about obtaining project approval and its requirements (e.g., country-specific provisions on additionality, sustainable development criteria, and environmental impact assessment) in the host country. Chapter 7, Laws and Regulations, is an overview of basic investment-related laws, environmental and property law, and sector-specific regulations relevant to CDM project activities. Chapter 8, Fiscal and Financing Issues, gives practical information on the financial market in the host country (both

Production and utilization of biogas in rural areas of industrialized and developing countries. Rev. Ed

Energy Technology Data Exchange (ETDEWEB)

Eggeling, G; Mackensen, G; Sasse, L [comps.

1986-01-01

This handbook describes and compares the various phases of biogas technology and its parallel development in industrialized countries and developing nations for the given agricultural situation in each. Special emphasis is placed on the microbiological fundamentals of anaerobic fermentation, their technical application, examples of biogas systems in industrialized and emerging nations, cost efficiency and implementation. In their treatment of various common characteristics, parallels and differences, the authors have attempted to build a bridge between biogas practice in industrialized countries and biogas practice in developing countries.

Is Familiarity a Moderator of Brand/Country Alliances?

DEFF Research Database (Denmark)

Kristensen, Tore; Gabrielsen, Gorm; Jaffe, Eugene D.

2014-01-01

Product and brand familiarity have an important role in consumer choice behaviour and they have been equated with knowledge and experience Consumers having high and low familiarity utilized brand information (an extrinsic cue) in their evaluations, whereas moderately familiar consumers used...... intrinsic cues (product attributes) in evaluating products. The question of whether familiarity moderates the country-of-origin (COO) effect is a valid one. In this present paper, we attempt to provide additional evidence as to how familiarity with products, brands and countries moderates consumer...... evaluation of brand/country alliances. Specifically, we concentrate on the brand leveraging process identified by Keller (2003) applied to the effect of familiarity on country/brand alliances....

High heterogeneity in methods used for the laboratory confirmation of pertussis diagnosis among European countries, 2010: integration of epidemiological and laboratory surveillance must include standardisation of methodologies and quality assurance.

Science.gov (United States)

He, Q; Barkoff, A M; Mertsola, J; Glismann, S; Bacci, S

2012-08-09

Despite extensive childhood immunisation, pertussis remains one of the world’s leading causes of vaccine preventable deaths. The current methods used for laboratory diagnosis of pertussis include bacterial culture, polymerase chain reaction (PCR) and enzyme linked immunosorbent assay (ELISA) serology. We conducted a questionnaire survey to identify variations in the laboratory methods and protocols used among participating countries included in the European surveillance network for vaccine-preventable diseases(EUVAC.NET). In February 2010, we performed the survey using a web-based questionnaire and sent it to the country experts of 25 European Union countries,and two European Economic Area (EEA) countries,Norway and Iceland. The questionnaire consisted of 37 questions which covered both general information on surveillance methods and detailed laboratory methods used. A descriptive analysis was performed.Questionnaires were answered by all 27 contacted countries. Nineteen countries had pertussis reference laboratories at the national level; their functions varied from performing diagnosis to providing technical advice for routine microbiology laboratories. Culture,PCR and serology were used in 17, 18 and 20 countries,respectively. For PCR, nine laboratories used insertion sequence IS481 as the target gene, which is present in multiple copies in the Bordetella pertussis genome and thus has a greater sensitivity over single copy targets, but has been proved not to be specific for B.pertussis. Antibodies directed against pertussis toxin(PT) are specific for B. pertussis infections. For ELISA serology, only 13 countries’ laboratories used purified PT as coating antigen and 10 included World Health Organization (WHO) or Food and Drug Administration (FDA) reference sera in their tests. This present survey shows that methods used for laboratory confirmation of pertussis differ widely among European countries and that there is a great heterogeneity of the reference

Implementation of a phased medical educational approach in a developing country

Directory of Open Access Journals (Sweden)

Michelle Holm

2015-11-01

Full Text Available Objective: Healthcare provider education can serve as one method for improving healthcare in developing countries. Working with providers at St Luke Hospital in Haiti, we developed a phased educational approach through partnership development, face-to-face teaching, and virtual educational tools. Design: Our novel approach included three phases: direct patient care, targeted education, and utilization of the train-the-trainer model. Our end goal was an educational system that could be utilized by the local medical staff to continually improve their medical knowledge, even after our educational project was completed. We implemented pre- and post-lecture evaluations during our teaching phase to determine whether the education provided was effective and beneficial. Additionally, we provided medical lectures on a shared file internet platform, Box.com, during the train-the-trainer phase to allow healthcare providers in Haiti to access the educational content electronically. Results: In total, 47 lectures were given to 150 medical providers, including nurses, physicians, and pharmacists. Pre- and post-lecture evaluations were administered. The mean was 30.63 (14.40 for pre-lecture evaluations and 93.36 (9.80 for post-lecture evaluations indicating improvement out of a total of 100 possible points. Our collaborative Box.com account contains 214 medical education lectures available for viewing as a constant resource to St Luke Hospital staff. Thus far, 20 of the 43 (47% Haitian medical providers have viewed lectures, with an average of 5.6 lectures viewed per person. Qualitative data suggest that these methods improved communication between healthcare staff, promoted better ways of triaging patients, and improved job satisfaction. Conclusions: A phased educational approach can improve healthcare workers’ knowledge through partnership in a developing country. Educating local providers is one way of ensuring that in-country healthcare staff will

Factors affecting the use of prenatal care by non-western women in industrialized western countries: a systematic review

Science.gov (United States)

2013-01-01

Background Despite the potential of prenatal care for addressing many pregnancy complications and concurrent health problems, non-western women in industrialized western countries more often make inadequate use of prenatal care than women from the majority population do. This study aimed to give a systematic review of factors affecting non-western women’s use of prenatal care (both medical care and prenatal classes) in industrialized western countries. Methods Eleven databases (PubMed, Embase, PsycINFO, Cochrane, Sociological Abstracts, Web of Science, Women’s Studies International, MIDIRS, CINAHL, Scopus and the NIVEL catalogue) were searched for relevant peer-reviewed articles from between 1995 and July 2012. Qualitative as well as quantitative studies were included. Quality was assessed using the Mixed Methods Appraisal Tool. Factors identified were classified as impeding or facilitating, and categorized according to a conceptual framework, an elaborated version of Andersen’s healthcare utilization model. Results Sixteen articles provided relevant factors that were all categorized. A number of factors (migration, culture, position in host country, social network, expertise of the care provider and personal treatment and communication) were found to include both facilitating and impeding factors for non-western women’s utilization of prenatal care. The category demographic, genetic and pregnancy characteristics and the category accessibility of care only included impeding factors. Lack of knowledge of the western healthcare system and poor language proficiency were the most frequently reported impeding factors. Provision of information and care in women’s native languages was the most frequently reported facilitating factor. Conclusion The factors found in this review provide specific indications for identifying non-western women who are at risk of not using prenatal care adequately and for developing interventions and appropriate policy aimed at

Prospect of radioisotopes and radiation utilization

International Nuclear Information System (INIS)

Tabata, Yoneho

1994-01-01

Radiation Utilization in Japan has been positioned, together with nuclear power generation, as one of the important cornerstones, and research and development and practical usage of it has been proceeded with steadily in the fields of industry, agriculture, medicine, and so on. In the field of medicine, SPECT and PET facilities, radio-immunoassay, radiotherapy has come widely to practical use. In the field of agriculture and fisheries, improvement of breed, sterile insect technique have been implemented, and eradication of melon fly has been achieved. In the field of industry, it is expected that the practical use of neutron radiography technique and research and development of synthesizing high performance, high function materials are progressed. In the environment preservation area, a pilot test using electron beam to treat the exhaust gases out of coal fired power plants, city garbages combustion facilities, city high way tunnels in order to establish de- sulphur/de-nitrogen technique is carried out. As the international contribution in the field of radiation utilization, the cooperation with developing countries and the cooperation among advanced countries are reported. In this paper, a prospect of radioisotopes and radiation utilization is described. (J.P.N.)

Potential emissions reduction in road transport sector using biofuel in developing countries

Science.gov (United States)

Liaquat, A. M.; Kalam, M. A.; Masjuki, H. H.; Jayed, M. H.

2010-10-01

Use of biofuels as transport fuel has high prospect in developing countries as most of them are facing severe energy insecurity and have strong agricultural sector to support production of biofuels from energy crops. Rapid urbanization and economic growth of developing countries have spurred air pollution especially in road transport sector. The increasing demand of petroleum based fuels and their combustion in internal combustion (IC) engines have adverse effect on air quality, human health and global warming. Air pollution causes respiratory problems, adverse effects on pulmonary function, leading to increased sickness absenteeism and induces high health care service costs, premature birth and even mortality. Production of biofuels promises substantial improvement in air quality through reducing emission from biofuel operated automotives. Some of the developing countries have started biofuel production and utilization as transport fuel in local market. This paper critically reviews the facts and prospects of biofuel production and utilization in developing countries to reduce environmental pollution and petro dependency. Expansion of biofuel industries in developing countries can create more jobs and increase productivity by non-crop marginal lands and wastelands for energy crops plantation. Contribution of India and China in biofuel industry in production and utilization can dramatically change worldwide biofuel market and leap forward in carbon cut as their automotive market is rapidly increasing with a souring proportional rise of GHG emissions.

International Comparison of Water Resources Utilization Efficiency in the Silk Road Economic Belt

Science.gov (United States)

Yan, Long; Ma, Jing; Deng, Wei; Wang, Yong

2018-03-01

In order to get knowledge of the standard of water utilization of the Silk Road Economic Belt from international point of view, the paper analyzes the annual variation of water resources utilization in the Silk Road Economic Belt, and compares with other typical countries. The study shows that Water resources utilization efficiency has been greatly improved in recent 20 years and the water consumption per USD 10000 of GDP has been declined 87.97%. the improvement of industrial water consumption efficiency is the key driving factors for substantial decrease in water consumption.The comparison of water utilization and human development shows that the higher HDI the country is, the more efficient water utilization the country has. water consumption per USD 10000 of GDP in country with HDI>0.9 is 194m³, being 8.5% of that in country with HDI from 0.5 to 0.6. On the premise of maintaining the stable economic and social development of the Silk Road Economic Belt, the realization of the control target of total water consumption must depend on the strict control over the disorderly expansion of irrigated area, the change in the mode of economic growth, the implementation of the development strategy for new industrialization and urbanization, vigorous development of the processing industry with low water consumption as well as the high-tech and high value-added industry. Only in this way, the control target of total water consumption can be realized in the process of completing the industrialization task.

Country Profiles, Malaysia.

Science.gov (United States)

Marzuki, Ariffin Bin; Peng, J. Y.

A profile of Malaysia is sketched in this paper. Emphasis is placed on the nature, scope, and accomplishments of population activities in the country. Topics and sub-topics include: location and description of the country; population (size, growth patterns, age structure, urban/rural distribution, ethnic and religious composition, migration,…

Electric utility deregulation - A nuclear opportunity

International Nuclear Information System (INIS)

DeMella, J.R.

2002-01-01

The implications of electric deregulation are and will continue to be pervasive and significant. Not only will the fundamental monopoly regulatory concepts of managing electric utilities change but deregulation will have a profound and dramatic impact on the way electric generating plants are managed and operated. In the past, under the various approaches to financial regulation, the economic benefits normally attributed to competition or that would have otherwise been derived from competitive or open market forces, were assumed to be embodied in and inherent to the various processes, methods and principles of financial oversight of utility companies by regional, state and municipal regulatory authorities. Traditionally, under the various forms of regulated monopolies, a utility company, in exchange for an exclusive franchise to produce and sell electricity in a particular region, was obligated to provide an adequate supply to all consumers wanting it, at a price that was 'just and reasonable'. The determination of adequate supply and reasonable price was a matter of interpretation by utility companies and their regulators. In essence, the ultimate economic benefits, normally attributed to price equilibrium, in balance with supply, demand and other market forces, were expected to be achieved through a complex, political process of financial regulatory oversight, in which utility companies were usually reimbursed for all annual expenses or their 'cost of service' and additionally allowed to earn a 'reasonable' rate of return on plant investments. The result was often escalating electric prices, over supplies of electric capacity, by justifying unnecessarily high reserve margins based on long planning horizons (typically 20 years or greater) with extrapolated demand requirements that were generally in excess of what actually occurred over time. Although the regulatory process varied from country or country and region-to-region, the fundamental principles, which

Trends in mammography utilization for breast cancer screening in a Middle-Eastern country: Lebanon 2005-2013.

Science.gov (United States)

Haddad, Fady G; Kourie, Hampig Raphael; Adib, Salim M

2015-12-01

In Lebanon, annual national breast awareness campaigns were started in 2002 during the international breast month of October to promote the utilization of mammography for women aged ≥ 40. The impact of the campaigns has been assessed periodically since 2003. Results of 2003-2005 campaigns have been published previously. To measure the prevalence of two behavioral outcomes of interest: ever-use of mammography, and repeat mammography in the previous 12 months among ever-users. The prevalence was described by region and age group. The aim was to document the effectiveness of the program towards reaching a nationally defined goal of 80% screening coverage. The survey's sampling frame was developed incrementally, and since 2005 it has included women aged ≥ 40 from all areas of Lebanon. The sample size has also increased incrementally from 1200 in 2005 to 2400 in 2013. Results have been tabulated biannually and presented as historical trends with regional and demographic variations covering a 9-year period. In all six consecutive surveys presented here, the mean age of participating women was about 50 years. Year-by-year increases in utilization indicators were detected, with consistent differences in favor of the more urban areas in and around the capital city Beirut and its suburbs (Greater Beirut or GB). By 2013, ever-utilization had reached 43% (41-45) and recent mammography 20% (18-22) nationwide. Utilization was significantly more important in the age group 50-59 compared with the age group 40-49 or ≥ 60. While recent rates have increased nationwide, they have reached a plateau of about 25% in GB and are tending to the same level in other areas. While initial progress was slow, it has been accelerating in the last 4-5 years, indicating that the message is being accepted by a larger audience of targeted women at each iteration. However, concern remains that women between 40 and 50 and those >60 are not responding as well as desired to the screening message

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.

Options for electric power generation and distribution in developing countries: proceedings of the GTDC symposium'95

International Nuclear Information System (INIS)

1995-01-01

This book contains the proceedings of the symposium on options for electric power generation and distribution in developing countries organised by Global Technology Development Centre (GTDC), Vienna in cooperation with Agency for Non-Conventional Energy and Rural Technology (ANERT), Thiruvananthapuram. The focus of the symposium was on problems of electricity generation and distribution mainly in the developing countries of the world and the issues addressed included : 1) an overview of existing electric power services; 2) options on fuel and technology; 3) options on operation of electricity utilities; 4) options on financing investments and planning of capacity extension or replacement. Papers relevant to INIS are indexed separately

Preliminary Country Reports on Feasibility Survey: Policy Research and Education Institutions for Developing Countries.

Science.gov (United States)

Mitchell, James M.; Luikart, F. W.

The feasibility of creating independent research and education centers that deal with public policy issues in developing countries is assessed. Countries that were surveyed include Brazil, Colombia, Bolivia, Costa Rica, Guatemala, South Korea, Philippines, Pakistan, and Nepal. For each country, a report describes the social and political climate…

Market leadership by example: Government sector energy efficiency in developing countries

Energy Technology Data Exchange (ETDEWEB)

Van Wie McGrory, Laura; Harris, Jeffrey; Breceda, Miguel; Campbell, Stephanie; Sachu, Constantine; della Cava, Mirka; Gonzalez Martinez, Jose; Meyer, Sarah; Romo, Ana Margarita

2002-05-20

Government facilities and services are often the largest energy users and major purchasers of energy-using equipment within a country. In developing as well as industrial countries, government ''leadership by example'' can be a powerful force to shift the market toward energy efficiency, complementing other elements of a national energy efficiency strategy. Benefits from more efficient energy management in government facilities and operations include lower government energy bills, reduced greenhouse gas emissions, less demand on electric utility systems, and in many cases reduced dependence on imported oil. Even more significantly, the government sector's buying power and example to others can generate broader demand for energy-efficient products and services, creating entry markets for domestic suppliers and stimulating competition in providing high-efficiency products and services. Despite these benefits, with the exception of a few countries government sector actions have often lagged behind other energy efficiency policies. This is especially true in developing countries and transition economies - even though energy used by public agencies in these countries may represent at least as large a share of total energy use as the public sector in industrial economies. This paper summarizes work in progress to inventory current programs and policies for government sector energy efficiency in developing countries, and describes successful case studies from Mexico's implementation of energy management in the public sector. We show how these policies in Mexico, begun at the federal level, have more recently been extended to state and local agencies, and consider the applicability of this model to other developing countries.

Measures for increased nutrition and utilization of non-conventional food resources during disasters in Africa.

Science.gov (United States)

Nur, I M

1999-01-01

The basic causes of the poor performance of the food and agricultural sector in the different parts of Africa are external, internal, and natural. The general recession in the Continent limits the capacity of the respective countries to import food to supplement inadequate domestic production and supplies. There are a number of nutritious food resources, both cultivated and gathered in the different ecological zones of Africa, whose production and consumption can be increased to ensure adequate food security and a nutritious diet, especially during disasters. These food resources could include: cereals, legumes, fruits, vegetables, fish, and insects. These food resources already are available over wide geographical areas in Africa and are utilized or utilized to a limited extent. Therefore, strategies to increase food supply, eradicate hunger and malnutrition, and keep people alive in times of disasters should have as a priority, the cultivation and consumption of non-conventional food resources in the respective communities and countries.

Dealing with the problem countries

International Nuclear Information System (INIS)

Jones, R.W.

1985-01-01

The test of America's policies to prevent nuclear proliferation is the so-called problem countries, those states that pose the greatest risk of ''going nuclear.'' Most visible - and the source of greatest concern - are those countries which have developed or appear to be in the process of developing nuclear weapons capabilities. In addition to Pakistan, near-nuclear countries of note include India, Israel, South Africa, Argentina, South Korea, and Taiwan. Several other countries, including Iraq, Iran, Libya, and Brazil, seem to pose proliferation risks in the longer term. More problematic are countries, such as Mexico, that, although they seem to represent little or no proliferation risk themselves, pose difficult problems by challenging restrictions in nuclear export policy. The author examines US policy toward some of the problem countries, paying particular attention to Pakistan. The constants in US policy and the few changes wrought by the Reagan administration are noted throughout

Energy demand in seven OECD countries

International Nuclear Information System (INIS)

Patry, M.

1990-01-01

The intensity of utilization of energy has been declining in all OECD countries since the first oil price shock of 1973. In 1988, the OECD countries were consuming 1.7 billion tonnes of crude oil, that is two hundred million tonnes less than fifteen years ago. From 1974 to 1988, OECD oil consumption decreased at an average annual rate of 1.3% while the GDP of these countries rose by an average of 2.6% per annum. The authors present here a model of sectoral energy demand and interfuel substitution for the G-7 countries: Canada, France, Germany, Italy, Japan, the United Kingdom and the United States. The ultimate goal is to determine the relative importance of the contributing factors to the observed reversal in energy consumption per unit of production in these countries. The results they present should be viewed as preliminary. They point in the paper to a number of extensions that should improve the theoretical quality of the modeling effort and the statistical robustness of the results. They are presently expanding the data set to pinpoint more adequately the effects of structural change and conservation

Assessing the extent of utilization of biopsychosocial model in doctor-patient interaction in public sector hospitals of a developing country.

Science.gov (United States)

Nadir, Maha; Hamza, Muhammad; Mehmood, Nadir

2018-01-01

Biopsychosocial (BPS) model has been a mainstay in the ideal practice of modern medicine. It is attributed to improve patient care, compliance, and satisfaction and to reduce doctor-patient conflict. The study aimed to understand the importance given to BPS model while conducting routine doctor-patient interactions in public sector hospitals of a developing country where health resources are limited. The study was conducted in Rawalpindi, Pakistan. The study design is qualitative. Structured interviews were conducted from 44 patients from surgical and medical units of Benazir Bhutto Hospital and Holy Family Hospital. The questions were formulated based on patient-centered interviewing methods by reviewing the literature on BPS model. The analysis was done thematically using the software NVivo 11 for qualitative data. The study revealed four emerging themes: (1) Lack of doctor-patient rapport. (2) Utilization of a paternalistic approach during treatment. (3) Utilization of a reductionist biomedical approach during treatment. (4) Patients' concern with their improvement in health and doctor's demeanor. The study highlights the fact that BPS is not given considerable importance while taking routine medical history. This process remains doctor centered and paternalistic. However, patients are more concerned with their improvement in health rather than whether or not they are being provided informational care. Sequential studies will have to be conducted to determine whether this significantly affects patient care and compliance and whether BPS is a workable model in the healthcare system in the third world.

Electric power prices: variable tendency depending on the country

International Nuclear Information System (INIS)

Anon.

1999-01-01

The deregulation of the electric power sector is very much in the news in most countries and at different stages. A study carried out by the national utility service (NUS) in 17 countries worldwide takes stock of the influence of deregulation on electric power prices. According to this study, the most important price increases are found in 4 non-European countries (Norway, South Africa, USA, New Zealand) while the most important decreases are found within Europe (Sweden 20%, Denmark 15.6%, Italy 12% and Germany 8%). In France the decrease of tariffs reaches only 3%. This short paper analyzes the evolution of prices in the different countries selected in the study, but no real tendency is outlined as the stage of competition is different in each country. (J.S.)

Role of forest biomass energy in developing countries

International Nuclear Information System (INIS)

Sattar, M.A.

1996-01-01

Forest biomass holds a significant position for energy production in developing countries. Its importance is elucidated through various activities performed by the rural industries. The socio-economic and environmental aspects in utilizing this type of energy are also discussed. (Author)

Energy problems in developing countries

Energy Technology Data Exchange (ETDEWEB)

Tasugi, Hirosaburo [Japan Industrial Tech. Association, Tokyo, Japan

1989-06-20

In order to rid the people's living of poverty in developing countries, first, the production of food has been planned to increase. And then, resource development and industrialization have been tried to improve with efforts. Because of such development and an increase in population, energy consumption has been increasing. Advanced countries have supported these countries in many ways, however, there is much difference in their assistance depend on various situations such as racial, religious, and political ones. Moreover, a gap between cities and farm villages has widen since infrastructure has not been fully equipped in developing countries. The electrification ratio is used as an index to show the degree of development in developing countries. It is low in the countries where development is lagging, particularly in farm villages. This gap is an urgent problem that faces developing countries. In order to cope with the actual conditions, advanced countries including Japan should be plan to reinforce their technological and economic assistance more suitable for farm villages. Furthermore, they should also improve the assistance system which includes a measure for environmental pollution control, considering the spot directly. 3 figs., 14 tabs.

Export and Economic Growth in the West Balkan Countries

OpenAIRE

Florentina Xhelili Krasniqi; Rahmije Mustafa Topxhiu

2017-01-01

The aim of this paper is to explore the effects of exports and other variables (foreign direct investment, remittances, capital formation, and labour force) on economic growth in West Balkan countries (Albania, Kosovo, Macedonia, Montenegro, Bosnia and Herzegovina and Serbia). This study utilizes a strongly balanced panel data over the 2005-2015 period for Western Balkan countries using the ordinary least squares method (OLS), ie Pooled regression model to evaluate the parameters. The rela...

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)

Decision support for utility environmental risk management

International Nuclear Information System (INIS)

Balson, W.E.; Wilson, D.S.

1991-01-01

This paper reviews a number of decision support methods developed and applied by Decision Focus Incorporated to help utility personnel manage current environmental problems. This work has been performed for the Environmental Risk Analysis Program of EPRI's Environment Division, and also for a number of electric utilities across the country. These are two distinct types of decision support software tools that have been created: economic risk management and environmental risk analysis. These types differ primarily in the identification of who will make a decision. Economic risk management tools are directed primarily at decisions made by electric utilities. Environmental risk analysis tools are directed primarily at decisions made by legislative or regulatory agencies, about which a utility may wish to comment

Strengthening Health Systems of Developing Countries: Inclusion of Surgery in Universal Health Coverage.

Science.gov (United States)

Okoroh, Juliet S; Chia, Victoria; Oliver, Emily A; Dharmawardene, Marisa; Riviello, Robert

2015-08-01

Universal health coverage (UHC) has its roots in the Universal Declaration of Human Rights and has recently gained momentum. Out-of-pocket payments (OPP) remain a significant barrier to care. There is an increasing global prevalence of non-communicable diseases, many of which are surgically treatable. We sought to provide a comparative analysis of the inclusion of surgical care in operating plans for UHC in low- and middle-income countries (LMIC). We systematically searched PubMed and Google Scholar using pre-defined criteria for articles published in English, Spanish, or French between January 1991 and November 2013. Keywords included "insurance," "OPP," "surgery," "trauma," "cancer," and "congenital anomalies." World Health Organization (WHO), World Bank, and Joint Learning Network for UHC websites were searched for supporting documents. Ministries of Health were contacted to provide further information on the inclusion of surgery. We found 696 articles and selected 265 for full-text review based on our criteria. Some countries enumerated surgical conditions in detail (India, 947 conditions). Other countries mentioned surgery broadly. Obstetric care was most commonly covered (19 countries). Solid organ transplantation was least covered. Cancer care was mentioned broadly, often without specifying the therapeutic modality. No countries were identified where hospitals are required to provide emergency care regardless of insurance coverage. OPP varied greatly between countries. Eighty percent of countries had OPP of 60% or more, making these services, even if partially covered, largely inaccessible. While OPP, delivery, and utilization continue to represent challenges to health care access in many LMICs, the inclusion of surgery in many UHC policies sets an important precedent in addressing a growing global prevalence of surgically treatable conditions. Barriers to access, including inequalities in financial protection in the form of high OPP, remain a fundamental

Disability weights for infectious diseases in four European countries: comparison between countries and across respondent characteristics

Science.gov (United States)

Maertens de Noordhout, Charline; Devleesschauwer, Brecht; Salomon, Joshua A; Turner, Heather; Cassini, Alessandro; Colzani, Edoardo; Speybroeck, Niko; Polinder, Suzanne; Kretzschmar, Mirjam E; Havelaar, Arie H; Haagsma, Juanita A

2018-01-01

Abstract Background In 2015, new disability weights (DWs) for infectious diseases were constructed based on data from four European countries. In this paper, we evaluated if country, age, sex, disease experience status, income and educational levels have an impact on these DWs. Methods We analyzed paired comparison responses of the European DW study by participants’ characteristics with separate probit regression models. To evaluate the effect of participants’ characteristics, we performed correlation analyses between countries and within country by respondent characteristics and constructed seven probit regression models, including a null model and six models containing participants’ characteristics. We compared these seven models using Akaike Information Criterion (AIC). Results According to AIC, the probit model including country as covariate was the best model. We found a lower correlation of the probit coefficients between countries and income levels (range rs: 0.97–0.99, P European countries. We recommend future researches studying the effect of other characteristics of respondents on health assessment. PMID:29020343

Joint balance handling in the Nordic Countries

International Nuclear Information System (INIS)

2005-01-01

In September 2002 Nordel introduced new principles for disposing of regulation power for balancing production and consumption of electricity. The new principles imply that the regulation power in the joint Nordic power system is better utilized, and that the settlement of imbalances between the countries follows joint rules. The settlement of imbalances in the individual countries follows different principles but Nordel is looking into the possibilities of a harmonization. EU's most recent draft of a strategy report on development of the power market points among other things towards a joint regulation power market as a tool against misuse of market power. (BA)

Literacy Campaigns in Developing Countries.

Science.gov (United States)

Odunuga, Segun

1984-01-01

Discusses the problem of eradicating illiteracy in developing countries, where the illiteracy rate may average about 70 percent. Looks at the Arab countries, Latin America, Africa, and India and the factors that thwart attempts to increase literacy in those countries. These include religious habits and the problem of language in multilingual…

New multi-country evidence on purchasing power parity: multivariate unit root test results

NARCIS (Netherlands)

J.J.J. Groen (Jan)

2000-01-01

textabstractIn this paper a likelihood-based multivariate unit root testing framework is utilized to test whether the real exchange rates of G10 countries are non-stationary. The framework uses a likelihood ratio statistic which combines the information across all involved countries while retaining

Country nuclear power profiles

Energy Technology Data Exchange (ETDEWEB)

NONE

1998-03-01

The preparation of Country Nuclear Power Profiles was initiated within the framework of the IAEA`s programme for nuclear power plant performance assessment and feedback. It responded to a need for a database and a technical document containing a description of the energy and economic situation and the primary organizations involved in nuclear power in IAEA Member States. The task was included in the IAEA`s programmes for 1993/1994 and 1995/1996. In March 1993, the IAEA organized a Technical Committee meeting to discuss the establishment of country data ``profiles``, to define the information to be included in the profiles and to review the information already available in the IAEA. Two expert meetings were convened in November 1994 to provide guidance to the IAEA on the establishment of the country nuclear profiles, on the structure and content of the profiles, and on the preparation of the publication and the electronic database. In June 1995, an Advisory Group meeting provided the IAEA with comprehensive guidance on the establishment and dissemination of an information package on industrial and organizational aspects of nuclear power to be included in the profiles. The group of experts recommended that the profiles focus on the overall economic, energy and electricity situation in the country and on its nuclear power industrial structure and organizational framework. In its first release, the compilation would cover all countries with operating power plants by the end of 1995. It was also recommended to further promote information exchange on the lessons learned from the countries engaged in nuclear programmes. For the preparation of this publication, the IAEA received contributions from the 29 countries operating nuclear power plants and Italy. A database has been implemented and the profiles are supporting programmatic needs within the IAEA; it is expected that the database will be publicly accessible in the future. Refs, figs, tabs.

Country nuclear power profiles

International Nuclear Information System (INIS)

1998-03-01

The preparation of Country Nuclear Power Profiles was initiated within the framework of the IAEA's programme for nuclear power plant performance assessment and feedback. It responded to a need for a database and a technical document containing a description of the energy and economic situation and the primary organizations involved in nuclear power in IAEA Member States. The task was included in the IAEA's programmes for 1993/1994 and 1995/1996. In March 1993, the IAEA organized a Technical Committee meeting to discuss the establishment of country data ''profiles'', to define the information to be included in the profiles and to review the information already available in the IAEA. Two expert meetings were convened in November 1994 to provide guidance to the IAEA on the establishment of the country nuclear profiles, on the structure and content of the profiles, and on the preparation of the publication and the electronic database. In June 1995, an Advisory Group meeting provided the IAEA with comprehensive guidance on the establishment and dissemination of an information package on industrial and organizational aspects of nuclear power to be included in the profiles. The group of experts recommended that the profiles focus on the overall economic, energy and electricity situation in the country and on its nuclear power industrial structure and organizational framework. In its first release, the compilation would cover all countries with operating power plants by the end of 1995. It was also recommended to further promote information exchange on the lessons learned from the countries engaged in nuclear programmes. For the preparation of this publication, the IAEA received contributions from the 29 countries operating nuclear power plants and Italy. A database has been implemented and the profiles are supporting programmatic needs within the IAEA; it is expected that the database will be publicly accessible in the future

Assessment of economic instruments for countries with low municipal waste management performance: An approach based on the analytic hierarchy process.

Science.gov (United States)

Kling, Maximilian; Seyring, Nicole; Tzanova, Polia

2016-09-01

Economic instruments provide significant potential for countries with low municipal waste management performance in decreasing landfill rates and increasing recycling rates for municipal waste. In this research, strengths and weaknesses of landfill tax, pay-as-you-throw charging systems, deposit-refund systems and extended producer responsibility schemes are compared, focusing on conditions in countries with low waste management performance. In order to prioritise instruments for implementation in these countries, the analytic hierarchy process is applied using results of a literature review as input for the comparison. The assessment reveals that pay-as-you-throw is the most preferable instrument when utility-related criteria are regarded (wb = 0.35; analytic hierarchy process distributive mode; absolute comparison) mainly owing to its waste prevention effect, closely followed by landfill tax (wb = 0.32). Deposit-refund systems (wb = 0.17) and extended producer responsibility (wb = 0.16) rank third and fourth, with marginal differences owing to their similar nature. When cost-related criteria are additionally included in the comparison, landfill tax seems to provide the highest utility-cost ratio. Data from literature concerning cost (contrary to utility-related criteria) is currently not sufficiently available for a robust ranking according to the utility-cost ratio. In general, the analytic hierarchy process is seen as a suitable method for assessing economic instruments in waste management. Independent from the chosen analytic hierarchy process mode, results provide valuable indications for policy-makers on the application of economic instruments, as well as on their specific strengths and weaknesses. Nevertheless, the instruments need to be put in the country-specific context along with the results of this analytic hierarchy process application before practical decisions are made. © The Author(s) 2016.

Mapping the use of research to support strategies tackling maternal and child health inequities: evidence from six countries in Africa and Latin America.

Science.gov (United States)

Vargas, Emily; Becerril-Montekio, Victor; Gonzalez-Block, Miguel Ángel; Akweongo, Patricia; Hazel, Cynthia N A; Cuembelo, Maria de Fatima; Limbani, Felix; Bernardo, Wanderley; Muñoz, Fernando

2016-01-07

Striving to foster collaboration among countries suffering from maternal and child health (MCH) inequities, the MASCOT project mapped and analyzed the use of research in strategies tackling them in 11 low- and middle-income countries. This article aims to present the way in which research influenced MCH policies and programs in six of these countries - three in Africa and three in Latin America. Qualitative research using a thematic synthesis narrative process was used to identify and describe who is producing what kind of research, how research is funded, how inequities are approached by research and policies, the countries' research capacities, and the type of evidence base that MCH policies and programs use. Four tools were designed for these purposes: an online survey for researchers, a semi-structured interview with decision makers, and two content analysis guides: one for policy and programs documents and one for scientific articles. Three modalities of research utilization were observed in the strategies tackling MCH inequities in the six included countries - instrumental, conceptual and symbolic. Instrumental utilization directly relates the formulation and contents of the strategies with research results, and is the least used within the analyzed policies and programs. Even though research is considered as an important input to support decision making and most of the analyzed countries count five or six relevant MCH research initiatives, in most cases, the actual impact of research is not clearly identifiable. While MCH research is increasing in low- and middle-income countries, the impact of its outcomes on policy formulation is low. We did not identify a direct relationship between the nature of the financial support organizations and the kind of evidence utilization within the policy process. There is still a visible gap between researchers and policymakers regarding their different intentions to link evidence and decision making processes.

Socio-economic inequalities in health services utilization: a cross-sectional study.

Science.gov (United States)

Ranjbar Ezzatabadi, Mohammad; Khosravi, Ameneh; Bahrami, Mohammad Amin; Rafiei, Sima

2018-02-12

Purpose Developing country workers mainly face important challenges when examining equality in health services utilization among the population and identifying influential factors. The purpose of this paper us to: understand health service use among households with different socio-economic status in Isfahan province; and to investigate probable inequality determinants in service utilization. Design/methodology/approach Almost 1,040 households living in Isfahan province participated in this cross-sectional study in 2013. Data were collected by a questionnaire with three sections: demographic characteristics; socio-economic status; and health services utilization. The concentration index was applied to measure inequality. Analysts used STATA 11. Findings Economic status, educational level, insurance coverage and household gender were the most influential factors on health services utilization. Those with a high socio-economic level were more likely to demand and use such services; although self-medication patterns showed an opposite trend. Practical implications Female-headed families face with more difficulties in access to basic human needs including health. Supportive policies are needed to meet their demands. Originality/value The authors used principle component analysis to assess households' economic situation, which reduced the variables into a single index.

Macroenvironmental factors including GDP per capita and physical activity in Europe.

Science.gov (United States)

Cameron, Adrian J; Van Stralen, Maartje M; Kunst, Anton E; Te Velde, Saskia J; Van Lenthe, Frank J; Salmon, Jo; Brug, Johannes

2013-02-01

Socioeconomic inequalities in physical activity at the individual level are well reported. Whether inequalities in economic development and other macroenvironmental variables between countries are also related to physical activity at the country level is comparatively unstudied. We examined the relationship between country-level data on macroenvironmental factors (gross domestic product (GDP) per capita, public sector expenditure on health, percentage living in urban areas, and cars per 1000 population) with country-level physical activity prevalence obtained from previous pan-European studies. Studies that assessed leisuretime physical activity (n = 3 studies including 27 countries in adults, n = 2 studies including 28 countries in children) and total physical activity (n = 3 studies in adults including 16 countries) were analyzed separately as were studies among adults and children. Strong and consistent positive correlations were observed between country prevalence of leisure-time physical activity and country GDP per capita in adults (average r = 0.70; all studies, P G 0.05). In multivariate analysis, country prevalence of leisure-time physical activity among adults remained associated with country GDP per capita (two of three studies) but not urbanization or educational attainment. Among school-age populations, no association was found between country GDP per capita and country prevalence of leisure-time physical activity. In those studies that assessed total physical activity (which also includes occupational and transport physical activity), no association with country GDP per capita was observed. Clear differences in national leisure-time physical activity levels throughout Europe may be a consequence of economic development. Lack of economic development of some countries in Europe may make increasing leisure-time physical activity more difficult. Further examination of the link between country GDP per capita and national physical activity levels (across

Economic and financial aspects of geothermal energy utilization

International Nuclear Information System (INIS)

Gazo, F.M.; Datuin, R.

1990-01-01

This paper reports on the historical development of geothermal energy in the Philippines, its present status and future possibilities. It also illustrates the average power generation and utilization from primary energy sources (hydro, oil, coal, and geothermal energy) in the country from 1981 to 1988. A comparison is made between electricity generating costs and results of operations from these power sources, showing that geothermal energy utilization is very competitive. Moreover, it also discusses the economic viability of geothermal energy utilization as a result of separate studies conducted by World Bank and an Italian energy consulting firm

FY1998 report on a survey related to joint utilization of welfare device development data using an international network; 1998 nendo kokusai network ni yoru fukushi kiki kaihatsu data no kyodo riyo ni kansuru chosa hokokusho

Energy Technology Data Exchange (ETDEWEB)

NONE

1999-03-01

A survey was made in relation with joint utilization of welfare device development data using an international network. Developing welfare devices requires data from ergonomic and medical systems, while the cope of the objects is wide, and the kinds are various. For proliferation of welfare devices, system compatibility evaluation including that on using environment is important, including living environments that are different by countries. The present survey has identified how data for aged, handicapped and help-needing persons are accumulated and utilized in research organizations in America and Europe for both of the ergonomic and medical areas. The survey also investigated major academic societies in overseas countries, and collected database and academic network information that support the advanced research and development. At the same time, investigations were also made on organizations and corporations who are moving forward the efficient data utilization. Welfare device and service information providing systems in Japan were investigated to compare them with the trends in other countries. Conceptions and methods were compiled to utilize data internationally and jointly. Database models for device development were considered, and a proposal was made on structuring a research and development supporting database, and the operation method thereof. (NEDO)

Maternal Health Care Utilization Among Syrian Refugees in Lebanon and Jordan.

Science.gov (United States)

Tappis, Hannah; Lyles, Emily; Burton, Ann; Doocy, Shannon

2017-09-01

Purpose The influx of Syrian refugees into Jordan and Lebanon over the last 5 years presents an immense burden to national health systems. This study was undertaken to assess utilization of maternal health services among Syrian refugees in both countries. Description A cross-sectional survey of Syrian refugees living in urban and rural (non-camp) settings was conducted using a two-stage cluster survey design with probability proportional to size sampling in 2014-2015. Eighty-six percent of surveyed households in Lebanon and 88% of surveyed households in Jordan included women with a live birth in the last year. Information from women in this sub-set of households was analyzed to understand antenatal and intrapartum health service utilization. Assessment A majority of respondents reported seeking antenatal care, 82% and 89% in Jordan and Lebanon, respectively. Women had an average of at least six antenatal care visits. Nearly all births (98% in Jordan and 94% in Lebanon) took place in a health facility. Cesarean rates were similar in both countries; approximately one-third of all births were cesarean deliveries. A substantial proportion of women incurred costs for intrapartum care; 33% of Syrian women in Jordan and 94% of Syrian women in Lebanon reported paying out of pocket for their deliveries. The proportion of women incurring costs for intrapartum care was higher in Jordan both countries for women with cesarean deliveries compared to those with vaginal deliveries; however, this difference was not statistically significant in either country (Jordan p-value = 0.203; Lebanon p-value = 0.099). Conclusion Syrian refugees living in Jordan and Lebanon had similar levels of utilization of maternal health services, despite different health systems and humanitarian assistance provisions. As expected, a substantial proportion of households incurred out-of-pocket costs for essential maternal and newborn health services, making cost a major factor in care

A simple, generalizable method for measuring individual research productivity and its use in the long-term analysis of departmental performance, including between-country comparisons.

Science.gov (United States)

Wootton, Richard

2013-01-14

A simple, generalizable method for measuring research output would be useful in attempts to build research capacity, and in other contexts. A simple indicator of individual research output was developed, based on grant income, publications and numbers of PhD students supervised. The feasibility and utility of the indicator was examined by using it to calculate research output from two similarly-sized research groups in different countries. The same indicator can be used to assess the balance in the research "portfolio" of an individual researcher. Research output scores of 41 staff in Research Department A had a wide range, from zero to 8; the distribution of these scores was highly skewed. Only about 20% of the researchers had well-balanced research outputs, with approximately equal contributions from grants, papers and supervision. Over a five-year period, Department A's total research output rose, while the number of research staff decreased slightly, in other words research productivity (output per head) rose. Total research output from Research Department B, of approximately the same size as A, was similar, but slightly higher than Department A. The proposed indicator is feasible. The output score is dimensionless and can be used for comparisons within and between countries. Modeling can be used to explore the effect on research output of changing the size and composition of a research department. A sensitivity analysis shows that small increases in individual productivity result in relatively greater increases in overall departmental research output. The indicator appears to be potentially useful for capacity building, once the initial step of research priority setting has been completed.

Iceland country update

International Nuclear Information System (INIS)

Palmason, G.; Gudmundsson, A.

1990-01-01

This paper provides information on geothermal energy utilization in Iceland. Topics include: the present and planned production of electricity in Iceland, from all primary sources, the present and planned utilization of geothermal energy for electricity generation, the use of geothermal energy in all public district heating systems, high temperature geothermal localities, high-temperature wells drilled for electrical utilization and wells drilled for the combined use for district heating and power production, and wells drilled for direct use

Consideration of probabilistic safety objectives in OECD/NEA member countries: Short overview and update

International Nuclear Information System (INIS)

Versteeg, M.F.; Andrews, R.M.

1994-01-01

Almost every member country of the Nuclear Energy Agency (NEA) of the Organization for Economic Cooperation and Development (OECD) uses probabilistic safety criteria (PSC), in one way or another, for the safety assessment of nuclear power plants. The choice of the PSC, their applicability, and whether or not these PSC are used in a formal and/or legal way, is dependent on the political and regulatory situation. The spectrum of utilization includes the use as design requirements and the use as a regulatory and licensing tool be the authorities. The paper summarises the various PSC applied to the assessment of nuclear power plant in the OECD member countries and presents in more detail the use of PSC on the public health level in the Netherlands, United Kingdom and USA. 10 refs, 1 fig., 6 tabs

Spent fuel transportation - lessons drawn and ways forward: European utilities perspective

International Nuclear Information System (INIS)

Debes, M.; Schimmele, J.G.; Sannen, H.; Patak, H.

2001-01-01

Surface contamination that was found on surfaces of spent fuel shipping containers (flasks) in 1998 was treated differently by authorities in different European countries. In two countries, Germany and Switzerland, spent fuel shipments were stopped for an indefinite period by Government authorities. This paper, co-authored by representatives of utilities from four European countries, explains the rationale for surface contamination limits in transport regulations and attempts to place the observed contamination in proper perspective. (author)

Breast cancer screening utilization among women from Muslim majority countries in Ontario, Canada.

Science.gov (United States)

Vahabi, Mandana; Lofters, Aisha; Kim, Eliane; Wong, Josephine Pui-Hing; Ellison, Lisa; Graves, Erin; Glazier, Richard H

2017-12-01

Breast cancer screening disparities continue to prevail with immigrant women being at the forefront of the under screened population. There is a paucity of knowledge about the role of religious affiliation or cultural orientation on immigrant women's cancer screening uptake. This study examined differences in uptake of breast cancer screening among women from Muslim and non- Muslim majority countries in Ontario, Canada. A cohort of 1,851,834 screening-eligible women living in Ontario during April 1, 2013 to March 31, 2015 was created using linked health and social administrative databases. The study found that being born in a Muslim majority country was associated with lower breast cancer screening uptake after adjusting for region of origin, neighbourhood income, and primary care-related factors. However, screening uptake in Muslim majority countries varied by world region with the greatest differences found in Sub-Saharan Africa and South Asia. Screening uptake was lower for women who had no primary care provider, were in a traditional fee-for service model of primary care, had a male physician, had an internationally trained physician, resided in a low income neighbourhood, and entered Canada under the family class of immigration. Religion may play a role in screening uptake, however, the variation in rates by regions of origin, immigration class, and access to primary care providers alludes to confluence of socio-demographic, cultural beliefs and practices, immigration trajectories and system level factors. Facilitating access for immigrant women to regular primary care providers, particularly female providers and enrollment in primary care models could enhance screening uptake. Copyright © 2017 Elsevier Inc. All rights reserved.

Maternal employment and childhood overweight in low- and middle-income countries.

Science.gov (United States)

Oddo, Vanessa M; Mueller, Noel T; Pollack, Keshia M; Surkan, Pamela J; Bleich, Sara N; Jones-Smith, Jessica C

2017-10-01

To investigate the association between maternal employment and childhood overweight in low- and middle-income countries (LMIC). Design/Setting We utilized cross-sectional data from forty-five Demographic and Health Surveys from 2010 to 2016 (n 268 763). Mothers were categorized as formally employed, informally employed or non-employed. We used country-specific logistic regression models to investigate the association between maternal employment and childhood overweight (BMI Z-score>2) and assessed heterogeneity in the association by maternal education with the inclusion of an interaction term. We used meta-analysis to pool the associations across countries. Sensitivity analyses included modelling BMI Z-score and normal weight (weight-for-age Z-score≥-2 to employment was associated with childhood overweight. However, children of employed mothers, compared with children of non-employed mothers, had higher BMI Z-score and higher odds of normal weight. In countries where the association varied by education, children of formally employed women with high education, compared with children of non-employed women with high education, had higher odds of overweight (pooled OR=1·2; 95 % CI 1·0, 1·4). We find no clear association between employment and child overweight. However, maternal employment is associated with a modestly higher BMI Z-score and normal weight, suggesting that employment is currently associated with beneficial effects on children's weight status in most LMIC.

The Euro: Future Prospects and Consideration for Non-Euro Countries

OpenAIRE

Farhad Ghannadian; Irina Penovska

2011-01-01

Problem statement: Many more Central and Eastern European Countries (CEEC) have decided to adopt the euro. Given the attraction and uncertainties associated with moving into a common currency, the potential gains and losses of a currency adoption was of academic and political interest. The economic impact of implementing a common currency was examined by studying the before and after of those countries that have joined the currency union utilizing data from Eurostat. ...

Integrated outage management: Leveraging utility system assets including GIS and AMR for optimum outage response

Energy Technology Data Exchange (ETDEWEB)

Finamore, E. P.

2004-02-01

The control of electrical system outages is discussed. The principal argument advanced is that traditional stand-alone methods of outage response will no longer get the job done without utility companies integrating their outage management systems with other system assets such as GIS (geographic information system) and AMR (advanced metering systems). Many meter reading systems, while primarily supporting customer billing, can also provide outage alarm and some are also capable of service restoration notification, which is an invaluable benefit to service operators since it obviates the need for verifying system restoration by labour-intensive on-site visits or customer call-backs. If successfully leveraged, optimization of all utility assets and improvements in labour productivity can results in improved outage management performance gains without affecting performance in other areas.

NON-EXPECTED UTILITY THEORIES: WEIGHTED EXPECTED, RANK DEPENDENT, AND CUMULATIVE PROSPECT THEORY UTILITY

OpenAIRE

Tuthill, Jonathan W.; Frechette, Darren L.

2002-01-01

This paper discusses some of the failings of expected utility including the Allais paradox and expected utility's inadequate one dimensional characterization of risk. Three alternatives to expected utility are discussed at length; weighted expected utility, rank dependent utility, and cumulative prospect theory. Each alternative is capable of explaining Allais paradox type problems and permits more sophisticated multi dimensional risk preferences.

Wood fuels utilization in Central Europe - the wood fuels consumption and the targets of utilization

International Nuclear Information System (INIS)

Alakangas, E.

1999-01-01

Following subjects are discussed in this presentation: The share of bioenergy of the total energy consumption in EU region; the wood fuels consumption in EU region in 1995; the division of bioenergy utilization (households, wood- based district heating, wood consumption in industry, power generation from wood and residues, biofuels, biogas and sludges); wood fuels consumption in households in EU countries in 1995; wood consumption in France; the additional wood fuel consumption potential in France; Blan bois - wood energy program; French wood energy markets; German wood energy markets; energy consumption in Germany; wood consumption in Bavaria; the wood fuels potential in Bavaria; wood fuels consumption in households in Bavaria; wood fuels consumption for district heating in Bavaria; fuel prices in Bavaria; Environmental regulations in Germany; small boiler markets in Germany; Energy consumption in Austria; small-scale utilization of wood fuels; utilization of wood energy. (Slides, additional information from the author)

Utilization of mining and mineral wastes

Energy Technology Data Exchange (ETDEWEB)

Park, Kyung Ho; Hong, Seung Woong; Choi, Young Yoon; Kim, Byung Gyu; Park, Je Shin [Korea Institute of Geology Mining and Materials, Taejon (Korea)

1998-12-01

Up to now, it is estimated that more than 50 million tons of mineral wastes have been generated mining industries and deposited on the land in Korea. Much of cultivated land and hilly areas have been occupied by this wastes, which cause pollution of the environment. Utilization of the mineral wastes is preferable to stabilization because full use would both eliminate the waste and broaden the mineral resource base. Therefore, the development of utilization techniques of mineral wastes is very important not only for improving the environment but also for resource conservation. In countries with high population and poor natural resources like Korea, the utilization of these wastes is essential to decrease the environmental problem and the secure the resources and the study on this field play a important part. Therefore, the objective of this study is to develop the utilization techniques of the mineral wastes. In first year's research, the contents and scope of this study are 1) Present condition and Field Survey on the mineral wastes with respect of their utilization, 2) Reviews of Current effects and research to utilize mineral wastes, 3) Characterization of mineral wastes and environmental test, 4) Evaluation and study on the utilization. (author). 67 refs., 25 tabs., 54 figs.

Utilization of mining and mineral wastes

Energy Technology Data Exchange (ETDEWEB)

Park, Kyung Ho; Hong, Seung Woong; Choi, Young Yoon; Kim, Byung Gyu; Park, Je Shin [Korea Institute of Geology Mining and Materials, Taejon (Korea)

1998-12-01

Up to now, it is estimated that more than 50 million tons of mineral wastes have been generated mining industries and deposited on the land in Korea. Much of cultivated land and hilly areas have been occupied by this wastes, which cause pollution of the environment. Utilization of the mineral wastes is preferable to stabilization because full use would both eliminate the waste and broaden the mineral resource base. Therefore, the development of utilization techniques of mineral wastes is very important not only for improving the environment but also for resource conservation. In countries with high population and poor natural resources like Korea, the utilization of these wastes is essential to decrease the environmental problem and the secure the resources and the study on this field play a important part. Therefore, the objective of this study is to develop the utilization techniques of the mineral wastes. In first year's research, the contents and scope of this study are 1) Present condition and Field Survey on the mineral wastes with respect of their utilization, 2) Reviews of Current effects and research to utilize mineral wastes, 3) Characterization of mineral wastes and environmental test, 4) Evaluation and study on the utilization. (author). 67 refs., 25 tabs., 54 figs.

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

Characteristics of utility cyclists in Queensland, Australia: an examination of the associations between individual, social, and environmental factors and utility cycling.

Science.gov (United States)

Sahlqvist, Shannon L; Heesch, Kristiann C

2012-08-01

Initiatives to promote utility cycling in countries like Australia and the US, which have low rates of utility cycling, may be more effective if they first target recreational cyclists. This study aimed to describe patterns of utility cycling and examine its correlates, among cyclists in Queensland, Australia. An online survey was administered to adult members of a state-based cycling community and advocacy group (n=1813). The survey asked about demographic characteristics and cycling behavior, motivators and constraints. Utility cycling patterns were described, and logistic regression modeling was used to examine associations between utility cycling and other variables. Forty-seven percent of respondents reported utility cycling: most did so to commute (86%). Most journeys (83%) were >5 km. Being male, younger, employed full-time, or university-educated increased the likelihood of utility cycling (P<.05). Perceiving cycling to be a cheap or a convenient form of transport was associated with utility cycling (P<.05). The moderate rate of utility cycling among recreational cyclists highlights a potential to promote utility cycling among this group. To increase utility cycling, strategies should target female and older recreational cyclists and focus on making cycling a cheap and convenient mode of transport.

[Public hospital utilization by the foreign population in Aragon, Spain (2004-2007)].

Science.gov (United States)

Ben Cheikh, Wafa; Abad, José María; Arribas, Federico; Andrés, Eva; Rabanaque, María José

2011-01-01

To describe hospitalization rates and hospital morbidity among the foreign population residing in Aragon (Spain) by country of birth, between 2004 and 2007, and to compare these rates with those in the autochthonous population. A retrospective longitudinal study was carried out of hospital discharges of the foreign population in public hospitals in Aragon. Utilization rates were estimated by sex, age, country of birth and main diagnosis. Poisson regression was used to estimate the utilization rate ratios and their 95% confidence intervals. Hospitalization rates were lower in the foreign population (adjusted RR: 0.52; 95% CI: 0.51-0.56), except in women aged between 15 and 24 years (RR: 2.9; 95% CI: 2.8-3.0) and among those born in the Maghreb (RR: 1.8; 95% CI: 1.7; 1.9), sub-Saharan Africa (RR: 2.0; 95% CI: 1.9-2.1) and Asia (RR=1.4; 95% CI: 1.3-1.6). When hospital discharges related to obstetrics and gynecology were excluded, only women born in sub-Saharan Africa continued to have adjusted RR greater than 1. These women had higher hospitalization rates in groups of infectious and parasitic diseases (RR: 2.5) and blood and blood-forming organs (RR: 2.8). In Aragon (Spain), public hospital utilization is lower in foreigners than in the autochthonous population. The diseases treated varied by country of birth. The diseases prevalent in these countries, together with hereditary diseases, can increase hospital utilization rates. Copyright © 2010 SESPAS. Published by Elsevier Espana. All rights reserved.

Economic regulation of electricity grids in Nordic countries

Energy Technology Data Exchange (ETDEWEB)

Robles, H.B.; EK, G. (Energy Markets Inspectorate, Eskilstuna (Sweden)); Ilonen, M.; Nurmi, S. (Energy Market Authority, Helsinki (Finland)); Moelgaard Jakobsen, N. (Danish Energy Regulatory Authority, Copenhagen (Denmark)); Syvertsen, S.C.; Steinnes, S.H. (Norwegian Water Resources and Energy Directorate, Oslo (Norway))

2011-12-15

This report is about the design of economic regulation of electricity companies in the Nordic countries. The purpose is to inform the interested reader on how the regulation of tariffs is designed. The intention is to give a short overview on the current economic regulation with an ambition to focus on differences and similarities. A common feature of the electricity distribution sector is that the industry structure consists of many independent companies with great differences in size and density of customers. This is contrary to what is common in other countries. The regulatory task can be more challenging with many separate utilities to regulate, especially if the industry is very heterogenous. In the appendices, the economic regulation of each country is presented in more detail. In the main text the focus is on differences and similarities. When comparing the regulations one can make two observations. On a superior level there are great similarities. All Nordic countries regulate the network companies by setting revenue caps. The legislation, the goals given to the regulators and the regulators general interpretation of the rules are to a great extent the same. The primary purposes are to prevent the monopolist to overcharge customers and to create a rational network industry. The regulation shall stimulate an effective management resulting in productivity development and optimal quality of the services. The differences in the Nordic economic regulations are in the details - in the setup of the regulatory models and choice of parameters. For instance; the assessment of a reasonable rate-of-return is done in all the regulations. When deciding this rate-of-return some countries use the method of weighted cost of capital (WACC) and capital asset pricing model (CAPM), other do not. Even when using the same method, the inputs in the model are not the same. Common for the regulatory models are the division of costs related to capital costs and operating costs. The

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

A comparative assessment of human exposure to tetrabromobisphenol A and eight bisphenols including bisphenol A via indoor dust ingestion in twelve countries.

Science.gov (United States)

Wang, Wei; Abualnaja, Khalid O; Asimakopoulos, Alexandros G; Covaci, Adrian; Gevao, Bondi; Johnson-Restrepo, Boris; Kumosani, Taha A; Malarvannan, Govindan; Minh, Tu Binh; Moon, Hyo-Bang; Nakata, Haruhiko; Sinha, Ravindra K; Kannan, Kurunthachalam

2015-10-01

Tetrabromobisphenol A (TBBPA) and eight bisphenol analogues (BPs) including bisphenol A (BPA) were determined in 388 indoor (including homes and microenvironments) dust samples collected from 12 countries (China, Colombia, Greece, India, Japan, Kuwait, Pakistan, Romania, Saudi Arabia, South Korea, U.S., and Vietnam). The concentrations of TBBPA and sum of eight bisphenols (ƩBPs) in dust samples ranged from exposure doses through diet, dust ingestion accounted for less than 10% of the total exposure doses in China and the U.S. For TBBPA, the EDI for infants and toddlers ranged from 0.01 to 3.4 ng/kg bw/day, and dust ingestion is an important pathway for exposure accounting for 3.8-35% (median) of exposure doses in China. Copyright © 2015 Elsevier Ltd. All rights reserved.

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

Role of biofuels in Finland; Utility viewpoint

International Nuclear Information System (INIS)

Salminen, P.

1993-01-01

The use of wood biomass in Finland to generate energy (4.3 Mtoe) is one of the largest in the western industrialized countries. It represents 14 % of the primary energy use, while the use of peat for energy generation (1.4 Mtoe), often included in the same group, makes up 4-5 %. Significant energy groups include bark and sawdust (0.95 Mtoe) and waste liquors (2.4 Mtoe) from the chemical forest industry. Peat has primarily been used in population centres and by industry for combined generation of heat and power. The utilization of own by-products and other back-pressure generation based on peat or on imported fuels (in southern Finland), is typical for the industrial power plants. Wood biomass utilization will also be competitive in the future if it is readily collected in sufficient quantities at a given place as waste wood for industry. These biomasses include bark, various sawdusts, industrial waste chips and screenings, and as a separate group black liquor in the process circulation of the wood processing industry. The development of fluidized bed boilers in particular has provided improvement prerequisites for the use of low grade fuel batches of varying quality in combined heat and power plants. Most of the combined heat and power plants now built in Finland exceed the limit set for the competitiveness. Consequently, the prospects for an economical increase of combined heat and power generation capacity in Finland based on present technology is relatively small. The size of a competitive power plant has been determined to be about 50 MWe

Evaluation of the electric utility missions

International Nuclear Information System (INIS)

Syrota, J.

2000-01-01

The French law from February 10, 2000, about the modernization and development of the electric utility, has created new missions of public utility and foresees some compensation mechanisms for not handicapping the power operators in charge of these missions and for not creating competition distortions to their detriment on the European market. The author explains, first, the financial and economical stakes linked with these new missions. Then, he evokes the evolution of the energy context that has taken place between the 2. World war and the enforcement of the February 10, 2000 law, and he analyzes the systems foreseen for the power generation and distribution. For each public utility charge, the existing dispositions and those introduced by the law are analyzed and compared to the equivalent systems existing in other countries. Then, charge evaluation criteria and sharing rules and proposed. (J.S.)

Energy systems Diagnosis in developing countries

International Nuclear Information System (INIS)

Girod, J.

1991-01-01

Energy systems diagnosis is necessary to allow evaluation of energy balance by administration and political authorities of a country. First, the author describes the principle stages of energetic diagnosis. Then this work is divided into three parts: First part: Energy consumption diagnosis in several districts (families, utilities, agriculture, transport, industry) Second part: Energy supplies diagnosis (energy markets). Third part: Interactions between energy consumption and energy supply. 28 figs.; 52 tabs.; 107 refs

Income-related inequality in health and health care utilization in Chile, 2000-2009.

Science.gov (United States)

Vásquez, Felipe; Paraje, Guillermo; Estay, Manuel

2013-02-01

To measure and explain income-related inequalities in health and health care utilization in the period 2000 - 2009 in Chile, while assessing variations within the country and determinants of inequalities. Data from the National Socioeconomic Characterization Survey for 2000, 2003, and 2009 were used to measure inequality in health and health care utilization. Income-related inequality in health care utilization was assessed with standardized concentration indices for the probability and total number of visits to specialized care, generalized care, emergency care, dental care, mental health care, and hospital care. Self-assessed health status and physical limitations were used as proxies for health care need. Standardization was performed with demographic and need variables. The decomposition method was applied to estimate the contribution of each factor used to calculate the concentration index, including ethnicity, employment status, health insurance, and region of residence. In Chile, people in lower-income quintiles report worse health status and more physical limitations than people in higher quintiles. In terms of health service utilization, pro-rich inequities were found for specialized and dental visits with a slight pro-rich utilization for general practitioners and all physician visits. All pro-rich inequities have decreased over time. Emergency room visits and hospitalizations are concentrated among lower-income quintiles and have increased over time. Higher education and private health insurance contribute to a pro-rich inequity in dentist, general practitioner, specialized, and all physician visits. Income contributes to a pro-rich inequity in specialized and dentist visits, whereas urban residence and economic activity contribute to a pro-poor inequity in emergency room visits. The pattern of health care utilization in Chile is consistent with policies implemented in the country and in the intended direction. The significant income inequality in the

A structured review of health utility measures and elicitation in advanced/metastatic breast cancer.

Science.gov (United States)

Hao, Yanni; Wolfram, Verena; Cook, Jennifer

2016-01-01

Health utilities are increasingly incorporated in health economic evaluations. Different elicitation methods, direct and indirect, have been established in the past. This study examined the evidence on health utility elicitation previously reported in advanced/metastatic breast cancer and aimed to link these results to requirements of reimbursement bodies. Searches were conducted using a detailed search strategy across several electronic databases (MEDLINE, EMBASE, Cochrane Library, and EconLit databases), online sources (Cost-effectiveness Analysis Registry and the Health Economics Research Center), and web sites of health technology assessment (HTA) bodies. Publications were selected based on the search strategy and the overall study objectives. A total of 768 publications were identified in the searches, and 26 publications, comprising 18 journal articles and eight submissions to HTA bodies, were included in the evidence review. Most journal articles derived utilities from the European Quality of Life Five-Dimensions questionnaire (EQ-5D). Other utility measures, such as the direct methods standard gamble (SG), time trade-off (TTO), and visual analog scale (VAS), were less frequently used. Several studies described mapping algorithms to generate utilities from disease-specific health-related quality of life (HRQOL) instruments such as European Organization for Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 (EORTC QLQ-C30), European Organization for Research and Treatment of Cancer Quality of Life Questionnaire - Breast Cancer 23 (EORTC QLQ-BR23), Functional Assessment of Cancer Therapy - General questionnaire (FACT-G), and Utility-Based Questionnaire-Cancer (UBQ-C); most used EQ-5D as the reference. Sociodemographic factors that affect health utilities, such as age, sex, income, and education, as well as disease progression, choice of utility elicitation method, and country settings, were identified within the journal articles. Most

Applications of partial order theory in the assessment of transportation sustainability for Islamic countries

International Nuclear Information System (INIS)

Rassafi, A.M.; Vaziri, M.

2006-01-01

This study attempts to characterize national passenger and freight transportation sustainability. Based on the indicator that measures the conformity of the growths of all sectors with transportation, the Islamic countries are comparatively studied. The proposed measure, elasticity for each pair of variables indicates the extent to which the two variables have been changing consistently. The study database consisted of key aspects of transportation sustainability in the form of national variables including transportation, economic, social and environmental categories for the period 1980-1995. Firstly, the elasticity of social, environmental and economic variables with respect to passenger and freight transportation variables was developed. Using individual elasticities, composite passengers and freight sustainability indices were suggested. Then, utilizing partial order theory and Hasse Diagram Technique (HDT), two composite indices were employed to visualize the comparative situation of the countries. Based on comparative appraisal achieved by HDT, country ranking were developed. The methodology may be applied to any other time and geographic area for addressing pertinent issues for balancing and sustainable development of transportation systems. (author)

31 CFR 500.301 - Foreign country.

Science.gov (United States)

2010-07-01

... 31 Money and Finance: Treasury 3 2010-07-01 2010-07-01 false Foreign country. 500.301 Section 500.301 Money and Finance: Treasury Regulations Relating to Money and Finance (Continued) OFFICE OF... § 500.301 Foreign country. The term foreign country also includes, but not by way of limitation: (a) The...

31 CFR 515.301 - Foreign country.

Science.gov (United States)

2010-07-01

... 31 Money and Finance: Treasury 3 2010-07-01 2010-07-01 false Foreign country. 515.301 Section 515.301 Money and Finance: Treasury Regulations Relating to Money and Finance (Continued) OFFICE OF... § 515.301 Foreign country. The term foreign country also includes, but not by way of limitation: (a) The...

Music Genre as a Predictor of Resource Utilization at Outdoor Music Concerts.

Science.gov (United States)

Westrol, Michael S; Koneru, Susmith; McIntyre, Norah; Caruso, Andrew T; Arshad, Faizan H; Merlin, Mark A

2017-06-01

The aim of this study was to examine the various modern music genres and their effect on the utilization of medical resources with analysis and adjustment for potential confounders. A retrospective review of patient logs from an open-air, contemporary amphitheater over a period of 10 years was performed. Variables recorded by the medical personnel for each concert included the attendance, description of the weather, and a patient log in which nature and outcome were recorded. The primary outcomes were associations of genres with the medical usage rate (MUR). Secondary outcomes investigated were the association of confounders and the influences on the level of care provided, the transport rate, and the nature of medical complaint. A total of 2,399,864 concert attendees, of which 4,546 patients presented to venue Emergency Medical Services (EMS) during 403 concerts with an average of 11.4 patients (annual range 7.1-17.4) each concert. Of potential confounders, only the heat index ≥90°F (32.2°C) and whether the event was a festival were significant (P=.027 and .001, respectively). After adjustment, the genres with significantly increased MUR in decreasing order were: alternative rock, hip-hop/rap, modern rock, heavy metal/hard rock, and country music (Pmusic (P=.033). Alternative rock, hip-hop/rap, modern rock, heavy metal/hard rock, and country music concerts had higher levels of medical resource utilization. High heat indices and music festivals also increase the MUR. This information can assist event planners with preparation and resource utilization. Future research should focus on prospective validation of the regression equation. Westrol MS , Koneru S , McIntyre N , Caruso AT , Arshad FH , Merlin MA . Music genre as a predictor of resource utilization at outdoor music concerts. Prehosp Disaster Med. 2017;32(3):289-296.

Proper utilization of solar energy in Bangladesh: effect on the environment, food supply and the standard of living

International Nuclear Information System (INIS)

Islam, S.; Huda, A.-U.

1999-01-01

The only really sustainable form of energy is solar energy. The densely populated tropical countries can do very well from this completely sustainable energy source without any novel technologies. Most of the commercial energy used worldwide is supplied by using non-renewable resources. Environmental damage - global warming, ozone hole, noise, chemical and radioactive waste - is due to high energy use. Environmental deterioration is a direct consequence of wealth generated and sustained by extremely cheap fossil fuel. The price of fossil fuel does not include the cost for the deterioration of the environment. We show in this paper that even a densely populated country like Bangladesh can attain a high standard of living by a proper utilization of solar energy. We suggest that poor tropical countries should mobilize their resources to develop solar technology. (author)

Proper utilization of solar energy in Bangladesh: effect on the environment, food supply and the standard of living

Energy Technology Data Exchange (ETDEWEB)

Islam, S.; Huda, A.-U. [University of Dhaka (Bangladesh). Physics Dept.

1999-06-01

The only really sustainable form of energy is solar energy. The densely populated tropical countries can do very well from this completely sustainable energy source without any novel technologies. Most of the commercial energy used worldwide is supplied by using non-renewable resources. Environmental damage - global warming, ozone hole, noise, chemical and radioactive waste - is due to high energy use. Environmental deterioration is a direct consequence of wealth generated and sustained by extremely cheap fossil fuel. The price of fossil fuel does not include the cost for the deterioration of the environment. We show in this paper that even a densely populated country like Bangladesh can attain a high standard of living by a proper utilization of solar energy. We suggest that poor tropical countries should mobilize their resources to develop solar technology. (author)

European utilities requirements for future reactors

International Nuclear Information System (INIS)

Roch, M.

1996-01-01

The prospect for future nuclear power plants has led the utilities of seven European countries to launch an effort to define the requirements that should be common to all utilities for the next reactors to be built in Europe. These requirements will ultimately be part of a four-volume document and will cover all aspects of a plant: performance, grid connection, codes and standards, materials, quality assurance, cost, and, of course, safety. The seven European countries - France, the United Kingdom, Germany, Spain, Italy, the Netherlands, and Belgium - issued revision A of Vols 1 and 2 in Nov. 1994, which deal with all the general requirements, not specific to any design, originally issued in March 1994. Comments were requested from most of the nuclear utilities as well as from reactor vendors worldwide. This gave rise to an enormous number of comments, which were duly considered by the European Union. The relevant ones were incorporated into revision B of Vols. 1 and 2, which was issued in Nov 1995, the objective of this revision B being essentially to gain approval from the safety authorities. A particular aspect of the European approach resides in the fact that these European requirements will have to be discussed and agreed on by at least nine safety authorities, i.e., the authorities of the seven counties that launched revision B, plus the authorities of two newcomers, Finland and Sweden, which have just applied for European Union membership

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.

Can developing countries benefit from innovative pricing in the power sector?

International Nuclear Information System (INIS)

Hill, L.J.

1991-01-01

This study explores electricity pricing as a demand-side management (DSM) strategy, looking to the developed country experience for insights into the types of approaches currently used, their effects, and the direction in which electricity pricing is headed. The discussion should be especially useful for electric utilities in developing countries that are exploring alternatives to capacity expansion to meet current and future electric power demand. For these electric utilities, demand-side options are especially important under today's conditions in which the capital cost of new generating capacity is increasing rapidly, international funds for expanding power sectors are not expected to be sufficient for meeting projected capacity needs and environmental concerns over fossil fuel emissions have raised new questions about constructing thermal power plants. (author). 21 refs, 2 tabs

Renewable Energy Country Attractiveness Indices

International Nuclear Information System (INIS)

2011-02-01

Since 2003 Ernst and Young team has been releasing quarterly data that ranks national renewable energy markets, and their suitability for individual technologies. The Country Attractiveness Indices now track the relative attractiveness of 30 countries' renewable energy markets across a selection of technologies each quarter. The Renewable Energy Country Attractiveness Indices publication scores and comments on various technologies, including: on-shore wind, off-shore wind, solar PV, solar CSP, biomass, and geothermal.

Facility Utilization Reports - FAA Aviation Information Utilization Reports

Data.gov (United States)

Department of Transportation — Provides: (1) Space management and planning, including area calculations, tracking space by organization and employee, and monitoring space utilization information....

Food Safety Program in Asian Countries.

Science.gov (United States)

Yamaguchi, Ryuji; Hwang, Lucy Sun

2015-01-01

By using the ILSI network in Asia, we are holding a session focused on food safety programs in several Asian areas. In view of the external environment, it is expected to impact the global food system in the near future, including the rapid increase in food demand and in public health services due to population growth, as well as the threats to biosecurity and food safety due to the rapid globalization of the food trade. Facilitating effective information sharing holds promise for the activation of the food industry. At this session, Prof. Hwang shares the current situation of Food Safety and Sanitation Regulations in Taiwan. Dr. Liu provides a talk on the role of risk assessment in food regulatory control focused on aluminum-containing food additives in China. After the JECFA evaluation of aluminum-containing food additives in 2011, each country has carried out risk assessment based on dietary intake surveys. Ms. Chan reports on the activities of a working group on Food Standards Harmonization in ASEAN. She also explains that the ILSI Southeast Asia Region has actively supported the various ASEAN Working Groups in utilizing science to harmonize food standards. Prof. Park provides current research activities in Korea focused on the effect of climate change on food safety. Climate change is generally seen as having a negative impact on food security, particularly in developing countries. We use these four presentations as a springboard to vigorous discussion on issues related to Food Safety in Asia.

Child labour in developing countries

OpenAIRE

Dvořáková, Pavla

2014-01-01

Child labour in developing countries Abstract This bachelor thesis deals with the child labour and its occurence in developing countries. The main aim is to present the basic view of this problem. The term of child labour relies here on Convention on the Rights of the Child and conventions of International Labour Organization. There are several types of child labour, in which children appear most, including the worst forms of child labour. Every type includes description of activities perform...

A structured review of health utility measures and elicitation in advanced/metastatic breast cancer

Directory of Open Access Journals (Sweden)

Hao Y

2016-06-01

Full Text Available Yanni Hao,1 Verena Wolfram,2 Jennifer Cook2 1Novartis Pharmaceuticals, East Hanover, NJ, USA; 2Adelphi Values, Bollington, UK Background: Health utilities are increasingly incorporated in health economic evaluations. Different elicitation methods, direct and indirect, have been established in the past. This study examined the evidence on health utility elicitation previously reported in advanced/metastatic breast cancer and aimed to link these results to requirements of reimbursement bodies. Methods: Searches were conducted using a detailed search strategy across several electronic databases (MEDLINE, EMBASE, Cochrane Library, and EconLit databases, online sources (Cost-effectiveness Analysis Registry and the Health Economics Research Center, and web sites of health technology assessment (HTA bodies. Publications were selected based on the search strategy and the overall study objectives. Results: A total of 768 publications were identified in the searches, and 26 publications, comprising 18 journal articles and eight submissions to HTA bodies, were included in the evidence review. Most journal articles derived utilities from the European Quality of Life Five-Dimensions questionnaire (EQ-5D. Other utility measures, such as the direct methods standard gamble (SG, time trade-off (TTO, and visual analog scale (VAS, were less frequently used. Several studies described mapping algorithms to generate utilities from disease-specific health-related quality of life (HRQOL instruments such as European Organization for Research and Treatment of Cancer Quality of Life Questionnaire – Core 30 (EORTC QLQ-C30, European Organization for Research and Treatment of Cancer Quality of Life Questionnaire – Breast Cancer 23 (EORTC QLQ-BR23, Functional Assessment of Cancer Therapy – General questionnaire (FACT-G, and Utility-Based Questionnaire-Cancer (UBQ-C; most used EQ-5D as the reference. Sociodemographic factors that affect health utilities, such as age, sex

Coal utilization, the environment, and the role of geologists

International Nuclear Information System (INIS)

Dutcher, L.A.F.; Dutcher, R.R.

1991-01-01

The United States has demonstrated reserves (coal potentially minable with current technology) sufficient to meet demand for at least 300 yrs (Illinois Coal Association, 1990, p. 5) at the 1990 production rate of 930,900,000 tonnes (1,024,000,000 tons) (Energy Information Administration, 1991, p. 6). These deposits, underlying about 13% of the country's land area, are the energy equivalent of about 2,000,000,000,000 bbl of crude oil - more than triple the world's known oil reserves. About 85% of coal used in the nation goes to the electric utility industry to generate 55% of the electricity produced in the US. The remaining buyers include steel, other industrial facilities, and retail dealers to a limited extent. Future increases in demand will depend upon economic growth of domestic and foreign markets and the price of competing fuels. However, future demand especially will depend upon the scope of government regulation and the progress of research and technology development in reducing environmental impacts resulting from mining and utilization and in advancing clean coal-burning technologies

Domestic utility attitudes toward foreign uranium supply

International Nuclear Information System (INIS)

1981-06-01

The current embargo on the enrichment of foreign-origin uranium for use in domestic utilization facilities is scheduled to be removed in 1984. The pending removal of this embargo, complicated by a depressed worldwide market for uranium, has prompted consideration of a new or extended embargo within the US Government. As part of its on-going data collection activities, Nuclear Resources International (NRI) has surveyed 50 domestic utility/utility holding companies (representing 60 lead operator-utilities) on their foreign uranium purchase strategies and intentions. The most recent survey was conducted in early May 1981. A number of qualitative observations were made during the course of the survey. The major observations are: domestic utility views toward foreign uranium purchase are dynamic; all but three utilities had some considered foreign purchase strategy; some utilities have problems with buying foreign uranium from particular countries; an inducement is often required by some utilities to buy foreign uranium; opinions varied among utilities concerning the viability of the domestic uranium industry; and many utilities could have foreign uranium fed through their domestic uranium contracts (indirect purchases). The above observations are expanded in the final section of the report. However, it should be noted that two of the observations are particularly important and should be seriously considered in formulation of foreign uranium import restrictions. These important observations are the dynamic nature of the subject matter and the potentially large and imbalanced effect the indirect purchases could have on utility foreign uranium procurement

A study on the neighboring countries' nuclear potentials in terms of technical capabilities and their impact on our national security

International Nuclear Information System (INIS)

Kim, H. J.; Kim, H. S.; Yang, M. H.

2001-12-01

Neighbouring countries surrounding Korean Peninsula, which are the US, China, Russia, Japan and Taiwan, are all the nuclear countries. Some of the neighbouring countries, the US, China and Russia, are nuclear weapon states as well as the nuclear peaceful use countries. Other countries, Japan and Taiwan are not the nuclear weapon states but keep the high level of nuclear energy technologies. Meanwhile, Korea is recognized as the country of which peaceful activities for nuclear energy utilization are much more vigorous. Therefore, Korean national policies on politics, diplomacy and defense may be highly possible to be impacted on by nuclear policies of the neighbouring countries. This study defined the neighbouring countries as those which have politically or economically a direct or indirect relationship with Korea. And then, nuclear capabilities of the neighbouring countries and their impacts on our national security were analyzed in terms of nuclear techniques. Defensive response is technically most probable measure against nuclear threats and terrors. It include the establishment of national nuclear emergency response system as well as the development of environmental radiation protection, decontamination and environment recovering technology. Finally, it was suggested that a cooperation agency of enhancing the development of dual-use technologies be located at a science and technology complex

Strategic Utility of the Russian Spetsnaz

Science.gov (United States)

2016-12-01

sapping Czechoslovakia of resources that could have helped the reformers in the country.102 Albania, Yugoslavia, and Warsaw Pact’s Romania...to the outcome remain unknown. However, there were sufficient human resources inside, or insiders, ready to act and facilitate the invasion when...and resources at hand. In theory, the strategic utility of special forces is mostly based on the strategy, task distribution, and capability of the

Do Pneumococcal Conjugate Vaccines Represent Good Value for Money in a Lower-Middle Income Country? A Cost-Utility Analysis in the Philippines.

Directory of Open Access Journals (Sweden)

Manuel Alexander Haasis

Full Text Available The objective of this study is to assess the value for money of introducing pneumococcal conjugate vaccines as part of the immunization program in a lower-middle income country, the Philippines, which is not eligible for GAVI support and lower vaccine prices. It also includes the newest clinical evidence evaluating the efficacy of PCV10, which is lacking in other previous studies.A cost-utility analysis was conducted. A Markov simulation model was constructed to examine the costs and consequences of PCV10 and PCV13 against the current scenario of no PCV vaccination for a lifetime horizon. A health system perspective was employed to explore different funding schemes, which include universal or partial vaccination coverage subsidized by the government. Results were presented as incremental cost-effectiveness ratios (ICERs in Philippine peso (Php per QALY gained (1 USD = 44.20 Php. Probabilistic sensitivity analysis was performed to determine the impact of parameter uncertainty.With universal vaccination at a cost per dose of Php 624 for PCV10 and Php 700 for PCV13, both PCVs are cost-effective compared to no vaccination given the ceiling threshold of Php 120,000 per QALY gained, yielding ICERs of Php 68,182 and Php 54,510 for PCV10 and PCV13, respectively. Partial vaccination of 25% of the birth cohort resulted in significantly higher ICER values (Php 112,640 for PCV10 and Php 84,654 for PCV13 due to loss of herd protection. The budget impact analysis reveals that universal vaccination would cost Php 3.87 billion to 4.34 billion per annual, or 1.6 to 1.8 times the budget of the current national vaccination program.The inclusion of PCV in the national immunization program is recommended. PCV13 achieved better value for money compared to PCV10. However, the affordability and sustainability of PCV implementation over the long-term should be considered by decision makers.

Utilization of social networks in education and their impact on ...

African Journals Online (AJOL)

Utilization of social networks in education and their impact on knowledge acquisition ... Developed countries are known to be quick adopters of modern advanced ... in education changing traditional systems to more open and interactive ones.

Report on promotion of utilization of radiation

International Nuclear Information System (INIS)

1987-01-01

This report presents results of studies made by the Atomic Energy Commission concerning research and development activities to be carried out in future to promote the utilization of radiation. First, the current state of radiation utilization is described, centering on practical applications, research and development activities (for practical and advanced applications), and international cooperation (with developing and advanced nations). The second part deals with activities required in future to promote practical utilization of radiation, research and development of advanced techniques, and cooperation to be offered to developing countries. Third, specific measures to be carried out for effective radiation utilization are described. For γ-rays and electron beams, which are widely in use at present, there are some economic and social problems remaining to be solved. For advanced utilization of radiation beams, further efforts should be focused on basic research on π-meson and μ-particle beams and their application to canser treatment and nuclear fusion; research on monochromatic neutron beams; application of RI beams to the development of new materials and new analysis techniques, application of epithermal neutron beams to elementary radiography and CT; etc. The utilization, application and development of tracers are also described. (Nogami, K.)

Growth strategies of electric utilities in context of deregulation and liberalization of electricity market

Directory of Open Access Journals (Sweden)

Maria Đogić

2017-01-01

Full Text Available This paper identifies the growth strategies adopted by the electric utilities sector in the context of changes resulting from the deregulation and liberalization of the electricity market. Strategies pursued by the electric utilities sector were rarely the subject of research in the field of strategic management despite the fact that electricity is an indispensable element of everyday life and the economy as a whole. Therefore, a case study of the largest incumbent electric utilities in the Republic of Croatia, Slovenia, Bosnia and Herzegovina, Serbia, Montenegro, and Macedonia has been conducted, and differences in the degree of market liberalization and core features of these companies have been noted. Research findings have shown that the degree of deregulation can affect the growth strategies of electric utilities. In those countries where the degree of deregulation is lower, electric utilities focus on the domestic market. On the other hand, a higher level of deregulation enables electric utilities to achieve their growth through diversification or innovation. Given the fact that the analyzed electric utilities are operating within relatively small economies, they cannot compete with electric utilities in developed countries, and, apart from international electricity trading, are mostly focused on their domestic markets.

Can renewable energies be turned to a source of advantage by developing countries?

International Nuclear Information System (INIS)

Mathews, J.

2007-01-01

Traditional industrial development pathways, that did not take into explicit consideration the issue of energy technologies to be utilized, now imperil development prospects around the world. As oil supplies approach their peak globally, and energy security becomes a major issue, so developing countries have everything to lose by simply following fossil fuel based industrialization, and everything to gain by recasting their development strategies around the prospects for renewable energies and biofuels. This is now a feasible prospect, as shown dramatically by the Brazilian experience, now being replicated in many developing countries, including most notably in India and China. This paper argues that the time is therefore ripe for developing countries, and development agencies such as the World Bank, to re-evaluate their stance on biofuels. Developing countries, particularly in the tropics, have an abundance of land, water and sunshine that give them a competitive advantage in biofuels, and for the development of a new industry ergo-culture that will stand alongside traditional agriculture. The paper argues that a swing behind biofuels can unlock a chain reaction of favorable developmental processes provided developing countries seize the initiative and set in place renewable energy industry creation projects before the developed world has managed to shake itself out of its fossil fuel dependence. In doing so, they will do a great service to themselves and to everyone concerned with the disastrous prospects of global climate change. (author)

Towards a benchmarking paradigm in European water utilities

NARCIS (Netherlands)

Marques, R.C.; de Witte, K.

2010-01-01

This article explains the benefits of using benchmarking tools in the public sector to drive up performance. The authors examine the case of European water utilities, focusing on four countries: Portugal, Belgium, The Netherlands and the UK. They argue for the creation of a European ‘observatory’ to

IRIS: A Comprehensive Approach to Implementing Nuclear Power in Countries with Smaller Electric Grids

International Nuclear Information System (INIS)

Petrovic, B.; Carelli, M. D.; Sandell, L.; Storrick, G. D.; Cavlina, N.

2008-01-01

Many emerging markets and smaller size countries are considering the nuclear option and the deployment of their first nuclear reactor(s). However, some of their requirements and available infrastructure are quite different from those of larger countries currently employing nuclear power. Specific considerations might include: a small size electrical grid, in some cases on the order of a few GWe; limited financial resources; no nuclear experience; inadequate availability of necessary material and people infrastructure. Large nuclear power plants of 1000 MWe or greater do not provide best fit. The IRIS (International Reactor Innovative and Secure) reactor, under development by an international team of eighteen organizations from nine countries led by Westinghouse specifically addresses these needs. IRIS is an advanced PWR with integral configuration that yields a simple design with enhanced safety. The IRIS size is 335 MWe and may be deployed in single or multiple modules. It can fit almost any grid, or a small utility within a larger grid; moreover, it allows incremental power additions as needed. The capital outlay is of the order of hundreds of millions rather than a few billions dollars. Successive construction and operation of multiple modules significantly reduces the required capital resources and capital at risk with generation income from earlier plants offsetting the construction outlays of subsequent ones. This is highly desirable in both developed and emerging markets, but it may be of critical importance to the latter. IRIS safety characteristics allow for licensing with a significantly reduced size of emergency zone, a critical feature for small countries and when cogeneration is desired. In fact, IRIS is designed to produce steam for district heating, water desalination and bio-fuel generation in addition to electricity. The U.S. Department of Energy (DOE) has announced in February 2008 its intention to contribute to funding the licensing of a 'Grid

Long-run implications for developing countries of joint implementation of greenhouse gas mitigation

International Nuclear Information System (INIS)

Rose, A.; Bulte, E.; Folmer, H.

1999-01-01

Joint Implementation (JI) calls for cooperation between industrialized and developing countries in the mitigation of greenhouse gas (GHG) emissions. However, a major concern of potential host countries is that if they utilize their low-cost options for JI now, they will be left with only high cost options in the future, thereby penalizing them at a time when they may be obligated to mitigate GHGs themselves. This paper formalizes this hypothesis by utilizing an optimal control framework analogous to the Hotelling model of non-renewable resource extraction. The results are that cumulative abatement effects can impose costs on the future, but that they can be offset by technological change, market power, or compensation. 11 refs

Genetic improvement of under-utilized and neglected crops in low income food deficit countries through irradiation and related techniques. Proceedings of a final research coordination meeting

International Nuclear Information System (INIS)

2004-11-01

The majority of the world's food is produced from only a few crops, and yet many neglected and under-utilized crops are extremely important for food production in low income food deficit countries (LIFDCs). As the human population grows at an alarming rate in LIFDCs, food availability has declined and is also affected due to environmental factors, lack of improvement of local crop species, erosion of genetic diversity and dependence on a few crop species for food supply. Neglected crops are traditionally grown by farmers in their centres of origin or centres of diversity, where they are still important for the subsistence of local communities, and maintained by socio-cultural preferences and traditional uses. These crops remain inadequately characterised and, until very recently, have been largely ignored by research and conservation. Farmers are losing these crops because they are less competitive with improved major crop species. Radiation-induced mutation techniques have successfully been used that benefited the most genetic improvement of 'major crops' and their know-how have a great potential for enhancing the use of under-utilized and neglected species and speeding up their domestication and crop improvement. The FAO/IAEA efforts on genetic improvement of under-utilized and neglected species play a strategic role in complementing the work that is being carried out worldwide in their promotion. This CRP entitled Genetic Improvement of Under-utilized and Neglected Crops in LIFDCs through Irradiation and Related Techniques was initiated in 1998 with an overall objective to improve food security, enhance nutritional balance, and promote sustainable agriculture in LIFDCs. Specific objectives addressed major constraints to productivity of neglected and under-utilized crops by genetic improvement with radiation-induced mutations and biotechnology in order to enhance economic viability and sustain crop species diversity, and in future to benefit small farmers. This

When is the liquefaction of coal economic. [Including safe and secure supplies, low interest, multiplier effect of money spent inside the country, employment, etc

Energy Technology Data Exchange (ETDEWEB)

1980-09-01

Usually the commercialization of a technology is determined by the economic viability. However, looking at coal conversion we recognize that there is also a strategic factor to be considered. Before entering into what is almost a political debate about the strategic value of coal conversion, let us look at the economic data. Table 2 shows specific cost numbers for coal gasification, coal liquefaction and electricity from coal. When the total cost of the different fuels is calculated with capital charges as would be required by private industry, one would arrive at indeed high figures, high compared to the present day cost of liquid energy. However, in the capital intensive electricity industry, capital can be accounted for on a capital charge basis of 7 to 17%. If this type of soft financing is applied to coal, coal liquids and coal gas, the figures already become much more attractive. Money internally spent within a country will turnover a few times. This is described by economists as the effect of the multiplier. To even further improve the prospects of home-made liquids one can add the value of avoiding unemployment. A labor intensive industry like the coal gasification and liquefaction industry may give a boost to the number of jobs and as a result have even another additional value to the country involved. Such an analysis leads to the conclusion that coal gasification and liquefaction could develop as a utility type industry under rather tight Government control. This has its strategic advantages with respect to stability and security of supply. On the other hand it may discourage private industry from getting involved in this business. Much will therefore depend on the political decision making process and that maybe is one of the biggest unknowns left in answer to the question when coal conversion will become of economic significance.

The impact of chronic hepatitis B on quality of life: a multinational study of utilities from infected and uninfected persons.

Science.gov (United States)

Levy, Adrian R; Kowdley, Kris V; Iloeje, Uchenna; Tafesse, Eskinder; Mukherjee, Jayanti; Gish, Robert; Bzowej, Natalie; Briggs, Andrew H

2008-01-01

Chronic hepatitis B (CHB) is a condition that results in substantial morbidity and mortality worldwide because of progressive liver damage. Investigators undertaking economic evaluations of new therapeutic agents require estimates of health-related quality of life (HRQOL). Recently, evidence has begun to accumulate that differences in cultural backgrounds have a quantifiable impact on perceptions of health. The objective was to elicit utilities for six health states that occur after infection with the hepatitis B virus from infected and uninfected respondents living in jurisdictions with low and with high CHB endemicity. Standard gamble utilities were elicited from hepatitis patients and uninfected respondents using an interviewer-administered survey in the United States, Canada, United Kingdom, Spain, Hong Kong, and mainland China. Generalized linear models were used to the effect on utilities of current health, age and sex, jurisdiction and, for infected respondents, current disease state. The sample included 534 CHB-infected patients and 600 uninfected respondents. CHB and compensated cirrhosis had a moderate impact on HRQOL with utilities ranging from 0.68 to 0.80. Decompensated cirrhosis and hepatocellular carcinoma had a stronger impact with utilities ranging from 0.35 to 0.41. Significant variation was observed between countries, with both types of respondents in mainland China and Hong Kong reporting systematically lower utilities. Health states related to CHB infection have substantial reductions in HRQOL and the utilities reported in this study provide valuable information for comparing new treatment options. The observed intercountry differences suggest that economic evaluations may benefit from country-specific utility estimates. The extent that systematic intercountry differences in utilities hold true for other infectious and chronic diseases remains an open question and has considerable implications for the proper conduct and interpretation of

Indicators of CO{sub 2} emissions and energy efficiency. Comparison of Finland with other countries

Energy Technology Data Exchange (ETDEWEB)

Lehtilae, A.; Savolainen, I.; Tuhkanen, S. [VTT Energy, Espoo (Finland). Energy Systems

1997-12-31

The generic technology options recommended by the Intergovernmental Panel on Climate Change (IPCC) to reduce fossil fuel CO{sub 2} emissions include efficiency improvements both in the supply and use of energy, switching to less carbon-intensive fuels, and switching to renewable energy resources. The present study considers, using indicators based on statistics, to which extent these options are already being utilized in various OECD countries. The efficiency of energy production is high in Finland, due to extensive utilization of cogeneration of electricity and heat both for industry and for the tertiary and residential sectors. The use of sustainable produced biomass for combined heat and power generation is the largest in the world. About 10 % of the total national electricity production is generated using wood-derived fuels and modern power plant technologies. Improvements in the energy efficiency of manufacturing industries during the last twenty years in Finland are similar to the average in OECD countries, and the relative decrease in CO{sub 2} intensity has been more rapid than that in the OECD as a whole. In the manufacturing of pulp and paper, and iron and steel, Finnish industries are among the most efficient; however, the differences in energy intensities among the countries considered are relatively small in these sectors. The energy use and CO{sub 2} emissions attributable to the Finnish residential sector are low, despite the cold climate, due to good insulation of houses and cogeneration of heat and power. If the dependency of heating energy demand on climatic conditions is accounted for using heating degree-day corrections, the values for Finland are among the lowest among the western industrialized nations. The energy demand in Finland for the transport sector is in general relatively low; in particular, the energy use in road freight transport per tonnekilometer is the lowest of the countries studied. (orig.) 50 refs.

Women’s autonomy and maternal healthcare service utilization in Ethiopia

OpenAIRE

Fentanesh Nibret Tiruneh; Kun-Yang Chuang; Ying-Chih Chuang

2017-01-01

Background Most previous studies on healthcare service utilization in low-income countries have not used a multilevel study design to address the importance of community-level women’s autonomy. We assessed whether women’s autonomy, measured at both individual and community levels, is associated with maternal healthcare service utilization in Ethiopia. Methods We analyzed data from the 2005 and 2011 Ethiopia Demographic and Health Surveys (N = 6058 and 7043, respectively) for measuring women’s...

EBM E-learning: Feasible and Effective for Occupational Physicians in Different Countries.

Science.gov (United States)

Hugenholtz, Nathalie Ir; Sluiter, Judith K; van Dijk, Frank Jh; Nieuwenhuijsen, Karen

2012-09-01

Although evidence-based medicine (EBM) is a useful method for integrating evidence into the decision-making process of occupational physicians, occupational physicians lack EBM knowledge and skills, and do not have the time to learn the EBM method. In order to enable them to educate themselves at the time and place they prefer, we designed an electronic EBM course. We studied the feasibility and utility of the course as well as its effectiveness in increasing EBM knowledge, skills, and behaviour. Occupational physicians from various countries were included in a within-subjects study. Measurements were conducted on participants' EBM knowledge, skills, behaviour, and determinants of behaviour at baseline, directly after finishing the course and 2 months later (n = 36). The feasibility and utility of the course were evaluated directly after the course (n = 42). The course is applicable as an introductory course on EBM for occupational physicians in various countries. The course is effective in enhancing EBM knowledge and self-efficacy in practising EBM. No significant effect was found on EBM skills, behaviour, and determinants of behaviour. After the course, more occupational physicians use the international journals to solve a case. An electronic introductory EBM course is suitable for occupational physicians. Although it is an effective method for increasing EBM knowledge, it does not seem effective in improving skills and behaviour. We recommend integrating e-learning courses with blended learning, where it can be used side by side with other educational methods that are effective in changing behaviour.

Informational and Cultural Situation in Developing Countries.

Science.gov (United States)

Nadirova, Goulnar

Cultural development of modern countries in the East, including the Republic of Kazakhstan, is a complicated and contradictory process, where common cultural ways were shaped differently and specifically in the countries. Common historical fate has influenced this development and given these countries some common problems, but there is some…

Is control through utilization a cost effective Prosopis juliflora management strategy?

Science.gov (United States)

Wakie, Tewodros T; Hoag, Dana; Evangelista, Paul H; Luizza, Matthew; Laituri, Melinda

2016-03-01

The invasive tree Prosopis juliflora is known to cause negative impacts on invaded ranges. High P. juliflora eradication costs have swayed developing countries to follow a new and less expensive approach known as control through utilization. However, the net benefits of this new approach have not been thoroughly evaluated. Our objective was to assess the economic feasibility of selected P. juliflora eradication and utilization approaches that are currently practiced in one of the severely affected developing countries, Ethiopia. The selected approaches include converting P. juliflora infested lands into irrigated farms (conversion), charcoal production, and seed flour production. We estimate the costs and revenues of the selected P. juliflora eradication and utilization approaches by interviewing 19 enterprise owners. We assess the economic feasibility of the enterprises by performing enterprise, break-even, investment, sensitivity, and risk analyses. Our results show that conversion to irrigated cotton is economically profitable, with Net Present Value (NPV) of 5234 US$/ha over 10 years and an interest rate of 10% per year. Conversion greatly reduces the spread of P. juliflora on farmlands. Managing P. juliflora infested lands for charcoal production with a four-year harvest cycle is profitable, with NPV of 805 US$/ha. However, the production process needs vigilant regulation to protect native plants from exploitation and caution should be taken to prevent charcoal production sites from becoming potential seed sources. Though flour from P. juliflora pods can reduce invasions by destroying viable seeds, flour enterprises in Ethiopia are unprofitable. Conversion and charcoal production can be undertaken with small investment costs, while flour production requires high investment costs. Introducing new changes in the production and management steps of P. juliflora flour might be considered to make the enterprise profitable. Our study shows that control

Contracts on electric power supply set up between communities (communal associations, countries) and public electricity utilities

Energy Technology Data Exchange (ETDEWEB)

Hedrich, B

1976-01-01

There is not any original communal right to energy supply for the population. The affiliation of local power supply to the local administration cannot be justified either by the public purpose of service or by the term provision of existence. The utilities do not get a communal license when getting the so-called licensing contract. According to its legal nature, the licensing contract is a mixture of legal positions composed of elements of the civil law and the public law. (Administrative lawsuit). The so-called power supply contract is a mutual legal relationship under civil law on the utilization of electric power, made to last. (Permanent obligation for utilization). When concluding both contracts, it is a matter of economic activities undertaken by the communities. Fiscal considerations are in the foreground. Legal regulations concerning roads and distances and serving as starting points for concluding a licensing contract are alien to the system and are to be abolished. Communities should only be responsible for local energy supply on a basis under public law. In lieu of it a stronger obligation to be met by large utilities ought to be ensured by ties under public law.

Pharmaceutical policies in European countries.

Science.gov (United States)

Barros, Pedro Pita

2010-01-01

Pharmaceutical expenditures have an important role in Europe. The attempts to control expenditure have used a wide range of policy measures. We reviewed the main measures adopted by the European Union countries, especially in countries where governments are the largest third-party payers. To complement a literature review on the topic, data was gathered from national reviews of health systems and direct inquiries to several government bodies. Almost all countries regulate prices of pharmaceutical products. Popular policy measures include international referencing to set prices (using as benchmark countries that have set lower prices), internal reference pricing systems to promote price competition in domestic markets, and positive lists for reimbursement to promote consumption of generics (including in some cases substitution by pharmacists of drugs prescribed by physicians). Despite the wide range of policy measures, it is not possible to identify a "silver bullet" to control pharmaceutical expenditures. We also identified two main policy challenges: policy coordination among countries within the European Union to maintain incentives for R&D at the global level, and the development of new relationships with the pharmaceutical industry; namely, the so-called risk-sharing agreements between the pharmaceutical industry and governments/regulators (or large third-party payers).

Thorium resources and energy utilization (14)

International Nuclear Information System (INIS)

Unesaki, Hironobu

2014-01-01

After the accident at the Fukushima Daiichi Nuclear Power Station of Tokyo Electric Power Company, thorium reactor has been attracting attention from the viewpoint of safety. Regarding thorium as the resources for nuclear energy, this paper explains its estimated reserves in the whole world and each country, its features such as the situation of utilization, and the reason why it attracts attention now. The following three items are taken up here as the typical issues among the latest topics on thorium: (1) utilization of thorium as a tension easing measure against environmental effects involved in nuclear energy utilization, (2) thorium-based reactor as the next generation type reactor with improved safety, and (3) thorium utilization as the improvement policy of nuclear proliferation resistance. The outline, validity, and problems of these items are explained. Thorium reactor has been adopted as a research theme since the 1950s up to now mainly in the U.S. However, it is not enough in the aspect of technological development and also insufficient in the verification of reliability based on technological demonstration, compared with uranium-fueled light-water reactor. This paper explains these situations, and discusses the points for thorium utilization and future prospects. (A.O.)

"Eat, my child". Overweight and obesity among children in developing countries

OpenAIRE

Minos, Dimitrios

2016-01-01

Childhood obesity in developing countries is a topic that hasn't found its way in the economic literature yet. Despite the fact that obesity rates are rising worldwide and the phenomenon is very present even among the poorest of households in developing countries, most of the attention is still drawn towards industrialized ones. This paper utilizes the South African NIDS panel data set to highlight some of the aspects policy makers should bear in mind. In particular, drivers of the phenomenon...

Impact of recent reforms in Austria on utilization and expenditure of PPIs and lipid-lowering drugs: implications for the future.

Science.gov (United States)

Godman, Brian; Burkhardt, Thomas; Bucsics, Anna; Wettermark, Björn; Wieninger, Peter

2009-10-01

To assess the impact of a plethora of reforms and initiatives introduced in Austria since 2002 on the actual utilization and expenditure of proton pump inhibitors and statins. Utilization of dispensed prescriptions in ambulatory care was captured from 2001 to 2007 using defined daily doses (DDD) as well as DDDs/1000 inhabitants/day for patients covered by the social health insurance system. The data were provided by the internal data warehouse of Hauptverband der Osterreichischen Sozialversicherungsträger. Total costs in Euros were used for the analysis from the payer's perspective. The reduction in the expenditure per DDD for both generic PPIs and statins was generally in line with expectations at over 60% of originator prices before multiple sources became available. There was also increased utilization of generics following the range of demand-side initiatives. This was 89.5% for generic omeprazole versus total omeprazole and 95.1% for generic simvastatin versus total simvastatin by the end of 2007. The utilization of atorvastatin fell substantially from 36.5% of all statins in 2002 to 10.7% by the end of 2007 following restrictions on its prescribing to patients not achieving target lipid levels with, for instance, generic simvastatin. The combined initiatives reduced expenditure per DDD for the PPIs and the statins by 41 and 60%, respectively, in 2007 versus 2001 levels. This reduction translated into lower expenditure for the statins in 2007 versus 2001 despite substantially increased utilization. The results provide examples to other European countries, especially the restrictions on atorvastatin utilization. Nevertheless, further initiatives will be needed to conserve resources as utilization rates grow in chronic disease areas. This includes potential lessons from other European countries.

Global Trends in Space Access and Utilization

Science.gov (United States)

Rahman, Shamim A.; Keim, Nicholas S.; Zeender, Peter E.

2010-01-01

global interdependent effort with all its likely complexities is an increasingly viable and pragmatic option. The discussion includes a breakdown of space missions into those of civil (scientific), military, and strictly commercial nature. It concludes that all three are robust components of a globally diversified portfolio of activities relying, essentially, on a common space industrial base and space infrastructure. As in other industries, the distribution of space industry assets and knowledge across countries and continents enables a diverse suite of options and arrangements, particularly in the areas of civil and commercial space utilization. A survey of several ongoing bilateral and multilateral space collaboration examples are provided to augment the observations regarding multinational work in space.

The impact of economic growth on health care utilization: a longitudinal study in rural Vietnam.

Science.gov (United States)

Thoa, Nguyen Thi Minh; Thanh, Nguyen Xuan; Chuc, Nguyen Thi Kim; Lindholm, Lars

2013-03-16

In many developing countries, including Vietnam, out-of-pocket payment is the principal source of health financing. The economic growth is widening the gap between rich and poor people in many aspects, including health care utilization. While inequities in health between high- and low-income groups have been well investigated, this study aims to investigate how the health care utilization changes when the economic condition is changing at a household level. We analysed a panel data of 11,260 households in a rural district of Vietnam. Of the sample, 74.4% having an income increase between 2003 and 2007 were defined as households with economic growth. We used a double-differences propensity score matching technique to compare the changes in health care expenditure as percentage of total expenditure and health care utilization from 2003 to 2005, from 2003 to 2007, and from 2005 to 2007, between households with and without economic growth. Households with economic growth spent less percentage of their expenditure for health care, but used more provincial/central hospitals (higher quality health care services) than households without economic growth. The differences were statistically significant. The results suggest that households with economic growth are better off also in terms of health services utilization. Efforts for reducing inequalities in health should therefore consider the inequality in income growth over time.

Research on the coordination framework for water resources utilization on the interests of mutual compensation in Lancang-Mekong River

Science.gov (United States)

Wang, Y.; Fang, D., VI; Xu, J.; Dong, Q.

2017-12-01

The Lancang-Mekong River is an important international river, cascaded hydropower stations development in which attracts the attention of downstream countries. In this paper, we proposed a coordination framework for water resources utilization on the interests of mutual compensation to relieve the conflict of upstream and downstream countries. Firstly, analyze the benefits and risks caused by the cascaded hydropower stations development and the evolution process of water resources use conflict between upstream and downstream countries. Secondly, evaluate the benefits and risks of flood control, water supply, navigation and power generation based on the energy theory of cascaded hydropower stations development in Lancang-Mekong River. Thirdly, multi-agent cooperation motivation and cooperation conditions between upstream and downstream countries in Lancang-Mekong River is given. Finally, the coordination framework for water resources utilization on the interests of mutual compensation in Lancang-Mekong River is presented. This coordination framework for water resources utilization can increase comprehensive benefits in Lancang-Mekong River.

Renewable energy utilization and CO2 mitigation in the power sector: A case study in selected GMS countries

Directory of Open Access Journals (Sweden)

Kong Pagnarith

2011-06-01

Full Text Available Renewable energy is an alternative resource to substitute fossil fuels. Currently, the share of renewable energy inpower generation is very low. The selected Greater Mekong Sub-region (GMS, namely, Cambodia, Laos, Thailand andVietnam is a region having abundant of renewable energy resources. Though these countries have a high potential of renewableenergy utilization, they are still highly dependent on the imported fossil fuels for electricity generation. The less contributionof renewable energy in the power sector in the region is due to the high cost of technologies. Renewable energytechnology cannot compete with the conventional power plant. However, in order to promote renewable energy utilizationand reduce dependency on imported fossil fuel as well as to mitigate CO2 emissions from the power sector, this study introducesfour renewable energy technologies, namely, biomass, wind, solar PV, and geothermal power, for substitution of conventionaltechnologies. To make the renewable energy competitive to the fossil fuels, incentives in terms of carbon credit of20$/ton-ne CO2 are taken into account. Results are analyzed by using the Long-Range Energy Alternative Planning System(LEAP modeling. Results of analyses reveal that in the renewable energy (RE scenario the biomass power, wind, solarphotovoltaics, and geothermal would contribute in electricity supply for 5.47 GW in the region, accounted for 3.5% in 2030.The RE scenario with carbon credits could mitigate CO2 emissions at about 36.0 million tonne at lower system cost whencompared to the business-as-usual scenario.

Determinants of late and/or inadequate use of prenatal healthcare in high-income countries: a systematic review

NARCIS (Netherlands)

Feijen-de Jong, E.I.; Jansen, D.E.M.C.; Baarveld, F.; van der Schans, C.P.; Schellevis, F.G.; Reijneveld, S.A.

2012-01-01

Background: Prenatal healthcare is likely to prevent adverse outcomes, but an adequate review of utilization and its determinants is lacking. Objective: To review systematically the evidence for the determinants of prenatal healthcare utilization in high-income countries. Method: Search of

Mutual Funds and Information Diffusion: The Role of Country-Level Governance

NARCIS (Netherlands)

C. Lin (Chunmei); M. Massa (Massimo); H. Zhang (Hong)

2014-01-01

markdownabstract__Abstract__ We hypothesize that poor country-level governance, which makes public information less reliable, induces fund managers to increase their use of semi-public information. Utilizing data from international mutual funds and stocks over the 2000-2009 period, we find that

Cost analysis of neonatal and pediatric parenteral nutrition in Europe: a multi-country study.

Science.gov (United States)

Walter, E; Liu, F X; Maton, P; Storme, T; Perrinet, M; von Delft, O; Puntis, J; Hartigan, D; Dragosits, A; Sondhi, S

2012-05-01

Parenteral nutrition (PN) is critical in neonatal and pediatric care for patients unable to tolerate enteral feeding. This study assessed the total costs of compounding PN therapy for neonates, infants and children. Face-to-face and telephone interviews were conducted in 12 hospitals across four European countries (Belgium, France, Germany and UK) to collect information on resources utilized to compound PN, including nutrients, staff time, equipment cost and supplies. A bottom-up cost model was constructed to assess total costs of PN therapy by assigning monetary values to the resource utilization using published list prices and interview data. A total of 49,922 PN bags per year were used to treat 4295 neonatal and pediatric patients among these hospitals. The daily total costs of one compounded PN bag for neonates in the 12 hospitals across the four countries equalled euro 55.16 (Belgium euro 53.26, France euro 46.23, Germany euro 64.05, UK Ł 37.43/\\[euro]42.86). Overall, nutrients accounted for 25% of total costs, supplies 18%, wages 54% and equipment 3%. Average costs per bag for infants France, euro 92.70 in Germany and Ł 52.63/euro 60.26 in the UK), and for children 2-18 years euro 118.02 (euro 93.85 in Belgium, euro 121.35 in France, euro 124.54 in Germany and Ł 69.49/euro 79.56 in the UK), of which 63% is attributable to nutrients and 28% to wages. The data indicated that PN costs differ among countries and a major proportion was due to staff time (Ł 1=euro 1.144959).

Are Muslim countries more prone to violence?

Directory of Open Access Journals (Sweden)

Nils Petter Gleditsch

2016-05-01

Full Text Available In recent years, most armed conflicts have taken place in Muslim countries. Are Muslim countries more war-prone? Not necessarily, if we look at data for the whole period after World War II. But in the post-Cold War era, most wars are civil wars and Muslim countries have a disproportionate share of these. This is not mainly because conflicts among Muslims have increased, but because other conflicts have declined. Muslim countries are also overrepresented among countries with high levels of other forms of internal violence, including non-state conflict, one-sided violence, highly repressive human rights policies, and countries that practice capital punishment. They also have a higher than average participation in interstate conflicts. This is not a “clash of civilizations”—most of the victims are Muslims. We list several hypotheses, apart from religion itself, for why this pattern has emerged, including colonial history, interventions from major powers, and economic and political development. Finally, on a more optimistic note, while many Muslims are exposed to violence, four of the five countries with the largest Muslim populations do not currently experience civil war.

Dhruva: Main design features, operational experience and utilization

Energy Technology Data Exchange (ETDEWEB)

Agarwal, S.K. [Reactor Group, BARC, Trombay, Mumbai 400085 (India)]. E-mail: swarajagarwal2000@yahoo.com; Karhadkar, C.G. [Reactor Group, BARC, Trombay, Mumbai 400085 (India); Zope, A.K. [Reactor Group, BARC, Trombay, Mumbai 400085 (India); Singh, Kanchhi [Reactor Group, BARC, Trombay, Mumbai 400085 (India)

2006-04-15

Dhruva is a product of technological initiatives taken during mid seventies when a need was felt for another research reactor having a high neutron flux to meet the growing demands of research and development in the frontier areas of science and engineering. In addition production of radioisotopes of high specific activity and the diverse requirements of a broad based user community had to be synthesized into a viable system, which could be engineered within the limited means available in the country. This high neutron flux reactor was designed, constructed and commissioned entirely by Indian scientists and engineers and it reflects the country's resolve to achieve self-reliance in the nuclear reactor technology. Dhruva is a 100 MW (thermal) research reactor with metallic natural uranium as fuel, heavy water as moderator, coolant and reflector, giving a maximum thermal neutron flux of 1.8 x 10{sup 14} n/cm{sup 2}/s. Since its first criticality on 8th August 1985, a number of experimental facilities have been added which have proven to be highly attractive for universities and industrial researchers for their scientific merits in various fields. One of the major utilization areas has been the neutron beam research using several neutron spectrometers, all of which were built in-house. A guide tube facility comprising of two neutron guides and another experimental set-up with a multi-instrument beam line have enabled further enhancement of the utilization of this National Facility by the academic institutions in the country. Production of radioisotopes of high specific activity and in increased quantity has fulfilled growing demands for many applications. The write-up provides an overview of the reactor covering its design; layout, safety features, utilization and operating experience along with description of some of the specific experimental facilities.

Economical Utilization of Associated Gas in Nigeria

Directory of Open Access Journals (Sweden)

Lukman Obayopo Alimi

2014-07-01

Full Text Available Oil production is often accompanied by associated natural gas as valuable by-product of oil processing. Large amount of this vital energy component is flared during these processes, mostly in developing countries. For a longer period of time more gas is flares in Nigeria than anywhere else in Africa and second to Russian in the world, with daily estimates of roughly 2.5 billion cubic feet. This is equivalent to around 40% of all Africa´s natural gas consumption, and annual financial loss to Nigeria is about 1.8 billion Euros. Gas flaring contributes to major environmental pollution problems, which affects oil producing areas of the Niger Delta in Nigeria. This research attempts to look into the environmental issues in the region and proposes possible solutions, with recommendations that will contribute to improve associated gas utilization. This study describes gas to liquid (GTL conversion technology as a sustainable option to utilize associated gas in Nigeria, and also evaluates the economic attractiveness of the process. This conversion technology could contribute to total elimination of gas flaring and reduces the overdependence on importation of refined products (petrol, diesel and kerosene from foreign countries into Nigeria.

Utilization of Geothermal Energy in Slovakia

OpenAIRE

Gabriel Wittenberger; Ján Pinka

2005-01-01

Owing to favourable geological conditions, Slovakia is a country abundant in occurrence of low-enthalpy sources. The Slovakian government sponsors new renewable ecological energy sources, among which belongs the geothermal energy. Geothermal water is utilized for recreation (swimming pools, spas), agriculture (heating of greenhouses, fishing) and heating of houses. The effectivity of utilisation is about 30 % due to its seasonal use. That is why the annual house-heating and the hot water supp...

Drought resistant rice mutants, characteristics and discussions on possibilities for planting them in some Arab Countries which import rice

International Nuclear Information System (INIS)

Abo-Hegazi, A.M.T.

1994-01-01

A number of drought resistant mutants of rice were produced from ordinary rice varieties being planted in several parts of Egypt through utilization of gamma rays as a mutagen. The mutants have water requirements less than one half of that of their mother varieties. According to official data, authorities in Egypt insure about 18000 M 3 of irrigation water for every hectare (10000 M 2 ) of rice and about 6700 M 3 , 6900 M 3 for every hectare of corn and ground nuts, respectively. Peanuts and corn are summer crops like the drought resistant rice mutants. The mentioned mutants can produce good yield under water requirements very near to that of corn and peanuts. The wide gap in agricultural food stuffs for the Arab Countries (more than 20000 million US $ annually) includes rice imports usually exceeds 700 million US $ per year> Rice imports of Arab Countries such as Saudi Arabia, Yemen, Syria, Libya and the Sudan, reached 180, 47, 21, 16 and 14 million US $ in 1988 as an example. Such countries could make use of the drought resistant rice mutants for plantation on water requirements very near to those of usual summer crops such as corn and peanuts which is significantly less than one half of water requirements of their mother varieties. Some characteristics of such mutants as well as discussions on possibilities for planting them in some of the nominated Arab Countries are presented. However, arrangements for ensuring the minimum water requirements during the growing period irrespective to rain which in many cases did not accord the growing period of the mutants should be taken if such countries wants to make use of the drought resistant rice mutants. The author believe that most if not all requirements of rice of such countries could locally be ensured through planting of the above mentioned rice mutants. In this case, maximizing the efficiency of utilizing the limited water resources of such countries could also be counted as another cause for presenting this

Country-level predictors of vaccination coverage and inequalities in Gavi-supported countries.

Science.gov (United States)

Arsenault, Catherine; Johri, Mira; Nandi, Arijit; Mendoza Rodríguez, José M; Hansen, Peter M; Harper, Sam

2017-04-25

Important inequalities in childhood vaccination coverage persist between countries and population groups. Understanding why some countries achieve higher and more equitable levels of coverage is crucial to redress these inequalities. In this study, we explored the country-level determinants of (1) coverage of the third dose of diphtheria-tetanus-pertussis- (DTP3) containing vaccine and (2) within-country inequalities in DTP3 coverage in 45 countries supported by Gavi, the Vaccine Alliance. We used data from the most recent Demographic and Health Surveys (DHS) conducted between 2005 and 2014. We measured national DTP3 coverage and the slope index of inequality in DTP3 coverage with respect to household wealth, maternal education, and multidimensional poverty. We collated data on country health systems, health financing, governance and geographic and sociocultural contexts from published sources. We used meta-regressions to assess the relationship between these country-level factors and variations in DTP3 coverage and inequalities. To validate our findings, we repeated these analyses for coverage with measles-containing vaccine (MCV). We found considerable heterogeneity in DTP3 coverage and in the magnitude of inequalities across countries. Results for MCV were consistent with those from DTP3. Political stability, gender equality and smaller land surface were important predictors of higher and more equitable levels of DTP3 coverage. Inequalities in DTP3 coverage were also lower in countries receiving more external resources for health, with lower rates of out-of-pocket spending and with higher national coverage. Greater government spending on heath and lower linguistic fractionalization were also consistent with better vaccination outcomes. Improving vaccination coverage and reducing inequalities requires that policies and programs address critical social determinants of health including geographic and social exclusion, gender inequality and the availability of

Issues of health economics in the practice of radiotherapy in developing countries

International Nuclear Information System (INIS)

Levin, C.V.; Tatsuzaki, H.

2003-01-01

There is a shortfall of radiotherapy facilities, especially in developing countries. The gross national income per capita is identified as a marker for the shortfall of teletherapy equipment. On a microeconomic level, factors influencing the selection of teletherapy and brachytherapy equipment are analysed using activity based costing. These costs relate to equipment costs and local developing country costs of personnel, procedures and clinical practice. The limitation on utilization imposed by personnel shortages is also quantified. (author)

Reserve requirement systems in OECD countries

OpenAIRE

Yueh-Yun C. O’Brien

2007-01-01

This paper compares the reserve requirements of OECD countries. Reserve requirements are the minimum percentages or amounts of liabilities that depository institutions are required to keep in cash or as deposits with their central banks. To facilitate monetary policy implementation, twenty-four of the thirty OECD countries impose reserve requirements to influence their banking systems’ demand for liquidity. These include twelve OECD countries that are also members of the European Economic and...

Managing the nuclear utility

International Nuclear Information System (INIS)

Williams, J.W. Jr.

1985-01-01

The Florida Power and Light Company (FP and L) is the fifth largest investor-owned utility in the country. The success of nuclear power generation at the St. Lucie Units 1 and 2 and Turkey Point Units 3 and 4 has resulted from a continuing management commitment to the nuclear program. The management of the power plants rely strongly on teamwork for most large projects and activities whether they entail plant operation, construction, or maintenance. Various examples of how teamwork has been used to realize the successful completion of projects or solutions to problems are given

Country update report for Thailand

International Nuclear Information System (INIS)

Jivacate, C.

1990-01-01

This paper reports on the status of geothermal energy development in Thailand. Topics covered include: present and planned production of electricity, utilization of geothermal energy for direct heat, geothermal localities, wells drilled for electrical utilization of geothermal resources from January 1, 1985 to January 1, 1990, wells drilled for direct heat utilization of geothermal resources from January 1, 1985 to January 1990 and allocation of professional personnel to geothermal activities

The care of constipated children in primary care in different countries

NARCIS (Netherlands)

Burgers, Rosa; Bonanno, Elvira; Madarena, Elisa; Graziano, Francesca; Pensabene, Licia; Gardner, William; Mousa, Hayat; Benninga, Marc A.; Di Lorenzo, Carlo

2012-01-01

Aim: To investigate and compare the approach to childhood constipation by primary care physicians (PCP) in three Western countries to give insight into adherence to current guidelines and in actual care. Methods: Prospective study utilizing a two-page survey regarding the approach to children

Energy policies of IEA countries: 1994 review

International Nuclear Information System (INIS)

1995-01-01

This 1994 edition contributes to the IEA's on-going analysis of countries'energy policies and market developments. it reviews recent trends and developments in energy demand and supply, efficiency, technology and environment. This year's Energy Policies includes: - critical reviews of all 23 IEA Member countries, including in-depth reviews of Finland, Ireland, Italy, Japan, Luxembourg and Switzerland; - a synthesis report highlighting major energy policy developments and market trends in IEA Member countries and an overview of significant energy developments elsewhere in the world; -an analysis of trends in key energy indicators over a twenty year period. (authors)

A report of the study committee on problems of the cooperation with developing countries

International Nuclear Information System (INIS)

1985-01-01

In the long-range program of nuclear energy development and utilization, the need for cooperation with developing countries, meeting their expectations, is stated, while such expectations toward Japan are rising recently. Various aspects in this cooperation have been studied by the ad hoc committee. and the results are presented in this report. The cooperation with developing countries in the nuclear field is significant in its contribution to the economic advances in those countries, Japan's responsibility of lending the aid to the countries, and so on. Contents are the following: significance of the cooperation, the present states of nuclear energy research and development in the developing countries and the expectations, the present state of cooperation and problems in Japan, future aspects of the cooperation with developing countries. (Mori, K.)

The impact of health insurance on maternal health care utilization: evidence from Ghana, Indonesia and Rwanda.

Science.gov (United States)

Wang, Wenjuan; Temsah, Gheda; Mallick, Lindsay

2017-04-01

While research has assessed the impact of health insurance on health care utilization, few studies have focused on the effects of health insurance on use of maternal health care. Analyzing nationally representative data from the Demographic and Health Surveys (DHS), this study estimates the impact of health insurance status on the use of maternal health services in three countries with relatively high levels of health insurance coverage-Ghana, Indonesia and Rwanda. The analysis uses propensity score matching to adjust for selection bias in health insurance uptake and to assess the effect of health insurance on four measurements of maternal health care utilization: making at least one antenatal care visit; making four or more antenatal care visits; initiating antenatal care within the first trimester and giving birth in a health facility. Although health insurance schemes in these three countries are mostly designed to focus on the poor, coverage has been highly skewed toward the rich, especially in Ghana and Rwanda. Indonesia shows less variation in coverage by wealth status. The analysis found significant positive effects of health insurance coverage on at least two of the four measures of maternal health care utilization in each of the three countries. Indonesia stands out for the most systematic effect of health insurance across all four measures. The positive impact of health insurance appears more consistent on use of facility-based delivery than use of antenatal care. The analysis suggests that broadening health insurance to include income-sensitive premiums or exemptions for the poor and low or no copayments can increase use of maternal health care. © The Author 2016. Published by Oxford University Press in association with The London School of Hygiene and Tropical Medicine.

Geothermal country update of Japan

International Nuclear Information System (INIS)

Higo, M.

1990-01-01

This paper reports on the status of geothermal energy in Japan. Topics covered include: present and planned production of electricity, present utilization of geothermal energy for direct heat, information about geothermal localities, and wells drilled for electrical utilization of geothermal resources to January 1, 1990

Price and utilization: why we must target both to curb health care costs.

Science.gov (United States)

Spiro, Topher; Lee, Emily Oshima; Emanuel, Ezekiel J

2012-10-16

The United States spends nearly $8000 per person on health care annually. Even for a wealthy country, this amount is substantially more than would be expected and 2.5 times the average spent by other Organization for Economic Cooperation and Development (OECD) countries. The growth rate of health care spending in the United States has also far outpaced that in all other high-income OECD countries since 1970, even accounting for population growth. This increase in health spending threatens to squeeze out critical investments in education and infrastructure. To successfully develop and implement policies that effectively address both the level and growth of U.S. health care costs, it is critical to first understand cost drivers. Many health policy and economics scholars have contributed to an ongoing debate on whether to blame high prices or high utilization of services for escalating health care spending in the United States. This paper argues that price and volume both contribute to high and increasing health care costs, along with high administrative costs, supply issues, and the fee-for-service payment system. Initial strategies to contain costs might include implementation and expansion of bundled payment systems and competitive bidding.

Country branding: an imperative for developing countries | Akotia ...

African Journals Online (AJOL)

Clarifying what a country brand and country branding encompasses, this paper examines the competitive advantage a country brand engenders for developing countries. Furthermore, emphasising country branding as a social construction, this paper argues that for developing countries entrenched in the poverty cycle there ...

Should the Red Dragon arise? Assessing China's options vis-à-vis the enactment of a domestic space resources utilization law

Science.gov (United States)

Hao, L.; Tronchetti, F.

2017-05-01

The past couple of years have witnesses one of the most exciting, yet controversial, developments in the field of space law, namely the adoption of domestic laws authorizing the (private) appropriation and utilization of outer space resources. Even though the technology to effectively mine resources in outer space is still under development countries like the United States and Luxembourg have taken this legislative step as a mean to promote the growth of a domestic private space mining sector. The enactment of national space resources utilization laws has generated extensive interest both within academic circles and official fora, such as the United Nations Committee on the Peaceful Uses of Outer Space (UNCOPUOS). In this context, several countries have expressed their opinion about these initiatives, by often criticizing their legality vis-a-vis international space law. Despite this remarkable level of interest there is a country that throughout this process has maintained a low profile, namely China. Indeed, China has neither reacted to the US and Luxembourgish moves nor has officially commented on the lawfulness of domestic space mining laws. This conduct is particularly relevant not only in the light of the growing importance of the Chinese space program but also if one considers that China is the country most involved in the exploration and study of celestial bodies and their resources, particularly the Moon. For this reasons it would have been legitimate to expect China to have a more engaged behavior. However, China has acted otherwise. It seems thus worth evaluating whether China should maintain this 'wait and see' approach or should instead switch towards a more assertive position, both internationally and domestically, especially one which includes the adoption of a space resources utilization act.

Costs of implementing integrated community case management (iCCM) in six African countries: implications for sustainability.

Science.gov (United States)

Daviaud, Emmanuelle; Besada, Donnela; Leon, Natalie; Rohde, Sarah; Sanders, David; Oliphant, Nicholas; Doherty, Tanya

2017-06-01

Sub-Saharan Africa still reports the highest rates of under-five mortality. Low cost, high impact interventions exist, however poor access remains a challenge. Integrated community case management (iCCM) was introduced to improve access to essential services for children 2-59 months through diagnosis, treatment and referral services by community health workers for malaria, pneumonia and diarrhea. This paper presents the results of an economic analysis of iCCM implementation in regions supported by UNICEF in six countries and assesses country-level scale-up implications. The paper focuses on costs to provider (health system and donors) to inform planning and budgeting, and does not cover cost-effectiveness. The analysis combines annualised set-up costs and 1 year implementation costs to calculate incremental economic and financial costs per treatment from a provider perspective. Affordability is assessed by calculating the per capita financial cost of the program as a percentage of the public health expenditure per capita. Time and financial implications of a 30% increase in utilization were modeled. Country scale-up is modeled for all children under 5 in rural areas. Utilization of iCCM services varied from 0.05 treatment/y/under-five in Ethiopia to over 1 in Niger. There were between 10 and 603 treatments/community health worker (CHW)/y. Consultation cost represented between 93% and 22% of economic costs per treatment influenced by the level of utilization. Weighted economic cost per treatment ranged from US$ 13 (2015 USD) in Ghana to US$ 2 in Malawi. CHWs spent from 1 to 9 hours a week on iCCM. A 30% increase in utilization would add up to 2 hours a week, but reduce cost per treatment (by 20% in countries with low utilization). Country scale up would amount to under US$ 0.8 per capita total population (US$ 0.06-US$0.74), between 0.5% and 2% of public health expenditure per capita but 8% in Niger. iCCM addresses unmet needs and impacts on under 5 mortality. An

Counterproliferation, Border Security and Counterterrorism Subject-Related Laws and Regulations, Including Export Control Regimes in South-Eastern European Countries

International Nuclear Information System (INIS)

Bokan, S.

2007-01-01

gaps exist, much less fill them. All this suggests that, to fulfil obligations under UNSC Resolutions 1540 and 1373, States must enact harmonized criminal prohibitions and authorization for law enforcement cooperation in order to establish a seamless web of security among all nations. Failure to do so implicitly poses a threat to international peace and security. One of the main issues which deserve to be further addressed and which prompts the continuation of the Southeast Europe Counterproliferation, Borger Security and Counterterrorism (CBSC) Working Group is to harmonize national laws and regulations that deal with deterring, detecting and interdicting WMD. Inventory of relevant CBSC subject-related laws of the Southeast Europe countries, including Export Control Laws was created and prepared for further consideration and harmonization by judiciary experts, with the aim to develop m odel laws . Let me very briefly present you the main features of the SEDM CBSC subject-related laws and regulations. This paper will present that inventory which includes the membership in the international Conventions, Treaties and Arrangements and also the membership in Multilateral Export Control Regimes of Southeast Europe countries. Also, it will be presented the membership in the international legal instruments that play an integral part in the global fight against terrorism. (author)

Development of beam utilization/application technology

Energy Technology Data Exchange (ETDEWEB)

Choi, B H; Kim, Y K; Song, T Y [and others

1999-05-01

High power proton accelerator is considered as one of national fundamental research facilities and a key to advanced nuclear technology development, having been widely used in an un detachable relationship with nuclear research in advanced countries. The high power proton accelerator will be installed in several phases as an up front facility of the nuclear waste transmutation system. It is expected that a common understanding and a general agreement over proper utilization of the accelerator should be deduced and that a user program for beam utilization and application should be firmly established in time for the completion of each phase of the accelerator. This high power proton accelerator will consist of several component accelerators and, from up front, accelerators such as injector, RFQ, CCDTL, etc. will be installed in sequence and deliver respectively at each stage beams of 3MeV, 20MeV, 100Mev, etc. to be variously utilized forindustries, defence industry, medical treatment, environmental protection and basic science research. In order for the accelerator to be fully utilized as a national fundamental research facility beyond nuclear field, it is necessary to formulate a proceeding plan of the user program for the accelerator and to cultivate industrial utilization/application studies of proton beams accelerated by injector or RFQ of the accelerator. (author). 38 refs., 84 tabs., 39 figs.

Development of beam utilization/application technology

International Nuclear Information System (INIS)

Choi, B. H.; Kim, Y.K.; Song, T.Y.

1999-05-01

High power proton accelerator is considered as one of national fundamental research facilities and a key to advanced nuclear technology development, having been widely used in an un detachable relationship with nuclear research in advanced countries. The high power proton accelerator will be installed in several phases as an up front facility of the nuclear waste transmutation system. It is expected that a common understanding and a general agreement over proper utilization of the accelerator should be deduced and that a user program for beam utilization and application should be firmly established in time for the completion of each phase of the accelerator. This high power proton accelerator will consist of several component accelerators and, from up front, accelerators such as injector, RFQ, CCDTL, etc. will be installed in sequence and deliver respectively at each stage beams of 3MeV, 20MeV, 100Mev, etc. to be variously utilized for industries, defence industry, medical treatment, environmental protection and basic science research. In order for the accelerator to be fully utilized as a national fundamental research facility beyond nuclear field, it is necessary to formulate a proceeding plan of the user program for the accelerator and to cultivate industrial utilization/application studies of proton beams accelerated by injector or RFQ of the accelerator. (author). 38 refs., 84 tabs., 39 figs

Management practices utilization in organizations – A comparison between catching-up and well-developed economies

Directory of Open Access Journals (Sweden)

Vojko Potočan

2016-01-01

Full Text Available The main purpose of this paper is to examine the utilization of management practices in catching-up and well-developed economies. Within that framework, the paper examines the utilization of management practices in Slovenian and Croatian organizations, as both are considered the representatives of catching-up economies from Central and East Europe (CEE, while also comparing the utilization of management practices in the two selected economies to the global use of management practices. Evidences about management practices utilization reveal that in well-developed economies in the forefront are management practices aiming to support customer relationship management, strength customer relations and customer satisfaction, while in Slovenia and Croatia prevail practices that are oriented toward optimization of the business and its processes. Based on the research results and the situation in organizations, a possible future pattern of management practice utilization in organizations operating in catching up economies is outlined, with the aim to reduce the developmental lag and increase competitiveness of those organizations. The paper also provides several practical implications for future utilization of management practices in catching-up economies. The sample of catching up-countries includes 155 responses from employees in Slovenian organizations and 185 from Croatian ones. Data for samples from well-developed economies are obtained from a global survey of management practices.

The Agency's technical co-operation programme in the Islamic Republic of Iran 1982-1995 country programme evaluation review

International Nuclear Information System (INIS)

1996-07-01

This evaluation of the country programme in Iran was requested by the Government of the Islamic Republic of Iran. The main reasons for the evaluation were the desire to determine the results of the Agency's TC programme in Iran since 1982 (the post-revolution period) and how they are being utilized, and to identify specific areas for future co-operation. The evaluation included a two-week field mission during November/December 1995, integrated by three outside experts and one Agency staff member. Figs, tabs

Medicines coverage and community-based health insurance in low-income countries

Directory of Open Access Journals (Sweden)

Wagner Anita K

2008-10-01

Full Text Available Abstract Objectives The 2004 International Conference on Improving Use of Medicines recommended that emerging and expanding health insurances in low-income countries focus on improving access to and use of medicines. In recent years, Community-based Health Insurance (CHI schemes have multiplied, with mounting evidence of their positive effects on financial protection and resource mobilization for healthcare in poor settings. Using literature review and qualitative interviews, this paper investigates whether and how CHI expands access to medicines in low-income countries. Methods We used three complementary data collection approaches: (1 analysis of WHO National Health Accounts (NHA and available results from the World Health Survey (WHS; (2 review of peer-reviewed articles published since 2002 and documents posted online by national insurance programs and international organizations; (3 structured interviews of CHI managers about key issues related to medicines benefit packages in Lao PDR and Rwanda. Results In low-income countries, only two percent of WHS respondents with voluntary insurance belong to the lowest income quintile, suggesting very low CHI penetration among the poor. Yet according to the WHS, medicines are the largest reported component of out-of-pocket payments for healthcare in these countries (median 41.7% and this proportion is inversely associated with income quintile. Publications have mentioned over a thousand CHI schemes in 19 low-income countries, usually without in-depth description of the type, extent, or adequacy of medicines coverage. Evidence from the literature is scarce about how coverage affects medicines utilization or how schemes use cost-containment tools like co-payments and formularies. On the other hand, interviews found that medicines may represent up to 80% of CHI expenditures. Conclusion This paper highlights the paucity of evidence about medicines coverage in CHI. Given the policy commitment to expand CHI

Community perceptions and factors influencing utilization of health services in Uganda

Directory of Open Access Journals (Sweden)

Galea Sandro

2009-07-01

Full Text Available Abstract Background Healthcare utilization has particular relevance as a public health and development issue. Unlike material and human capital, there is little empirical evidence on the utility of social resources in overcoming barriers to healthcare utilization in a developing country context. We sought to assess the relevance of social resources in overcoming barriers to healthcare utilization. Study Objective To explore community perceptions among three different wealth categories on factors influencing healthcare utilization in Eastern Uganda. Methods We used a qualitative study design using Focus Group Discussions (FGD to conduct the study. Community meetings were initially held to identify FGD participants in the different wealth categories, ('least poor', 'medium' and 'poorest' using poverty ranking based on ownership of assets and income sources. Nine FGDs from three homogenous wealth categories were conducted. Data from the FGDs was analyzed using content analysis revealing common barriers as well as facilitating factors for healthcare service utilization by wealth categories. The Health Access Livelihood Framework was used to examine and interpret the findings. Results Barriers to healthcare utilization exist for all the wealth categories along three different axes including: the health seeking process; health services delivery; and the ownership of livelihood assets. Income source, transport ownership, and health literacy were reported as centrally useful in overcoming some barriers to healthcare utilization for the 'least poor' and 'poor' wealth categories. The 'poorest' wealth category was keen to utilize free public health services. Conversely, there are perceptions that public health facilities were perceived to offer low quality care with chronic gaps such as shortages of essential supplies. In addition to individual material resources and the availability of free public healthcare services, social resources are perceived as

Predicting Maternal Health Care Use by Age at Marriage in Multiple Countries.

Science.gov (United States)

Godha, Deepali; Gage, Anastasia J; Hotchkiss, David R; Cappa, Claudia

2016-05-01

In light of the global pervasiveness of child marriage and given that improving maternal health care use is an effective strategy in reducing maternal and child morbidity and mortality, the available empirical evidence on the association of child marriage with maternal health care utilization seems woefully inadequate. Furthermore, existing studies have not considered the interaction of type of place of residence and parity with child marriage, which can give added insight to program managers. Demographic Health Survey data for seven countries are used to estimate logistic regression models including interactions of age at marriage with area of residence and birth order. Adjusted predicted probabilities at representative values and marginal effects are computed for each outcome. The results show a negative association between child marriage and maternal health care use in most study countries, and this association is more negative in rural areas and with higher orders of parity. However, the association between age at marriage and maternal health care use is not straightforward but depends on parity and area of residence and varies across countries. The marginal effects in use of delivery care services between women married at age 14 years or younger and those married at age 18 years or older are more than 10% and highly significant in Bangladesh, Burkina Faso, and Nepal. The study's findings call for the formulation of country-and age at marriage-specific recommendations to improve maternal and child health outcomes. Copyright © 2016 Society for Adolescent Health and Medicine. Published by Elsevier Inc. All rights reserved.

Comparative analysis of large biomass & coal co-utilization units

NARCIS (Netherlands)

Liszka, M.; Nowak, G.; Ptasinski, K.J.; Favrat, D.; Marechal, F.

2010-01-01

The co-utilization of coal and biomass in large power units is considered in many countries (e.g. Poland) as fast and effective way of increasing renewable energy share in the fuel mix. Such a method of biomass use is especially suitable for power systems where solid fuels (hard coal, lignite) are

Utilization of colemanite as a radiation protection material

International Nuclear Information System (INIS)

Bayulken, Ahmet; Aksut, Cem

1986-01-01

In experiments utilizing neutrons, a good shielding is very important. For developing countries, economics of the protection system is also a very important factor. In this work, a new material for protection blocks is investigated. These blocks are fabricated with colemanite powder in a paraffin wax matrix, and their behaviour as a neutron shield are investigated with a Pu-Be neutron source. (author)

Human resource development for nuclear generation - from the perspective of a utility company

Science.gov (United States)

Kahar, Wan Shakirah Wan Abdul; Mostafa, Nor Azlan; Salim, Mohd Faiz

2017-01-01

Malaysia is currently in the planning phase of its nuclear power program, with the first unit targeted to be operational in 2030. Training of nuclear power plant (NPP) staffs are usually long and rigorous due to the complexity and safety aspects of nuclear power. As the sole electricity utility in the country, it is therefore essential that Tenaga Nasional Berhad (TNB) prepares early in developing its human resource and nuclear expertise as a potential NPP owner-operator. A utility also has to be prudent in managing its work force efficiently and effectively, while ensuring that adequate preparations are being made to acquire the necessary nuclear knowledge with sufficient training lead time. There are several approaches to training that can be taken by a utility company with no experience in nuclear power. These include conducting feasibility studies and benchmarking exercises, preparing long term human resource development, increasing the exposure on nuclear power technology to both the top management and general staff, and employing the assistance of relevant agencies locally and abroad. This paper discusses the activities done and steps taken by TNB in its human resource development for Malaysia's nuclear power program.

Measures for diffusion of solar PV in selected African countries

DEFF Research Database (Denmark)

Nygaard, Ivan; Hansen, Ulrich Elmer; Mackenzie, Gordon A.

2017-01-01

that governments’ strategies to promoting solar PV are moving from isolated projects towards frameworks for market development and that there are high expectations to upgrading in the PV value chain through local assembly of panels and local production of other system elements. Commonly identified measures include......This paper investigates how African governments are considering supporting and promoting the diffusion of solar PV. This issue is explored by examining so-called ‘technology action plans (TAPs)’, which were main outputs of the Technology Needs Assessment project implemented in 10 African countries...... from 2010 to 2013. The paper provides a review of three distinct but characteristic trajectories for PV market development in Kenya (private-led market for solar home systems), Morocco (utility-led fee-for service model) and Rwanda (donorled market for institutional systems). The paper finds...

The Effect of Armed Conflict on the Utilization of Maternal Health Services in Uganda: A Population-based Study.

Science.gov (United States)

Namasivayam, Amrita; Arcos González, Pedro; Castro Delgado, Rafael; Chi, Primus Che

2017-10-03

Maternal mortality rates can be adversely affected by armed conflict, implying a greater level of vulnerability among women, and is often linked to the lack of or limited access to maternal healthcare during conflict. Previous research in Uganda has shown that armed conflict negatively impacts women's utilization of maternal healthcare services for a multitude of reasons at the individual, health-system and political levels. This study compared aggregated Demographic and Health Surveys data from 13 districts in Northern Uganda, a conflict-affected region, with data from the rest of the country, for the use of maternal healthcare services for the years 1988, 1995, 2000, 2006 and 2011, using statistical analyses and logistic regression. Specific indicators for maternal healthcare utilization included contraceptive use, antenatal care, skilled assistance at birth and institutional delivery. Use of contraception and institutional deliveries among women in Northern Uganda was significantly lower compared to the rest of the country. However, skilled assistance at birth among women in Northern Uganda was significantly higher. The findings in this study show that armed conflict can have a negative impact on aspects of maternal healthcare such as contraceptive use and institutional deliveries; however, other indicators such as skilled assistance at birth were seen to be better among conflict-affected populations. This reiterates the complex nature of armed conflict and the interplay of different factors such as conflict intensity, existing health systems and services, and humanitarian interventions that could influence maternal healthcare utilization. Armed conflict, maternal health utilization, Northern Uganda, contraception, skilled assistance at birth, antenatal care, institutional delivery.

What Is the Role of Informal Healthcare Providers in Developing Countries? A Systematic Review

Science.gov (United States)

Sudhinaraset, May; Ingram, Matthew; Lofthouse, Heather Kinlaw; Montagu, Dominic

2013-01-01

Informal health care providers (IPs) comprise a significant component of health systems in developing nations. Yet little is known about the most basic characteristics of performance, cost, quality, utilization, and size of this sector. To address this gap we conducted a comprehensive literature review on the informal health care sector in developing countries. We searched for studies published since 2000 through electronic databases PubMed, Google Scholar, and relevant grey literature from The New York Academy of Medicine, The World Bank, The Center for Global Development, USAID, SHOPS (formerly PSP-One), The World Health Organization, DFID, Human Resources for Health Global Resource Center. In total, 334 articles were retrieved, and 122 met inclusion criteria and chosen for data abstraction. Results indicate that IPs make up a significant portion of the healthcare sector globally, with almost half of studies (48%) from Sub-Saharan Africa. Utilization estimates from 24 studies in the literature of IP for healthcare services ranged from 9% to 90% of all healthcare interactions, depending on the country, the disease in question, and methods of measurement. IPs operate in a variety of health areas, although baseline information on quality is notably incomplete and poor quality of care is generally assumed. There was a wide variation in how quality of care is measured. The review found that IPs reported inadequate drug provision, poor adherence to clinical national guidelines, and that there were gaps in knowledge and provider practice; however, studies also found that the formal sector also reported poor provider practices. Reasons for using IPs included convenience, affordability, and social and cultural effects. Recommendations from the literature amount to a call for more engagement with the IP sector. IPs are a large component of nearly all developing country health systems. Research and policies of engagement are needed. PMID:23405101

Country-specific determinants of world university rankings.

Science.gov (United States)

Pietrucha, Jacek

2018-01-01

This paper examines country-specific factors that affect the three most influential world university rankings (the Academic Ranking of World Universities, the QS World University Ranking, and the Times Higher Education World University Ranking). We run a cross sectional regression that covers 42-71 countries (depending on the ranking and data availability). We show that the position of universities from a country in the ranking is determined by the following country-specific variables: economic potential of the country, research and development expenditure, long-term political stability (freedom from war, occupation, coups and major changes in the political system), and institutional variables, including government effectiveness.

Different initiatives across Europe to enhance losartan utilization post generics: impact and implications

Science.gov (United States)

Moon, James C.; Godman, Brian; Petzold, Max; Alvarez-Madrazo, Samantha; Bennett, Kathleen; Bishop, Iain; Bucsics, Anna; Hesse, Ulrik; Martin, Andrew; Simoens, Steven; Zara, Corinne; Malmström, Rickard E.

2014-01-01

Introduction: There is an urgent need for health authorities across Europe to fully realize potential savings from increased use of generics to sustain their healthcare systems. A variety of strategies were used across Europe following the availability of generic losartan, the first angiotensin receptor blocker (ARB) to be approved and marketed, to enhance its prescribing vs. single-sourced drugs in the class. Demand-side strategies ranged from 100% co-payment for single-sourced ARBs in Denmark to no specific measures. We hypothesized this heterogeneity of approaches would provide opportunities to explore prescribing in a class following patent expiry. Objective: Contrast the impact of the different approaches among European countries and regions to the availability of generic losartan to provide future guidance. Methodology: Retrospective segmented regression analyses applying linear random coefficient models with country specific intercepts and slopes were used to assess the impact of the various initiatives across Europe following the availability of generic losartan. Utilization measured in defined daily doses (DDDs). Price reductions for generic losartan were also measured. Results: Utilization of losartan was over 90% of all ARBs in Denmark by the study end. Multiple measures in Sweden and one English primary care group also appreciably enhanced losartan utilization. Losartan utilization actually fell in some countries with no specific demand-side measures. Considerable differences were seen in the prices of generic losartan. Conclusion: Delisting single-sourced ARBs produced the greatest increase in losartan utilization. Overall, multiple demand-side measures are needed to change physician prescribing habits to fully realize savings from generics. There is no apparent “spill over” effect from one class to another to influence future prescribing patterns even if these are closely related. PMID:25339902

The feasibility and appropriateness of introducing nursing curricula from developed countries into developing countries: a comprehensive systematic review.

Science.gov (United States)

Jayasekara, Rasika; Schultz, Tim

2006-09-01

Objectives  The objective of this review was to appraise and synthesise the best available evidence on the feasibility and appropriateness of introducing nursing curricula from developed countries into developing countries. Inclusion criteria  This review considered quantitative and qualitative research papers that addressed the feasibility and appropriateness of introducing developed countries' nursing curricula into developing countries. Papers of the highest level of evidence rating were given priority. Participants of interest were all levels of nursing staff, nursing students, healthcare consumers and healthcare administrators. Outcomes of interest that are relevant to the evaluation of undergraduate nursing curricula were considered in the review including cost-effectiveness, cultural relevancy, adaptability, consumer satisfaction and student satisfaction. Search strategy  The search strategy sought to find both published and unpublished studies and papers, limited to the English language. An initial limited search of MEDLINE and CINAHL was undertaken followed by an analysis of the text words contained in the title and abstract, and of the index terms used to describe the article. A second extensive search was then undertaken using all identified key words and index terms. Finally, the reference list of all identified reports and articles was searched, the contents pages of a few relevant journals were hand searched and experts in the field were contacted to find any relevant studies missed from the first two searches. Methodological quality  Each paper was assessed by two independent reviewers for methodological quality before inclusion in the review using an appropriate critical appraisal instrument from the System for the Unified Management, Assessment and Review of Information (SUMARI) package. Results  A total of four papers, including one descriptive study and three textual papers, were included in the review. Because of the diverse nature of

Cost of skeletal complications from bone metastases in six European countries.

Science.gov (United States)

Pereira, J; Body, J-J; Gunther, O; Sleeboom, H; Hechmati, G; Maniadakis, N; Terpos, E; Acklin, Y P; Finek, J; von Moos, R

2016-06-01

Objective Patients with bone metastases or lesions secondary to solid tumors or multiple myeloma often experience bone complications (skeletal-related events [SREs]-radiation to bone, pathologic fracture, surgery to bone, and spinal cord compression); however, recent data that can be used to assess the value of treatments to prevent SREs across European countries are limited. This study aimed to provide estimates of health resource utilization (HRU) and cost associated with all SRE types in Europe. HRU data were reported previously; cost data are reported herein. Methods Eligible patients from 49 centers across Austria (n = 57), the Czech Republic (n = 59), Finland (n = 60), Greece (n = 59), Portugal (n = 59), and Sweden (n = 62) had bone metastases or lesions secondary to breast, lung, or prostate cancer, or multiple myeloma, and ≥1 index SRE (a SRE preceded by a SRE-free period of ≥ 6.5 months). SRE-related costs were estimated from a payer perspective using health resource utilization data from patient charts (before and after the index SRE diagnosis). Country-specific unit costs were from 2010 and local currencies were converted to 2010 euros. Results The mean costs across countries were €7043, €5242, €11,101, and €11,509 per radiation to bone, pathologic fracture, surgery to bone, and spinal cord compression event, respectively. Purchasing power parity (PPP)-adjusted mean cost ratios were similar in most countries, with the exception of radiation to bone. Limitations The overall burden of SREs may have been under-estimated owing to home visits and evaluations outside the hospital setting not being reported here. Conclusions All SREs were associated with substantial costs. Variation in SRE-associated costs between countries was most likely driven by differences in treatment practices and unit costs.

Reaching a consensus. "Global issues, including environmental ones, are things to be solved with the cooperation of developed and developing countries".

Science.gov (United States)

Hiraiwa, G

1998-01-01

This article is an excerpt of a speech given by the Honorary Chairman of the Japan Federation of Economic Organizations at the Common Agenda Roundtable meeting in February 1996. The Common Agenda is a bilateral cooperative effort between the US and Japan, which was established in July 1993, to address common concerns through a public-private partnership. The roundtable membership includes about 50 persons who have a range of expertise and professions including scholars, journalists, civil society organizations, and businesses. There have been about 10 Roundtable meetings over the past 2 years. Each meeting includes a report by the deputy minister of foreign affairs on progress made under the Common Agenda. Members exchange views in lively debate and meet with senior government officials. The US-Japan Partnerships on Environmental Awareness and Education were held in April 1997, in Tokyo. The February 1998 meeting with 60 participants was held in Washington, DC, on the Global Context of Civil Society. The workshops focused on the ways that cooperation with civil society organizations, businesses, and governments can be reinforced in the areas of population, health, and the environment. The workshop resulted in effective proposals. This speaker urges that the US and Japan reach as many agreements as possible; that some of the agreements result quickly in Common Agenda projects; and that each country will produce a private sector organization to support the Common Agenda. This effort is moving in new directions and offers a consensus of concerns for the environment.

A Comparative Assessment of Higher Education Financing in Six Arab Countries

Science.gov (United States)

El-Araby, Ashraf

2011-01-01

This study analyses the policies for financing higher education in six Arab countries: Egypt, Jordan, Lebanon, Morocco, Syria, and Tunisia. It assesses the adequacy of spending on higher education, the efficiency with which resources are utilized, and the equity implications of resource allocations. Based on six detailed case studies, this…

Use of migrants' remittances in labor-exporting countries.

Science.gov (United States)

Chandavarkar, A G

1980-06-01

For many developing countries, migrant workers' remittances comprise a substantial proportion of foreign exchange earnings. The most important macroeconomic requisite for inducing remittances through official channels is a realistic single rate of exchange for the currency of the labor exporting country. Convenient facilities for holding remittances in approved foreign currency accounts with banks in the country of origin are another useful incentive for attracting migrants' funds. In addition, policies must be formulated to ensure the optimal use, sectoral and regional, of cash remittances. There is a choice between consumption, saving, and investment. Generally, remittances have contributed little to the longterm development potential of most labor exporting countries. This reflects the lack of a coherent policy to mobilize the savings from remittances into productive investment. The 1st priority, given the lack of financial and managerial skills in many migrant households, is the creation of a specialized institution or specialized units within existing banks for remittances. It is important as well to ensure that remittances are utilized to inculcate a savings psychology among recipients. This can be achieved through the creation of contractual savings schemes and the linkage of savings to credit facilities. Such measures are contingent upon an adequate spread of banking facilities in rural areas and the development of an appropriate intermediate financial technology in the labor exporting countries. Institutional banking will have to adapt lending procedures to the viability of projects rather than to the availability of collateral. Advantageous interest rates in rural areas are also necessary to redress the urban bias of the financial system in developing countries.

Effective Comparison of Global Financial Crisis (2007 on Inflation of OPEC Countries and Selected Countries of G8

Directory of Open Access Journals (Sweden)

Yazdan Naghdi

2013-09-01

Full Text Available This study has attempted to examine and compare the effects of 2007 financial crisis on inflation in OPEC countries and selected countries of G8, based on a panel data regression model during 2000-2010. It should be noted that the selected countries of G8 group are 5 industrial countries member of this group, including: America, Italy, Britain, France and Japan, that crisis has been seen faster in them than other countries. Growth economic variables (real sector of the economy, oil price and stock price index (i.e. financial market have been considered as affected shared variables of the financial crisis in both countries group. According to the obtained results, the only affected variable by the crisis in OPEC countries, is oil price which has positive and significant effect on inflation in the above mentioned countries so that one percent increase in oil price lead to about 0.08 percent increase on inflation, on the other hand, according to survey results there is no relationship between output and inflation in OPEC countries, so it reflects weak manufacturing structure sector (real sector of the economy in these countries

Country clustering applied to the water and sanitation sector: a new tool with potential applications in research and policy.

Science.gov (United States)

Onda, Kyle; Crocker, Jonny; Kayser, Georgia Lyn; Bartram, Jamie

2014-03-01

The fields of global health and international development commonly cluster countries by geography and income to target resources and describe progress. For any given sector of interest, a range of relevant indicators can serve as a more appropriate basis for classification. We create a new typology of country clusters specific to the water and sanitation (WatSan) sector based on similarities across multiple WatSan-related indicators. After a literature review and consultation with experts in the WatSan sector, nine indicators were selected. Indicator selection was based on relevance to and suggested influence on national water and sanitation service delivery, and to maximize data availability across as many countries as possible. A hierarchical clustering method and a gap statistic analysis were used to group countries into a natural number of relevant clusters. Two stages of clustering resulted in five clusters, representing 156 countries or 6.75 billion people. The five clusters were not well explained by income or geography, and were distinct from existing country clusters used in international development. Analysis of these five clusters revealed that they were more compact and well separated than United Nations and World Bank country clusters. This analysis and resulting country typology suggest that previous geography- or income-based country groupings can be improved upon for applications in the WatSan sector by utilizing globally available WatSan-related indicators. Potential applications include guiding and discussing research, informing policy, improving resource targeting, describing sector progress, and identifying critical knowledge gaps in the WatSan sector. Copyright © 2013 Elsevier GmbH. All rights reserved.

Country brand equity model: Sustainability perspective

Directory of Open Access Journals (Sweden)

Teodorović Milivoj

2016-01-01

Full Text Available This paper proposes a model of country brand equity that incorporates the issue of sustainability in determining destination brand equity. In particular, the model includes elements of sustainability as its core dimensions and promotes the concept of the country sustainability promise that transforms destination resources into the positive perception and experience. The theoretical model is empirically tested using global secondary data confirming that country image is the most important element followed by sustainability and loyalty. Also, the analysis suggests the existence of the higher order construct confirming the country brand equity concept. Based on the research findings, the article offers some implications to the destination managers by suggesting the direction for further development and strategy implementation.

Health-care utilization and associated factors in Gauteng province, South Africa.

Science.gov (United States)

Abera Abaerei, Admas; Ncayiyana, Jabulani; Levin, Jonathan

2017-01-01

More than a billion people, mainly in low- and middle-income countries, are unable to access needed health-care services for a variety of reasons. Possible factors influencing health-care utilization include socio-demographic and economic factors such as age, sex, education, employment and income. However, different studies have showed mixed results. Moreover, there are limited studies on health-care utilization. This study aimed to determine health-care utilization and associated factors among all residents aged 18 or over in Gauteng province, South Africa. A cross-sectional study was conducted from data collected for a Quality of Life survey which was carried out by Gauteng City-Region Observatory in 2013. Simple random sampling was used to select participants. A total of 27,490 participants have been interviewed. Data were collected via a digital data collection instrument using an open source system called Formhub. Coarsened Exact Matching (CEM) was used to improve estimation of causal effects. Stepwise multiple logistic regression was employed to identify factors associated with health-care utilization. Around 95.7% reported usually utilizing health-care services while the other 4.3% reported not having sought health-care services of any type. Around 75% of participants reported reduced quality of public health services as a major reason not to visit them. Higher odds of reported health-care utilization were associated with being female (OR = 2.18, 95% CI: 1.88-2.53; p immigrant (OR = 0.61, 95% CI: 0.53-0.70; p < 0.001). The results indicated that there is a need to improve the quality of public health-care services and perception towards them as improved health-care quality increases the choice of health-care providers.

Utilities objectives

International Nuclear Information System (INIS)

Cousin, Y.; Fabian, H.U.

1996-01-01

The policy of French and german utilities is to make use of nuclear energy as a long term, competitive and environmentally friendly power supply. The world electricity generation is due to double within the next 30 years. In the next 20 to 30 years the necessity of nuclear energy will be broadly recognized. More than for most industries, to deal properly with nuclear energy requires the combination of a consistent political will, of a proper institutional framework, of strong and legitimate control authorities, of a sophisticated industry and of operators with skilled management and human resources. One of the major risk facing nuclear energy is the loss of competitiveness. This can be achieved only through the combination of an optimized design, a consistent standardization, a proper industrial partnership and a stable long term strategy. Although the existing plants in Western Europe are already very safe, the policy is clearly to enhance the safety of the next generation of nuclear plants which are designing today. The French and German utilities have chosen an evolutionary approach based on experience and proven technologies, with an enhanced defense in depth and an objective of easier operation and maintenance. The cost objective is to maintain and improve what has been achieved in the best existing power plants in both countries. This calls for rational choices and optimized design to meet the safety objectives, a strong standardization policy, short construction times, high availability and enough flexibility to enable optimization of the fuel cycle throughout the lifetime of the plants. The conceptual design phase has proven that the French and German teams from industry and from the utilities are able to pursue both the safety and the cost objectives, basing their decision on a rational approach which could be accepted by the safety authorities. (J.S.)

Utilization of antenatal care services among teenagers in Ethiopia: A ...

African Journals Online (AJOL)

Background: Teenaged women suffer from a disproportionate share of reproductive health problem. The purpose of this study was to estimate the utilization of antenatal care (ANC) services among teenagers (13-19 years) during delivery in Ethiopia. Methodology: Raw data collected from all part of the country on child ...

Impact of cost sharing on utilization of primary health care Services ...

African Journals Online (AJOL)

impact of cost sharing on health-care utilization as viewed from both the providers and beneficiary ... Policy reform for user fees in public health care in poor countries was derived ..... 10,000 (equivalent to US$ 6.25) annually. In return, one gets.

Dealing with the paradox of energy efficiency promotion by electric utilities

International Nuclear Information System (INIS)

Sousa, José Luís; Martins, António Gomes; Jorge, Humberto

2013-01-01

Utility-based Demand-Side Management (DSM) programmes started after the oil crises of the 70's and were adopted by utilities as a standard practice. However, deregulation of the electricity industry threatened DSM. More recent concerns regarding energy dependence and environmental impact of energy use caused renewed attention on the utilities role in energy efficiency fostering. EE is presently a cross-cutting issue, influencing energy policy definition and regulatory activity worldwide. Some instruments for influencing the behaviour of electric utilities in the market are used by regulators, corresponding to both impositions and stimuli, such as defining savings targets or decoupling profits from energy sales. The paper addresses categories of regulatory instruments and refers to examples of countries and regions using these identified categories of instruments. Although some cases show voluntary involvement of utilities in EE promotion on the grounds of customer retention strategies, there is a clear prevalence of regulatory constrained markets where utilities rationally engage in energy efficiency promotion

The economic impact of assisted reproductive technology: a review of selected developed countries.

Science.gov (United States)

Chambers, Georgina M; Sullivan, Elizabeth A; Ishihara, Osamu; Chapman, Michael G; Adamson, G David

2009-06-01

To compare regulatory and economic aspects of assisted reproductive technologies (ART) in developed countries. Comparative policy and economic analysis. Couples undergoing ART treatment in the United States, Canada, United Kingdom, Scandinavia, Japan, and Australia. Description of regulatory and financing arrangements, cycle costs, cost-effectiveness ratios, total expenditure, utilization, and price elasticity. Regulation and financing of ART share few general characteristics in developed countries. The cost of treatment reflects the costliness of the underlying healthcare system rather than the regulatory or funding environment. The cost (in 2006 United States dollars) of a standard IVF cycle ranged from $12,513 in the United States to $3,956 in Japan. The cost per live birth was highest in the United States and United Kingdom ($41,132 and $40,364, respectively) and lowest in Scandinavia and Japan ($24,485 and $24,329, respectively). The cost of an IVF cycle after government subsidization ranged from 50% of annual disposable income in the United States to 6% in Australia. The cost of ART treatment did not exceed 0.25% of total healthcare expenditure in any country. Australia and Scandinavia were the only country/region to reach levels of utilization approximating demand, with North America meeting only 24% of estimated demand. Demand displayed variable price elasticity. Assisted reproductive technology is expensive from a patient perspective but not from a societal perspective. Only countries with funding arrangements that minimize out-of-pocket expenses met expected demand. Funding mechanisms should maximize efficiency and equity of access while minimizing the potential harm from multiple births.

Including sustainability issues in nurse education: A comparative study of first year student nurses' attitudes in four European countries

NARCIS (Netherlands)

Richardson, Janet; Heidenreich, Thomas; Álvarez-Nieto, Carmen; Fasseur, F; Grose, Jane; Huss, N; Huynen, Maud; López-Medina, IM; A, Schweizer

2016-01-01

INTRODUCTION: Education in sustainable development is a goal recognised by a large number of countries and a vital concept in healthcare. It is therefore important that nurse education incorporates elements of sustainable development into nursing education curricula. However, there is limited

Energy statistics and balances of non-OECD countries 1993-1994

International Nuclear Information System (INIS)

1996-01-01

Contains a compilation of energy supply and consumption statistics for more than 100 non-OECD countries and regions, including developing countries Central and Eastern European countries and the former USSR. Data are expressed in original units and in common units for coal, oil, gas, electricity, heat and combustible renewable and waste. Historical tables for both individual countries and regions summarize data on coal, oil, gas and electricity production, trade and consumption as well as main energy and economic indicators since 1971. Each issue includes definitions of products and flows and notes on the individual countries as well as conversion factors from original units to common energy units. Similar data for OECD are available in the IEA Energy Statistics and Energy Balances of OECD Countries. (author)

Joint research project to develop a training course or nuclear policy decision makers and planners in developing countries between KAERI and IAEA

International Nuclear Information System (INIS)

Lee, E. J.; Suh, I. S.; Lee, H. Y. and others

2000-12-01

KAERI developed training course curricula on nuclear power policy and planning for decision makers and planners in developing countries under the assistance of the IAEA. It was utilized two IAEA staff members and a Korean consultation group were utilized for the development of curricula. Curriculum consists of training objectives, training contents in modular basis, detailed contents of each training module, training setting, training duration, session hours, and entry requirements of audience. One is workshop on nuclear energy policy for high-level decision makers in developing countries. The other is training course on nuclear power planning and project management for middle level managers in developing countries. The textbook in English will be printed by the end of February in 2001. Developed curricula will be implemented for Vietnam high level nuclear decision makers, middle level managers in developing countries and north Korea nuclear high level decision makers in 2001. These training courses' curricula and textbook will be utilized as basic technical documents to promote the national nuclear bilateral technical cooperation programs with Morocco, Egypt, Bangladesh, Indonesia, Ukraine, etc

Joint research project to develop a training course or nuclear policy decision makers and planners in developing countries between KAERI and IAEA

Energy Technology Data Exchange (ETDEWEB)

Lee, E. J.; Suh, I. S.; Lee, H. Y. and others

2000-12-01

KAERI developed training course curricula on nuclear power policy and planning for decision makers and planners in developing countries under the assistance of the IAEA. It was utilized two IAEA staff members and a Korean consultation group were utilized for the development of curricula. Curriculum consists of training objectives, training contents in modular basis, detailed contents of each training module, training setting, training duration, session hours, and entry requirements of audience. One is workshop on nuclear energy policy for high-level decision makers in developing countries. The other is training course on nuclear power planning and project management for middle level managers in developing countries. The textbook in English will be printed by the end of February in 2001. Developed curricula will be implemented for Vietnam high level nuclear decision makers, middle level managers in developing countries and north Korea nuclear high level decision makers in 2001. These training courses' curricula and textbook will be utilized as basic technical documents to promote the national nuclear bilateral technical cooperation programs with Morocco, Egypt, Bangladesh, Indonesia, Ukraine, etc.

UN-ECE task force: 'by-product utilization from stationary installations'

International Nuclear Information System (INIS)

Hackl, A. E.; Zehetner, G.

1996-09-01

The task force has concluded as followed: Major sources of by-products considered in this report from stationary installations are large scale firing installations, waste incineration, upgrading processes and utilization in iron and steel, aluminium and copper industry, and the pulp and paper industry. The share of each sector source to the total amount of by-products generated differs significantly in the participating countries. State of the art processes as described in the report take account of the need for integrated pollution prevention and control. In particular the requirements set out in the Convention on Long Range Transboundary Air Pollution can still be satisfied when applying these state of the art processes. The report shows that a number of techniques for avoidance, reduction and/or utilization of by-products are in commercial operation in the branches discussed. They can therefore be considered to be best available. For some special by-products technical processes for the treatment are still in development and are not yet state-of-the-art. The implementation of the already proven techniques varies considerably in the different ECE-countries. This is mainly due to the following circumstances: differences in the design and stringency of legal regulations, availability of landfilling sites, costs of disposal, differences in industrial structure. Problems with by-product utilization originate mainly from: a) from a loss of international competitiveness of the respective industrial sector, if the reduction of the amount of by-products or their utilization leads to higher costs than conventional processes; b) from quality standards for materials which are inadequate for secondary raw materials thus creating acceptance problems of these materials. C) In some cases incineration and/or thermal recycling processes generate PCDD/F. quantities produces may be capable of reduction by means of process modification. If, however PCDD/F is released to the

Country profile: Hungary

Energy Technology Data Exchange (ETDEWEB)

1991-09-01

Country Profile: Hungary has been prepared as a background document for use by US Government agencies and US businesses interested in becoming involved with the new democracies of Eastern Europe as they pursue sustainable economic development. The focus of the Profile is on energy and highlights information on Hungary`s energy supply, demand, and utilization. It identifies patterns of energy usage in the important economic sectors, especially industry, and provides a preliminary assessment for opportunities to improve efficiencies in energy production, distribution and use by introducing more efficient technologies. The use of more efficient technologies would have the added benefit of reducing the environmental impact which, although is not the focus of the report, is an issue that effects energy choices. The Profile also presents considerable economic information, primarily in the context of how economic restructuring may affect energy supply, demand, and the introduction of more efficient technologies.

Country profile: Hungary

Energy Technology Data Exchange (ETDEWEB)

1991-09-01

Country Profile: Hungary has been prepared as a background document for use by US Government agencies and US businesses interested in becoming involved with the new democracies of Eastern Europe as they pursue sustainable economic development. The focus of the Profile is on energy and highlights information on Hungary's energy supply, demand, and utilization. It identifies patterns of energy usage in the important economic sectors, especially industry, and provides a preliminary assessment for opportunities to improve efficiencies in energy production, distribution and use by introducing more efficient technologies. The use of more efficient technologies would have the added benefit of reducing the environmental impact which, although is not the focus of the report, is an issue that effects energy choices. The Profile also presents considerable economic information, primarily in the context of how economic restructuring may affect energy supply, demand, and the introduction of more efficient technologies.

The impact of transitional care programs on health services utilization in community-dwelling older adults: a systematic review.

Science.gov (United States)

Weeks, Lori E; Macdonald, Marilyn; Martin-Misener, Ruth; Helwig, Melissa; Bishop, Andrea; Iduye, Damilola F; Moody, Elaine

2018-02-01

The objective was to identify and synthesize the best available evidence on the impact of transitional care programs on various forms of health services utilization in community-dwelling older adults. There is growing evidence that transitional care programs can help address important challenges facing health care systems and our increasing older adult population in many countries by reducing unnecessary health service utilization. There is a need for a systematic review of the research evaluating the impact of transitional care programs on hospital and other health service usage. The review included studies on community-dwelling adults age 60 and over with at least one medical diagnosis, and which evaluated the outcomes of transitional care programs on health system utilization of older adults. The outcomes for this review were hospital usage including admissions and readmissions, emergency department usage, primary care/physician usage, nursing home usage, and home health care usage. The review considered experimental and epidemiological study designs including randomized controlled trials, non-randomized controlled trials, quasi-experimental studies, before and after studies, prospective and retrospective cohort studies, and case-control studies. A three-step search was utilized to find published and unpublished studies conducted in any country but reported in English. Six electronic databases were searched from inception of the database to May, 2016. A search for unpublished studies was also conducted. Methodological quality was assessed independently by two reviewers using the Joanna Briggs Institute critical appraisal checklist for systematic reviews and research synthesis. Quantitative data were extracted from included studies independently by the two reviewers using the standardized Joanna Briggs Institute data extraction tools. Due to the methodological heterogeneity of the included studies, a comprehensive meta-analysis for all outcomes was not possible

Possible transfer of traditional energy intensive industries towards developing countries. Offers of energy resource in the CIER [Comision de Integracion Electrica Regional] area in relation to this transfer

International Nuclear Information System (INIS)

Facchini Ferro, A.; D'Amado Campo, R.

1989-01-01

Due to the steep rise in oil prices in the early 1970s, South American countries became aware of the advisability of developing their abundant and renewable hydroelectric resources. The second energy crisis of 1979 pushed up oil prices still further and the consequences in the South American electricity sector included contractions in markets, overcapacity, and difficult financial circumstances. Increases in exports were seen as a way to reduce the burden of those countries' heavy debts and to improve economic conditions. To harmonize the interests of development of highly energy intensive industries in developed countries and the economic development of developing countries, the possibility of marketing energy as an industrial input should be considered. Evidence of the advantages that South American countries can offer to such industrial transfers is presented. These countries offer a source of plentiful hydropower from installations in operation, under construction, or projected as major developments. These installations are already largely interconnected through high- and extra-high-voltage power transmission networks. Technical information is given on the installed generating capacities, including thermal reserve plants; utilization levels; transmission line interconnections; and remaining renewable and non-renewable energy resources. Considerations regarding the political and financial implications of industrial transfers are discussed. 6 refs., 9 figs

Valuation issues in lesser developed countries: Investment opportunities

International Nuclear Information System (INIS)

Clements, P.J.

1992-01-01

Privatization has become the buzzword of the early 1990s, as all over the world governments are selling off their assets. Monopolistic utilities such as gas, water and waste disposal - but particularly electric - are prime assets for sale because their cash flows and competitive environment are reasonably predictable. Utility privatization in lesser developed countries (LDC) is giving rise to many new investment opportunities where predictions of high growth rates lead to anticipation of lucrative returns. Potential investors, however, should fully exercise the concept of caveat emptor: let the buyer beware. Coupled with these lucrative returns are risks arising from less stable political and economic conditions. possible market inefficiencies, and potentially high transaction costs. This article explores the central issues involved in valuing privatization investment opportunities in LDCs and performing requisite due diligence reviews

Transport in the Nordic countries

International Nuclear Information System (INIS)

Gustafsson, B.; Pettersson, S.; Vilkamo, S.

1989-01-01

Transport of radioactive material from different fields of operation is well advanced in the Nordic countries: waste from the medical sector, industry, research, and now in increasing amounts from reactor operation, including spent fuel. In the future, waste from decommissioning will also be transported. This report gives the amount of radioactive waste material to be transported in the Nordic countries. Transport routes, transport containers, and transport systems are described. Legislations and transport regulatins are discussed. (author)

Cross-Country Evidence on Teacher Performance Pay

Science.gov (United States)

Woessmann, Ludger

2011-01-01

The general-equilibrium effects of performance-related teacher pay include long-term incentive and teacher-sorting mechanisms that usually elude experimental studies but are captured in cross-country comparisons. Combining country-level performance-pay measures with rich PISA-2003 international achievement micro data, this paper estimates…

24 CFR 982.517 - Utility allowance schedule.

Science.gov (United States)

2010-04-01

... utilities and services paid by energy-conservative households that occupy housing of similar size and type... utility allowance for an individual family, must include the utilities and services that are necessary in...-family detached, and manufactured housing) that are typical in the community. (4) The utility allowance...

Shaping the future of electric utilities

International Nuclear Information System (INIS)

Byus, L.C.

1993-01-01

On December 14, 1992, Cincinnati Gas ampersand Electric Company (CG ampersand E) and PSI Resources, Inc. announced an agreement to merge the two companies into a newly formed company, CINergy Corp. In announcing the proposed merger, James E. Rogers Jr., chairman, president, and chief executive officer of PSI said, Our companies have chosen to shape our future and our industry. This is an ideal partnership, since our strengths complement each other and our vision of the future is the same. Will this merger be the first of many that will shape the future of the electric utility in the United States? What is the vision of the future for the industry? About five years ago, a well-known Wall Street utility analyst traveled around the country talking about the anticipated consolidation of electric utility companies in the US His motto was Fifty in Five, meaning widespread consolidation that would reduce the number of independent investor-owned utilities from more than 100 to 50 within a five-year period. He even developed a map showing the mergers/consolidations he looked for and actually named names. More than five years have passed, and only a handful of utility mergers have taken place. But, looking forward from 1992, restructuring of the utility industry is very much a vision of the future. What is the driving force? The National Energy Policy Act of 1992 provides the legislative framework for the electric utility industry in the US in future years. While the specific rules that will govern the industry are yet to be promulgated, the intent to allow (even promote) competition is evident in the Act itself. But it appears the vision of the future is market driven

A Tale of Five Countries: Background and Confidence in Preservice Primary Teachers in Drama Education across Five Countries

Science.gov (United States)

Russell-Bowie, Deirdre E.

2013-01-01

In many public primary schools across different countries, generalist primary teachers are required to teach all subjects, including music, dance, drama and visual arts. This study investigates the background and confidence of preservice primary teachers from five countries in relation to drama and drama education. It also examines if there is a…

Fuel safety criteria in NEA member countries - Compilation of responses received from member countries

International Nuclear Information System (INIS)

2003-03-01

In 2001 the Committee on the Safety of Nuclear Installations (CSNI) issued a report on Fuel Safety Criteria Technical Review. The objective was to review the present fuel safety criteria and judge to which extent they are affected by the 'new' design elements, such as different cladding materials, higher burnup, the use of MOX fuels, etc. The report stated that the current framework of fuel safety criteria remains generally applicable, being largely unaffected by the 'new' or modern design elements. The levels (numbers) in the individual safety criteria may, however, change in accordance with the particular fuel and core design features. Some of these levels have already been - or are continuously being - adjusted. The level adjustments of several other criteria (RIA, LOCA) also appears to be needed, on the basis of experimental data and the analysis thereof. As a follow-up, among its first tasks, the CSNI Special Expert Group on Fuel Safety Margins (SEG FSM) initiated the collection of information on the present fuel safety criteria used in NEA member states with the objective to solicit national practices in the use of fuel safety criteria, in particular to get information on their specific national levels/values, including their recent adjustments, and to identify the differences and commonalties between the different countries. Two sources of information were used to produce this report: a compilation of responses to a questionnaire prepared for the June 2000 CNRA meeting, and individual responses from the SEGFSM members to the new revised questionnaire issued by the task Force preparing this report. In accordance with the latter, the fuel safety criteria discussed in this report were divided into three categories: (A) safety criteria - criteria imposed by the regulator; (B) operational criteria - specific to the fuel design and provided by the fuel vendor as part of the licensing basis; (C) design criteria - limits employed by vendors and/or utilities for fuel

Privatization of municipal electrical utilities

International Nuclear Information System (INIS)

Carr, J.

1998-01-01

The challenges and special issues which arise through the sale of a municipal electric utility were discussed. The recent sales of two utilities, the Kentville Electric Commission in Nova Scotia and Cornwall Electric in Ontario, were used as examples to show how the sale of an electric utility differs from the sale of most business enterprises. Municipal utilities are integral parts of the communities they serve which introduces several complexities into the sale. Factors that require special attention in the sale of the utilities, including electricity rates, local accountability, treatment of employees and local economic development, and the need for a comprehensive communication program to deal with the substantial public interest that sale of a municipal utility will engender, were reviewed

Health seeking behaviour and health service utilization in Pakistan: challenging the policy makers.

Science.gov (United States)

Shaikh, Babar T; Hatcher, Juanita

2005-03-01

There is a growing literature on health seeking behaviours and the determinants of health services utilization especially in the context of developing countries. However, very few focused studies have been seen in Pakistan in this regard. This paper presents an extensive literature review of the situation in developing countries and relates the similar factors responsible for shaping up of a health seeking behaviour and health service utilization in Pakistan. The factors determining the health behaviours may be seen in various contexts: physical, socio-economic, cultural and political. Therefore, the utilization of a health care system, public or private, formal or non-formal, may depend on socio-demographic factors, social structures, level of education, cultural beliefs and practices, gender discrimination, status of women, economic and political systems environmental conditions, and the disease pattern and health care system itself. Policy makers need to understand the drivers of health seeking behaviour of the population in an increasingly pluralistic health care system. Also a more concerted effort is required for designing behavioural health promotion campaigns through inter-sectoral collaboration focusing more on disadvantaged segments of the population.

Differential utilization of primary health care services among older immigrants and Norwegians: a register-based comparative study in Norway.

Science.gov (United States)

Diaz, Esperanza; Kumar, Bernadette N

2014-11-26

Aging in an unfamiliar landscape can pose health challenges for the growing numbers of immigrants and their health care providers. Therefore, better understanding of how different immigrant groups use Primary Health Care (PHC), and the underlying factors that explain utilization is needed to provide adequate and appropriate public health responses. Our aim is to describe and compare the use of PHC between elderly immigrants and Norwegians. Registry-based study using merged data from the National Population Register and the Norwegian Health Economics Administration database. All 50 year old or older Norwegians with both parents from Norway (1,516,012) and immigrants with both parents from abroad (89,861) registered in Norway in 2008 were included. Descriptive analyses were carried out. Immigrants were categorised according to country of origin, reason for migration and length of stay in Norway. Binary logistic regression analyses were conducted to study the utilization of PHC comparing Norwegians and immigrants, and to assess associations between utilization and both length of stay and reason for immigration, adjusting for other socioeconomic variables. A higher proportion of Norwegians used PHC services compared to immigrants. While immigrants from high-income countries used PHC less than Norwegians disregarding age (OR from 0.65 to 0.92 depending on age group), they had similar number of diagnoses when in contact with PHC. Among immigrants from other countries, however, those 50 to 65 years old used PHC services more often (OR 1.22) than Norwegians and had higher comorbidity levels, but this pattern was reversed for older adults (OR 0.56 to 0.47 for 66-80 and 80+ years respectively). For all immigrants, utilization of PHC increased with longer stay in Norway and was higher for refugees (1.67 to 1.90) but lower for labour immigrants (0.33 to 0.45) compared to immigrants for family reunification. However, adjustment for education and income levels reduced most

An overview of financial sources being utilized to support Zika Virus published research.

Science.gov (United States)

Goodridge, Keisha; Reveiz, Ludovic; Elias, Vanessa

2017-01-01

Since its initial detection in Brazil in 2015, Zika Virus (ZIKV) has spread rapidly throughout most of the Caribbean and South, Central and North America. An upsurge in congenital syndrome associated with ZIKV and Guillain-Barre Syndrome (GBS) has been associated with the increase in ZIKV. This amplification in numbers led to the need for funded research initiatives focusing on various countries globally and on specific experimental types. To determine the financial institutions involved in the production of primary research into the ZIKV epidemic. This research also intends to draw attention to the investigative areas that are dominating, experimental types being conducted and the geographical areas that are producing the bulk of the research utilizing available funds. A cross sectional search of published primary research was conducted using Pan American Health Organization (PAHO) Zika platform and PubMed between January 2007 and October 2016. Titles, abstract and full articles were assed and one researcher extracted data. Information was crossed checked by a second researcher to ensure accuracy. 268 articles were included and investigations occurred across 48 countries with Brazil and USA dominating the research. Applied Research and Laboratory based studies were most frequently utilized. 38.1% of articles did not report financial sources. Public institutions were the major known contributors. Other financiers included private, non-profits and mixed funders exclusive of public sources. 156 individual financial bodies assisted with National Institute of Health being most frequently mentioned followed by The National Council for Scientific and Technological Development (CNPq) and the Institut Pasteur. Virus, vectors and reservoirs was most frequently used (99/268, 36.9%) followed by clinical management (70/268, 26.1%) and epidemiology (46/268, 17.2%). The evidence suggests international efforts to fund ZIKV research and a need to foster collaborative and

Utilization of saline water and land: Reclaiming lost resources

International Nuclear Information System (INIS)

Naqvi, Mujtaba

2001-01-01

There is an abundance of saline water on the globe. Large tracts of land are arid and/or salt-affected, and a large number of plant species are known to be salt-tolerant. It would seem obvious that salt tolerant plants (halophytes) have a role in utilizing the two wasted resources, saline water and wastelands. We will briefly describe how these resources can be fruitfully utilized and how the IAEA has helped several countries to demonstrate the possibility of cultivating salt tolerant plant species on arid saline wastelands for economic and environmental benefit. After some brief introductory remarks we will discuss the results of the project

Capture and corruption in public utilities. The cases of water and electricity in Sub-Saharan Africa

Energy Technology Data Exchange (ETDEWEB)

Auriol, Emmanuelle [Toulouse School of Economics, 21 Allees de Brienne, 31000 Toulouse (France); Blanc, Aymeric [Agence Francaise de Developpement, 5 rue Roland Barthes, 75598 Paris Cedex 12 (France)

2009-06-15

The paper focuses on public utilities services located in poor countries with a special attention to capture and corruption issues. It confronts the optimal policy of Auriol and Picard [Privatization in Developing Countries and the Government Budget Constraint, Nota di Lavoro 75.2002. Fondazione Eni Enrico Mattei, Milan, Italy] regarding private sector involvement in public utilities with empirical evidence on water and electricity in Sub-Saharan Africa (SSA). As predicted by the theory, the participation of private unregulated firms in the supply of services for the middle class and poor people is fairly common in SSA. By contrast, services for rich people are provided by public utilities. Theory suggests that their prices should be high so that the public firms make a profit. Yet piped water and electricity are subsidized. This suggests that there is a problem of capture by the ruling elite. Since ruling elites design privatization programs, there is concern about their optimality. The paper shows that the social cost of corrupted privatization is non-monotone in the opportunity cost of public funds. Because of the fiscal loss it represents, privatizing profit centers of public firms entails huge social costs in very poor countries. (author)

Capture and corruption in public utilities. The cases of water and electricity in Sub-Saharan Africa

International Nuclear Information System (INIS)

Auriol, Emmanuelle; Blanc, Aymeric

2009-01-01

The paper focuses on public utilities services located in poor countries with a special attention to capture and corruption issues. It confronts the optimal policy of Auriol and Picard [Privatization in Developing Countries and the Government Budget Constraint, Nota di Lavoro 75.2002. Fondazione Eni Enrico Mattei, Milan, Italy] regarding private sector involvement in public utilities with empirical evidence on water and electricity in Sub-Saharan Africa (SSA). As predicted by the theory, the participation of private unregulated firms in the supply of services for the middle class and poor people is fairly common in SSA. By contrast, services for rich people are provided by public utilities. Theory suggests that their prices should be high so that the public firms make a profit. Yet piped water and electricity are subsidized. This suggests that there is a problem of capture by the ruling elite. Since ruling elites design privatization programs, there is concern about their optimality. The paper shows that the social cost of corrupted privatization is non-monotone in the opportunity cost of public funds. Because of the fiscal loss it represents, privatizing profit centers of public firms entails huge social costs in very poor countries. (author)

Prospects and strategy for large scale utility applications of photovoltaic power systems

International Nuclear Information System (INIS)

Vigotti, R.; Lysen, E.; Cole, A.

1996-01-01

The status and prospects of photovoltaic (PV) power systems are reviewed. The market diffusion strategy for the application of PV systems by utilities is described, and the mission, objectives and thoughts of the collaboration programme launched among 18 industrialized countries under the framework of the International Energy Agency are highly with particular reference to technology transfer to developing countries. Future sales of PV systems are expected to grow in the short and medium term mainly in the sector of isolated systems. (R.P.)

Social anxiety and social norms in individualistic and collectivistic countries.

Science.gov (United States)

Schreier, Sina-Simone; Heinrichs, Nina; Alden, Lynn; Rapee, Ronald M; Hofmann, Stefan G; Chen, Junwen; Oh, Kyung Ja; Bögels, Susan

2010-12-01

Social anxiety is assumed to be related to cultural norms across countries. Heinrichs et al. [2006: Behav Res Ther 44:1187-1197] compared individualistic and collectivistic countries and found higher social anxiety and more positive attitudes toward socially avoidant behaviors in collectivistic rather than in individualistic countries. However, the authors failed to include Latin American countries in the collectivistic group. To provide support for these earlier results within an extended sample of collectivistic countries, 478 undergraduate students from individualistic countries were compared with 388 undergraduate students from collectivistic countries (including East Asian and Latin American) via self-report of social anxiety and social vignettes assessing social norms. As expected, the results of Heinrichs et al. [2006: Behav Res Ther 44:1187-1197] were replicated for the individualistic and Asian countries, but not for Latin American countries. Latin American countries displayed the lowest social anxiety levels, whereas the collectivistic East Asian group displayed the highest. These findings indicate that while culture-mediated social norms affect social anxiety and might help to shed light on the etiology of social anxiety disorder, the dimension of individualism-collectivism may not fully capture the relevant norms. © 2010 Wiley-Liss, Inc.

Social anxiety and social norms in individualistic and collectivistic countries

Science.gov (United States)

Schreier, Sina-Simone; Heinrichs, Nina; Alden, Lynn; Rapee, Ronald M.; Hofmann, Stefan G.; Chen, Junwen; Ja Oh, Kyung; Bögels, Susan

2010-01-01

Background Social anxiety is assumed to be related to cultural norms across countries. Heinrichs and colleagues [1] compared individualistic and collectivistic countries and found higher social anxiety and more positive attitudes toward socially avoidant behaviors in collectivistic than in individualistic countries. However, the authors failed to include Latin American countries in the collectivistic group. Methods To provide support for these earlier results within an extended sample of collectivistic countries, 478 undergraduate students from individualistic countries were compared with 388 undergraduate students from collectivistic countries (including East Asian and Latin American) via self report of social anxiety and social vignettes assessing social norms. Results As expected, the results of Heinrichs and colleagues [1] were replicated for the individualistic and Asian countries but not for Latin American countries. Latin American countries displayed the lowest social anxiety levels, whereas the collectivistic East Asian group displayed the highest. Conclusions These findings indicate that while culture-mediated social norms affect social anxiety and might help to shed light on the etiology of social anxiety disorder, the dimension of individualism-collectivism may not fully capture the relevant norms. PMID:21049538

Public-Private Partnership Enhances Water Utility's Performance in Armenia

OpenAIRE

Tokhmakhian, Zaruhi; Eiweida, Ahmed

2011-01-01

Public-Private Participation (PPP) schemes were successfully implemented in several water utilities in Armenia, yielding excellent results for the development of the water and wastewater sectors. Armenia is one of the few countries in the region to have had such a successful PPP experience. For many years after the collapse of the Soviet economy, most of the water supply and sanitation sys...

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.

Enabling Water-Energy–Food Nexus: A New Approach for Sustainable Agriculture and Food Security in Mountainous Landlocked Countries

Directory of Open Access Journals (Sweden)

Tek Bahadur Gurung

2016-12-01

Full Text Available Majority of landlocked mountainous countries are poorly ranked in Human Development Index (HDI, mostly due to poor per capita agriculture production, increasing population, unemployment, expensive and delayed transportation including several other factors. Generally, economy of such countries substantially relies on subsistence agriculture, tourism, hydropower and largely on remittance etc. Recently, it has been argued that to utilize scarce suitable land efficiently for food production, poor inland transport, hydropower, irrigation, drinking water in integration with other developmental infrastructures, an overarching policy linking water - energy – food nexus within a country for combating water, energy and food security would be most relevant. Thus, in present paper it has been opined that promotion of such linkage via nexus approach is the key to sustainable development of landlocked mountainous countries. Major land mass in mountainous countries like Nepal remains unsuitable for agriculture, road and other infrastructure profoundly imposing food, nutrition and energy security. However, large pristine snowy mountains function as wildlife sanctuaries, pastures, watershed, recharge areas for regional and global water, food and energy security. In return, landlocked mountainous countries are offered certain international leverages. For more judicious trade off, it is recommended that specific countries aerial coverage of mountains would be more appropriate basis for such leverages. Moreover, for sustainability of mountainous countries an integrated approach enabling water - energy – food nexus via watershed-hydropower-irrigation-aquaculture-agriculture-integrated linking policy model is proposed. This model would enable protection of watershed for pico, micro, and mega hydro power plants and tail waters to be used for aquaculture or irrigation or drinking water purposes for food and nutrition security.

Transportation and utilization of aggregates for road construction

Science.gov (United States)

Fladvad, Marit; Wigum, Børge Johannes; Aurstad, Joralf

2017-04-01

Road construction relies on non-renewable aggregate resources as the main construction material. Sources for high-quality aggregate resources are scattered, and requirements for aggregate quality can cause long transport distances between quarry and road construction site. In European countries, the average aggregate consumption per capita is 5 tonnes per year (European Aggregates Association, 2016), while the corresponding figure for Norway is 11 tonnes (Neeb, 2015). Half the Norwegian aggregate production (sand, gravel and crushed rock) is used for road construction. In Norway, aggregate resources have been considered abundant. However, stricter requirement for aggregate quality, and increased concern for sustainability and environmental issues have spurred focus on reduction of transport lengths through better utilization of local aggregate materials. In this research project, information about pavement design and aggregate quality requirements were gathered from a questionnaire sent to selected experts from the World Road Organization (PIARC), European Committee for Standardization (CEN), and Nordic Road Association (NVF). The gathered data was compared to identify differences and similarities for aggregate use in the participating countries. Further, the data was compared to known data from Norway regarding: - amount of aggregates required for a road structure - aggregate transport lengths and related costs A total of 18 countries participated in the survey, represented by either road authorities, research institutions, or contractors. There are large variations in practice for aggregate use among the represented countries, and the selection of countries is sufficient to illustrate a variety in pavement designs, aggregate sizes, and quality requirements for road construction. There are considerable differences in both pavement thickness and aggregate sizes used in the studied countries. Total thicknesses for pavement structures varies from 220 mm to 2400 mm

Utilization of day surgery services at Upper hill Medical Centre and the Karen hospital in Nairobi: the influence of medical providers, cost and patient awareness.

Science.gov (United States)

Odhiambo, Mildred Adhiambo; Njuguna, Susan; Waireri-Onyango, Rachel; Mulimba, Josephat; Ngugi, Peter Mungai

2015-01-01

Health systems face challenges of improving access to health services due to rising health care costs. Innovative services such as day surgery would improve service delivery. Day surgery is a concept where patients are admitted for surgical procedures and discharged the same day. Though used widely in developed countries due to its advantages, utilization in developing countries has been low. This study sought to establish how utilization of day surgery services was influenced by medical providers, patient awareness and cost among other factors. The study design was cross sectional with self administered questionnaires used to collect data. Data analysis was done by using statistical package for social science (SPSS) and presented as frequencies, percentages and Spearman's correlation to establish relationship among variables. Medical providers included doctors, their employees and medical insurance providers. Most doctors were aware of day surgery services but their frequency of utilization was low. Furthermore, medical insurance providers approved only half of the requests for day surgery. Doctors' employees were aware of the services and most of them would recommend it to patients. Although, most patients were not aware of day surgery services those who were aware would prefer day surgery to in patient. Moreover, doctors and medical insurance providers considered day surgery to be cheaper than in patient. The study showed that medical providers and patient awareness had influence over day surgery utilization, though, cost alone did not influence day surgery utilization but as a combination with other factors.

Prospects for the power sector in nine developing countries

Energy Technology Data Exchange (ETDEWEB)

Meyers, S.; Goldman, N.; Martin, N.; Friedmann, R.

1993-04-01

Based on information drawn primarily from official planning documents issued by national governments and/or utilities, the authors examined the outlook for the power sector in the year 2000 in nine countries: China, India, Indonesia, Thailand, the Philippines, South Korea, Taiwan, Argentina and Mexico. They found that the implicit rates of average annual growth of installed electric power capacity between 1991 and 2001 range from a low of 3.3% per year in Argentina to a high of 13.2% per year in Indonesia. In absolute terms, China and India account for the vast majority of the growth. The plans call for a shift in the generating mix towards coal in six of the countries, and continued strong reliance on coal in China and India. The use of natural gas is expected to increase substantially in a number of the countries. The historic movement away from oil continues, although some countries are maintaining dual-fuel capabilities. Plans call for considerable growth of nuclear power in South Korea and China and modest increases in India and Taiwan. The feasibility of the official plans varies among the countries. Lack of public capital is leading towards greater reliance on private sector participation in power projects in many of the countries. Environmental issues are becoming a more significant constraint than in the past, particularly in the case of large-scale hydropower projects. The financial and environmental constraints are leading to a rising interest in methods of improving the efficiency of electricity supply and end use. The scale of such activities is growing in most of the study countries.

Prospects for the power sector in nine developing countries

International Nuclear Information System (INIS)

Meyers, S.; Goldman, N.; Martin, N.; Friedmann, R.

1993-04-01

Based on information drawn primarily from official planning documents issued by national governments and/or utilities, the authors examined the outlook for the power sector in the year 2000 in nine countries: China, India, Indonesia, Thailand, the Philippines, South Korea, Taiwan, Argentina and Mexico. They found that the implicit rates of average annual growth of installed electric power capacity between 1991 and 2001 range from a low of 3.3% per year in Argentina to a high of 13.2% per year in Indonesia. In absolute terms, China and India account for the vast majority of the growth. The plans call for a shift in the generating mix towards coal in six of the countries, and continued strong reliance on coal in China and India. The use of natural gas is expected to increase substantially in a number of the countries. The historic movement away from oil continues, although some countries are maintaining dual-fuel capabilities. Plans call for considerable growth of nuclear power in South Korea and China and modest increases in India and Taiwan. The feasibility of the official plans varies among the countries. Lack of public capital is leading towards greater reliance on private sector participation in power projects in many of the countries. Environmental issues are becoming a more significant constraint than in the past, particularly in the case of large-scale hydropower projects. The financial and environmental constraints are leading to a rising interest in methods of improving the efficiency of electricity supply and end use. The scale of such activities is growing in most of the study countries

Principles of adoption of the successful environmental practices used in developed countries into mining industry in developing countries.

Science.gov (United States)

Masaitis, Alexandra

2013-04-01

The successful implementation of the environmental practices in the mining industry is of a paramount importance, as it not only prevents both local and trans-border pollution but also guarantees clean and healthy environment for the people regardless of their place of habitation. It is especially important to encourage the progress of the environmental practices implementation in developing countries because such countries have resource-oriented economy based on exploitation of nonrenewable resources. Poor environmental practices in developing countries will lead to local environmental crises that could eventually spill into surrounding countries including the most economically advanced. This abstract is a summary of a two-year research project attempted (1) to determine deficiencies of the mining sector ecological practices in developing countries and (2) to suggest substitute practices from developed countries that could be adapted to the developing countries reality. The following research methods were used: 1. The method of the system analysis, where the system is an interaction of the sets of environmental practices with the global mining sector; 2. The comparative method of inquiry, where the comparison was made between environmental protection practices as implemented in the US (developed country) and the developing countries such as RF, Mongolia mining sectors; 3. Quantitative date analysis, where date was collected from "The collection of statistic data", Russian Geographic Society Annual reports, the US EPA open reports, and the USGS Reports; The following results were obtained: Identified the systemic crisis of the ecological environmental policies and practices in the mining sector in developing countries based on the exploitation of nonrenewable resources, absence of the ecological interest by the mining companies that lack mechanisms of environmental and public health protection, the lack of insurance policy, the lack of risk assistance, and in the

Migration from low- to high-risk countries:

DEFF Research Database (Denmark)

Kristiansen, M; Lue-Kessing, Linnea; Mygind, A

2013-01-01

to be caused by multiple factors, including genetics, health behaviour, stress, fertility and breastfeeding. Some women perceived breast cancer to be more prevalent in Denmark as compared with their country of birth, and perceived their risk of developing breast cancer to increase with length of stay......Migrants are less likely to participate in mammography screening programmes compared with local-born populations in Europe. We explored perceptions of breast cancer risk and the influence on participation in mammography screening programmes among migrant women born in countries with low incidence...... rates of breast cancer. We conducted eight individual interviews and six group interviews including a total of 29 women aged 50-69 years living in Copenhagen, Denmark. Women were migrants born in Somalia, Turkey, Pakistan or Arab countries. Phenomenological analysis was used. Breast cancer was perceived...

Prenatal care and child growth and schooling in four low- and medium-income countries.

Science.gov (United States)

Liu, Xiaoying; Behrman, Jere R; Stein, Aryeh D; Adair, Linda S; Bhargava, Santosh K; Borja, Judith B; da Silveira, Mariangela Freitas; Horta, Bernardo L; Martorell, Reynaldo; Norris, Shane A; Richter, Linda M; Sachdev, Harshpal S

2017-01-01

The effectiveness of prenatal care for improving birth and subsequent child outcomes in low-income countries remains controversial, with much of the evidence to date coming from high-income countries and focused on early-life outcomes. We examined associations between prenatal care visits and birth weight, height-for-age at 24 months and attained schooling in four low- and middle-income countries. We pooled data from prospective birth-cohort studies from Brazil, Guatemala, Philippines and South Africa. We created a prenatal care utilization index based on the number and timing of prenatal visits. Associations were examined between this index and birth weight, height-for-age at 24 months, and highest attained schooling grade until adulthood. Among 7203 individuals in the analysis, 68.9% (Philippines) to 96.7% (South Africa) had at least one prenatal care visit, with most having at least four visits. Over 40% of Brazilians and Guatemalans had their first prenatal visit in the first trimester, but fewer Filipinos (13.9%) and South Africans (19.8%) did so. Prenatal care utilization was not significantly associated with birth weight (p>0.05 in pooled data). Each unit increase in the prenatal care utilization index was associated with 0.09 (95% CI 0.04 to 0.15) higher height-for-age z-score at 24 months and with 0.26 (95% CI 0.17 to 0.35) higher schooling grades attained. Although there was some heterogeneity and greater imprecision across sites, the results were qualitatively similar among the four different populations. While not related to birth weight, prenatal care utilization was associated with important outcomes later in life, specifically higher height-for-age at 24 months and higher attained school grades. These results suggest the relevance of prenatal care visits for human capital outcomes important over the lifecycle.

Research on the maximum utilization of PSR (Periodic Safety Review) results

Energy Technology Data Exchange (ETDEWEB)

Shin, Tae Myung; Lee, Jae Kyung; Ahn, Jin Chul; Kim, G. U.; Ryu, Y. S.; Lee, G. B.; Park, D. H. [Chungju Univ., Cheongju (Korea, Republic of)

2002-03-15

This is the final report of 'research on the maximum utilization of PSR results' focused on linkage strategy of PSR with continued operation over design life of operating NPP. Study was mace mainly on the analysis of current status of continued operation over plant design life in foreign countries, analysis of domestic PSR implementation status and establishment of basic strategy for linking PSR with continued operation. The results of the study performed so far can be summarized as below, the recent worldwide trend of promoting efficiency of NPP operation is focused on life extension of the plants rather than building of new. Considering the fact that some developed countries have already implemented the plant life extension and not a few countries at least have invested a good amount of fund for R and D of plant life management, we can not disregard the owner's request for review of life extension application without any reasonable description. As a result of investigation and analysis for the current status of continued operation over plant design life in foreign countries, it is concluded that most countries tend to link PSR with continued operation over plant design life and the extended operation has already been implemented in some developed countries. From the point, it turned out to be more desirable to couple those two systems for continued operation over plant design life of Korean NPP. A less than 7 years left until the end of design life for the oldest NPP Kori unit 1, it is strongly recommended to establish institutional frame including a legal basis and regulatory guidelines for continued operation over plant design life before long. For the prioritization methods of corrective actions in consideration of safety significance of shortcomings picked up from PSR, some related systems are reviewed including IAEA guidelines, PSR implementation experience of UK and US prioritization system for GSI (Generic Safety Issue). Basic principles are

Industrial uses of geothermal energy: A framework for application in a developing country

International Nuclear Information System (INIS)

Vasquez, N.C.; Bernardo, R.O.; Cornelio, R.L.

1992-01-01

This paper presents a model of approach for agroindustrial development utilizing geothermal energy in an agriculturally based tropical developing country. Presented is the complexity of patterns in raw materials productivity, demand and the present problems of preserving their quality from biological deterioration thru drying. Utilization of a geothermal agroindustrial estate have to be carefully studied and programmed in reply to an almost constant heat demand profile consistent with seasonal available raw materials. This study uses the Tongonan Geothermal Field in Leyte Island as the model for presentation

Transforming EQ-5D utilities for use in cost–value analysis of health programs.

Science.gov (United States)

Nord, Erik; Johansen, Rune

2015-04-01

In a number of jurisdictions there is increasing interest in incorporating concerns for fairness in models for economic evaluation of health interventions. Cost–value analysis is a name for evaluations with such a broader aim. The most widely held concern for fairness is a concern for the worse off, i.e. the idea that severity of illness should count in determining priorities. In economic evaluations of improvements in health-related quality of life this concern may be taken into account by replacing conventional health state utilities with societal values for health states that are characterised by strong upper end compression and decreasing marginal value of utility gains. We review evidence on the strength of concerns for the worse off--measured at the cardinal level--in 15 articles published in peer-reviewed journals in the time period 1978–2010, with reports from altogether 20 individual studies in nine different countries. We report 116 individual observations of paired comparisons of utility improvements with different start levels. Concerns for severity show up quite strongly across countries, sample types and question framings. By means of regression analyses we fit a societal value function to the data that has the property of decreasing marginal value of utility gains. Using the central tendency in the data we present two plausible transformations of EQ-5D utilities into societal values that reflect concerns for the worse off.

Country Nuclear Power Profiles - 2009 Edition

International Nuclear Information System (INIS)

2009-08-01

The Country Nuclear Power Profiles compiles background information on the status and development of nuclear power programs in Member States. It consists of organizational and industrial aspects of nuclear power programs and provides information about the relevant legislative, regulatory, and international framework in each country. Its descriptive and statistical overview of the overall economic, energy, and electricity situation in each country, and its nuclear power framework is intended to serve as an integrated source of key background information about nuclear power programs in the world. The preparation of Country Nuclear Power Profiles (CNPP) was initiated in 1990s. It responded to a need for a database and a technical publication containing a description of the energy and economic situation, the energy and the electricity sector, and the primary organizations involved in nuclear power in IAEA Member States. This is the 2009 edition issued on CD-ROM and Web pages. It updates the country information for 44 countries. The CNPP is updated based on information voluntarily provided by participating IAEA Member States. Participants include the 30 countries that have operating nuclear power plants, as well as 14 countries having past or planned nuclear power programmes (Bangladesh, Egypt, Ghana, Indonesia, the Islamic Republic of Iran, Italy, Kazakhstan, Nigeria, Philippines, Poland, Thailand, Tunisia, Turkey and Vietnam). For the 2009 edition, 26 countries provided updated or new profiles. For the other countries, the IAEA updated the profile statistical tables on nuclear power, energy development, and economic indicators based on information from IAEA and World Bank databases

Country Nuclear Power Profiles - 2011 Edition

International Nuclear Information System (INIS)

2011-08-01

The Country Nuclear Power Profiles compiles background information on the status and development of nuclear power programs in Member States. It consists of organizational and industrial aspects of nuclear power programs and provides information about the relevant legislative, regulatory, and international framework in each country. Its descriptive and statistical overview of the overall economic, energy, and electricity situation in each country, and its nuclear power framework is intended to serve as an integrated source of key background information about nuclear power programs in the world. The preparation of Country Nuclear Power Profiles (CNPP) was initiated in 1990s. It responded to a need for a database and a technical publication containing a description of the energy and economic situation, the energy and the electricity sector, and the primary organizations involved in nuclear power in IAEA Member States. This is the 2011 edition issued on CD-ROM and Web pages. It updates the country information for 50 countries. The CNPP is updated based on information voluntarily provided by participating IAEA Member States. Participants include the 29 countries that have operating nuclear power plants, as well as 21 countries having past or planned nuclear power programmes (Bangladesh, Belarus, Chile, Egypt, Ghana, Indonesia, the Islamic Republic of Iran, Italy, Jordan, Kazakhstan, Kuwait, Lithuania, Morocco, Nigeria, Philippines, Poland, Syrian Arab Republic, Thailand, Tunisia, Turkey and Vietnam). For the 2011 edition, 23 countries provided updated or new profiles. For the other countries, the IAEA updated the profile statistical tables on nuclear power, energy development, and economic indicators based on information from IAEA and World Bank databases.

Measures for carbon dioxide problem and utilization of energy

International Nuclear Information System (INIS)

Kojima, Toshinori

1992-01-01

As global environment problems, there are water, expansion of deserts, weather, tropical forests, wild animals, ocean pollution, nuclear waste contamination, acid rain, ozone layer and so on, and population, foods, energy, and resources are the problems surrounding them. It is clear that these origins are attributed to the development and consumption largely dependent on the intention of developed countries and the population problem of developing countries. In this report, the discharge of carbon dioxide that causes greenhouse effect and its relation with energy are discussed. The increase of carbon dioxide concentration, its release from fossil fuel, the destruction of forests, the balance of carbon on the earth, the development of new energy such as solar energy, the transport of new energy, secondary energy system and the role of carbon dioxide, the transfer to low carbon fuel and the carbon reduction treatment of fuel, the utilization of unused energy and energy price, the efficiency of energy utilization, the heightening of efficiency of energy conversion, energy conservation and the breakaway from energy wasteful use culture, and the recovery, preservation and use of discharged carbon dioxide are described. (K.I.)

Utilization of nuclear research reactors

International Nuclear Information System (INIS)

1980-01-01

Full text: Report on an IAEA interregional training course, Budapest, Hungary, 5-30 November 1979. The course was attended by 19 participants from 16 Member States. Among the 28 training courses which the International Atomic Energy Agency organized within its 1979 programme of technical assistance was the Interregional Training Course on the Utilization of Nuclear Research Reactors. This course was held at the Nuclear Training Reactor (a low-power pool-type reactor) of the Technical University, Budapest, Hungary, from 5 to 30 November 1979 and it was complemented by a one-week Study Tour to the Nuclear Research Centre in Rossendorf near Dresden, German Democratic Republic. The training course was very successful, with 19 participants attending from 16 Member States - Bangladesh, Bolivia, Czechoslovakia, Ecuador, Egypt, India, Iraq, Korean Democratic People's Republic, Morocco, Peru, Philippines, Spain, Thailand, Turkey, Vietnam and Yugoslavia. Selected invited lecturers were recruited from the USA and Finland, as well as local scientists from Hungarian institutions. During the past two decades or so, many research reactors have been put into operation around the world, and the demand for well qualified personnel to run and fully utilize these facilities has increased accordingly. Several developing countries have already acquired small- and medium-size research reactors mainly for isotope production, research in various fields, and training, while others are presently at different stages of planning and installation. Through different sources of information, such as requests to the IAEA for fellowship awards and experts, it became apparent that many research reactors and their associated facilities are not being utilized to their full potential in many of the developing countries. One reason for this is the lack of a sufficient number of trained professionals who are well acquainted with all the capabilities that a research reactor can offer, both in research and

Renewable Energy Country Profiles. Pacific

Energy Technology Data Exchange (ETDEWEB)

NONE

2012-09-15

The IRENA Renewable Energy Country Profiles take stock of the latest development of renewable energy in two regions where renewable energy can make a significant contribution to combat climate change and bring modern energy services to everyone: Africa and the Pacific. These two regions are presented separately in this volume and its sister publication. The country profiles combine elements of IRENA analysis with the latest information available from a vast array of sources in order to give a brief yet comprehensive and up-to-date picture of the situation of renewable energy that includes energy supply, electrical capacity, energy access, policies, targets, investment climate, projects and endowment in renewable energy resources. Because of the different timelines of these sources, data presented here refer to years between 2008 and 2012. Data availability also differs from country to country, which makes comparison with a wider regional group possible only for the year for which figures are available for all the members of the group; while this may not be the most recent year, the differences between countries, regions and the world remain striking. The current country profiles are just a starting point; they will be extended upon with new indicators to make them more informative, and maintained as a live product on the IRENA website as a key source of information on renewable energy.

Renewable Energy Country Profiles. Africa

Energy Technology Data Exchange (ETDEWEB)

NONE

2012-02-15

The IRENA Renewable Energy Country Profiles take stock of the latest development of renewable energy in two regions where renewable energy can make a significant contribution to combat climate change and bring modern energy services to everyone: Africa and the Pacific. These two regions are presented separately in this volume and its sister publication. The country profiles combine elements of IRENA analysis with the latest information available from a vast array of sources in order to give a brief yet comprehensive and up-to-date picture of the situation of renewable energy that includes energy supply, electrical capacity, energy access, policies, targets, investment climate, projects and endowment in renewable energy resources. Because of the different timelines of these sources, data presented here refer to years between 2008 and 2012. Data availability also differs from country to country, which makes comparison with a wider regional group possible only for the year for which figures are available for all the members of the group; while this may not be the most recent year, the differences between countries, regions and the world remain striking. The current country profiles are just a starting point; they will be extended upon with new indicators to make them more informative, and maintained as a live product on the IRENA website as a key source of information on renewable energy.

Wise use of wetlands: current state of protection and utilization of Chinese wetlands and recommendations for improvement.

Science.gov (United States)

Wang, Yanxia; Yao, Yong; Ju, Meiting

2008-06-01

Wetland protection and utilization sometimes appear to be in conflict, but promoting the wise use of wetlands can solve this problem. All countries face the challenge of sustainable development of wetlands to a greater or lesser extent, but the problem is especially urgent in developing countries, such as China, that want to accelerate their economic development without excessive environmental cost. Chinese wetlands contribute greatly to economic development, but improper use of these natural resources has endangered their existence. It is thus necessary to provide scientific guidance to managers and users of wetlands. In this paper, we analyze the present status of Chinese wetland protection and utilization, and discuss problems in six categories: a lack of public awareness of the need for wetland protection; insufficient funding for wetland protection and management; an imperfect legal system to protect wetlands; insufficient wetland research; lack of coordination among agencies and unclear responsibilities; and undeveloped technologies related to wetland use and protection. The wise use of Chinese wetlands will require improvements in four main areas: increased wetland utilization research, scientific management of wetland utilization, improved laws and regulations to protect wetlands, and wider dissemination of wetland knowledge. Based on these categories, we propose a framework for the optimization of wetland use by industry to provide guidance for China and other countries that cannot sacrifice economic benefits to protect their wetlands.

CLIC expands to include the Southern Hemisphere

CERN Multimedia

Roberto Cantoni

2010-01-01

Australia has recently joined the CLIC collaboration: the enlargement will bring new expertise and resources to the project, and is especially welcome in the wake of CERN budget redistributions following the recent adoption of the Medium Term Plan.   The countries involved in CLIC collaboration With the signing of a Memorandum of Understanding on 26 August 2010, the ACAS network (Australian Collaboration for Accelerator Science) became the 40th member of in the multilateral CLIC collaboration making Australia the 22nd country to join the collaboration. “The new MoU was signed by the ACAS network, which includes the Australian Synchrotron and the University of Melbourne”, explains Jean-Pierre Delahaye, CLIC Study Leader. “Thanks to their expertise, the Australian institutes will contribute greatly to the CLIC damping rings and the two-beam test modules." Institutes from any country wishing to join the CLIC collaboration are invited to assume responsibility o...

Future global manpower shortages in nuclear industries with special reference to india including remedial measures

International Nuclear Information System (INIS)

Ghosh Hazra, G.S.

2008-01-01

Full text: The Radiation Protection Program of the Environmental Protection Agencies of countries employ scientists, engineers, statisticians, economists, lawyers, policy analysts, and public affairs professionals amongst others. These professionals aim to protect workers, the general public, and the environment from harmful radiation exposures and to provide the technical basis for radiation protection policies and regulations. Professionals include Health physicists, Bio statistician, Radio chemist, Radio ecologist, Radio biologist etc. With a large proportion of the population of the nuclear workforce of many countries now approaching retirement age, existing power plants of these countries will be hard pressed to find enough qualified professionals to support their operations. The potential shortage of skilled manpower not only affects utilities, but also impacts the entire nuclear infrastructure, including national laboratories, federal and state agencies, nuclear technology vendors and manufacturing companies, nuclear construction companies, and university nuclear engineering departments. Manpower requirements exist in the nuclear power industry, universities and research establishments, hospitals, government departments, general industry e.g. radiography, transport, instrumentation etc., specialist contractors, agencies and consultancies serving radiation protection. India is no exception. India has the world's 12 th largest economy. Assuming India's average growth rate p.a. of more than 5%, total GDP by 2050 will increase substantially which will require proportionate increase of manpower for all industries. Also chance of brain drain is very high from developing countries e.g. from India to developed countries because of much higher pay and better lifestyle as there will be shortage of manpower in developed countries as explained above. With population growth to be stabilized in future in India, the working age population may not increase in the year 2030

Economic regulation of TSOs in the Nordic countries

Energy Technology Data Exchange (ETDEWEB)

Syvertsen, S. C.; Steinnes, S. H. [Norwegian Water Resources and Energy Directorate, Oslo (Norway); Robles, H. B.; Ek, G. [Energy Markets Inspectorate, Eskilstuna (Sweden); Ilonen, M; Nurmi, S. [Energy Market Authority, Helsinki (Finland); Thomsen, H. [Sekretariatet for Energitilsynet, Valby (Denmark)

2012-12-15

The main topic of this report is the economic regulation of the transmission system operators (To) in the Nordic countries (Denmark, Finland, Norway and Sweden). The purpose of this report is to give an overview of the design of the economic regulation and compare the main elements of the regulation between the countries. There is one To in each country. For all countries, the revenues of the Tos are regulated by yearly decisions. In Finland, Norway and Sweden the regulators set an annual revenue cap. In Denmark, the To sets the tariffs according to budget, while the regulator approves the annual report and thereby also approves the tariffs ex post. The economic regulation of TSOs includes both regulation of system operations and the regulation of network operations. Chapter 3 describes in brief the main responsibilities of the system operator in each country and how the costs related to these tasks are regulated. Norway regulates the system operation costs, where 60 percent of the costs are based on a cost-norm which is evaluated periodically. In Finland and Sweden these costs are considered as non-controllable and are passed through directly in the revenue cap. In Denmark only costs considered as necessary at efficient operation shall be included in the tariffs, and the regulators have the opportunity to exclude costs based on this. There are no benchmark or efficiency requirements in the Danish regulation. In chapter 4 the main elements of the economic regulation of network operations are described and compared in tables. All countries regulate the network operations of the TSO. In Denmark there are no explicit efficiency requirements, and the regulation is based on a non-profit principle. The TSO only gets a return based on a price adjustment on its capital base as of 2005. In Finland, Norway and Sweden the regulation include efficiency requirements or benchmarking of costs. In Norway this regards 60 percent of total costs related to the network operations

Regulatory risk in the utilities industry: An empirical study of the English-speaking countries

International Nuclear Information System (INIS)

Gaggero, Alberto A.

2007-01-01

The economic theory on regulation suggests that firms subject to incentive regulation, such as price cap, bear more risk than firms subject to cost plus regulation, such as rate of return regulation. This hypothesis is tested empirically using a sample of 93 regulated companies operating in six English-speaking countries: Australia, Canada, Ireland, New Zealand, UK and USA, during the period 1995-2004. I replicate the methodology of the existing literature and also apply panel data techniques to my sample. The results obtained do not support the hypothesis that price cap regulation imposes more risk. (author)

Can Utilities Realize the Benefits of Advanced Metering Infrastructure? : Lessons from the World Bank’s Portfolio

OpenAIRE

Nangia, Varun; Oguah, Samuel; Gaba, Kwawu

2016-01-01

Advanced metering infrastructure (AMI) provides significant benefits to utilities around the world. Although it is entering the mainstream, technical concerns, policy challenges, capacity, and will in the Bank’s client countries hinder wider adoption. Starting out with smaller AMI deployments aimed at addressing revenue constraints seems to offer the best chance of success at utilities sup...

Health utilities in gynecological oncology and mastology in Germany.

Science.gov (United States)

Hildebrandt, Thomas; Thiel, Falk C; Fasching, Peter A; Graf, Christiane; Bani, Mayada R; Loehberg, Christian R; Schrauder, Michael G; Jud, Sebastian M; Hack, Carolin C; Beckmann, Matthias W; Lux, Michael P

2014-02-01

Cost increases in the healthcare system are leading to a need to distribute financial resources in accordance with the value of each service performed. Health-economic decision-making models can support these decisions. Due to the previous unavailability of health utilities in Germany (scored states of health as a basis for calculating quality-adjusted life-years, QALYs) for women undergoing treatment, international data are often used for such models. However, these may widely deviate from the values for a woman actually living in Germany. It is, therefore, necessary to collect and analyze health utilities in Germany. In a questionnaire survey, health utilities were collected, along with data for a healthy control group, for 580 female patients receiving treatment in the fields of mastology and gynecological oncology using a German version of the EuroQol questionnaire (EQ-5D) and a visual analogue scale (VAS). Data were also collected for the patients' medical history, tumor disease, and treatment. Significant differences with regard to quality of life were measured in relation to the individual tumor entities and in comparison to the controls. Apart from the healthy control group, patients with breast or cervical carcinoma had the best quality of life. In patients with recurrent and metastatic disease, those with breast carcinoma experienced the greatest impairment of their quality of life. According to current treatment, the most important impairment of life quality occurred in patients under radiotherapy and after surgical treatment. There are significant differences from the health utilities recorded for other countries - for example, the state of health declines much more markedly in patients with metastatic disease among American women with breast carcinoma than among German women, in whom recurrent disease and a first diagnosis of metastasis were comparable. Overall, the VAS was able to distinguish more adequately than the EQ-5D questionnaire between the

The influence of television on cultural values -- with special reference to Third World countries.

Science.gov (United States)

Goonasekera, A

1987-01-01

In focusing on the influence of television on cultural values, particularly in third world countries, the discussion covers the impact of the technology of communication on cultural values, the impact of existing, that is traditional, cultural values on television, and the impact of television programs on cultural values. It is not a problem to set up a television transmitting station in any third world country; the hardware is manufactured in developed countries and assembled in a third world country by technicians of the television manufacturing company. The key question is whether the third world country that has acquired this modern piece of technology can put it into operation run it. The operation of a modern television station calls for 3 types of professionals: engineers and technicians, television journalists and producers, and managers and administrators. Consequently, if the host country is to benefit from this transfer of technology it needs to have a community of modern professionals. Also, for a culture to successfully utilize television, it is helpful if the other media of communication are developed. In sum, at the time of the introduction of television in third world countries, such countries should possess an advanced sector of education and mass media which could form the basis for initiating the multiplier effect for which television has the potential. When introducing television to a third world country, one further needs to be aware of the impact that traditional values may have on the utilization of this medium. It can work to entrench traditional inequities in social relationships in the name of cultural uniqueness, and from the perspective of disadvantaged minority groups it could be a form of "cultural imperialism." Thus, when introducing television, the governments of these countries need to consider fostering a set of values and norms that could assist in the modernization of these countries. These should be values that promote human

Traditional Medicine in Developing Countries

DEFF Research Database (Denmark)

Thorsen, Rikke Stamp

or spiritual healer and self-treatment with herbal medicine or medicinal plants. Reliance on traditional medicine varies between countries and rural and urban areas, but is reported to be as high as 80% in some developing countries. Increased realization of the continued importance of traditional medicine has......People use traditional medicine to meet their health care needs in developing countries and medical pluralism persists worldwide despite increased access to allopathic medicine. Traditional medicine includes a variety of treatment opportunities, among others, consultation with a traditional healer...... led to the formulation of policies on the integration of traditional medicine into public health care. Local level integration is already taking place as people use multiple treatments when experiencing illness. Research on local level use of traditional medicine for health care, in particular the use...

Utility and work productivity data for economic evaluation of breast cancer therapies in the Netherlands and Sweden.

Science.gov (United States)

Frederix, Gerardus W J; Quadri, Nuz; Hövels, Anke M; van de Wetering, Fleur T; Tamminga, Hans; Schellens, Jan H M; Lloyd, Andrew J

2013-04-01

This study aimed to estimate utility values in laypeople and productivity loss for women with breast cancer in Sweden and the Netherlands. To capture utilities, validated health state vignettes were used, which were translated into Dutch and Swedish. They described progressive disease, stable disease, and 7 grade 3/4 adverse events. One hundred members of the general public in each country rated the states using the visual analog scale and time trade-off method. To assess productivity, women who had recently completed or were currently receiving treatment for early or advanced breast cancer (the Netherlands, n = 161; Sweden, n = 52) completed the Work Productivity and Activity Impairment-General Health (WPAI-GH) questionnaire. Data were analyzed using means (SD). The utility study showed that the Swedish sample rated progressive and stable disease (mean, 0.61 [0.07] and 0.81 [0.05], respectively) higher than did the Dutch sample (0.49 [0.06] and 0.69 [0.05]). The health states incorporating the toxicities in both countries produced similar mean scores. Results of the WPAI-GH showed that those currently receiving treatment reported productivity reductions of 69% (the Netherlands) and 72% (Sweden); those who had recently completed therapy reported reductions of 41% (the Netherlands) and 40% (Sweden). The differences in the utility scores between the 2 countries underline the importance of capturing country-specific values. The significant impact of adverse events on health-related quality of life was also highlighted. The WPAI-GH results demonstrated how the negative impact of breast cancer on productivity persists after women have completed their treatment. Copyright © 2013 Elsevier HS Journals, Inc. All rights reserved.

E-Commerce for utilities

Energy Technology Data Exchange (ETDEWEB)

Malicky, M. [Metzler and Associates, Deerfield, IL (United States)

1999-07-01

The use of E-Commerce by energy utility and service companies was discussed. E-Commerce was described as being all communication via the web including Internet, Intranet and Extranet. E-Commerce communication includes the exchange of information, data, money services, products, ideas, conversations, knowledge, inventory and events. E-Commerce can be applied to electric and gas utilities to enhance energy marketing, delivery, retail energy, energy services, retail services and customer satisfaction. This means of communication is quickly becoming an essential part of customer care strategy. It reduces costs and improves performance. It was forecasted that E-Commerce will more than double from 1998 to 2001. 15 refs.

Assessing the risk of expansion into a foreign country

International Nuclear Information System (INIS)

Krijgsman, J.P.W.

1994-01-01

Experience has shown that country risks are not only reasonably predictable but that risks have remained stable despite the turbulence of the times. Country risk, the additional dangers to business in other than the domestic economy, include credit and market risk. Comparison of three regions and individual country ranking rates China highest followed by Venezuela with Russia last. (author)

Approaches for optimizing the utilization of nuclear medical resources in developing countries

International Nuclear Information System (INIS)

Adelstein, S.

1978-10-01

Contemplation of the use of nuclear medicine technologies in developing countries raises the issue, what purposes they would serve in relation to the major health needs of the region. This investigation was an attempt to assess and to test a methodology for conducting this assessment. Several potential nuclear medicine applications were selected on the basis of their intrinsic promise and in order to evaluate a variety of techniques. These applications were then subjected to a cost-effectiveness analysis, either on their own or in comparison with some competing procedure. To give reality to the study, it was performed in the context of the Indian health scene. The situations examined were the following: Screening blood units for hepatitis B surface antigen prior to transfusion. Costs and benefits of radiorespirometry and conventional culture methods as means to improve case-finding in tuberculosis surveys. Improved tests for diagnosing tuberculous meningitis. Population screening for thyroid diseases. Studies of this type are typically impeded by an insufficiency of key data, they nevertheless can shed some light on the value of potential radionuclide applications

Proceedings of the 2000 workshop on the utilization of research reactors

International Nuclear Information System (INIS)

2001-11-01

The 2000 Workshop on the Utilization of Research Reactors, which is the ninth Workshop on the theme of research reactor utilization, was held in Taejon, Korea from November 20 to 24. This Workshop was executed based on the agreement in the First Coordinator's Meeting of Forum for Nuclear Cooperation in Asia (FNCA) held in Tokyo, March 2000. The Workshop consists of three groups under themes of the following fields; 1) Neutron Scattering, 2) Neutron Activation Analysis, and 3) Research Reactor Utilization (BNCT). The total number of participants for the Workshop was about 60 people from 8 countries; Australia, China, Indonesia, Korea, Malaysia, The Philippines, Thailand, Vietnam, and Japan. The 37 of the presented papers are indexed individually. (J.P.N.)

Regulation for the accomplishment of public purposes: the case of public utilities in Colombia

OpenAIRE

Moreno, Luis Ferney

2016-01-01

Since the 1990s, several countries in Latin America liberalized and privatized the public utilities business. As a consequence, there was a transit from the Entrepreneur State to the Regulatory State, the latter being traditionally understood as a model of regulation for competition, with a mayor concern only on economic objectives. Notwithstanding, the socioeconomic reality of Latin American countries, in particular Colombia, presented the fact that competition cannot be the only priority, a...

Universal health coverage in 'One ASEAN': are migrants included?

Science.gov (United States)

Guinto, Ramon Lorenzo Luis R; Curran, Ufara Zuwasti; Suphanchaimat, Rapeepong; Pocock, Nicola S

2015-01-01

As the Association of South East Asian Nations (ASEAN) gears toward full regional integration by 2015, the cross-border mobility of workers and citizens at large is expected to further intensify in the coming years. While ASEAN member countries have already signed the Declaration on the Protection and Promotion of the Rights of Migrant Workers, the health rights of migrants still need to be addressed, especially with ongoing universal health coverage (UHC) reforms in most ASEAN countries. This paper seeks to examine the inclusion of migrants in the UHC systems of five ASEAN countries which exhibit diverse migration profiles and are currently undergoing varying stages of UHC development. A scoping review of current migration trends and policies as well as ongoing UHC developments and migrant inclusion in UHC in Indonesia, Malaysia, Philippines, Singapore, and Thailand was conducted. In general, all five countries, whether receiving or sending, have schemes that cover migrants to varying extents. Thailand even allows undocumented migrants to opt into its Compulsory Migrant Health Insurance scheme, while Malaysia and Singapore are still yet to consider including migrants in their government-run UHC systems. In terms of predominantly sending countries, the Philippines's social health insurance provides outbound migrants with portable insurance yet with limited benefits, while Indonesia still needs to strengthen the implementation of its compulsory migrant insurance which has a health insurance component. Overall, the five ASEAN countries continue to face implementation challenges, and will need to improve on their UHC design in order to ensure genuine inclusion of migrants, including undocumented migrants. However, such reforms will require strong political decisions from agencies outside the health sector that govern migration and labor policies. Furthermore, countries must engage in multilateral and bilateral dialogue as they redefine UHC beyond the basis of

Determinants of Mental Health Care Utilization in a Suicide High-risk Group With Suicidal Ideation

Directory of Open Access Journals (Sweden)

Hyun-Soo Kim

2016-01-01

Full Text Available Objectives: The suicide rate in Korea is increasing every year, and is the highest among the Organization for Economic Cooperation and Development countries. Psychiatric patients in particular have a higher risk of suicide than other patients. This study was performed to evaluate determinants of mental health care utilization among individuals at high risk for suicide. Methods: Korea Health Panel data from 2009 to 2011 were used. Subjects were individuals at high risk of suicide who had suicidal ideation, a past history of psychiatric illness, or had utilized outpatient services for a psychiatric disorder associated with suicidal ideation within the past year. The chi-square test and hierarchical logistic regression were used to identify significant determinants of mental health care utilization. Results: The total number of subjects with complete data on the variables in our model was 989. Individuals suffering from three or more chronic diseases used mental health care more frequently. Mental health care utilization was higher in subjects who had middle or high levels of educational attainment, were receiving Medical Aid, or had a large family size. Conclusions: It is important to control risk factors in high-risk groups as part of suicide prevention strategies. The clinical approach, which includes community-based intervention, entails the management of reduction of suicidal risk. Our study identified demographic characteristics that have a significant impact on mental health care utilization and should be considered in the development of suicide prevention strategies. Further studies should examine the effect of mental health care utilization on reducing suicidal ideation.

Determinants of Mental Health Care Utilization in a Suicide High-risk Group With Suicidal Ideation.

Science.gov (United States)

Kim, Hyun-Soo; Lee, Moo-Sik; Hong, Jee-Young

2016-01-01

The suicide rate in Korea is increasing every year, and is the highest among the Organization for Economic Cooperation and Development countries. Psychiatric patients in particular have a higher risk of suicide than other patients. This study was performed to evaluate determinants of mental health care utilization among individuals at high risk for suicide. Korea Health Panel data from 2009 to 2011 were used. Subjects were individuals at high risk of suicide who had suicidal ideation, a past history of psychiatric illness, or had utilized outpatient services for a psychiatric disorder associated with suicidal ideation within the past year. The chi-square test and hierarchical logistic regression were used to identify significant determinants of mental health care utilization. The total number of subjects with complete data on the variables in our model was 989. Individuals suffering from three or more chronic diseases used mental health care more frequently. Mental health care utilization was higher in subjects who had middle or high levels of educational attainment, were receiving Medical Aid, or had a large family size. It is important to control risk factors in high-risk groups as part of suicide prevention strategies. The clinical approach, which includes community-based intervention, entails the management of reduction of suicidal risk. Our study identified demographic characteristics that have a significant impact on mental health care utilization and should be considered in the development of suicide prevention strategies. Further studies should examine the effect of mental health care utilization on reducing suicidal ideation.

Preconditions for and experience with quality assurance in developing countries

International Nuclear Information System (INIS)

Villate, J.

1980-01-01

The main aspects treated in this lecture concern to the differences in passing from conventional projects to nuclear power plants. This step requires the establishment of QA programs covering the activities of the utility, the architect-engineer, the NSSS supplier, the manufacturers and installer in all safety related components and structures. Indicative estimates are given regarding the manpower requirements and the cost of QA in the construction of a nuclear power plant. Special emphasis is granted to the qualifications, training and certification of QA and QC personnel. To illustrate this point and the transfer of technology to developing countries, examples of Mexico and Brazil are presented. Finally, an outline is given of IAEA capability in providing assistance in QA to developing countries. (orig./RW)

Measures for diffusion of solar PV in selected African countries

Science.gov (United States)

Nygaard, Ivan; Hansen, Ulrich Elmer; Mackenzie, Gordon; Pedersen, Mathilde Brix

2017-08-01

This paper investigates how African governments are considering supporting and promoting the diffusion of solar PV. This issue is explored by examining so-called 'technology action plans (TAPs)', which were main outputs of the Technology Needs Assessment project implemented in 10 African countries from 2010 to 2013. The paper provides a review of three distinct but characteristic trajectories for PV market development in Kenya (private-led market for solar home systems), Morocco (utility-led fee-for service model) and Rwanda (donor-led market for institutional systems). The paper finds that governments' strategies to promoting solar PV are moving from isolated projects towards frameworks for market development and that there are high expectations to upgrading in the PV value chain through local assembly of panels and local production of other system elements. Commonly identified measures include support to: local production; financing schemes; tax exemptions; establishment and reinforcement of standards; technical training; and research and development.

Countries with women inequalities have higher stroke mortality.

Science.gov (United States)

Kim, Young Dae; Jung, Yo Han; Caso, Valeria; Bushnell, Cheryl D; Saposnik, Gustavo

2017-10-01

Background Stroke outcomes can differ by women's legal or socioeconomic status. Aim We investigated whether differences in women's rights or gender inequalities were associated with stroke mortality at the country-level. Methods We used age-standardized stroke mortality data from 2008 obtained from the World Health Organization. We compared female-to-male stroke mortality ratio and stroke mortality rates in women and men between countries according to 50 indices of women's rights from Women, Business and the Law 2016 and Gender Inequality Index from the Human Development Report by the United Nations Development Programme. We also compared stroke mortality rate and income at the country-level. Results In our study, 176 countries with data available on stroke mortality rate in 2008 and indices of women's rights were included. There were 46 (26.1%) countries where stroke mortality in women was higher than stroke mortality in men. Among them, 29 (63%) countries were located in Sub-Saharan African region. After adjusting by country income level, higher female-to-male stroke mortality ratio was associated with 14 indices of women's rights, including differences in getting a job or opening a bank account, existence of domestic violence legislation, and inequalities in ownership right to property. Moreover, there was a higher female-to-male stroke mortality ratio among countries with higher Gender Inequality Index (r = 0.397, p Gender Inequality Index was more likely to be associated with stroke mortality rate in women than that in men (p gender inequality status is associated with women's stroke outcomes.

Lot quality assurance sampling techniques in health surveys in developing countries: advantages and current constraints.

Science.gov (United States)

Lanata, C F; Black, R E

1991-01-01

Traditional survey methods, which are generally costly and time-consuming, usually provide information at the regional or national level only. The utilization of lot quality assurance sampling (LQAS) methodology, developed in industry for quality control, makes it possible to use small sample sizes when conducting surveys in small geographical or population-based areas (lots). This article describes the practical use of LQAS for conducting health surveys to monitor health programmes in developing countries. Following a brief description of the method, the article explains how to build a sample frame and conduct the sampling to apply LQAS under field conditions. A detailed description of the procedure for selecting a sampling unit to monitor the health programme and a sample size is given. The sampling schemes utilizing LQAS applicable to health surveys, such as simple- and double-sampling schemes, are discussed. The interpretation of the survey results and the planning of subsequent rounds of LQAS surveys are also discussed. When describing the applicability of LQAS in health surveys in developing countries, the article considers current limitations for its use by health planners in charge of health programmes, and suggests ways to overcome these limitations through future research. It is hoped that with increasing attention being given to industrial sampling plans in general, and LQAS in particular, their utilization to monitor health programmes will provide health planners in developing countries with powerful techniques to help them achieve their health programme targets.

Are doctors and nurses associated with coverage of essential health services in developing countries? A cross-sectional study

Directory of Open Access Journals (Sweden)

de Pinho Helen

2009-03-01

Full Text Available Abstract Background There is broad policy consensus that a shortage of doctors and nurses is a key constraint to increasing utilization of essential health services important for achieving the health Millennium Development Goals. However there is limited research on the quantitative links between health workers and service coverage rates. We examined the relationship between doctor and nurse concentrations and utilization rates of five essential health services in developing countries. Methods We performed cross-national analyses of low- and middle-income countries by means of ordinary least squares regression with coverage rates of antenatal care, attended delivery, caesarean section, measles immunization, tuberculosis case diagnosis and care for acute respiratory infection as outcomes. Doctor, nurse and aggregate health worker (sum of doctors and nurses concentrations were the main explanatory variables. Results Nurses were associated with utilization of skilled birth attendants (P = 0.02 and doctors were associated with measles immunization rates (P = 0.01 in separate adjusted analyses. Aggregate health workers were associated with the utilization of skilled birth attendants (P Conclusion A range of health system and population-level factors aside from health workers influences coverage of health services in developing countries. However, it is also plausible that health workers who are neither doctors nor nurses, such as clinical officers and community health workers, may be providing a substantial proportion of health services. The human resources for health research agenda should be expanded beyond doctors and nurses.

Explaining nascent entrepreneurship across countries

NARCIS (Netherlands)

A.R. Thurik (Roy); A.J. van Stel (André); A.R.M. Wennekers (Sander); P. Reynolds (Paul)

2003-01-01

textabstractThis paper aims at explaining cross-country variation in nascent entrepreneurship. Regression analysis is applied using various explanatory variables derived from three different approaches. We make use of the Global Entrepreneurship Monitor database, including nascent entrepreneurship

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

Country Nuclear Power Profiles - 2007 Edition

International Nuclear Information System (INIS)

2008-01-01

The preparation of Country Nuclear Power Profiles (CNPP) was initiated within the framework of the IAEA's programme on assessment and feedback of nuclear power plant performance. It responded to a need for a database and a technical publication containing a description of the energy and economic situation, the energy and the electricity sector, and the primary organizations involved in nuclear power in IAEA Member States. It covers background information on the status and development of nuclear power programmes in countries having nuclear plants in operation and/or plants under construction. This is the 2007 edition issued on CD-ROM and Web pages. It updates the country information, in general, to the end of 2006 for 39 countries. The CNPP is updated based on information voluntarily provided by participating IAEA Member States. Participants include the 30 countries that have operating nuclear power plants, as well as nine countries having past or planned nuclear power programmes (Bangladesh, Egypt, Indonesia, the Islamic Republic of Iran, Italy, Kazakhstan, Poland, Turkey, and Vietnam). For the 2007 edition, 21 countries provided information to the IAEA to update their profiles. For the 18 other countries, the IAEA updated the profile statistical tables on nuclear power, energy development, and economic indicators based on information from IAEA and World Bank databases. These 18 countries are Argentina, Belgium, Bulgaria, Canada, China, Egypt, Finland, Indonesia, Japan, Mexico, Netherlands, Poland, Romania, Slovenia, South Africa, Spain, Switzerland, and Ukraine. Overall, the CNPP reviews the organizational and industrial aspects of nuclear power programmes in participating countries, and provides information about the relevant legislative, regulatory and international frameworks in each country. It compiles the current issues in the new environment within which the electricity and nuclear sector operates, i.e. energy policy, and privatization and deregulation in

Energy and exergy analysis at the utility and commercial sectors of Malaysia

International Nuclear Information System (INIS)

Saidur, R.; Sattar, M.A.; Masjuki, H.H.; Abdessalam, H.; Shahruan, B.S.

2007-01-01

In this paper, sectoral energy and exergy analysis model is applied to the utility and commercial sectors of Malaysia by considering the energy and exergy flows from 1990 to 2003. The energy and exergy efficiencies are determined for the sub-sectors and devices used in these two sectors. It has been found the hydroelectric power plant sub-sector is more energy and exergy efficient compared to the thermal power plant sub-sector. The energy and exergy efficiencies of utility and commercial sectors of Malaysia are compared with a few other countries around the world as well. The utility and commercial sectors of Malaysia are found to be more efficient than that of Thailand, Brunei, China, and Vietnam in 1999

Renewable Energy Country Profiles. Latin America

Energy Technology Data Exchange (ETDEWEB)

NONE

2012-06-15

The IRENA Renewable Energy Country Profiles combine elements of IRENA analysis with the latest information available from a vast array of sources in order to give a brief yet comprehensive and up-to-date picture of the situation of renewable energy that includes energy supply, electrical capacity, energy access, policies, targets, investment climate, projects and endowment in renewable energy resources. Because of the different timelines of these sources, data presented here refer to years between 2009 and 2012. Data availability also differs from country to country, which makes comparison with a wider regional group possible only for the year for which figures are available for all the members of the group; while this may not be the most recent year, the differences between countries, regions and the world remain striking. The current country profiles are just a starting point; they will be extended upon with new indicators to make them more informative, and maintained as a live product on the IRENA website as a key source of information on renewable energy.

A review on the utilization of the Japan materials testing reactor (JMTR)

Energy Technology Data Exchange (ETDEWEB)

Kim, D. H.; Kang, Y. H.; Kim, B. G.; Choo, K. N.; Oh, J. M.; Park, S. J.; Shin, Y. T

1999-04-01

The HANARO has possessed the potential capability for the testing of materials and fuels since the beginning of its operation in 1995. Recently, this reactor has contributed to various activities in nuclear power research in Korea. We need the recent technical data of developed countries to support these activities in nuclear power. Most of the developed countries in nuclear power have more than thirty years' experience in the irradiation test of nuclear fuel and material for performing their complicated in-core measurements of the change of material properties. They also have developed various types of sensors, equipment and techniques. This report describes the status of utilization of the irradiation facilities of the Japan Materials Testing Reactor(JMTR). It also describes the recent efforts of the JMTR in order to develop new irradiation test techniques. It will be our great pleasure for this report to help a broad range of people understand the generic contents (JMTR utilization, new techniques) of the JMTR. (author)

A review on the utilization of the Japan materials testing reactor (JMTR)

International Nuclear Information System (INIS)

Kim, D. H.; Kang, Y. H.; Kim, B. G.; Choo, K. N.; Oh, J. M.; Park, S. J.; Shin, Y. T.

1999-04-01

The HANARO has possessed the potential capability for the testing of materials and fuels since the beginning of its operation in 1995. Recently, this reactor has contributed to various activities in nuclear power research in Korea. We need the recent technical data of developed countries to support these activities in nuclear power. Most of the developed countries in nuclear power have more than thirty years' experience in the irradiation test of nuclear fuel and material for performing their complicated in-core measurements of the change of material properties. They also have developed various types of sensors, equipment and techniques. This report describes the status of utilization of the irradiation facilities of the Japan Materials Testing Reactor(JMTR). It also describes the recent efforts of the JMTR in order to develop new irradiation test techniques. It will be our great pleasure for this report to help a broad range of people understand the generic contents (JMTR utilization, new techniques) of the JMTR. (author)

Do less populous countries receive more development assistance for health per capita? Longitudinal evidence for 143 countries, 1990-2014.

Science.gov (United States)

Martinsen, Lene; Ottersen, Trygve; Dieleman, Joseph L; Hessel, Philipp; Kinge, Jonas Minet; Skirbekk, Vegard

2018-01-01

Per capita allocation of overall development assistance has been shown to be biased towards countries with lower population size, meaning funders tend to provide proportionally less development assistance to countries with large populations. Individuals that happen to be part of large populations therefore tend to receive less assistance. However, no study has investigated whether this is also true regarding development assistance for health. We examined whether this so-called 'small-country bias' exists in the health aid sector. We analysed the effect of a country's population size on the receipt of development assistance for health per capita (in 2015 US$) among 143 countries over the period 1990-2014. Explanatory variables shown to be associated with receipt of development assistance for health were included: gross domestic product per capita, burden of disease, under-5 mortality rate, maternal mortality ratio, vaccination coverage (diphtheria, tetanus and pertussis) and fertility rate. We used the within-between regression analysis, popularised by Mundluck, as well as a number of robustness tests, including ordinary least squares, random-effects and fixed-effects regressions. Our results suggest there exists significant negative effect of population size on the amount of development assistance for health per capita countries received. According to the within-between estimator, a 1% larger population size is associated with a 0.4% lower per capita development assistance for health between countries (-0.37, 95% CI -0.45 to -0.28), and 2.3% lower per capita development assistance for health within countries (-2.29, 95% CI -3.86 to -0.72). Our findings support the hypothesis that small-country bias exists within international health aid, as has been previously documented for aid in general. In a rapidly changing landscape of global health and development, the inclusion of population size in allocation decisions should be challenged on the basis of equitable

Increased healthcare service utilizations for patients with dementia: a population-based study.

Directory of Open Access Journals (Sweden)

Shiu-Dong Chung

Full Text Available BACKGROUND: The majority of previous studies investigating the health care utilization of people with dementia were conducted in Western societies. There is little information on the economic burden on the healthcare system attributable to dementia in Asian countries. This study thus investigated differences in utilization of healthcare services between subjects with and those without a diagnosis of dementia using Taiwan's National Health Insurance population-based database. METHODS: This study comprised 5,666 subjects with a dementia diagnosis and 5,666 age- and gender-matched comparison subjects without a dementia diagnosis. We individually followed each subject for a 1-year period starting from their index date to evaluate their healthcare resource utilization. Healthcare resource utilization included the number of outpatient visits and inpatient days, and the mean costs of outpatient and inpatient treatments. In addition, we divided healthcare resource utilization into psychiatric and non-psychiatric services. RESULTS: As for utilization of psychiatric services, subjects with a dementia diagnosis had significantly more outpatient visits (2.2 vs. 0.3, p<0.001 and significantly higher outpatient costs (US$124 vs. US$16, p<0.001 than comparison subjects. For non-psychiatric services, subjects with a dementia diagnosis also had significantly more outpatient visits (34.4 vs. 31.6, p<0.001 and significantly higher outpatient costs (US$1754 vs. US$1322, p<0.001 than comparison subjects. For all healthcare services, subjects with a dementia diagnosis had significantly more outpatient visits (36.7 vs. 32.0, p<0.001 and significantly higher outpatient costs (US$1878 vs. US$1338, p<0.001 than comparison subjects. Furthermore, the total cost was about 2-fold greater for subjects with a dementia diagnosis than for comparison subjects (US$3997 vs. US$2409, p<0.001. CONCLUSIONS: We concluded that subjects who had received a clinical dementia diagnosis had

Activities of research-reactor-technology project in FNCA from FY2005 to FY2007. Sharing neutronics calculation technique for core management and utilization of research reactors

International Nuclear Information System (INIS)

2010-07-01

RRT project (Research-Reactor-Technology Project) was carried out with the theme of 'sharing neutronics calculation technique for core management and utilization of research reactors' in the framework of FNCA (Forum for Nuclear Cooperation in Asia) from FY2005 to FY2007. The objective of the project was to improve and equalize the level of neutronics calculation technique for the reactor core management among participating countries to assure the safe and stable operation of research reactors and the promotion of the effective utilization. Neutronics calculation codes, namely SRAC code system and MVP code, were adopted as common codes. Participating countries succeeded in applying the common codes to analyzing the core of each domestic research reactor. Some participating countries succeeded in applying the common codes to analyzing for utilization of own research reactors. Activities of RRT project have improved and equalized the level of neutronics calculation technique among participating countries. (author)

Proceedings of the International conference: Nuclear option in countries with small and medium electricity grid

International Nuclear Information System (INIS)

1996-01-01

The conference of Croatian Nuclear Society 'Nuclear option in countries with small and medium electricity grid' was organized with intention to focus on and discuss the specific needs and interests of the countries with small or medium nuclear systems. In order to achieve best safety and operational standards these countries with limited human and material resources must put greater emphasis on their rational and efficient use. For these countries the world wide developments on innovative reactors' systems and improved concepts for fuel utilisation and waste disposal are substantial interest. Appropriate selections of reactor technology, fuel cycle and decommission strategies are of paramount importance. There are very successful examples of achieving safety and good operational records, so the exchange of experience and cooperation amongst that group of countries would be of great value. As in the future of nuclear energy there will be many more countries with only small or medium nuclear systems, collecting specific experience and cooperation between the like countries will be an additional value to the now prevailing equipment supplier - national utility relationships

Proceedings of the International conference: Nuclear option in countries with small and medium electricity grid

Energy Technology Data Exchange (ETDEWEB)

NONE

1997-12-31

The conference of Croatian Nuclear Society `Nuclear option in countries with small and medium electricity grid` was organized with intention to focus on and discuss the specific needs and interests of the countries with small or medium nuclear systems. In order to achieve best safety and operational standards these countries with limited human and material resources must put greater emphasis on their rational and efficient use. For these countries the world wide developments on innovative reactors` systems and improved concepts for fuel utilisation and waste disposal are substantial interest. Appropriate selections of reactor technology, fuel cycle and decommission strategies are of paramount importance. There are very successful examples of achieving safety and good operational records, so the exchange of experience and cooperation amongst that group of countries would be of great value. As in the future of nuclear energy there will be many more countries with only small or medium nuclear systems, collecting specific experience and cooperation between the like countries will be an additional value to the now prevailing equipment supplier - national utility relationships.

NO{sub x} controls for coal-fired utility boilers in East Central Europe

Energy Technology Data Exchange (ETDEWEB)

Eskinazi, D. [Electric Power Research Inst., Washington, DC (United States); Tavoulareas, E.S. [Energy Technologies Enterprises Corp., McLean, VA (United States)

1995-12-01

Increasing environmental pressures worldwide, including East Central Europe are placing greater emphasis on NO{sub x} emission controls in utility power plants. Western Europe, Japan and the U.S. have significant experience in applying NO{sub x} controls, especially in boilers firing hard coal. Some countries in Europe (i.e., Germany and Austria), have gained experience in applying NO{sub x} controls in boilers firing low-rank coal. This experience can be applied to East Central European countries in providing the basis for planning NO{sub x} control projects, suggesting cost-effective solutions, and providing lessons learned. However, while the experience is generally applicable to East Central European countries, differences in boiler design, operation and coal characteristics also need to be considered. This paper begins with a comparison of the NO{sub x} regulations, identifies the key NO{sub x} control technologies and the worldwide experience with them, and discusses the achievable NO{sub x} reduction, O&M impacts, and retrofit costs for each technology. Emphasis is placed on retrofit applications for existing boilers, because new coal-fired power plants are not expected to be built for the next 5-10 years. This paper also focuses on technologies with relatively low cost and operational simplicity: combustion system tuning/optimization. low-NO{sub x} burners (LNB), overfire air (OFA), selective non-catalytic reduction (SNCR), and reburning.

Present state of research and development of atomic energy in five Asian countries

Energy Technology Data Exchange (ETDEWEB)

1981-01-01

The survey group for Asian atomic energy cooperation was dispatched by the Japanese government, and toured Philippines, Indonesia, Malaysia, Thailand and Bangladesh from September 7 to 19, 1980. The present state of atomic energy development and the energy situation in respective countries were surveyed through the exchange of opinion and the inspection of related facilities. The Regional Cooperative Agreement for Research, Development and Training Related to Nuclear Science and Technology was concluded in June, 1972, and 12 countries have participated in it. It was impressive that respective countries have the peculiar energy policies corresponding to their objective conditions. They regard atomic energy as the important substitute energy for petroleum, but the fear about the safety of atomic energy and the movement against nuclear power generation have been growing considerably. The research and development on atomic energy are carried out very actively in respective countries, and the construction of large-scale research centers was commenced in Indonesia, Malaysia and Bangladesh. Research reactors have been operated in Philippines, Indonesia and Thailand since about 20 years ago, and the utilization of radioisotopes and radiation has been studied. The cooperation of Japan with these countries is far behind that of other advanced countries.

Utility Energy Services Contracts Lessons Learned

Energy Technology Data Exchange (ETDEWEB)

None

2001-08-01

This document describes best practices in the use of Utility Energy Services Contracts. The recommendations were generated by a group of innovative energy managers in many successful projects. The topics include project financing, competition between utility franchises, and water conservation.

DSM Electricity Savings Potential in the Buildings Sector in APP Countries

Energy Technology Data Exchange (ETDEWEB)

McNeil, MIchael; Letschert, Virginie; Shen, Bo; Sathaye, Jayant; de la Ru du Can, Stephane

2011-01-12

The global economy has grown rapidly over the past decade with a commensurate growth in the demand for electricity services that has increased a country's vulnerability to energy supply disruptions. Increasing need of reliable and affordable electricity supply is a challenge which is before every Asia Pacific Partnership (APP) country. Collaboration between APP members has been extremely fruitful in identifying potential efficiency upgrades and implementing clean technology in the supply side of the power sector as well established the beginnings of collaboration. However, significantly more effort needs to be focused on demand side potential in each country. Demand side management or DSM in this case is a policy measure that promotes energy efficiency as an alternative to increasing electricity supply. It uses financial or other incentives to slow demand growth on condition that the incremental cost needed is less than the cost of increasing supply. Such DSM measures provide an alternative to building power supply capacity The type of financial incentives comprise of rebates (subsidies), tax exemptions, reduced interest loans, etc. Other approaches include the utilization of a cap and trade scheme to foster energy efficiency projects by creating a market where savings are valued. Under this scheme, greenhouse gas (GHG) emissions associated with the production of electricity are capped and electricity retailers are required to meet the target partially or entirely through energy efficiency activities. Implementation of DSM projects is very much in the early stages in several of the APP countries or localized to a regional part of the country. The purpose of this project is to review the different types of DSM programs experienced by APP countries and to estimate the overall future potential for cost-effective demand-side efficiency improvements in buildings sectors in the 7 APP countries through the year 2030. Overall, the savings potential is estimated to be

Knowledge Base for Strainer Clogging - Modifications performed in different countries since 1992 - Final report

International Nuclear Information System (INIS)

2002-01-01

A review has been conducted of modifications performed primarily in the ECCS (Emergency Core Cooling System) and CSS (Containment Spray System) of nuclear power plants in different countries following the Barsebaeck event in July 1992. The information about these modifications has been gathered through a literature study of internationally published reports, contacts with the regulatory body from the different countries, and in some cases, directly from utility specialists and plant representatives. The information reflects the plants and research status as per December 2001. It covers 15 countries encompassing nine countries with PWRs, seven with BWRs, five with VVERs and one country with CANDU-reactors. The review indicates that: 1. Many countries have carried out very thorough and expeditious actions in response to the Barsebaeck event, often within a noteworthy constructive co-operation climate between the regulatory body and the plant owners. 2. All countries have performed extensive studies. 3. Many countries have performed extensive experiments. 4. Corrective actions have been taken in: most BWRs, a limited number of PWRs and a relatively significant number of VVERs and CANDU reactors (installation of new strainers / material). 5. Experiments and theoretical studies are still on going in some countries, mostly for PWR designs. All countries covered in the report have performed extensive studies to assess the amount of insulation materials that could be dislodged during pipe break events inside the containment. In many countries, the analyses were based on the double cone model of the USNRC. The analyses have also included specific studies of the transport of insulation materials and other debris in the containment, and of strainer pressure drops. The analyses were often conducted in parallel with extensive experiments utilising different insulation materials to assess the physical and time aspects of the clogging of the suction strainers. Many countries also

Energy balances of OECD countries 1970/1982

International Nuclear Information System (INIS)

Anon.

1984-01-01

The present volume provides standardized energy balance sheets expressed in a common unit of tons of oil equivalent for all OECD Countries. It covers the years 1970 to 1982 year by year and includes many revisions and additions to data previously published. The balances in the present volume are based on data published in OECD Energy Statistics 1971-1981 and OECD Energy Statistics 1981-1982. Tables for each OECD Country include production, import, export, consumption by the different industries, transportation, agriculture, residential sector of the different energies: solid fuels, petroleum, gas, nuclear power and hydroelectricity [fr

Utility requirements for HTGRs

International Nuclear Information System (INIS)

Nicholls, D.R.

1997-01-01

Eskom, the state utility of South Africa, is currently evaluating the technical and economic feasibility of the helium cooled Pebble Bed Modular Reactor with a closed cycle gas turbine power conversion system for future power generating additions to its electric system. This paper provides an overview of the Eskom system including the needs of the utility for future generation capacity and the key performance requirements necessary for incorporation of this gas cooled reactor plant. (author)

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

Antenatal corticosteroids trial in preterm births to increase neonatal survival in developing countries: study protocol.

Science.gov (United States)

Althabe, Fernando; Belizán, José M; Mazzoni, Agustina; Berrueta, Mabel; Hemingway-Foday, Jay; Koso-Thomas, Marion; McClure, Elizabeth; Chomba, Elwyn; Garces, Ana; Goudar, Shivaprasad; Kodkany, Bhalchandra; Saleem, Sarah; Pasha, Omrana; Patel, Archana; Esamai, Fabian; Carlo, Waldemar A; Krebs, Nancy F; Derman, Richard J; Goldenberg, Robert L; Hibberd, Patricia; Liechty, Edward A; Wright, Linda L; Bergel, Eduardo F; Jobe, Alan H; Buekens, Pierre

2012-09-19

Preterm birth is a major cause of neonatal mortality, responsible for 28% of neonatal deaths overall. The administration of antenatal corticosteroids to women at high risk of preterm birth is a powerful perinatal intervention to reduce neonatal mortality in resource rich environments. The effect of antenatal steroids to reduce mortality and morbidity among preterm infants in hospital settings in developed countries with high utilization is well established, yet they are not routinely used in developing countries. The impact of increasing antenatal steroid use in hospital or community settings with low utilization rates and high infant mortality among premature infants due to lack of specialized services has not been well researched. There is currently no clear evidence about the safety of antenatal corticosteroid use for community-level births. We hypothesize that a multi country, two-arm, parallel cluster randomized controlled trial to evaluate whether a multifaceted intervention to increase the use of antenatal corticosteroids, including components to improve the identification of pregnancies at high risk of preterm birth and providing and facilitating the appropriate use of steroids, will reduce neonatal mortality at 28 days of life in preterm newborns, compared with the standard delivery of care in selected populations of six countries. 102 clusters in Argentina, Guatemala, Kenya, India, Pakistan, and Zambia will be randomized, and around 60,000 women and newborns will be enrolled. Kits containing vials of dexamethasone, syringes, gloves, and instructions for administration will be distributed. Improving the identification of women at high risk of preterm birth will be done by (1) diffusing recommendations for antenatal corticosteroids use to health providers, (2) training health providers on identification of women at high risk of preterm birth, (3) providing reminders to health providers on the use of the kits, and (4) using a color-coded tape to measure

Antenatal corticosteroids trial in preterm births to increase neonatal survival in developing countries: study protocol

Directory of Open Access Journals (Sweden)

Althabe Fernando

2012-09-01

Full Text Available Abstract Background Preterm birth is a major cause of neonatal mortality, responsible for 28% of neonatal deaths overall. The administration of antenatal corticosteroids to women at high risk of preterm birth is a powerful perinatal intervention to reduce neonatal mortality in resource rich environments. The effect of antenatal steroids to reduce mortality and morbidity among preterm infants in hospital settings in developed countries with high utilization is well established, yet they are not routinely used in developing countries. The impact of increasing antenatal steroid use in hospital or community settings with low utilization rates and high infant mortality among premature infants due to lack of specialized services has not been well researched. There is currently no clear evidence about the safety of antenatal corticosteroid use for community-level births. Methods We hypothesize that a multi country, two-arm, parallel cluster randomized controlled trial to evaluate whether a multifaceted intervention to increase the use of antenatal corticosteroids, including components to improve the identification of pregnancies at high risk of preterm birth and providing and facilitating the appropriate use of steroids, will reduce neonatal mortality at 28 days of life in preterm newborns, compared with the standard delivery of care in selected populations of six countries. 102 clusters in Argentina, Guatemala, Kenya, India, Pakistan, and Zambia will be randomized, and around 60,000 women and newborns will be enrolled. Kits containing vials of dexamethasone, syringes, gloves, and instructions for administration will be distributed. Improving the identification of women at high risk of preterm birth will be done by (1 diffusing recommendations for antenatal corticosteroids use to health providers, (2 training health providers on identification of women at high risk of preterm birth, (3 providing reminders to health providers on the use of the kits, and

Monitoring and Benchmarking eHealth in the Nordic Countries.

Science.gov (United States)

Nøhr, Christian; Koch, Sabine; Vimarlund, Vivian; Gilstad, Heidi; Faxvaag, Arild; Hardardottir, Gudrun Audur; Andreassen, Hege K; Kangas, Maarit; Reponen, Jarmo; Bertelsen, Pernille; Villumsen, Sidsel; Hyppönen, Hannele

2018-01-01

The Nordic eHealth Research Network, a subgroup of the Nordic Council of Ministers eHealth group, is working on developing indicators to monitor progress in availability, use and outcome of eHealth applications in the Nordic countries. This paper reports on the consecutive analysis of National eHealth policies in the Nordic countries from 2012 to 2016. Furthermore, it discusses the consequences for the development of indicators that can measure changes in the eHealth environment arising from the policies. The main change in policies is reflected in a shift towards more stakeholder involvement and intensified focus on clinical infrastructure. This change suggests developing indicators that can monitor understandability and usability of eHealth systems, and the use and utility of shared information infrastructure from the perspective of the end-users - citizens/patients and clinicians in particular.

Interventions for hiring, retaining and training district health systems managers in low- and middle-income countries.

Science.gov (United States)

Rockers, Peter C; Bärnighausen, Till

2013-04-30

District managers are playing an increasingly important role in determining the performance of health systems in low- and middle-income countries as a result of decentralization. To assess the effectiveness of interventions to hire, retain and train district health systems managers in low- and middle-income countries. We searched a wide range of international databases, including the Cochrane Central Register of Controlled Trials (CENTRAL), MEDLINE and EMBASE. We also searched online resources of international agencies, including the World Bank, to find relevant grey literature. Searches were conducted in December 2011. District health systems managers are those persons who are responsible for overseeing the operations of the health system within a defined, subnational geographical area that is designated as a district. Hiring and retention interventions include those that aim to increase the attractiveness of district management positions, as well as those related to hiring and retention processes, such as private contracting. Training interventions include education programs to develop future managers and on-the-job training programs for current managers. To be included, studies needed to use one of the following study designs: randomized controlled trial, nonrandomized controlled trial, controlled before-and-after study, and interrupted time series analysis. We report measures of effect in the same way that the primary study authors have reported them. Due to the varied nature of interventions included in this review we could not pool data across studies. Two studies met our inclusion criteria. The findings of one study conducted in Cambodia provide low quality evidence that private contracts with international nongovernmental organizations (NGOs) for district health systems management ('contracting-in') may improve health care access and utilization. Contracting-in increased use of antenatal care by 28% and use of public facilities by 14%. However, contracting

Natural Resources and FDI in GCC Countries

Directory of Open Access Journals (Sweden)

Mohamed Mahjoub Elheddad

2016-08-01

Full Text Available Natural resources are a blessing for some countries to attract FDI but cursed for others. Existing literature argues the suggestion that resource-rich countries attract less FDI because of resource (oil price volatility. This study examines that natural resources discourage FDI in GCC countries (the FDI-Natural resources curse hypothesis, using panel data analysis for six oil dependent countries during 1980-2013 and applying several econometrics techniques. The main findings of this paper is that natural resources measured by oil rents have a negative association with FDI inflows; this negative impact is robust even when other FDI determinates of FDI  are included. FDI inflows decreased between 0.15 and 0.92% when oil rents increased by 1%. In addition, the empirical results show that trade openness and labour force are the main factors that encourage FDI, while political instability and corruption deter FDI inflows into GCC countries.

Regulation for the accomplishment of public purposes: the case of public utilities in Colombia

OpenAIRE

Moreno, Luis Ferney

2016-01-01

Since the 1990s, several countries in Latin America liberalized and privatized the public utilities business. As a consequence, there was a transit from the Entrepreneur State to the Regulatory State, the latter being traditionally understood as a model of regulation for competition, with a mayor concern only on economic objectives. Notwithstanding, the socioeconomic reality of Latin American countries, in particular Colombia, presented the fact that competition cannot be the only priority, a...

Proceedings of the International conference: Nuclear option in countries with small and medium electricity grids

Energy Technology Data Exchange (ETDEWEB)

NONE

2000-07-01

In order to achieve best safety and operational standards countries with limited human and material resources must put greater emphasis on their rational and efficient use. Consequently the worldwide developments on innovative reactors' systems and improved concepts for fuel utilisation and waste disposal are of substantial interest. Appropriate selections of reactor technology, fuel cycle and decommission strategies are of paramount importance. There are very successful examples of achieving safety and good operational records, so the exchange of experience and co-operation amongst that group of countries is of great interest. As in the future use of nuclear energy there will be many more countries with small or medium nuclear systems, exchanging specific experience and co-operation between the like countries will be an additional value to the now prevailing equipment supplier - national utility relationships.

Proceedings of the International conference: Nuclear option in countries with small and medium electricity grids

International Nuclear Information System (INIS)

2000-01-01

In order to achieve best safety and operational standards countries with limited human and material resources must put greater emphasis on their rational and efficient use. Consequently the worldwide developments on innovative reactors' systems and improved concepts for fuel utilisation and waste disposal are of substantial interest. Appropriate selections of reactor technology, fuel cycle and decommission strategies are of paramount importance. There are very successful examples of achieving safety and good operational records, so the exchange of experience and co-operation amongst that group of countries is of great interest. As in the future use of nuclear energy there will be many more countries with small or medium nuclear systems, exchanging specific experience and co-operation between the like countries will be an additional value to the now prevailing equipment supplier - national utility relationships

Application of Resource Utilization in Dementia (RUD) instrument in a global setting.

Science.gov (United States)

Wimo, Anders; Gustavsson, Anders; Jönsson, Linus; Winblad, Bengt; Hsu, Ming-Ann; Gannon, Brenda

2013-07-01

The Resource Utilization in Dementia (RUD) questionnaire is the most widely used instrument for resource use data collection in dementia, enabling comparison of costs of care across countries with differing health care provisions. Recent feedback from payers questioned its face validity given that health care provisions have changed since the initial development of the RUD in 1998. The aim of this study was to update the RUD to improve its face validity in Alzheimer's disease (AD) clinical research and its utility for health care resource allocation. An extensive PubMed review was conducted of current relevant resource items in AD in 15 countries. The findings were complemented by interviews with local care providers and experts in dementia care and health economics. Their proposed revisions were discussed with five leading dementia experts in North and South America, northern and southern Europe, and Asia. A new version of the RUD was developed based on their recommendations. RUD users identified a need for more information relevant to coverage decisions. Proposed revisions included changes to existing questions (e.g., to capture more accurately the number and type of health care visits) and the addition of new questions (e.g., on informal caregiver hours and the primary caregiver's hours of sleep). Several minor changes were made to the RUD instrument to improve the accuracy and precision of the data while maintaining comparability with the original version and reflecting current medical practice. The RUD Complete Version 4.0 is now available for use in future AD clinical trials. Copyright © 2013 The Alzheimer's Association. Published by Elsevier Inc. All rights reserved.

Predicting Early Center Care Utilization in a Context of Universal Access

Science.gov (United States)

Zachrisson, Henrik Daae; Janson, Harald; Naerde, Ane

2013-01-01

This paper reports predictors for center care utilization prior to 18 months of age in Norway, a country with a welfare system providing up to one-year paid parental leave and universal access to subsidized and publicly regulated center care. A community sample of 1103 families was interviewed about demographics, family, and child characteristics…

Utilization of atomic energy in Asia and nuclear nonproliferation system

International Nuclear Information System (INIS)

Ishii, Makoto

1995-01-01

The economical growth in East Asia is conspicuous as it was called East Asian Miracle, and also the demand of energy increased rapidly. The end of Cold War created the condition for the further development in this district. Many countries advanced positively the plan of atomic energy utilization, and it can be said that the smooth progress of atomic energy utilization is the key for the continuous growth in this district in view of the restriction of petroleum resources and its price rise in future and the deterioration of global environment. The nuclear nonproliferation treaty (NPT) has accomplished large role, but also its limitation became clear. At present, there is not the local security system in Asia, but in order that the various countries in Asia make the utilization of atomic energy and the security compatible, it is useful to jointly develop safety technology, execute security measures and form the nuclear fuel cycle as Asia. Energy and environmental problems in Asia are reported. Threat is essentially intention and capability, and the regulation only by capability regardless of intention brings about unrealistic result. The limitation of the NPT is discussed. The international relation of interdependence deepends after Cold War, and the security in Asia after Cold War is considered. As the mechanism of forming the nuclear fuel cycle for whole Asia, it is desirable to realize ASIATOM by accumulating the results of possible cooperation. (K.I.)

Country Nuclear Power Profiles - 2010 Edition

International Nuclear Information System (INIS)

2010-08-01

The Country Nuclear Power Profiles compiles background information on the status and development of nuclear power programs in Member States. It consists of organizational and industrial aspects of nuclear power programs and provides information about the relevant legislative, regulatory, and international framework in each country. Its descriptive and statistical overview of the overall economic, energy, and electricity situation in each country, and its nuclear power framework is intended to serve as an integrated source of key background information about nuclear power programs in the world. The preparation of Country Nuclear Power Profiles (CNPP) was initiated in 1990s. It responded to a need for a database and a technical publication containing a description of the energy and economic situation, the energy and the electricity sector, and the primary organizations involved in nuclear power in IAEA Member States. This is the 2010 edition issued on CD-ROM and Web pages. It updates the country information for 48 countries. The CNPP is updated based on information voluntarily provided by participating IAEA Member States. Participants include the 29 countries that have operating nuclear power plants, as well as 19 countries having past or planned nuclear power programmes (Bangladesh, Belarus, Chile, Egypt, Ghana, Indonesia, the Islamic Republic of Iran, Italy, Jordan, Kazakhstan, Lithuania, Morocco, Nigeria, Philippines, Poland, Thailand, Tunisia, Turkey and Vietnam). For the 2010 edition, 24 countries provided updated or new profiles. For the other countries, the IAEA updated the profile statistical tables on nuclear power, energy development, and economic indicators based on information from IAEA and World Bank databases. The CNPP reports have been prepared by each Member State in accordance with the IAEA format. The IAEA is not responsible for the content of these reports

The Nexus between FDI and Growth in the SAARC Member Countries

OpenAIRE

Sangjoon Jun

2015-01-01

This paper examines the effects of foreign direct investment (FDI) on South Asian economies' output growth, utilizing recent panel cointegration testing and estimation techniques. Annual panel data on eight SAARC (South Asian Association for Regional Cooperation) member countries' macroeconomic variables over the period 1960- 2013 are employed in empirical analysis. Using various heterogeneous panel cointegration and panel causality tests, a bi-directional relationship between FDI and growth ...

Causal Attributions for Poverty in Developing Countries

Directory of Open Access Journals (Sweden)

José Juan Vázquez

2009-07-01

Full Text Available This paper analyzes attributional differences about causes of poverty in the less developed countries, among Nicaraguan ("actors" and Spanish ("observers" undergraduates. A self–applied questionnaire was used. It included socio–demographic questions and an adaptation of the "Causes of Third World Poverty Questionnaire" (CTWPQ. Results show agreement between Spanish and Nicaraguan in attributions about the main causes of poverty in the less developed countries, although there are differences about the perception of the incidence of the different causes in that situation. Nicaraguan students consider, as causes of poverty, more dispositional attributes about the population in those countries.

Influence of country brand slogan and logo in country positioning

Directory of Open Access Journals (Sweden)

Gina Pipoli de Azambuja

2015-09-01

Full Text Available To build the image of a country minds consumers’ minds, countries apply marketing strategies that are based on their country brand development, in the same way that companies apply marketing to their products and services. The development of the logo and slogan to be used in the communication strategy, are two key elements of its success in the process of building the country brand (Keller 2008. Thus the objective of this research is to know the importance of using the logo and slogan in international marketing strategies of countries. To do this, this research analyzes the use of the logo and slogan, in country brand strategies of countries in the top places in the Country Brand Index (2009 of Future Brand.

Research reactor utilization, safety, decommissioning, fuel and waste management. Posters of an international conference

International Nuclear Information System (INIS)

2005-01-01

For more than 50 years research reactors have played an important role in the development of nuclear science and technology. They have made significant contributions to a large number of disciplines as well as to the educational and research programmes of about 70 countries world wide. About 675 research reactors have been built to date, of which some 278 are now operating in 59 countries (86 of them in 38 developing Member States). Altogether over 13,000 reactor-years of cumulative operational experience has been gained during this remarkable period. The objective of this conference was to foster the exchange of information on current research reactor concerns related to safety, operation, utilization, decommissioning and to provide a forum for reactor operators, designers, managers, users and regulators to share experience, exchange opinions and to discuss options and priorities. The topical areas covered were: a) Utilization, including new trends and directions for utilization of research reactors. Effective management of research reactors and associated facilities. Engineering considerations and experience related to refurbishment and modifications. Strategic planning and marketing. Classical applications (nuclear activation analysis, isotope production, neutron beam applications, industrial irradiations, medical applications). Training for operators. Educational programmes using a reactor. Current developments in design and fabrication of experimental facilities. Irradiation facilities. Projects for regional uses of facilities. Core management and calculation tools. Future trends for reactors. Use of simulators for training and educational programmes. b) Safety, including experience with the preparation and review of safety analysis reports. Human factors in safety analysis. Management of extended shutdown periods. Modifications: safety analysis, regulatory aspects, commissioning programmes. Engineering safety features. Safety culture. Safety peer reviews and

Model-Based Calculations of the Probability of a Country's Nuclear Proliferation Decisions

International Nuclear Information System (INIS)

Li, Jun; Yim, Man-Sung; McNelis, David N.

2007-01-01

explain the occurrences of proliferation decisions. However, predicting major historical proliferation events using model-based predictions has been unreliable. Nuclear proliferation decisions by a country is affected by three main factors: (1) technology; (2) finance; and (3) political motivation [1]. Technological capability is important as nuclear weapons development needs special materials, detonation mechanism, delivery capability, and the supporting human resources and knowledge base. Financial capability is likewise important as the development of the technological capabilities requires a serious financial commitment. It would be difficult for any state with a gross national product (GNP) significantly less than that of about $100 billion to devote enough annual governmental funding to a nuclear weapon program to actually achieve positive results within a reasonable time frame (i.e., 10 years). At the same time, nuclear proliferation is not a matter determined by a mastery of technical details or overcoming financial constraints. Technology or finance is a necessary condition but not a sufficient condition for nuclear proliferation. At the most fundamental level, the proliferation decision by a state is controlled by its political motivation. To effectively address the issue of predicting proliferation events, all three of the factors must be included in the model. To the knowledge of the authors, none of the exiting models considered the 'technology' variable as part of the modeling. This paper presents an attempt to develop a methodology for statistical modeling and predicting a country's nuclear proliferation decisions. The approach is based on the combined use of data on a country's nuclear technical capability profiles economic development status, security environment factors and internal political and cultural factors. All of the information utilized in the study was from open source literature. (authors)

HUG - the Hydrogen Utility Group

International Nuclear Information System (INIS)

Tinkler, M.

2006-01-01

The Hydrogen Utility Group (HUG) was formally established in October 2005 by a group of leading electric utilities with a common interest in sharing hydrogen experiences and lessons learned. HUG's Mission Statement is: 'To accelerate utility integration of promising hydrogen energy related business applications through the coordinated efforts and actions of its members in collaboration with key stakeholders, including government agencies and utility support organizations.' In February 2006, HUG members presented a briefing to the US Senate Hydrogen and Fuel Cell Caucus in Washington, DC, outlining the significant role that the power industry should play in an emerging hydrogen economy. This presentation provides an overview of that briefing, summarizing the HUG's ongoing interests and activities

Estimation of EuroQol 5-Dimensions health status utility values in hereditary angioedema.

Science.gov (United States)

Aygören-Pürsün, Emel; Bygum, Anette; Beusterien, Kathleen; Hautamaki, Emily; Sisic, Zlatko; Boysen, Henrik B; Caballero, Teresa

2016-01-01

To estimate health status utility (preference) weights for hereditary angioedema (HAE) during an attack and between attacks using data from the Hereditary Angioedema Burden of Illness Study in Europe (HAE-BOIS-Europe) survey. Utility measures quantitatively describe the net impact of a condition on a patient's life; a score of 0.0 reflects death and 1.0 reflects full health. The HAE-BOIS-Europe was a cross-sectional survey conducted in Spain, Germany, and Denmark to assess the real-world experience of HAE from the patient perspective. Survey items that overlapped conceptually with the EuroQol 5-Dimensions (EQ-5D) domains (pain/discomfort, mobility, self-care, usual activities, and anxiety/depression) were manually crosswalked to the corresponding UK population-based EQ-5D utility weights. EQ-5D utilities were computed for each respondent in the HAE-BOIS-Europe survey for acute attacks and between attacks. Overall, a total of 111 HAE-BOIS-Europe participants completed all selected survey items and thus allowed for computation of EQ-5D-based utilities. The mean utilities for an HAE attack and between attacks were 0.44 and 0.72, respectively. Utilities for an acute attack were dependent on the severity of pain of the last attack (0.61 for no pain or mild pain, 0.47 for moderate pain, and 0.08 for severe pain). There were no significant differences across countries. Mean utilities derived from the study approach compare sensibly with other disease states for both acute attacks and between attacks. The impacts of HAE translate into substantial health status disutilities associated with acute attacks as well as between attacks, documenting that the detrimental effects of HAE are meaningful from the patient perspective. Results were consistent across countries with regard to pain severity and in comparison to similar disease states. The results can be used to raise awareness of HAE as a serious disease with wide-ranging personal and social impacts.

Unemployment and unemployment protection in three groups of countries

OpenAIRE

Vroman, Wayne

1999-01-01

This report examines unemployment protection with emphasis on three groups of countries: 1) OECD, 2) Central-East Europe and the Former Soviet Union; and 3) East and South Asia. Section 1 notes the presence of various public social protection programs including pensions, work injury insurance, health insurance, and unemployment benefits. Section 2 describes the measurement of unemployment in these countries and provides details of their unemployment protection programs including unemployment ...

Utility machinery vibration monitoring guide: Final report

International Nuclear Information System (INIS)

Moore, T.T.; Thomas, C.C.

1987-08-01

Section I of this guide presents a methodology for developing machinery vibration monitoring programs specifically designed for application within the utility industry. The methodology is designed to enhance a monitoring program and can be used at the outset of program development or as a reference after programs have been started. Section I evaluates all aspects of the monitoring program, including Objectives and Goals, Information Type, Timing and Format, Data Analysis, Data Acquisition, Measurement and Transducer Selection, Personnel and Organization, Program Instrumentation, Program Costs, Program Justification, and Implementation of a Monitoring Program. The methodology is then applied to two host utility plants in Section II, which contains the monitoring programs developed by Gulf States Utilities and Philadelphia Electric Company using this guide. Section III contains the histories of several different types of existing utility monitoring programs. Some of the lessons learned, including the recommendations of these ''mature'' programs for persons starting new programs, are included

The Health Utilities Index (HUI®: concepts, measurement properties and applications

Directory of Open Access Journals (Sweden)

Horsman John

2003-10-01

Full Text Available Abstract This is a review of the Health Utilities Index (HUI® multi-attribute health-status classification systems, and single- and multi-attribute utility scoring systems. HUI refers to both HUI Mark 2 (HUI2 and HUI Mark 3 (HUI3 instruments. The classification systems provide compact but comprehensive frameworks within which to describe health status. The multi-attribute utility functions provide all the information required to calculate single-summary scores of health-related quality of life (HRQL for each health state defined by the classification systems. The use of HUI in clinical studies for a wide variety of conditions in a large number of countries is illustrated. HUI provides comprehensive, reliable, responsive and valid measures of health status and HRQL for subjects in clinical studies. Utility scores of overall HRQL for patients are also used in cost-utility and cost-effectiveness analyses. Population norm data are available from numerous large general population surveys. The widespread use of HUI facilitates the interpretation of results and permits comparisons of disease and treatment outcomes, and comparisons of long-term sequelae at the local, national and international levels.

Antitrust concerns in the modern public utility environment

International Nuclear Information System (INIS)

Meeks, J.E.

1996-04-01

Direct regulation of public utility activity and behavior has been the predominant approach to protect the public interest in this country. Changes in technology, as well as new thinking about the optimum role of regulation, have created a changing atmosphere in all of the traditional public utility industries. Competitive markets for many of the products and services in these industries have been developing. While monopoly power will continue to exist in certain parts of these industries and require direct regulation, in many areas a growing reliance upon competition as the best method of serving the public interest is developing. With this shift in emphasis from regulation to free markets, the antitrust laws take on new importance for these industries. In the absence of direct regulator control, those laws are society's primary method of insuring the markets necessary to make competition an effective device for protecting the public interest. This study provides an overview of the antitrust laws, briefly describes the applicable theoretical underpinnings, and then turns to areas where public utility activity may pose special problems or conflicts with prevailing antitrust policy

Antitrust concerns in the modern public utility environment

Energy Technology Data Exchange (ETDEWEB)

Meeks, J.E. [Ohio State Univ., Columbus, OH (United States). Coll. of Law

1996-04-01

Direct regulation of public utility activity and behavior has been the predominant approach to protect the public interest in this country. Changes in technology, as well as new thinking about the optimum role of regulation, have created a changing atmosphere in all of the traditional public utility industries. Competitive markets for many of the products and services in these industries have been developing. While monopoly power will continue to exist in certain parts of these industries and require direct regulation, in many areas a growing reliance upon competition as the best method of serving the public interest is developing. With this shift in emphasis from regulation to free markets, the antitrust laws take on new importance for these industries. In the absence of direct regulator control, those laws are society`s primary method of insuring the markets necessary to make competition an effective device for protecting the public interest. This study provides an overview of the antitrust laws, briefly describes the applicable theoretical underpinnings, and then turns to areas where public utility activity may pose special problems or conflicts with prevailing antitrust policy.

Energy statistics and balances of non-OECD countries 1991-1992

International Nuclear Information System (INIS)

1994-01-01

Contains a compilation of energy production and consumption statistics for 85 non-OECD countries and regions, including developing countries, Central and Eastern European countries and the former Soviet Union. Data are expressed in original units and in common units for coal, oil, gas, electricity and heat. Historical tables for both individual countries and regions summarize data on coal, gas and electricity production and consumption since 1971. Similar data for OECD are available in the IEA publications Energy Statistics and Energy Balances of OECD Countries

Safety practice and regulations in different IGORR member countries

International Nuclear Information System (INIS)

Hickman, C.; Minguet, J.L.; Arnould, F.

1999-01-01

In the suggestions of the 1996 IGORR 5 conference, Technicatome proposed 'Comparing Regulations for Research Reactors in Participating Countries'. The aim was to enhance and facilitate the dissemination of pertinent information amongst potential utilities of operational research reactors. A questionnaire on the following topics was subsequently sent out to IGORR 5 participants : Procedures for Research Reactors and Associated Equipment, Safety Analysis, Safety Related Components, Radiation Protection and Management of Nuclear materials. The objective of the present paper is to identify major trends, similarities and differences in the approaches adopted by different countries. Its scope has been limited to: Licensing and Regulatory approach; Operating and Safety documents; Safety Analysis; Radiological Safety; Management of Nuclear Materials. The investigations carried out indicate that to a large extent international recommendations (IAEA, ICPR,..) are being followed and that there is a general tendency to integrate them into national legislation and regulations. Although Safety Culture varies from one country to another an overall general consensus exists on the basic approach to safety inasmuch as: different countries have their own legally defined Safety Authorities, a Preliminary Safety Report is required before a research reactor can be built, and a final Safety Report before the core can be loaded with nuclear fuel and the reactor made critical; these documents must be accepted by the Safety Authorities concerned; a combination of defense-in-depth strategy (deterministic approach) and probabilistic analysis is applied; three or more safety classes are used to categorize systems and components; the single failure criterion is taken into consideration for systems and components having safety functions; both Operating Basis and Safety Shutdown type earthquakes are considered; the crashing of an aircraft onto a research reactor is taken into consideration

Profile of medicinal plants utilization through patent documents: the andiroba example

Directory of Open Access Journals (Sweden)

Luciene F. Gaspar Amaral

2013-06-01

Full Text Available Today, one of the trends of the pharmaceutical, cosmetic and food market is the development of products with components of natural origin, rationally exploiting biodiversity. Brazilian population makes secular use of medicinal plants including andiroba, whose oil is used in folk medicine as febrifuge, pain-relieving, anti-parasitic, anti-allergic as well as insect repellant. The present study attempts to evaluate the profile of utilization of andiroba by analyzing the patenting trends based on information collected on the databases of the World Intellectual Property Organization, European Patent Office and Brazilian National Institute of Industrial Property in the period from 1990 to 2011. The following parameters were analyzed: chronological aspect of the applications, countries of priority, international patent classification, technologies and actors in the technological platform. The temporal analysis of the applications shows an evident increase despite a discontinuous evolution of the number of applications. Pharmaceutical, chemical and cosmetic areas were identified as the main areas for commercial application of the plant. Brazil is the country with the largest number of applications even though the majority of the patent technologies are already in public domain, indicating that the technological information contained in these documents could be used for research and investment in several areas.

Assessing the utility of diagnostic criteria: a multisite study on gender identity disorder.

Science.gov (United States)

Paap, Muirne C S; Kreukels, Baudewijntje P C; Cohen-Kettenis, Peggy T; Richter-Appelt, Hertha; de Cuypere, Griet; Haraldsen, Ira R

2011-01-01

Studies involving patients with gender identity disorder (GID) are inconsistent with regard to outcomes and often difficult to compare because of the vague descriptions of the diagnostic process. A multisite study is needed to scrutinize the utility and generality of different aspects of the diagnostic criteria for GID. To investigate the way in which the diagnosis-specific Diagnostic and Statistical Manual of Mental Disorders, 4th Edition, Text Revision criteria for GID were used to reach a psychiatric diagnosis in four European countries: the Netherlands (Amsterdam), Norway (Oslo), Germany (Hamburg), and Belgium (Ghent). The main goal was to compare item (symptom) characteristics across countries. The current study included all new applicants to the four GID clinics who were seen between January 2007 and March 2009, were at least 16 years of age at their first visit, and had completed the diagnostic assessment (N = 214, mean age = 32 ± 12.2 years). Mokken scale analysis, a form of Nonparametric Item Response Theory (NIRT) was performed. Operationalization and quantification of the core criteria A and B resulted in a 23-item score sheet that was filled out by the participating clinicians after they had made a diagnosis. We found that, when ordering the 23 items according to their means for each country separately, the rank ordering was similar among the four countries for 21 of the items. Furthermore, only one scale emerged, which combined criteria A and B when all data were analyzed together. Our results indicate that patients' symptoms were interpreted in a similar fashion in all four countries. However, we did not find support for the treatment of A and B as two separate criteria. We recommend the use of NIRT in future studies, especially in studies with small sample sizes and/or with data that show a poor fit to parametric IRT models. © 2010 International Society for Sexual Medicine.

Achievement report on research and development in the Sunshine Project in fiscal 1976. Comprehensive discussion on hydrogen utilizing subsystems and research on peripheral technologies (Research for chemical utilization); 1976 nendo suiso riyo subsystem no sogoteki kento to shuhen gijutsu ni kansuru kenkyu seika hokokusho. Kagaku riyo ni kansuru kenkyu

Energy Technology Data Exchange (ETDEWEB)

NONE

1977-04-15

Surveys and studies were performed on chemical utilization of hydrogen regarding its status of development and utilization inside and outside the country, as well as its future prospect. This paper describes chemical utilization of hydrogen in ammonia, methanol, petroleum refining and other industries as the existing fields. It also describes chemical utilization of oxygen in iron and steel, chemical and other industries. It describes methanol as a pollution-free auxiliary fuel for electric power plants as a new type of hydrogen application. Acetic acid made by using the Monsanto method which carbonylate methanol is drawing attention in terms of economy, and is in the phase of discussing commercialization. Synthesizing ethylene glycol from carbon monoxide and hydrogen may be conceived economically. Methanol for synthesized protein depends on the possibility of future development. In the iron and steel industry, electric furnace steel makers are planning production of reduced iron, where the direct reduction process using hydrogen is considered as a complementary process, including countermeasures for scrap iron. This paper estimates hydrogen amount as a raw material for ammonia to remove NOx by using the ammonia reduction process. It also describes possibility of other types of utilization. (NEDO)

The problems of informational terrorism in African countries

Directory of Open Access Journals (Sweden)

Voznyuk Eugenia Vasylivna

2017-12-01

Full Text Available The features of informational terrorism in African countries, especially in SADC countries, are analyzed as well as the ways to combat information terrorism in this region. The major issues related to information terrorism are highlighted, which include data exfiltration, social engineering, insider threats, database breaches as well as poor identity and access management. The essence of Computer Security (Cyber Security is revealed and its main tasks are characterized: accessibility, integrity, including authenticity and confidentiality. The main threats for cyberspace are distinguished.

Country Energy Profile, South Africa

Energy Technology Data Exchange (ETDEWEB)

NONE

1995-08-01

This country energy profile provides energy and economic information about South Africa. Areas covered include: Economics, demographics, and environment; Energy situation; Energy structure; Energy investment opportunities; Department of Energy (DOE) programs in South Africa; and a listing of International aid to South Africa.

Country Energy Profile, South Africa

International Nuclear Information System (INIS)

1995-08-01

This country energy profile provides energy and economic information about South Africa. Areas covered include: Economics, demographics, and environment; Energy situation; Energy structure; Energy investment opportunities; Department of Energy (DOE) programs in South Africa; and a listing of International aid to South Africa

Electric utility fuel choice behavior in the United States

Energy Technology Data Exchange (ETDEWEB)

Joskow, P.L.; Mishkin, F.S.

1977-10-01

Electric utility fuel choice behavior is analyzed by a conditional logit model to determine the effects of changing oil prices of five plants. Three of the plants faced favorable expected coal prices and, like many areas of the country, were insensitive to changing oil prices. This was not the case at the New England plant, however, where relatively small price increases would decrease the likelihood of choosing oil as an alternative fuel for new plants. The modeling of utility behavior in fuel decisions is felt to be applicable to other industries where a continuum of decision possibilities does not reasonably characterize choice alternatives. New behavior models are urged in order to obtain better predictions of the effects of a changing economic environment. 10 references.

Implementation of basic quality control tests for malaria medicines in Amazon Basin countries: results for the 2005-2010 period.

Science.gov (United States)

Pribluda, Victor S; Barojas, Adrian; Añez, Arletta; López, Cecilia G; Figueroa, Ruth; Herrera, Roxana; Nakao, Gladys; Nogueira, Fernando Ha; Pianetti, Gerson A; Povoa, Marinete M; Viana, Giselle Mr; Gomes, Margarete S Mendonça; Escobar, Jose P; Sierra, Olga L Muñoz; Norena, Susana P Rendon; Veloz, Raúl; Bravo, Marcy Silva; Aldás, Martha R; Hindssemple, Alison; Collins, Marilyn; Ceron, Nicolas; Krishnalall, Karanchand; Adhin, Malti; Bretas, Gustavo; Hernandez, Nelly; Mendoza, Marjorie; Smine, Abdelkrim; Chibwe, Kennedy; Lukulay, Patrick; Evans, Lawrence

2012-06-15

collected from the public sector, 1,445/1,663 (86.9%). Results indicate that 193/1,663 (11.6%) were found not to meet quality specifications. Most failures were reported during visual and physical inspection, 142/1663 (8.5%), and most of these were due to expired medicines, 118/142 (83.1%). Samples failing TLC accounted for 27/1,663 (1.6%) and those failing disintegration accounted for 24/1,663 (1.4%). Medicines quality failures decreased significantly during the last two years. Basic tests revealed that the quality of medicines in the public sector improved over the years, since the implementation of this type of quality monitoring programme in 2005. However, the lack of consistent confirmatory tests in the quality control (QC) laboratory, utilizing methods that can also evaluate additional quality attributes, could still mask quality issues. In the future, AMI countries should improve coordination with their health authorities and their QC lab consistently, to provide a more complete picture of malaria medicines quality and support the implementation of corrective actions. Facilities in the private and informal sectors also should be included when these sectors constitute an important source of medicines used by malaria patients.

Solar thermal utilization--an overview

International Nuclear Information System (INIS)

Chen Deming; Xu Gang

2007-01-01

Solar energy is an ideal renewable energy source and its thermal utilization is one of its most important applications. We review the status of solar thermal utilization, including: (1) developed technologies which are already widely used all over the world, such as solar assisted water heaters, solar cookers, solar heated buildings and so on; (2) advanced technologies which are still in the development or laboratory stage and could have more innovative applications, including thermal power generation, refrigeration, hydrogen production, desalination, and chimneys; (3) major problems which need to be resolved for advanced utilizaiton of solar thermal energy. (authors)

Electricity and telecommunications regulatory institutions in small and developing countries

Energy Technology Data Exchange (ETDEWEB)

Stern, J. [London Business School, London (United Kingdom)

2000-09-01

The spread of utility liberalisation and privatisation to middle and low income developing countries raises the problem of whether and how they can establish an effective regulatory capability of whether the supply of regulatory services is likely to be insufficient. The paper presents evidence on the size of electricity regulatory agencies in 24 mainly middle and lower income countries as well as the number of high-level, specialist regulatory staff and the potential resource pool from post-school education. The paper also discusses how far the problem can be alleviated and/or avoided by the use of regulation by contract, regulation by multi-national regulatory agency or contracting-out. The paper concludes that such solutions are unlikely to be generally effective but that informal exchanges of information and pooling of resources between national regulators on a market-driven basis, as seen in Southern Africa and the EU, is a promising option. The paper concludes by pointing to the need to ascertain the minimum required regulatory capability in developing countries as perceived by Governments and potential investors. (author)

Denmark. [CME Country Reports].

Science.gov (United States)

Council of Europe, Strasbourg (France). Documentation Center for Education in Europe.

According to an agreement between the parties of the labour market and the Ministry of Labour, the immigration of foreign workers into Denmark takes place on a quota basis and conforms to a series of regulations, including a rule that the foreign worker, prior to departing from his country, must have made contract arrangements for his job. This…

High coverage needle/syringe programs for people who inject drugs in low and middle income countries: a systematic review

Directory of Open Access Journals (Sweden)

Des Jarlais Don C

2013-01-01

Full Text Available Abstract Background Persons who inject drugs (PWID are at an elevated risk for human immunodeficiency virus (HIV and hepatitis C virus (HCV infection. In many high-income countries, needle and syringe exchange programs (NSP have been associated with reductions in blood-borne infections. However, we do not have a good understanding of the effectiveness of NSP in low/middle-income and transitional-economy countries. Methods A systematic literature review based on PRISMA guidelines was utilized to collect primary study data on coverage of NSP programs and changes in HIV and HCV infection over time among PWID in low-and middle-income and transitional countries (LMICs. Included studies reported laboratory measures of either HIV or HCV and at least 50% coverage of the local injecting population (through direct use or through secondary exchange. We also included national reports on newly reported HIV cases for countries that had national level data for PWID in conjunction with NSP scale-up and implementation. Results Studies of 11 NSPs with high-coverage from Bangladesh, Brazil, China, Estonia, Iran, Lithuania, Taiwan, Thailand and Vietnam were included in the review. In five studies HIV prevalence decreased (range −3% to −15% and in three studies HCV prevalence decreased (range −4.2% to −10.2%. In two studies HIV prevalence increased (range +5.6% to +14.8%. HCV incidence remained stable in one study. Of the four national reports of newly reported HIV cases, three reported decreases during NSP expansion, ranging from −30% to −93.3%, while one national report documented an increase in cases (+37.6%. Estimated incidence among new injectors decreased in three studies, with reductions ranging from −11/100 person years at risk to −16/100 person years at risk. Conclusions While not fully consistent, the data generally support the effectiveness of NSP in reducing HIV and HCV infection in low/middle-income and transitional-economy countries. If

A comparative examination of tuberculosis immigration medical screening programs from selected countries with high immigration and low tuberculosis incidence rates

Science.gov (United States)

2011-01-01

Background Tuberculosis (TB) in migrants is an ongoing challenge in several low TB incidence countries since a large proportion of TB in these countries occurs in migrants from high incidence countries. To meet these challenges, several countries utilize TB screening programs. The programs attempt to identify and treat those with active and/or infectious stages of the disease. In addition, screening is used to identify and manage those with latent or inactive disease after arrival. Between nations, considerable variation exists in the methods used in migration-associated TB screening. The present study aimed to compare the TB immigration medical examination requirements in selected countries of high immigration and low TB incidence rates. Methods Descriptive study of immigration TB screening programs Results 16 out of 18 eligible countries responded to the written standardized survey and phone interview. Comparisons in specific areas of TB immigration screening programs included authorities responsible for TB screening, the primary objectives of the TB screening program, the yield of detection of active TB disease, screening details and aspects of follow up for inactive pulmonary TB. No two countries had the same approach to TB screening among migrants. Important differences, common practices, common problems, evidence or lack of evidence for program specifics were noted. Conclusions In spite of common goals, there is great diversity in the processes and practices designed to mitigate the impact of migration-associated TB among nations that screen migrants for the disease. The long-term goal in decreasing migration-related introduction of TB from high to low incidence countries remains diminishing the prevalence of the disease in those high incidence locations. In the meantime, existing or planned migration screening programs for TB can be made more efficient and evidenced based. Cooperation among countries doing research in the areas outlined in this study should

Telecommunications: international opportunities for power utilities

Energy Technology Data Exchange (ETDEWEB)

Lewis, A. [Teleglobe Canada, Ottawa, ON (Canada)

1996-08-01

International telecommunications services markets and trends were reviewed in an effort to identify business opportunities for Canadian power utilities. With increasing deregulation in the U.S. and Canada, and other countries around the globe, market opportunities are beginning to open up. In monopoly markets opportunities exist in providing dual infrastructures to upgrade both the power delivery services (frequently poor), and telecommunications. Billing, collection and customer service expertise might be other marketable commodities, perhaps packaged as part of a network provision project as a service to existing power and telecommunications service providers. In countries with directed competition markets local partnerships may be the only vehicle for entering the market. In managed competition markets opportunities were said to exist in cellular radio technology, as well as in switched telephone service, local, long distance, or international. In general, opportunities outside telecommunications-rich North America were considered to have better potential, due to rapid deregulation and higher current growth rates in telecommunications. Careful examination and research of the political and business environment prior to entering any of the potentially fertile areas was advised.

Financial structure and monetary policy transmission in transition countries

NARCIS (Netherlands)

Elbourne, A.; de Haan, J.

Using the structural vector autoregressive methodology, we present estimates of monetary transmission for the new and future EU member countries in Central and Eastern Europe. Unlike most previous research we include ten transition countries. We examine to what extent monetary transmission in these

Study of factors governing US utility nuclear power decisions

International Nuclear Information System (INIS)

1980-05-01

Under DOE contract No. DE-AC02-79ET34009, The S.M. Stoller Corporation has conducted a study of US utility attitudes toward nuclear power. In the course of this study SMSC carried out a utility survey the objectives of which were: (1) to identify and rank in importance the governing considerations in actions taken in the past three years to cancel or defer nuclear projects, and (2) to gain insight into the circumstances and attitudes likely to govern new base-load commitments over the next several years. During the survey, contacts were made at the senior management level with utilities representing approximately half of the country's total electric capacity and two-thirds of its present nuclear commitment. Analysis of the responses led to the conclusion that most, if not all, of the decisions reached by the respondent utilities in the past several years to cancel or defer nuclear projects were triggered by one or a combination of the following four considerations: financial constraints; reduction in expected system load growth; schedule delay in licensing and construction and/or unpredictability; and adverse state government policies or attitudes regarding nuclear power

A systematic literature review of health state utility values in head and neck cancer.

Science.gov (United States)

Meregaglia, Michela; Cairns, John

2017-09-02

Health state utility values (HSUVs) are essential parameters in model-based economic evaluations. This study systematically identifies HSUVs in head and neck cancer and provides guidance for selecting them from a growing body of health-related quality of life studies. We systematically reviewed the published literature by searching PubMed, EMBASE and The Cochrane Library using a pre-defined combination of keywords. The Tufts Cost-Effectiveness Analysis Registry and the School of Health and Related Research Health Utilities Database (ScHARRHUD) specifically containing health utilities were also queried, in addition to the Health Economics Research Centre database of mapping studies. Studies were considered for inclusion if reporting original HSUVs assessed using established techniques. The characteristics of each study including country, design, sample size, cancer subsite addressed and demographics of responders were summarized narratively using a data extraction form. Quality scoring and critical appraisal of the included studies were performed based on published recommendations. Of a total 1048 records identified by the search, 28 studies qualified for data extraction and 346 unique HSUVs were retrieved from them. HSUVs were estimated using direct methods (e.g. standard gamble; n = 10 studies), multi-attribute utility instruments (MAUIs; n = 13) and mapping techniques (n = 3); two studies adopted both direct and indirect approaches. Within the MAUIs, the EuroQol 5-dimension questionnaire (EQ-5D) was the most frequently used (n = 11), followed by the Health Utility Index Mark 3 (HUI3; n = 2), the 15D (n = 2) and the Short Form-Six Dimension (SF-6D; n = 1). Different methods and types of responders (i.e. patients, healthy subjects, clinical experts) influenced the magnitude of HSUVs for comparable health states. Only one mapping study developed an original algorithm using head and neck cancer data. The identified studies were considered

At most hospitals in the state of Iowa, most surgeons' daily lists of elective cases include only 1 or 2 cases: Individual surgeons' percentage operating room utilization is a consistently unreliable metric.

Science.gov (United States)

Dexter, Franklin; Jarvie, Craig; Epstein, Richard H

2017-11-01

Percentage utilization of operating room (OR) time is not an appropriate endpoint for planning additional OR time for surgeons with high caseloads, and cannot be measured accurately for surgeons with low caseloads. Nonetheless, many OR directors claim that their hospitals make decisions based on individual surgeons' OR utilizations. This incongruity could be explained by the OR managers considering the earlier mathematical studies, performed using data from a few large teaching hospitals, as irrelevant to their hospitals. The important mathematical parameter for the prior observations is the percentage of surgeon lists of elective cases that include 1 or 2 cases; "list" meaning a combination of surgeon, hospital, and date. We measure the incidence among many hospitals. Observational cohort study. 117 hospitals in Iowa from July 2013 through September 2015. Surgeons with same identifier among hospitals. Surgeon lists of cases including at least one outpatient surgical case, so that Relative Value Units (RVU's) could be measured. Averaging among hospitals in Iowa, more than half of the surgeons' lists included 1 or 2 cases (77%; P<0.00001 vs. 50%). Approximately half had 1 case (54%; P=0.0012 vs. 50%). These percentages exceeded 50% even though nearly all the surgeons operated at just 1 hospital on days with at least 1 case (97.74%; P<0.00001 vs. 50%). The cases were not of long durations; among the 82,928 lists with 1 case, the median was 6 intraoperative RVUs (e.g., adult inguinal herniorrhaphy). Accurate confidence intervals for raw or adjusted utilizations are so wide for individual surgeons that decisions based on utilization are equivalent to decisions based on random error. The implication of the current study is generalizability of that finding from the largest teaching hospital in the state to the other hospitals in the state. Copyright © 2017 Elsevier Inc. All rights reserved.

Causal Attributions for Poverty in Developing Countries

OpenAIRE

José Juan Vázquez; Sonia Panadero

2009-01-01

This paper analyzes attributional differences about causes of poverty in the less developed countries, among Nicaraguan ("actors") and Spanish ("observers") undergraduates. A self–applied questionnaire was used. It included socio–demographic questions and an adaptation of the "Causes of Third World Poverty Questionnaire" (CTWPQ). Results show agreement between Spanish and Nicaraguan in attributions about the main causes of poverty in the less developed countries, although there are difference...

Pigmentary disorders in Western countries

NARCIS (Netherlands)

van der Veen, J. P. Wietze

2007-01-01

Countries in the so-called "Western" world, especially in Europe, witnessed a dramatic change in ethnic backgrounds of their populations starting in the last decennia of the last century. This had repercussions on various aspects of our society, including medical practice. In dermatology for

Multiattribute utility theory without expected utility foundations

NARCIS (Netherlands)

Wakker, P.P.; Miyamoto, J.

1996-01-01

Methods for determining the form of utilities are needed for the implementation of utility theory in specific decisions. An important step forward was achieved when utility theorists characterized useful parametric families of utilities, and simplifying decompositions of multiattribute utilities.

Multiattribute Utility Theory without Expected Utility Foundations

NARCIS (Netherlands)

Stiggelbout, A.M.; Wakker, P.P.

1995-01-01

Methods for determining the form of utilities are needed for the implementation of utility theory in specific decisions. An important step forward was achieved when utility theorists characterized useful parametric families of utilities, and simplifying decompositions of multiattribute utilities.

Clinical nursing and midwifery research in African countries: a scoping review.

Science.gov (United States)

Sun, Carolyn; Larson, Elaine

2015-05-01

Globally, the nursing shortage has been deemed a crisis, but African countries have been hit hardest. Therefore, it is of utmost importance nurses use the best available evidence and that nursing research is targeted to address gaps in the evidence. To achieve this, an understanding of what is currently available and identification of gaps in clinical nursing research is critical. We performed a scoping review of existing literature to assess clinical nursing research conducted in all African countries over the past decade, identify gaps in clinical nursing and midwifery research, determine whether they match with health priorities for countries, and define priorities for regional clinical nursing research agendas to improve health outcomes. This is a scoping review of published clinical nursing research conducted in African countries. Systematic searches of literature published between January 01, 2004 and September 15, 2014 were performed in PubMed, Medline, CINHAL, and Embase. Research was included if it was conducted by nurses, included data obtained in African countries or regions within the African continent, published in a peer-reviewed journal with an abstract, and included patient outcomes. Abstracts were independently reviewed for inclusion by two authors. The following data were extracted: countries of publication and study, study type and design, journal, language, and topics of research. Gaps in the literature were identified. Initially, 1091 papers were identified with a final sample of 73 articles meeting inclusion criteria. Studies used 12 designs, were published in 35 journals published in five countries (including two African countries); 29% of the research was published in a single journal (Curatonis). Research was mostly qualitative (57%) and included twenty countries in Africa (38%). There were 12 major topics of study, most often midwifery/maternal/child health (43%), patient experiences (38%), and human immunodeficiency virus (HIV

Including health economic analysis in pilot studies: lessons learned from a cost-utility analysis within the PROSPECTIV pilot study

Directory of Open Access Journals (Sweden)

Richéal M. Burns

2017-07-01

Full Text Available PurposeTo assess feasibility and health economic benefits and costs as part of a pilot study for a nurse-led, psychoeducational intervention (NPLI for prostate cancer in order to understand the potential for cost effectiveness as well as contribute to the design of a larger scale trial.MethodsMen with stable prostate cancer post-treatment were recruited from two cancer centres in the UK. Eighty-three men were randomised to the NLPI plus usual care or usual care alone (UCA (42 NLPI and 41 UCA; the NLPI plus usual care was delivered in the primary-care setting (the intervention and included an initial face-to-face consultation with a trained nurse, with follow-up tailored to individual needs. The study afforded the opportunity to undertake a short-term within pilot analysis. The primary outcome measure for the economic evaluation was quality of life, as measured by the EuroQol five dimensions questionnaire (EQ-5D (EQ-5D-5L instrument. Costs (£2014 assessed included health-service resource use, out-of-pocket expenses and losses from inability to undertake usual activities.ResultsTotal and incremental costs varied across the different scenarios assessed, with mean cost differences ranging from £173 to £346; incremental effect, as measured by the change in utility scores over the duration of follow-up, exhibited wide confidence intervals highlighting inconclusive effectiveness (95% CI: -0.0226; 0.0438. The cost per patient of delivery of the intervention would be reduced if rolled out to a larger patient cohort.ConclusionsThe NLPI is potentially cost saving depending on the scale of delivery; however, the results presented are not considered generalisable.

Can Small Countries Benefit from the E-waste Global Value Chain?

International Nuclear Information System (INIS)

Meine Pieter, Dijk van

2016-01-01

E-waste is a term used to cover items of all types of electrical and electronic equipment and its parts that have been discarded by the owners as waste without the intention of re-use, because this equipment has ceased to be of any value to its owners. E-waste is one of the fastestgrowing waste streams globally. Since the Rio Summit Earth summit organized by the United Nations in 1992, the concept of sustainability extends to rendering basic services such as Solid Waste Management and dealing with e-waste. People are afraid of e-waste because of its possible negative effects on health and because it could pollute the environment. Indicators of unsustainable service provision concerninge-waste include irregular collection, open dumping, burning of solid and e-waste in open spaces. Often collection covers a small part of the country, cost recovery is limited or not existent, and one notes poor utilization of available resources with no or very limited reuse and recycling

Can Small Countries Benefit from the E-waste Global Value Chain?

Energy Technology Data Exchange (ETDEWEB)

Meine Pieter, Dijk van, E-mail: mpvandijk@iss.nl [UNESCO-IHE Institute for Water Education, Erasmus University in Rotterdam (Netherlands)

2016-01-09

E-waste is a term used to cover items of all types of electrical and electronic equipment and its parts that have been discarded by the owners as waste without the intention of re-use, because this equipment has ceased to be of any value to its owners. E-waste is one of the fastestgrowing waste streams globally. Since the Rio Summit Earth summit organized by the United Nations in 1992, the concept of sustainability extends to rendering basic services such as Solid Waste Management and dealing with e-waste. People are afraid of e-waste because of its possible negative effects on health and because it could pollute the environment. Indicators of unsustainable service provision concerninge-waste include irregular collection, open dumping, burning of solid and e-waste in open spaces. Often collection covers a small part of the country, cost recovery is limited or not existent, and one notes poor utilization of available resources with no or very limited reuse and recycling.

Kyoto : implications for utility regulation

International Nuclear Information System (INIS)

Dunsky, P.

2003-01-01

The author provided a historical perspective of energy use and the role of carbon in the western hemisphere by displaying a series of graphs showing carbon intensity of energy, carbon emissions from energy, and the long path to green power. The 1990s represented a decade of progress. Almost three times as much wind capacity as nuclear capacity was added worldwide in 2001. The main challenge for the 21st century will be to bring under-developed countries into the fold while perpetuating the economic and human progress of the twentieth century. It was emphasized that environmental damage caused by utilities must be reversed. The contemporary context for the Kyoto Protocol was reviewed. Canada's commitment under the Kyoto Protocol is to reduce greenhouse gas emissions by 6 per cent below 1990 levels. The challenge for utility regulators to meet this commitment was examined. The costs are not entirely excessive. Some of the regulatory issues were discussed, namely revising a broad rate making framework, cost recovery and others. The Kyoto compliance plan was also reviewed with reference to internal options, external options, identification of regulatory barriers, and consideration of greenhouse gas credit markets. figs

COUNTRY IMAGE VS. COUNTRY BRAND: DIFFERENCES AND SIMILARITIES

Directory of Open Access Journals (Sweden)

Denisa Adriana COTÎRLEA

2015-08-01

Full Text Available This article was written in order to provide an overview regarding the differences and similarities regarding two congruent, yet different concepts: country brand and country image. The geopolitical context and, implicitly, the current global context require a redefinition – or a more complex circumscription – of the “country image” and “country branding” concepts. In this paper, the author aimed to highlight the characteristics and particularities of the approached concepts in order to shape a framework of the context within these two operate; a brief analysis of the literature is presented, trying to emphasize the slight difference between the approached concepts

Increasing fruit and vegetable consumption among schoolchildren: efforts in middle-income countries.

Science.gov (United States)

Wijesinha-Bettoni, Ramani; Orito, Aya; Löwik, Marianne; Mclean, Catherine; Muehlhoff, Ellen

2013-03-01

To reverse the trend of rising child obesity rates in many middle-income countries, recommendations include increasing fruit and vegetable consumption. Schools can positively impact children's eating behavior, and multicomponent interventions that include the curriculum, school food environments, and parental involvement are most effective. To find out how fruits and vegetables feature in the dietary guidelines provided to schools, what specific schemes are available for providing these foods, the extent to which nutrition education is included in the curriculum, and how vegetables and fruits are procured in primary schools. In 2008, a survey questionnaire previously validated and revised was sent electronically to national program managers and focal points for school feeding programs in 58 middle-income countries. The rationale was to obtain information relevant to the entire country from these key informants. The survey response rate was 46%. The information provided by 22 respondents in 18 countries was included in the current study. On average, respondents answered 88% of the questions analyzed in this paper. Of the respondents, 73% worked for the national authority responsible for school food programs, with 45% at the program coordinator or director level. Few countries have any special fruit and vegetable schemes; implementation constraints include cost and lack of storage facilities. Although 11 of 18 countries have both nutrient-based guidelines and school food guidelines for meals, fruits and vegetables are often not adequately specified. In some countries, nutrition education, special activities, school gardens, and parental participation are used to promote fruits and vegetables. Specific schemes are needed in some, together with school food guidelines that include fruits and vegetables.

Industrial energy utilization patterns in a developing country: a case study of selected industries in Ethiopia

Energy Technology Data Exchange (ETDEWEB)

Wolde-Ghiorgis, W. (Addis Ababa Univ. (Ethiopia))

1991-01-01

Energy utilization patterns in three factories involved in cement production, textile manufacturing, and food processing in Ethiopia are discussed. The study uses data of energy consumption and products to obtain specific energy consumption figures for two of the factories. Results show areas of apparent energy losses and corresponding conservation possibilities. (author).

Expected utility without utility

OpenAIRE

Castagnoli, E.; Licalzi, M.

1996-01-01

This paper advances an interpretation of Von Neumann–Morgenstern’s expected utility model for preferences over lotteries which does not require the notion of a cardinal utility over prizes and can be phrased entirely in the language of probability. According to it, the expected utility of a lottery can be read as the probability that this lottery outperforms another given independent lottery. The implications of this interpretation for some topics and models in decision theory are considered....

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

Science.gov (United States)

Helleringer, Stephane

2017-09-01

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

Radioassay services in developing countries

International Nuclear Information System (INIS)

Belcher, E.H.

1978-01-01

The findings and recommendations of an advisory group convened by the IAEA to give guidance relating to the development of IAEA projects involving radioassay are presented. The current status of radioassay services in different countries is reviewed; guiding principles relating to the organization of such services are affirmed, with particular reference to services in developing countries; the needs of services at various levels as regards accommodation, staff, equipment, supporting services and running costs, including minimum initial needs, are specified; operational problems are identified and indications given how they may be solved; facilities for training in radioassay are reviewed; finally, reference is made to IAEA activities in the field in question. (author)

Renewable energy technologies and policies - experience in other countries and possibilities for Croatia

International Nuclear Information System (INIS)

Renner, F. P.

2000-01-01

As Croatia begins the task of restructuring its energy sector, it has the opportunity to design programs and policies which will create the framework for a viable renewable energy contribution to overall energy supply. Croatia has many of the resources required for renewable energy, including good solar insolation, wind resources, small hydro and biomass. Implementing renewable energy projects is still a challenging prospect, mainly because of competition from fossil fuel sources of energy and because of the small scale and intermittent nature of renewable energy sources. However, there are many benefits, the most important of which are sustainability and reduced or zero air emission. in the most cases these benefits are not quantified or internalized into the project costs. As a result, most renewable energy projects are more costly than conventional projects on a purely financial basis. Overcoming the barriers to implementing renewable energy has been focus of many environmental groups as well as governments, especially in the last decade. Several countries, notably Denmark, have aggressively targeted increase use of renewable energy in the energy mix of the countries, and have implemented policies and regulations to encourage private and public sector use of renewables. policies in place include fiscal incentives, such as tax breaks, regulations such as guaranteed market share and pricing, or more market-based approaches such as green pricing, where consumers decide the premium they will pay for energy. Some of these policies have been quite successful in providing the right incentives to developers and utilities in adding more renewable energy to the national generation mix. Additionally, the area of emissions trading can be thought of as a policy initiative for a market-based approach to promoting increased renewable energy use. While the uncertainties of climate change and the politics of climate change make this a difficult area to count on, it should be

A cross-national profile of bullying and victimization among adolescents in 40 countries

DEFF Research Database (Denmark)

Craig, Wendy; Harel-Fisch, Yossi; Fogel-Grinvald, Haya

2009-01-01

OBJECTIVES: (1) To compare the prevalence of bullying and victimization among boys and girls and by age in 40 countries. (2) In 6 countries, to compare rates of direct physical, direct verbal, and indirect bullying by gender, age, and country. METHODS: Cross-sectional self-report surveys including...... items on bullying and being bullied were obtained from nationally representative samples of 11, 13 and 15 year old school children in 40 countries, N = 202,056. Six countries (N = 29,127 students) included questions about specific types of bullying (e. g., direct physical, direct verbal, indirect......). RESULTS: Exposure to bullying varied across countries, with estimates ranging from 8.6% to 45.2% among boys, and from 4.8% to 35.8% among girls. Adolescents in Baltic countries reported higher rates of bullying and victimization, whereas northern European countries reported the lowest prevalence. Boys...

Universal health coverage in ‘One ASEAN’: are migrants included?

Science.gov (United States)

Guinto, Ramon Lorenzo Luis R.; Curran, Ufara Zuwasti; Suphanchaimat, Rapeepong; Pocock, Nicola S.

2015-01-01

Background As the Association of South East Asian Nations (ASEAN) gears toward full regional integration by 2015, the cross-border mobility of workers and citizens at large is expected to further intensify in the coming years. While ASEAN member countries have already signed the Declaration on the Protection and Promotion of the Rights of Migrant Workers, the health rights of migrants still need to be addressed, especially with ongoing universal health coverage (UHC) reforms in most ASEAN countries. This paper seeks to examine the inclusion of migrants in the UHC systems of five ASEAN countries which exhibit diverse migration profiles and are currently undergoing varying stages of UHC development. Design A scoping review of current migration trends and policies as well as ongoing UHC developments and migrant inclusion in UHC in Indonesia, Malaysia, Philippines, Singapore, and Thailand was conducted. Results In general, all five countries, whether receiving or sending, have schemes that cover migrants to varying extents. Thailand even allows undocumented migrants to opt into its Compulsory Migrant Health Insurance scheme, while Malaysia and Singapore are still yet to consider including migrants in their government-run UHC systems. In terms of predominantly sending countries, the Philippines's social health insurance provides outbound migrants with portable insurance yet with limited benefits, while Indonesia still needs to strengthen the implementation of its compulsory migrant insurance which has a health insurance component. Overall, the five ASEAN countries continue to face implementation challenges, and will need to improve on their UHC design in order to ensure genuine inclusion of migrants, including undocumented migrants. However, such reforms will require strong political decisions from agencies outside the health sector that govern migration and labor policies. Furthermore, countries must engage in multilateral and bilateral dialogue as they redefine UHC

Universal health coverage in ‘One ASEAN’: are migrants included?

Directory of Open Access Journals (Sweden)

Ramon Lorenzo Luis R. Guinto

2015-01-01

Full Text Available Background: As the Association of South East Asian Nations (ASEAN gears toward full regional integration by 2015, the cross-border mobility of workers and citizens at large is expected to further intensify in the coming years. While ASEAN member countries have already signed the Declaration on the Protection and Promotion of the Rights of Migrant Workers, the health rights of migrants still need to be addressed, especially with ongoing universal health coverage (UHC reforms in most ASEAN countries. This paper seeks to examine the inclusion of migrants in the UHC systems of five ASEAN countries which exhibit diverse migration profiles and are currently undergoing varying stages of UHC development. Design: A scoping review of current migration trends and policies as well as ongoing UHC developments and migrant inclusion in UHC in Indonesia, Malaysia, Philippines, Singapore, and Thailand was conducted. Results: In general, all five countries, whether receiving or sending, have schemes that cover migrants to varying extents. Thailand even allows undocumented migrants to opt into its Compulsory Migrant Health Insurance scheme, while Malaysia and Singapore are still yet to consider including migrants in their government-run UHC systems. In terms of predominantly sending countries, the Philippines's social health insurance provides outbound migrants with portable insurance yet with limited benefits, while Indonesia still needs to strengthen the implementation of its compulsory migrant insurance which has a health insurance component. Overall, the five ASEAN countries continue to face implementation challenges, and will need to improve on their UHC design in order to ensure genuine inclusion of migrants, including undocumented migrants. However, such reforms will require strong political decisions from agencies outside the health sector that govern migration and labor policies. Furthermore, countries must engage in multilateral and bilateral dialogue as

Fiscal 1996 survey report on the environmentally friendly type coal utilization system feasibility study. Feasibility study of the environmentally friendly type coal utilization system in Malaysia and Vietnam; Kankyo chowagata sekitan riyo system kanosei chosa. Malaysia Vietnam ni okeru kankyo chowagata sekitan riyo system kanosei chosa

Energy Technology Data Exchange (ETDEWEB)

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