WorldWideScience

Sample records for country study evaluation

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

    Science.gov (United States)

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

    2017-04-01

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

  2. Country of origin effect on luxury brands evaluation: an experimental study

    Directory of Open Access Journals (Sweden)

    Andrea Kassouf Pizzinatto

    2014-08-01

    Full Text Available This study investigates the country of origin effect in luxury brands evaluation, theory that concerns the stereotype developed in the mind of consumers from a negative or positive image of the country where the product was manufactured, influencing product brand evaluation image. The methodological process was conducted with experiments, involving manipulation of variables thought printed advertisings, stimulus, as developed especially for the research, in three different situations: first the negative country of origin effect (with bad manufacture quality stereotyped image; second the positive country of origin effect (with good manufacture quality stereotyped image; e a third without any mention of the country of origin. Data were collected through printed questionnaires, answered by 330 people. Results indicated that luxury brand evaluation is not affected by positive country of origin stimulus, but it can influence positively the non luxury brands. The negative country of origin affects both, luxury and non luxury brands, however the effect is superior in non luxury brands. In the stimulus without mention regarding the country of origin, the brand luxury evaluation was not highly affected. However it improved the evaluation of non luxury brands, when compared with the negative country of origin stimulus.

  3. CAPTURED India Country Evaluation

    NARCIS (Netherlands)

    O'Donoghue, R.; Brouwers, J.H.A.M.

    2012-01-01

    This report provides the findings of the India Country Evaluation and is produced as part of the overall CAPTURED End Evaluation. After five years of support by the CAPTURED project the End Evaluation has assessed that results are commendable. I-AIM was able to design an approach in which health

  4. Zambia country study

    Energy Technology Data Exchange (ETDEWEB)

    1999-09-01

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

  5. QUALICOPC, a multi-country study evaluating quality, costs and equity in primary care

    Directory of Open Access Journals (Sweden)

    Van den Berg Michael J

    2011-10-01

    Full Text Available Abstract Background The QUALICOPC (Quality and Costs of Primary Care in Europe study aims to evaluate the performance of primary care systems in Europe in terms of quality, equity and costs. The study will provide an answer to the question what strong primary care systems entail and which effects primary care systems have on the performance of health care systems. QUALICOPC is funded by the European Commission under the "Seventh Framework Programme". In this article the background and design of the QUALICOPC study is described. Methods/design QUALICOPC started in 2010 and will run until 2013. Data will be collected in 31 European countries (27 EU countries, Iceland, Norway, Switzerland and Turkey and in Australia, Israel and New Zealand. This study uses a three level approach of data collection: the system, practice and patient. Surveys will be held among general practitioners (GPs and their patients, providing evidence at the process and outcome level of primary care. These surveys aim to gain insight in the professional behaviour of GPs and the expectations and actions of their patients. An important aspect of this study is that each patient's questionnaire can be linked to their own GP's questionnaire. To gather data at the structure or national level, the study will use existing data sources such as the System of Health Accounts and the Primary Health Care Activity Monitor Europe (PHAMEU database. Analyses of the data will be performed using multilevel models. Discussion By its design, in which different data sources are combined for comprehensive analyses, QUALICOPC will advance the state of the art in primary care research and contribute to the discussion on the merit of strengthening primary care systems and to evidence based health policy development.

  6. Mortuary based injury surveillance for low-mid income countries: process evaluation of pilot studies.

    Science.gov (United States)

    Kipsaina, Chebiwot; Ozanne-Smith, Joan; Bartolomeos, Kidist; Routley, Virginia

    2015-08-01

    Globally, injury is the fourth major cause of death and the third leading contributor to Disability Adjusted Life Years lost due to health conditions, with the greatest burden borne by low-middle income countries (LMICs) where injury data is scarce. In the absence of effective vital registration systems, mortuaries have been shown to provide an alternative source of cause of death information for practitioners and policy makers to establish strategic injury prevention policies and programs. This evaluation sought to assess the feasibility of implementing a standardised fatal injury data collection process to systematically collect relevant fatal injury data from mortuaries. The process evaluation is described. A manual including a one page data collection form, coding guide, data dictionary, data entry and analysis program was developed through World Health Organization and Monash University Australia collaboration, with technical advice from an International Advisory Group. The data collection component was piloted in multiple mortuaries, in five LMICs (Egypt, India, Sri-Lanka, Tanzania and Zambia). Process evaluation was based on a questionnaire completed by each country's Principal Investigator. Questionnaires were completed for data collections in urban and rural mortuaries between September 2010 and February 2011. Of the 1795 reported fatal injury cases registered in the participating mortuaries, road traffic injury accounted for the highest proportion of cases, ranging from 22% to 87%. Other causes included burns, poisoning, drowning and falls. Positive system attributes were feasibility, acceptability, usefulness, timeliness, and simplicity and data field completeness. Some limitations included short duration of the pilot studies, limited injury data collector training and apparent underreporting of cases to the medico-legal system or mortuaries. The mortuary has been shown to be a potential data source for identifying injury deaths and their circumstances

  7. Cost evaluation of out-of-country care for patients with eating disorders in Ontario: a population-based study.

    Science.gov (United States)

    de Oliveira, Claire; Macdonald, Erin M; Green, Diane; Colton, Patricia; Olmsted, Marion; Bondy, Susan; Kurdyak, Paul

    2016-01-01

    Eating disorders, specifically anorexia nervosa, bulimia nervosa and eating disorder not otherwise specified, represent a substantial burden to the health care system. Our goal was to estimate the economic burden of patients who received specialized inpatient care for an eating disorder out of country. We conducted a cost-of-illness study evaluating health care costs among patients in Ontario who received specialized inpatient care for an eating disorder out of country from 2003 to 2011, from the public third-party payer perspective. Using linked administrative databases, we estimated net costs of eating disorders for 2 patient groups: those who received specialized inpatient care both out of country and in province ( n = 160), and those who received specialized inpatient care out of country only ( n = 126). Patients approved for specialized out-of-country inpatient care were mostly girls and young women from high-income, urban neighbourhoods. Total net costs varied annually and were higher for patients treated both out of country and in province (about $11 million before 2007, $6.5 million after) than for those treated out of country alone (about $5 million and $2 million, respectively). The main cost drivers were out-of-country care and physician services. Costs associated with eating disorder care represent a substantial economic burden to the Ontario health care system. Given the high costs of out-of-country care, there may be opportunity to redirect these funds to increase capacity and expertise for eating disorder treatment within Ontario.

  8. QUALICOPC, a multi-country study evaluating quality, costs and equity in primary care.

    NARCIS (Netherlands)

    Schäfer, W.L.A.; Boerma, W.G.W.; Kringos, D.S.; Maeseneer, J. de; Gress, S.; Heinemann, S.; Rotar-Pavlic, D.; Seghieri, C.; Svab, I.; Berg, M.J. van den; Vainieri, M.; Westert, G.P.; Willems, S.; Groenewegen, P.P.

    2011-01-01

    Background: The QUALICOPC (Quality and Costs of Primary Care in Europe) study aims to evaluate the performance of primary care systems in Europe in terms of quality, equity and costs. The study will provide an answer to the question what strong primary care systems entail and which effects primary

  9. Tanzania country study

    Energy Technology Data Exchange (ETDEWEB)

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

    1998-10-01

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

  10. Tanzania country study

    International Nuclear Information System (INIS)

    Meena, H.E.

    1998-01-01

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

  11. The Country of Origin Effect on the Evaluation of Special Beers and the Consumers’ Purchase Intention: An Experimental Study

    Directory of Open Access Journals (Sweden)

    Michel Gehlen Bassani

    2018-04-01

    Full Text Available Objetives: analyze the country of origin effect on the perceived product quality, the price-willingness to pay and the consumer’s purchase intention.Method: experimental (experiment, with a factorial design 4 (Country of Origin: Germany, China, Brazil, and a control’s group x 1 (Product: special Pilsen beer. For data analysis, a quantitative statistical approach was performed with data processed by means a multivariate analysis of variance (MANOVA, applying post-hoc tests. The sample consisted of 159 respondents who were distributed in the four experimental groups.Originality/Relevance: the study approached the country of origin effect on consumer perception and its relationship with perceived quality, willingness to pay and purchase intention of special beer.Results: the results show that the country of origin effect, as an extrinsic attribute, has a significant role in the perceived quality, willingness to pay and consumers’ purchase intentions.Theoretical/Methodological Contrbutions: the development of the research allowed us to analyze, in the evaluation of a product, in this case, special beer (Pilsen type, the strength of an extrinsic factor, that is, the country of origin effect, and its influence on the perceived quality, the price-willingness to pay and the consumer’s purchase intention.

  12. Botswana country study

    Energy Technology Data Exchange (ETDEWEB)

    1999-09-01

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

  13. Information Processing in Nursing Information Systems: An Evaluation Study from a Developing Country.

    Science.gov (United States)

    Samadbeik, Mahnaz; Shahrokhi, Nafiseh; Saremian, Marzieh; Garavand, Ali; Birjandi, Mahdi

    2017-01-01

    In recent years, information technology has been introduced in the nursing departments of many hospitals to support their daily tasks. Nurses are the largest end user group in Hospital Information Systems (HISs). This study was designed to evaluate data processing in the Nursing Information Systems (NISs) utilized in many university hospitals in Iran. This was a cross-sectional study. The population comprised all nurse managers and NIS users of the five training hospitals in Khorramabad city ( N = 71). The nursing subset of HIS-Monitor questionnaire was used to collect the data. Data were analyzed by the descriptive-analytical method and the inductive content analysis. The results indicated that the nurses participating in the study did not take a desirable advantage of paper (2.02) and computerized (2.34) information processing tools to perform nursing tasks. Moreover, the less work experience nurses have, the further they utilize computer tools for processing patient discharge information. The "readability of patient information" and "repetitive and time-consuming documentation" were stated as the most important expectations and problems regarding the HIS by the participating nurses, respectively. The nurses participating in the present study used to utilize paper and computerized information processing tools together to perform nursing practices. Therefore, it is recommended that the nursing process redesign coincides with NIS implementation in the health care centers.

  14. Economic evaluation of Community Level Interventions for Pre-eclampsia (CLIP) in South Asian and African countries: a study protocol.

    Science.gov (United States)

    Khowaja, Asif R; Mitton, Craig; Bryan, Stirling; Magee, Laura A; Bhutta, Zulfiqar A; von Dadelszen, Peter

    2015-05-26

    Globally, hypertensive disorders of pregnancy, particularly pre-eclampsia and eclampsia, are the leading cause of maternal and neonatal mortality, and impose substantial burdens on the families of pregnant women, their communities, and healthcare systems. The Community Level Interventions for Pre-eclampsia (CLIP) Trial evaluates a package of care applied at both community and primary health centres to reduce maternal and perinatal disabilities and deaths resulting from the failure to identify and manage pre-eclampsia at the community level. Economic evaluation of health interventions can play a pivotal role in priority setting and inform policy decisions for scale-up. At present, there is a paucity of published literature on the methodology of economic evaluation of large, multi-country, community-based interventions in the area of maternal and perinatal health. This study protocol describes the application of methodology for economic evaluation of the CLIP in South Asia and Africa. A mixed-design approach i.e. cost-effectiveness analysis (CEA) and qualitative thematic analysis will be used alongside the trial to prospectively evaluate the economic impact of CLIP from a societal perspective. Data on health resource utilization, costs, and pregnancy outcomes will be collected through structured questionnaires embedded into the pregnancy surveillance, cross-sectional survey and budgetary reviews. Qualitative data will be collected through focus groups (FGs) with pregnant women, household male-decision makers, care providers, and district level health decision makers. The incremental cost-effectiveness ratio will be calculated for healthcare system and societal perspectives, taking into account the country-specific model inputs (costs and outcome) from the CLIP Trial. Emerging themes from FGs will inform the design of the model, and help to interpret findings of the CEA. The World Health Organization (WHO) strongly recommends cost-effective interventions as a key

  15. Tanzania country study

    Energy Technology Data Exchange (ETDEWEB)

    1999-09-01

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

  16. Mauritius country study

    Energy Technology Data Exchange (ETDEWEB)

    Manraj, D D [Central Statistical Office (Mauritius)

    1998-10-01

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

  17. Systematic review of studies evaluating the broader economic impact of vaccination in low and middle income countries

    Directory of Open Access Journals (Sweden)

    Deogaonkar Rohan

    2012-10-01

    Full Text Available Abstract Background Most health economic evaluations of childhood vaccination only capture the health and short-term economic benefits. Measuring broader, long-term effects of vaccination on productivity and externalities could provide a more complete picture of the value of vaccines. Method MEDLINE, EconLit and NHS-EED databases were searched for articles published between January 1990 and July 2011, which captured broader economic benefits of vaccines in low and middle income countries. Studies were included if they captured at least one of the following categories on broader economic impact: outcome-related productivity gains, behaviour-related productivity gains, ecological externalities, equity gains, financial sustainability gains or macroeconomic benefits. Results Twenty-six relevant studies were found, including observational studies, economic models and contingent valuation studies. Of the identified broader impacts, outcome-related productivity gains and ecological externalities were most commonly accounted for. No studies captured behaviour-related productivity gains or macroeconomic effects. There was some evidence to show that vaccinated children 8–14 years of age benefit from increased cognitive ability. Productivity loss due to morbidity and mortality was generally measured using the human capital approach. When included, herd immunity effects were functions of coverage rates or based on reduction in disease outcomes. External effects of vaccines were observed in terms of equitable health outcomes and contribution towards synergistic and financially sustainable healthcare programs. Conclusion Despite substantial variation in the methods of measurement and outcomes used, the inclusion of broader economic impact was found to improve the attractiveness of vaccination. Further research is needed on how different tools and techniques can be used in combination to capture the broader impact of vaccination in a way that is consistent

  18. Systematic review of studies evaluating the broader economic impact of vaccination in low and middle income countries.

    Science.gov (United States)

    Deogaonkar, Rohan; Hutubessy, Raymond; van der Putten, Inge; Evers, Silvia; Jit, Mark

    2012-10-16

    Most health economic evaluations of childhood vaccination only capture the health and short-term economic benefits. Measuring broader, long-term effects of vaccination on productivity and externalities could provide a more complete picture of the value of vaccines. MEDLINE, EconLit and NHS-EED databases were searched for articles published between January 1990 and July 2011, which captured broader economic benefits of vaccines in low and middle income countries. Studies were included if they captured at least one of the following categories on broader economic impact: outcome-related productivity gains, behaviour-related productivity gains, ecological externalities, equity gains, financial sustainability gains or macroeconomic benefits. Twenty-six relevant studies were found, including observational studies, economic models and contingent valuation studies. Of the identified broader impacts, outcome-related productivity gains and ecological externalities were most commonly accounted for. No studies captured behaviour-related productivity gains or macroeconomic effects. There was some evidence to show that vaccinated children 8-14 years of age benefit from increased cognitive ability. Productivity loss due to morbidity and mortality was generally measured using the human capital approach. When included, herd immunity effects were functions of coverage rates or based on reduction in disease outcomes. External effects of vaccines were observed in terms of equitable health outcomes and contribution towards synergistic and financially sustainable healthcare programs. Despite substantial variation in the methods of measurement and outcomes used, the inclusion of broader economic impact was found to improve the attractiveness of vaccination. Further research is needed on how different tools and techniques can be used in combination to capture the broader impact of vaccination in a way that is consistent with other health economic evaluations. In addition, more country

  19. Hungary country study

    Energy Technology Data Exchange (ETDEWEB)

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

    1999-09-01

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

  20. Country-of-origin effects on consumer product evaluations

    NARCIS (Netherlands)

    Verlegh, Peeter W J

    2001-01-01

    This thesis aims to gain a better understanding of the influence of the country-of-origin of products on consumers' product evaluation. A literature study and meta-analysis reveal a multitude of ways in which country-of-origin can influence product evaluations. The country-of-origin has a

  1. Mauritius country study

    International Nuclear Information System (INIS)

    Manraj, D.D.

    1998-01-01

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

  2. The Philippines. Country study

    International Nuclear Information System (INIS)

    Holmes, E.B.

    1995-01-01

    Biomass is organic matter produced in a renewable and sustainable manner, by plants through the process of photosynthesis. Biomass can be used as an energy resource to produce heat, power and transport fuels. The integration of biomass into a national energy supply mix may confer a number of local and national benefits. These benefits include displacement of imported fossil fuels with concomitant savings in foreign exchange, abatement of greenhouse gas release and possible reductions in levels of air pollution. The present case study evaluates the status of energy development in the Philippines to determine current levels of biomass utilization and the potential to further develop and use indigenous biomass energy resources. The study is based on: (a) Discussions held with representatives of the various agencies involved with biomass production and energy planning and programme implementation, during a brief mission to the Philippines; (b) An evaluation of current conversion technologies and facilities with the potential to fully utilize available biomass resources in domestic, industrial and power generation sectors; (c) An analysis of existing biomass production data, energy policies and plans, and projections for energy supply and consumption supplied by the relevant agencies and government departments of the Philippines. The Department of Energy is responsible for development and management of national energy policy and programmes. They have prepared an energy policy and projections for energy supply and consumption for the period 1996 to 2025. Non-conventional energy resources have been given a high priority, and a separate programme has been developed under the administration of the Non-conventional Energy Division of the Department of Energy. Total energy consumption in 1994 was estimated at 198 million barrels of fuel oil equivalent (BFOE). Imported fossil fuels accounted for 58% of the total energy supply in 1994, biomass being the most important

  3. The Philippines. Country study

    Energy Technology Data Exchange (ETDEWEB)

    Holmes, E B [Agro-industrial Consultancy, Burgess Hill, Sussex (United Kingdom)

    1995-12-01

    Biomass is organic matter produced in a renewable and sustainable manner, by plants through the process of photosynthesis. Biomass can be used as an energy resource to produce heat, power and transport fuels. The integration of biomass into a national energy supply mix may confer a number of local and national benefits. These benefits include displacement of imported fossil fuels with concomitant savings in foreign exchange, abatement of greenhouse gas release and possible reductions in levels of air pollution. The present case study evaluates the status of energy development in the Philippines to determine current levels of biomass utilization and the potential to further develop and use indigenous biomass energy resources. The study is based on: (a) Discussions held with representatives of the various agencies involved with biomass production and energy planning and programme implementation, during a brief mission to the Philippines; (b) An evaluation of current conversion technologies and facilities with the potential to fully utilize available biomass resources in domestic, industrial and power generation sectors; (c) An analysis of existing biomass production data, energy policies and plans, and projections for energy supply and consumption supplied by the relevant agencies and government departments of the Philippines. The Department of Energy is responsible for development and management of national energy policy and programmes. They have prepared an energy policy and projections for energy supply and consumption for the period 1996 to 2025. Non-conventional energy resources have been given a high priority, and a separate programme has been developed under the administration of the Non-conventional Energy Division of the Department of Energy. Total energy consumption in 1994 was estimated at 198 million barrels of fuel oil equivalent (BFOE). Imported fossil fuels accounted for 58% of the total energy supply in 1994, biomass being the most important

  4. Usability Evaluation in a Digitally Emerging Country

    DEFF Research Database (Denmark)

    Lizano, Fulvio; Sandoval, Maria Marta; Bruun, Anders

    2013-01-01

    Several emerging countries experience increasing software development activities. With the purpose of provide useful feedback on possible courses of action for increasing application of usability evaluation in such countries, this paper explores the status of usability evaluation in a digitally...... emerging country. Our aim is to identifying common characteristics or behavioral patterns that could be compared with digitally advanced countries. We used an online survey answered by 26 software development organizations, which gave a snapshot of the application of usability evaluation...... in these organizations. We found many similarities with advanced countries, several completely new obstacles more connected with software development matters and a relatively positive improvement in the lack of “usability culture”. These findings suggest good conditions to improve conduction of usability evaluations...

  5. EVALUATION OF THE HTA CORE MODEL FOR NATIONAL HEALTH TECHNOLOGY ASSESSMENT REPORTS: COMPARATIVE STUDY AND EXPERIENCES FROM EUROPEAN COUNTRIES.

    Science.gov (United States)

    Kõrge, Kristina; Berndt, Nadine; Hohmann, Juergen; Romano, Florence; Hiligsmann, Mickael

    2017-01-01

    The health technology assessment (HTA) Core Model® is a tool for defining and standardizing the elements of HTA analyses within several domains for producing structured reports. This study explored the parallels between the Core Model and a national HTA report. Experiences from various European HTA agencies were also investigated to determine the Core Model's adaptability to national reports. A comparison between a national report on Genetic Counseling, produced by the Cellule d'expertise médicale Luxembourg, and the Core Model was performed to identify parallels in terms of relevant and comparable assessment elements (AEs). Semi-structured interviews with five representatives from European HTA agencies were performed to assess their user experiences with the Core Model. The comparative study revealed that 50 percent of the total number (n = 144) of AEs in the Core Model were relevant for the national report. Of these 144 AEs from the Core Model, 34 (24 percent) were covered in the national report. Some AEs were covered only partly. The interviewees emphasized flexibility in using the Core Model and stated that the most important aspects to be evaluated include characteristics of the disease and technology, clinical effectiveness, economic aspects, and safety. In the present study, the national report covered an acceptable number of AEs of the Core Model. These results need to be interpreted with caution because only one comparison was performed. The Core Model can be used in a flexible manner, applying only those elements that are relevant from the perspective of the technology assessment and specific country context.

  6. Indonesia country study

    Energy Technology Data Exchange (ETDEWEB)

    1999-09-01

    This study demonstrated the use of MARKAL model in carbon mitigation analysis for both energy and forestry sector. Four scenarios were used namely: 1. EbFb (baseline scenario). In this scenario, mitigation technologies in the energy sector were not included in the model and no target was set up for increasing net carbon uptake by forest activities. 2. EmFb. Mitigation technologies in the energy sector were included with the target of reducing cumulative net carbon emission by about 13% and activities in the forestry sectors were the same as those in baseline. 3. EbFm. Mitigation technologies in the energy sector were not included and the forestry activities were targeted to increase the carbon uptake so that the cumulative net carbon emission decreased by 13%. 4. EmFm. Mitigation technologies in the energy sector were included as well as forestry sector with target of reducing cumulative net carbon emission by about 35%. This study indicates that the MARKAL model has the potential to be used for mitigation analysis for both energy and forestry sectors. However, there are some limitations encountered during the study. The program is not able to accommodate the delayed emission from the forestry sector in a manner consistent to the treatment of emissions in the energy sector. In addition, there are some technical problems that still need to be resolved such as the inclusion of soil carbon uptake calculation in the model and the verification of carbon uptake calculation. In this study, all carbon uptakes was assumed to occur at the time of planting. (EHS) 37 refs.

  7. Botswana country study

    Energy Technology Data Exchange (ETDEWEB)

    Zhou, Peter [EECG Consultants, Gaborone (Botswana)

    1998-10-01

    The project analysed the baseline economic, energy development and greenhouse gas (GHG) scenarios, and abatement costing of plausible greenhouse gas mitigation options in the energy sector of Botswana. The analysis period for both the baseline and mitigation scenarios is up to 2030 with the short term stretching from 1994 to 2005 and the long term up to 2030. There is a relatively significant potential to reduce GHG emissions in the energy system of Botswana by applying a number of mitigation options. The potential in by applying a set of 21 mitigation options analysed in this study was found to be about 28.7% in 2005 and 26.1% in 2030. (EG)

  8. Botswana country study

    International Nuclear Information System (INIS)

    Zhou, Peter

    1998-01-01

    The project analysed the baseline economic, energy development and greenhouse gas (GHG) scenarios, and abatement costing of plausible greenhouse gas mitigation options in the energy sector of Botswana. The analysis period for both the baseline and mitigation scenarios is up to 2030 with the short term stretching from 1994 to 2005 and the long term up to 2030. There is a relatively significant potential to reduce GHG emissions in the energy system of Botswana by applying a number of mitigation options. The potential in by applying a set of 21 mitigation options analysed in this study was found to be about 28.7% in 2005 and 26.1% in 2030. (EG)

  9. Association of experienced and evaluative well-being with health in nine countries with different income levels: a cross-sectional study.

    Science.gov (United States)

    Miret, Marta; Caballero, Francisco Félix; Olaya, Beatriz; Koskinen, Seppo; Naidoo, Nirmala; Tobiasz-Adamczyk, Beata; Leonardi, Matilde; Haro, Josep Maria; Chatterji, Somnath; Ayuso-Mateos, José Luis

    2017-08-23

    It is important to know whether the relationships between experienced and evaluative well-being and health are consistent across countries with different income levels. This would allow to confirm whether the evidence found in high income countries is the same as in low- and middle-income countries and to suggest policy recommendations that are generalisable across countries. We assessed the association of well-being with health status; analysed the differential relationship that positive affect, negative affect, and evaluative well-being have with health status; and examined whether these relationships are similar across countries. In this cross-sectional study, interviews were conducted amongst 53,269 adults from nine countries in Africa, Asia, Europe, and Latin America. Evaluative well-being was measured with a short version of the World Health Organization (WHO) Quality of Life instrument, and experienced well-being was measured with the Day Reconstruction Method. Decrements in health were assessed with the 12-item version of WHO Disability Assessment Schedule 2.0. Block-wise linear regression and structural equation models were employed. Considering the overall sample, evaluative well-being was more strongly associated with health (β = -0.35) than experienced well-being (β = -0.14), and negative affect was more strongly associated with health (β = 0.10) than positive affect (β = -0.02). The relationship between health and well-being was similar across countries. Lower scores in evaluative well-being and a higher age were the factors more strongly related with a worse health. The different patterns observed across countries may be related to differences in the countries' gross domestic product, social protection system, economic situation, health care provision, lifestyle behaviours, or living conditions. The fact that evaluative well-being is more predictive of health than experienced well-being suggests that our level of satisfaction with our

  10. Reporting about disability evaluation in European countries.

    Science.gov (United States)

    Anner, Jessica; Kunz, Regina; Boer, Wout de

    2014-01-01

    To compare the official requirements of the content of disability evaluation for social insurance across Europe and to explore how the International Classification of Functioning, Disability and Health is currently applied, using the rights and obligations of people with disabilities towards society as frame of reference. Survey. We used a semi-structured questionnaire to interview members of the European Union of Medicine in Assurance and Social Security (EUMASS), who are central medical advisors in social insurance systems in their country. We performed two email follow-up rounds to complete and verify responses. Fifteen respondents from 15 countries participated. In all countries, medical examiners are required to report about a claimant's working capacity and prognosis. In 14 countries, medical reports ought to contain information about socio-medical history and feasible interventions to improve the claimant's health status. The format of medical reporting on working capacity varies widely (free text, semi- and fully structured reports). One country makes a reference to the ICF in their reports on working capacity, others consider doing so. Official requirements on medical reporting about disability in social insurance across Europe follow the frame of four features: work capacity, socio-medical history, feasibility of intervention and prognosis of disability. There is an increasing trend to make formal or informal reference to the ICF in the reports about working capacity. The four features and the ICF may provide common references across countries to describe disability evaluation, facilitating national and international research. Implications for Rehabilitation Reporting about disability in social insurance in different countries is about work capacity, social medical history, feasibility of intervention and prognosis of disability. Formats of reporting on work capacity vary among countries, from free text to semi-structured report forms to fully structured

  11. Country programme frameworks. A special evaluation

    International Nuclear Information System (INIS)

    1996-05-01

    As a result of the recommendations of the TC Policy Review Seminar held in 1994 the Department of Technical Co-operation initiated Country Programme Framework (CPF) related activities in early 1995. Draft Guidelines for carrying out the CPF process were issued in February 1995. An agenda was propose for carrying gout the CPF process, which also included field missions to those countries where the information on national programmes and priorities available at the Agency was believed to be insufficient. In December 1995 the Evaluation Section was requested by the TC management to evaluate the approach and the progress achieved to date. The findings and conclusions of this evaluation have been formulated after extensive discussions with both in-house staff and external evaluation consultants. They thus represent a distillation of the views expressed by all. 2 figs, 1 tab

  12. How companies evaluate their offshore outsourcing activities? : A study of the challenges and opportunities associated with outsourcing to different countries

    OpenAIRE

    Attias, Irina

    2014-01-01

    Companies outsource their manufacturing for cutting costs and to be able to concentrate on their core competences. Offshore outsourcing reached its peak less than 10 years ago but nevertheless today’s literature has started to argue whether offshoring brings true long-term profits for companies that practice it. Whereas many multinational enterprises work on bringing their production back to their home countries, small and microenterprises seem to have only the ...

  13. Consumer evaluations of products from developing countries

    NARCIS (Netherlands)

    Verlegh, P.W.J.

    2002-01-01

    Consumers use country of origin as a signal or proxy for product quality. Consumers have little confidence in the ability of less developed countries to produce high quality goods. On the other hand emotionally attachment to a country or associations of "exoticness" or "authenticity" can lead to a

  14. Romania biomass energy. Country study

    Energy Technology Data Exchange (ETDEWEB)

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

    1995-12-01

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

  15. Romania biomass energy. Country study

    International Nuclear Information System (INIS)

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

    1995-01-01

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

  16. Senegal country study; Evaluation des couts de reduction des emissions de gaz a effect de serre au Senegal

    Energy Technology Data Exchange (ETDEWEB)

    Sow, I

    1998-10-01

    The first part of this study consists of an analysis of the socio-economic development in Senegal and of establishment of inventory and energy balance for greenhouse gases. Scenarios for emission from single economic sectors are discussed. (EG)

  17. Evaluating the Relative Environmental Impact of Countries

    OpenAIRE

    Bradshaw, Corey J. A.; Giam, Xingli; Sodhi, Navjot Singh

    2010-01-01

    Environmental protection is critical to maintain ecosystem services essential for human well-being. It is important to be able to rank countries by their environmental impact so that poor performers as well as policy ?models? can be identified. We provide novel metrics of country-specific environmental impact ranks ? one proportional to total resource availability per country and an absolute (total) measure of impact ? that explicitly avoid incorporating confounding human health or economic i...

  18. A framework for evaluating WTP for BIPV in residential housing design in developing countries: A case study of North Cyprus

    International Nuclear Information System (INIS)

    Radmehr, Mehrshad; Willis, Ken; Kenechi, Ugo Elinwa

    2014-01-01

    This paper explores people's preferences for a Built in Photovoltaic (BIPV) renewable energy system to be integrated into housing construction. A novel methodology was developed, to study the case of Northern Cyprus, for better understanding of possibilities that abound in BIPV integration. The methodology incorporates Building Information Modeling (BIM) as a real-time design and economic assessment tool for BIPV choices. This serves to benefit both the construction companies and potential house owners in their decision-making. In addition, it uses a Contingent Valuation (CV) method to assess the Willingness to Pay (WTP) and the Willingness to Accept (WTA) compensation. The results indicate that the capital cost of PV is not instrumental in choice, and a lower feed-in tariff could be acceptable

  19. Evaluating the relative environmental impact of countries.

    Science.gov (United States)

    Bradshaw, Corey J A; Giam, Xingli; Sodhi, Navjot S

    2010-05-03

    Environmental protection is critical to maintain ecosystem services essential for human well-being. It is important to be able to rank countries by their environmental impact so that poor performers as well as policy 'models' can be identified. We provide novel metrics of country-specific environmental impact ranks - one proportional to total resource availability per country and an absolute (total) measure of impact - that explicitly avoid incorporating confounding human health or economic indicators. Our rankings are based on natural forest loss, habitat conversion, marine captures, fertilizer use, water pollution, carbon emissions and species threat, although many other variables were excluded due to a lack of country-specific data. Of 228 countries considered, 179 (proportional) and 171 (absolute) had sufficient data for correlations. The proportional index ranked Singapore, Korea, Qatar, Kuwait, Japan, Thailand, Bahrain, Malaysia, Philippines and Netherlands as having the highest proportional environmental impact, whereas Brazil, USA, China, Indonesia, Japan, Mexico, India, Russia, Australia and Peru had the highest absolute impact (i.e., total resource use, emissions and species threatened). Proportional and absolute environmental impact ranks were correlated, with mainly Asian countries having both high proportional and absolute impact. Despite weak concordance among the drivers of environmental impact, countries often perform poorly for different reasons. We found no evidence to support the environmental Kuznets curve hypothesis of a non-linear relationship between impact and per capita wealth, although there was a weak reduction in environmental impact as per capita wealth increases. Using structural equation models to account for cross-correlation, we found that increasing wealth was the most important driver of environmental impact. Our results show that the global community not only has to encourage better environmental performance in less

  20. Evaluating the Relative Environmental Impact of Countries

    Science.gov (United States)

    Bradshaw, Corey J. A.; Giam, Xingli; Sodhi, Navjot S.

    2010-01-01

    Environmental protection is critical to maintain ecosystem services essential for human well-being. It is important to be able to rank countries by their environmental impact so that poor performers as well as policy ‘models’ can be identified. We provide novel metrics of country-specific environmental impact ranks – one proportional to total resource availability per country and an absolute (total) measure of impact – that explicitly avoid incorporating confounding human health or economic indicators. Our rankings are based on natural forest loss, habitat conversion, marine captures, fertilizer use, water pollution, carbon emissions and species threat, although many other variables were excluded due to a lack of country-specific data. Of 228 countries considered, 179 (proportional) and 171 (absolute) had sufficient data for correlations. The proportional index ranked Singapore, Korea, Qatar, Kuwait, Japan, Thailand, Bahrain, Malaysia, Philippines and Netherlands as having the highest proportional environmental impact, whereas Brazil, USA, China, Indonesia, Japan, Mexico, India, Russia, Australia and Peru had the highest absolute impact (i.e., total resource use, emissions and species threatened). Proportional and absolute environmental impact ranks were correlated, with mainly Asian countries having both high proportional and absolute impact. Despite weak concordance among the drivers of environmental impact, countries often perform poorly for different reasons. We found no evidence to support the environmental Kuznets curve hypothesis of a non-linear relationship between impact and per capita wealth, although there was a weak reduction in environmental impact as per capita wealth increases. Using structural equation models to account for cross-correlation, we found that increasing wealth was the most important driver of environmental impact. Our results show that the global community not only has to encourage better environmental performance in less

  1. Evaluating the relative environmental impact of countries.

    Directory of Open Access Journals (Sweden)

    Corey J A Bradshaw

    Full Text Available Environmental protection is critical to maintain ecosystem services essential for human well-being. It is important to be able to rank countries by their environmental impact so that poor performers as well as policy 'models' can be identified. We provide novel metrics of country-specific environmental impact ranks - one proportional to total resource availability per country and an absolute (total measure of impact - that explicitly avoid incorporating confounding human health or economic indicators. Our rankings are based on natural forest loss, habitat conversion, marine captures, fertilizer use, water pollution, carbon emissions and species threat, although many other variables were excluded due to a lack of country-specific data. Of 228 countries considered, 179 (proportional and 171 (absolute had sufficient data for correlations. The proportional index ranked Singapore, Korea, Qatar, Kuwait, Japan, Thailand, Bahrain, Malaysia, Philippines and Netherlands as having the highest proportional environmental impact, whereas Brazil, USA, China, Indonesia, Japan, Mexico, India, Russia, Australia and Peru had the highest absolute impact (i.e., total resource use, emissions and species threatened. Proportional and absolute environmental impact ranks were correlated, with mainly Asian countries having both high proportional and absolute impact. Despite weak concordance among the drivers of environmental impact, countries often perform poorly for different reasons. We found no evidence to support the environmental Kuznets curve hypothesis of a non-linear relationship between impact and per capita wealth, although there was a weak reduction in environmental impact as per capita wealth increases. Using structural equation models to account for cross-correlation, we found that increasing wealth was the most important driver of environmental impact. Our results show that the global community not only has to encourage better environmental performance in

  2. Stakeholders' perception on including broader economic impact of vaccines in economic evaluations in low and middle income countries: a mixed methods study.

    Science.gov (United States)

    van der Putten, Ingeborg M; Evers, Silvia M A A; Deogaonkar, Rohan; Jit, Mark; Hutubessy, Raymond C W

    2015-04-10

    Current health economic evaluation guidelines mainly concentrate on immediate health gains and cost savings for the individual involved in the intervention. However, it has been argued that these guidelines are too narrow to capture the full impact of vaccination in low and middle income countries. The inclusion of broader economic impact of vaccines (BEIV) has therefore been proposed. Some examples of these are productivity-related gains, macro-economic impact, and different externalities. Despite their potency, the extent to which such benefits can and should be incorporated into economic evaluations of vaccination is still unclear. This mixed methods study aims to assess the relevance of BEIV to different stakeholders involved in the vaccine introduction decision making process. In this mixed method study an internet based survey was sent to attendees of the New and Underutilized Vaccines Initiative meeting in Montreux, Switzerland in 2011. Additionally, semi-structured interviews of 15 minutes each were conducted during the meeting. Study participants included decision makers, experts and funders of vaccines and immunization programs in low and middle income countries. Descriptive analysis of the survey, along with identification of common themes and factors extracted from the interviews and open survey questions was undertaken. Evidence on macro-economic impact, burden of disease and ecological effects were perceived as being most valuable towards aiding decision making for vaccine introduction by the 26 survey respondents. The 14 interviewees highlighted the importance of burden of disease and different types of indirect effects. Furthermore, some new interpretations of BEIVs were discussed, such as the potential negative impact of wastage during immunization programs and the idea of using vaccines as a platform for delivering other types of health interventions. Interviewees also highlighted the importance of using a broader perspective in connection to

  3. Evaluating Tobacco Control Policies in 28 Countries (including 9 EU countries: The ITC Project

    Directory of Open Access Journals (Sweden)

    Geoffrey Fong

    2016-03-01

    Full Text Available Since its start in 2002, the ITC Project has been conducting evaluation studies of tobacco control policies via prospective cohort surveys of tobacco users in 28 countries, including 9 EU countries. This presentation will focus on the design of the ITC Project and how it differs from and complements existing evidence-gathering systems (monitoring and surveillance systems in measuring and understanding the impact of FCTC policies. The presentation will also describe the ITC Project's most recent initiatives: (1 the EUREST-PLUS study focusing on measuring the impact of the Tobacco Products Directive, and (2 a large-scale international cohort study of e-cigarettes starting in the United States, Canada, England, and Australia.

  4. Biomass energy potential in Brazil. Country study

    Energy Technology Data Exchange (ETDEWEB)

    Moreira, J [Biomass Users Network-Brazil Regional Office, Sao Paulo (Brazil)

    1995-12-01

    The present paper was prepared as a country study about the biomass potential for energy production in Brazil. Information and analysis of the most relevant biomass energy sources and their potential are presented in six chapters. Ethanol fuel, sugar-cane bagasse, charcoal, vegetable oil, firewood and other biomass-derived fuels are the objects of a historical review, in addition to the presentation of state-of-the-art technologies, economic analysis and discussion of relevant social and environmental issues related to their production and use. Wherever possible, an evaluation, from the available sources of information and based on the author`s knowledge, is performed to access future perspectives of each biomass energy source. Brazil is a country where more than half of the energy consumed is provided from renewable sources of energy, and biomass provides 28% of the primary energy consumption. Its large extension, almost all located in the tropical and rainy region, provides an excellent site for large-scale biomass production, which is a necessity if biomass is to be used to supply a significant part of future energy demand. Even so, deforestation has occurred and is occurring in the country, and the issue is discussed and explained as mainly the result of non-energy causes or the use of old and outdated technologies for energy production. (author) 115 refs, figs, tabs

  5. Biomass energy potential in Brazil. Country study

    International Nuclear Information System (INIS)

    Moreira, J.

    1995-01-01

    The present paper was prepared as a country study about the biomass potential for energy production in Brazil. Information and analysis of the most relevant biomass energy sources and their potential are presented in six chapters. Ethanol fuel, sugar-cane bagasse, charcoal, vegetable oil, firewood and other biomass-derived fuels are the objects of a historical review, in addition to the presentation of state-of-the-art technologies, economic analysis and discussion of relevant social and environmental issues related to their production and use. Wherever possible, an evaluation, from the available sources of information and based on the author's knowledge, is performed to access future perspectives of each biomass energy source. Brazil is a country where more than half of the energy consumed is provided from renewable sources of energy, and biomass provides 28% of the primary energy consumption. Its large extension, almost all located in the tropical and rainy region, provides an excellent site for large-scale biomass production, which is a necessity if biomass is to be used to supply a significant part of future energy demand. Even so, deforestation has occurred and is occurring in the country, and the issue is discussed and explained as mainly the result of non-energy causes or the use of old and outdated technologies for energy production. (author)

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

    Science.gov (United States)

    Lavie, Emilie; Robert, Elodie

    2013-04-01

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

  7. Evaluating "Cat Country": The Humor within Satire

    Science.gov (United States)

    Chang, Chung-chien Karen

    2010-01-01

    Satire, as a mode, is not frequently employed in Chinese narratives. "Cat Country," or "Mao Cheng Ji," written by Lao She (pen name of Shu Qing Chun, 1898--1966) has come under much attack of its literary values. Whereas most critics have no doubt that this work sets out to satirize China through the portrayal of a society of…

  8. Country-of-origin effects on consumer product evaluations

    NARCIS (Netherlands)

    Verlegh, P.W.J.

    2001-01-01

    This thesis intends to provide a better understanding of the influence of country of origin on consumers' product evaluations. The first chapter explains why consumers attach importance to the country of origin of products. Next to "made in …" labels, there are various ways in which

  9. Endline report – Liberia, BSC MFS II country evaluations

    NARCIS (Netherlands)

    Gotomo, S.; Peters, B.; Kusters, C.S.L.; Peabody, S.; Washington Gopeya, M.

    2015-01-01

    This report presents the findings of the endline of the evaluation of the organisational capacity component of the MFS II country evaluations. The focus of this report is Liberia, BSC. The format is based on the requirements by the synthesis team and NWO/WOTRO. The endline was carried out in 2014.

  10. Endline report – Liberia, NAWOCOL MFS II country evaluations

    NARCIS (Netherlands)

    Gotomo, S.; Peters, B.; Kusters, C.S.L.; Peabody, S.; Washington Gopeya, M.

    2015-01-01

    This report presents the findings of the endline of the evaluation of the organisational capacity component of the MFS II country evaluations. The focus of this report is Liberia, NAWOCOL. The format is based on the requirements by the synthesis team and NWO/WOTRO. The endline was carried out in

  11. Endline report – Liberia, RHRAP MFS II country evaluations

    NARCIS (Netherlands)

    Gotomo, S.; Peters, B.; Kusters, C.S.L.; Peabody, S.; Washington Gopeya, M.

    2015-01-01

    This report presents the findings of the endline of the evaluation of the organisational capacity component of the MFS II country evaluations. The focus of this report is Liberia, RHRAP. The format is based on the requirements by the synthesis team and NWO/WOTRO. The endline was carried out in 2014.

  12. Acid deposition study in the Asian countries

    Energy Technology Data Exchange (ETDEWEB)

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

    1996-12-31

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

  13. Area Handbook Series: Indonesia: A Country Study,

    Science.gov (United States)

    1992-11-01

    carry a selendang, a long stretch of cloth draped over the shoulder, which on less formal occasions was used to carry babies or objects. Urban...vols.) (The Asia Society.) New York: Scribner’s, 1988. 419 Indonesia: A Country Study Foss, Christopher F. (ed.). Jane’s Armour and Artillery, 1991-92

  14. EVALUATION OF SPORTS MARKETING EFFICIENCY IN ARAB COUNTRIES

    Directory of Open Access Journals (Sweden)

    GEBRIL MOHAMED R.

    2012-01-01

    Full Text Available Abstract:Purposes of this Study are evaluating the efficiency of sports marketing in the organizations of some Arab countries through the following sub-goals:1-Identify the philosophy of sports organizations towards sports marketing.2- Identify the extent and existence of an organizational unit to perform specialized functions for sports marketing activity.3- Determine the extent of the use effective marketing methods in sporting organizations in order to get the material and technical support required to implement the plans and programs.Research sample consisted of officials, members of boards of directors, and managers of sports bodies' in some Arab countries (Egypt, United Arab Emirates, Bahrain, and Qatar. Two hundred forty Seven board members from Egypt (N 101, United Arab Emirates (N 76, Bahrain (N 40, and Qatar (N30 were involved in the investigation. The Subjects were administered a Questionnaire developed by the researchers.The most important results are Research sample differed (clubs -sporting associations - the Olympic Committee Arab countries (Egypt - Emirates - Bahrain - Qatar in philosophy toward sport marketing. Sample search (clubs -sporting associations - the Olympic Committee Arab countries (Egypt - Emirates - Bahrain - Qatar agree on the sport marketing methods used sporting organizations. There are a difference among sample search sports organizations (clubs - Olympic Committee in Arab countries (Egypt - Emirates - Bahrain - Qatar and there are agreement by the sports federations in marketing efficiency. The most importance Recommendations are :1.Need to add sports fields of investment to create the appropriate field to become sports areas for attracting investment.2.Guarantee the right of return sporting bodies in competitions organized through the radio and television.3.Establishment channels of sports economic. 4.Exempt contributions businessmen and sponsor and the players from taxes.5.Use the name and logo and flag

  15. Assessment and Evaluation of National Human Resource Development System Competitiveness in Emerging Countries

    Science.gov (United States)

    Oh, HunSeok; Seo, DongIn; Kim, JuSeuk; Yoo, SangOk; Seong, HeeChang

    2015-01-01

    This study assessed and evaluated the competitiveness of national human resource development (NHRD) systems in emerging countries with potential for growth. The literature on emerging countries and NHRD systems was reviewed. The study developed a model mechanism with forty-one indices and nine sub-components for the NHRD system assessment in…

  16. Area Handbook Series: Vietnam: A Country Study

    Science.gov (United States)

    1987-12-01

    cough, measles, poliomyelitis, chicken pox , typhoid fever, acute encepha- litis, and acute meningitis. Hanoi claimed in 1970 that alcoholic cirrhosis...Country Study the people of Van Lang grew other grains and beans and raised stock, mainly buffaloes, chickens , and pigs. Pottery-making and bamboo...152 Cuba 550-45 Malaysia 550-22 Cyprus 550-161 Mauritania 550-158 Czechoslovakia 550-79 Mexico 550-36 Dominican Republic/Haiti 550-76 Mongolia 550-52

  17. Area Handbook Series. Philippines: A Country Study

    Science.gov (United States)

    1991-06-01

    the Philippines’ own claim to Sabah, the territory in northeastern Bor- neo that had become a Malaysian state in 1963. Marcos and the Road to Martial...north, was on the risc 50 Historical Setting In 1969 the Moro National Liberation Front (MNLF) was or- ganized on Malaysian soil. The MNLF conducted an...particularly so where the 7enter was itself a full-scale 91 Philippines: A Country Study town, complete with restaurants, cinemas , banks, specialty

  18. Area Handbook Series. Albania: A Country Study

    Science.gov (United States)

    1992-04-01

    inadequa prenal cue, tbe proportion of preature births increse •d from 7 to 11 perent between 197 amd early 1992. Hospits lacked es- sen"h mecidmund erp...were urgently needed to deal with the multiplying number of privately owned cars. Albanian entrepreneurs also 151 Albania: A Country Study imported... entrepreneurs from the reta marketplace. At first, peasants began setting up road- side fruit and vegetables stands or carrying their produce to mar- kets in

  19. Area Handbook Series: Israel: A Country Study

    Science.gov (United States)

    1988-12-01

    kid- napping of Nazi war criminal Adolph Eichmann from Argentina. Another kidnapping, in 1986, brought to Israel for prosecution the nuclear...penalty could be imposed for treason or for conviction for Nazi war crimes but, as of 1988, 331 Israel: A Country Study Eichmann was the only person to be...See land ownership Eichmann , Adolph, 331-32 extensive threat concept, 267-68 Eisenhower, Dwight D., 58 Ezekiel, 11 Eisenstadt, S. N., 83 Ezra, II

  20. A qualitative interview study on effects of diet on children's mental state and performance. Evaluation of perceptions, attitudes and beliefs of parents in four European countries.

    Science.gov (United States)

    Brands, Brigitte; Egan, Bernadette; Györei, Eszter; López-Robles, Juan Carlos; Gage, Heather; Campoy, Cristina; Decsi, Tamás; Koletzko, Berthold; Raats, Monique M

    2012-04-01

    Nutrition is one of the many factors that influence a child's cognitive development and performance. Understanding the relationship between nutrition and mental performance in children is important in terms of their attainment and productivity both in school and later life. Since parents are seen as nutritional gatekeepers for their children's diets, their views and beliefs are of crucial importance. The present study aims to qualitatively examine parents' perceptions of the relationship between diet and mental performance of children. The study was conducted with a total of 124 parents in four European countries using a semi-structured interview schedule. Parents speak of the effects of diet at two levels; the nature of the effects of diet and the characteristics of the foods responsible for these effects. Mental outcomes are related to diet, with the effects perceived to be associated with attention and concentration, often mediated by effects on children's mood and behaviour. Parents categorise foods as 'good' or 'bad' with positive effects related generally to a healthy balanced diet while negative effects are perceived to be associated with sugary and fatty foods. Understanding parental perceptions is important for many purposes including the targeting of dietary advice and prioritising of public health issues. Copyright © 2012 Elsevier Ltd. All rights reserved.

  1. An evaluation of the impact of green taxes in the Nordic countries

    DEFF Research Database (Denmark)

    Andersen, M. S.; Dengsøe, N.; Pedersen, A. B.

    The purpose of this report is to summarise the evaluations and studies of green taxes, that have been conducted in the Nordic countries and to discuss some of the methodological problems associated with these types of analyses...

  2. An Adapted Porter Diamond Model for the Evaluation of Transnational Education Host Countries

    Science.gov (United States)

    Tsiligiris, Vangelis

    2018-01-01

    Purpose: The purpose of this paper is to propose an adapted Porter Diamond Model (PDM) that can be used by transnational education (TNE) countries and institutions as an analytical framework for the strategic evaluation of TNE host countries in terms of attractiveness for exporting higher education. Design/methodology/approach: The study uses a…

  3. Area Handbook Series: Egypt: A Country Study

    Science.gov (United States)

    1991-01-01

    iI~torical Settinlg Sphinx and pyramids at Giza (Al jizah) THE ROOTS OF EGYPTIAN civilization go back more than 6,000 years to the beginning of...built by Snoferu, the first king of the Fourth Dynasty. His son and successor, Kheops, built the Great Pyramid at Giza (AlJizah); this, with its two... Pyramid and Sphinx at Giza , Fourth Dynasty, ca. 2540 B. C. Courtesy Boris Boguslavsky 19 Egypt: A Country Study In June 640, reinforcements for the Arab

  4. Overview of the Kenya country studies on Climate Change Project

    International Nuclear Information System (INIS)

    Gacuhi, R.A.

    1998-01-01

    The general objective of the Kenya country study on climate change was to make a contribution to the global efforts of finding a solution to climatic change problem.The specific objectives were, Contribute to the development of national capacity to handle climatic changes issues, Assess the country's contribution to the atmospheric concentration of greenhouse gases (GHG's), Evaluate the vulnerability of various sensitive sectors to impacts of climate change, Generate information useful to the development of an overall national policy on climate change, Lay a foundation for development of national action plans and national communication required under the UNFCCC

  5. Paying for Mitigation: A Multiple Country Study

    Energy Technology Data Exchange (ETDEWEB)

    Carlsson, Fredrik; Kataria, Mitesh; Krupnick, Alan; Lampi, Elina; Loefgren, Aasa; Ping Qin; Chung, Susie; Sterner, Thomas

    2010-05-15

    Unique survey data from a contingent valuation study conducted in three different countries (China, Sweden, and the United States) were used to investigate the ordinary citizen's willingness to pay (WTP) for reducing CO{sub 2} emissions. We find that a large majority of the respondents in all three countries believe that the mean global temperature has increased over the last 100 years and that humans are responsible for the increase. A smaller share of Americans, however, believes these statements, when compared to the Chinese and Swedes. A larger share of Americans is also pessimistic and believes that nothing can be done to stop climate change. We also find that Sweden has the highest WTP for reductions of CO{sub 2}, while China has the lowest. Thus, even though the Swedes and Chinese are similar to each other in their attitudes toward climate change, they differ considerably in their WTP. When WTP is measured as a share of household income, the willingness to pay is the same for Americans and Chinese, while again higher for the Swedes

  6. Assessment of international mitigation costing studies in developing countries

    International Nuclear Information System (INIS)

    Halsnaes, K.

    1995-01-01

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

  7. US country studies program: Results from mitigation studies

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1996-12-31

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

  8. Comparative evaluation of nuclear power in developing countries

    International Nuclear Information System (INIS)

    Obermair, G.M.

    1990-01-01

    Even in those developing countries where nuclear power is technically feasible and competitive against the alternatives, most other factors weigh heavily against the nuclear path for the next decades. This does not mean that nuclear power should be completely ruled out in the longer run. At the moment several problems of nuclear power, in particular its follow-up effects and costs, are not really solved. The results of present efforts toward their solution can probably only be judged in the 1990s. It is not now clear whether the total outcome of nuclear energy is positive, even in the industrialized countries. Any country with an evenly developed technical infrastructure and a sufficiently broad basis of intellectual and technical skills will be able to acquire the specialized nuclear knowhow within a few years. For the meantime,in the opinion of the author, national and international efforts should establish technical school and faculties, study groups should be set up that analyse the energy situation in the individual countries in depth and watch international developments in the nuclear sector. A thorough knowledge of the unresolved problems will prevent their being ignored in the intellectual fascination and political challenge of nuclear power. (author). 11 refs., 3 tabs

  9. Area Handbook Series: Cuba; a Country Study,

    Science.gov (United States)

    1986-01-01

    xix Chapter 1. Historical Setting. ...................................... Elizabeth de Lima ...Guane Rio Santo L F AntonClarao -22 % Fei ienfuegos Moron kNulvo Gerona Playa Sancti 11-,Giron Spirntu Jhoi ~~ ~Trinidad Cg a Tunas de Zaza * National...schol- arly literature. xi Country Profile 0 0l Country _ Formal Name: Cuba (Rep6blica de Cuba). Short Form: Cuba. Term for Citizens: Cubans. Capital

  10. Effect and process evaluation of a kindergarten-based, family-involved cluster randomised controlled trial in six European countries on four- to six-year-old children's steps per day: the ToyBox-study.

    Science.gov (United States)

    De Craemer, Marieke; Verloigne, Maïté; De Bourdeaudhuij, Ilse; Androutsos, Odysseas; Iotova, Violeta; Moreno, Luis; Koletzko, Berthold; Socha, Piotr; Manios, Yannis; Cardon, Greet

    2017-08-29

    The ToyBox-intervention is a theory- and evidence-based intervention delivered in kindergartens to improve four- to six-year-old children's energy balance-related behaviours and prevent obesity. The current study aimed to (1) examine the effect of the ToyBox-intervention on increasing European four- to six-year-old children' steps per day, and (2) examine if a higher process evaluation score from teachers and parents was related to a more favourable effect on steps per day. A sample of 2438 four- to six-year-old children (51.9% boys, mean age 4.75 ± 0.43 years) from 6 European countries (Belgium, Bulgaria, Germany, Greece, Poland and Spain) wore a motion sensor (pedometer or accelerometer) for a minimum of two weekdays and one weekend day both at baseline and follow-up to objectively measure their steps per day. Kindergarten teachers implemented the physical activity component of the ToyBox-intervention for 6 weeks in total, with a focus on (1) environmental changes in the classroom, (2) the child performing the actual behaviour and (3) classroom activities. Children's parents received newsletters, tip cards and posters. To assess intervention effects, multilevel repeated measures analyses were conducted for the total sample and the six intervention countries separately. In addition, process evaluation questionnaires were used to calculate a total process evaluation score (with implementation and satisfaction as a part of the overall score) for teachers and parents which was then linked with the physical activity outcomes. No significant intervention effects on four- to six-year-old children' steps per weekday, steps per weekend day and steps per average day were found, both in the total sample and in the country-specific samples (all p > 0.05). In general, the intervention effects on steps per day were least favourable in four- to six-year-old children with a low teachers process evaluation score and most favourable in four- to six-year-old children with a

  11. Evaluation Model of the Entrepreneurial Character in EU Countries

    Directory of Open Access Journals (Sweden)

    Sebastian Madalin Munteanu

    2015-02-01

    Full Text Available The evidence of entrepreneurship development as a factor of sustainable growth at national and regional level frequently calls for the interest of theorists and practitioners on identifying and outlining the best conditions and economic essential prerequisites for supporting the entrepreneurial initiatives on the long term. In this context, the objective of the present research is to analyse and measure the entrepreneurial character of the European Union member countries in an integrated manner, by developing an innovative model for proposing specific action lines and objectively evaluating the entrepreneurship development in the investigated states. Our model is based on a synthesis variable of the entrepreneurial national character, which was developed by sequential application of principal component analysis, while the initial variables are from secondary sources with good conceptual representativeness. Depending on the objective relevance of the three model components (cultural, economic and administrative, and entrepreneurial education components, the achieved results confirm the importance of a favourable cultural and economic and administrative background for entrepreneurship development and they reiterate the inefficiency of isolated entrepreneurial education unless supported by good entrepreneurial culture or adequate economic and administrative infrastructure. The case of Romania, in relation with the European Union member countries, is presented in detail.

  12. Generic safety issues. Evaluation of international surveys, studies and expert reports in other countries. Final report; Generische Sicherheitsfragen. Auswertungen von internationalen Untersuchungen, Studien und Gutachten anderer Staaten. Abschlussbericht

    Energy Technology Data Exchange (ETDEWEB)

    Eismar, Shanna; Wenke, Rainer

    2017-09-15

    The GeSi and GeSi-International databases developed in the predecessor projects were continued to be maintained and developed further in this project. The GeSi database serves on the one hand for reflecting the current state of the art in science and technology in the field of generic issues and also as a tool in the area of knowledge management. Hence the database can also be used very well as a steering instrument for project planning at GRS and BMUB. Within the term of the project, four issues from national and international operating experience, research results and events or accidents that occurred have been included in the database. The review of the issues contained in the database showed up the more or less strong need for revision or adaptation of a range of generic issues to the state of the art in science and technology. Due to the limited volume of the project, only those issues could be dealt with which were most in need of revision. As a result, 23 issues were subjected to a more detailed review during the project. The 7th review meeting of the contracting parties to the Convention on Nuclear Safety (CNS) was held close to the ending of this project. The national reports of the 5th, 6th and as far as possible from the 7th CNS meeting have been evaluated with respect to important generic safety issues. Within the project 13 issues could be integrated into already existing ones. Eight issues have been removed from the database. Therefore at present (September 2017), there are 288 generic safety issues in the GeSi database.

  13. Area Handbook Series Guatemala, A Country Study,

    Science.gov (United States)

    1983-05-01

    o’independencee, the cp tanc general of’ Guatemsala consisted of the present-day republics of’ C;entral Amierica-Guatemnala, El Salvador, (Ionduras, Nicar- agua ...countries that maintained significant political relationships with Guatemala were Chile and Argentina. Both had active military relationships with...1 d somiething tobreak (downi time, coliiitr\\s grossl\\yneItial 204 lburisf maZUrke’t San Anitoni o .Aguasv Cali’n tc. Resvidenats in San Antonio Aguas

  14. Area Handbook Series: Brazil: A Country Study

    Science.gov (United States)

    1982-12-01

    Encompassing almost half the South American conti- nent and bordering every South American country except Ecuador and Chile , Brazil ranks as the fifth largest...and agricultural projects related to the program was slowed. Expansion of the sugarcane acreage was less 184 Construction site, Aguas Claras mine near...Development-OECD) purchased 60 percent of Brazil’s exports. Among Brazil’s 10 largest export markets, only Argentina (US$718 million), Chile (US$363 million

  15. Federal Republic of Germany, A Country Study.

    Science.gov (United States)

    1982-02-01

    toes, and sugar beets. Raising livestock, largely for milk and meat, more important than cropping. Country about 70 percent self- sufficient in foods ...ministries of economics and of food , agriculture, and forests. The FDP lost the powerful ministry of the interior, however. Friedrich Zimmer- man, a...34........................... PALATINATE S k 9:: ANSCAAACH LO RAIN 9 41, - - ( I ) WORTTEMBiRG L 0SUNDGA . .......... .. ............ 0 FRANCHE ::::::::::::. S w I S C 0 N F E D E R A T

  16. [Food and population: study of three countries].

    Science.gov (United States)

    1988-12-01

    In 1985, despite a nearly 25% worldwide surplus of cereals, more than 700 million poor people had insufficient food and some 17 million children died of malnutrition or related causes. 16% of the developing world's population is undernourished. Rapid population growth is a major reason for the world's hunger. Large families exhaust the resources of many urban couples and rural couples with little land. Closely spaced pregnancies deplete the nutritional resources of the mother and lead to low birth weight babies and inadequate lactation. Population growth in already densely populated countries reduces the land available for each family, inevitably contributing to poverty and rural malnutrition. Unemployment and underemployment reach alarming proportions in the city, where the combination of high fertility rates and migration from the countryside have produced growth twice that of the world population as a whole. Few developing countries have been able to generate sufficient investment to create new jobs for all seeking them. Unstable governments attempt to pacify urban unrest by subsidizing food prices and concentrating social and economic investments in the cities, causing further deterioration in rural conditions. Today more than 60 countries have food deficits, although not all are suffering. India, Kenya, and Mexico are 3 countries that have had some success in balancing population growth and food production, but each still has undernourished population sectors because of economic policies that fail to provide sufficient help to their poor and because of implacable population growth. Ending malnutrition in the 3 countries will require reducing the cost of food for households and increasing their incomes, but both objectives are made more difficult by rapid population growth. As a result of the green revolution and other factors, food production in India has tripled since 1950, but population has almost doubled in the same years. With rapid population growth, per

  17. Evaluation of occupational disease surveillance in six EU countries

    NARCIS (Netherlands)

    Spreeuwers, D.; de Boer, A. G. E. M.; Verbeek, J. H. A. M.; van Dijk, F. J. H.

    2010-01-01

    Registries of occupational diseases in various European countries differ considerably in criteria for notification and recognition, statistical data provided and the legal and social security context. Therefore, figures on occupational diseases are not comparable between countries and are often

  18. Countries as Tourist Brands: Creation, Managing and Evaluation

    Directory of Open Access Journals (Sweden)

    Božo Skoko

    2016-06-01

    Full Text Available The paper deals with the phenomenon of nation branding and analyses the purpose, methods and effects of branding on the one hand, and evaluating nations as brands on the other. In doing so, the emphasis is laid on nations as tourist brands, especially the interdependence of the branding process and tourism development, that is, the role of tourist offer and promotion in the creation of a nation brand. In this context, the authors analyse four leading indices, that is, institutions that deal with evaluating and ranking nation brands – Simon Anholt’s Nation Brand Index, Country Brand Index from Future Brand, Brand Finance and Bloom Consulting in order to discover how certain nations become brands, and how this impacts their rating, that is, popularity. The authors conclude that tourist offer is only one of the segments that contribute to brand strength and that the nation brand is unsustainable in the long term if it is based only on the tourist industry without other positive economic indicators. Following current trends in tourism and tourism promotion, the authors particularly analyse the experiences from Asia, which in recent years has created the largest number of new brands in tourism and recorded continuous growth in the number of visits as well as continuous revenue growth. Croatia is considered a developing tourism brand, recognised at the European level, but still insufficiently on the global scale, whose key asset is for the most part its natural beauty.

  19. Intercultural Effectiveness Training in three Western immigrant countries : A cross-cultural evaluation of critical incidents

    NARCIS (Netherlands)

    Herfst, Selma L.; van Oudenhoven, Jan Pieter; Timmerman, Marieke E.

    The purpose of the present study is the evaluation of material for a new intercultural training instrument. More specifically, we examine the validity of 21 critical incidents used in the training. The training programme is targeted at natives in Western immigrant countries dealing - mostly

  20. [Nutrition and population: study of three countries].

    Science.gov (United States)

    1988-12-01

    The cases of Mexico, Kenya, and India are described to illustrate the difficulty of assuring national food supplies in the face of rapid population growth. In 1985, despite a world cereal surplus, some 700 million of the earth's poorest inhabitants lacked sufficient food to support a normal life, and some 17 million children died of malnutrition or diseases aggravated by malnutrition. 16% of today's Third World population lacks sufficient food to maintain health. Rapid population growth is a cause of hunger in both countries and households. In already densely populated countries such as Bangladesh, population growth reduces the availability of agricultural land for each rural family, causing rural incomes to decrease and worsening rural unemployment. Few developing countries have been able to avoid serious urban unemployment and underemployment. Unstable governments try to calm urban unrest by concentrating all social and economic investment in the cities, causing suffering and diminished production in the countryside. Today more than 60 countries have food deficits. The majority of them are poor and becoming poorer. India, Kenya, and Mexico have had relative success in balancing food production and population growth, but each still has malnutrition due to inadequate economic policies for most of the poor and to implacable population growth. India's population of 785 million is growing at a rate of 2.3%/year. 1984 per capita calorie consumption was 92% of the required minimum. The poorest 20% of the population shared 7% of total household income. Since 1950 food production in India has almost tripled, but population nearly doubled in the same years. Poor food distribution and unequal agricultural progress have meant that malnutrition continues to plague India. Approximately 45% of the population suffered some degree of malnutrition in 1986. It is unlikely that India's future agricultural progress will be as rapid as that of the past 3 decades. Erosion

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

    Science.gov (United States)

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

    2018-01-24

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

  2. Adaptation, Implementation Plan, and Evaluation of an Online Tobacco Cessation Training Program for Health Care Professionals in Three Spanish-Speaking Latin American Countries: Protocol of the Fruitful Study.

    Science.gov (United States)

    Martínez, Cristina; Company, Assumpta; Guillen, Olga; Margalef, Mercè; Arrien, Martha Alicia; Sánchez, Claudia; Cáceres de León, Paula; Fernández, Esteve

    2017-01-27

    Tobacco cessation training programs to treat tobacco dependence have measureable effects on patients' smoking. Tobacco consumption in low- and middle-income countries (LMICs) is high and slowly decreasing, but these countries usually lack measures to face the epidemic, including tobacco cessation training programs for health professionals and organizations. Based on a previous online smoking cessation training program for hospital workers in Spain, the Fruitful Study aims to increase smoking cessation knowledge, attitudes, self-confidence, and performance interventions among health care professionals of three Spanish-speaking low- and middle-income Latin American and Caribbean (LAC) countries. The purpose of this paper is to describe the methodology and evaluation strategy of the Fruitful Study intended to adapt, implement, and test the effectiveness of an online, evidence-based tobacco cessation training program addressed to health professionals from Bolivia, Guatemala, and Paraguay. This study will use a mixed-methods design with a pre-post evaluation (quantitative approach) and in-depth interviews and focus groups (qualitative approach). The main outcomes will be (1) participants' attitudes, knowledge, and behaviors before and after the training; and (2) the level of implementation of tobacco control policies within the hospitals before and after the training. To date, adaptation of the materials, study enrollment, and training activities have been completed. During the adaptation, the main mismatches were language background and content adaptation. Several aids were developed to enable students' training enrollment, including access to computers, support from technicians, and reminders to correctly complete the course. Follow-up data collection is in progress. We have enrolled 281 hospital workers. Results are expected at the beginning of 2017 and will be reported in two follow-up papers: one about the formative evaluation and the other about the summative

  3. STEREOTYPES IN CONSUMERS’ PRODUCT EVALUATION BASED ON THE COUNTRY-OF-ORIGIN

    Directory of Open Access Journals (Sweden)

    Roxana-Denisa G. STOENESCU

    2014-11-01

    Full Text Available This paper focuses on the concept of country-of-origin and its effects on consumers’ product evaluation process. Given the increasingly competition in the context of a global market, nowadays it has become a difficult task to create and maintain a sustainable competitive advantage. Consumers rely on many elements in evaluating a certain product, but country-of-origin remains a powerful variable in terms of product image and perception. The purpose of this study is to examine both the advantages and risks involved in consumers’ evaluation process, linking the concept of country-of-origin with certain stereotypes created around it. The study is based on exploratory research, through the investigation of secondary data as a collection method. As results, research showed that a positive country image can compensate in terms of perception for a weak brand, suggesting that a predetermined opinion can substitute a quality searched for in buying a product. The article concludes with a discussion of directions and limits, as an impulsion for future investigation.

  4. Reported barriers to evaluation in chronic care: experiences in six European countries.

    Science.gov (United States)

    Knai, Cécile; Nolte, Ellen; Brunn, Matthias; Elissen, Arianne; Conklin, Annalijn; Pedersen, Janice Pedersen; Brereton, Laura; Erler, Antje; Frølich, Anne; Flamm, Maria; Fullerton, Birgitte; Jacobsen, Ramune; Krohn, Robert; Saz-Parkinson, Zuleika; Vrijhoef, Bert; Chevreul, Karine; Durand-Zaleski, Isabelle; Farsi, Fadila; Sarría-Santamera, Antonio; Soennichsen, Andreas

    2013-05-01

    The growing movement of innovative approaches to chronic disease management in Europe has not been matched by a corresponding effort to evaluate them. This paper discusses challenges to evaluation of chronic disease management as reported by experts in six European countries. We conducted 42 semi-structured interviews with key informants from Austria, Denmark, France, Germany, The Netherlands and Spain involved in decision-making and implementation of chronic disease management approaches. Interviews were complemented by a survey on approaches to chronic disease management in each country. Finally two project teams (France and the Netherlands) conducted in-depth case studies on various aspects of chronic care evaluation. We identified three common challenges to evaluation of chronic disease management approaches: (1) a lack of evaluation culture and related shortage of capacity; (2) reluctance of payers or providers to engage in evaluation and (3) practical challenges around data and the heterogeity of IT infrastructure. The ability to evaluate chronic disease management interventions is influenced by contextual and cultural factors. This study contributes to our understanding of some of the most common underlying barriers to chronic care evaluation by highlighting the views and experiences of stakeholders and experts in six European countries. Overcoming the cultural, political and structural barriers to evaluation should be driven by payers and providers, for example by building in incentives such as feedback on performance, aligning financial incentives with programme objectives, collectively participating in designing an appropriate framework for evaluation, and making data use and accessibility consistent with data protection policies. Copyright © 2013 Elsevier Ireland Ltd. All rights reserved.

  5. Area Handbook Series. India: A Country Study.

    Science.gov (United States)

    1985-01-01

    Parties. New York: Facts on File, 1983. Dua , Bhagwan D. "A Study in Executive-Judicial Conflict," Asian Survey, 23, No. 4, April 1983, 463-83. Dutt...September 1977, 1-12. Sagar , Imroze. "Indo-Soviet Interest," Naval War College Re- view, 34, No. 1, January-February 1981, 13-33. Sharma, Gautam. "Defence

  6. Area Handbook Series: Jordan: A Country Study

    Science.gov (United States)

    1989-12-01

    Jordan’s vulnerability increased significantly in February 1979, when Shia radicals overthrew Mohammad Reza Shah Pahlavi of Iran. The Iranian...give formal recognition to the PLO’s role. In an abrupt turn- about in policy, Egyptian foreign minister Ismail Fahmi respond- ed by declaring that Egypt... Fahmi , Ismail, 46 modern, 101-3, 110; government Faisal I (son of Hussein Ali Al Hashimi), spending for, 114; students studying 18, 20-23, as king of

  7. Quantitative Evaluation of Iranian Radiology Papers and Its Comparison with Selected Countries

    International Nuclear Information System (INIS)

    Ghafoori, Mahyar; Emami, Hasan; Sedaghat, Abdolrasoul; Ghiasi, Mohammad; Shakiba, Madjid; Alavi, Manijeh

    2014-01-01

    Recent technological developments in medicine, including modern radiology have promoted the impact of scientific researches on social life. The scientific outputs such as article and patents are products that show the scientists’ attempt to access these achievements. In the current study, we evaluate the current situation of Iranian scientists in the field of radiology and compare it with the selected countries in terms of scientific papers. For this purpose, we used scientometric tools to quantitatively assess the scientific papers in the field of radiology. Radiology papers were evaluated in the context of medical field audit using retrospective model. We used the related databases of biomedical sciences for extraction of articles related to radiology. In the next step, the situation of radiology scientific products of the country were determined with respect to the under study regional countries. Results of the current study showed a ratio of 0.19% for Iranian papers in PubMed database published in 2009. In addition, in 2009, Iranian papers constituted 0.29% of the Scopus scientific database. The proportion of Iranian papers in the understudy region was 7.6%. To diminish the gap between Iranian scientific radiology papers and other competitor countries in the region and achievement of document 2025 goals, multifold effort of the society of radiology is necessary

  8. Does Cyberbullying Prevalence Among Adolescents Relate With Country Socioeconomic and Development Indicators? An Ecological Study of 31 Countries.

    Science.gov (United States)

    Soares, Sara; Brochado, Sandra; Barros, Henrique; Fraga, Sílvia

    2017-10-01

    In addition to individual characteristics, it is also important to evaluate how the environment may influence the dynamics of cyberbullying. We aim to study the correlation between cyberbullying prevalence among adolescents and selected country-level indicators. We used two different data sources: data from a previously published literature review, to identify information on cyberbullying prevalence across countries, and data from the World Bank databases, to extract information on country-level indicators. A correlation matrix was used to present the association between the selected country-level indicators and the prevalence of cyberbullying. We observed a statistically significant negative correlation between cyberbullying victimization (cybervictims and cyberbully-victims, respectively) and gross domestic product (r = -.474 and -.842), gross national income (r = -.485 and -.758), enrollment in secondary (r = -.446 and -.898) and tertiary education (r = -.222 and -.881), the number of secure Internet servers (r = -.118 and -.794), and the number of Internet users (r = -.190 and -.818). A country's educational level seems to be an important contributor to the occurrence of cyberbullying.

  9. The validity of vignettes in cross country health studies

    DEFF Research Database (Denmark)

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

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

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

    African Journals Online (AJOL)

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

  11. Reliability Evaluation for Optimizing Electricity Supply in a Developing Country

    OpenAIRE

    Mark Ndubuka NWOHU

    2007-01-01

    The reliability standards for electricity supply in a developing country, like Nigeria, have to be determined on past engineering principles and practice. Because of the high demand of electrical power due to rapid development, industrialization and rural electrification; the economic, social and political climate in which the electric power supply industry now operates should be critically viewed to ensure that the production of electrical power should be augmented and remain uninterrupted. ...

  12. Evaluating palliative care needs in Middle Eastern countries.

    Science.gov (United States)

    Silbermann, Michael; Fink, Regina M; Min, Sung-Joon; Mancuso, Mary P; Brant, Jeannine; Hajjar, Ramzi; Al-Alfi, Nesreen; Baider, Lea; Turker, Ibrahim; ElShamy, Karima; Ghrayeb, Ibtisam; Al-Jadiry, Mazin; Khader, Khaled; Kav, Sultan; Charalambous, Haris; Uslu, Ruchan; Kebudi, Rejin; Barsela, Gil; Kuruku, Nilgün; Mutafoglu, Kamer; Ozalp-Senel, Gulsin; Oberman, Amitai; Kislev, Livia; Khleif, Mohammad; Keoppi, Neophyta; Nestoros, Sophia; Abdalla, Rasha Fahmi; Rassouli, Maryam; Morag, Amira; Sabar, Ron; Nimri, Omar; Al-Qadire, Mohammad; Al-Khalaileh, Murad; Tayyem, Mona; Doumit, Myrna; Punjwani, Rehana; Rasheed, Osaid; Fallatah, Fatimah; Can, Gulbeyaz; Ahmed, Jamila; Strode, Debbie

    2015-01-01

    Cancer incidence in Middle Eastern countries, most categorized as low- and middle-income, is predicted to double in the next 10 years, greater than in any other part of the world. While progress has been made in cancer diagnosis/treatment, much remains to be done to improve palliative care for the majority of patients with cancer who present with advanced disease. To determine knowledge, beliefs, barriers, and resources regarding palliative care services in Middle Eastern countries and use findings to inform future educational and training activities. Descriptive survey. Fifteen Middle Eastern countries; convenience sample of 776 nurses (44.3%), physicians (38.3%) and psychosocial, academic, and other health care professionals (17.4%) employed in varied settings. Palliative care needs assessment. Improved pain management services are key facilitators. Top barriers include lack of designated palliative care beds/services, community awareness, staff training, access to hospice services, and personnel/time. The nonexistence of functioning home-based and hospice services leaves families/providers unable to honor patient wishes. Respondents were least satisfied with discussions around advance directives and wish to learn more about palliative care focusing on communication techniques. Populations requiring special consideration comprise: patients with ethnic diversity, language barriers, and low literacy; pediatric and young adults; and the elderly. The majority of Middle Eastern patients with cancer are treated in outlying regions; the community is pivotal and must be incorporated into future plans for developing palliative care services. Promoting palliative care education and certification for physicians and nurses is crucial; home-based and hospice services must be sustained.

  13. Dynamic functional studies in nuclear medicine in developing countries

    International Nuclear Information System (INIS)

    1989-01-01

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

  14. Critical Studies on Men in Ten European Countries

    DEFF Research Database (Denmark)

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

    2002-01-01

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

  15. 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

  16. Visegrad Four countries: evaluation in R&D sectors of performance

    Directory of Open Access Journals (Sweden)

    Nina Bočková

    2013-01-01

    Full Text Available Competitiveness is currently being studied by many economic analyses. Generalization of the countries’ competitiveness definition as a measure of understanding of the performance evaluation economies is important. Visegrad Four countries: Hungary, the Czech Republic, Slovakia and Poland were admitted to the European Union in May 2004. EU Member States must respect the common EU objectives. The European Union, as expressed in the strategy Europe 2020, is obliged to increase competitiveness, innovation, by introduction of modern technology and especially the growth R&D investment. Limited data to evaluate R&D expenditure: inconsistencies in the R&D support, the absence of data concerning the other means of financing in the sector BERD, limitations of statistical data on the number of innovations only to firms with R&D activities. The aim of this paper is to evaluate the development of R&D expenditures by sector of funding in the Visegrad Four countries in comparison with the values of the EU-27 and countries of Visegrad Four together.

  17. Educational Evaluation in Scandinavian Countries: Converging or Diverging Practices?

    Science.gov (United States)

    Hansen, Hanne Foss

    2009-01-01

    Current educational evaluation is institutionalized as an element in national educational policy in Sweden, Denmark, and Norway. This article analyses how higher education and primary and lower secondary education have adopted and institutionalized educational evaluation. The analysis shows similarities and differences in organizing and practicing…

  18. Approaches used for clearance of land from nuclear facilities among several countries; evaluation for regulatory input

    International Nuclear Information System (INIS)

    Meck, Robert A.

    2012-01-01

    The purpose of this report is to describe, compare and evaluate the pros and cons of different methods for radiological characterisation of land areas after decommissioning of nuclear facilities. Specifically, it describes and examines the applied methods for the final status survey used in France, Germany, Spain, the United Kingdom (UK), and the United States (US).The Swedish Radiation Authority (Straalsaekerhetsmyndigheten, SSM) has authorised this comparison and evaluation for dissemination to industry and other interested parties. The information from the five countries in the study came from several kinds of sources. Professional network referrals identified subject matter experts in each of the five countries who were then contacted. The contacts provided electronic documents or online links to the publicly available information. The online links often led to additional world-wide-web searches and more information. In addition, some information was provided by private communication in e-mails. Other experts provided electronic proceedings of a conference or symposium. The information was compared and evaluated on for each country according to each of ten attributes: 1. Regulatory basis; 2. Scope; 3. Applicability; 4. Flexibility; 5. Transparency; 6. Roles and responsibilities of parties involved; 7. Quality program; 8. Detail of measurements descriptions; 9. Mathematical approaches; 10. Available assessment tools. A summary comparison across all countries for each attribute is presented in a table. Overall, it appears that each country has a goal of clearing lands from nuclear facilities at a risk of a fatality from residual radioactivity of on the order of one-in-a-million per year. However, their approaches vary in a number of aspects, and evaluation of these different approaches should take into account the regulatory culture of the respective country. High level considerations for developing regulations and guidance for implementation of final status

  19. Reliability Evaluation for Optimizing Electricity Supply in a Developing Country

    Directory of Open Access Journals (Sweden)

    Mark Ndubuka NWOHU

    2007-09-01

    Full Text Available The reliability standards for electricity supply in a developing country, like Nigeria, have to be determined on past engineering principles and practice. Because of the high demand of electrical power due to rapid development, industrialization and rural electrification; the economic, social and political climate in which the electric power supply industry now operates should be critically viewed to ensure that the production of electrical power should be augmented and remain uninterrupted. This paper presents an economic framework that can be used to optimize electric power system reliability. Finally the cost models are investigated to take into account the economic analysis of system reliability, which can be periodically updated to improve overall reliability of electric power system.

  20. A Phase 2a Randomized Study to Evaluate the Safety and Immunogenicity of the 1790GAHB Generalized Modules for Membrane Antigen Vaccine against Shigella sonnei Administered Intramuscularly to Adults from a Shigellosis-Endemic Country

    Directory of Open Access Journals (Sweden)

    Christina W. Obiero

    2017-12-01

    Full Text Available Shigellosis is a mild-to-severe diarrheal infection, caused by the genus Shigella, and is responsible for significant morbidity and mortality worldwide. We evaluated the safety and immunogenicity of an investigational Shigella sonnei vaccine (1790GAHB based on generalized modules for membrane antigens (GMMA in Kenya, a Shigella-endemic country. This phase 2a, observer-blind, controlled randomized study (NCT02676895 enrolled 74 healthy adults aged 18–45 years, of whom 72 were vaccinated. Participants received, in a 1:1:1 ratio, two vaccinations with the 1790GAHB vaccine at doses of either 1.5/25 μg of O antigen (OAg/protein (group 1.5/25 μg or 5.9/100 μg (group 5.9/100 μg at day (D 1 and D29, or vaccination with a quadrivalent meningococcal vaccine at D1 and tetanus, diphtheria, and acellular pertussis vaccine at D29 (control group. Solicited and unsolicited adverse events (AEs, serious AEs (SAEs, and AEs of special interest (neutropenia and reactive arthritis were collected. Anti-S. sonnei lipopolysaccharide (LPS serum immunoglobulin G (IgG geometric mean concentrations (GMC were evaluated at D1, D29, and D57 and compared to anti-S. sonnei LPS antibody levels in convalescent patients naturally exposed to S. sonnei. The percentages of participants with seroresponse were also calculated. The most frequently reported solicited local and systemic AEs across all groups were pain and headache, respectively. Only one case of severe systemic reaction was reported (severe headache after first vaccination in group 5.9/100 μg. Seven and three episodes of neutropenia, assessed as probably or possibly related to vaccination respectively, were reported in the investigational and control groups, respectively. No other SAEs were reported. Despite very high baseline anti-S. sonnei LPS serum IgG levels, the 1790GAHB vaccine induced robust antibody responses. At D29, GMC increased 2.10- and 4.43-fold from baseline in groups 1.5/25 and 5.9/100

  1. Cannabis Supply and Demand Reduction: Evidence from the ESPAD Study of Adolescents in 31 European Countries

    Science.gov (United States)

    Bjarnason, Thoroddur; Steriu, Andreea; Kokkevi, Anna

    2010-01-01

    Aims: Most national drug policies target both the supply side and the demand side of illicit drug use. Although such policies are intended to affect individual choices, they by definition operate on a national level and cannot be evaluated solely on the basis of individual-level differences. This study aims to evaluate the impact of country-level…

  2. Economic Evaluation of Family Planning Interventions in Low and Middle Income Countries; A Systematic Review.

    Directory of Open Access Journals (Sweden)

    Neily Zakiyah

    Full Text Available A significant number of women in low and middle income countries (L-MICs who need any family planning, experience a lack in access to modern effective methods. This study was conducted to review potential cost effectiveness of scaling up family planning interventions in these regions from the published literatures and assess their implication for policy and future research.A systematic review was performed in several electronic databases i.e Medline (Pubmed, Embase, Popline, The National Bureau of Economic Research (NBER, EBSCOHost, and The Cochrane Library. Articles reporting full economic evaluations of strategies to improve family planning interventions in one or more L-MICs, published between 1995 until 2015 were eligible for inclusion. Data was synthesized and analyzed using a narrative approach and the reporting quality of the included studies was assessed using the Consolidated Health Economic Evaluation Reporting Standards (CHEERS statement.From 920 references screened, 9 studies were eligible for inclusion. Six references assessed cost effectiveness of improving family planning interventions in one or more L-MICs, while the rest assessed costs and consequences of integrating family planning and HIV services, concerning sub-Saharan Africa. Assembled evidence suggested that improving family planning interventions is cost effective in a variety of L-MICs as measured against accepted international cost effectiveness benchmarks. In areas with high HIV prevalence, integrating family planning and HIV services can be efficient and cost effective; however the evidence is only supported by a very limited number of studies. The major drivers of cost effectiveness were cost of increasing coverage, effectiveness of the interventions and country-specific factors.Improving family planning interventions in low and middle income countries appears to be cost-effective. Additional economic evaluation studies with improved reporting quality are necessary

  3. Economic Evaluation of Family Planning Interventions in Low and Middle Income Countries; A Systematic Review.

    Science.gov (United States)

    Zakiyah, Neily; van Asselt, Antoinette D I; Roijmans, Frank; Postma, Maarten J

    2016-01-01

    A significant number of women in low and middle income countries (L-MICs) who need any family planning, experience a lack in access to modern effective methods. This study was conducted to review potential cost effectiveness of scaling up family planning interventions in these regions from the published literatures and assess their implication for policy and future research. A systematic review was performed in several electronic databases i.e Medline (Pubmed), Embase, Popline, The National Bureau of Economic Research (NBER), EBSCOHost, and The Cochrane Library. Articles reporting full economic evaluations of strategies to improve family planning interventions in one or more L-MICs, published between 1995 until 2015 were eligible for inclusion. Data was synthesized and analyzed using a narrative approach and the reporting quality of the included studies was assessed using the Consolidated Health Economic Evaluation Reporting Standards (CHEERS) statement. From 920 references screened, 9 studies were eligible for inclusion. Six references assessed cost effectiveness of improving family planning interventions in one or more L-MICs, while the rest assessed costs and consequences of integrating family planning and HIV services, concerning sub-Saharan Africa. Assembled evidence suggested that improving family planning interventions is cost effective in a variety of L-MICs as measured against accepted international cost effectiveness benchmarks. In areas with high HIV prevalence, integrating family planning and HIV services can be efficient and cost effective; however the evidence is only supported by a very limited number of studies. The major drivers of cost effectiveness were cost of increasing coverage, effectiveness of the interventions and country-specific factors. Improving family planning interventions in low and middle income countries appears to be cost-effective. Additional economic evaluation studies with improved reporting quality are necessary to generate

  4. Fiscal and monetary policies in the South Pacific Island countries: an evaluation.

    Science.gov (United States)

    Jayaraman, T K

    2000-06-01

    This paper evaluates the fiscal and monetary policies of South Pacific Island Countries (SPICs) in terms of its efficacy on economic growth. To this effect, the backgrounds on the existing fiscal and monetary policies are discussed with emphasis on their inefficiencies and limitations. In addition, the findings of an empirical study conducted in the countries of Fiji, Tonga, Vanatau, and Samoa regarding the efficacy of the policies are presented. The results, which were subjected to various tests of statistical significance, indicate that both policies were ineffective in all four SPICs. However, monetary policy had a positive impact on growth in Fiji, Tonga, and Vanatau. In view of such, several policy implications are cited, including 1) that delays and inefficiencies involved in the execution of public projects should be minimized; 2) quality and components of public expenditures is of critical significance; and 3) financial sectors should be improved.

  5. Evaluating the effectiveness of selected community-level interventions on key maternal, child health, and prevention of mother-to-child transmission of HIV outcomes in three countries (the ACCLAIM Project): a study protocol for a randomized controlled trial.

    Science.gov (United States)

    Woelk, Godfrey B; Kieffer, Mary Pat; Walker, Damilola; Mpofu, Daphne; Machekano, Rhoderick

    2016-02-16

    Efforts to scale up and improve programs for prevention of mother-to-child transmission of HIV (PMTCT) have focused primarily at the health facility level, and limited attention has been paid to defining an effective set of community interventions to improve demand and uptake of services and retention. Many barriers to PMTCT are also barriers to pregnancy, childbirth, and postnatal care faced by mothers regardless of HIV status. Demand for maternal and child health (MCH) and PMTCT services can be limited by critical social, cultural, and structural barriers. Yet, rigorous evaluation has shown limited evidence of effectiveness of multilevel community-wide interventions aimed at improving MCH and HIV outcomes for pregnant women living with HIV. We propose to assess the effect of a package of multilevel community interventions: a social learning and action component, community dialogues, and peer-led discussion groups, on the demand for, uptake of, and retention of HIV positive pregnant/postpartum women in MCH/PMTCT services. This study will undertake a three-arm randomized trial in Swaziland, Uganda, and Zimbabwe. Districts/regions (n = 9) with 45 PMTCT-implementing health facilities and their catchment areas (populations 7,300-27,500) will be randomly allocated to three intervention arms: 1) community leader engagement, 2) community leader engagement with community days, or 3) community leader engagement with community days and male and female community peer groups. The primary study outcome is HIV exposed infants (HEIs) returning to the health facility within 2 months for early infant diagnosis (EID) of HIV. Secondary study outcomes include gestational age of women attending for first antenatal care, male partners tested for HIV, and HEIs receiving nevirapine prophylaxis at birth. Changes in community knowledge, attitudes, practices, and beliefs on MCH/PMTCT will be assessed through household surveys. Implementation of the protocol necessitated changes in the

  6. Comparative Study of the Housing Industry Performance in country

    Directory of Open Access Journals (Sweden)

    Hamid Sepehrdoust

    2011-03-01

    Full Text Available The aim of this study is to measure the technical efficiency of housing construction in Iran and also to define current status of the housing industry system and its future in the country. Data Envelopment Analysis (DEA and the input based model of CCR with fixed return to scale have been used to evaluate housing industry performance in different states of Iran during the years 2006-2009. The complementary BCC approach with assumption of variable return to scale has been used for dividing technical efficiency to management and scale efficiencies. The findings imply that the average efficiency score obtained by all the states is 0.94 and only 37 percent of the states operate technically efficient. On the other hand, about 63 percent of the states are found as relatively inefficient and mostly present decreasing return to scale. Also, it has been found that the inefficient states have management inefficiency in utilizing construction inputs. Without any doubt, managerial and supportive assistance of the government to inefficient states, motivating construction employees to proper jobs and knowledge development in optimum assignment of construction factors could be appropriate solutions for the problems of the housing sector.

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

    Science.gov (United States)

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

    1984-04-01

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

  8. Cross-Country Entrepreneurial Intentions Study: The Danube Region Perspective

    Directory of Open Access Journals (Sweden)

    Urban Šebjan

    2016-12-01

    Full Text Available In this article, we investigate how entrepreneurial intentions of individuals in the eight countries of the Danube region are shaped by different components of individuals’ personal attitudes, the subjective norm and personal behavioral control. We analyze the internal structure of these components as well as some demographic and human capital factors. Cultural and developmental differences influencing variation in causal effects among variables in the model are analyzed. Structural equation modeling is used for data obtained by adult population surveys within the GEM research. Results of our study show that the entrepreneurial intention model is applicable across countries and that the internal effects among components of motivational antecedents exist, although not all hypothesized relationships are confirmed. Our study suggests that the process from perception to intention is similarly shaped across the eight countries of the Danube region, although there are several differences in the magnitude of causal effects as well as differences regarding influential factors.

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

    Science.gov (United States)

    Bui, Minh Q.

    2011-01-01

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

  10. 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.

  11. Economic Feasibility Study about the Possibility of Setting Food Irradiation Technology Locally in the Arab Countries

    International Nuclear Information System (INIS)

    El Gameel, E.A.

    2011-01-01

    The previous economic studies on the food irradiation focused on the financial and marketing according to the private investigator's point of view. In this study the food irradiation technology evaluated according to the society's point of view since it is risky to focus on the technical, financial sides only. This study has evaluated the expected benefits on the national income, the employment, the payment balance and the dependence on the foreign countries.

  12. Good Jobs, Bad Jobs: Workers' Evaluations in Five Countries.

    Science.gov (United States)

    Ritter, Joseph A.; Anker, Richard

    2002-01-01

    A study of workers from Argentina (n=2,920), Brazil (n=4,000), Chile (n=1,188), Hungary (1,000), and the Ukraine (n=8,099) examined relationships between job satisfaction and employee and employer characteristics. Satisfaction was related to job security, perceptions of workplace safety, higher education, and employer attitudes. (Contains 17…

  13. Nuclear proliferation in developing countries: A comparative study for selected countries

    International Nuclear Information System (INIS)

    Chun Woong.

    1991-01-01

    This study explores major conditions conducive to nuclear proliferation to project possible proliferation trends in the future and, hopefully, to suggest some effective strategies to address the problem of nuclear proliferation. It attempts to provide a qualitative analysis of the causes and trends of nuclear proliferation by presenting generalizations of the causes of proliferation. While a variety of factors can be considered as causes of proliferation, three primary factors appear to influence the prospects for proliferation: (1) the technical capabilities and constraints; (2) motivation: incentives and disincentives; and (3) particular domestic and international situations. It is generally hypothesized that in order for a country to go nuclear, two basic conditions - some minimum level of indigenous national capability and strong motivations - must be simultaneously satisfied. It is concluded that while technology is, of course, one element necessary for the nuclear-proliferation process, the fundamental conditions of nuclear proliferation appear to be motivational factors

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

    DEFF Research Database (Denmark)

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

    2008-01-01

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

  15. Application of patient safety indicators internationally: a pilot study among seven countries.

    Science.gov (United States)

    Drösler, Saskia E; Klazinga, Niek S; Romano, Patrick S; Tancredi, Daniel J; Gogorcena Aoiz, Maria A; Hewitt, Moira C; Scobie, Sarah; Soop, Michael; Wen, Eugene; Quan, Hude; Ghali, William A; Mattke, Soeren; Kelley, Edward

    2009-08-01

    To explore the potential for international comparison of patient safety as part of the Health Care Quality Indicators project of the Organization for Economic Co-operation and Development (OECD) by evaluating patient safety indicators originally published by the US Agency for Healthcare Research and Quality (AHRQ). A retrospective cross-sectional study. Acute care hospitals in the USA, UK, Sweden, Spain, Germany, Canada and Australia in 2004 and 2005/2006. Routine hospitalization-related administrative data from seven countries were analyzed. Using algorithms adapted to the diagnosis and procedure coding systems in place in each country, authorities in each of the participating countries reported summaries of the distribution of hospital-level and overall (national) rates for each AHRQ Patient Safety Indicator to the OECD project secretariat. Each country's vector of national indicator rates and the vector of American patient safety indicators rates published by AHRQ (and re-estimated as part of this study) were highly correlated (0.821-0.966). However, there was substantial systematic variation in rates across countries. This pilot study reveals that AHRQ Patient Safety Indicators can be applied to international hospital data. However, the analyses suggest that certain indicators (e.g. 'birth trauma', 'complications of anesthesia') may be too unreliable for international comparisons. Data quality varies across countries; undercoding may be a systematic problem in some countries. Efforts at international harmonization of hospital discharge data sets as well as improved accuracy of documentation should facilitate future comparative analyses of routine databases.

  16. Systematic review on the evaluation criteria of orphan medicines in Central and Eastern European countries.

    Science.gov (United States)

    Zelei, Tamás; Molnár, Mária J; Szegedi, Márta; Kaló, Zoltán

    2016-06-04

    In case of orphan drugs applicability of the standard health technology assessment (HTA) process is limited due to scarcity of good clinical and health economic evidence. Financing these premium priced drugs is more controversial in the Central and Eastern European (CEE) region where the public funding resources are more restricted, and health economic justification should be an even more important aspect of policy decisions than in higher income European countries. To explore and summarize the recent scientific evidence on value drivers related to the health technology assessment of ODs with a special focus on the perspective of third party payers in CEE countries. The review aims to list all potentially relevant value drivers in the reimbursement process of orphan drugs. A systematic literature review was performed; PubMed and Scopus databases were systematically searched for relevant publications until April 2015. Extracted data were summarized along key HTA elements. From the 2664 identified publications, 87 contained relevant information on the evaluation criteria of orphan drugs, but only 5 had direct information from the CEE region. The presentation of good clinical evidence seems to play a key role especially since this should be the basis of cost-effectiveness analyses, which have more importance in resource-constrained economies. Due to external price referencing of pharmaceuticals, the relative budget impact of orphan drugs is expected to be higher in CEE than in Western European (WE) countries unless accessibility of patients remains more limited in poorer European regions. Equity principles based on disease prevalence and non-availability of alternative treatment options may increase the price premium, however, societies must have some control on prices and a rationale based on multiple criteria in reimbursement decisions. The evaluation of orphan medicines should include multiple criteria to appropriately measure the clinical added value of orphan

  17. Evaluation of the effects of green taxes in the Nordic countries. Results and method question

    International Nuclear Information System (INIS)

    Skou Andersen, M.; Dengsoee, N.; Branth Pedersen, A.

    2000-01-01

    Green taxes have over the past 10 years become a significant part of environmental regulation in the Nordic countries. The present report is a literature study of the effects of green taxes with regard to CO 2 and pesticides. The authors have identified 68 studies of CO 2 -taxes and 20 studies of the pesticide taxes. The report presents a summary of the results from these studies and assesses the methodologies employed for examining the effects of the green taxes. The majority of the reviewed studies are ex-ante studies, which have been carried out in advance of the implementation of the taxes, and which are often based on simplified economic models. Ex-post studies, which are based on the actual historical data for the adjustment to the taxes, are relatively few. 20 ex-post studies of the CO 2 -taxes have been identified, while there are not any ex-post studies of the pesticide taxes. With regard to the environmental effects of green taxes, the ex-post studies can be relied on for the procurement of the most reliable data. The completed ex-post studies of the CO 2 -taxes do not present unambiguous results, because focus and methodology differ. Most studies are partial in their focus and relate to one or more sectors of the economy. Some studies have been carried out few tears after the introduction of the taxes, and do not present an updated assessment of the effects of the taxes. To the extent that it is possible to summarise the present knowledge about the effects of the CO 2 -taxes, there seems to be indications for relatively marked effects in Denmark as compared to the other Nordic countries, since Denmark is the only country whose taxed CO 2 -emissions have been reduced in absolute figures. With regard to Norway and Sweden, effects of the CO 2 -taxes can be identified in particular sectors in relation to business-as-usual scenarios. Finland's CO 2 -tax has not been comprehensively evaluated ex-post, but has reached a tax level which gives expectations of

  18. Assessment of external costs for transport project evaluation: Guidelines in some European countries

    Energy Technology Data Exchange (ETDEWEB)

    Petruccelli, Umberto, E-mail: umberto.petruccelli@unibas.it

    2015-09-15

    Many studies about the external costs generated by the transport system have been developed in the last twenty years. To standardize methodologies and assessment procedures to be used in the evaluation of the projects, some European countries recently have adopted specific guidelines that differ from each other in some aspects even sensibly. This paper presents a critical analysis of the British, Italian and German guidelines and is aimed at cataloguing the external cost types regarded and the assessment methods indicated as well as to highlight the differences of the results, in terms of applicability and reliability. The goal is to contribute to a European standardization process that would lead to the drafting of guidelines suited for all EU countries. - Highlights: • The analyzed guidelines agree on the methods to evaluate costs from air pollution, greenhouse gases and accidents. • They recommend respectively: dose-resp. approach; costs to reduce/permit emissions; whole direct, indirect and social costs. • For noise, DE guide indicates defensive expenditure or SP methods; IT guide, SP method; UK guide, the hedonic prices one. • For on territory impact, DE guide regards only the barrier effect; the IT one, also the soil consumption and system effects. • British guide proposes a qualitative methodology to estimate the impact on various landscapes and environments.

  19. Inbreeding Depression and IQ in a Study of 72 Countries

    Science.gov (United States)

    Woodley, Michael A.

    2009-01-01

    In this ecological study, a robust negative correlation of r = - 0.62 (P less than 0.01) is reported between national IQs and consanguinity as measured by the log10 transformed percentage of consanguineous marriages for 72 countries. This correlation is reduced in magnitude, when IQ is controlled for GDP per capita (r = - 0.41, P less than 0.01);…

  20. Community dialogues for child health: results from a qualitative process evaluation in three countries.

    Science.gov (United States)

    Martin, Sandrine; Leitão, Jordana; Muhangi, Denis; Nuwa, Anthony; Magul, Dieterio; Counihan, Helen

    2017-06-05

    Across the developing world, countries are increasingly adopting the integrated community case management of childhood illnesses (iCCM) strategy in efforts to reduce child mortality. This intervention's effectiveness is dependent on community adoption and changes in care-seeking practices. We assessed the implementation process of a theory-driven community dialogue (CD) intervention specifically designed to strengthen the support and uptake of the newly introduced iCCM services and related behaviours in three African countries. A qualitative process evaluation methodology was chosen and used secondary project data and primary data collected in two districts of each of the three countries, in purposefully sampled communities. The final data set included 67 focus group discussions and 57 key informant interviews, totalling 642 respondents, including caregivers, CD facilitators community leaders, and trainers. Thematic analysis of the data followed the 'Framework Approach' utilising both a deduction and induction process. Results show that CDs contribute to triggering community uptake of and support for iCCM services through filling health information gaps and building cooperation within communities. We found it to be an effective approach for addressing social norms around child care practices. This approach was embraced by communities for its flexibility and value in planning individual and collective change. Regular CDs can contribute to the formation of new habits, particularly in relation to seeking timely care in case of child sickness. This study also confirms the value of process evaluation to unwrap the mechanisms of community mobilisation approaches in context and provides key insights for improving the CD approach.

  1. Endline report – Liberia, DEN-L MFS II country evaluations

    NARCIS (Netherlands)

    Gotomo, S.; Peters, B.; Kusters, C.S.L.; Peabody, S.; Washington Gopeya, M.

    2015-01-01

    This report presents the findings of the endline of the evaluation of the organisational capacity component of the MFS II country evaluations. The focus of this report is Liberia, DEN-L. The format is based on the requirements by the synthesis team and NWO/WOTRO. The endline was carried out in 2014.

  2. How Can We Assess and Evaluate the Competitive Advantage of a Country's Human Resource Development System?

    Science.gov (United States)

    Oh, Hunseok; Ryu, Hyue-Hyun; Choi, Myungweon

    2013-01-01

    The purpose of this study was to develop an index to assess and evaluate the competitive advantage of a country's human resource development system. Based on an extensive literature review, a theoretical model of a human resource development system at the national level (named National Human Resource Development: NHRD) was constructed. The…

  3. Cross-country learning in public procurement : An exploratory study

    NARCIS (Netherlands)

    Nijboer, Kimberly; Senden, Shirin; Telgen, Jan

    2017-01-01

    All countries use public procurement to some degree to further policy objectives such as sustainability, innovation, fighting fraud and corruption, value for taxpayers’ money etc. Countries may learn from past successes and failures in other countries while implementing these policies: cross-country

  4. A comparative study of gender pay gaps in nordic countries and eastern european countries

    OpenAIRE

    Weng, Linling

    2007-01-01

    Under the compressed wage structure and generous family policies, Nordic countries have been regarded as leaders of gender equality in terms of low gender pay gaps and high rates of female labor force participation; after the fundamental restructuring of the economic system in Eastern European countries, women have experienced a remarkable change with respect to the labor market positions and economic status facing the increased wage inequality and significant declines in labor force particip...

  5. A systematic review of hepatitis B screening economic evaluations in low- and middle-income countries.

    Science.gov (United States)

    Wright, Cameron M; Boudarène, Lydia; Ha, Ninh Thi; Wu, Olivia; Hawkins, Neil

    2018-03-20

    Chronic hepatitis B infection is a significant cause of morbidity and mortality worldwide; low- and middle-income countries (LMICs) are disproportionately affected. Economic evaluations are a useful decision tool to assess costs versus benefits of hepatitis B virus (HBV) screening. No published study reviewing economic evaluations of HBV screening in LMICs has been undertaken to date. The following databases were searched from inception to 21 April 2017: MEDLINE, PubMed, EMBASE, CINAHL Plus, the Cochrane Library, Global Health and the Cost-effectiveness Analysis Registry. English-language studies were included if they assessed the costs against the benefits of HBV screening in LMICs. PROSPERO registration: CRD42015024391, 20 July 2015. Nine studies fulfilled the eligibility criteria. One study from Thailand indicated that adding hepatitis B immunoglobulin (HBIG) to HBV vaccination for newborns following screening of pregnant women might be cost-effective for some LMICs, though inadequate total funding and health infrastructure were likely to limit feasibility. A similar study from China indicated a benefit to cost ratio of 2.7 from selective HBIG administration to newborns, if benefits were considered from a societal perspective. Of the two studies assessing screening amongst the general adult population, a single cost-benefit analysis from China found a benefit to cost ratio (BCR) of 1.73 with vaccination guided by HBV screening of adults aged 21-39, compared to 1.42 with vaccination with no screening, both from a societal perspective. Community-based screening of adults in The Gambia with linkage to treatment yielded an incremental cost per disability-adjusted life year averted of $566 (in 2017 USD), less than two-times gross domestic product per capita for that country. Screening with 'catch-up' vaccination for younger adults yielded benefits above costs, and screening linked with treatment has shown cost-effectiveness that may be affordable for some LMICs

  6. Comparative studies of oil product regulation in polluted soil for several industrialized countries

    Science.gov (United States)

    Paccassoni, F.; Kalnina, D.; Piga, L.

    2017-10-01

    Oil contaminated sites are the consequence of a long period of industrialization. Oil is a complex mixture including aliphatic and aromatic hydrocarbons, which are known to have negative effects on human health and the environment. Dividing oil products in groups (fractions) of petroleum hydrocarbons that act alike in soil and water, one can better know what happens to them. Being able to understand the behaviour of oil products in soil, it will allow to implement prevention and remediation actions. Interventions on contaminated sites are bound to comply with regulatory limits that each country has set in their own environmental legislation. The different concentration thresholds of oil products in soil for several EU countries and Canada has led to compare: limit values, analytical method, soil characteristics and/or land use. This will allow to evaluate what could be the best regulation approach, assessing if it is better to consider soil matrix in the site or the specific land use or both of them. It will also assess what is the best analytical methodology to be adopted to achieve the pollutant concentrations in the soil in order to have comparable results among different countries, such as: Baltic countries (Latvia, Estonia, Lithuania), Nordic countries (Finland, Sweden, Norway, Denmark), Western countries (Italy and The Netherlands) and Canada, like gaschromatography in the range from C10 - C50. The study presents an overview of environmental regulatory system of several EU countries and Canada and the correlation between different parameters about oil products indicated in each environmental legislation.

  7. Identification and Evaluation of Oncoming Changes of Wood and Paper Industries of the Country

    Directory of Open Access Journals (Sweden)

    A.Akbar Bahmani

    2012-01-01

    Full Text Available Studying and rating of oncoming challenges of the wood and paper industries of the country can create a delicate attitude for policy makers and investors of these valuable industries. This study by the aim of identification and evaluation of wood and paper industries challenges with scientific and authentic method of likert spectra scale was done is 2010. Present challenges of wood and paper industries were detected by literature review and consulting with experts and academician and a number of manufacturing unites of wood and paper industries and query was designed. Intended data and statistics obtained from experts of wood and paper industries were compared and analyzed by likert scale spectra. The results showed that of 24 examined challenges, shortage of raw material, lake of long, compressive and applied prospective, existence of great gap between the university and industrial units and wearied and aged machinery are among the most important. Finally the identified challenges were submitted to the authorities for helping the economy of the country as well as causing the prosperity and budding of these industries.

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

    Science.gov (United States)

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

    2013-11-06

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

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

    Science.gov (United States)

    2013-01-01

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

  10. Implementation of renewable technologies - Opportunities and barriers. Zimbabwe country study

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2001-07-01

    Renewable Energy Technologies (RETS) have over the years become an integral part of the energy supply chain in most developed countries. Recent projections show that 13.5% of the world's primary energy supply comes from renewable and this figure has an aggregated annual growth rate of 16%. Wind has the highest annual growth rate of 22% while the least annual growth rate of 2% is for hydropower. The main push for renewable like wind in the OECD countries are environmental concerns and the business aspect in power generation. The situation is however completely different in Africa, where the thrust for RETs is developmental based. Although the continent has abundant renewable energy resources like solar, biomass, wind and hydro potential, they have remained largely unexploited. Several efforts have been made to help African countries like Zimbabwe to exploit such resources. The main objectives of this country study included review of Zimbabwe's development of past RETs, establish barriers related lessons learnt from such projects and currently running RETs projects, identify barriers experienced by other projects and then select a few barrier removal projects and then develop them with the help of all stake holders in the country. The methodology of this study involved a review of past RETs projects to establish barriers faced and barriers related lessons learnt. An examination of the policy instruments related to RETs was done to establish how they promote the dissemination of the technologies as well as their adequacy. A survey of all possible RETs projects in the country was carried out and in this survey the end-users were visited and interviewed by the research team. An initial workshop, which was attended by all stake holders, was held in November 1999. An Advisory committee on RETs in Zimbabwe was then set up comprising of various stake holders from government, the private sector, research institutions, interviewed end-users and the NGO community

  11. Plan's CCCD approach - Country study PLAN-Bangladesh

    NARCIS (Netherlands)

    Uffelen, van G.J.

    2009-01-01

    PLAN Netherlands National Organisation has in coordination with PLAN International Headquarters commissioned an independent formative evaluation study to get systematic insight in the preconditions for appropriate functionality of Child Centred Community Development (CCCD) and to strengthen common

  12. Economic evaluation of 'Return to Country': A remote Australian initiative to address indigenous homelessness.

    Science.gov (United States)

    Kinchin, Irina; Jacups, Susan; Hunter, Gary; Rogerson, Bernadette

    2016-06-01

    An increase in the number of Indigenous homeless persons in Cairns, Northern Australia, prompted the Queensland Police Service (QPS) to commence a pilot 'Return to Country' (R2C) program. The program was designed to assist homeless people who were voluntarily seeking to return to their home communities. This study assesses the costs of running the program and evaluates its net economic impact. Retrospective uncontrolled cost, cost-effectiveness and cost-offset analyses were undertaken from a societal perspective. All costs were expressed in 2014 AU$. The R2C program successfully assisted 140 participants to return home, reducing the prevalence of homelessness in the regional center by 9.6%. The total program cost was estimated as AU$ 135,831 or AU$ 970 per participant. The economic analysis indicated that R2C was value for money, potentially saving AU$ 2,714,460. Limitations of the study included retrospective data collection and no established alternative comparison group. R2C is a relatively simple, minimal cost program, which can be utilized by policy makers to offer one solution to homelessness. This economic evaluation informs the QPS of the effects of the R2C program in order to guide further program initiatives. The R2C model may be applied to assist temporarily stranded Indigenous people in other locations within Australia or internationally to return home. No funding was obtained for conducting this study. Copyright © 2016 Elsevier Ltd. All rights reserved.

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

    International Nuclear Information System (INIS)

    2003-03-01

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

  14. Mania in the Nordic countries: patients and treatment in the acute phase of the EMBLEM study

    DEFF Research Database (Denmark)

    Larsen, Jens Knud; Porsdal, Vibeke; Aarre, Trond F

    2009-01-01

    countries with other European countries during the first 12 weeks of the EMBLEM (European Mania in Bipolar Longitudinal Evaluation of Medication) study. Adult patients with bipolar disorder were enrolled within standard course of care as in/outpatients if they initiated/changed oral medication...... status, functional status and pharmacological treatment. Psychiatric status at inclusion measured by the Young Mania Rating Scale (YMRS) and the Clinical Global Impression-Bipolar Disorder (CGI-BP) were similar in the Nordic and European patient groups, which is surprising as 73% of the Nordic patients...

  15. Labelled compounds for agrochemical residue studies in developing countries

    International Nuclear Information System (INIS)

    1977-01-01

    Potential applications of stable and radioactive isotopic tracers for assessing undesirable contaminants in agriculture, fisheries and food are discussed as related to developing countries. Sources and types of residues are considered, and their local implications; also, the availability of suitably labelled compounds, including possible international cooperation to facilitate more centralized and economic preparation, and the distribution of labelled intermediates and compounds for use by local scientists. The provision of training courses and their syllabus are reviewed. Experience in the Joint FAO/IAEA chemical residue and pollution programme has indicated a need for longer-lived radioisotopically labelled pesticides (insecticides, acaricides, fungicides, herbicides, fumigants, etc.) for studying their behaviour. 15 N-, 13 C- or 2 H-labelled fertilizers and fertilizer additives such as nitrification inhibitors will shortly be needed, for studying the behaviour of fertilizer nitrogen residues, and their regulation and conservation, under conditions prevailing in the developing countries. Compounds labelled with stable isotopes are considered particularly valuable under field conditions. The report reviews the present situation and presents specific recommendations to the Directors General of FAO and IAEA

  16. Job insecurity and health: a study of 16 European countries.

    Science.gov (United States)

    László, Krisztina D; Pikhart, Hynek; Kopp, Mária S; Bobak, Martin; Pajak, Andrzej; Malyutina, Sofia; Salavecz, Gyöngyvér; Marmot, Michael

    2010-03-01

    Although the number of insecure jobs has increased considerably over the recent decades, relatively little is known about the health consequences of job insecurity, their international pattern, and factors that may modify them. In this paper, we investigated the association between job insecurity and self-rated health, and whether the relationship differs by country or individual-level characteristics. Cross-sectional data from 3 population-based studies on job insecurity, self-rated health, demographic, socioeconomic, work-related and behavioural factors and lifetime chronic diseases in 23,245 working subjects aged 45-70 years from 16 European countries were analysed using logistic regression and meta-analysis. In fully adjusted models, job insecurity was significantly associated with an increased risk of poor health in the Czech Republic, Denmark, Germany, Greece, Hungary, Israel, the Netherlands, Poland and Russia, with odds ratios ranging between 1.3 and 2.0. Similar, but not significant, associations were observed in Austria, France, Italy, Spain and Switzerland. We found no effect of job insecurity in Belgium and Sweden. In the pooled data, the odds ratio of poor health by job insecurity was 1.39. The association between job insecurity and health did not differ significantly by age, sex, education, and marital status. Persons with insecure jobs were at an increased risk of poor health in most of the countries included in the analysis. Given these results and trends towards increasing frequency of insecure jobs, attention needs to be paid to the public health consequences of job insecurity. Copyright 2009 Elsevier Ltd. All rights reserved.

  17. Addressing mitigation options within the South African country study

    Energy Technology Data Exchange (ETDEWEB)

    Roos, Gina [Eskom (South Africa)

    1998-10-01

    The South African Country Study Programme is being executed under the auspices of the South African Department of Environmental Affairs and Tourism (DEAandT). The full study comprises the following four components, each headed by a technical coordinator: the 1990 greenhouse gas emissions inventory; a study of South Africa`s vulnerability to climate change and possible adaptation strategies; potential mitigation actions and; policy development. Ideally, these components should be executed in sequence. However, in view of South Africa`s commitments in terms of the Framework Convention on Climate Change (FCCC) and the need to draw up a national communication, it was decided to execute the components simultaneously, with an emphasis on coordination between the components. (EG)

  18. Addressing mitigation options within the South African country study

    International Nuclear Information System (INIS)

    Roos, Gina

    1998-01-01

    The South African Country Study Programme is being executed under the auspices of the South African Department of Environmental Affairs and Tourism (DEA and T). The full study comprises the following four components, each headed by a technical coordinator: the 1990 greenhouse gas emissions inventory; a study of South Africa's vulnerability to climate change and possible adaptation strategies; potential mitigation actions and; policy development. Ideally, these components should be executed in sequence. However, in view of South Africa's commitments in terms of the Framework Convention on Climate Change (FCCC) and the need to draw up a national communication, it was decided to execute the components simultaneously, with an emphasis on coordination between the components. (EG)

  19. Evaluation of cluster-randomized trials on maternal and child health research in developing countries

    DEFF Research Database (Denmark)

    Handlos, Line Neerup; Chakraborty, Hrishikesh; Sen, Pranab Kumar

    2009-01-01

    To summarize and evaluate all publications including cluster-randomized trials used for maternal and child health research in developing countries during the last 10 years. METHODS: All cluster-randomized trials published between 1998 and 2008 were reviewed, and those that met our criteria...... for inclusion were evaluated further. The criteria for inclusion were that the trial should have been conducted in maternal and child health care in a developing country and that the conclusions should have been made on an individual level. Methods of accounting for clustering in design and analysis were......, and the trials generally improved in quality. CONCLUSIONS: Shortcomings exist in the sample-size calculations and in the analysis of cluster-randomized trials conducted during maternal and child health research in developing countries. Even though there has been improvement over time, further progress in the way...

  20. The Country of Origin and Consumer Ethnocentrism Effects in the Evaluation of a Global Brand: the case of McDonald’s

    Directory of Open Access Journals (Sweden)

    Vivian Iara Strehlau

    2011-06-01

    Full Text Available The objective of this study is to analyze the influence of country of origin and ethnocentrism on the image of a brand known internationally – the fast food company McDonald’s – and observe if there exist differences in the evaluation of brand image based on gender, age and socio-economic class. The work begins with a contextualization, followed by a review of the main concepts applied: evaluation of a global brand, consumer ethnocentrism and country of origin effect. A survey based on a non-probabilistic sample was carried out and 275 individuals from the city of Sao Paulo filled in a questionnaire comprised of questions aimed to measure socio-demographic data and three scales, each one to measure country of origin effect, consumer ethnocentrism and brand evaluation of McDonald’s. It was verified that, although the level of ethnocentrism does not interfere in brand image, the country of origin effect is useful to discriminate respondents in relation to the positiveness of their evaluation towards the brand McDonald’s: individuals that evaluate negatively the United States as a country, tend to evaluate negatively McDonald’s as well. Young consumers, women and individuals with higher income evaluated more positively the brand under study, as well as its country of origin. It was verified a positive and linear relationship between country of origin and brand image evaluations.

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

    International Nuclear Information System (INIS)

    Bakeshloo, A.A.

    1977-01-01

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

  2. A cross-country comparative study on stress and quality of life in nursing students.

    Science.gov (United States)

    Labrague, Leodoro J; McEnroe-Petitte, Denise M; Papathanasiou, Ioanna V; Edet, Olaide B; Tsaras, Konstantinos; Christos, Kleisiaris F; Fradelos, Evangelos C; Rosales, Rheajane A; Cruz, Jonas P; Leocadio, Michael; Lucas, Katherine Vera S

    2017-10-27

    This study was conducted to compare perceptions of stress and quality of life (QoL) among nursing students from three countries (the Philippines, Greece, and Nigeria) and to examine the impact of stress on their QoL. A comparative, cross-sectional research design was used in this study. Data were collected from 547 nursing students from three countries using the perceived stress scale (PSS) and the quality of life evaluation skill (QOLES). Students' perceptions of stress and QoL were different across the three countries. Furthermore, higher stress perceptions were identified from taking care of patients, the clinical environment, and faculty, peer, and staff encounters, which predicted a negative QoL. The findings emphasized the need for empirically tested and culturally tailored interventions to effectively reduce stress and enhance the QoL in nursing students. © 2017 Wiley Periodicals, Inc.

  3. STATISTICAL EVALUATION OF THE IMPACT OF ECONOMIC FACTORS ON SOCIO-DEMOGRAPHICS OF THE COUNTRY

    Directory of Open Access Journals (Sweden)

    O. Evseenko

    2014-04-01

    Full Text Available In theory made a case the necessity of modeling economic and demographic indicators. The influences of economic, social and environmental indicators on social and demographic factors of development country are researeched. Given statistical evaluation of relationships based on correlation and regression analysis method.

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

    Energy Technology Data Exchange (ETDEWEB)

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

    2006-10-15

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

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

    Directory of Open Access Journals (Sweden)

    Mousa Majidi

    2010-09-01

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

  6. Are Some Countries More Prone to Pressure Evaluators than Others? Comparing Findings from the United States, United Kingdom, Germany, and Switzerland

    Science.gov (United States)

    Pleger, Lyn; Sager, Fritz; Morris, Michael; Meyer, Wolfgang; Stockmann, Reinhard

    2017-01-01

    Pressure on evaluators has been investigated recently by surveys in the USA, the UK, Germany, and Switzerland. This study compares the results of those studies regarding pressure on evaluators in different countries. The findings suggest that independence of evaluations does not exist for many respondents. Moreover, the person who commissioned the…

  7. Comparative evaluation of dimensional stability of impression materials from developing countries and developed countries after disinfection with different immersion disinfectant systems and ultraviolet chamber

    Directory of Open Access Journals (Sweden)

    Rupandeep Kaur Samra

    2018-04-01

    Full Text Available Objectives: It was to analyse and compare the effect of different disinfectant systems on the dimensional stability of commonly used irreversible hydrocolloid and addition silicone impression materials from developing countries as compared to materials from developed countries. Material and methods: Disinfectant systems used were glutaraldehyde, sodium hypochlorite and ultraviolet chamber. The stability after disinfection of commonly used alginate and addition silicone of native origin (Algin-Gum & Ad-Sil was compared with similar impression materials from developed countries (Vignette and Aquasil and results compared. A CAD/CAM manufactured stainless steel die simulating maxilla with four metal studs at canine and molar region was used. Impressions were made and disinfected after rinsing and drying and casts poured. The cross arch distance, interabutment distance and the occluso-gingival length of the studs was measured under traveling microscope and observations were recorded and compared. ANOVA test and Bonferroni test was applied. Results: An increase in the interabutment and cross arch distance and decrease in occluso-gingival height was seen in the casts obtained. Glutaraldehyde immersion showed variation in the interabutment and cross arch distance for all materials studied. Ultraviolet chamber and sodium hypochlorite produced best results. Dimensional stability of impression materials like Vignette, Algin-Gum & Aquasil was found to within clinically acceptable limits after disinfection while maximum deviation was seen with Algin-Gum. Conclusion: Evaluated materials can be safely disinfected with sodium hypochlorite and ultraviolet chamber. Addition silicone of native origin is at par with impression materials from developed countries but same cannot be said about alginate. Keywords: Dimensional stability, Immersion systems, Ultraviolet chamber, Addition silicone, Alginate, Sodium hypochlorite, Glutaraldehyde

  8. Evaluation of epidemiological studies

    International Nuclear Information System (INIS)

    Breckow, J.

    1995-01-01

    The publication is intended for readers with a professional background in radiation protection who are not experts in the field of epidemiology. The potentials and the limits of epidemiology are shown and concepts and terminology of radioepidemilogic studies as well as epidemiology in general are explained, in order to provide the necessary basis for understanding or performing evaluations of epidemiologic studies. (orig./VHE) [de

  9. Quality Evaluation of Zirconium Dioxide Frameworks Produced in Five Dental Laboratories from Different Countries.

    Science.gov (United States)

    Schneebeli, Esther; Brägger, Urs; Scherrer, Susanne S; Keller, Andrea; Wittneben, Julia G; Hicklin, Stefan P

    2017-07-01

    The aim of this study was to assess and compare quality as well as economic aspects of CAD/CAM high strength ceramic three-unit FDP frameworks ordered from dental laboratories located in emerging countries and Switzerland. The master casts of six cases were sent to five dental laboratories located in Thailand (Bangkok), China (Peking and Shenzhen), Turkey (Izmir), and Switzerland (Bern). Each laboratory was using a different CAD/CAM system. The clinical fit of the frameworks was qualitatively assessed, and the thickness of the framework material, the connector height, the width, and the diameter were evaluated using a measuring sensor. The analysis of the internal fit of the frameworks was performed by means of a replica technique, whereas the inner and outer surfaces of the frameworks were evaluated for traces of postprocessing and damage to the intaglio surface with light and electronic microscopes. Groups (dental laboratories and cases) were compared for statistically significant differences using Mann-Whitney U-tests after Bonferroni correction. An acceptable clinical fit was found at 97.9% of the margins produced in laboratory E, 87.5% in B, 93.7% in C, 79.2% in A, and 62.5% in D. The mean framework thicknesses were not statistically significantly different for the premolar regions; however, for the molar area 4/8 of the evaluated sites were statistically significantly different. Circumference, surface, and width of the connectors produced in the different laboratories were statistically significantly different but not the height. There were great differences in the designs for the pontic and connector regions, and some of the frameworks would not be recommended for clinical use. Traces of heavy postprocessing were found in frameworks from some of the laboratories. The prices per framework ranged from US$177 to US$896. By ordering laboratory work in developing countries, a considerable price reduction was obtained compared to the price level in Switzerland

  10. EVALUATION OF THE FDI ATTRACTIVENESS OF THE EUROPEAN COUNTRIES USING PROMETHEE METHOD

    Directory of Open Access Journals (Sweden)

    Lorena Škuflić

    2013-02-01

    Full Text Available Foreign direct investment (FDI could be a significant source for performance improvements of a company because aside capital, they bring knowledge, skills, technologies, as well as contacts and customers which they had in the home country. Foreign investors are motivated by realization of longterm increasing profits through a company in which they invest. Since profit depends on revenue and costs, the motives of investors can be looked for in increasing revenue (market expansion, in reducing costs (lower cost of resources, or in the simultaneous effect on revenue and costs through increased efficiency. This paper analyzes six Southeast European countries (SEE-6 as well as the EU-27 with the aim of assessing the attractiveness of destination. Using the PROMETHEE (Preference Ranking Organization Method for Enrichment Evaluations multi-criteria decision making method, authors show advantages and disadvantages of each country, creating the basis for the creation and redefinition of macroeconomic policies to address them.

  11. Neighborhood Sustainability Assessment: Evaluating Residential Development Sustainability in a Developing Country Context

    Directory of Open Access Journals (Sweden)

    Tan Yigitcanlar

    2015-03-01

    Full Text Available Rapid urbanization, improved quality of life, and diversified lifestyle options have collectively led to an escalation in housing demand in our cities, where residential areas, as the largest portion of urban land use type, play a critical role in the formation of sustainable cities. To date there has been limited research to ascertain residential development layouts that provide a more sustainable urban outcome. This paper aims to evaluate and compare sustainability levels of residential types by focusing on their layouts. The paper scrutinizes three different development types in a developing country context—i.e., subdivision, piecemeal, and master-planned developments. This study develops a “Neighborhood Sustainability Assessment” tool and applies it to compare their sustainability levels in Ipoh, Malaysia. The analysis finds that the master-planned development, amongst the investigated case studies, possesses the potential to produce higher levels of sustainability outcomes. The results reveal insights and evidence for policymakers, planners, development agencies and researchers; advocate further studies on neighborhood-level sustainability analysis, and; emphasize the need for collective efforts and an effective process in achieving neighborhood sustainability and sustainable city formation.

  12. A Study on Logistics Cluster Competitiveness among Asia Main Countries using the Porter's Diamond Model

    OpenAIRE

    Tae Won Chung

    2016-01-01

    Measurement and discussions of logistics cluster competitiveness with a national approach are required to boost agglomeration effects and potentially create logistics efficiency and productivity. This study developed assessment criteria of logistics cluster competitiveness based on Porter's diamond model, calculated the weight of each criterion by the AHP method, and finally evaluated and discussed logistics cluster competitiveness among Asia main countries. The results indicate that there wa...

  13. CLUSTERING OF THE COUNTRIES ACCORDING TO CONSUMER CONFIDENCE INDEX AND EVALUATING WITH HUMAN DEVELOPMENT INDEX

    Directory of Open Access Journals (Sweden)

    Seda BAĞDATLI KALKAN

    2018-01-01

    Full Text Available Consumer confidence index is a national indicator that suggest about current and future expectations of the economic conditions. With consumer confidence index, it is aimed to determine the trends and expectations of consumers according to their general economic situation, employment opportunities, their financial situations and developments in the markets. Another parameter is also the Human Development Index (HDI. This index is an indicator that examines the development of countries both economically and socially. Countries are sorted by these two indices and are considered as basic parameters in international platforms. The purpose of this study is to group the selected countries according to the consumer confidence index and reveal the features of the groups and then determine the position of the grouped countries with the Human Development Index. According to the results of cluster analysis, it is shown that India, China, Sweden and USA have the highest total consumer confidence index, employment, expectation and investment index

  14. Accidents and undetermined deaths: re-evaluation of nationwide samples from the Scandinavian countries.

    Science.gov (United States)

    Tøllefsen, Ingvild Maria; Thiblin, Ingemar; Helweg-Larsen, Karin; Hem, Erlend; Kastrup, Marianne; Nyberg, Ullakarin; Rogde, Sidsel; Zahl, Per-Henrik; Østevold, Gunvor; Ekeberg, Øivind

    2016-05-27

    National mortality statistics should be comparable between countries that use the World Health Organization's International Classification of Diseases. Distinguishing between manners of death, especially suicides and accidents, is a challenge. Knowledge about accidents is important in prevention of both accidents and suicides. The aim of the present study was to assess the reliability of classifying deaths as accidents and undetermined manner of deaths in the three Scandinavian countries and to compare cross-national differences. The cause of death registers in Norway, Sweden and Denmark provided data from 2008 for samples of 600 deaths from each country, of which 200 were registered as suicides, 200 as accidents or undetermined manner of deaths and 200 as natural deaths. The information given to the eight experts was identical to the information used by the Cause of Death Register. This included death certificates, and if available external post-mortem examinations, forensic autopsy reports and police reports. In total, 69 % (Sweden and Norway) and 78 % (Denmark) of deaths registered in the official mortality statistics as accidents were confirmed by the experts. In the majority of the cases where disagreement was seen, the experts reclassified accidents to undetermined manner of death, in 26, 25 and 19 % of cases, respectively. Few cases were reclassified as suicides or natural deaths. Among the extracted accidents, the experts agreed least with the official mortality statistics concerning drowning and poisoning accidents. They also reported most uncertainty in these categories of accidents. In a second re-evaluation, where more information was made available, the Norwegian psychiatrist and forensic pathologist increased their agreement with the official mortality statistics from 76 to 87 %, and from 85 to 88 %, respectively, regarding the Norwegian and Swedish datasets. Among the extracted undetermined deaths in the Swedish dataset, the two experts

  15. Evaluation of occupation hot exposure in industrial workplaces in a subtropical country

    Directory of Open Access Journals (Sweden)

    Ming-Chi Wei

    2017-06-01

    Full Text Available Objectives: The objective of this study has been to evaluate the occupational heat exposure of 12 workers at 5 plants in a subtropical country. Material and Methods: The heat stresses and strain on workers in 5 plants were assessed by the International Organization for Standardization (ISO 7243 index (wet bulb globe temperature – WBGT and the ISO 7933 index (maximum allowable exposure time – Dlim. Results: Results indicated that 42% of the subjects (5 workers surpassed the WBGT limits. According to the Dlim, 42% of the subjects could not continue working in the hot environments. The relationships between the various heat stress indices and the WBGT index were also correlated. However, further studies from different heat environments and more subjects should be performed. Conclusions: The sensitive dependence of skin temperature on meteorological and physiological indices for each subject was clearly observed. Obviously, the heart rate response to metabolic rate was much greater than that caused by environmental heat alone. The exponential relationship between workers’ duration-limited exposure time, predicted by various estimated criteria, and WBGT were also found. Int J Occup Med Environ Health 2017;30(3:379–395

  16. A NAA collaborative study in white rice performed in seven Asian countries

    International Nuclear Information System (INIS)

    Moon, J.H.; Ebihara, M.; Arporn, B.; Setyo, P.; Theresia, R.M.; Wee, B.S.; Salim, N.A.Abd.; Pabroa, P.C.B.

    2012-01-01

    Since 2000, collaborative studies for applying NAA have been performed through the Forum for Nuclear Cooperation in Asia (FNCA) sponsored by the Japanese Government. White rice is a main food for Asians and thus was selected as a common target sample for a collaborative study in 2008. Seven Asian countries including China, Indonesia, Japan, Korea, Malaysia, Philippines and Thailand, are greatly concerned about the composition of arsenic, heavy metals, and essential trace elements and took part in this study. Rice samples were purchased and prepared by following a protocol that had been proposed for this study. Samples were analyzed by their own NAA systems. In each country, more than 10 elements were examined and the results were compared. These data will be very useful in the monitoring of the levels of food contamination and to evaluate the nutritional status for people living in Asia. (author)

  17. Institutions and service employment: a panel study for OECD countries

    OpenAIRE

    Messina, Julián

    2004-01-01

    We live in a service economy, but the extent of development of service employment differs across developed countries. This paper assesses the role of structural factors and institutions in explaining the common patterns and main di?erences in the recent expansion of service employment in OECD countries. It finds that GDP per capita, the size of the government sector and the extent of urbanization are positively associated with the service employment share. However, the evidence suggests that ...

  18. Evaluation of an international faculty development program for developing countries in Asia: the Seoul Intensive Course for Medical Educators.

    Science.gov (United States)

    Kim, Do-Hwan; Yoon, Hyun Bae; Sung, Minsun; Yoo, Dong-Mi; Hwang, Jinyoung; Kim, Eun Jung; Lee, Seunghee; Shin, Jwa-Seop

    2015-12-18

    The issue of collaboration in medical education is becoming prominent. Some faculty development programs have suggested an approach for promoting collaboration on a global level. However, non-English-speaking developing countries in Asia, especially in Southeast Asia, do not take advantage of them due to their unique context, such as language and culture. To address these issues, Seoul National University College of Medicine initiated a 6-week international faculty development program called the "Seoul Intensive Course for Medical Educators" for 16 fellows from five Asian countries (Cambodia, Laos, Mongolia, Myanmar, and Vietnam). The aim of this study is to report the evaluation results of the outcome of the program and discuss better ways of collaborating with developing countries. Three levels of collaboration-intraorganizational, intranational, and international-were central initiatives of the program. Prior to setting up the program details, we first established four design principles, following which the contents, materials, and facilitators were determined to maintain consistency with the design principles. The evaluation of the program was done with Kirkpatrick's four-level model. Most of the evaluation data for level 1 were collected by two questionnaires, the post-module survey and the post-program survey. Portfolios and progress reports were mainly used to collect outcome data for levels 2 and 3, respectively. The reaction was generally positive throughout the program and there was a significant correlation between satisfaction and relevance to one's job or needs. Despite the fellows' propensity for overestimating themselves, both the evaluators and fellows reported that there was significant improvement in learning. Opinions on the impact or urgency of the topics were slightly different from country to country; however, the answers regarding feasibility were fairly similar. Moreover, we could observe from the post-program progress reports that the

  19. Strengthening primary health care in low- and middle-income countries: generating evidence through evaluation.

    Science.gov (United States)

    Rule, John; Ngo, Duc Anh; Oanh, Tran Thi Mai; Asante, Augustine; Doyle, Jennifer; Roberts, Graham; Taylor, Richard

    2014-07-01

    Since the publication of the World Health Report 2008, there has been renewed interest in the potential of primary health care (PHC) to deliver global health policy agendas. The WHO Western Pacific Regional Strategy 2010 states that health systems in low- and middle-income countries (LMICs) can be strengthened using PHC values as core principles. This review article explores the development of an evidence-based approach for assessing the effectiveness of PHC programs and interventions in LMICs. A realist review method was used to investigate whether there is any internationally consistent approach to evaluating PHC. Studies from LMICs using an explicit methodology or framework for measuring PHC effectiveness were collated. Databases of published articles were searched, and a review of gray literature was undertaken to identify relevant reports. The review found no consistent approach for assessing the effectiveness of PHC interventions in LMICs. An innovative approach used in China, which developed a set of core community health facility indicators based on stakeholder input, does show some potential for use in other LMIC contexts. © 2013 APJPH.

  20. Evaluation of mammography equipment performance, dose and image quality in five Latin American countries

    Science.gov (United States)

    Brandan, M.-E.; Ruiz-Trejo, C.; Caspani, C. E. M.; Fleitas, I.; de-la-Mora, R.; Miranda, A. A.; Plazas, M.-C.; Betancourt, C.-M.; Borras, C.

    2001-10-01

    Under the auspices of PAHO/WHO, a multicentric investigation is carried out in five Latin American countries. Its aim is to correlate quality indicators of radiology services with the accuracy of the radiological interpretation as determined by a panel of radiology experts. We present preliminary results from mammographic imaging facilities. Evaluation of the equipment performance and dose measurements in 21 mammographic units show that, on the average, 75% of the units comply with recommendations issued by various organizations. An independent evaluation of the quality of the clinical images show strong variations among the different radiological services.

  1. Evaluation of mammography equipment performance, dose and image quality in five Latin American countries

    International Nuclear Information System (INIS)

    Brandan, M.-E.; Ruiz-Trejo, C.; Caspani, C. E. M.; Fleitas, I.; Mora, R. de la; Miranda, A. A.; Plazas, M.-C.; Betancourt, C.-M.; Borras, C.

    2001-01-01

    Under the auspices of PAHO/WHO, a multicentric investigation is carried out in five Latin American countries. Its aim is to correlate quality indicators of radiology services with the accuracy of the radiological interpretation as determined by a panel of radiology experts. We present preliminary results from mammographic imaging facilities. Evaluation of the equipment performance and dose measurements in 21 mammographic units show that, on the average, 75% of the units comply with recommendations issued by various organizations. An independent evaluation of the quality of the clinical images show strong variations among the different radiological services

  2. Economic gradients in early child neurodevelopment: A multi-country study

    Science.gov (United States)

    Wehby, George L.; McCarthy, Ann Marie

    2013-01-01

    Little is known about the importance of household wealth for child neurodevelopment very early in life including during infancy. Previous studies have focused on specific developmental domains instead of more holistic multi-domain measures of neurodevelopment and on economic effects for the “average” child instead of evaluating the heterogeneity in economic gradients by different levels of developmental ability. Furthermore, not much is known about whether economic gradients in early child neurodevelopment are country-specific or generalizable between populations. We evaluate wealth gradients in child neurodevelopment, an important predictor of future health and human capital, between ages 3 and 24 months in four South American countries. We also assess the heterogeneity in these gradients at different locations of the neurodevelopment distribution using quantile regression. Employing a unique dataset of 2032 children with neurodevelopment measures obtained by physicians in 2005–2006, we find a large positive wealth gradient in neurodevelopment in Brazil. The wealth gradient is larger for children at higher neurodevelopment rankings, suggesting that wealth is associated with child development inequalities in the form of a wider gap between low and high achievers on neurodevelopment in Brazil. This result highlights the need to target poverty in Brazil as a key factor in health and human capital disparities earlier in life rather than later as early developmental deficits will be carried forward and possibly multiplied later in life. More importantly, small or insignificant wealth gradients are generally found in the other countries. These results suggest that wealth gradients in child neurodevelopment are country-specific and vary with population demographic, health, and socioeconomic characteristics. Therefore, findings from previous studies based on specific populations may not be generalizable to other countries. Furthermore, wealth gradients in child

  3. Evaluating Forecasting Models for Unemployment Rates by Gender in Selected European Countries

    Directory of Open Access Journals (Sweden)

    Ksenija Dumičić

    2017-03-01

    Full Text Available The unemployment can be considered as one of the main economic problems. The aim of this article is to examine the differences in male and female unemployment rates in selected European countries and to predict their future trends by using different statistical forecasting models. Furthermore, the impact of adding a new data point on the selection of the most appropriate statistical forecasting model and on the overall forecasting errors values is also evaluated. Male and female unemployment rates are observed for twelve European countries in the period from 1991 to 2014. Four statistical forecasting models have been selected and applied and the most appropriate model is considered to be the one with the lowest overall forecasting errors values. The analysis has shown that in the period from 1991 to 2014 the decreasing trend of unemployment rates in the short-run is forecasted for more Eastern Balkan than the EU-28 countries. An additional data point for male and female unemployment rates in 2014 led to somewhat smaller forecasting errors in more than half of the observed countries. However, the additional data point does not necessarily improve forecasting performances of the used statistical forecasting models.

  4. A framework for the monitoring and evaluation of international surgical initiatives in low- and middle-income countries.

    Science.gov (United States)

    Ibrahim, George M; Cadotte, David W; Bernstein, Mark

    2015-01-01

    An estimated two billion people worldwide lack adequate access to surgical care. To address this humanitarian emergency, an increasing number of international surgical partnerships are emerging between developed and low- and middle-income countries (LMICs). At present, there are no clear indicators that may be used to assess the effectiveness of such initiatives. We conducted an international qualitative study of 31 surgeons from developed and LMICs involved in international partnerships across a variety of subspecialties. Thematic analysis and grounded theory were applied in order to develop a practical framework that may be applied to monitor and evaluate global surgical initiatives. Several themes emerged from the study: (i) there is a large unmet need to establish and maintain prospective databases in LMICs to inform the monitoring and evaluation of international surgical partnerships; (ii) assessment of initiatives must occur longitudinally over the span of several years; (ii) the domains of assessment are contextual and encompass cultural, institutional and regional factors; and (iv) evaluation strategies should explore broader impact within the community and country. Based on thematic analysis within the domains of inputs, outputs and outcomes, a framework for the monitoring and evaluation of international surgical initiatives, the Framework for the Assessment of InteRNational Surgical Success (FAIRNeSS) is proposed. In response to the increasing number of surgical partnerships between developed and LMICs, we propose a framework to monitor and evaluate international surgical initiatives.

  5. A Study on Logistics Cluster Competitiveness among Asia Main Countries using the Porter's Diamond Model

    Directory of Open Access Journals (Sweden)

    Tae Won Chung

    2016-12-01

    Full Text Available Measurement and discussions of logistics cluster competitiveness with a national approach are required to boost agglomeration effects and potentially create logistics efficiency and productivity. This study developed assessment criteria of logistics cluster competitiveness based on Porter's diamond model, calculated the weight of each criterion by the AHP method, and finally evaluated and discussed logistics cluster competitiveness among Asia main countries. The results indicate that there was a large difference in logistics cluster competitiveness among six countries. The logistics cluster competitiveness scores of Singapore (7.93, Japan (7.38, and Hong Kong (7.04 are observably different from those of China (5.40, Korea (5.08, and Malaysia (3.46. Singapore, with the highest competitiveness score, revealed its absolute advantage in logistics cluster indices. These research results intend to provide logistics policy makers with some strategic recommendations, and may serve as a baseline for further logistics cluster studies using Porter's diamond model.

  6. Corruption costs lives: evidence from a cross-country study.

    Science.gov (United States)

    Li, Qiang; An, Lian; Xu, Jing; Baliamoune-Lutz, Mina

    2018-01-01

    This paper investigates the effect of corruption on health outcomes by using cross-country panel data covering about 150 countries for the period of 1995 to 2012. We employ ordinary least squares (OLS), fixed-effects and two-stage least squares (2SLS) estimation methods, and find that corruption significantly increases mortality rates, and reduces life expectancy and immunization rates. The results are consistent across different regions, gender, and measures of corruption. The findings suggest that reducing corruption can be an effective method to improve health outcomes.

  7. Economic Evaluation of Family Planning Interventions in Low and Middle Income Countries : A Systematic Review

    NARCIS (Netherlands)

    Zakiyah, Neily; van Asselt, Antoinette D. I.; Roijmans, Frank; Postma, Maarten J.

    2016-01-01

    Background A significant number of women in low and middle income countries (L-MICs) who need any family planning, experience a lack in access to modern effective methods. This study was conducted to review potential cost effectiveness of scaling up family planning interventions in these regions

  8. Regional variation in the hedonic evaluation of lamb meat from diverse production systems by consumers in six European countries.

    Science.gov (United States)

    Sañudo, C; Alfonso, M; San Julián, R; Thorkelsson, G; Valdimarsdottir, T; Zygoyiannis, D; Stamataris, C; Piasentier, E; Mills, C; Berge, P; Dransfield, E; Nute, G R; Enser, M; Fisher, A V

    2007-04-01

    This paper describes the responses of consumers in six European countries (Greece, Italy, Spain, France, Iceland and United Kingdom) tasting meat from twelve different local types of lambs produced in those same six countries. Animals represented 10 breeds and crossbreeds, three sexes, several diets composed of either milk, concentrates and various forages as main ingredients and different slaughter ages, from 1 and 12 months, and carcass weights, from 5.5 to 30.4kg. Tests were conducted by 36 volunteer families in each of the six countries involved in the study. Families were asked to roast the joints using their own cooking criteria, evaluating (from "dislike extremely" to "like extremely") flavour, tenderness, juiciness and overall liking. Also the cook was asked to rate the odour during cooking. Country and lamb type and their interaction were statistically significant for all the variables analysed. Results suggest a link between the assessments of a given lamb type and the consumers' culinary background, showing clear associations between country and lamb type preferences. It was possible to separate, independently of the country, different groups of families with similar preferences. Five family groups, which included 88 families (40.74%), had a clear Mediterranean origin and preferred types of lamb fed either milk or mainly concentrate diets. Seven family groups, which included 93 families (43.06%) with a clear northern origin, preferred types reared on grass or with grass included in the diet. The rest of the groups (four) that included 35 families (16.20%) had no clear composition (northern or Mediterranean), and they had a wider taste preference. It can clearly be seen that there are two categories of consumers of lamb in the analysed European market: those who prefer "milk or concentrate taste" and those who prefer "grass taste".

  9. Evaluating quantity and quality of literature focusing on health economics and pharmacoeconomics in Gulf Cooperation Council countries.

    Science.gov (United States)

    Eljilany, Islam; El-Dahiyat, Faris; Curley, Louise Elizabeth; Babar, Zaheer-Ud-Din

    2018-05-30

    The importance of pharmacoeconomics and health economics has been augmented. It has the potential to provide evidence to aid in optimal decision-making in the funding of cost-effective medicines and services in Gulf Cooperation Council countries (G.C.C). To evaluate the quality and quantity of health economic researches published until the end of 2017 in G.C.C. and to identify the factors that affect the quality of studies. Studies were included according to predefined inclusion and exclusion criteria. The quantity was recorded, and the quality was assessed using the Quality of Health Economic Studies (QHES) instrument. Forty-nine studies were included. The mean (SD) quality score of all studies was 57.83 (25.05), and a high number of reviewed studies (47%) were evaluated as either poor or extremely poor quality. The factors that affect the quality of studies with statistical significance were, the type and method of economic evaluation, the economic outcome was the objective of the research, author`s background, the perspective of the study, health intervention and source of funding. The use of economic evaluation studies in G.C.C was limited. Different factors that affect the quality of articles such as performing a full economic evaluation and choosing societal perspective were identified. Strategies to improve the quality of future studies were recommended.

  10. Patterns of Long Term Care in 29 European countries: evidence from an exploratory study

    Directory of Open Access Journals (Sweden)

    Damiani Gianfranco

    2011-11-01

    Full Text Available Abstract Background The challenges posed by the rapidly ageing population, and the increased preponderance of disabled people in this group, coupled with the rising level of public expenditure required to service the complex organization of long term care (LTC delivery are causing increased pressure on LTC systems in Europe. A pan-European survey was carried out to evaluate whether patterns of LTC can be identified across Europe and what are the trends of the countries along them. Methods An ecological study was conducted on the 27 EU Member States plus Norway and Iceland, referring to the period 2003-2007. Several variables related to organizational features, elderly needs and expenditure were drawn from OECD Health Data and the Eurostat Statistics database and combined using Multiple Factor Analysis (MFA. Results Two global Principal Components were taken into consideration given that their expressed total variance was greater than 60%. They were interpreted according to the higher (more than 0.5 positive or negative correlation coefficients between them and the original variables; thus patterns of LTC were identified. High alignment between old age related expenditure and elderly needs characterizes Nordic and Western European countries, the former also having a higher level of formal care than the latter. Mediterranean as well as Central and South Eastern European countries show lower alignment between old age related expenditure and elderly needs, coupled with a level of provision of formal care that is around or slightly above the average European level. In the dynamic comparison, linear, stable or unclear trends were shown for the studied countries. Conclusions The analysis carried out is an explorative and descriptive study, which is an attempt to reveal patterns and trends of LTC in Europe, allowing comparisons between countries. It also stimulates further researches with lower aggregated data useful to gain meaningful policy

  11. Physical self-concept of adolescents in Western Balkan countries: a pilot study.

    Science.gov (United States)

    Janić, Snežana Radisavljević; Jurak, Gregor; Milanović, Ivana; Lazarević, Dušanka; Kovač, Marjeta; Novak, Dario

    2014-10-01

    The aim of this study was to explore physical self-concept of adolescents of the Western Balkans (Serbia, Slovenia, Croatia, and Bosnia and Herzegovina) according to sex and country. The participants were 2,606 students, ages 13 and 14 years (M = 13.5, SD = 0.9). The Physical Self-Description Questionnaire (PSDQ) was used to assess multidimensional physical self-concept. The results show the interaction of sex and country for three dimensions of physical self-concept (Appearance, Global Physical Self-Concept, and Self-Esteem). It was shown that female and male adolescents' perception of physical appearance, self-esteem, and global physical self-concept is more susceptible to influences of socio-cultural factors in the monitored countries. In all other dimensions of Physical self-concept, sex differences were consistently manifested in favour of male adolescents, except in Flexibility. Regardless of adolescents' sex, under the increasing influence of Western culture in the Western Balkan countries, adolescents more critically evaluate their body and motor abilities.

  12. Cry the Beloved Country. A Sound Filmstrip Program. Study Guide.

    Science.gov (United States)

    Peters, John; Peters, Frances

    Based on the novel and motion picture "Cry, the Beloved Country," this filmstrip program is a re-creation of the story of a black minister and a white farmer in South Africa whose lives are bound together in mutual tragedy. The three filmstrips examine the people, problems, laws, and institutions of South Africa and expose the evils of…

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

    African Journals Online (AJOL)

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

  14. Protecting HIV information in countries scaling up HIV services: a baseline study.

    Science.gov (United States)

    Beck, Eduard J; Mandalia, Sundhiya; Harling, Guy; Santas, Xenophon M; Mosure, Debra; Delay, Paul R

    2011-02-06

    Individual-level data are needed to optimize clinical care and monitor and evaluate HIV services. Confidentiality and security of such data must be safeguarded to avoid stigmatization and discrimination of people living with HIV. We set out to assess the extent that countries scaling up HIV services have developed and implemented guidelines to protect the confidentiality and security of HIV information. Questionnaires were sent to UNAIDS field staff in 98 middle- and lower-income countries, some reportedly with guidelines (G-countries) and others intending to develop them (NG-countries). Responses were scored, aggregated and weighted to produce standard scores for six categories: information governance, country policies, data collection, data storage, data transfer and data access. Responses were analyzed using regression analyses for associations with national HIV prevalence, gross national income per capita, OECD income, receiving US PEPFAR funding, and being a G- or NG-country. Differences between G- and NG-countries were investigated using non-parametric methods. Higher information governance scores were observed for G-countries compared with NG-countries; no differences were observed between country policies or data collection categories. However, for data storage, data transfer and data access, G-countries had lower scores compared with NG-countries. No significant associations were observed between country score and HIV prevalence, per capita gross national income, OECD economic category, and whether countries had received PEPFAR funding. Few countries, including G-countries, had developed comprehensive guidelines on protecting the confidentiality and security of HIV information. Countries must develop their own guidelines, using established frameworks to guide their efforts, and may require assistance in adapting, adopting and implementing them.

  15. CROSS-COUNTRY STUDY ON THE DETERMINANTS OF BANK FINANCIAL DISTRESS

    Directory of Open Access Journals (Sweden)

    Zhen-Jia-Liu

    2015-08-01

    Full Text Available Bank failures affect owners, employees, and customers, possibly causing large-scale economic distress. Thus, banks must evaluate operational risks and develop early warning systems. This study investigates bank failures in the Organization for Economic Co-operation and Development, the North America Free Trade Area (NAFTA, the Association of Southeast Asian Nations, the European Union, newly industrialized countries, the G20, and the G8. We use financial ratios to analyze and explore the appropriateness of prediction models. Results show that capital ratios, interest income compared to interest expenses, non-interest income compared to non-interest expenses, return on equity, and provisions for loan losses have significantly negative correlations with bank failure. However, loan ratios, non-performing loans, and fixed assets all have significantly positive correlations with bank failure. In addition, the accuracy of the logistic model for banks from NAFTA countries provides the best prediction accuracy regarding bank failure

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

    Science.gov (United States)

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

    2018-01-01

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

  17. Project evaluation for energy supply in rural areas of developing countries

    DEFF Research Database (Denmark)

    Vidal, Rene Victor Valqui; Christensen, J. M.

    1990-01-01

    This paper reports the methodological experiences of the project: Energy Supply Technologies in Developing Countries, carried out in collaboration with the Department of Energy, Zambia. Existing methods for project evaluation, based on cost-benefit analysis, will be briefly presented, particularly...... as regards their inadequacy for assessing energy projects in rural areas.An alternative practical and PC-based approach will be presented in which emphasis is placed on the problem formulation phase, including the socio-economic, cultural and political aspects of the problem. This approach has been prepared...

  18. Evaluation of diagnostic radiology services in five Latin American countries: Results for mammography

    International Nuclear Information System (INIS)

    Brandan, M.E.; Caspani, C.E.M.; Mora, R. de la; Miranda, A.A.; Plazas, M.-C.; Borras, C.

    2001-01-01

    Under the auspices of PAHO/WHO, a multicentric investigation is carried out in five Latin American countries. Its aim is to correlate quality indicators of radiology services with the accuracy of the radiological interpretation as determined by a panel of experts. We present preliminary results from mammographic imaging facilities, which indicate that the failure to comply with the international standards of quality control produces images of unacceptable quality, as measured either by using a phantom or by an independent evaluation of the clinical images. (author)

  19. Evaluation of the performance of national health systems in 2004-2011: An analysis of 173 countries.

    Science.gov (United States)

    Sun, Daxin; Ahn, Haksoon; Lievens, Tomas; Zeng, Wu

    2017-01-01

    In an effort to improve health service delivery and achieve better health outcomes, the World Health Organization (WHO) has called for improved efficiency of health care systems to better use the available funding. This study aims to examine the efficiency of national health systems using longitudinal country-level data. Data on health spending per capita, infant mortality rate (IMR), under 5 mortality rate (U5MR), and life expectancy (LE) were collected from or imputed for 173 countries from 2004 through 2011. Data envelopment analyses were used to evaluate the efficiency and regression models were constructed to examine the determinants of efficiency. The average efficiency of the national health system, when examined yearly, was 78.9%, indicating a potential saving of 21.1% of health spending per capita to achieve the same level of health status for children and the entire population, if all countries performed as well as their peers. Additionally, the efficiency of the national health system varied widely among countries. On average, Africa had the lowest efficiency of 67%, while West Pacific countries had the highest efficiency of 86%. National economic status, HIV/AIDS prevalence, health financing mechanisms and governance were found to be statistically associated with the efficiency of national health systems. Taking health financing as an example, a 1% point increase of social security expenses as a percentage of total health expenditure correlated to a 1.9% increase in national health system efficiency. The study underscores the need to enhance efficiency of national health systems to meet population health needs, and highlights the importance of health financing and governance in improving the efficiency of health systems, to ultimately improve health outcomes.

  20. Insurance market development: An empirical study of African countries

    Directory of Open Access Journals (Sweden)

    Athenia Bongani Sibindi

    2015-12-01

    Full Text Available The insurance industry plays a very crucial role in an economy by fostering intermediation and by its mechanism of risk bearing. As such it could be argued that the insurance industry fosters economic growth. In this article we analyse the global insurance market development trends, particularly focusing on Africa. Our sample comprise of the 10 African countries namely—South Africa, Angola, Nigeria, Kenya, Mauritius, Namibia, Algeria, Tunisia, Morocco and Egypt. We employ three insurance market development metrics namely; premium volumes, insurance density and insurance penetrations ratios to establish trends in the level of development of global insurance markets. Our results document that the African countries (excluding South Africa have the least developed insurance markets. For most of the countries in our sample, the non-life insurance industry dominates the life-insurance industry. As such, it is imperative that their respective governments put in place measures that will grow their economies inorder to stimulate the development of insurance markets in Africa.

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

    International Nuclear Information System (INIS)

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

    1994-01-01

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

  2. [Peer training for patients with diabetes mellitus 2. A quantitative and qualitative evaluation in the Basque Country and Andalusia].

    Science.gov (United States)

    Danet, Alina; Prieto Rodríguez, María Ángeles; Gamboa Moreno, Estibaliz; Ochoa de Retana Garcia, Lourdes; March Cerdà, Joan Carles

    2016-10-01

    To evaluate a peer training strategy for patients with type2 diabetes mellitus, developed in two training programmes in the Basque Country and Andalusia. Quantitative pre- and post-intervention and qualitative evaluation, developed between 2012 and 2014. The Basque Country and Andalusia. A total of 409 patients and trainer-patients, participating in self-management peer training programmes. Intentional sample of 44 patients for the qualitative study. Bivariate analysis and net gains for common variables used in questionnaires in the Basque Country and Andalusia: self-reported health, daily activities, physical activity, use of health services, and self-management. Content analysis of 8 focus groups with patients and trainer-patients, including: coding, categorisation, and triangulation of results. Peer training has a positive impact on physical activity, the use of health services, and self-management, with some gender differences. The peer-training strategy is considered positive, as it strengthens the patient-health provider relationship, generates group support and self-confidence, and improves the emotional management. Patients identify two areas of potential improvement: access and continuity of training strategies, and more support and recognition from health providers and institutions. The positive impact on health and quality of life that this patient peer-training provides, requires the collaboration of health professionals and institutions, which should improve the access, continuity and adaptation to patient needs and expectations. Copyright © 2015 Elsevier España, S.L.U. All rights reserved.

  3. Clearing a Hurried Path: Study on Education Programs for Migrant Workers in Six Asian Countries.

    Science.gov (United States)

    Villalba, Noel C.

    Against the backdrop of the Asian economic crisis, this study examined the range of education programs for migrant workers in six Asian countries. Surveys were returned from 145 migrant worker support organizations in three host countries--Hong Kong, South Korea, and Japan--and three sending countries--the Philippines, Indonesia, and India. The…

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

    OpenAIRE

    Jaruphan Supprung

    2014-01-01

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

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

    Science.gov (United States)

    Shekarbaghani, Ashrafoalsadat

    2016-01-01

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

  6. Childhood Sexual Violence Against Boys: A Study in 3 Countries

    Science.gov (United States)

    Sumner, Steven A.; Mercy, James A.; Buluma, Robert; Mwangi, Mary W.; Marcelin, Louis H.; Kheam, They; Lea, Veronica; Brookmeyer, Kathryn; Kress, Howard; Hillis, Susan D.

    2018-01-01

    BACKGROUND AND OBJECTIVE Globally, little evidence exists on sexual violence against boys. We sought to produce the first internationally comparable estimates of the magnitude, characteristics, risk factors, and consequences of sexual violence against boys in 3 diverse countries. METHODS We conducted nationally representative, multistage cluster Violence Against Children Surveys in Haiti, Kenya, and Cambodia among males aged 13 to 24 years. Differences between countries for boys experiencing sexual violence (including sexual touching, attempted sex, and forced/coerced sex) before age 18 years were examined by using χ2 and logistic regression analyses. RESULTS In Haiti, Kenya, and Cambodia, respectively, 1459, 1456, and 1255 males completed surveys. The prevalence of experiencing any form of sexual violence ranged from 23.1% (95% confidence Interval [CI]: 20.0–26.2) in Haiti to 14.8% (95% CI: 12.0–17.7) in Kenya, and 5.6% (95% CI: 4.0–7.2) in Cambodia. The largest share of perpetrators in Haiti, Kenya, and Cambodia, respectively, were friends/neighbors (64.7%), romantic partners (37.2%), and relatives (37.0%). Most episodes occurred inside perpetrators’ or victims’ homes in Haiti (60.4%), contrasted with outside the home in Kenya (65.3%) and Cambodia (52.1%). The most common time period for violence in Haiti, Kenya, and Cambodia was the afternoon (55.0%), evening (41.3%), and morning (38.2%), respectively. Adverse health effects associated with violence were common, including increased odds of transactional sex, alcohol abuse, sexually transmitted infections, anxiety/depression, suicidal ideation/ attempts, and violent gender attitudes. CONCLUSIONS Differences were noted between countries in the prevalence, characteristics, and risk factors of sexual violence, yet associations with adverse health effects were pervasive. Prevention strategies tailored to individual locales are needed. PMID:27244799

  7. Short communication. Sensory evaluation of commercial beef produced in Uruguay and three European countries

    OpenAIRE

    San-Julián, R.; Campo, M. M.; Nute, G.; Montossi, F.; Font-i-Furnols, M.; Guerrero, L.; Oliver, M. A.; Sañudo, C.

    2012-01-01

    The main goal of this study was to characterize and compare the organoleptic quality of beef from Uruguay and from three European countries. In Uruguay, 40 Hereford steers were raised exclusively under grazing conditions up to either two or three years old. Meat samples were aged for 20 days, matching commercial conditions. In Europe, one commercial local beef type, with two ageing times (7 and 20 days), from Germany, Spain and the United Kingdom were compared with Uruguayan beef samples, usi...

  8. Area Handbook Series: Costa Rica, a Country Study.

    Science.gov (United States)

    1983-11-01

    the Independent Party (Partido Independiente -PI) to support his own candidacy, waged a campaign against the government’s financial irresponsi- bility...range Photo by James D. Rudolph ley, chiefly by small farmers, began only in the 1920s. The open- ing of the Inter-American Highway in the post -World...the country (see The Calder6n Era, ch. 1). In the post -World War 11 era, anticlericalism was no longer a major issue, in prt because many of the

  9. Test Selection, Adaptation, and Evaluation: A Systematic Approach to Assess Nutritional Influences on Child Development in Developing Countries

    Science.gov (United States)

    Prado, Elizabeth L.; Hartini, Sri; Rahmawati, Atik; Ismayani, Elfa; Hidayati, Astri; Hikmah, Nurul; Muadz, Husni; Apriatni, Mandri S.; Ullman, Michael T.; Shankar, Anuraj H.; Alcock, Katherine J.

    2010-01-01

    Background: Evaluating the impact of nutrition interventions on developmental outcomes in developing countries can be challenging since most assessment tests have been produced in and for developed country settings. Such tests may not be valid measures of children's abilities when used in a new context. Aims: We present several principles for the…

  10. Chronic conditions and sleep problems among adults aged 50 years or over in nine countries: a multi-country study.

    Directory of Open Access Journals (Sweden)

    Ai Koyanagi

    Full Text Available Data on the association between chronic conditions or the number of chronic conditions and sleep problems in low- or middle-income countries is scarce, and global comparisons of these associations with high-income countries have not been conducted.Data on 42116 individuals 50 years and older from nationally-representative samples of the Collaborative Research on Ageing in Europe (Finland, Poland, Spain and the World Health Organization's Study on Global Ageing and Adult Health (China, Ghana, India, Mexico, Russia, South Africa conducted between 2011-2012 and 2007-2010 respectively were analyzed.The association between nine chronic conditions (angina, arthritis, asthma, chronic lung disease, depression, diabetes, hypertension, obesity, and stroke and self-reported severe/extreme sleep problems in the past 30 days was estimated by logistic regression with multiple variables. The age-adjusted prevalence of sleep problems ranged from 2.8% (China to 17.0% (Poland. After adjustment for confounders, angina (OR 1.75-2.78, arthritis (OR 1.39-2.46, and depression (OR 1.75-5.12 were significantly associated with sleep problems in the majority or all of the countries. Sleep problems were also significantly associated with: asthma in Finland, Spain, and India; chronic lung disease in Poland, Spain, Ghana, and South Africa; diabetes in India; and stroke in China, Ghana, and India. A linear dose-dependent relationship between the number of chronic conditions and sleep problems was observed in all countries. Compared to no chronic conditions, the OR (95%CI for 1,2,3, and ≥ 4 chronic conditions was 1.41 (1.09-1.82, 2.55 (1.99-3.27, 3.22 (2.52-4.11, and 7.62 (5.88-9.87 respectively in the overall sample.Identifying co-existing sleep problems among patients with chronic conditions and treating them simultaneously may lead to better treatment outcome. Clinicians should be aware of the high risk for sleep problems among patients with multimorbidity. Future studies

  11. The Agency's Technical Co-operation programme in Chile, 1981-1991. Country programme evaluation

    International Nuclear Information System (INIS)

    1992-01-01

    Agency support for nuclear activities in Chile dates back to the early 1960s. During the last ten years, the period covered by this evaluation, this support has considerably expanded. In the period 1981-1991, 62 Agency projects with allotments amounting to over $7 million were completed or are under implementation. Through this co-operation Chile has received 360 man-months of expert services, $3.4 million worth of equipment, and 105 fellowships for some 390 man-months of training. In addition, 262 Chileans attended 219 Agency regional and interregional training courses, and Chilean institutions were awarded 40 research contracts worth over $325,000. This evaluation covers ten years of Agency technical co-operation with Chile, during which 35 projects were completed and 27 are still being implemented. Eight major sectors received assistance: general atomic energy development; nuclear physics; nuclear raw materials; nuclear engineering and technology; nuclear techniques in agriculture; nuclear medicine; hydrology; and nuclear safety. The evaluation concluded that, overall, the Agency's technical co-operation activities have, in keeping with the national priorities concerning peaceful nuclear applications, contributed substantially to the establishment of Chile's nuclear scientific and technical infrastructure, and played a major role in Chile's efforts to introduce nuclear applications in a number of sectors of the economy, with many benefits for broader national development objectives. Another strength of the Agency's programme with Chile is the high level of commitment and dedication that was noted in the great majority of recipient institutions, and in particular at the Comision Chilena de Energia Nuclear, CChEN. Mention should also be made of the fact that bureaucracy appears to be less severe than in some other developing countries, and that constraints that frequently affect other countries, such as insufficient counterpart commitment and lack of continuity of

  12. Islamic Banking Existence and Domestic Credit: Study at Seven Countries

    Directory of Open Access Journals (Sweden)

    Hamdan Yuafi

    2017-05-01

    Full Text Available This paper empirically investigates the determinants of domestic credit across a wide range of 7 countries; these are United Kingdom, Malaysia, Egypt, Kuwait, Qatar, Bahrain and Indonesia. We use dynamic panel estimation to examine effects of exchange rate, inflation, lending interest rate, banking crisis and existence of wholesale Islamic banking on domestic credit. We obtain several notable empirical results. First, the lending interest rate, banking crisis negatively and insignificantly contribute to domestic credit. The existence of Islamic bank has positive and insignificant contribution to domestic credit, while exchange rate positively and significantly contributes to domestic credit.  Inflation negatively and significantly contributes to domestic credit. Second, banking crisis and existence of wholesale Islamic banking show insignificant effect on domestic credit. Third, we find that today’s domestic credit is depended on domestic credit in the previous year.DOI: 10.15408/aiq9i2.4906

  13. Undergraduate medical education in the Gulf Cooperation Council: a multi-countries study (Part 1).

    Science.gov (United States)

    Hamdy, H; Telmesani, A W; Al Wardy, N; Abdel-Khalek, N; Carruthers, G; Hassan, F; Kassab, S; Abu-Hijleh, M; Al-Roomi, K; O'malley, K; El Din Ahmed, M G; Raj, G A; Rao, G M; Sheikh, K

    2010-01-01

    The Gulf Cooperation Council (GCC) countries have witnessed over the last 40 years a rapid and major social, cultural, and economic transformation. The development of medical education in the region is relatively new, dating from the late 1960s. An important goal among the medical colleges in the region is to graduate national physicians who can populate the healthcare service of each country. The aim of this study is to provide understanding of undergraduate medical education in each of the six GCC countries and the challenges that each face. This is a descriptive cross-sectional study. Fourteen senior medical faculty were requested to submit information about undergraduate medical education in their own countries, focusing on its historical background, student selection, curriculum, faculty, and challenges. The information provided was about 27 medical colleges: 16 from the Kingdom of Saudi Arabia (KSA), five from the United Arab Emirates (UAE), two from the Kingdom of Bahrain, two from Sultanate of Oman, one from Kuwait, and one from the State of Qatar. It was found that older colleges are reviewing their curriculum while new colleges are developing their programs following current trends in medical education, particularly problem-based learning and integrated curricula. The programs as described 'on paper' look good but what needs to be evaluated is the curriculum 'in action'. Faculty development in medical education is taking place in most of the region's medical colleges. The challenges reported were mainly related to shortages of faculty, availability of clinical training facilities and the need to more integration with the National Health Care services. Attention to quality, standards, and accreditation is considered essential by all colleges.

  14. Undergraduate medical education in the Gulf Cooperation Council: a multi-countries study (Part 2).

    Science.gov (United States)

    Hamdy, H; Telmesani, A W; Wardy, N Al; Abdel-Khalek, N; Carruthers, G; Hassan, F; Kassab, S; Abu-Hijleh, M; Al-Roomi, K; O'Malley, K; El Din Ahmed, M G; Raj, G A; Rao, G M; Sheikh, J

    2010-01-01

    The Gulf Cooperation Council (GCC) countries have witnessed over the last 40 years a rapid and major social, cultural, and economic transformation. The development of medical education in the region is relatively new, dating from the late 1960s. An important goal among the medical colleges in the region is to graduate national physicians who can populate the healthcare service of each country. The aim of this study is to provide understanding of undergraduate medical education in each of the six GCC countries and the challenges that each face. This is a descriptive cross-sectional study. Fourteen senior medical faculty were requested to submit information about undergraduate medical education in their own countries, focusing on its historical background, student selection, curriculum, faculty, and challenges. The information provided was about 27 medical colleges: 16 from the Kingdom of Saudi Arabia (KSA), five from the United Arab Emirates, two from the Kingdom of Bahrain, two from Sultanate of Oman, one from Kuwait and one from the State of Qatar. It was found that older colleges are reviewing their curriculum while new colleges are developing their programs following current trends in medical education particularly problem-based learning and integrated curricula. The programs as described 'on paper' look good but what needs to be evaluated is the curriculum 'in action'. Faculty development in medical education is taking place in most of the region's medical colleges. The challenges reported were mainly related to shortages of faculty, availability of clinical training facilities, and the need to more integration with the National Health Care services. Attention to quality, standards, and accreditation is considered essential by all colleges.

  15. Economic evaluation of the breast cancer screening programme in the Basque Country: retrospective cost-effectiveness and budget impact analysis.

    Science.gov (United States)

    Arrospide, Arantzazu; Rue, Montserrat; van Ravesteyn, Nicolien T; Comas, Merce; Soto-Gordoa, Myriam; Sarriugarte, Garbiñe; Mar, Javier

    2016-06-01

    Breast cancer screening in the Basque Country has shown 20 % reduction of the number of BC deaths and an acceptable overdiagnosis level (4 % of screen detected BC). The aim of this study was to evaluate the breast cancer early detection programme in the Basque Country in terms of retrospective cost-effectiveness and budget impact from 1996 to 2011. A discrete event simulation model was built to reproduce the natural history of breast cancer (BC). We estimated for lifetime follow-up the total cost of BC (screening, diagnosis and treatment), as well as quality-adjusted life years (QALY), for women invited to participate in the evaluated programme during the 15-year period in the actual screening scenario and in a hypothetical unscreened scenario. An incremental cost-effectiveness ratio was calculated with the use of aggregated costs. Besides, annual costs were considered for budget impact analysis. Both population level and single-cohort analysis were performed. A probabilistic sensitivity analysis was applied to assess the impact of parameters uncertainty. The actual screening programme involved a cost of 1,127 million euros and provided 6.7 million QALYs over the lifetime of the target population, resulting in a gain of 8,666 QALYs for an additional cost of 36.4 million euros, compared with the unscreened scenario. Thus, the incremental cost-effectiveness ratio was 4,214€/QALY. All the model runs in the probabilistic sensitivity analysis resulted in an incremental cost-effectiveness ratio lower than 10,000€/QALY. The screening programme involved an increase of the annual budget of the Basque Health Service by 5.2 million euros from year 2000 onwards. The BC screening programme in the Basque Country proved to be cost-effective during the evaluated period and determined an affordable budget impact. These results confirm the epidemiological benefits related to the centralised screening system and support the continuation of the programme.

  16. Cessation assistance reported by smokers in 15 countries participating in the International Tobacco Control (ITC) policy evaluation surveys.

    Science.gov (United States)

    Borland, Ron; Li, Lin; Driezen, Pete; Wilson, Nick; Hammond, David; Thompson, Mary E; Fong, Geoffrey T; Mons, Ute; Willemsen, Marc C; McNeill, Ann; Thrasher, James F; Cummings, K Michael

    2012-01-01

    To describe some of the variability across the world in levels of quit smoking attempts and use of various forms of cessation support. Use of the International Tobacco Control Policy Evaluation Project surveys of smokers, using the 2007 survey wave (or later, where necessary). Australia, Canada, China, France, Germany, Ireland, Malaysia, Mexico, the Netherlands, New Zealand, South Korea, Thailand, United Kingdom, Uruguay and United States. Samples of smokers from 15 countries. Self-report on use of cessation aids and on visits to health professionals and provision of cessation advice during the visits. Prevalence of quit attempts in the last year varied from less than 20% to more than 50% across countries. Similarly, smokers varied greatly in reporting visiting health professionals in the last year (<20% to over 70%), and among those who did, provision of advice to quit also varied greatly. There was also marked variability in the levels and types of help reported. Use of medication was generally more common than use of behavioural support, except where medications are not readily available. There is wide variation across countries in rates of attempts to stop smoking and use of assistance with higher overall use of medication than behavioural support. There is also wide variation in the provision of brief advice to stop by health professionals. © 2011 The Authors, Addiction © 2011 Society for the Study of Addiction.

  17. A qualitative evaluation of leadership development workshops for mental health workers from four Pacific Island Countries.

    Science.gov (United States)

    Fung, Paul; Montague, Ros

    2015-06-01

    This paper provides a qualitative evaluation of a series of leadership development workshops held at the New South Wales Institute of Psychiatry (NSWIOP) for mental health workers from Papua New Guinea, Federated States of Micronesia, Republic of Marshall Islands, and Palau. Fourteen mental health workers attended the week-long training focused on project management and partnership development skills. In-depth interviews were conducted with participants at the commencement and conclusion of the training, and questionnaires were completed. A focus group was conducted with the NSWIOP organisers. The data was analysed using qualitative techniques to identify emergent themes for both participants and NSWIOP project team. All Pacific Island participants responded positively to the training. All reported greater confidence in taking on formal or informal leadership roles in the workplace, developing project planning skills and interpersonal skills such as networking and partnerships. The NSWIOP organisers identified strengths and weaknesses in the delivery of this training. The strong partnerships developed between NSWIOP and the Ministry of Health in all four countries contributed to the success of the training. Leadership Development Programs are an important aspect of building capacity in the mental health services of Pacific Island Countries. © The Royal Australian and New Zealand College of Psychiatrists 2015.

  18. Lessons learned in evaluating the Familias Fuertes program in three countries in Latin America

    Directory of Open Access Journals (Sweden)

    Pamela Orpinas

    2014-12-01

    Full Text Available This report describes 1 the evaluation of the Familias Fuertes primary prevention program in three countries (Bolivia, Colombia, and Ecuador and 2 the effect of program participation on parenting practices. Familias Fuertes was implemented in Bolivia (10 groups, 96 parents, Colombia (12 groups, 173 parents, and Ecuador (five groups, 42 parents to prevent the initiation and reduce the prevalence of health-compromising behaviors among adolescents by strengthening family relationships and enhancing parenting skills. The program consists of seven group sessions (for 6-12 families designed for parents/caregivers and their 10-14-year-old child. Parents/caregivers answered a survey before the first session and at the completion of the program. The survey measured two important mediating constructs: "positive parenting" and "parental hostility." The Pan American Health Organization provided training for facilitators. After the program, parents/caregivers from all three countries reported significantly higher mean scores for "positive parenting" and significantly lower mean scores for "parental hostility" than at the pre-test. "Positive parenting" practices paired with low "parental hostility" are fundamental to strengthening the relationship between parents/caregivers and the children and reducing adolescents' health-compromising behaviors. More research is needed to examine the long-term impact of the program on adolescent behaviors.

  19. Cost-effectiveness as a method of evaluating social objectives among countries

    Energy Technology Data Exchange (ETDEWEB)

    Rittenoure, R L [Univ. of Tulsa, OK; Pluta, J E

    1979-01-01

    This article suggests a methodology for measuring the achievement of an educational system in terms of a relevant set of social objectives. It is designed to encourage intercountry comparisons of the effectiveness and/or efficiency in educational systems and to provide an analytical foundation for further empirical efforts. Using data from a sample of seven Latin American countries, this paper builds on past attempts to analyze public education expenditures, extend the interdisciplinary dimensions of public policy analysis, and specifies data needs through the identification of measures useful for evaluation and comparison. Background research for the article involved comparing historical data for inputs to educational systems such as number of teachers, educational institutions, students enrolled, and student/teacher ratios with data on the outputs, such as literacy rates and demand for reading material as is evidenced by per capita newsprint consumption, daily newspaper circulation, and the number of books published and translated. Where data are relatively satisfactory and consistent we compared the measures of output with costs of public education programmes. Our results suggest that input and output measures yield quite different interpretations of the performance of educational systems - often diametrically opposed. We find this result disturbing in light of the extended use of input measures in both academic circles and by policy makers within individual countries to judge the effectiveness of educational efforts.

  20. A study on the enhancement of nuclear cooperation with African countries including utilization of radioisotope

    Energy Technology Data Exchange (ETDEWEB)

    Yang, Maeng Ho; Oh, K. B; Lee, H. M. and others

    2005-05-15

    In this study, potential countries for nuclear cooperation in African region and possible cooperation areas were investigated between Korea and African countries including radioisotopes and more fields were also analysed in depth in order to suggest the recommendations for future cooperation to be considered as follows; First, current status and perspectives of demand and supply of energy and electricity in the African countries, use and development of nuclear energy and international nuclear cooperation were analyzed. Second, current status of nuclear cooperation between Korea and African countries were investigated as well as analysis of future cooperation potential and countries having potential for nuclear cooperation and possible cooperative activities were suggested considering potential of nuclear market in mid- and long term base and step by step. Third, desirable strategies and directions for the establishment and promotion of nuclear cooperation relations between Korea and African developing countries were suggested in order to develope cooperative relations in efficient and effective manners with African developing countries.

  1. A study on the enhancement of nuclear cooperation with African countries including utilization of radioisotope

    International Nuclear Information System (INIS)

    Yang, Maeng Ho; Oh, K. B; Lee, H. M. and others

    2005-05-01

    In this study, potential countries for nuclear cooperation in African region and possible cooperation areas were investigated between Korea and African countries including radioisotopes and more fields were also analysed in depth in order to suggest the recommendations for future cooperation to be considered as follows; First, current status and perspectives of demand and supply of energy and electricity in the African countries, use and development of nuclear energy and international nuclear cooperation were analyzed. Second, current status of nuclear cooperation between Korea and African countries were investigated as well as analysis of future cooperation potential and countries having potential for nuclear cooperation and possible cooperative activities were suggested considering potential of nuclear market in mid- and long term base and step by step. Third, desirable strategies and directions for the establishment and promotion of nuclear cooperation relations between Korea and African developing countries were suggested in order to develope cooperative relations in efficient and effective manners with African developing countries

  2. COUNTRY RISK EVALUATION IMPACT ON FDI FLOW. MEDIUM RUN EVIDENCE FROM ROMANIA

    Directory of Open Access Journals (Sweden)

    EMILIA UNGUREANU

    2014-10-01

    Full Text Available During the last two decades, Romanian economy suffered numerous changes, with direct impact in the socio-economic and political life. This affected also the investment environment, the degree of attractiveness for investors and the flow of FDIs. As the economic system has a global dimension, the need of evaluating different countries from a risk perspective (that will serve as starting point for investor’s decision has increased the role of rating agencies, especially in the economic crisis context. Therefore, by applying two econometric models, we will determine in which degree the risk rating (using the Euromoney index is influencing the FDI flow in Romania, having as evidence the period 1996-2012.

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

    International Nuclear Information System (INIS)

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

    2006-01-01

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

  4. Country report - Turkey: Brief description of feasibility study results

    International Nuclear Information System (INIS)

    2014-01-01

    Nuclear power first appeared in Turkish development plans in 1968. Turkey’s first FS for nuclear power was launched in the early 1960s. Two suitable sites (Akkuyu and Sinop) were identified for building NPPs, and the Akkuyu site was licensed in 1976. Several more attempts were made to build a nuclear reactor at the Mediterranean site of Akkuyu Bay, but they did not get beyond the planning stage. The political commitment to having greater nuclear power in the energy mix was reiterated in an electricity energy market and supply security strategy document issued in May 2009 by the Prime Minister’s office, which set out a goal of 5% nuclear power generation by 2020. Hence, the Ministry of Energy and Natural Resources (MENR) negotiated with some countries in order to construct a NPP. Nuclear efforts have proceeded in the form of an intergovernmental agreement (IGA) between the Turkish and Russian Federation governments. The IGA was signed in May 2010. Akkuyu Nuclear Generating Station Elektrik Üretim A.Ş (or Akkuyu Electricity Generation JSC) was incorporated in Turkey in December 2010

  5. The Effects of Globalization on Working Conditions in Developing Countries : An Analysis Framework and Country Study Results

    OpenAIRE

    Ruwan Jayasuriya

    2008-01-01

    Globalization defined as falling barriers to, and the increase in, trade, migration, and investment across borders directly affects workers in both developed and developing countries. While most global trade and investment is between the developed countries, globalization has increased dramatically in a number of developing countries. Understanding the effects of globalization is critical ...

  6. Quality of Life of Adults With Congenital Heart Disease in 15 Countries: Evaluating Country-Specific Characteristics

    NARCIS (Netherlands)

    Apers, Silke; Kovacs, Adrienne H.; Luyckx, Koen; Thomet, Corina; Budts, Werner; Enomoto, Junko; Sluman, Maayke A.; Wang, Jou-Kou; Jackson, Jamie L.; Khairy, Paul; Cook, Stephen C.; Chidambarathanu, Shanthi; Alday, Luis; Eriksen, Katrine; Dellborg, Mikael; Berghammer, Malin; Mattsson, Eva; Mackie, Andrew S.; Menahem, Samuel; Caruana, Maryanne; Veldtman, Gruschen; Soufi, Alexandra; Romfh, Anitra W.; White, Kamila; Callus, Edward; Kutty, Shelby; Fieuws, Steffen; Moons, Philip

    2016-01-01

    Measuring quality of life (QOL) is fundamental to understanding the impact of disease and treatment on patients' lives. This study aimed to explore QOL in an international sample of adults with congenital heart disease (CHD), the association between patient characteristics and QOL, and international

  7. Influence of country of study on student responsiveness to the H1N1 pandemic.

    Science.gov (United States)

    Griffiths, S M; Wong, A H; Kim, J H; Yung, T K C; Lau, J T F

    2010-08-01

    University students, both travelling abroad on holiday or exchange students entering a country, can serve as mobile carriers of infectious diseases during a pandemic, and thus require special attention when considering preventive measures. The objectives of this study were to evaluate student compliance and opinions on preventive measures of a university before and during an H1N1 influenza pandemic, and to explore environmental and behavioural factors that might contribute towards compliance. Cross-sectional, self-administered questionnaire. Local and foreign students attending an international summer school programme were invited to participate in a self-administered survey. Respondents complied with most of the preventive measures, excluding website viewing and mask wearing. Significant differences in compliance and perceived necessity were found amongst students from Singapore, Hong Kong and the USA. Singaporean students were significantly more likely to comply with all measures and consume antiviral medication in response to the pandemic than students studying in the US. Students' responses towards university pandemic measures were largely positive, but sensitivity towards these measures varied between groups by country of study. This should be considered in further comparative studies. Copyright 2010 The Royal Society for Public Health. Published by Elsevier Ltd. All rights reserved.

  8. The Country of Origin and Consumer Ethnocentrism Effects in the Evaluation of a Global Brand: the case of McDonald’s

    OpenAIRE

    Vivian Iara Strehlau; Mateus Canniatti Ponchio; Viviane Riegel

    2011-01-01

    The objective of this study is to analyze the influence of country of origin and ethnocentrism on the image of a brand known internationally – the fast food company McDonald’s – and observe if there exist differences in the evaluation of brand image based on gender, age and socio-economic class. The work begins with a contextualization, followed by a review of the main concepts applied: evaluation of a global brand, consumer ethnocentrism and country of origin effect. A survey based on a non-...

  9. How Culture Affects Female Inequality across Countries: An Empirical Study

    Science.gov (United States)

    Cheung, Hoi Yan; Chan, Alex W. H.

    2007-01-01

    Many studies have commented that culture has an influence on gender inequality. However, few studies have provided data that could be used to investigate how culture actually influences female inequality. One of the aims of this study is to investigate whether Hofstede's cultural dimensions have an impact on female inequality in education in terms…

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

    International Nuclear Information System (INIS)

    2018-01-01

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

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

    Science.gov (United States)

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

    2014-01-01

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

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

    OpenAIRE

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

    2017-01-01

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

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

    OpenAIRE

    Sadia Shabbir; Hafiz M. Yasin

    2015-01-01

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

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

    LENUS (Irish Health Repository)

    Clarke, Nicholas

    2017-09-25

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

  15. Joint Evaluation of the Wave and Offshore Wind Energy Resources in the Developing Countries

    Directory of Open Access Journals (Sweden)

    Eugen Rusu

    2017-11-01

    Full Text Available The objective of the present work is to assess the global wind and wave resources in the vicinity of some developing countries by evaluating 16-year of data (2001–2016, coming from the European Centre for Medium range Weather Forecast (ECMWF. Until now, not much work has been done to evaluate and use the renewable energy sources from these marine environments. This is because most of the attention was focused on more promising areas, such as the European coasts, which are more advanced in terms of technical and economical aspects. A general perspective of the current energy market from the selected target areas is first presented, indicating at the same time the progresses that have been reported in the field of the renewable energy. Besides the spatial and seasonal variations of the marine resources considered, the results also indicate the energy potential of these coastal environments as well as the performances of some offshore wind turbines, which may operate in these regions.

  16. Loneliness, Social Networks, and Health: A Cross-Sectional Study in Three Countries.

    Science.gov (United States)

    Rico-Uribe, Laura Alejandra; Caballero, Francisco Félix; Olaya, Beatriz; Tobiasz-Adamczyk, Beata; Koskinen, Seppo; Leonardi, Matilde; Haro, Josep Maria; Chatterji, Somnath; Ayuso-Mateos, José Luis; Miret, Marta

    2016-01-01

    It is widely recognized that social networks and loneliness have effects on health. The present study assesses the differential association that the components of the social network and the subjective perception of loneliness have with health, and analyzes whether this association is different across different countries. A total of 10 800 adults were interviewed in Finland, Poland and Spain. Loneliness was assessed by means of the 3-item UCLA Loneliness Scale. Individuals' social networks were measured by asking about the number of members in the network, how often they had contacts with these members, and whether they had a close relationship. The differential association of loneliness and the components of the social network with health was assessed by means of hierarchical linear regression models, controlling for relevant covariates. In all three countries, loneliness was the variable most strongly correlated with health after controlling for depression, age, and other covariates. Loneliness contributed more strongly to health than any component of the social network. The relationship between loneliness and health was stronger in Finland (|β| = 0.25) than in Poland (|β| = 0.16) and Spain (|β| = 0.18). Frequency of contact was the only component of the social network that was moderately correlated with health. Loneliness has a stronger association with health than the components of the social network. This association is similar in three different European countries with different socio-economic and health characteristics and welfare systems. The importance of evaluating and screening feelings of loneliness in individuals with health problems should be taken into account. Further studies are needed in order to be able to confirm the associations found in the present study and infer causality.

  17. Loneliness, Social Networks, and Health: A Cross-Sectional Study in Three Countries.

    Directory of Open Access Journals (Sweden)

    Laura Alejandra Rico-Uribe

    Full Text Available It is widely recognized that social networks and loneliness have effects on health. The present study assesses the differential association that the components of the social network and the subjective perception of loneliness have with health, and analyzes whether this association is different across different countries.A total of 10 800 adults were interviewed in Finland, Poland and Spain. Loneliness was assessed by means of the 3-item UCLA Loneliness Scale. Individuals' social networks were measured by asking about the number of members in the network, how often they had contacts with these members, and whether they had a close relationship. The differential association of loneliness and the components of the social network with health was assessed by means of hierarchical linear regression models, controlling for relevant covariates.In all three countries, loneliness was the variable most strongly correlated with health after controlling for depression, age, and other covariates. Loneliness contributed more strongly to health than any component of the social network. The relationship between loneliness and health was stronger in Finland (|β| = 0.25 than in Poland (|β| = 0.16 and Spain (|β| = 0.18. Frequency of contact was the only component of the social network that was moderately correlated with health.Loneliness has a stronger association with health than the components of the social network. This association is similar in three different European countries with different socio-economic and health characteristics and welfare systems. The importance of evaluating and screening feelings of loneliness in individuals with health problems should be taken into account. Further studies are needed in order to be able to confirm the associations found in the present study and infer causality.

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

    Directory of Open Access Journals (Sweden)

    Mpinga EK

    2014-04-01

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

  19. Violence as a public health problem: an ecological study of 169 countries.

    Science.gov (United States)

    Wolf, Achim; Gray, Ron; Fazel, Seena

    2014-03-01

    Individual level risk factors for violence have been widely studied, but little is known about country-level determinants, particularly in low and middle-income countries. We hypothesized that income inequality, through its detrimental effects on social cohesion, would be related to an increase in violence worldwide, and in low and middle-income countries in particular. We examined country-level associations of violence with socio-economic and health-related factors, using crime statistics from the United Nations Office on Drugs and Crime, and indicators from the Human Development Report published by the United Nations Development Programme. Using regression models, we measured relationships between country-level factors (age, education, measures of income, health expenditure, and alcohol consumption) and four violent outcomes (including measures of violence-related mortality and morbidity) in up to 169 countries. We stratified our analyses comparing high with low and middle-income countries, and analysed longitudinal data on homicide and income inequality in high-income countries. In low and middle-income countries, income inequality was related to homicide, robbery, and self-reported assault (all p's public policy interventions reducing alcohol consumption may contribute to reducing violence rates. Our main finding was that income inequality was related to violence in low and middle-income countries. Public health should advocate for global action to moderate income inequality to reduce the global health burden of violence. Copyright © 2013 The Authors. Published by Elsevier Ltd.. All rights reserved.

  20. 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.)

  1. Menses cup evaluation study.

    Science.gov (United States)

    Cheng, M; Kung, R; Hannah, M; Wilansky, D; Shime, J

    1995-09-01

    To determine whether the menses cup is well tolerated by menstruating women. Prospective descriptive clinical study. Normal human volunteers in an academic research environment. Fifty-one menstruating women recruited between June to December 1991. Each participant was provided with two menses cups and an instruction sheet. Baseline information, including age, occupation, martial status, parity, description of menstrual flow, and current method used to cope with menstrual flow was collected. Subjects were asked to describe their experience with the cup at 1-, 2-, 6-, and 12-month intervals. The proportion of women who found the cup acceptable. The cup was used by 51 subjects for a total of 159 cycles. Overall, 23 women (45%) found the cup an acceptable method for coping with menses. Among 29 (57%) women who used the cup for two or more cycles, 62% found it acceptable. The menses cup may be an acceptable method for some women for coping with menstrual flow.

  2. A pilot study on acoustic regulations for schools – Comparison between selected countries in Europe

    DEFF Research Database (Denmark)

    Rasmussen, Birgit; Guigou-Carter, Catherine

    2016-01-01

    of descriptors and limit values for acoustic requirements. The paper includes examples of acoustic regulations for schools, including specific sound insulation requirements on airborne and impact sound insulation, limit values for noise from traffic and from service equipment and in addition on reverberation......Acoustic regulations for schools exist in most countries in Europe, the main reasons being improving learning conditions for pupils and work conditions for teachers. As a pilot study, comparison between requirements in selected countries in Europe has been carried out. The findings show a diversity...... time for class rooms. Furthermore, the discrepancies between countries are being discussed and some priorities for adjusting acoustic regulations in some countries indicated....

  3. Two-country study of engagement, supervisors and performance appraisal

    NARCIS (Netherlands)

    Farndale, Elaine

    2017-01-01

    Purpose Multinational enterprises are increasingly interested in improving employee engagement across diverse geographies, signifying the importance of understanding antecedents of engagement across different national business systems. This study aims to explore the relationship between an important

  4. "Real-World" use of cinacalcet for managing SHPT in different European countries: analysis of data from the ECHO observational study

    DEFF Research Database (Denmark)

    Vervloet, M; Bencova, V; Malberti, F

    2010-01-01

    The pan-European ECHO observational study evaluated cinacalcet in adult dialysis patients with secondary hyperparathyroidism (SHPT) in "real-world" clinical practice. A sub-analysis compared data for 7 European countries/country clusters: Austria, CEE (Czech Republic and Slovakia), France, Italy,...

  5. The Impacts of Country-of-origin, Product Involvement, and Product Familiarity on Product Evaluation

    OpenAIRE

    Nugroho, Sahid Susilo; Rostiani, Rokhima; Gitosudarmo, Indriyo

    2014-01-01

    One of the most interesting phenomena in global business is the existence of a product’scountry-of-origin (COO). COO as an informational cue has been proven to affect consumer’spurchasing decisions in terms of their perception towards the product’s attributes as well astheir overall evaluation of the product. The objective of this study is to investigate the impacts ofcountry-of-origin on product evaluation in the Indonesian market by considering consumers’product familiarity and consumers’ p...

  6. US country studies program: Support for climate change studies, national plans, and technology assessments

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1996-12-31

    This paper describes the objectives of the next phase of the U.S. Country Studies Program which was launched in support of the Framework Convention on Climate Change (FCCC). The next phases of this program aim to: assist countries in preparing Climate Change Action plans; support technology assessments and development of technology initiatives; enhance exchange of information and expertise in support of FCCC. The program offers support for these processes in the form of handbooks which have been published to aid in preparing action plans, and to provide information on methane, forestry, and energy technologies. In addition an array of training workshops have been and are scheduled to offer hands on instruction to participants, expert advice is available from trained personnel, and modeling tools are available to aid in development of action plans.

  7. Important Questions of Comparative Studies in Asian Countries

    Science.gov (United States)

    Pazyura, Natalia

    2015-01-01

    The issue of the "identity" of comparative education as a field of study or a discipline has been discussed for decades. Yet a kind of systematic structure that provides the basic principles for a coherent exposition of the field remains open. "Comparative education" is no longer conceived as an imaginary field's coherence but,…

  8. Methodological variation in economic evaluations conducted in low- and middle-income countries: information for reference case development.

    Science.gov (United States)

    Santatiwongchai, Benjarin; Chantarastapornchit, Varit; Wilkinson, Thomas; Thiboonboon, Kittiphong; Rattanavipapong, Waranya; Walker, Damian G; Chalkidou, Kalipso; Teerawattananon, Yot

    2015-01-01

    Information generated from economic evaluation is increasingly being used to inform health resource allocation decisions globally, including in low- and middle- income countries. However, a crucial consideration for users of the information at a policy level, e.g. funding agencies, is whether the studies are comparable, provide sufficient detail to inform policy decision making, and incorporate inputs from data sources that are reliable and relevant to the context. This review was conducted to inform a methodological standardisation workstream at the Bill and Melinda Gates Foundation (BMGF) and assesses BMGF-funded cost-per-DALY economic evaluations in four programme areas (malaria, tuberculosis, HIV/AIDS and vaccines) in terms of variation in methodology, use of evidence, and quality of reporting. The findings suggest that there is room for improvement in the three areas of assessment, and support the case for the introduction of a standardised methodology or reference case by the BMGF. The findings are also instructive for all institutions that fund economic evaluations in LMICs and who have a desire to improve the ability of economic evaluations to inform resource allocation decisions.

  9. Methodological variation in economic evaluations conducted in low- and middle-income countries: information for reference case development.

    Directory of Open Access Journals (Sweden)

    Benjarin Santatiwongchai

    Full Text Available Information generated from economic evaluation is increasingly being used to inform health resource allocation decisions globally, including in low- and middle- income countries. However, a crucial consideration for users of the information at a policy level, e.g. funding agencies, is whether the studies are comparable, provide sufficient detail to inform policy decision making, and incorporate inputs from data sources that are reliable and relevant to the context. This review was conducted to inform a methodological standardisation workstream at the Bill and Melinda Gates Foundation (BMGF and assesses BMGF-funded cost-per-DALY economic evaluations in four programme areas (malaria, tuberculosis, HIV/AIDS and vaccines in terms of variation in methodology, use of evidence, and quality of reporting. The findings suggest that there is room for improvement in the three areas of assessment, and support the case for the introduction of a standardised methodology or reference case by the BMGF. The findings are also instructive for all institutions that fund economic evaluations in LMICs and who have a desire to improve the ability of economic evaluations to inform resource allocation decisions.

  10. Genderedness of Bar Drinking Culture and Alcohol-Related Harms: A Multi-Country Study

    Science.gov (United States)

    Roberts, Sarah C. M.; Bond, Jason; Korcha, Rachael; Greenfield, Thomas K.

    2013-01-01

    This study explores whether associations between consuming alcohol in bars and alcohol-related harms are consistent across countries and whether country-level characteristics modify associations. We hypothesized that genderedness of bar drinking modifies associations, such that odds of harms associated with bar drinking increase more rapidly in…

  11. Social science teachers on citizenship education: A comparative study of two post-communist countries

    NARCIS (Netherlands)

    Jeliazkova, Margarita I.

    2015-01-01

    This paper presents some of the results of a comparative study of high school social science teachers in two post-communist European countries: Bulgaria and Croatia. In both countries, citizenship education was implemented as a part of the EU accession efforts. I discuss the ways teachers deal with

  12. Area Handbook Series: East Germany: A Country Study

    Science.gov (United States)

    1987-07-01

    popularity, supported the NSDAP with funds. Meanwhile, Briining’s successor, Franz von Papen , a strong authoritarian who wished to establish a corporate...Study Papen , Franz von , 33 training, 227; Transport Police, xxiv, Parow, 229 xxv, 226, 229, 273; Water Police, 260 Pavlovskii, I.G., 350 Polish Corridor...Constitution). Franz von l’apen, chancellor May-December I132; Hitle’s National Socialists won 2:30 Reichstag seats in July 1932 elettioins and ctiecrged

  13. Area Handbook Series: Soviet Union: A Country Study

    Science.gov (United States)

    1989-05-01

    893 Bibliography Chapter 1 Auty, Robert, and Dmitry Obolensky (eds.). An Introduction to Rus- sian History, 1: Companion to Russian Studies. Cambridge...Panchenko, Chudnovskiy. Edinaia transportnaia sistema . Moscow: Transport, 1987. Guzhenko, T.B. (ed.). Morskoi transport SSSR: K 60-letiiu otrasli. Moscow...Resources (The BAM). New York: John Wiley and Sons, 1977. 952 Bibliography Shafirkin, B.I. Edinaia transportnaia sistema SSSR i vzaimodeistvie. Moscow

  14. Consanguinity studies and genome research in Mediterranean developing countries

    OpenAIRE

    Romeo, G.; Gialluisi, A.; Pippucci, T.

    2012-01-01

    Purpose: Classical studies of consanguinity have taken advantage of the relationship between the gene frequency for a rare autosomal recessive disorder (q) and the proportion of offspring of consanguineous couples who are affected with the same disorder. The Swedish geneticist Gunnar Dahlberg provided the first theoretical formulation of the inverse correlation between q and the increase in frequency of consanguineous marriages among parents of affected children with respect to marriages of t...

  15. The Audio-Visual Services in Fifteen African Countries. Comparative Study on the Administration of Audio-Visual Services in Advanced and Developing Countries. Part Four. First Edition.

    Science.gov (United States)

    Jongbloed, Harry J. L.

    As the fourth part of a comparative study on the administration of audiovisual services in advanced and developing countries, this UNESCO-funded study reports on the African countries of Cameroun, Republic of Central Africa, Dahomey, Gabon, Ghana, Kenya, Libya, Mali, Nigeria, Rwanda, Senegal, Swaziland, Tunisia, Upper Volta and Zambia. Information…

  16. Obesity Researches Over the Past 24 years: A Scientometrics Study in Middle East Countries.

    Science.gov (United States)

    Djalalinia, Shirin; Peykari, Niloofar; Qorbani, Mostafa; Moghaddam, Sahar Saeedi; Larijani, Bagher; Farzadfar, Farshad

    2015-01-01

    Researchers, practitioners, and policy-makers call for updated valid evidences to monitor, prevent, and control of alarming trends of obesity. We quantify the trends of obesity/overweight researches outputs of Middle East countries. We systematically searched Scopus database as the only sources for multidisciplinary citation reports, with the most coverage in health and biomedicine disciplines for all related obesity/overweight publications, from 1990 to 2013. These scientometrics analysis assessed the trends of scientific products, citations, and collaborative papers in Middle East countries. We also provided Information on top institutions, journals, and collaborative research centers in the field of obesity/overweight. Over 24-year period, the number of obesity/overweight publications and related citations in Middle East countries had increasing trend. Globally, during 1990-2013, 415,126 papers have been published, from them, 3.56% were affiliated to Middle East countries. Iran with 26.27%, compare with other countries in the regions, after Turkey (47.94%) and Israel (35.25%), had the third position. Israel, Turkey, and Iran were leading countries in citation analysis. The most collaborative country with Middle East countries was USA and within the region, the most collaborative country was Saudi Arabia. Despite the ascending trends in research outputs, more efforts required for promotion of collaborative partnerships. Results could be useful for better health policy and more planned studies in this field. These findings also could be used for future complementary analysis.

  17. Service user and caregiver involvement in mental health system strengthening in low- and middle-income countries: a cross-country qualitative study.

    Science.gov (United States)

    Lempp, H; Abayneh, S; Gurung, D; Kola, L; Abdulmalik, J; Evans-Lacko, S; Semrau, M; Alem, A; Thornicroft, G; Hanlon, C

    2018-02-01

    The aims of this paper are to: (i) explore the experiences of involvement of mental health service users, their caregivers, mental health centre heads and policy makers in mental health system strengthening in three low- and middle-income countries (LMICs) (Ethiopia, Nepal and Nigeria); (ii) analyse the potential benefits and barriers of such involvement; and (iii) identify strategies required to achieve greater service user and caregiver participation. A cross-country qualitative study was conducted, interviewing 83 stakeholders of mental health services. Our analysis showed that service user and caregiver involvement in the health system strengthening process was an alien concept for most participants. They reported very limited access to direct participation. Stigma and poverty were described as the main barriers for involvement. Several strategies were identified by participants to overcome existing hurdles to facilitate service user and caregiver involvement in the mental health system strengthening process, such as support to access treatment, mental health promotion and empowerment of service users. This study suggests that capacity building for service users, and strengthening of user groups would equip them to contribute meaningfully to policy development from informed perspectives. Involvement of service users and their caregivers in mental health decision-making is still in its infancy in LMICs. Effective strategies are required to overcome existing barriers, for example making funding more widely available for Ph.D. studies in participatory research with service users and caregivers to develop, implement and evaluate approaches to involvement that are locally and culturally acceptable in LMICs.

  18. Volunteers in Palliative Care - A Comparison of Seven European Countries: A Descriptive Study.

    Science.gov (United States)

    Woitha, Kathrin; Hasselaar, Jeroen; van Beek, Karen; Radbruch, Lukas; Jaspers, Birgit; Engels, Yvonne; Vissers, Kris

    2015-07-01

    In Europe, volunteers have an important role in the delivery of palliative care. As part of the EU co-funded Europall project, 4 aspects of volunteering in palliative care were studied for 7 European countries (Belgium, England, France, Germany, the Netherlands, Poland, and Spain). These included (1) involvement of volunteers in palliative care, (2) organization of palliative care volunteering, (3) legal regulations concerning volunteering, and (4) education and training of palliative care volunteering. A literature search combined with an interview study. Information from the scientific literature, and country-specific policy documents were obtained and completed, along with data of consecutive semi-structured interviews with experts in the field of palliative care in the participating countries. In all countries, volunteers appeared to be involved in palliative care, yet their involvement across health care settings differed per country. England, for example, has the highest number of volunteers whereas Spain has the lowest number. Volunteering is embedded in law and regulations in all participating countries except for England and the Netherlands. In all participating countries, training programs are available and volunteers are organized, both on a national and a regional level. This study provides a descriptive overview of volunteer work in palliative care in 7 European countries, with a focus on the organizational aspects. Further research should concentrate on the roles and responsibilities of volunteers in the care for the terminally ill in different European health systems. © 2014 World Institute of Pain.

  19. The e-Health Implementation Toolkit: Qualitative evaluation across four European countries

    LENUS (Irish Health Repository)

    MacFarlane, Anne

    2011-11-19

    Abstract Background Implementation researchers have attempted to overcome the research-practice gap in e-health by developing tools that summarize and synthesize research evidence of factors that impede or facilitate implementation of innovation in healthcare settings. The e-Health Implementation Toolkit (e-HIT) is an example of such a tool that was designed within the context of the United Kingdom National Health Service to promote implementation of e-health services. Its utility in international settings is unknown. Methods We conducted a qualitative evaluation of the e-HIT in use across four countries--Finland, Norway, Scotland, and Sweden. Data were generated using a combination of interview approaches (n = 22) to document e-HIT users\\' experiences of the tool to guide decision making about the selection of e-health pilot services and to monitor their progress over time. Results e-HIT users evaluated the tool positively in terms of its scope to organize and enhance their critical thinking about their implementation work and, importantly, to facilitate discussion between those involved in that work. It was easy to use in either its paper- or web-based format, and its visual elements were positively received. There were some minor criticisms of the e-HIT with some suggestions for content changes and comments about its design as a generic tool (rather than specific to sites and e-health services). However, overall, e-HIT users considered it to be a highly workable tool that they found useful, which they would use again, and which they would recommend to other e-health implementers. Conclusion The use of the e-HIT is feasible and acceptable in a range of international contexts by a range of professionals for a range of different e-health systems.

  20. The e-health implementation toolkit: qualitative evaluation across four European countries

    Directory of Open Access Journals (Sweden)

    MacFarlane Anne

    2011-11-01

    Full Text Available Abstract Background Implementation researchers have attempted to overcome the research-practice gap in e-health by developing tools that summarize and synthesize research evidence of factors that impede or facilitate implementation of innovation in healthcare settings. The e-Health Implementation Toolkit (e-HIT is an example of such a tool that was designed within the context of the United Kingdom National Health Service to promote implementation of e-health services. Its utility in international settings is unknown. Methods We conducted a qualitative evaluation of the e-HIT in use across four countries--Finland, Norway, Scotland, and Sweden. Data were generated using a combination of interview approaches (n = 22 to document e-HIT users' experiences of the tool to guide decision making about the selection of e-health pilot services and to monitor their progress over time. Results e-HIT users evaluated the tool positively in terms of its scope to organize and enhance their critical thinking about their implementation work and, importantly, to facilitate discussion between those involved in that work. It was easy to use in either its paper- or web-based format, and its visual elements were positively received. There were some minor criticisms of the e-HIT with some suggestions for content changes and comments about its design as a generic tool (rather than specific to sites and e-health services. However, overall, e-HIT users considered it to be a highly workable tool that they found useful, which they would use again, and which they would recommend to other e-health implementers. Conclusion The use of the e-HIT is feasible and acceptable in a range of international contexts by a range of professionals for a range of different e-health systems.

  1. The e-Health Implementation Toolkit: qualitative evaluation across four European countries.

    Science.gov (United States)

    MacFarlane, Anne; Clerkin, Pauline; Murray, Elizabeth; Heaney, David J; Wakeling, Mary; Pesola, Ulla-Maija; Waterworth, Eva Lindh; Larsen, Frank; Makiniemi, Minna; Winblad, Ilkka

    2011-11-19

    Implementation researchers have attempted to overcome the research-practice gap in e-health by developing tools that summarize and synthesize research evidence of factors that impede or facilitate implementation of innovation in healthcare settings. The e-Health Implementation Toolkit (e-HIT) is an example of such a tool that was designed within the context of the United Kingdom National Health Service to promote implementation of e-health services. Its utility in international settings is unknown. We conducted a qualitative evaluation of the e-HIT in use across four countries--Finland, Norway, Scotland, and Sweden. Data were generated using a combination of interview approaches (n = 22) to document e-HIT users' experiences of the tool to guide decision making about the selection of e-health pilot services and to monitor their progress over time. e-HIT users evaluated the tool positively in terms of its scope to organize and enhance their critical thinking about their implementation work and, importantly, to facilitate discussion between those involved in that work. It was easy to use in either its paper- or web-based format, and its visual elements were positively received. There were some minor criticisms of the e-HIT with some suggestions for content changes and comments about its design as a generic tool (rather than specific to sites and e-health services). However, overall, e-HIT users considered it to be a highly workable tool that they found useful, which they would use again, and which they would recommend to other e-health implementers. The use of the e-HIT is feasible and acceptable in a range of international contexts by a range of professionals for a range of different e-health systems.

  2. External validation of the use of vignettes in cross-country health studies

    DEFF Research Database (Denmark)

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

    2010-01-01

    Cross-country comparisons of subjective assessments are rendered difficult if not impossible because of sub-population specific response style. To correct for this, the use of vignettes has become increasingly popular, notably within cross-country health studies. However, the validity of vignette...... and vignettes. Our results indicate that the assumption of RC is not innocuous and that our extended model relaxing this assumption improves the fit and significantly changes the cross-country rankings of health vis-a-vis the standard Chopit model.......Cross-country comparisons of subjective assessments are rendered difficult if not impossible because of sub-population specific response style. To correct for this, the use of vignettes has become increasingly popular, notably within cross-country health studies. However, the validity of vignettes...

  3. External Validation of the Use of Vignettes in Cross-Country Health Studies

    DEFF Research Database (Denmark)

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

    Cross-country comparisons of subjective assessments are rendered difficult if not impossible because of sub-population specific response style. To correct for this, the use of vignettes has become increasingly popular, notably within cross-country health studies. However, the validity of vignette...... and vignettes. Our results indicate that the assumption of RC is not innocuous and that our extended model relaxing this assumption improves the fit and significantly changes the cross-country rankings of health vis-à-vis the standard Chopit model.......Cross-country comparisons of subjective assessments are rendered difficult if not impossible because of sub-population specific response style. To correct for this, the use of vignettes has become increasingly popular, notably within cross-country health studies. However, the validity of vignettes...

  4. External validation of the use of vignettes in cross-country health studies

    DEFF Research Database (Denmark)

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

    Cross-country comparisons of subjective assessments are rendered difficult if not impossible because of sub-population specific response style. To correct for this, the use of vignettes has become increasingly popular, notably within cross-country health studies. However, the validity of vignette...... and vignettes. Our results indicate that the assumption of RC is not innocous and that our extended model relaxing this assumption improves the fit and significantly changes the cross-country rankings of health vis-\\'{a}-vis the standard Chopit model.......Cross-country comparisons of subjective assessments are rendered difficult if not impossible because of sub-population specific response style. To correct for this, the use of vignettes has become increasingly popular, notably within cross-country health studies. However, the validity of vignettes...

  5. Economic evaluation of health benefits of mercury emission controls for China and the neighboring countries in East Asia

    International Nuclear Information System (INIS)

    Zhang, Wei; Zhen, Gengchong; Chen, Long; Wang, Huanhuan; Li, Ying; Ye, Xuejie; Tong, Yindong; Zhu, Yan; Wang, Xuejun

    2017-01-01

    Globally, coal-fired power plant (CFPP) is a major source of mercury. China is developing its first National Implementation Plan on Mercury Control, which priorities the control of emissions from CFPPs. While social benefits play an important role in designing environmental policies in China, the benefits associated with mercury control are not yet understood, mainly due to the scientific challenges to trace mercury's emissions-to-impacts path. This study evaluates the benefits of mercury reductions in China's CFPPs for China and its three neighboring countries in East Asia. Four policy scenarios are analyzed following the policies-to-impacts path, which links a global atmospheric model to health benefit analysis models to estimate the economic gains from avoided mercury-related adverse health outcomes under each scenario, and take into account key uncertainties in the path. Under the most stringent scenario, the benefits of mercury reduction by 2030 are projected to be $432 billion (95% CI: $166–941 billion), with the benefits for China and the neighboring countries accounting for 96% and 4% of the total benefits, respectively. Policy scenario analysis indicates that coal washing generates the greatest benefits in the near term, whereas upgrading air pollution control devices maximizes health benefits in the long term. - Highlights: • Benefits of mercury controls for China and neighboring countries are analyzed. • Policy analysis shows that coal washing generates the largest benefits in near term. • Upgrading air pollution control devices maximizes health benefits in long term. • For mercury controls, local policies contribute most to local benefits.

  6. Evaluation of hsp65 Nested PCR-Restriction Analysis (PRA) for Diagnosing Tuberculosis in a High Burden Country

    Science.gov (United States)

    Macente, Sara; Fujimura Leite, Clarice Queico; Santos, Adolfo Carlos Barreto; Siqueira, Vera Lúcia Dias; Machado, Luzia Neri Cosmo; Marcondes, Nadir Rodrigues; Hirata, Mario Hiroyuki; Hirata, Rosário Dominguez Crespo

    2013-01-01

    Current study evaluated the hsp65 Nested PCR Restriction Fragment Length Polymorphism Analysis (hsp65 Nested PCR-PRA) to detect and identify Mycobacterium tuberculosis complex directly in clinical samples for a rapid and specific diagnosis of tuberculosis (TB). hsp65 Nested PCR-PRA was applied directly to 218 clinical samples obtained from 127 patients suspected of TB or another mycobacterial infection from July 2009 to July 2010. The hsp65 Nested PCR-PRA showed 100% sensitivity and 95.0 and 93.1% specificity in comparison with culture and microscopy (acid fast bacillus smear), respectively. hsp65 Nested PCR-PRA was shown to be a fast and reliable assay for diagnosing TB, which may contribute towards a fast diagnosis that could help the selection of appropriate chemotherapeutic and early epidemiological management of the cases which are of paramount importance in a high TB burden country. PMID:24260739

  7. Coastal Vulnerability to Erosion Processes: Study Cases from Different Countries

    Science.gov (United States)

    Anfuso, Giorgio; Martinez Del Pozo, Jose Angel; Rangel-Buitrago, Nelson

    2010-05-01

    When natural processes affect or threaten human activities or infrastructures they become a natural hazard. In order to prevent the natural hazards impact and the associated economic and human losses, coastal managers need to know the intrinsic vulnerability of the littoral, using information on the physical and ecological coastal features, human occupation and present and future shoreline trends. The prediction of future coastline positions can be based on the study of coastal changes which have occurred over recent decades. Vertical aerial photographs, satellite imagery and maps are very useful data sources for the reconstruction of coast line changes at long (>60 years) and medium (between 60 and 10 years) temporal and spatial scales. Vulnerability maps have been obtained for several coastal sectors around the world through the use of Geographical Information Systems (GIS), computer-assisted multivariate analysis and numerical models. In the USA, "Flood Insurance Rate Maps" have been created by the government and "Coastal Zone Hazard Maps" have been prepared for coastal stretches affected by hurricane Hugo. In Spain, the vulnerability of the Ebro and an Andalusia coastal sector were investigated over different time scales. McLaughlin et al., (2002) developed a GIS based coastal vulnerability index for the Northern Ireland littoral that took into account socio-economic activities and coastal resistance to erosion and energetic characteristics. Lizárraga et al., (2001) combined beach reduction at Rosario (Mexico) with the probability of damage to landward structures, obtaining a vulnerability matrix. In this work several coastal vulnerability maps have also been created by comparing data on coastal erosion/accretion and land use along different coastal sectors in Italy, Morocco and Colombia. Keywords: Hazard, Vulnerability, Coastal Erosion, Italy, Morocco, Colombia.

  8. Comparative assessment of study groups of elderly female computer users from four European countries: questionnaires used in the NEW study

    DEFF Research Database (Denmark)

    Sandsjö, L; Larsman, P; Vollenbroek-Hutten, M M R

    2006-01-01

    There is a lack of consistent and comprehensive questionnaire forms for the studies of factors associated with work-related musculoskeletal disorders at the European level. One of the results of the EU-funded project, neuromuscular assessment in the elderly worker (NEW), is a set of questionnaires...... for the screening of musculoskeletal status and the studies of factors that are believed to affect musculoskeletal health. The questionnaires have been used among elderly women (45+) in different occupations and organisations in Denmark, The Netherlands, Sweden and Switzerland. The aim of this short communication...... is to present the questionnaires used in the NEW study and to evaluate the appropriateness of pooling data gathered in each participating country into a common database. It is concluded that although differences exist among the study samples, these are not of such a magnitude or pattern that data from the four...

  9. An International Evaluation of Cognitive Reserve and Memory Changes in Early Old Age in 10 European Countries.

    Science.gov (United States)

    Cadar, Dorina; Robitaille, Annie; Clouston, Sean; Hofer, Scott M; Piccinin, Andrea M; Muniz-Terrera, Graciela

    2017-01-01

    Cognitive reserve was postulated to explain individual differences in susceptibility to ageing, offering apparent protection to those with higher education. We investigated the association between education and change in memory in early old age. Immediate and delayed memory scores from over 10,000 individuals aged 65 years and older, from 10 countries of the Survey of Health, Ageing and Retirement in Europe, were modeled as a function of time in the study over an 8-year period, fitting independent latent growth models. Education was used as a marker of cognitive reserve and evaluated in association with memory performance and rate of change, while accounting for income, general health, smoking, body mass index, gender, and baseline age. In most countries, more educated individuals performed better on both memory tests at baseline, compared to those less educated. However, education was not protective against faster decline, except for in Spain for both immediate and delayed recall (0.007 [SE = 0.003] and 0.006 [SE = 0.002]), and Switzerland for immediate recall (0.006 [SE = 0.003]). Interestingly, highly educated Italian respondents had slightly faster declines in immediate recall (-0.006 [SE = 0.003]). We found weak evidence of a protective effect of education on memory change in most European samples, although there was a positive association with memory performance at individuals' baseline assessment. © 2017 The Author(s) Published by S. Karger AG, Basel.

  10. Evaluation of pharmacotherapy of obstructive airway diseases in the Montenegrin outpatient care: comparison with two Scandinavian countries

    Directory of Open Access Journals (Sweden)

    Duborija-Kovacevic Natasha

    2012-06-01

    Full Text Available Abstract Background This study is aimed at evaluating the pharmacotherapy of obstructive airway diseases (OAD in the Montenegrin outpatient care (MOC in 2010. Methods Data on the reimbursed drugs which were prescribed during the reference period were obtained from the National Database that was established within the Health Insurance Fund of Montenegro in 2004. We have applied the standard pharmacoepidemiologic methodology with the defined daily dose (DDD along with the Anatomical Therapeutic Chemical (ATC classification of drugs. Clinical entities of OAD were classified according to the International Classification of Diseases (ICD-Revision X. Results Prescribing and the subsequent use of drugs for OAD (ATC code R03 in 2010 was 18.18 DDD/1000inhabitants/day, much lower than in some developed countries. Fenoterol/ipratropium and salmeterol/fluticasone fixed combinations had the highest utilisation level, accounting for more than 50% of all OAD drugs. About 90% of OAD drugs were prescribed for COPD and asthma. Conclusions Obtained results indicate that there are still large differences in OAD drug utilisation in MOC when compared with developed countries, but also some improvement in pharmacological approach to the pharmacotherapy of OAD in comparison to the earlier period.

  11. Comparative Studies on Vehicle Related Policies for Air Pollution Reduction in Ten Asian Countries

    Directory of Open Access Journals (Sweden)

    Keiko Hirota

    2010-01-01

    Full Text Available Asian countries are facing major air pollution problems due to rapid economic growth, urbanization and motorization. Mortality and respiratory diseases caused by air pollution are believed to be endemic in major cities of these countries. Regulations and standards are the first requirement for reducing emissions from both fixed and mobile sources. This paper emphasizes monitoring problems such as vehicle registration systems, inspection and maintenance (I/M systems and fuel quality monitoring systems for vehicles in use. Monitoring problems in developing countries share similar characteristics such as a weakness in government initiatives and inadequate operation of government agencies, which results from a lack of human resources and availability of adequate facilities. Finally, this paper proposes a method to assure air quality improvements under the different shares of emission regulations in these Asian countries and introduces an example of an evaluation method based on a policy survey to improve air quality.

  12. Overview of methods and tools for evaluating future woody biomass availability in European countries

    NARCIS (Netherlands)

    Barreiro, Susana; Schelhaas, Mart Jan; Kändler, Gerald; Antón-Fernández, Clara; Colin, Antoine; Bontemps, Jean Daniel; Alberdi, Iciar; Condés, Sonia; Dumitru, Marius; Ferezliev, Angel; Fischer, Christoph; Gasparini, Patrizia; Gschwantner, Thomas; Kindermann, Georg; Kjartansson, Bjarki; Kovácsevics, Pál; Kucera, Milos; Lundström, Anders; Marin, Gheorghe; Mozgeris, Gintautas; Nord-Larsen, Thomas; Packalen, Tuula; Redmond, John; Sacchelli, Sandro; Sims, Allan; Snorrason, Arnór; Stoyanov, Nickola; Thürig, Esther; Wikberg, Per Erik

    2016-01-01

    Key message: This analysis of the tools and methods currently in use for reporting woody biomass availability in 21 European countries has shown that most countries use, or are developing, National Forest Inventory-oriented models whereas the others use standwise forest inventory--oriented

  13. Evaluation of regional project to strengthen national health research systems in four countries in West Africa: lessons learned.

    Science.gov (United States)

    Sombié, Issiaka; Aidam, Jude; Montorzi, Gabriela

    2017-07-12

    Since the Commission on Health Research for Development (COHRED) published its flagship report, more attention has been focused on strengthening national health research systems (NHRS). This paper evaluates the contribution of a regional project that used a participatory approach to strengthen NHRS in four post-conflict West African countries - Guinea-Bissau, Liberia, Sierra Leone and Mali. The data from the situation analysis conducted at the start of the project was compared to data from the project's final evaluation, using a hybrid conceptual framework built around four key areas identified through the analysis of existing frameworks. The four areas are governance and management, capacities, funding, and dissemination/use of research findings. The project helped improve the countries' governance and management mechanisms without strengthening the entire NHRS. In the four countries, at least one policy, plan or research agenda was developed. One country put in place a national health research ethics committee, while all four countries could adopt a research information management system. The participatory approach and support from the West African Health Organisation and COHRED were all determining factors. The lessons learned from this project show that the fragile context of these countries requires long-term engagement and that support from a regional institution is needed to address existing challenges and successfully strengthen the entire NHRS.

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

    Directory of Open Access Journals (Sweden)

    Robert F Wolff

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

  15. Socio-economic inequality in multiple health complaints among adolescents: international comparative study in 37 countries

    DEFF Research Database (Denmark)

    Holstein, Bjørn E; Currie, Candace; Boyce, Will

    2009-01-01

    OBJECTIVES: To use comparable data from many countries to examine 1) socio-economic inequality in multiple health complaints among adolescents, 2) whether the countries' absolute wealth and economic inequality was associated with symptom load among adolescents, and 3) whether the countries......' absolute wealth and economic inequality explained part of the individual level socio-economic variation in health complaints. METHODS: The Health Behaviour in School-aged Children (HBSC) international study from 2005/06 provided data on 204,534 11-, 13- and 15-year old students from nationally random...... Affluence Scale FAS) and two macro level measures on the country's economic situation: wealth measured by Gross National Product (GNP) and distribution of income measured by the Gini coefficient. RESULTS: There was a significant socio-economic variation in health complaints in 31 of the 37 countries...

  16. Incorporating Demand and Supply Constraints into Economic Evaluations in Low-Income and Middle-Income Countries.

    Science.gov (United States)

    Vassall, Anna; Mangham-Jefferies, Lindsay; Gomez, Gabriela B; Pitt, Catherine; Foster, Nicola

    2016-02-01

    Global guidelines for new technologies are based on cost and efficacy data from a limited number of trial locations. Country-level decision makers need to consider whether cost-effectiveness analysis used to inform global guidelines are sufficient for their situation or whether to use models that adjust cost-effectiveness results taking into account setting-specific epidemiological and cost heterogeneity. However, demand and supply constraints will also impact cost-effectiveness by influencing the standard of care and the use and implementation of any new technology. These constraints may also vary substantially by setting. We present two case studies of economic evaluations of the introduction of new diagnostics for malaria and tuberculosis control. These case studies are used to analyse how the scope of economic evaluations of each technology expanded to account for and then address demand and supply constraints over time. We use these case studies to inform a conceptual framework that can be used to explore the characteristics of intervention complexity and the influence of demand and supply constraints. Finally, we describe a number of feasible steps that researchers who wish to apply our framework in cost-effectiveness analyses. © 2016 The Authors. Health Economics published by John Wiley & Sons Ltd.

  17. Determinants of the Strength of Auditing and Reporting Standards: a Cross-Country Study

    Directory of Open Access Journals (Sweden)

    Pran Krishansing Boolaky

    2013-12-01

    Full Text Available Our study addresses the research gap regarding the absence of an empirical cross-country study on the determinants of the strength of auditing and reporting standards (SARS. Using data on 133 countries at various stages of development, we examine the role of environmental factors that influence a country’s strength of auditing and reporting standards. Our empirical results confirm that institutional infrastructure, financial market development and higher education and training jointly influence a country’s strength of auditing and reporting standards. We obtain qualitatively similar subsample results when we partition countries on the basis of economic development.

  18. Perceived fairness of the division of household labor: A comparative study in 29 countries

    NARCIS (Netherlands)

    Jansen, L.; Weber, T.; Kraaykamp, G.L.M.; Verbakel, C.M.C.

    2016-01-01

    This study investigates the relationship between the division of household labor and individuals' perceived fairness concerning this division. We applied multilevel multinomial logistic regression to analyze data on both men and women across 29 countries using the International Social Survey

  19. Foresight studies and reform initiatives in construction: Lessons for developing countries

    CSIR Research Space (South Africa)

    Van Wyk, Llewellyn V

    2006-01-01

    Full Text Available This paper analyses construction foresight studies and construction reform initiatives with a view to identifying lessons for developing countries. It notes the number of construction reform initiatives over the last 60 years, mostly...

  20. Womens' opinions on antenatal care in developing countries: results of a study in Cuba, Thailand, Saudi Arabia and Argentina

    Directory of Open Access Journals (Sweden)

    Farnot Ubaldo

    2003-05-01

    Full Text Available Abstract Background The results of a qualitative study carried out in four developing countries (Cuba, Thailand, Saudi Arabia and Argentina are presented. The study was conducted in the context of a randomised controlled trial to test the benefits of a new antenatal care protocol that reduced the number of visits to the doctor, rationalised the application of technology, and improved the provision of information to women in relation to the traditional protocol applied in each country. Methods Through focus groups discussions we were able to assess the concepts and expectations underlying women's evaluation of concepts and experiences of the care received in antenatal care clinics. 164 women participated in 24 focus groups discussion in all countries. Results Three areas are particularly addressed in this paper: a concepts about pregnancy and health care, b experience with health services and health providers, and c opinions about the modified Antenatal Care (ANC programme. In all three topics similarities were identified as well as particular opinions related to country specific social and cultural values. In general women have a positive view of the new ANC protocol, particularly regarding the information they receive. However, controversial issues emerged such as the reduction in the number of visits, particularly in Cuba where women are used to have 18 ANC visits in one pregnancy period. Conclusion Recommendations to improve ANC services performance are being proposed. Any country interested in the application of a new ANC protocol should regard the opinion and acceptability of women towards changes.

  1. Cost and effectiveness evaluation of prophylactic HPV vaccine in developing countries.

    Science.gov (United States)

    Termrungruanglert, Wichai; Havanond, Piyalamporn; Khemapech, Nipon; Lertmaharit, Somrat; Pongpanich, Sathirakorn; Khorprasert, Chonlakiet; Taneepanichskul, Surasak

    2012-01-01

    Approximately 80% of cervical cancer cases occur in developing countries. In Thailand, cervical cancer has been the leading cancer in females, with an incidence of 24.7 cases per 100,000 individuals per year. We constructed a decision model to simulate the lifetime economic impact for women in the context of human papillomavirus (HPV) infection prevention. HPV-related diseases were of interest: cervical cancer, cervical intraepithelial neoplasia, and genital warts. The two strategies used were 1) current practice and 2) prophylactic quadrivalent vaccine against HPV types 6, 11, 16, and 18. We developed a Markov simulation model to evaluate the incremental cost-effectiveness ratio of prophylactic HPV vaccine. Women transition through a model either healthy or developing HPV or its related diseases, or die from cervical cancer or from other causes according to transitional probabilities under the Thai health-care context. Costs from a provider perspective were obtained from King Chulalongkorn Memorial Hospital. Costs and benefits were discounted at 3% annually. Compared with no prophylactic HPV vaccine, the incremental cost-effectiveness ratio was 160,649.50 baht per quality-adjusted life-year. The mortality rate was reduced by 54.8%. The incidence of cervical cancer, cervical intraepithelial neoplasia grade 1, cervical intraepithelial neoplasia grade 2/3, and genital warts was reduced by up to 55.1%. Compared with commonly accepted standard thresholds recommended by the World Health Organization Commission on Macroeconomics and Health, the nationwide coverage of HPV vaccination in girls is likely to be cost-effective in Thailand. Copyright © 2012 International Society for Pharmacoeconomics and Outcomes Research (ISPOR). Published by Elsevier Inc. All rights reserved.

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

    OpenAIRE

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

    2016-01-01

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

  3. The Impact of Government Expenditure on Economic Growth: A Study of Asian Countries

    OpenAIRE

    K. P. K. S. Lahirushan; W. G. V. Gunasekara

    2015-01-01

    Main purpose of this study is to identify the impact of government expenditure on economic growth in Asian Countries. Consequently, main objective is to analyze whether government expenditure causes economic growth in Asian countries vice versa and then scrutinizing long-run equilibrium relationship exists between them. The study completely based on secondary data. The methodology being quantitative that includes econometrical techniques of cointegration, panel fixed effe...

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

    OpenAIRE

    Nguyen, Thi Bich Ngoc; Nguyen, Thi Xuan Thu

    2009-01-01

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

  5. Issues in evaluation of cognition in the elderly in developing countries

    Directory of Open Access Journals (Sweden)

    Mathew R

    2008-01-01

    Full Text Available Background: Developing regions of the world host the majority of elderly subjects who are at risk for dementia. Reliable epidemiological data from these countries is invaluable in tackling this global problem. Scarcity of such data in literature is largely attributable to problems that are unique to developing communities worldwide. Objective: To classify and describe the problems that interfere with the collection of reliable epidemiological data on cognitive impairment in the elderly in developing communities, and to suggest practical solutions for some of them. Methods: Inferring from the experiences of a large, ongoing, population-based study on the cognitive impairments in the elderly in South India and from the review of literature. Conclusion: A fatalistic attitude regarding aging in the communities, significant heterogeneity in educational abilities and activities of daily living, high illiteracy among rural subjects, and lack of an organized health care system and updated demographic figures are some of the major factors that contribute to technical, namely, methodology-related problems and practical, namely, subject-related problems in such epidemiological studies.

  6. EIA and EINP. Evaluation study

    International Nuclear Information System (INIS)

    Lande, R.W.I. van der; De Vries, E.F.

    2001-01-01

    The evaluation study on the title subjects concerns two subsidy tools in the Netherlands: the Energy Investment Rebate (EIA, abbreviated in Dutch) and the Subsidy for Energy in the non-profit sector and other special sectors (EINP, abbreviated in Dutch). The central question in the evaluation was to what extent did the EIA and EINP contribute to the original policy targets and at what costs. The evaluation has been carried out by means of a desk study, interviews, and an analysis of bottlenecks and possible solutions. [nl

  7. Coffee Drinking and Mortality in Ten European Countries – the EPIC Study

    Science.gov (United States)

    Gunter, Marc J.; Murphy, Neil; Cross, Amanda J.; Dossus, Laure; Dartois, Laureen; Fagherazzi, Guy; Kaaks, Rudolf; Kühn, Tilman; Boeing, Heiner; Aleksandrova, Krasimira; Tjønneland, Anne; Olsen, Anja; Overvad, Kim; Larsen, Sofus Christian; Cornejo, Maria Luisa Redondo; Agudo, Antonio; Pérez, María José Sánchez; Altzibar, Jone M; Navarro, Carmen; Ardanaz, Eva; Khaw, Kay-Tee; Butterworth, Adam; Bradbury, Kathryn E; Trichopoulou, Antonia; Lagiou, Pagona; Trichopoulos, Dimitrios; Palli, Domenico; Grioni, Sara; Vineis, Paolo; Panico, Salvatore; Tumino, Rosario; Bueno-de-Mesquita, Bas; Siersema, Peter; Leenders, Max; Beulens, Joline WJ; Uiterwaal, Cuno U; Wallström, Peter; Nilsson, Lena Maria; Landberg, Rikard; Weiderpass, Elisabete; Skeie, Guri; Braaten, Tonje; Brennan, Paul; Licaj, Idlir; Muller, David C; Sinha, Rashmi; Wareham, Nick; Riboli, Elio

    2018-01-01

    Background How coffee consumption relates to mortality in diverse European populations, with variable coffee preparation methods and customs, is unclear. Objectives To examine whether coffee consumption is associated with all-cause and cause-specific mortality in men and women. Design Prospective cohort study. Setting Ten European countries. Participants A total of 521,330 men and women enrolled in the European Prospective Investigation into Cancer and Nutrition (EPIC). Main outcome measure Multivariable hazard ratios (HRs) and 95% confidence intervals(CIs) estimated using multivariable Cox proportional hazards models. The association of coffee with serum biomarkers of liver function, inflammation, and metabolic health was evaluated in the EPIC Biomarkers sub-cohort (n=14,800). Results During a mean follow-up of 16.4 years, 41,693 deaths occurred. Compared with non-consumers, participants in the highest quartile of coffee consumption experienced statistically significant lower all-cause mortality (Men: HR=0.88, 95%CI: 0.82–0.95; P-trendcoffee and circulatory disease mortality, (HR=0.78, 95%CI: 0.68–0.90; P-trendcoffee and ovarian cancer mortality (HR 1.12, 95% CI: 1.02–1.23 P-trend 0.001). In the EPIC-biomarkers sub-cohort, higher coffee consumption was associated with lower serum alkaline phosphatase, alanine transaminase, aspartate transaminase, and C-reactive protein. Limitation Reverse causality may have led to spurious findings; however, results did not differ following exclusion of participants who died within 8-years of baseline. The study is also limited by a single assessment of coffee drinking habits at baseline. Conclusions These results confirm prior findings on the reduced risk of mortality associated with coffee drinking but additionally show that this relationship does not vary by country where coffee preparation and drinking habits may differ. The study also reports novel inverse relationships between coffee drinking and digestive disease

  8. Gathering Time-Series Data for Evaluating Behavior-Change Campaigns in Developing Countries: Reactivity of Diaries and Interviews

    Science.gov (United States)

    Tobias, Robert; Inauen, Jennifer

    2010-01-01

    Gathering time-series data of behaviors and psychological variables is important to understand, guide, and evaluate behavior-change campaigns and other change processes. However, repeated measurement can affect the phenomena investigated, particularly frequent face-to-face interviews, which are often the only option in developing countries. This…

  9. The European PV market evaluation for potential investors - actual information on the 15 EU member state countries and Switzerland

    International Nuclear Information System (INIS)

    Kurdziel, M.

    2004-01-01

    The EU has ambitious targets for the introduction of PV. According to the white book of the European Commission, the target for 2010 is to install 3000 MWp. In the following the European PV markets of the 15 EU member state countries and Switzerland are presented and evaluated for potential investors. (author)

  10. Haemodialysis prescription, adherence and nutritional indicators in five European countries: results from the Dialysis Outcomes and Practice Patterns Study (DOPPS).

    Science.gov (United States)

    Hecking, Erwin; Bragg-Gresham, Jennifer L; Rayner, Hugh C; Pisoni, Ronald L; Andreucci, Vittorio E; Combe, Christian; Greenwood, Roger; McCullough, Keith; Feldman, Harold I; Young, Eric W; Held, Philip J; Port, Friedrich K

    2004-01-01

    The Dialysis Outcomes and Practice Patterns Study (DOPPS) is a prospective, observational study designed to evaluate practice patterns in random samples of haemodialysis facilities and patients across three continents. Participating countries include France, Germany, Italy, Spain and the UK (Euro-DOPPS), Japan and the USA. DOPPS data collection has used the same questionnaires and protocols across all participating countries to assess components of dialysis therapy and outcomes. This study focuses on dialysis prescription, adherence and nutrition among the Euro-DOPPS countries. In each Euro-DOPPS country, patients were selected randomly from 20-21 representative facilities. Simple means and frequencies were calculated to compare relevant data elements to gain insights into differences in therapeutic aspects among nationally representative patients. Participants entering the study within 90 days of beginning dialysis therapy were excluded from these analyses. Among the five countries, mean delivered dose as measured by normalized urea clearance (Kt/V) varied from 1.28 to 1.50 and was accompanied by differences in dialysis prescription components, including blood flow rates, treatment times, and dialyser membrane and flux characteristics. By country, a nearly 2-fold difference was observed in indicators of patient adherence and management (skipping and shortening dialysis, hyperkalaemia, hyperphosphataemia and high interdialytic weight gain). Indicators of malnutrition varied substantially. This study demonstrates differences in the management of haemodialysis patients across Euro-DOPPS and offers opportunities for improving dialysis dose, adherence and nutrition. Correlation of differences in practice patterns at the dialysis unit level with patient outcomes will offer new insights into improving dialysis therapy.

  11. Containment Studies of Transgenic Mosquitoes in Disease Endemic Countries: The Broad Concept of Facilities Readiness.

    Science.gov (United States)

    Quinlan, M Megan; Birungi, Josephine; Coulibaly, Mamadou B; Diabaté, Abdoulaye; Facchinelli, Luca; Mukabana, Wolfgang Richard; Mutunga, James Mutuku; Nolan, Tony; Raymond, Peter; Traoré, Sékou F

    2018-01-01

    Genetic strategies for large scale pest or vector control using modified insects are not yet operational in Africa, and currently rely on import of the modified strains to begin preliminary, contained studies. Early involvement of research teams from participating countries is crucial to evaluate candidate field interventions. Following the recommended phased approach for novel strategies, evaluation should begin with studies in containment facilities. Experiences to prepare facilities and build international teams for research on transgenic mosquitoes revealed some important organizing themes underlying the concept of "facilities readiness," or the point at which studies in containment may proceed, in sub-Saharan African settings. First, "compliance" for research with novel or non-native living organisms was defined as the fulfillment of all legislative and regulatory requirements. This is not limited to regulations regarding use of transgenic organisms. Second, the concept of "colony utility" was related to the characteristics of laboratory colonies being produced so that results of studies may be validated across time, sites, and strains or technologies; so that the appropriate candidate strains are moved forward toward field studies. Third, the importance of achieving "defensible science" was recognized, including that study conclusions can be traced back to evidence, covering the concerns of various stakeholders over the long term. This, combined with good stewardship of resources and appropriate funding, covers a diverse set of criteria for declaring when "facilities readiness" has been attained. It is proposed that, despite the additional demands on time and resources, only with the balance of and rigorous achievement of each of these organizing themes can collaborative research into novel strategies in vector or pest control reliably progress past initial containment studies.

  12. A global multicenter study on reference values: 2. Exploration of sources of variation across the countries.

    Science.gov (United States)

    Ichihara, Kiyoshi; Ozarda, Yesim; Barth, Julian H; Klee, George; Shimizu, Yoshihisa; Xia, Liangyu; Hoffmann, Mariza; Shah, Swarup; Matsha, Tandi; Wassung, Janette; Smit, Francois; Ruzhanskaya, Anna; Straseski, Joely; Bustos, Daniel N; Kimura, Shogo; Takahashi, Aki

    2017-04-01

    The intent of this study, based on a global multicenter study of reference values (RVs) for serum analytes was to explore biological sources of variation (SVs) of the RVs among 12 countries around the world. As described in the first part of this paper, RVs of 50 major serum analytes from 13,396 healthy individuals living in 12 countries were obtained. Analyzed in this study were 23 clinical chemistry analytes and 8 analytes measured by immunoturbidimetry. Multiple regression analysis was performed for each gender, country by country, analyte by analyte, by setting four major SVs (age, BMI, and levels of drinking and smoking) as a fixed set of explanatory variables. For analytes with skewed distributions, log-transformation was applied. The association of each source of variation with RVs was expressed as the partial correlation coefficient (r p ). Obvious gender and age-related changes in the RVs were observed in many analytes, almost consistently between countries. Compilation of age-related variations of RVs after adjusting for between-country differences revealed peculiar patterns specific to each analyte. Judged fromthe r p , BMI related changes were observed for many nutritional and inflammatory markers in almost all countries. However, the slope of linear regression of BMI vs. RV differed greatly among countries for some analytes. Alcohol and smoking-related changes were observed less conspicuously in a limited number of analytes. The features of sex, age, alcohol, and smoking-related changes in RVs of the analytes were largely comparable worldwide. The finding of differences in BMI-related changes among countries in some analytes is quite relevant to understanding ethnic differences in susceptibility to nutritionally related diseases. Copyright © 2016 The Authors. Published by Elsevier B.V. All rights reserved.

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

    Directory of Open Access Journals (Sweden)

    Bowles Heather R

    2009-03-01

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

  14. Evaluation of geophysical borehole studies

    International Nuclear Information System (INIS)

    Brotzen, O.; Duran, O.; Magnusson, K.Aa.

    Four studies concerning geophysical investigations and TV inspection in boreholes in connection with KBS studies at Finnsjoe, Karlshamn, Kraakemaala and Stripa and PRAV's studies at Studsvik have been evaluated. This has led to proposals concerning the choice of instruments and methods for future studies and a review of future work required. The evaluation has shown that the following borehole measurements are of primary interest in the continued work: Determinations of temperature and resistivity of the borehole liquid, resistance and resistivity measurements, SP, Sonic, Caliper and VLF. TV inspection, IP and gamma-gamma should also be included in the arsenal of available test methods.(author)

  15. Alcohol taxes' contribution to prices in high and middle-income countries: Data from the International Alcohol Control Study.

    Science.gov (United States)

    Wall, Martin; Casswell, Sally; Callinan, Sarah; Chaiyasong, Surasak; Viet Cuong, Pham; Gray-Phillip, Gaile; Parry, Charles

    2017-11-22

    Taxation is increasingly being used as an effective means of influencing behaviour in relation to harmful products. In this paper we use data from six participating countries of the International Alcohol Control Study to examine and evaluate their comparative prices and tax regimes. We calculate taxes and prices for three high-income and three middle-income countries. The data are drawn from the International Alcohol Control survey and from the Alcohol Environment Protocol. Tax systems are described and then the rates of tax on key products presented. Comparisons are made using the Purchasing Power Parity rates. The price and purchase data from each country's International Alcohol Control survey is then used to calculate the mean percentage of retail price paid in tax weighted by actual consumption. Both ad valorem and specific per unit of alcohol taxation systems are represented among the six countries. The prices differ widely between countries even though presented in terms of Purchasing Power Parity. The percentage of tax in the final price also varies widely but is much lower than the 75% set by the World Health Organization as a goal for tobacco tax. There is considerable variation in tax systems and prices across countries. There is scope to increase taxation and this analysis provides comparable data, including the percentage of tax in final price, from some middle and high-income countries for consideration in policy discussion. © 2017 The Authors Drug and Alcohol Review published by John Wiley & Sons Australia, Ltd on behalf of Australasian Professional Society on Alcohol and other Drugs.

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

    Directory of Open Access Journals (Sweden)

    Michel Alves Prado

    2015-09-01

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

  17. The Role of Involvement as a Moderating Variable in a Country of Origin Study

    Directory of Open Access Journals (Sweden)

    Rindang Matoati

    2017-04-01

    Full Text Available The aim of this study is to examine the effect that the country of design and the country of manufacture has on the perceived quality of a product, and the role of involvement as a moderating variable. The conceptual framework has been tested using laboratory experiments that included a 2x2x2 between the subject’s factorial designs. Data have been collected using a randomization method to reduce any bias in the group’s variations. This data were analyzed using a one-way and two-way ANOVA. The results indicate that there is no difference between the high and low points of a product’s perceived quality, based on its country of design. Conversely, a favorable country of manufacture results in a higher perceived quality for its products, than for those of a lower scoring country of manufacture. Furthermore, consumers’ involvement, as a moderating variable, limits the strength of the country of design and the perceived quality’s relationship as this relationship is found to be stronger in circumstances where the consumers’ involvement is greater than in the less involved group’s condition. However, consumers’ involvement does not have any role as a moderating variable in the relationship between the country of manufacture and the perceived quality.

  18. Alcohol consumption and psychological distress in adolescents: a multi-country study.

    Science.gov (United States)

    Balogun, Olukunmi; Koyanagi, Ai; Stickley, Andrew; Gilmour, Stuart; Shibuya, Kenji

    2014-02-01

    To examine the association between alcohol use and psychological distress among adolescents in a range of developing countries. Secondary data analysis of the Global School-Based Student Health Survey was conducted using nationally representative data from 12 developing countries: Botswana, Grenada, Indonesia, Kenya, Myanmar, the Philippines, Saint Lucia, Saint Vincent and the Grenadines, the Seychelles, Thailand, Trinidad and Tobago, and Uganda. The surveys were conducted between 2003 and 2008 and involved 32,001 adolescents primarily aged 13-15 years. We used multivariate logistic regression analysis to determine the association between alcohol use and psychological distress. The prevalence of past 30-day alcohol use and lifetime drunkenness varied widely across countries, as did the occurrence of psychological distress (anxiety-induced sleeplessness and/or depression). The risk of psychological distress was significantly higher among adolescents when using alcohol in all countries except Myanmar. In nine of the 12 countries, past 30-day alcohol use was associated with psychological distress, while students who had been drunk at least once in their lifetime had an increased risk of experiencing psychological distress in 11 of the study countries. The high prevalence of alcohol use among adolescents and the strength of the association with psychological distress present a major public health challenge in developing countries. The urgent need to reduce adolescent alcohol use necessitates the implementation of context- and culture-specific strategies that reduce the physical availability of alcohol. Copyright © 2014 Society for Adolescent Health and Medicine. Published by Elsevier Inc. All rights reserved.

  19. Economic evaluation of weekends-off antiretroviral therapy for young people in 11 countries.

    Science.gov (United States)

    Tierrablanca, Luis Enrique; Ochalek, Jessica; Ford, Deborah; Babiker, Ab; Gibb, Diana; Butler, Karina; Turkova, Anna; Griffin, Susan; Revill, Paul

    2018-02-01

    To analyze the cost effectiveness of short-cycle therapy (SCT), where patients take antiretroviral (ARV) drugs 5 consecutive days a week and have 2 days off, as an alternative to continuous ARV therapy for young people infected with human immunodeficiency virus (HIV) and taking efavirenz-based first-line ARV drugs. We conduct a hierarchical cost-effectiveness analysis based on data on clinical outcomes and resource use from the BREATHER trial. BREATHER is a randomized trial investigating the effectiveness of SCT and continuous therapy in 199 participants aged 8 to 24 years and taking efavirenz-based first-line ARV drugs in 11 countries worldwide. Alongside nationally representative unit costs/prices, these data were used to estimate costs and quality adjusted life years (QALYs). An incremental cost-effectiveness comparison was performed using a multilevel bivariate regression approach for total costs and QALYs. Further analyses explored cost-effectiveness in low- and middle-income countries with access to low-cost generic ARV drugs and high-income countries purchasing branded ARV drugs, respectively. At 48 weeks, SCT offered significant total cost savings over continuous therapy of US dollar (USD) 41 per patient in countries using generic drugs and USD 4346 per patient in countries using branded ARV drugs, while accruing nonsignificant total health benefits of 0.008 and 0.009 QALYs, respectively. Cost-effectiveness estimates were similar across settings with access to generic ARV drugs but showed significant variation among high-income countries where branded ARV drugs are purchased. SCT is a cost-effective treatment alternative to continuous therapy for young people infected with HIV in countries where viral load monitoring is available.

  20. Business Takeover or New Venture? Individual and Environmental Determinants from a Cross-Country Study

    OpenAIRE

    Block, J.H.; Thurik, A.R.; van der Zwan, P.W.; Walter, S.

    2010-01-01

    textabstractWhereas the determinants of entrepreneurial choice have been thoroughly analyzed in the literature, little is known about the preferred mode of entry into entrepreneurship, such as taking over an existing business or starting a new venture. Using a large international dataset, this study reports considerable differences in takeover preferences across 33 countries. Hierarchical (multi-level) regressions are performed to explore individual-level and country-level determinants of the...

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

    OpenAIRE

    Moustafa, Gihan; Santos, Ajoqué

    2016-01-01

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

  2. [Cost-effectiveness of percutaneous core needle breast biopsy (CNBB) versus open surgical biopsy (OSB) of nonpalpable breast lesions: metaanalysis and cost evaluation for German-speaking countries].

    Science.gov (United States)

    Gruber, R; Bernt, R; Helbich, T H

    2008-02-01

    To analyze the cost-effectiveness of percutaneous image-guided CNBB (stereotactic-/ultrasound-guided; large/vacuum-assisted) of non-palpable breast lesions vs. OSB and to compare and discuss the results reported in the literature with results for German-speaking countries. A key word search in three databases, limited to the period from 1/1994 to 12/2006 was performed. Only original papers were selected. No published articles for German-speaking countries were identified; therefore a comprehensive data collection was made. On the basis of 377 abstracts, nine studies were evaluated for final assessment. The data of German-speaking countries were compared with results reported in the literature. This study demonstrates that CNBB compared to OSB leads to reduction in cost ranging from 51-96 %. The cost reduction depends on biopsy modality and lesion type and is subject to national fluctuations. CNBB can replace a surgical procedure in 71-85 % of cases. Use of CNBB as an alternative to OSB has the potential to substantially reduce healthcare costs. The data are based almost exclusively on the North American literature. A potential cost reduction in the Netherlands and Switzerland confirms these findings. Future work must include cost evaluation studies for German-speaking countries since this is an issue with important national economic ramifications.

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

    Science.gov (United States)

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

    2017-07-17

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

  4. LOW-BACK PAIN DISORDERS AS OCCUPATIONAL DISEASES IN THE CZECH REPUBLIC AND 22 EUROPEAN COUNTRIES: COMPARISON OF NATIONAL SYSTEMS, RELATED DIAGNOSES AND EVALUATION CRITERIA.

    Science.gov (United States)

    Laštovková, Andrea; Nakládalová, Marie; Fenclová, Zdenka; Urban, Pavel; Gad'ourek, Petr; Lebeda, Tomáš; Ehler, Edvard; Ridzoň, Petr; Hlávková, Jana; Boriková, Alena; Kuijer, P Paul F M; Bátora, Igor; Scholz-Odermatt, Stefan M; Moldovan, Horatiu; Godderis, Lode; Leijon, Ola; Campo, Giuseppe; Vaněčková, Manuela; Bonneterre, Vincent; Stikova, Elisaveta Jasna; Pelclová, Daniela

    2015-09-01

    Low-back pain diseases (LBPD) belong to the most frequent diagnoses determined by general practitioners, and constitute one of the most common reasons for sick leave and permanent disability pension in the Czech Republic and other European countries. Epidemiological studies have shown a statistically significant association between LBPD and certain types of occupational burden. However, in the Czech Republic, LBPD caused by overload and/or whole-body vibrations have not yet been included in the list of occupational diseases. The aim of this study was to collect and compare the systems, criteria and diagnoses used to recognize LBPD as occupational diseases in other European countries. A questionnaire focused on LBPD was distributed and answered by specialists in occupational diseases in European countries. It included items concerning LBPD in the national list of occupational diseases, and work-related and diagnostic criteria that need to be fulfilled for recognizing LBPD as occupational diseases and possible awarding compensations to the patients. In 13 countries out of the 23 countries studied, LBPD caused by overload can be recognized as occupational, providing that the diagnosis is sufficiently proven and exposure criteria and/or listed occupation are met and duration of exposure is confirmed (Belgium, Denmark, France, Germany, Hungary, Italy, Lithuania, Macedonia, Netherlands, Romania, Slovakia, Sweden, and Switzerland). LBPD due to vibrations can be also recognized as occupational in 14 countries. In 8 countries LBPD are not accepted as occupational unless they are caused by an injury at work. Specific criteria to evaluate occupational exposure of patients with LBPD were set in Belgium, Denmark, France, Germany, Lithuania, Macedonia, Netherlands, and Slovakia. In other countries, the evaluation is done at an individual basis. In practice, the assessment of occupational overload and its contribution to the development of LBPD as well as its inclusion in the

  5. Worldwide Evaluations of Quinoa: Preliminary Results from Post International Year of Quinoa FAO Projects in Nine Countries.

    Science.gov (United States)

    Bazile, Didier; Pulvento, Cataldo; Verniau, Alexis; Al-Nusairi, Mohammad S; Ba, Djibi; Breidy, Joelle; Hassan, Layth; Mohammed, Maarouf I; Mambetov, Omurbek; Otambekova, Munira; Sepahvand, Niaz Ali; Shams, Amr; Souici, Djamel; Miri, Khaled; Padulosi, Stefano

    2016-01-01

    Chenopodium quinoa Willd., a high quality grain crop, is resistant to abiotic stresses (drought, cold, and salt) and offers an optimal source of protein. Quinoa represents a symbol of crop genetic diversity across the Andean region. In recent years, this crop has undergone a major expansion outside its countries of origin. The activities carried out within the framework of the International Year of Quinoa provided a great contribution to raise awareness on the multiple benefits of quinoa as well as to its wider cultivation at the global level. FAO is actively involved in promoting and evaluating the cultivation of quinoa in 26 countries outside the Andean region with the aim to strengthen food and nutrition security. The main goal of this research is to evaluate the adaptability of selected quinoa genotypes under different environments outside the Andean region. This paper presents the preliminary results from nine countries. Field evaluations were conducted during 2013/2014 and 2014/2015 in Asia (Kyrgyzstan and Tajikistan), and the Near East and North African countries (Algeria, Egypt, Iraq, Iran, Lebanon, Mauritania, and Yemen). In each country, the trials were carried out in different locations that globally represent the diversity of 19 agrarian systems under different agro-ecological conditions. Twenty-one genotypes of quinoa were tested using the same experimental protocol in all locations consisting in a randomized complete block design (RCBD) with three replicates. Some genotypes showed higher yields and the Q18 and Q12 landraces displayed greater adaptation than others to new environmental conditions. The Q21 and Q26 landraces were evaluated with stable and satisfactory levels of yield (>1 t.ha(-1)) in each of the different trial sites. This production stability is of considerable importance especially under climate change uncertainty. While these results suggest that this Andean crop is able to grow in many different environments, social, and cultural

  6. Worldwide Evaluations of Quinoa: Preliminary Results from Post International Year of Quinoa FAO Projects in Nine Countries

    Science.gov (United States)

    Bazile, Didier; Pulvento, Cataldo; Verniau, Alexis; Al-Nusairi, Mohammad S.; Ba, Djibi; Breidy, Joelle; Hassan, Layth; Mohammed, Maarouf I.; Mambetov, Omurbek; Otambekova, Munira; Sepahvand, Niaz Ali; Shams, Amr; Souici, Djamel; Miri, Khaled; Padulosi, Stefano

    2016-01-01

    Chenopodium quinoa Willd., a high quality grain crop, is resistant to abiotic stresses (drought, cold, and salt) and offers an optimal source of protein. Quinoa represents a symbol of crop genetic diversity across the Andean region. In recent years, this crop has undergone a major expansion outside its countries of origin. The activities carried out within the framework of the International Year of Quinoa provided a great contribution to raise awareness on the multiple benefits of quinoa as well as to its wider cultivation at the global level. FAO is actively involved in promoting and evaluating the cultivation of quinoa in 26 countries outside the Andean region with the aim to strengthen food and nutrition security. The main goal of this research is to evaluate the adaptability of selected quinoa genotypes under different environments outside the Andean region. This paper presents the preliminary results from nine countries. Field evaluations were conducted during 2013/2014 and 2014/2015 in Asia (Kyrgyzstan and Tajikistan), and the Near East and North African countries (Algeria, Egypt, Iraq, Iran, Lebanon, Mauritania, and Yemen). In each country, the trials were carried out in different locations that globally represent the diversity of 19 agrarian systems under different agro-ecological conditions. Twenty-one genotypes of quinoa were tested using the same experimental protocol in all locations consisting in a randomized complete block design (RCBD) with three replicates. Some genotypes showed higher yields and the Q18 and Q12 landraces displayed greater adaptation than others to new environmental conditions. The Q21 and Q26 landraces were evaluated with stable and satisfactory levels of yield (>1 t.ha−1) in each of the different trial sites. This production stability is of considerable importance especially under climate change uncertainty. While these results suggest that this Andean crop is able to grow in many different environments, social, and cultural

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

    Science.gov (United States)

    Mairaj, Muhammad Ijaz; Naseer, Mirza Muhammad

    2013-12-01

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

  8. Coffee Drinking and Mortality in 10 European Countries: A Multinational Cohort Study.

    Science.gov (United States)

    Gunter, Marc J; Murphy, Neil; Cross, Amanda J; Dossus, Laure; Dartois, Laureen; Fagherazzi, Guy; Kaaks, Rudolf; Kühn, Tilman; Boeing, Heiner; Aleksandrova, Krasimira; Tjønneland, Anne; Olsen, Anja; Overvad, Kim; Larsen, Sofus Christian; Redondo Cornejo, Maria Luisa; Agudo, Antonio; Sánchez Pérez, María José; Altzibar, Jone M; Navarro, Carmen; Ardanaz, Eva; Khaw, Kay-Tee; Butterworth, Adam; Bradbury, Kathryn E; Trichopoulou, Antonia; Lagiou, Pagona; Trichopoulos, Dimitrios; Palli, Domenico; Grioni, Sara; Vineis, Paolo; Panico, Salvatore; Tumino, Rosario; Bueno-de-Mesquita, Bas; Siersema, Peter; Leenders, Max; Beulens, Joline W J; Uiterwaal, Cuno U; Wallström, Peter; Nilsson, Lena Maria; Landberg, Rikard; Weiderpass, Elisabete; Skeie, Guri; Braaten, Tonje; Brennan, Paul; Licaj, Idlir; Muller, David C; Sinha, Rashmi; Wareham, Nick; Riboli, Elio

    2017-08-15

    The relationship between coffee consumption and mortality in diverse European populations with variable coffee preparation methods is unclear. To examine whether coffee consumption is associated with all-cause and cause-specific mortality. Prospective cohort study. 10 European countries. 521 330 persons enrolled in EPIC (European Prospective Investigation into Cancer and Nutrition). Hazard ratios (HRs) and 95% CIs estimated using multivariable Cox proportional hazards models. The association of coffee consumption with serum biomarkers of liver function, inflammation, and metabolic health was evaluated in the EPIC Biomarkers subcohort (n = 14 800). During a mean follow-up of 16.4 years, 41 693 deaths occurred. Compared with nonconsumers, participants in the highest quartile of coffee consumption had statistically significantly lower all-cause mortality (men: HR, 0.88 [95% CI, 0.82 to 0.95]; P for trend coffee drinking with circulatory disease mortality (HR, 0.78 [CI, 0.68 to 0.90]; P for trend coffee consumption was associated with lower serum alkaline phosphatase; alanine aminotransferase; aspartate aminotransferase; γ-glutamyltransferase; and, in women, C-reactive protein, lipoprotein(a), and glycated hemoglobin levels. Reverse causality may have biased the findings; however, results did not differ after exclusion of participants who died within 8 years of baseline. Coffee-drinking habits were assessed only once. Coffee drinking was associated with reduced risk for death from various causes. This relationship did not vary by country. European Commission Directorate-General for Health and Consumers and International Agency for Research on Cancer.

  9. NAT2, meat consumption and colorectal cancer incidence: an ecological study among 27 countries.

    Science.gov (United States)

    Ognjanovic, Simona; Yamamoto, Jennifer; Maskarinec, Gertraud; Le Marchand, Loïc

    2006-11-01

    The polymorphic gene NAT2 is a major determinant of N-acetyltransferase activity and, thus, may be responsible for differences in one's ability to bioactivate heterocyclic amines, a class of procarcinogens in cooked meat. An unusually marked geographic variation in enzyme activity has been described for NAT2. The present study re-examines the international direct correlation reported for meat intake and colorectal cancer (CRC) incidence, and evaluates the potential modifying effects of NAT2 phenotype and other lifestyle factors on this correlation. Country-specific CRC incidence data, per capita consumption data for meat and other dietary factors, prevalence of the rapid/intermediate NAT2 phenotype, and prevalence of smoking for 27 countries were used. Multiple linear regression models were fit and partial correlation coefficients (PCCs) were computed for men and women separately. Inclusion of the rapid/intermediate NAT2 phenotype with meat consumption improved the fit of the regression model for CRC incidence in both sexes (males-R (2) = 0.78, compared to 0.70 for meat alone; p for difference in model fit-0.009; females-R (2) = 0.76 compared to 0.69 for meat alone; p = 0.02). Vegetable consumption (inversely and in both sexes) and fish consumption (directly and in men only) were also weakly correlated with CRC, whereas smoking prevalence and alcohol consumption had no effects on the models. The PCC between NAT2 and CRC incidence was 0.46 in males and 0.48 in females when meat consumption was included in the model, compared to 0.14 and 0.15, respectively, when it was not. These data suggest that, in combination with meat intake, some proportion of the international variability in CRC incidence may be attributable to genetic susceptibility to heterocyclic amines, as determined by NAT2 genotype.

  10. Genetic sequencing for surveillance of drug resistance in tuberculosis in highly endemic countries: a multi-country population-based surveillance study.

    Science.gov (United States)

    Zignol, Matteo; Cabibbe, Andrea Maurizio; Dean, Anna S; Glaziou, Philippe; Alikhanova, Natavan; Ama, Cecilia; Andres, Sönke; Barbova, Anna; Borbe-Reyes, Angeli; Chin, Daniel P; Cirillo, Daniela Maria; Colvin, Charlotte; Dadu, Andrei; Dreyer, Andries; Driesen, Michèle; Gilpin, Christopher; Hasan, Rumina; Hasan, Zahra; Hoffner, Sven; Hussain, Alamdar; Ismail, Nazir; Kamal, S M Mostofa; Khanzada, Faisal Masood; Kimerling, Michael; Kohl, Thomas Andreas; Mansjö, Mikael; Miotto, Paolo; Mukadi, Ya Diul; Mvusi, Lindiwe; Niemann, Stefan; Omar, Shaheed V; Rigouts, Leen; Schito, Marco; Sela, Ivita; Seyfaddinova, Mehriban; Skenders, Girts; Skrahina, Alena; Tahseen, Sabira; Wells, William A; Zhurilo, Alexander; Weyer, Karin; Floyd, Katherine; Raviglione, Mario C

    2018-03-21

    In many countries, regular monitoring of the emergence of resistance to anti-tuberculosis drugs is hampered by the limitations of phenotypic testing for drug susceptibility. We therefore evaluated the use of genetic sequencing for surveillance of drug resistance in tuberculosis. Population-level surveys were done in hospitals and clinics in seven countries (Azerbaijan, Bangladesh, Belarus, Pakistan, Philippines, South Africa, and Ukraine) to evaluate the use of genetic sequencing to estimate the resistance of Mycobacterium tuberculosis isolates to rifampicin, isoniazid, ofloxacin, moxifloxacin, pyrazinamide, kanamycin, amikacin, and capreomycin. For each drug, we assessed the accuracy of genetic sequencing by a comparison of the adjusted prevalence of resistance, measured by genetic sequencing, with the true prevalence of resistance, determined by phenotypic testing. Isolates were taken from 7094 patients with tuberculosis who were enrolled in the study between November, 2009, and May, 2014. In all tuberculosis cases, the overall pooled sensitivity values for predicting resistance by genetic sequencing were 91% (95% CI 87-94) for rpoB (rifampicin resistance), 86% (74-93) for katG, inhA, and fabG promoter combined (isoniazid resistance), 54% (39-68) for pncA (pyrazinamide resistance), 85% (77-91) for gyrA and gyrB combined (ofloxacin resistance), and 88% (81-92) for gyrA and gyrB combined (moxifloxacin resistance). For nearly all drugs and in most settings, there was a large overlap in the estimated prevalence of drug resistance by genetic sequencing and the estimated prevalence by phenotypic testing. Genetic sequencing can be a valuable tool for surveillance of drug resistance, providing new opportunities to monitor drug resistance in tuberculosis in resource-poor countries. Before its widespread adoption for surveillance purposes, there is a need to standardise DNA extraction methods, recording and reporting nomenclature, and data interpretation. Bill & Melinda

  11. Evaluating the efficiency of nuclear energy policies: an empirical examination for 26 countries.

    Science.gov (United States)

    Gozgor, Giray; Demir, Ender

    2017-08-01

    The decarbonization of the global economy is an urgent concern. As a potential solution, it can be important to understand the efficiency of nuclear energy policies. For this purpose, the paper analyzes whether there is a unit root in nuclear energy consumption in 26 countries and it uses the unit root tests with two endogenous (unknown) structural breaks. The paper finds that nuclear energy consumption is stationary around a level and the time trend in 25 of 26 countries and nuclear energy consumption contains a unit root only in France. The paper also discusses the potential implications of the findings.

  12. Evaluation of ethical position in eight CEE countries and Finland – results of an empirical research

    Directory of Open Access Journals (Sweden)

    József Poór

    2016-12-01

    Full Text Available The objective of this paper is to explore the ethical perspectives of respondents in Hungary, Slovakia, Romania, Serbia, Croatia, the Czech Republic, Poland, Estonia and Finland, and, to this end, to show the similarities and differences among these nine, mainly Central and Eastern European countries. Their ethical positions are defined by examining the related cultural dimensions. The obvious differences in national history and culture may well suggest that ethical positions will differ in these countries, but we believe that our findings do contribute to a better understanding of moral standards in relation to business in the Central and East European (CEE area.

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

    Directory of Open Access Journals (Sweden)

    Lucy Yosita

    2006-01-01

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

  14. 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

  15. The evaluation of the compatibility of electronic patient record (EPR) system with nurses' management needs in a developing country.

    Science.gov (United States)

    Kahouei, Mehdi; Zadeh, Jamileh Mahdi; Roghani, Panoe Seyed

    2015-04-01

    In a developing country like Iran, wasting economic resources has a number of negative consequences. Therefore, it is crucial that problems of introducing new electronic systems be identified and addressed early to avoid failure of the programs. The purpose of this study was to evaluate head nurses' and supervisors' perceptions about the efficiency of the electronic patient record (EPR) system and its impact on nursing management tasks in order to provide useful recommendations. This descriptive study was performed in teaching hospitals affiliated to Semnan University of Medical Sciences, Iran. An anonymous self-administered questionnaire was developed. Head nurses and supervisors were included in this study. It was found that the EPR system was immature and was not proportionate to the operational level. Moreover, few head nurses and supervisors agreed on the benefits of the EPR system on the performance of their duties such as planning, organizing, budgeting, and coordinating. It is concluded that in addition to the technical improvements, the social and cultural factors should be considered to improve the acceptability of electronic systems through social marketing in the different aspects of nursing management. It is essential that health information technology managers emphasize on training head nurses and supervisors to design technology corresponding to their needs rather than to accept poorly designed technology. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.

  16. Costs and financing of routine immunization: Approach and selected findings of a multi-country study (EPIC).

    Science.gov (United States)

    Brenzel, Logan; Young, Darwin; Walker, Damian G

    2015-05-07

    Few detailed facility-based costing studies of routine immunization (RI) programs have been conducted in recent years, with planners, managers and donors relying on older information or data from planning tools. To fill gaps and improve quality of information, a multi-country study on costing and financing of routine immunization and new vaccines (EPIC) was conducted in Benin, Ghana, Honduras, Moldova, Uganda and Zambia. This paper provides the rationale for the launch of the EPIC study, as well as outlines methods used in a Common Approach on facility sampling, data collection, cost and financial flow estimation for both the routine program and new vaccine introduction. Costing relied on an ingredients-based approach from a government perspective. Estimating incremental economic costs of new vaccine introduction in contexts with excess capacity are highlighted. The use of more disaggregated System of Health Accounts (SHA) coding to evaluate financial flows is presented. The EPIC studies resulted in a sample of 319 primary health care facilities, with 65% of facilities in rural areas. The EPIC studies found wide variation in total and unit costs within each country, as well as between countries. Costs increased with level of scale and socio-economic status of the country. Governments are financing an increasing share of total RI financing. This study provides a wealth of high quality information on total and unit costs and financing for RI, and demonstrates the value of in-depth facility approaches. The paper discusses the lessons learned from using a standardized approach, as well as proposes further areas of methodology development. The paper discusses how results can be used for resource mobilization and allocation, improved efficiency of services at the country level, and to inform policies at the global level. Efforts at routinizing cost analysis to support sustainability efforts would be beneficial. Copyright © 2015 Elsevier Ltd. All rights reserved.

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

    DEFF Research Database (Denmark)

    Steentoft, Anni; Teige, Brita; Holmgren, Per

    1996-01-01

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

  18. Challenges for the registration of vaccines in emerging countries: Differences in dossier requirements, application and evaluation processes.

    Science.gov (United States)

    Dellepiane, Nora; Pagliusi, Sonia

    2018-06-07

    The divergence of regulatory requirements and processes in developing and emerging countries contributes to hamper vaccines' registration, and therefore delay access to high-quality, safe and efficacious vaccines for their respective populations. This report focuses on providing insights on the heterogeneity of registration requirements in terms of numbering structure and overall content of dossiers for marketing authorisation applications for vaccines in different areas of the world. While it also illustrates the divergence of regulatory processes in general, as well as the need to avoid redundant reviews, it does not claim to provide a comprehensive view of all processes nor existing facilitating mechanisms, nor is it intended to touch upon the differences in assessments made by different regulatory authorities. This report describes the work analysed by regulatory experts from vaccine manufacturing companies during a meeting held in Geneva in May 2017, in identifying and quantifying differences in the requirements for vaccine registration in three aspects for comparison: the dossier numbering structure and contents, the application forms, and the evaluation procedures, in different countries and regions. The Module 1 of the Common Technical Document (CTD) of 10 countries were compared. Modules 2-5 of the CTDs of two regions and three countries were compared to the CTD of the US FDA. The application forms of eight countries were compared and the registration procedures of 134 importing countries were compared as well. The analysis indicates a high degree of divergence in numbering structure and content requirements. Possible interventions that would lead to significant improvements in registration efficiency include alignment in CTD numbering structure, a standardised model-application form, and better convergence of evaluation procedures. Copyright © 2018.

  19. Country-dependent characterisation factors for acidification in Europe - A critical evaluation

    NARCIS (Netherlands)

    Hettelingh, JP; Posch, M; Potting, J

    2005-01-01

    Goal, Scope and Background. Country-dependent characterisation factors for acidification have been derived for use in life cycle assessments to describe the effect on ecosystem protection of a change in national emissions. They have recently also been used in support of European air pollution

  20. National Degree of Computerization: A Context for Evaluating Computer Education Policies in Developing Countries.

    Science.gov (United States)

    Boehm, Barry W.

    Developing countries should take immediate steps to avoid some of the serious problems that are now facing the United States in regard to the pool of trained computer professionals. Problem areas which should be reconciled involve a diverse range of topics from general national policy to salary structures and conversions efforts. By using the…

  1. Comparative evaluation of different types of biogas suitable for tropical country

    International Nuclear Information System (INIS)

    Sahu, S.N.; Gbagbo, J.K.N.; Aneke, F.U.

    1997-04-01

    The biogas technology - anaerobic digestion - is described together with different types of biogas plants suitable for tropical countries. Cost-benefit analysis of establishing biogas plants, financial support options, and the benefits of using biogas as an energy source in rural areas are presented. (LN)

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

    Science.gov (United States)

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

    2014-07-01

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

  3. Development of voluntary private health insurance in Nordic countries - An exploratory study on country-specific contextual factors.

    Science.gov (United States)

    Tynkkynen, Liina-Kaisa; Alexandersen, Nina; Kaarbøe, Oddvar; Anell, Anders; Lehto, Juhani; Vrangbӕk, Karsten

    2018-03-16

    The Nordic countries are healthcare systems with tax-based financing and ambitions for universal access to comprehensive services. This implies that distribution of healthcare resources should be based on individual needs, not on the ability to pay. Despite this ideological orientation, significant expansion in voluntary private health insurance (VPHI) contracts has occurred in recent decades. The development and role of VPHIs are different across the Nordic countries. Complementary VPHI plays a significant role in Denmark and in Finland. Supplementary VPHI is prominent in Norway and Sweden. The aim of this paper is to explore drivers behind the developments of the VPHI markets in the Nordic countries. We analyze the developments in terms of the following aspects: the performance of the statutory system (real or perceived), lack of coverage in certain areas of healthcare, governmental interventions or inability to reform the system, policy trends and the general socio-cultural environment, and policy responses to voting behavior or lobbying by certain interest groups. It seems that the early developments in VPHI markets have been an answer to the gaps in the national health systems created by institutional contexts, political decisions, and cultural interpretations on the functioning of the system. However, once the market is created it introduces new dynamics that have less to do with gaps and inflexibilities and more with cultural factors. Copyright © 2018. Published by Elsevier B.V.

  4. Place of Risk Analysis in Tax Audit: Some Country Practices and an Evaluation for Turkey

    Directory of Open Access Journals (Sweden)

    Feride BAKAR

    2016-12-01

    Full Text Available The use of information technologies and risk analysis have become an important position in tax audit, as in all fields. Systems used in this area, are different in many ways and for this reason, making comparative study, evaluating best practices and its effects to results should be examined. In this study, development of risk analysis systems in Australia, United Kingdom, Austria, the USA and their place ensuring effectiveness of tax audit was investigated. Thus, some findings were made for Turkey with help of examining the current status of tax audits based on risk analysis. In the past, risk analysis was used for providing effectiveness of tax audit, but today the purpose has evolved to focus increasing tax compliance. For realization of this purpose in Turkey, disclosure of risk areas in general, informing taxpayers and establishment of cooperative compliance model with large business is needed.

  5. Does the Country-of-Origin (COO) of food products influence consumer evaluations?

    DEFF Research Database (Denmark)

    Krystallis, Athanasios; Chryssohoidis, G.

    2009-01-01

    The present study attempts to assess the impact of the COO effect on the evaluation of specific food products by Greek consumers. This issue has been examined exhaustively in the international literature albeit there are very few studies concerning food products. A particular effort is geared...... and confirmatory factor analyses. Data were collected though personal interviews with a sample of 274 respondents, which compared two food products of Greek origin (ham and yellow cheese) to their counterparts from Italy and the Netherlands. Results indicate that respondents exhibit a marginally ethnocentric...... toward measuring consumers' ethnocentric tendency as antecedent to the appearance of the COO effect and examining the level at which the latter is activated (product or attribute-specific). In this respect, consumer attitude (dis)similarities toward product types are analysed with exploratory...

  6. A scientometric study of general internal medicine domain among muslim countries of middle East (1991 - 2011).

    Science.gov (United States)

    Hodhodinezhad, Niloofar; Zahedi, Razieh; Ashrafi-rizzi, Hassan; Shams, Asadollah

    2013-03-01

    The position of General Internal Medicine in the Islamic countries in the Middle East has been investigated in the present study. The scientific productions of the countries in the area on Web of science database during 1990-2011 constitute were examined. The result of the survey showed that the share of these countries in world scientific productions is very low. Turkey, Saudi Arabia and Iran are the first to third ones in this domain in order. In view of annual growth rate, Kuwait having high growth rate, is the first one. Libya and Syria are the next ones. The scientific poverty line of Islamic countries in the area was surveyed. The result showed that in view of the scientific poverty line, the highest is Kuwait with the population of 0.04 percent of the world. Next to it, Saudi Arabia and Bahrain are the second and third ones. The results of this research showed that the share of Islamic countries in the Middle East in scientific production of this medicine domain is very low. It needs to be paid more attention by the countries in the area.

  7. Diabetes research in Middle East countries; a scientometrics study from 1990 to 2012

    Directory of Open Access Journals (Sweden)

    Niloofar Peykari

    2015-01-01

    Full Text Available Background: Diabetes burden is a serious warning for urgent action plan across the world. Knowledge production in this context could provide evidences for more efficient interventions. Aimed to that, we quantify the trend of diabetes research outputs of Middle East countries focusing on the scientific publication numbers, citations, and international collaboration. Materials and Methods: This scientometrics study was performed based on the systematic analysis through three international databases; ISI, PubMed, and Scopus from 1990 to 2012. International collaboration of Middle East countries and citations was analyzed based on Scopus. Diabetes′ publications in Iran specifically were assessed, and frequent used terms were mapped by VOSviewer software. Results: Over 23-year period, the number of diabetes publications and related citations in Middle East countries had increasing trend. The number of articles on diabetes in ISI, PubMed, and Scopus were respectively; 13,994, 11,336, and 20,707. Turkey, Israel, Iran, Saudi Arabia, and Egypt have devoted the five top competition positions. In addition, Israel, Turkey, and Iran were leading countries in citation analysis. The most collaborative country with Middle East countries was USA and within the region, the most collaborative country was Saudi Arabia. Iran in all databases stands on third position and produced 12.7% of diabetes publications within region. Regarding diabetes researches, the frequent used terms in Iranian articles were "effect," "woman," and "metabolic syndrome." Conclusion: Ascending trend of diabetes research outputs in Middle East countries is appreciated but encouraging to strategic planning for maintaining this trend, and more collaboration between researchers is needed to regional health promotion.

  8. Health-related quality of life in asthma studies. Can we combine data from different countries?

    Science.gov (United States)

    Ståhl, E; Postma, D S; Juniper, E F; Svensson, K; Mear, I; Löfdahl, C-G

    2003-01-01

    The aim was to compare health-related quality of life (HRQL) in patients with asthma from 4 countries, and to investigate the correlations between HRQL and clinical indices.341 patients; 140 (Sweden), 54 (Norway), 65 (the Netherlands) and 82 (Greece) were treated with formoterol fumarate 4.5 microg or with terbutaline sulphate 0.5mg for 12 weeks inhaled 'on demand' via Turbuhaler. The Asthma Quality of Life Questionnaire (AQLQ) and clinical indices were assessed. The mean baseline AQLQ overall scores in Sweden (4.97), in the Netherlands (5.04), in Norway (4.68) and in Greece (4.68) were in the same range, however, with a significant difference between the four countries (p=0.038). When comparing AQLQ, activity limitation and symptoms domains, the differences between the countries were not statistically significant. The cross-sectional correlations between AQLQ overall score and the clinical indices were similar in all four countries. The magnitude of change in AQLQ was consistent with the other clinical variables. The correlations between change in AQLQ overall score and change in clinical indices were low to medium in all countries. In conclusion, the consistency of cross-sectional correlations between the AQLQ overall and clinical indices across countries supports the validity of translations of the AQLQ used in this study. There were differences in baseline values between the countries. The treatment response in AQLQ differed to the same extent as other clinical indices. When combining HRQL data from different countries, there might be cultural, gender and socio-economic differences, explaining different responses to treatment.

  9. COMPARATIVE STUDY OF HEALTH STATUS BETWEEN COUNTRIES ALONG THE NEW SILK ROAD

    Directory of Open Access Journals (Sweden)

    Ju’e Yan

    2016-04-01

    Full Text Available Using World Statistics Data from the year 2012, health status differences between countries along the “New Silk Road” were compared and analyzed. Life expectancy at birth, life expectancy at age 60, healthy life expectancy, neonatal mortality rate, infant mortality rate, under-five mortality rate, maternal mortality ratio, as well as certain disease incidence rates were used. The study indicated that the 12 countries along the New Silk Road had longer life expectancy at birth. Females had longer life expectancy at birth than males, but life expectancy at age 60 was shorter than the global average, and healthy life expectancy at birth was also shorter. Maternal health status was generally good in each country. China, Russia, and 4 other countries had better children’s health status than India, Tajikistan, Pakistan, and Afghanistan. Non-communicable diseases caused higher mortality than communicable diseases and accidental injuries. However, the age standardized mortality rates of communicable diseases in India, Tajikistan, Pakistan, and Afghanistan were still relatively high. Communicable diseases were also the leading cause of reduction in life expectancy. Tuberculosis had a more significant impact on health status. In conclusion, health status varies among the New Silk Road countries. Countries including China and Iran have relatively better health status, and non communicable diseases were the predominant risk factor impacting health. However, in countries such as India and Afghanistan, mortality caused by communicable diseases is still prominent. Under the current trend of globalization, New Silk Road countries are supposed to collaborate to expand their healthcare systems, and improve the health conditions for their people.

  10. UNEP greenhouse gas abatement costing studies. Zimbabwe country study. Phase 1

    Energy Technology Data Exchange (ETDEWEB)

    Shakespeare Maya, R. [Southern Centre for Energy and Environment (Zimbabwe); Muguti, E. [Ministry of Transport and Energy. Department of Energy (Zimbabwe); Fenhann, J.; Morthorst, P.E. [Risoe National Laboratory. Systems Analysis Department (Denmark)

    1992-08-01

    The UNEP (United Nations Environment Programme) programme of Greenhouse Gas Abatement Costing Studies is intended to clarify the economic issues involved in assessing the costs of limiting emissions of greenhouse gases and to propose approaches to comparable costing studies. Phase 1 of the Zimbabwe country study describes the current energy situation in Zimbabwe related to the national economy, energy supply and demand and amounts of greenhouse gas emissions. Factors regarding the geography, (including a map illustrating the degree and character of land degradation by erosion) population, politics, international relations, land-use and management of the energy sector are dealt with in detail and the text is illustrated with data compiled from the study. It is estimated that Zimbabwe consumed 270.4 Tj of energy during 1988 and emitted 21.7 tonnes of carbon dioxide. An emission intensity of 80.2 tonnes/Tj for the whole economy and 63.6 tonnes/Tj for electric power generation alone was calculated. Forecasting for the year 2020 estimated carbon dioxide emission intensities of 73.5 tonnes/Tj for the whole economy and 43.7 tonnes for power generation. Net carbon dioxide emissions are predicted to be 30-42 tonnes during 2020. (AB).

  11. Capturing Budget Impact Considerations Within Economic Evaluations: A Systematic Review of Economic Evaluations of Rotavirus Vaccine in Low- and Middle-Income Countries and a Proposed Assessment Framework.

    Science.gov (United States)

    Carvalho, Natalie; Jit, Mark; Cox, Sarah; Yoong, Joanne; Hutubessy, Raymond C W

    2018-01-01

    In low- and middle-income countries, budget impact is an important criterion for funding new interventions, particularly for large public health investments such as new vaccines. However, budget impact analyses remain less frequently conducted and less well researched than cost-effectiveness analyses. The objective of this study was to fill the gap in research on budget impact analyses by assessing (1) the quality of stand-alone budget impact analyses, and (2) the feasibility of extending cost-effectiveness analyses to capture budget impact. We developed a budget impact analysis checklist and scoring system for budget impact analyses, which we then adapted for cost-effectiveness analyses, based on current International Society for Pharmacoeconomics and Outcomes Research Task Force recommendations. We applied both budget impact analysis and cost-effectiveness analysis checklists and scoring systems to examine the extent to which existing economic evaluations provide sufficient evidence about budget impact to enable decision making. We used rotavirus vaccination as an illustrative case in which low- and middle-income countries uptake has been limited despite demonstrated cost effectiveness. A systematic literature review was conducted to identify economic evaluations of rotavirus vaccine in low- and middle-income countries published between January 2000 and February 2017. We critically appraised the quality of budget impact analyses, and assessed the extension of cost-effectiveness analyses to provide useful budget impact information. Six budget impact analyses and 60 cost-effectiveness analyses were identified. Budget impact analyses adhered to most International Society for Pharmacoeconomics and Outcomes Research recommendations, with key exceptions being provision of undiscounted financial streams for each budget period and model validation. Most cost-effectiveness analyses could not be extended to provide useful budget impact information; cost

  12. An evaluation of equity and equality in physical activity policies in four European countries.

    Science.gov (United States)

    Hämäläinen, Riitta-Maija; Sandu, Petru; Syed, Ahmed M; Jakobsen, Mette W

    2016-11-24

    There is strong research evidence on the importance of health equity and equality for wellbeing in societies. As chronic non-communicable diseases are widespread, the positive impact of physical activity (PA) on health has gained importance. However, PA at the population level is far from optimal. PA depends not only on individual factors, but also on policies for PA in sport, health, transport, education and other sectors, on social and cultural factors, and on the environment. Addressing health inequalities and inequities in PA promotion policies could benefit from policy development processes based on partnership and collaboration between various sectors, researchers, practitioners and policy makers (= cross-sectoral, evidence-informed policy making). The objective of this article is to describe how equity and equality was addressed in PA policies in four EU member states (Denmark, Finland, Romania and England), who were partners in the REPOPA project ( www.repopa.eu , EC/FP7/Health Research/GA 281532). Content analysis of 14 PA policies and 61 interviews were undertaken between 2012 and 2013 with stakeholders involved in developing PA policies in partner countries. Even though specific population subgroups were mentioned in the policy documents analysed, they were not necessarily defined as vulnerable populations nor was there a mention of additional emphasis to support such groups from being marginalised by the policy due to inequity or inequality. There were no clear objectives and activities in the analysed policies suggesting commitment of additional resources in favour of such groups. Addressing equity and equality were often not included in the core aims of the policies analysed; these aspects were mentioned in the background of the policy documents analysed, without being explicitly stated in the aims or activities of the policies. In order to tackle health inequities and inequalities and their consequences on the health status of different population

  13. The Situation of Top Universities\\\\\\' Websites in the Islamic World Countries: a Webometric Study

    Directory of Open Access Journals (Sweden)

    Marzieh Goltaji

    2011-10-01

    Full Text Available With regards to important role of universities’ websites, this article aimed to study top universities of the Islamic countries using webometrics methods. Research data were extracted from AltaVista search engine and WEBOMETRICS website. In this study, top universities of the Islamic countries were ranked with some indexes such as number of links, web impact factor, world rank, size, visibility, rich files and scholar. Results showed that there was a significant relation between web impact factor with some indicators such as world rank, size, rich files and scholar, but there was not any significant relation between web impact factor and visibility of the website. Strong significant correlation between top universities of the Islamic world countries websites’ world rank and their ranks based on GDP was another result that we can mention in this study.

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

    Science.gov (United States)

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

    2011-12-20

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

  15. Archives Educational Programs in Librarianship Schools : A Compression Study Between Algeria and Some Arab Countries

    Directory of Open Access Journals (Sweden)

    Waheba Gheriamy

    2006-06-01

    Full Text Available A Study about the training of archivists in Algeria, specially of the origin and aims of archival studies programme in librarianship institute at the university of Algiers and comparing its experience with some Arabic contries like Egypt,Tunisia and Arabic Golf countries.

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

    NARCIS (Netherlands)

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

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

  17. The European Research Elite: A Cross-National Study of Highly Productive Academics in 11 Countries

    Science.gov (United States)

    Kwiek, Marek

    2016-01-01

    In this paper, we focus on a rare scholarly theme of highly productive academics, statistically confirming their pivotal role in knowledge production across 11 systems studied. The upper 10% of highly productive academics in 11 European countries studied (N = 17,211) provide on average almost half of all academic knowledge production. In contrast…

  18. Evaluation of T cell subsets by an immunocytochemical method compared to flow cytometry in four countries

    DEFF Research Database (Denmark)

    Lisse, I M; Böttiger, B; Christensen, L B

    1997-01-01

    The authors tested an alternative method for CD4 and CD8 T lymphocytes enumeration, the immunoalkaline phosphatase method (IA), in three African countries and in Denmark. The IA determinations from 136 HIV antibody positive and 105 HIV antibody negative individuals were compared...... by the two methods are not interchangeable as IA compared to FC consistently gives higher percentage of CD4 T lymphocytes, and lower percentage of CD8 T lymphocytes. Mean differences between the two methods did not differ between the three African countries indicating that the IA method provides systematic...... results. Replicate measurements suggested good correspondence between results obtained by IA. By using an IA level of 4 T lymphocytes/microliter, the sensitivity was 81% and specificity 96% for detecting an FC level of 4 T lymphocytes/microliter. Using an IA level of 4 T...

  19. Systematic review on the evaluation criteria of orphan medicines in Central and Eastern European countries

    OpenAIRE

    Zelei, Tam?s; Moln?r, M?ria J.; Szegedi, M?rta; Kal?, Zolt?n

    2016-01-01

    Background In case of orphan drugs applicability of the standard health technology assessment (HTA) process is limited due to scarcity of good clinical and health economic evidence. Financing these premium priced drugs is more controversial in the Central and Eastern European (CEE) region where the public funding resources are more restricted, and health economic justification should be an even more important aspect of policy decisions than in higher income European countries. Objectives To e...

  20. A vaccine cold chain freezing study in PNG highlights technology needs for hot climate countries.

    Science.gov (United States)

    Wirkas, Theo; Toikilik, Steven; Miller, Nan; Morgan, Chris; Clements, C John

    2007-01-08

    Fourteen data loggers were packed with vaccine vials at the national vaccine store, Port Moresby, Papua New Guinea (PNG), and sent to peripheral locations in the health system. The temperatures that the data loggers recorded during their passage along the cold chain indicated that heat damage was unlikely, but that all vials were exposed to freezing temperatures at some time. The commonest place where freezing conditions existed was during transport. The freezing conditions were likely induced by packing the vials too close to the ice packs that were themselves too cold, and with insufficient insulation between them. This situation was rectified and a repeat dispatch of data loggers demonstrated that the system had indeed been rectified. Avoiding freeze damage becomes even more important as the price of freeze-sensitive vaccines increases with the introduction of more multiple-antigen vaccines. This low-cost high-tech method of evaluating the cold chain function is highly recommended for developing and industrialized nations and should be used on a regular basis to check the integrity of the vaccine cold chain. The study highlights the need for technological solutions to avoid vaccine freezing, particularly in hot climate countries.

  1. 16 case studies on the deployment of photovoltaic technologies in developing countries

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2003-09-15

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

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

    Science.gov (United States)

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

    2010-01-01

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

  3. The process of changing national malaria treatment policy: lessons from country-level studies.

    Science.gov (United States)

    Williams, Holly Ann; Durrheim, David; Shretta, Rima

    2004-11-01

    Widespread resistance of Plasmodium falciparum parasites to commonly used antimalarials, such as chloroquine, has resulted in many endemic countries considering changing their malaria treatment policy. Identifying and understanding the key influences that affect decision-making, and factors that facilitate or undermine policy implementation, is critical for improving the policy process and guiding resource allocation during this process. A historical review of archival documents from Malaŵi and data obtained from in-depth policy studies in four countries (Tanzania, South Africa, Kenya and Peru) that have changed malaria treatment policy provides important lessons about decision-making, the policy cycle and complex policy environment, while specifically identifying strategies successfully employed to facilitate policy-making and implementation. Findings from these country-level studies indicate that the process of malaria drug policy review should be institutionalized in endemic countries and based on systematically collected data. Key stakeholders need to be identified early and engaged in the process, while improved communication is needed on all levels. Although malaria drug policy change is often perceived to be a daunting task, using these and other proven strategies should assist endemic countries to tackle this challenge in a systematic fashion that ensures the development and implementation of the rational malaria drug policy.

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

    Energy Technology Data Exchange (ETDEWEB)

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

    2016-10-15

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

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

    International Nuclear Information System (INIS)

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

    2016-01-01

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

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

    Science.gov (United States)

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

    2015-08-21

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

  7. Judgment under uncertainty; a probabilistic evaluation framework for decision-making about sanitation systems in low-income countries.

    Science.gov (United States)

    Malekpour, Shirin; Langeveld, Jeroen; Letema, Sammy; Clemens, François; van Lier, Jules B

    2013-03-30

    This paper introduces the probabilistic evaluation framework, to enable transparent and objective decision-making in technology selection for sanitation solutions in low-income countries. The probabilistic framework recognizes the often poor quality of the available data for evaluations. Within this framework, the evaluations will be done based on the probabilities that the expected outcomes occur in practice, considering the uncertainties in evaluation parameters. Consequently, the outcome of evaluations will not be single point estimates; but there exists a range of possible outcomes. A first trial application of this framework for evaluation of sanitation options in the Nyalenda settlement in Kisumu, Kenya, showed how the range of values that an evaluation parameter may obtain in practice would influence the evaluation outcomes. In addition, as the probabilistic evaluation requires various site-specific data, sensitivity analysis was performed to determine the influence of each data set quality on the evaluation outcomes. Based on that, data collection activities could be (re)directed, in a trade-off between the required investments in those activities and the resolution of the decisions that are to be made. Copyright © 2013 Elsevier Ltd. All rights reserved.

  8. Trends and determinants of weight gains among OECD countries: an ecological study.

    Science.gov (United States)

    Nghiem, S; Vu, X-B; Barnett, A

    2018-06-01

    Obesity has become a global issue with abundant evidence to indicate that the prevalence of obesity in many nations has increased over time. The literature also reports a strong association between obesity and economic development, but the trend that obesity growth rates may converge over time has not been examined. We propose a conceptual framework and conduct an ecological analysis on the relationship between economic development and weight gain. We also test the hypothesis that weight gain converges among countries over time and examine determinants of weight gains. This is a longitudinal study of 34 Organisation for Economic Cooperation and Development (OECD) countries in the years 1980-2008 using publicly available data. We apply a dynamic economic growth model to test the hypothesis that the rate of weight gains across countries may converge over time. We also investigate the determinants of weight gains using a longitudinal regression tree analysis. We do not find evidence that the growth rates of body weight across countries converged for all countries. However, there were groups of countries in which the growth rates of body weight converge, with five groups for males and seven groups for females. The predicted growth rates of body weight peak when gross domestic product (GDP) per capita reaches US$47,000 for males and US$37,000 for females in OECD countries. National levels of consumption of sugar, fat and alcohol were the most important contributors to national weight gains. National weight gains follow an inverse U-shape curve with economic development. Excessive calorie intake is the main contributor to weight gains. Copyright © 2018 The Royal Society for Public Health. Published by Elsevier Ltd. All rights reserved.

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

    Directory of Open Access Journals (Sweden)

    Milla Salin

    2014-11-01

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

  10. The role and importance of the use and development of applied nuclear theory and computer codes for neutron nuclear data evaluation in the developing countries

    International Nuclear Information System (INIS)

    Mehta, M.K.

    1976-01-01

    The situation in developing countries is reviewed first by examining the motivation for such work and then by setting up a few criteria necessary for carrying out data evaluation programmes. The case for one country-India is discussed in detail under these criteria and general inferences are drawn from this. Recommendations are made based on this review to bring about interactions between the basic nuclear theorists and nuclear data evaluation groups in developing countries. (author)

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

    Energy Technology Data Exchange (ETDEWEB)

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

    2002-07-01

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

  12. Evaluation of the feeding value of straw. A comparison of laboratory methods in the Nordic countries

    Energy Technology Data Exchange (ETDEWEB)

    Sundstoel, F; Kossila, V; Theander, O; Thomsen, K V

    1978-01-01

    Straw from Scandinavian countries had in vivo (sheep) organic matter digestibilities of 42 to 68%. In vitro digestibilities were 59.0 to 70.4%, and increased with enzyme-soluble organic matter contents. Acid and neutral detergent fiber contents were not correlated strongly enough with alkali treated straw to be used for prediction of nutritional value. There was a correlation between N content and digestibility in NH/sub 3/-treated straw. As long as standard measuring techniques were used, determinations of dry matter, ash, acid and neutral detergent fiber, lignin, sugars, and cellulose were correlated well among different testing laboratories.

  13. Corporal punishment, maternal warmth, and child adjustment: a longitudinal study in eight countries.

    Science.gov (United States)

    Lansford, Jennifer E; Sharma, Chinmayi; Malone, Patrick S; Woodlief, Darren; Dodge, Kenneth A; Oburu, Paul; Pastorelli, Concetta; Skinner, Ann T; Sorbring, Emma; Tapanya, Sombat; Tirado, Liliana Maria Uribe; Zelli, Arnaldo; Al-Hassan, Suha M; Alampay, Liane Peña; Bacchini, Dario; Bombi, Anna Silvia; Bornstein, Marc H; Chang, Lei; Deater-Deckard, Kirby; Di Giunta, Laura

    2014-01-01

    Two key tasks facing parents across cultures are managing children's behaviors (and misbehaviors) and conveying love and affection. Previous research has found that corporal punishment generally is related to worse child adjustment, whereas parental warmth is related to better child adjustment. This study examined whether the association between corporal punishment and child adjustment problems (anxiety and aggression) is moderated by maternal warmth in a diverse set of countries that vary in a number of sociodemographic and psychological ways. Interviews were conducted with 7- to 10-year-old children (N = 1,196; 51% girls) and their mothers in 8 countries: China, Colombia, Italy, Jordan, Kenya, the Philippines, Thailand, and the United States. Follow-up interviews were conducted 1 and 2 years later. Corporal punishment was related to increases, and maternal warmth was related to decreases, in children's anxiety and aggression over time; however, these associations varied somewhat across groups. Maternal warmth moderated the effect of corporal punishment in some countries, with increases in anxiety over time for children whose mothers were high in both warmth and corporal punishment. The findings illustrate the overall association between corporal punishment and child anxiety and aggression as well as patterns specific to particular countries. Results suggest that clinicians across countries should advise parents against using corporal punishment, even in the context of parent-child relationships that are otherwise warm, and should assist parents in finding other ways to manage children's behaviors.

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

    Science.gov (United States)

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

    2015-04-04

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

  15. Corporal Punishment, Maternal Warmth, and Child Adjustment: A Longitudinal Study in Eight Countries

    Science.gov (United States)

    Lansford, Jennifer E.; Sharma, Chinmayi; Malone, Patrick S.; Woodlief, Darren; Dodge, Kenneth A.; Oburu, Paul; Pastorelli, Concetta; Skinner, Ann T.; Sorbring, Emma; Tapanya, Sombat; Tirado, Liliana Maria Uribe; Zelli, Arnaldo; Al-Hassan, Suha M.; Alampay, Liane Peña; Bacchini, Dario; Bombi, Anna Silvia; Bornstein, Marc H.; Chang, Lei; Deater-Deckard, Kirby; Di Giunta, Laura

    2014-01-01

    Objective Two key tasks facing parents across cultures are managing children’s behaviors (and misbehaviors) and conveying love and affection. Previous research has found that corporal punishment generally is related to worse child adjustment, whereas parental warmth is related to better child adjustment. This study examined whether the association between corporal punishment and child adjustment problems (anxiety and aggression) is moderated by maternal warmth in a diverse set of countries that vary in a number of sociodemographic and psychological ways. Method Interviews were conducted with 7- to 10-year-old children (N = 1,196; 51% girls) and their mothers in eight countries: China, Colombia, Italy, Jordan, Kenya, the Philippines, Thailand, and the United States. Follow-up interviews were conducted one and two years later. Results Corporal punishment was related to increases, and maternal warmth was related to decreases, in children’s anxiety and aggression over time; however, these associations varied somewhat across groups. Maternal warmth moderated the effect of corporal punishment in some countries, with increases in anxiety over time for children whose mothers were high in both warmth and corporal punishment. Conclusions The findings illustrate the overall association between corporal punishment and child anxiety and aggression as well as patterns specific to particular countries. Results suggest that clinicians across countries should advise parents against using corporal punishment, even in the context of parent-child relationships that are otherwise warm, and should assist parents in finding other ways to manage children’s behaviors. PMID:24885184

  16. Reactor safety; Description and evaluation of safety activities in Nordic countries

    International Nuclear Information System (INIS)

    Wahlstroem, B.; Gunsell, L.

    1998-03-01

    The report gives a description of safety activities in the nuclear power industry. The study has been carried out as a part of the four year programme in Nordic Safety Research (NKS) which was completed in 1997. The objective of the NKS/RAK-1.1 project 'A survey and an evaluation of safety activities in nuclear power' was to make a broad description of various activities important for safety and to make an assessment of their efficiency. A special consideration was placed on a comparison of practices in Finland and Sweden, and between their nuclear utilities. The study has been divided into two parts, one theoretical part in which a model of the relationships between various activities important for safety has been constructed and one practical part where a total of 62 persons have been interviewed at the authorities, the nuclear utilities and one reactor vendor. To restrict the amount of work two activities, safety analysis and experience feedback, were selected. A few cases connected to incidents at nuclear power plants were discussed in more detail. The report has been structured around a simple model of nuclear safety consisting of the concepts of goals, means and outcomes. This model illustrates the importance of goal formulation, systematic planning and feedback of operational experience as major components in nuclear safety. In assessing organisation and management at authorities and the power utilities there is a clear trend of decentralisation and delegation of authority. The general impression from the study is that the safety activities in Finland and Sweden are efficient and well targeted. The experience from the methodology is favourable and the comparison of practices gives a good ground for a discussion of contents and targeting of safety activities. (EG) activities. (EG)

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

    Directory of Open Access Journals (Sweden)

    Andrei Anca-Georgiana

    2017-06-01

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

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

    International Nuclear Information System (INIS)

    Bredariol, Celso Simoes; Magrini, Alessandra

    2003-01-01

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

  19. Sectoral energy demand studies: Application of the end-use approach to Asian countries

    International Nuclear Information System (INIS)

    1991-01-01

    Events since August 1990 have shown that the world is still dependent on oil despite efforts to decrease that dependency since the oil crisis of 1973 and 1979. Thirteen countries participated in the REDP (UNDP-funded Regional Energy Development Programme) energy planning activities called ''Sectoral energy demand studies'' in which country teams benefited from training in energy data analysis, sectoral accounting of energy demand, and forecasting with the use of MEDEE-S model. This publication documents the training materials on sectoral energy demand series. It includes eight chapters which were indexed separately. Refs, figs, tabs

  20. Impact of oral cholera vaccines in cholera-endemic countries: A mathematical modeling study.

    Science.gov (United States)

    Kim, Jong-Hoon; Mogasale, Vittal; Burgess, Colleen; Wierzba, Thomas F

    2016-04-19

    Impact evaluation of vaccination programs is necessary for making decisions to introduce oral cholera vaccines (OCVs) in cholera-endemic countries. We analyzed data to forecast the future global burden of cholera. We developed a mathematical model of cholera transmission in three countries as examples: Nigeria, Uganda, and Indonesia. After fitting the model, we evaluated the impact of OCVs delivered in four vaccination strategies varying by target age group and frequency of vaccination over the period of 2015-2030. Data suggest that the global annual incidence of cholera will increase from 3046238 in 2015 to 3787385 in 2030 with the highest burden in Asia and Africa where overall population size is large and the proportion of population with access to improved sanitation facilities is low. We estimate that OCV will reduce the cumulative incidence of cholera by half in Indonesia and >80% in Nigeria and Uganda when delivered to 1+ year olds every three years at a coverage rate of 50%, although cholera may persist through higher coverage rates (i.e., >90%). The proportion of person-to-person transmission compared to water-to-person transmission is positively correlated with higher vaccination impact in all three countries. Periodic OCV vaccination every three or five years can significantly reduce the global burden of cholera although cholera may persist even with high OCV coverage. Vaccination impact will likely vary depending on local epidemiological conditions including age distribution of cases and relative contribution of different transmission routes. Copyright © 2016 Elsevier Ltd. All rights reserved.

  1. Taxation of Spouses: A Cross-Country Study of the Effects on Married Women's Labour Supply

    DEFF Research Database (Denmark)

    Callan, Tim; Dex, Shirley; Smith, Nina

    1999-01-01

    The labour force participation rate of married women varies considerably between the European countries. There may be several explanations for this evidence. In this study, the effect of the different income tax schemes on female labour force participation is investigated and compared. A common...... of married women if the households were taxed by either separate or split taxation principles, as in Britain and Ireland, respectively. The results show that the design of the tax scheme is highly important for the economic incentives that married women face and their resulting labour supply behaviour....... labour supply function is estimated on cross-section household samples for each of the countries Britain, Denmark, Ireland, and East and West Germany. Based on the estimated labour supply functions, we calculate for each of the countries the hypothetical part time and full time participation rates...

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

    Science.gov (United States)

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

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

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

    Science.gov (United States)

    Chugh, Ram L.; Gandhi, Prem P.

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

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

    Science.gov (United States)

    Bailey, Lucy

    2015-01-01

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

  5. Understanding and Measuring Student Engagement in School: The Results of an International Study from 12 Countries

    Science.gov (United States)

    Lam, Shui-fong; Jimerson, Shane; Wong, Bernard P. H.; Kikas, Eve; Shin, Hyeonsook; Veiga, Feliciano H.; Hatzichristou, Chryse; Polychroni, Fotini; Cefai, Carmel; Negovan, Valeria; Stanculescu, Elena; Yang, Hongfei; Liu, Yi; Basnett, Julie; Duck, Robert; Farrell, Peter; Nelson, Brett; Zollneritsch, Josef

    2014-01-01

    The objective of the present study was to develop a scale that is appropriate for use internationally to measure affective, behavioral, and cognitive dimensions of student engagement. Psychometric properties of this scale were examined with data of 3,420 students (7th, 8th, and 9th grade) from 12 countries (Austria, Canada, China, Cyprus, Estonia,…

  6. Are National and Organizational Cultures Isomorphic? Evidence from a Four Country Comparative Study

    OpenAIRE

    Rune Ellemose Gulev

    2009-01-01

    This pilot study investigates whether organizational practices as observed through differing organizational cultures systematically replicate or reject national values. It is among the first to project delineated, narrow national cultural portrayals of Germany, Austria, Slovenia and Denmark against pattern-specific organizational cultures. Through country cluster analysis and correlation tests, the results achieve significance along all three dimensions. Trust allocations, authority perceptio...

  7. Liver transplant associated with paracetamol overdose: Results from the seven-country SALT study

    NARCIS (Netherlands)

    S.E. Gulmez (Sinem Ezgi); D. Larrey (Dominique); G.P. Pageaux; J. Bernuau (Jacques); F. Bissoli (Franco); Y. Horsmans (Yves); D. Thorburn (Douglas); P.A. McCormick (P. Aiden); B.H.Ch. Stricker (Bruno); M. Toussi (Massoud); S. Lignot-Maleyran (Séverine); S. Micon (Sophie); F. Hamoud (Fatima); R. Lassalle (Régis); J. Jové (Jérémy); P. Blin (Patrick); N. Moore (Nicholas)

    2015-01-01

    textabstractAims Acute drug overdose, especially with paracetamol, may cause acute liver failure leading to registration for transplantation (ALFT). Population statistics and between-country differences for ALFT related to overdose have been poorly described. The aim of the present study was to

  8. Effects of Female Education on Economic Growth: A Cross Country Empirical Study

    Science.gov (United States)

    Oztunc, Hakan; Oo, Zar Chi; Serin, Zehra Vildan

    2015-01-01

    This study examines the extent to which women's education affects long-term economic growth in the Asia Pacific region. It focuses on the time period between 1990 and 2010, using data collected in randomly selected Asia Pacific countries: Bangladesh, Cambodia, China, India, Indonesia, Lao PDR, Malaysia, Myanmar, Philippines, Thailand, and Vietnam.…

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

    African Journals Online (AJOL)

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

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

    CSIR Research Space (South Africa)

    Ramukhwatho, FR

    2014-10-01

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

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

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

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

  12. Prayer Lessons to Promote Happiness among Kindergarten School Children: A Cross-Country Experimental Study

    Science.gov (United States)

    Pandya, Samta P.

    2018-01-01

    Based on a one-year longitudinal experimental study with 3,782 kindergarten school children across 15 countries, this article examines the association between prayer and happiness. Results show that the post-test scores on the faces scale were higher for the participant group who had taken the prayer lessons vis-à-vis the comparison group.…

  13. Attitudes toward Wife Beating: A Cross-Country Study in Asia

    Science.gov (United States)

    Rani, Manju; Bonu, Sekhar

    2009-01-01

    Using demographic and health surveys conducted between 1998 and 2001 from seven countries (Armenia, Bangladesh, Cambodia, India, Kazakhstan, Nepal, and Turkey), the study found that acceptance of wife beating ranged from 29% in Nepal, to 57% in India (women only), and from 26% in Kazakhstan, to 56% in Turkey (men only). Increasing wealth predicted…

  14. Re-calibration of coronary risk prediction : An example of the Seven Countries Study

    NARCIS (Netherlands)

    Puddu, Paolo Emilio; Piras, Paolo; Kromhout, Daan; Tolonen, Hanna; Kafatos, Anthony; Menotti, Alessandro

    2017-01-01

    We aimed at performing a calibration and re-calibration process using six standard risk factors from Northern (NE, N = 2360) or Southern European (SE, N = 2789) middle-aged men of the Seven Countries Study, whose parameters and data were fully known, to establish whether re-calibration gave the

  15. The 15-Country Collaborative Study of Cancer Risk among Radiation Workers in the Nuclear Industry

    DEFF Research Database (Denmark)

    Cardis, E; Vrijheid, M; Blettner, M

    2007-01-01

    A 15-Country collaborative cohort study was conducted to provide direct estimates of cancer risk following protracted low doses of ionizing radiation. Analyses included 407,391 nuclear industry workers monitored individually for external radiation and 5.2 million person-years of follow-up. A sign...

  16. Evaluating the costs of pneumococcal disease in selected Latin American countries.

    Science.gov (United States)

    Constenla, Dagna

    2007-10-01

    To estimate the costs of pneumococcal disease in Brazil, Chile and Uruguay, to describe how these costs vary between different patient groups, and to discuss factors that affect these cost variations. The cost of pneumococcal disease was estimated from the health care perspective. For each country, baseline cost estimates were primarily developed using health resources information from patient-level data and facility-specific cost data. A regression model was constructed separately for four types of pneumococcal diseases. The skewness-kurtosis test and the Cook-Weisberg test were performed to test the normality of the residuals and the heteroscedasticity, respectively. The treatment of pneumococcal meningitis generated up to US$ 5 435 per child. The treatment costs of pneumococcal pneumonia were lower, ranging from US$ 372 per child to US$ 3 483 per child. Treatment of acute otitis media cost between US$ 20 per child and US$ 217 per child. The main source of treatment costs variations was level of service provided and country in which costs were incurred. However, the tendency of costs to change with these variables was not statistically significant at the 5% level for most pneumococcal disease models. Pneumococcal disease resulted in significant economic burden to selected health care systems in Latin America. The patterns of treatment cost of pneumococcal disease showed a great deal of variation.

  17. Monitoring and evaluation of Solar Home Systems. Experiences with applications of solar PV for households in developing countries

    International Nuclear Information System (INIS)

    Nieuwenhout, F.D.J.; Van Dijk, A.; Van Dijk, V.A.P.; Hirsch, D.; Lasschuit, P.E.; Van Roekel, G.; Arriaza, H.; Hankins, M.; Sharma, B.D.; Wade, H.

    2000-09-01

    Solar energy is a promising solution to meet demand for electricity services of rural households in remote locations in developing countries. After some early successes, more and more doubts have arisen about the effectiveness and suitability of small PV systems for rural development. Many organisational, financial and technical problems appear difficult to tackle. A literature survey has been conducted to make an inventory of experiences with solar photovoltaic applications for households in developing countries. The major conclusion from the extensive literature research performed during this study is that there is not enough information available about the performance of solar home systems and projects. This slows down further development and successful dissemination. refs

  18. An Empirical Study on Capital Structure Determinants of Selected ASEAN Countries

    OpenAIRE

    Ngo, Hoang Anh

    2013-01-01

    Capital structure has been a controversial topic for decades. Conflicting arguments in theories and mixed findings in empirical work require further studies on this subject. More importantly, most previous studies have focused on developed countries and little attention is paid to emerging economies, especially ASEAN. Therefore, this study attempts to fill the gap by examining effects of capital structure's determinants on different measures of leverage of listed manufacturing companies in se...

  19. [Is the rate of medical publication from Israel similar to other countries? A comparative study of three medical specialties].

    Science.gov (United States)

    Zer, Matan; Lindner, Arie; Greenstein, Alexander; Leibovici, Dan

    2011-07-01

    Academic careers of individual doctors are commonly evaluated by examining the number and quality of authored publications. Similarly, the extent and quality of medical research may be assessed nationwide by measuring the number of publications originating from the country of interest over time. This in turn, may indicate on the quality of medicine practiced. To evaluate the extent and quality of IsraeLi publications we measured the rate and quality of medical publications originating from Israel for two decades in the fields of urology, cardiology and orthopedics, and compared the data to those of other countries. Leading journals in urology, cardiology, and orthopedics were selected. A Medline search (http://www.ncbi.ntm.nih.gov/sites/entrez] was conducted for all the publications originating in Israel between the years 1990-2009 in the selected journals. Data from Israel was compared to those from Italy, France, Germany, Egypt and Turkey. The change in rate of publications was tested using Linear regression. The quality of publications was calculated by multiplying the number of publications by the relevant impact factor. While the urology publications rate in Israel increased by 32.7% in the second study decade as compared with the first, the urology publication rates during the same time period from Italy, France, Germany, Egypt and Turkey were 199%, 115%, 184%, 180% and 227% respectively. The regression coefficient for the urology publication rate was 0.51 for Israel, and 0.78, 0.95, 0.78, 0.87 and 0.97 for the other countries, respectively. The regression coefficient for the change in the quality of publications from Israel was 0.31 and 0.81, 0.75, 0.92, 0.73, and 0.92 for the other countries, respectively. In cardiology, the Israeli publication rate increased by 26% during the second study decade, whereas in the other countries the increments were 46%, 35%, 76%, 80% and 309% respectively. The regression coefficient for Israeli pubLication rate was 0.45, and

  20. Expert model for the evaluation of potential competition performance in cross-country skiers exemplified by two evaluated athletes

    Directory of Open Access Journals (Sweden)

    J Pustovrh

    2008-09-01

    Full Text Available The objective of the present research was to obtain information on potential competition performance in cross-country skiers by the method of expert modelling. On the basis of expert knowledge, a model of potential performance (MFMPS was constructed in the form of a decision tree, encompassing motor, functional, morphological, psychological, and sociological subspaces. For all base variables, normalisers were determined, and for all nodes in the MFMPS model, decision rules were determined according to the method applying dependent determination of weights. Potential competition performance of the sample of 14 subjects measured – cross-country skiers in the age of 17 and 18 years was assessed at all levels in the MFMPS model by means of the SMMS program. At the highest levels of the MFMPS model, the correlation between the scores of the variables and the criterion variable SLO_FIS was established by means of the Pearson correlation coefficient. The validity of the MFMPS model  by means of which 81% of the variance of the criterion variable was explained – was established. The model laid out in this way allows us to search for current weak and good points in the preparation status of an athlete, on which the direction and correction of the transformation process is based. In this way, objective longitudinal monitoring of the development of the athlete's potential is also ensured.

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

    Directory of Open Access Journals (Sweden)

    Teerawattananon Yot

    2005-10-01

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

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

    Directory of Open Access Journals (Sweden)

    Riznaldi Akbar

    2016-06-01

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

  3. A techno-economic evaluation of anaerobic biogas producing systems in developing countries.

    Science.gov (United States)

    Morgan, Hervan Marion; Xie, Wei; Liang, Jianghui; Mao, Hanping; Lei, Hanwu; Ruan, Roger; Bu, Quan

    2018-02-01

    Biogas production has been the focus of many individuals in the developing world; there have been several investigations that focus on improving the production process and product quality. In the developing world the lack of advanced technology and capital has hindered the development of energy production. Renewable energy has the potential to improve the standard of living for most of the 196 countries which are classified as developing economies. One of the easiest renewable energy compounds that can be produced is biogas (bio-methane). Biogas can be produced from almost any source of biomass through the anaerobic respiration of micro-organisms. Low budget energy systems are reviewed in this article along with various feedstock sources. Adapted gas purification and storage systems are also reviewed, along with the possible economic, social, health and environmental benefits of its implementation. Copyright © 2017 Elsevier Ltd. All rights reserved.

  4. Review of Trusted Computer System Evaluation Criteria of Some Countries (USA, Canada, EC

    Directory of Open Access Journals (Sweden)

    Natalia Mikhailovna Nikiforova

    2013-02-01

    Full Text Available In the paper a brief review of the evolution in developing and designing trusted computer system evaluation criteria from specific national to common international standards is given/suggested.

  5. Using inclusive wealth for policy evaluation: Application to electricity infrastructure planning in oil-exporting countries

    OpenAIRE

    Collins, Ross D.; Selin, Noelle E.; de Weck, Olivier L.; Clark, William C.

    2017-01-01

    Decision-makers often seek to design policies that support sustainable development. Prospective evaluations of how effectively such policies are likely to meet sustainability goals have nonetheless remained relatively challenging. Evaluating policies against sustainability goals can be facilitated through the inclusive wealth framework, which characterizes development in terms of the value to society of its underlying capital assets, and defines development to be potentially sustainable if th...

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

    DEFF Research Database (Denmark)

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

    2014-01-01

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

  7. Insight into Groundwater Flow within a Crystalline Aquifer. Case Study of the Ursuya Mount, Northern Basque Country (France)

    International Nuclear Information System (INIS)

    Jaunat, J.; Huneau, F.; Dupuy, A.; Franceschi, M.; Coustumer, P. Le; Celle-Jeanton, H.

    2011-01-01

    The Ursuya Mount is one of the main water supplies of the Northern Basque Country. A study is being conducted since 2009 on this aquifer in order to improve the knowledge on its potential and its hydrodynamics properties. Two hydrological cycles are required to get the necessary data to meet the following objectives: clarifying the aquifer potential of the site both quantitatively and qualitatively; determining the geographic and seasonal variations; understanding the origin and the flow pattern of the groundwater; evaluating the groundwater residence times and the areas of preferential recharge. Here, we present only some geochemical and isotopic data. Thus, structural or hydrodynamic approaches will not be discussed.

  8. The development and validation of an urbanicity scale in a multi-country study.

    Science.gov (United States)

    Novak, Nicole L; Allender, Steven; Scarborough, Peter; West, Douglas

    2012-07-20

    Although urban residence is consistently identified as one of the primary correlates of non-communicable disease in low- and middle-income countries, it is not clear why or how urban settings predispose individuals and populations to non-communicable disease (NCD), or how this relationship could be modified to slow the spread of NCD. The urban-rural dichotomy used in most population health research lacks the nuance and specificity necessary to understand the complex relationship between urbanicity and NCD risk. Previous studies have developed and validated quantitative tools to measure urbanicity continuously along several dimensions but all have been isolated to a single country. The purposes of this study were 1) To assess the feasibility and validity of a multi-country urbanicity scale; 2) To report some of the considerations that arise in applying such a scale in different countries; and, 3) To assess how this scale compares with previously validated scales of urbanicity. Household and community-level data from the Young Lives longitudinal study of childhood poverty in 59 communities in Ethiopia, India and Peru collected in 2006/2007 were used. Household-level data include parents' occupations and education level, household possessions and access to resources. Community-level data include population size, availability of health facilities and types of roads. Variables were selected for inclusion in the urbanicity scale based on inspection of the data and a review of literature on urbanicity and health. Seven domains were constructed within the scale: Population Size, Economic Activity, Built Environment, Communication, Education, Diversity and Health Services. The scale ranged from 11 to 61 (mean 35) with significant between country differences in mean urbanicity; Ethiopia (30.7), India (33.2), Peru (39.4). Construct validity was supported by factor analysis and high corrected item-scale correlations suggest good internal consistency. High agreement was

  9. Poverty and childhood undernutrition in developing countries: a multi-national cohort study.

    Science.gov (United States)

    Petrou, Stavros; Kupek, Emil

    2010-10-01

    The importance of reducing childhood undernutrition has been enshrined in the United Nations' Millennium Development Goals. This study explores the relationship between alternative indicators of poverty and childhood undernutrition in developing countries within the context of a multi-national cohort study (Young Lives). Approximately 2000 children in each of four countries - Ethiopia, India (Andhra Pradesh), Peru and Vietnam - had their heights measured and were weighed when they were aged between 6 and 17 months (survey one) and again between 4.5 and 5.5 years (survey two). The anthropometric outcomes of stunted, underweight and wasted were calculated using World Health Organization 2006 reference standards. Maximum-likelihood probit estimation was employed to model the relationship within each country and survey between alternative measures of living standards (principally a wealth index developed using principal components analysis) and each anthropometric outcome. An extensive set of covariates was incorporated into the models to remove as much individual heterogeneity as possible. The fully adjusted models revealed a negative and statistically significant coefficient on wealth for all outcomes in all countries, with the exception of the outcome of wasted in India (Andhra Pradesh) and Vietnam (survey one) and the outcome of underweight in Vietnam (surveys one and two). In survey one, the partial effects of wealth on the probabilities of stunting, being underweight and wasting was to reduce them by between 1.4 and 5.1 percentage points, 1.0 and 6.4 percentage points, and 0.3 and 4.5 percentage points, respectively, with each unit (10%) increase in wealth. The partial effects of wealth on the probabilities of anthropometric outcomes were larger in the survey two models. In both surveys, children residing in the lowest wealth quintile households had significantly increased probabilities of being stunted in all four study countries and of being underweight in

  10. STUDY ON THE WORDS AND MUSICAL PATTERNS OF THE NATIONAL ANTHEMS OF THE MIDDLE EASTERN COUNTRIES

    Directory of Open Access Journals (Sweden)

    Gulden Filiz ONAL

    2017-02-01

    Full Text Available Anthems are poetic verses sung in a melodic harmony expressing a nation’s feelings, enthusiasm, hopes, joy of coexistence and determination to survive. Thanks to anthems, people reflect their national values, historical background of their countries, and their way of thinking. In this direction national anthems have a unifying power creating a common ground for individuals that sustain continuity and the sense of belonging to a country. This study deals with the national anthems of the Middle Eastern countries where major conflicts have taken place for years in terms of music and lyrics. The random method was used to form the sample group. The sample group is composed of the United Arab Emirates, Israel, Lebanon, Egypt, Syria and Turkey. Some basic musical elements of the national anthems of the countries involved in the study have been investigated (tone, tempo, meter signatures and rhythm patterns. It has been found that four of them are composed in major tones, while two of them are composed in minor tones. All of these anthems are in 4/4 meter with walking pace tempo. As for the rhythm patterns; 3 different patterns are used in one anthem, while 4 different patterns are used in two, 5 different patterns in one, and 6 different patterns in two. The words of these anthems as literary verses focus on many topics, mainly soldiers, flags, and homelands as well as political developments, national heroes...

  11. Survey of existing studies of smart grids and consumers - Nordic countries

    DEFF Research Database (Denmark)

    Hansen, Meiken; Borup, Mads

    2014-01-01

    is on household consumers; not on industrial companies or other private or public organisations. The present report focuses on studies in the Nordic region, i.e., studies in Denmark, Finland, Iceland, Norway and Sweden. Initially this report was part of a dual delivery, where 1) focused on the Nordic countries......The objective of this survey is to map smart grid studies that address private consumers. The survey shall identify what knowledge there exists about consumer and user behaviour in connection to smart grids and, moreover, how consumers and users are approached in the studies made. The focus......; and 2) focused on selected projects in other countries. This present report is the work completed in relation to the first part....

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

    Science.gov (United States)

    Lee, K; Walt, G

    1995-06-01

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

  13. Content Analysis of Primary and Secondary School Textbooks Regarding Malaria Control: A Multi-Country Study

    Science.gov (United States)

    Nonaka, Daisuke; Jimba, Masamine; Mizoue, Tetsuya; Kobayashi, Jun; Yasuoka, Junko; Ayi, Irene; Jayatilleke, Achini C.; Shrestha, Sabina; Kikuchi, Kimiyo; Haque, Syed E.; Yi, Siyan

    2012-01-01

    Background In tropical settings, malaria education at school is potentially useful, but textbook content related to malaria education has so far received little attention. This study aimed to examine whether school textbooks contain sufficient knowledge and skills to help children in primary and lower secondary schools and their family members to cope with malaria. Methodology/Principal Findings This was a descriptive, cross-country study. We collected textbooks that were used by children in grades one to nine from nine countries endemic for malaria: Laos, Cambodia, Nepal, Bangladesh, Sri Lanka, Zambia, Niger, Benin, and Ghana. Two reviewers per country identified descriptions about malaria by seeking the term “malaria” or a local word that corresponds to malaria in languages other than English. The authors categorized the identified descriptions according to the content of the descriptions. Additionally, the authors examined whether the identified contents addressed life skill messages. Of a total of 474 textbooks collected, 35 contained descriptions about malaria. The most commonly included content was transmission mode/vector (77.1%), followed by preventive measures (60.0%), epidemiology (57.1%), cause/agent (54.3%), signs/symptoms (37.1%) and treatment (22.9%). Treatment-related content was not included in any textbooks from four countries and textbooks failed to recommend the use of insecticide-treated bed nets in five countries. Very few textbooks included content that facilitated prompt treatment, protection of risk groups, and use of recommended therapy. Conclusion/Significance Textbooks rarely included knowledge and skills that are crucial to protect schoolchildren and their families from malaria. This study identified the need for improvement to textbook contents regarding malaria. PMID:22574203

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

    Science.gov (United States)

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

    2003-01-01

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

  15. Use of stable isotopes in developing countries: safe markers for nutrition regime study

    International Nuclear Information System (INIS)

    Klein, P.D.; Klein, E.R.

    1987-01-01

    Possible use of stable radioisotopes in studies on nutrition and medicine problems that may be used in investigations of babies, children, pregnant women is shown. Attention is paid to behaviour of limited number of elements: hydrogen, carbon, nitrogen, oxygen. The IAEA plans implementation of a new coordinated research program on use of stable isotopes for studying nutrition problems and related diseases. The program emphasis will be placed on protein metabolism measurements and estimation of energy consumption in control population groups in developing countries

  16. Evaluation of the validity of treatment decisions based on surrogate country models before introduction of the Polish FRAX and recommendations in comparison to current practice.

    Science.gov (United States)

    Glinkowski, Wojciech M; Narloch, Jerzy; Glinkowska, Bożena; Bandura, Małgorzata

    2018-03-01

    Patients diagnosed before the Polish FRAX was introduced may require re-evaluation and treatment changes if the diagnosis was established according to a surrogate country FRAX score. The aim of the study was to evaluate the validity of treatment decisions based on the surrogate country model before introduction of the Polish FRAX and to provide recommendations based on the current practice. We evaluated a group of 142 postmenopausal women (70.7 ±8.9 years) who underwent bone mineral density measurements. We used 22 country-specific FRAX models and compared these to the Polish model. The mean risk values for hip and major osteoporotic fractures within 10 years were 4.575 (from 0.82 to 8.46) and 12.47% (from 2.18 to 21.65), respectively. In the case of a major fracture, 94.4% of women would receive lifestyle advice, and 5.6% would receive treatment according to the Polish FRAX using the guidelines of the National Osteoporosis Foundation (NOF). Polish treatment thresholds would implement pharmacotherapy in 32.4% of the study group. In the case of hip fractures, 45% of women according to the NOF would require pharmacotherapy but only 9.8% of women would qualify according to Polish guidelines. Nearly all surrogate FRAX calculator scores proved significantly different form Polish ( p > 0.05). More patients might have received antiresorptive medication before the Polish FRAX. This study recommends re-evaluation of patients who received medical therapy before the Polish FRAX was introduced and a review of the recommendations, considering the side effects of antiresorptive medication.

  17. Epidemiological studies of cognitive impairment and dementia across Eastern and Middle European countries (epidemiology of dementia in Eastern and Middle European Countries).

    Science.gov (United States)

    Kiejna, A; Frydecka, D; Adamowski, T; Bickel, H; Reynish, E; Prince, M; Caracciolo, B; Fratiglioni, L; Georges, J

    2011-02-01

    To determine the availability and the consistency of prevalence findings of epidemiological studies on cognitive impairment and dementia conducted in Eastern and Middle Europe. We adopted a stepwise multimethod study approach consisting of iterative literature searches for epidemiological articles published between 1990 and 2006 and subsequent data analyses of published material, reanalyses of existing accessible epidemiological data sets and expert inquiries in Eastern and Middle European countries. Systematic computer-assisted searches used the keywords: "dementia", "Alzheimer", "cognitive impairment", "incidence", "prevalence", "epidemiology" in combination with the name of the relevant countries or "Europe" in English and Polish language. We supplemented the literature search with a review of the references in the articles that were identified during the initial search. We were able to find few regional and country-specific epidemiological studies of various kinds (population-based, cohort, cross-sectional studies) and conducted on different restricted population groups of patients (from neurological units, out-patients units, residential homes). No studies were identified from most of the countries taken under consideration and the ones we found were characterized by an immense diversity with a considerable degree of clinical and methodological variations. The few studies that there are suggest prevalence rates of dementia in Eastern Europe similar to those in Western Europe. There is strong need for epidemiological studies in Eastern and Middle Europe, as well as for greater coordination and standardization of methods to improve the quality and comparability of epidemiological data to determine the prevalences' rates of dementia in all the EU countries. Copyright © 2010 John Wiley & Sons, Ltd.

  18. A nine-country study of the protein content and amino acid composition of mature human milk

    Directory of Open Access Journals (Sweden)

    Ping Feng

    2016-08-01

    Full Text Available Background: Numerous studies have evaluated protein and amino acid levels in human milk. However, research in this area has been limited by small sample sizes and study populations with little ethnic or racial diversity. Objective: Evaluate the protein and amino acid composition of mature (≥30 days human milk samples collected from a large, multinational study using highly standardized methods for sample collection, storage, and analysis. Design: Using a single, centralized laboratory, human milk samples from 220 women (30–188 days postpartum from nine countries were analyzed for amino acid composition using Waters AccQ-Tag high-performance liquid chromatography and total nitrogen content using the LECO FP-528 nitrogen analyzer. Total protein was calculated as total nitrogen×6.25. True protein, which includes protein, free amino acids, and peptides, was calculated from the total amino acids. Results: Mean total protein from individual countries (standard deviation [SD] ranged from 1,133 (125.5 to 1,366 (341.4 mg/dL; the mean across all countries (SD was 1,192 (200.9 mg/dL. Total protein, true protein, and amino acid composition were not significantly different across countries except Chile, which had higher total and true protein. Amino acid profiles (percent of total amino acids did not differ across countries. Total and true protein concentrations and 16 of 18 amino acid concentrations declined with the stage of lactation. Conclusions: Total protein, true protein, and individual amino acid concentrations in human milk steadily decline from 30 to 151 days of lactation, and are significantly higher in the second month of lactation compared with the following 4 months. There is a high level of consistency in the protein content and amino acid composition of human milk across geographic locations. The size and diversity of the study population and highly standardized procedures for the collection, storage, and analysis of human milk support

  19. Evaluation of Behavior Change Communication Campaigns to Promote Modern Cookstove Purchase and Use in Lower Middle Income Countries.

    Science.gov (United States)

    Evans, William Douglas; Johnson, Michael; Jagoe, Kirstie; Charron, Dana; Young, Bonnie N; Rahman, A S M Mashiur; Omolloh, Daniel; Ipe, Julie

    2017-12-22

    Nearly three billion people worldwide burn solid fuels and kerosene in open fires and inefficient stoves to cook, light, and heat their homes. Cleaner-burning stoves reduce emissions and can have positive health, climate, and women's empowerment benefits. This article reports on the protocol and baseline data from the evaluation of four behavior change communication (BCC) campaigns carried out in lower to middle income countries aimed at promoting the sale and use of cleaner-burning stoves. Interventions implemented in Bangladesh, Kenya, and Nigeria are using a range of BCC methods including mass media, digital media, outdoor advertising, and inter-personal communication. The mixed methods evaluation comprises three large-scale surveys: one pre-BCC and two follow-ups, along with smaller scale assessments of stove uptake and patterns of use. Baseline results revealed varying levels of awareness of previous promotions and positive attitudes and beliefs about modern (i.e., relatively clean-burning) cookstoves. Differences in cookstove preferences and behaviors by gender, socio-demographics, media use, and country/region were observed that may affect outcomes. Across all three countries, cost (lack of funds) a key perceived barrier to buying a cleaner-burning stove. Future multivariate analyses will examine potential dose-response effects of BCC on cookstove uptake and patterns of use. BCC campaigns have the potential to promote modern cookstoves at scale. More research on campaign effectiveness is needed, and on how to optimize messages and channels. This evaluation builds on a limited evidence base in the field.

  20. Do individualism and collectivism on three levels (country, individual, and situation) influence theory-of-mind efficiency? A cross-country study

    NARCIS (Netherlands)

    Vu, Tuong-Van; Finkenauer, Catrin; Huizinga, Mariette; Novin, Sheida; Krabbendam, Lydia

    2017-01-01

    This study investigated whether individualism and collectivism (IC) at country, individual, and situational level influence how quickly and accurately people can infer mental states (i.e. theory of mind, or ToM), indexed by accuracy and reaction time in a ToM task. We hypothesized that collectivism

  1. Do individualism and collectivism on three levels (country, individual, and situation) influence theory-of-mind efficiency? : A cross-country study

    NARCIS (Netherlands)

    Vu, Tuong Van; Finkenauer, Catrin; Huizinga, Mariette; Novin, Sheida; Krabbendam, Lydia

    2017-01-01

    This study investigated whether individualism and collectivism (IC) at country, individual, and situational level influence how quickly and accurately people can infer mental states (i.e. theory of mind, or ToM), indexed by accuracy and reaction time in a ToM task. We hypothesized that collectivism

  2. The dialysis outcomes and practice patterns study phase 5 in the Gulf Cooperation Council countries: Design and study methods

    Directory of Open Access Journals (Sweden)

    Ronald L Pisoni

    2016-01-01

    Full Text Available The Dialysis Outcomes and Practice Patterns Study (DOPPS is an international prospective cohort study of the relationships between hemodialysis (HD care practices and HD patient outcomes. The DOPPS began in 1996, in the United States, and has since expanded to 21 countries, collecting detailed data from >75,000 HD patients, with >200 scientific publications, focused on describing HD practices associated with improved HD patient outcomes. The goal of DOPPS is to help HD patients "live better and live longer." Starting in 2012, the DOPPS was able to expand to all six of the Gulf Cooperation Council (GCC countries, namely, Bahrain, Kuwait, Oman, Qatar, Saudi Arabia, and the United Arab Emirates. The DOPPS study design consists of selecting HD facilities for study participation in each country to represent the different types of HD facilities and geographic regions within each GCC country. Within each study site, HD patients were randomly selected for detailed data collection to represent the HD practices within each participating HD facility. Altogether, 41 HD facilities have participated in the GCC-DOPPS Phase 5 study including 20 facilities from Saudi Arabia, nine from the United Arab Emirates, four each from Kuwait and Oman, two from Qatar, and one from Bahrain. Herein, we provide a detailed description of the study design and methods, data collection, study management, scientific investigator oversight and guidance, and study governance and support for the GCCDOPPS Phase 5 study.

  3. The provision of accredited higher education on dementia in six European countries: An exploratory study.

    Science.gov (United States)

    Hvalič-Touzery, Simona; Skela-Savič, Brigita; Macrae, Rhoda; Jack-Waugh, Anna; Tolson, Debbie; Hellström, Amanda; de Abreu, Wilson; Pesjak, Katja

    2018-01-01

    The World Health Organization has identified developing the knowledge and skills of healthcare professionals who are involved in dementia care as a priority. Most healthcare professionals lack the necessary knowledge, skills and understanding to provide high quality dementia care. While dementia education amongst most UK university health and social care programmes is inconsistent, we know little about the provision of dementia education in European universities. To examine the provision of accredited higher education on dementia in European countries, to illustrate that it is highly variable despite universities being the major provider of education for healthcare professionals internationally. An exploratory research design was used. The providers of higher education undergraduate and postgraduate programmes in the Czech Republic, Portugal, Scotland, Slovenia, Spain, Sweden. Higher Education Institutions who provide undergraduate and postgraduate education in the fields of nursing, medicine, psychology, social work, physiotherapy, occupational therapy, and gerontology in six European countries. The data was collected using a structured questionnaire. Researchers in each country conducted an internet-based search using the websites of Higher Education Institutions to identify existing accredited dementia education. These searches revealed a lack of dementia education in undergraduate health and social care study programmes. Three of the six countries offered postgraduate study programmes on dementia. There was a significant variation amongst the countries in relation to the provision of dementia education at undergraduate, postgraduate and doctoral levels. Dementia is a global challenge and educating and upskilling the workforce is a policy imperative. To deliver the best dementia care, investment in interprofessional evidence-based education is required if we are to respond effectively and compassionately to the needs of people living with dementia and their

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

    Directory of Open Access Journals (Sweden)

    Genti Çela

    2016-07-01

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

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

    Directory of Open Access Journals (Sweden)

    Tine Lehmann

    2015-10-01

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

  6. Does financial development reduce environmental degradation? Evidence from a panel study of 129 countries.

    Science.gov (United States)

    Al-Mulali, Usama; Tang, Chor Foon; Ozturk, Ilhan

    2015-10-01

    The purpose of this study is to explore the effect of financial development on CO2 emission in 129 countries classified by the income level. A panel CO2 emission model using urbanisation, GDP growth, trade openness, petroleum consumption and financial development variables that are major determinants of CO2 emission was constructed for the 1980-2011 period. The results revealed that the variables are cointegrated based on the Pedroni cointegration test. The dynamic ordinary least squares (OLS) and the Granger causality test results also show that financial development can improve environmental quality in the short run and long run due to its negative effect on CO2 emission. The rest of the determinants, especially petroleum consumption, are determined to be the major source of environmental damage in most of the income group countries. Based on the results obtained, the investigated countries should provide banking loans to projects and investments that can promote energy savings, energy efficiency and renewable energy to help these countries reduce environmental damage in both the short and long run.

  7. Corruption costs lives: a cross-country study using an IV approach.

    Science.gov (United States)

    Lio, Mon-Chi; Lee, Ming-Hsuan

    2016-04-01

    This study quantitatively estimates the effects of corruption on five major health indicators by using recent cross-country panel data covering 119 countries for the period of 2005-2011. The corruption indicators provided by the World Bank and Transparency International are used, and both the two-way fixed effect and the two-stage least squares approaches are employed for our estimation. The estimation results show that, in general, corruption is negatively associated with a country's health outcomes. A lower level of corruption or a better control of corruption in a country can lead to longer life expectancy, a lower infant mortality rate and a lower under-five mortality rate for citizens. However, our estimation finds no significant association between corruption and individual diseases including human immunodeficiency virus prevalence and tuberculosis incidence. The findings suggest that corruption reduction itself is an effective method to promote health. Copyright © 2015 John Wiley & Sons, Ltd. Copyright © 2015 John Wiley & Sons, Ltd.

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

    International Nuclear Information System (INIS)

    Odhiambo, Nicholas M.

    2010-01-01

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

  9. Health, Well-Being and Energy Poverty in Europe: A Comparative Study of 32 European Countries

    Directory of Open Access Journals (Sweden)

    Harriet Thomson

    2017-05-01

    Full Text Available Despite growing pan-European interest in and awareness of the wide-ranging health and well-being impacts of energy poverty—which is characterised by an inability to secure adequate levels of energy services in the home—the knowledge base is largely British-centric and dominated by single-country studies. In response, this paper investigates the relationship between energy poverty, health and well-being across 32 European countries, using 2012 data from the European Quality of Life Survey. We find an uneven concentration of energy poverty, poor health, and poor well-being across Europe, with Eastern and Central Europe worst affected. At the intersection of energy poverty and health, there is a higher incidence of poor health (both physical and mental amongst the energy poor populations of most countries, compared to non-energy poor households. Interestingly, we find the largest disparities in health and well-being levels between energy poor and non-energy poor households occur within relatively equal societies, such as Sweden and Slovenia. As well as the unique challenges brought about by rapidly changing energy landscapes in these countries, we also suggest the relative deprivation theory and processes of social comparison hold some value in explaining these findings.

  10. Health, Well-Being and Energy Poverty in Europe: A Comparative Study of 32 European Countries.

    Science.gov (United States)

    Thomson, Harriet; Snell, Carolyn; Bouzarovski, Stefan

    2017-05-31

    Despite growing pan-European interest in and awareness of the wide-ranging health and well-being impacts of energy poverty-which is characterised by an inability to secure adequate levels of energy services in the home-the knowledge base is largely British-centric and dominated by single-country studies. In response, this paper investigates the relationship between energy poverty, health and well-being across 32 European countries, using 2012 data from the European Quality of Life Survey. We find an uneven concentration of energy poverty, poor health, and poor well-being across Europe, with Eastern and Central Europe worst affected. At the intersection of energy poverty and health, there is a higher incidence of poor health (both physical and mental) amongst the energy poor populations of most countries, compared to non-energy poor households. Interestingly, we find the largest disparities in health and well-being levels between energy poor and non-energy poor households occur within relatively equal societies, such as Sweden and Slovenia. As well as the unique challenges brought about by rapidly changing energy landscapes in these countries, we also suggest the relative deprivation theory and processes of social comparison hold some value in explaining these findings.

  11. The development and evaluation of a PDA-based method for public health surveillance data collection in developing countries

    DEFF Research Database (Denmark)

    Yu, Ping; de Courten, Maximilian; Pan, Elaine

    2009-01-01

    EpiData and Epi Info are often used together by public health agencies around the world, particularly in developing countries, to meet their needs of low-cost public health data management; however, the current open source data management technology lacks a mobile component to meet the needs...... of mobile public health data collectors. The goal of this project is to explore the opportunity of filling this gap through developing and trial of a personal digital assistant (PDA) based data collection/entry system. It evaluated whether such a system could increase efficiency and reduce data...

  12. Field Evaluation of a Coproantigen Detection Test for Fascioliasis Diagnosis and Surveillance in Human Hyperendemic Areas of Andean Countries

    Science.gov (United States)

    Valero, María Adela; Periago, María Victoria; Pérez-Crespo, Ignacio; Angles, René; Villegas, Fidel; Aguirre, Carlos; Strauss, Wilma; Espinoza, José R.; Herrera, Patricia; Terashima, Angelica; Tamayo, Hugo; Engels, Dirk; Gabrielli, Albis Francesco; Mas-Coma, Santiago

    2012-01-01

    Background Emergence of human fascioliasis prompted a worldwide control initiative including a pilot study in a few countries. Two hyperendemic areas were chosen: Huacullani, Northern Altiplano, Bolivia, representing the Altiplanic transmission pattern with high prevalences and intensities; Cajamarca valley, Peru, representing the valley pattern with high prevalences but low intensities. Coprological sample collection, transport and study procedures were analyzed to improve individual diagnosis and subsequent treatments and surveillance activities. Therefore, a coproantigen-detection technique (MM3-COPRO ELISA) was evaluated, using classical techniques for egg detection for comparison. Methodology and Findings A total of 436 and 362 stool samples from schoolchildren of Huacullani and Cajamarca, respectively, were used. Positive samples from Huacullani were 24.77% using the MM3-COPRO technique, and 21.56% using Kato-Katz. Positive samples from Cajamarca were 11.05% using MM3-COPRO, and 5.24% using rapid sedimentation and Kato-Katz. In Huacullani, using Kato-Katz as gold standard, sensitivity and specificity were 94.68% and 98.48%, respectively, and using Kato-Katz and COPRO-ELISA test together, they were 95.68% and 100%. In Cajamarca, using rapid sedimentation and Kato-Katz together, results were 94.73% and 93.58%, and using rapid sedimentation, Kato-Katz and copro-ELISA together, they were 97.56% and 100%, respectively. There was no correlation between coproantigen detection by optical density (OD) and infection intensity by eggs per gram of feces (epg) in Cajamarca low burden cases (<400 epg), nor in Huacullani high burden cases (≥400 epg), although there was in Huacullani low burden cases (<400 epg). Six cases of egg emission appeared negative by MM3-COPRO, including one with a high egg count (1248 epg). Conclusions The coproantigen-detection test allows for high sensitivity and specificity, fast large mass screening capacity, detection in the chronic phase

  13. Field evaluation of a coproantigen detection test for fascioliasis diagnosis and surveillance in human hyperendemic areas of Andean countries.

    Directory of Open Access Journals (Sweden)

    María Adela Valero

    Full Text Available Emergence of human fascioliasis prompted a worldwide control initiative including a pilot study in a few countries. Two hyperendemic areas were chosen: Huacullani, Northern Altiplano, Bolivia, representing the Altiplanic transmission pattern with high prevalences and intensities; Cajamarca valley, Peru, representing the valley pattern with high prevalences but low intensities. Coprological sample collection, transport and study procedures were analyzed to improve individual diagnosis and subsequent treatments and surveillance activities. Therefore, a coproantigen-detection technique (MM3-COPRO ELISA was evaluated, using classical techniques for egg detection for comparison.A total of 436 and 362 stool samples from schoolchildren of Huacullani and Cajamarca, respectively, were used. Positive samples from Huacullani were 24.77% using the MM3-COPRO technique, and 21.56% using Kato-Katz. Positive samples from Cajamarca were 11.05% using MM3-COPRO, and 5.24% using rapid sedimentation and Kato-Katz. In Huacullani, using Kato-Katz as gold standard, sensitivity and specificity were 94.68% and 98.48%, respectively, and using Kato-Katz and COPRO-ELISA test together, they were 95.68% and 100%. In Cajamarca, using rapid sedimentation and Kato-Katz together, results were 94.73% and 93.58%, and using rapid sedimentation, Kato-Katz and copro-ELISA together, they were 97.56% and 100%, respectively. There was no correlation between coproantigen detection by optical density (OD and infection intensity by eggs per gram of feces (epg in Cajamarca low burden cases (<400 epg, nor in Huacullani high burden cases (≥ 400 epg, although there was in Huacullani low burden cases (<400 epg. Six cases of egg emission appeared negative by MM3-COPRO, including one with a high egg count (1248 epg.The coproantigen-detection test allows for high sensitivity and specificity, fast large mass screening capacity, detection in the chronic phase, early detection of treatment failure

  14. Detecting and Responding to a Dengue Outbreak: Evaluation of Existing Strategies in Country Outbreak Response Planning

    Directory of Open Access Journals (Sweden)

    Julia Harrington

    2013-01-01

    Full Text Available Background. Dengue outbreaks are occurring with increasing frequency and intensity. Evidence-based epidemic preparedness and effective response are now a matter of urgency. Therefore, we have analysed national and municipal dengue outbreak response plans. Methods. Thirteen country plans from Asia, Latin America and Australia, and one international plan were obtained from the World Health Organization. The information was transferred to a data analysis matrix where information was extracted according to predefined and emerging themes and analysed for scope, inconsistencies, omissions, and usefulness. Findings. Outbreak response planning currently has a considerable number of flaws. Outbreak governance was weak with a lack of clarity of stakeholder roles. Late timing of responses due to poor surveillance, a lack of combining routine data with additional alerts, and lack of triggers for initiating the response weakened the functionality of plans. Frequently an outbreak was not defined, and early response mechanisms based on alert signals were neglected. There was a distinct lack of consideration of contextual influences which can affect how an outbreak detection and response is managed. Conclusion. A model contingency plan for dengue outbreak prediction, detection, and response may help national disease control authorities to develop their own more detailed and functional context specific plans.

  15. Trade Balances of the Asian Countries under Crisis: Forecast and Evaluation

    Directory of Open Access Journals (Sweden)

    Ingyo Cheong

    1998-06-01

    Full Text Available To overcome the financial crisis, we need to do some reform, such as to change the governmental and non-governmental structure, make sure the policy to be transparent, and remove restrictions, etc. All these measures can restore the confidence of foreign investors towards Korea. But to make balance of the trade surplus and keep foreign exchange reserve at a reasonable level, ensure foreign exchange and the security of financial department is one of the most urgent topics. Since the deep relationship of economy among countries in North-East Asia, financial crisis is not only the problem in Korea. It is already expended to the whole North-East Asia. This thesis shows the idea that we can forecast surplus in the trade balance scale, enlarge the trade balance of South Korea and activate export. It also shows that instead of the increase of export, the surplus is caused by the decrease of import. At this point of view, the number of surplus is not true. If the investment keeps decreasing like this, the foundation of Korean Economy will collapse.

  16. Cost evaluation of energy crops at farm gate in different EU countries and related agricultural issues

    International Nuclear Information System (INIS)

    Calliope, P.; Dalianis, C.

    1996-01-01

    Interest on energy crops varies greatly among EU regions. Certain climatic conditions prevailing in the areas, determine the coice of the energy crop which is going to be used as raw material for energy production. Furthermore, energy markets, farm structure and set aside regulations as well as national policy play a critical role to biomass exploitation for energy purposes. A common methodology was developed (Moore, 1996) for comparing costs of different options for ''biomass-to-energy systems'' across six EU countries (figure 1). This methodology was developed in the framework of an AIR Concerted Action financed by DGXII of EU and entitled ''Development of a Standard Methodology for Integrating Non-Food Crops in Rural Areas with Niche Energy Markets''. Cost estimations were done form the first stage of raw material production till the final energy product (kWh of heat and electricity or lt of liquid biofuel. In this paper, only the raw material production cost estimation phase will be presented. (Author)

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

    Science.gov (United States)

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

    2017-05-01

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

  18. Evaluating Eco-Innovation of OECD Countries with Data Envelopment Analysis

    Science.gov (United States)

    Mavi, Reza Kiani; Standing, Craig

    2016-01-01

    Government regulations require businesses to improve their processes and products/services in a green and sustainable manner. For being environmentally friendly, businesses should invest more on eco-innovation practices. Firms eco-innovate to promote eco-efficiency and sustainability. This paper evaluates the eco-innovation performance of…

  19. Economic evaluations of hepatitis A vaccination in middle-income countries

    NARCIS (Netherlands)

    Suwantika, Auliya A; Yegenoglu, Selen; Riewpaiboon, Arthorn; Tu, Hong-Anh T; Postma, Maarten J

    2013-01-01

    Economic evaluations of hepatitis A vaccination are important to assist national and international policy makers in different jurisdictions on making effective decisions. Up to now, a comprehensive review of the potential health and economic benefits on hepatitis A vaccination in middle-income

  20. Body image perceptions in Western and post-communist countries: a cross-cultural pilot study of children and parents.

    Science.gov (United States)

    Humenikova, Lenka; Gates, Gail E

    2008-07-01

    The development of an unrealistic ideal body image and body size dissatisfaction among children is common in Western countries, including the USA and many European nations. However, little is known about children's body image perceptions in post-communist countries. This pilot study evaluated body image perceptions in a sample of Czech school-aged children and their parents and compared them with the perceptions of American children and parents. Ninety-seven Czech and 45 American 4th-6th graders and their parents from eight urban schools participated in this study. A previously developed silhouette body image instrument was utilized in a parent questionnaire and during child interviews to measure perceived and ideal body image perceptions of children and parents. Descriptive statistics, independent t-tests and paired t-tests were used to compare differences between children's and parents' perceived and ideal body image perceptions. Associations between body image perceptions and other variables were explored using bivariate correlations. American children had a thinner ideal body image compared with Czech children (P Parent's ideal body image for their children did not differ by nationality (P = 0.858). While the pressure on children to look thinner was apparent among both American and Czech children, Czech children considered a larger body size as more ideal. A future study should evaluate body image perceptions and factors influencing these perceptions in a representative sample of Czech children and parents.

  1. Potential of integrated continuous surveys and quality management to support monitoring, evaluation, and the scale-up of health interventions in developing countries.

    Science.gov (United States)

    Rowe, Alexander K

    2009-06-01

    Well-funded initiatives are challenging developing countries to increase health intervention coverage and show impact. Despite substantial resources, however, major obstacles include weak health systems, a lack of reasonably accurate monitoring data, and inadequate use of data for managing programs. This report discusses how integrated continuous surveys and quality management (I-Q), which are well-recognized approaches in wealthy countries, could support intervention scale-up, monitoring and evaluation, quality control for commodities, capacity building, and implementation research in low-resource settings. Integrated continuous surveys are similar to existing national cross-sectional surveys of households and health facilities, except data are collected over several years by permanent teams, and most results are reported monthly at the national, province, and district levels. Quality management involves conceptualizing work as processes, involving all workers in quality improvement, monitoring quality, and teams that improve quality with "plan-do-study-act" cycles. Implementing and evaluating I-Q in a low-income country would provide critical information on the value of this approach.

  2. PUBLIC SERVANT TEACHERS' EVALUATION DURING THE INTERNSHIP PERIOD WITHIN THE AUTONOMOUS COMMUNITY OF THE BASQUE COUNTRY: TOWARDS THE EVALUATION OF THE TEACHING ROLE

    Directory of Open Access Journals (Sweden)

    Karmele Totoricagüena Barandica

    2016-07-01

    Full Text Available The aim of this communication is to present the experience developed in the Basque Country regarding to the evaluation of the public servants in their internship period during the academic year 2015-16. The aim of this work is also to contribute the obtained conclusions to the teachers practice evaluation corpus. In that direction, and for the formalisation of the evaluation, new tools and specific materials had been prepared. The intervention carried out by the inspection had been done first informing and then interacting with the participants involved. From the developed experience can be determined that the classroom observation, the autoevaluation and the exchange/contrast of the observed practices done between the inspection and the evaluated participant should be the key elements to monitor the teaching role.

  3. The development and validation of an urbanicity scale in a multi-country study

    Directory of Open Access Journals (Sweden)

    Novak Nicole L

    2012-07-01

    Full Text Available Abstract Background Although urban residence is consistently identified as one of the primary correlates of non-communicable disease in low- and middle-income countries, it is not clear why or how urban settings predispose individuals and populations to non-communicable disease (NCD, or how this relationship could be modified to slow the spread of NCD. The urban–rural dichotomy used in most population health research lacks the nuance and specificity necessary to understand the complex relationship between urbanicity and NCD risk. Previous studies have developed and validated quantitative tools to measure urbanicity continuously along several dimensions but all have been isolated to a single country. The purposes of this study were 1 To assess the feasibility and validity of a multi-country urbanicity scale; 2 To report some of the considerations that arise in applying such a scale in different countries; and, 3 To assess how this scale compares with previously validated scales of urbanicity. Methods Household and community-level data from the Young Lives longitudinal study of childhood poverty in 59 communities in Ethiopia, India and Peru collected in 2006/2007 were used. Household-level data include parents’ occupations and education level, household possessions and access to resources. Community-level data include population size, availability of health facilities and types of roads. Variables were selected for inclusion in the urbanicity scale based on inspection of the data and a review of literature on urbanicity and health. Seven domains were constructed within the scale: Population Size, Economic Activity, Built Environment, Communication, Education, Diversity and Health Services. Results The scale ranged from 11 to 61 (mean 35 with significant between country differences in mean urbanicity; Ethiopia (30.7, India (33.2, Peru (39.4. Construct validity was supported by factor analysis and high corrected item-scale correlations suggest

  4. Prevalence of asthma symptoms in schoolchildren, and climate in west European countries: an ecologic study.

    Science.gov (United States)

    Arnedo-Pena, Alberto; García-Marcos, Luis; Bercedo-Sanz, Alberto; Aguinaga-Ontoso, Inés; González-Díaz, Carlos; García-Merino, Agueda; Busquets-Monge, Rosa; Suárez-Varela, Maria Morales; Batlles-Garrido, Juan; Blanco-Quirós, Alfredo A; López-Silvarrey, Angel; García-Hernández, Gloria; Fuertes, Jorge

    2013-09-01

    The aim of the present study was to estimate the associations between the prevalence of asthma symptoms in schoolchildren and meteorological variables in west European countries that participated in the International Study of Asthma and Allergies in Children (ISAAC), Phase III 1997-2003. An ecologic study was carried out. The prevalence of asthma was obtained from this study from 48 centers in 14 countries, and meteorological variables from those stations closest to ISAAC centers, together with other socioeconomic and health care variables. Multilevel mixed-effects linear regression models were used. For schoolchildren aged 6-7 years, the prevalence rate of asthma decreased with an increase in mean annual sunshine hours, showed a positive association with rainy weather, and warm temperature, and a negative one with relative humidity and physician density (PD). Current wheeze prevalence was stronger in autumn/winter seasons and decreased with increasing PD. Severe current wheeze decreased with PD. For schoolchildren aged 13-14 years, the prevalence rates of asthma and current wheeze increased with rainy weather, and these rates decreased with increased PD. Current wheeze, as measured by a video questionnaire, was inversely associated with sunny weather, and nurse density. Severe current wheeze prevalence was stronger during autumn/winter seasons, decreased with PD, and indoor chlorinated public swimming pool density, and increased with rainy weather. Meteorological factors, including sunny and rainy weather, and PD may have some effect on the prevalence rates of asthma symptoms in children from west European countries.

  5. Comparison of interventional cardiology in two European countries: a nationwide Internet based registry study.

    Science.gov (United States)

    Gudnason, T; Gudnadottir, G S; Lagerqvist, B; Eyjolfsson, K; Nilsson, T; Thorgeirsson, G; Thorgeirsson, G; Andersen, K; James, S

    2013-09-30

    The practice of interventional cardiology differs between countries and regions. In this study we report the results of the first nation-wide long-term comparison of interventional cardiology in two countries using a common web-based registry. The Swedish Coronary Angiography and Angioplasty Registry (SCAAR) was used to prospectively and continuously collect background-, quality-, and outcome parameters for all coronary angiographies (CA) and percutaneous coronary interventions (PCI) performed in Iceland and Sweden during one year. The rate of CA per million inhabitants was higher in Iceland than in Sweden. A higher proportion of patients had CA for stable angina in Iceland than in Sweden, while the opposite was true for ST elevation myocardial infarction. Left main stem stenosis was more commonly found in Iceland than in Sweden. The PCI rate was similar in the two countries as was the general success rate of PCI, achievement of complete revascularisation and the overall stent use. Drug eluting stents were more commonly used in Iceland (23% vs. 19%). The use of fractional flow reserve (0.2% vs. 10%) and the radial approach (0.6% vs. 33%) was more frequent in Sweden than in Iceland. Serious complications and death were very rare in both countries. By prospectively comparing interventional cardiology in two countries, using a common web based registry online, we have discovered important differences in technique and indications. A discovery such as this can lead to a change in clinical practice and inspire prospective multinational randomised registry trials in unselected, real world populations. Copyright © 2012 Elsevier Ireland Ltd. All rights reserved.

  6. Association between obesity and selected morbidities: a study of BRICS countries.

    Directory of Open Access Journals (Sweden)

    Ankita Shukla

    Full Text Available OBJECTIVE: Over the past few decades, obesity has reached epidemic proportions, and is a major contributor to the global burden of chronic diseases and disability. There is little evidence on obesity related co-morbidities in BRICS countries. The first objective is to examine the factors associated with overweight and obesity in four of the five BRICS countries (China, India, Russia and South Africa. The second is to examine the linkage of obesity with selected morbidities. METHODS: We used data from the Study on Global Ageing and Adult Health (SAGE survey conducted by the World Health Organization (WHO in China, India, Russia and South Africa during 2007-10. The morbidities included in the analysis are Hypertension, Diabetes, Angina, Stroke, Arthritis and Depression. FINDINGS: The prevalence of obesity was highest in South Africa (35% followed by Russia (22%, China (5% and India (3%. The prevalence of obesity was significantly higher in females as compared to males in all the countries. While the wealth quintile was associated with overweight in India and China, engaging in work requiring physical activity was associated with obesity in China and South Africa. Overweight/obesity was positively associated with Hypertension and Diabetes in all the four countries. Obesity was also positively associated with Arthritis and Angina in China, Russia and South Africa. In comparison, overweight/obesity was not associated with Stroke and Depression in any of the four countries. CONCLUSION: Obesity was statistically associated with Hypertension, Angina, Diabetes and Arthritis in China, Russia and South Africa. In India, obesity was associated only with Hypertension and Diabetes.

  7. Association between obesity and selected morbidities: a study of BRICS countries.

    Science.gov (United States)

    Shukla, Ankita; Kumar, Kaushalendra; Singh, Abhishek

    2014-01-01

    Over the past few decades, obesity has reached epidemic proportions, and is a major contributor to the global burden of chronic diseases and disability. There is little evidence on obesity related co-morbidities in BRICS countries. The first objective is to examine the factors associated with overweight and obesity in four of the five BRICS countries (China, India, Russia and South Africa). The second is to examine the linkage of obesity with selected morbidities. We used data from the Study on Global Ageing and Adult Health (SAGE) survey conducted by the World Health Organization (WHO) in China, India, Russia and South Africa during 2007-10. The morbidities included in the analysis are Hypertension, Diabetes, Angina, Stroke, Arthritis and Depression. The prevalence of obesity was highest in South Africa (35%) followed by Russia (22%), China (5%) and India (3%). The prevalence of obesity was significantly higher in females as compared to males in all the countries. While the wealth quintile was associated with overweight in India and China, engaging in work requiring physical activity was associated with obesity in China and South Africa. Overweight/obesity was positively associated with Hypertension and Diabetes in all the four countries. Obesity was also positively associated with Arthritis and Angina in China, Russia and South Africa. In comparison, overweight/obesity was not associated with Stroke and Depression in any of the four countries. Obesity was statistically associated with Hypertension, Angina, Diabetes and Arthritis in China, Russia and South Africa. In India, obesity was associated only with Hypertension and Diabetes.

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

    DEFF Research Database (Denmark)

    Zewge, Amanuel; Dittrich, Yvonne

    2015-01-01

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

  9. Evaluation of storage and disposal costs for conditioned radioactive waste in several European countries

    International Nuclear Information System (INIS)

    Zaccai, H.

    1990-01-01

    A survey on radioactive waste storage and disposal costs has been performed. In order to proceed to such a cost assessment, a survey has been carried on within various nuclear waste agencies throughout Europe. In addition, in order to collect sufficient related economic data, reference has been made to other available information. The results may be summarized as follows: until disposal sites become available, many countries store low-level waste at costs between 400 and 1 400 ECU/m 3 ; little information is supplied for medium- and high-level waste storage; however, for the projects under way, levels of the order of 100 000 ECU/m 3 for vitrified waste are probable, whereas for medium- and high-level waste these costs are expected to vary from 10 000 to 20 000 ECU/m 3 ; the economic analysis of disposal facilities shows that cost elasticity is high at low capacities both for the surface disposal ( 3 ) and deep burial ( 3 ). The economic benefit that might result from the scaling effect at larger capacities appears to be of little significance; despite the diversity of geological formations and disposal concepts for which economic data were compared, a certain coherence can be detected; thus, for the disposal of low-level waste, costs evolve as a function of site capacity from 2 000 to 6 000 ECU/m 3 for deep burial, and from 1 000 to 3 000 ECU/m 3 for surface disposal or shallow burial. For deep burial of medium- and high-level waste, costs vary as a function of site capacity from 10 000 to 70 000 ECU/m 3 for non-heat-emitting waste, and from 0.4 to 1.4 MECU/m 3 for vitrified waste

  10. Evaluation of the FTA carrier device for human papillomavirus testing in developing countries.

    Science.gov (United States)

    Gonzalez, Paula; Cortes, Bernal; Quint, Wim; Kreimer, Aimée R; Porras, Carolina; Rodríguez, Ana Cecilia; Jimenez, Silvia; Herrero, Rolando; Struijk, Linda; Hildesheim, Allan; Melchers, Willem

    2012-12-01

    Liquid-based methods for the collection, transportation, and storage of cervical cells are cumbersome and expensive and involve laborious DNA extraction. An FTA cartridge is a solid carrier device, easier to handle and allowing simple DNA elution for human papillomavirus (HPV) testing. HPV-DNA results from cervical specimens collected in PreservCyt medium (Hologic, Inc.) and the indicating FTA elute cartridge were compared in an area where transportation and storage may affect the performance of the test. Cervical cells from 319 young adult women enrolled in the Costa Rica Vaccine Trial were collected by a nurse using a Cervex brush (Roberts), which was placed on the FTA cartridge and subsequently rinsed in 20 ml of PreservCyt medium. Two 0.5-ml PreservCyt aliquots were frozen for HPV-PCR testing; the FTA cartridges were kept at room temperature. HPV-DNA detection and typing was performed using SPF(10) PCR/DEIA (DNA enzyme immunoassay detection of amplimers)/LiPA(25) system. The percent agreement, agreement among positives, and kappas were estimated. Positivity was higher for FTA compared to PreservCyt specimens (54.5% versus 45.8%, P FTA collection for HPV testing. HPV-DNA detection from FTA cartridges is broadly comparable to detection from PC medium. The higher HPV detection observed for FTA-collected specimens should be explored further. FTA cartridges could provide a simpler and more cost-effective method for cervical cell collection, storage, and transportation for HPV-DNA detection in research settings in developing countries.

  11. Wireless application guidelines for usability design and evaluation for developing countries

    International Nuclear Information System (INIS)

    Khoja, S.A.; Ursani, A.A.; Ali, A.

    2009-01-01

    The aim of this paper is to provide guidelines for designing wireless applications. These guidelines are developed with the help of Human Computer Interaction based Usability Evaluation surveys and tests results. These guidelines will help in making wireless applications more usable and attractive for users and will help designers to plan effective interactive applications. The guidelines presented in the paper have been derived from the results of surveys, usability tests and SET (Summative Evaluation Tests) carried out over 200 people of Karachi, Pakistan, from different walks of life with different academic and professional backgrounds, making imperative suggestions not only to improve the usability of exciting features given in wireless and mobile products, but also provide suggestions to improve usability of basic components such as, text, navigation, interactivity, multimedia, control and behavior. (author)

  12. Knowledge-Based Country Programs : An Evaluation of World Bank Group Experience

    OpenAIRE

    Independent Evaluation Group

    2013-01-01

    The World Bank Group is currently engaged in reflection and debate on how to improve the delivery of development support. Part of this debate concerns strengthening the knowledge agenda. The findings of this evaluation are particularly relevant because they speak directly to questions that the institution is deliberating. In particular, they address four key aspects of the “science of delivery”: the role of local partners or local knowledge hubs; consultation with clients and other stakeholde...

  13. Income, egalitarianism and attitudes towards healthcare policy: a study on public attitudes in 29 countries.

    Science.gov (United States)

    Azar, A; Maldonado, L; Castillo, J C; Atria, J

    2018-01-01

    To evaluate the relationship between income and egalitarian values and attitudes towards healthcare policy. Cross-sectional and cross-national study. Data for 29 countries from the International Social Survey Programme (ISSP) 2011 were used. The dependent variables are a general attitude towards government involvement in healthcare provision and two attitudes regarding specific policies (taxes and public funding). Income and egalitarianism were also measured by using ISSP. Data were analysed using regression models that account for individual and country-level characteristics, and country-fixed effects. The effect of income is small and non-significant for attitudes towards government involvement and public funding. For willingness to pay (WTP) taxes to improve healthcare services, we find a positive association with income. Results for egalitarianism suggest a positive association with government involvement in healthcare provision and significant interactions with WTP taxes. The distinction of dimensions and mechanisms underlying policy attitudes appears as relevant. Citizens across socioeconomic groups are motivated to support state-funded healthcare, favouring the design of non-selfish policies. These findings suggest that there is space for policymakers who seek to increase healthcare spending encouraging either policies for specific groups or broader institutional changes. Copyright © 2017 The Royal Society for Public Health. Published by Elsevier Ltd. All rights reserved.

  14. Does Globalization Promote Good Governance in Africa? An Empirical Study Across 51 countries

    OpenAIRE

    Asongu, Simplice

    2017-01-01

    This study investigates the effect of globalisation on governance in 51 African countries for the period 1996-2011. Four bundled governance indicators and four globalisation (political, economic, social and general) variables are used. The empirical evidence is based on Instrumental Variable Quantile Regressions. The motivation for the estimation technique is that blanket governance-globalisation policies are not likely to succeed unless they are contingent on initial levels of governance and...

  15. Estimating mobilized private climate finance for developing countries - A Norwegian pilot study

    OpenAIRE

    Torvanger, Asbjørn; Narbel, Patrick; Lund, Harald Francke

    2015-01-01

    The point of departure for this study is the available data in Norway on climate finance for developing countries. The bottleneck in tracking mobilized private climate finance is availability and quality of data. The main challenge is that Norwegian public institutions sourcing public support for climate finance have not yet implemented sufficient systems for measurement, reporting and verification of mobilized private climate finance. In addition, climate finance tracking is constrained by m...

  16. Communicating Ethical Arguments to Organic Consumers: A Study Across Five European Countries

    Directory of Open Access Journals (Sweden)

    Simona Naspetti

    2011-12-01

    Full Text Available  Additional ethical claims were tested with mock organic egg labels in five EU countries. The attitudes towards the advertising labels were assessed by multiple copy testing measures. A total of 156 individual responses were analysed. The study confirms the difficulty of conducting advertising research in a multicultural framework, and shows that additional local/ regional claims can reinforce the appeal of organic products.

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

    OpenAIRE

    Huq, Fahian; Stevenson, Mark; Zorzini, Marta

    2014-01-01

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

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

    Directory of Open Access Journals (Sweden)

    Miroslava Raspopovic1, 1, 1, and 2

    2014-07-01

    Full Text Available In this paper, DeLone and McLean’s updated information system model was used to evaluate the success of an e-Learning system and its courses in a transitional country like Serbia. In order to adapt this model to an e-Learning system, suitable success metrics were chosen for each of the evaluation stages. Furthermore, the success metrics for e-Learning evaluation are expanded by providing several systems for quantifying the given success metrics. The results presented in this paper are based on courses that were taught both online and traditionally in three different subject areas: graphic design, information technology, and management. Of particular interest were success metrics which can be determined using quantifiable data from the e-Learning system itself, in order to evaluate and find the relationship between students’ academic achievement, usage of learning materials, and students’ satisfaction. The results from different courses were used to illustrate the implementation and evaluation of these success metrics for both online and traditional students.

  19. Alcohol consumption and social inequality at the individual and country levels--results from an international study.

    Science.gov (United States)

    Grittner, Ulrike; Kuntsche, Sandra; Gmel, Gerhard; Bloomfield, Kim

    2013-04-01

    International comparisons of social inequalities in alcohol use have not been extensively investigated. The purpose of this study was to examine the relationship of country-level characteristics and individual socio-economic status (SES) on individual alcohol consumption in 33 countries. Data on 101,525 men and women collected by cross-sectional surveys in 33 countries of the GENACIS study were used. Individual SES was measured by highest attained educational level. Alcohol use measures included drinking status and monthly risky single occasion drinking (RSOD). The relationship between individuals' education and drinking indicators was examined by meta-analysis. In a second step the individual level data and country data were combined and tested in multilevel models. As country level indicators we used the Purchasing Power Parity of the gross national income, the Gini coefficient and the Gender Gap Index. For both genders and all countries higher individual SES was positively associated with drinking status. Also higher country level SES was associated with higher proportions of drinkers. Lower SES was associated with RSOD among men. Women of higher SES in low income countries were more often RSO drinkers than women of lower SES. The opposite was true in higher income countries. For the most part, findings regarding SES and drinking in higher income countries were as expected. However, women of higher SES in low and middle income countries appear at higher risk of engaging in RSOD. This finding should be kept in mind when developing new policy and prevention initiatives.

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

    Directory of Open Access Journals (Sweden)

    Darya Hirsch

    2010-09-01

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

  1. Focus Studies of Geographically Connected Countries: Analysis of Regionally Oriented Studies in Political Science Publications 1996-2012

    Directory of Open Access Journals (Sweden)

    Andreja Petković

    2013-01-01

    Full Text Available This article studies the focus studies of geographically connected and geographically not connected countries, i.e. regional and comparative regional studies. In the first part of the article, a description of the role and development of this type of studies as a subdiscipline of comparative politics is provided. In the second part, I present the results of quantitative analysis of the content of articles published in the academic journals published or co-published by the Faculty of Political Science, University of Zagreb. The objects of analysis are regional studies of South-East Europe published in the journals. The main goal of this article is to determine which countries in their regional surroundings are researched the most by Croatian political scientists (and other authors who publish such articles in Croatian or English language in those journals, and which countries Croatia is most often compared to. This research has shown that, with regard to studies of the region, Croatian political scientists mostly focus on the countries of the former Yugoslavia.

  2. Evaluation of the waters of supply in the 30 haemodialysis room of the country

    International Nuclear Information System (INIS)

    Alberro, N.; Montero, A.; Valcarcel, L.; Pupo, I.; Frias, D.; Perez Oliva, F.

    2004-01-01

    The behavior of the quality of the drinking and purified for hemodialysis waters used in the National Institute of Nephrology was evaluated since 2002 up to now. A total of 20 chemical components was determined. The analytical results were compared with the Admissible Maximum Concentrations according to the Cuban Norm NC 92-02:85 for drinking water and with the Norm UNE 111-301-90 related to the water for hemodialysis. In general the quality in both type of waters complies with the Norms requirements

  3. Evaluating National Environmental Sustainability: Performance Measures and Influential Factors for OECD-Member Countries featuring Canadian Performance and Policy Implications

    Science.gov (United States)

    Calbick, Kenneth S.

    This research reviews five studies that evaluate national environmental sustainability with composite indices; performs uncertainty and sensitivity analyses of techniques for building a composite index; completes principal components factor analysis to help build subindices measuring waste and pollution, sustainable energy, sustainable food, nature conservation, and sustainable cities (Due to its current importance, the greenhouse gases (GHG) indicator is included individually as another policy measure.); analyses factors that seem to influence performance: climate, population growth, population density, economic output, technological development, industrial structure, energy prices, environmental governance, pollution abatement and control expenditures, and environmental pricing; and explores Canadian policy implications of the results. The techniques to build composite indices include performance indicator selection, missing data treatment, normalisation technique, scale-effect adjustments, weights, and aggregation method. Scale-effect adjustments and normalisation method are significant sources of uncertainty inducing 68% of the observed variation in a country's final rank at the 95% level of confidence. Choice of indicators also introduces substantial variation as well. To compensate for this variation, the current study recommends that a composite index should always be analysed with other policy subindices and individual indicators. Moreover, the connection between population and consumption indicates that per capita scale-effect adjustments should be used for certain indicators. Rather than ranking normalisation, studies should use a method that retains information from the raw indicator values. Multiple regression and cluster analyses indicate economic output, environmental governance, and energy prices are major influential factors, with energy prices the most important. It is statistically significant for five out of seven performance measures at the 95

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

    Science.gov (United States)

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

    2008-01-01

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

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

    Science.gov (United States)

    Edoh, Thierry Oscar; Teege, Gunnar

    2011-10-01

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

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

    Directory of Open Access Journals (Sweden)

    Matthias Karmasin

    2011-01-01

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

  7. Prevalence of Overweight and Obesity among Adolescents in Seven Arab Countries: A Cross-Cultural Study

    Directory of Open Access Journals (Sweden)

    Abdulrahman O. Musaiger

    2012-01-01

    Full Text Available Objective. The aim of this study was to find out the prevalence of overweight and obesity among adolescents in seven Arab countries using similar reference standard. Methods. A school-based cross-sectional study was carried out in seven cities in Arab countries, namely, Algeria, Jordan, Kuwait, Libya, Palestine, Syria, and United Arab Emirates. A multistage stratified random sampling technique was used. The total sample included was 4698 adolescents aged from 15 to 18 years (2240 males, 2458 females. The International Obesity Task Force (IOTF reference standard was used to classify the adolescents as nonobese, overweight, and obese. Results. Among males, overweight was highest among Kuwaiti adolescents (25.6%, followed by Jordanian (21.6%, and Syrian (19.7% adolescents. Among females, the highest prevalence of overweight was reported in Libyan adolescents (26.6%, followed by Kuwaiti (20.8%, and Syrian (19.7% adolescents. As for obesity, Kuwaiti adolescents showed the highest prevalence of obesity for both males (34.8% and females (20.6%. Conclusion. There is an urgent need to establish a plan of action to combat obesity in schoolchildren in these countries.

  8. Global variations in cancer survival. Study Group on Cancer Survival in Developing Countries.

    Science.gov (United States)

    Sankaranarayanan, R; Swaminathan, R; Black, R J

    1996-12-15

    Population-based cancer registries from Algeria, China, Costa Rica, Cuba, India, the Philippines, and Thailand are collaborating with the International Agency for Research on Cancer in a study of cancer survival in developing countries. Comparisons with the SEER program results of the National Cancer Institute in the United States, and the EUROCARE study of survival in European countries revealed considerable differences in the survival of patients with certain tumors associated with intensive chemotherapeutic treatment regimes (Hodgkin's disease and testicular tumors), more modest differences in the survival of patients with tumors for which early diagnosis and treatment confer an improved prognosis (carcinomas of the large bowel, breast, and cervix), and only slight differences for tumors associated with poor prognosis (carcinomas of the stomach, pancreas, and lung). With limited resources to meet the challenge of the increasing incidence of cancer expected in the next few decades, health authorities in developing countries should be aware of the importance of investing in a range of cancer control activities, including primary prevention and early detection programs as well as treatment.

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

    Science.gov (United States)

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

    2014-05-01

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

  10. Patients' management of type 2 diabetes in Middle Eastern countries: review of studies.

    Science.gov (United States)

    Alsairafi, Zahra Khalil; Taylor, Kevin Michael Geoffrey; Smith, Felicity J; Alattar, Abdulnabi T

    2016-01-01

    The increased prevalence of diabetes in Middle Eastern countries is a health policy priority. Important risk factors for diabetes have been identified. Lifestyle interventions and adherence to medications are central to disease prevention and management. This review focuses on the management of type 2 diabetes mellitus in Middle Eastern countries. The aim is to identify the ways in which knowledge, health beliefs, and social and cultural factors influence adherence to medication and lifestyle measures. Thirty-four studies were identified following a systematic search of the literature. The studies describe the influence of knowledge, health beliefs, culture, and lifestyle on the management of type 2 diabetes mellitus in the Middle East. Findings indicate a lack of health knowledge about diabetes among populations, which has implications for health behaviors, medication adherence, and treatment outcomes. Many identified health beliefs and cultural lifestyle factors, such as religious beliefs, beliefs about fasting during Ramadan, and sedentary lifestyles played a role in patients' decisions. For better management of this disease, a collaborative approach between patients, their families, health care professionals, and governments should be adopted. Implementing behavioral strategies and psychological interventions that incorporate all health care professionals in the management process have been shown to be effective methods. Such services help patients change their behavior. However, the utilization of such services and interventions is still limited in Arabian countries. Physicians in the Middle East are the health care professionals most involved in the care process.

  11. A Giant Step for Developing Countries, Lessons Learned from Feasibility Studies

    Energy Technology Data Exchange (ETDEWEB)

    Lee, Byoung Youp [Korea Hydro and Nuclear Power, Seoul (Korea, Republic of); Cho, Young Gon [Sanamyung Univ., Seoul (Korea, Republic of)

    2014-05-15

    According to the IAEA(International Atomic Energy Agency, hereinafter 'IAEA') research, the booming trend of nuclear renaissance among developing countries have initiated to investigate economic feasibility studies regarding future electricity demand and supply for the introduction of nuclear power generation in massive volume. Although the ambitious dream of public servants in the third nations who desperately want to instill nuclear power generation capacity promising generation abundance in their homeland, it is not easy to calculate economic benefits and its related costs where lots of blurred areas could not defined in plain terminology. For this reason, IAEA urges the new entrant countries should prepare carefully and design cautiously not to deter large lump sum nuclear power plant construction project. Nuclear power generation in civil area can be seen as righteous peaceful usage of nuclear energy in appropriate manner, although the advanced technology, capital intensive characteristics would hinder for the developing countries to implement proper scheduled ambitious nuclear power projects in timely course. In particular, the complicated economic feasibility studies are major tasks for poverty struck sovereigns to fulfill their ambitions. Thus further detailed design might be requested in order to relieve international concerns on possible military usage. This article is exploring to gauge multiple aspects of peaceful usage of nuclear energy and its economic benefits which allow power huger nations to achieve sustainable development and make significant advancement.

  12. Studying the Factors of Economic Growth in Countries of Central and Eastern Europe

    Directory of Open Access Journals (Sweden)

    Cherkas Nataliia I.

    2018-03-01

    Full Text Available The aim of the article is to study the impact of macroeconomic, technological and institutional indicators on economic growth of countries of Central and Eastern Europe (CEE using a panel data model. A sample of 12 CEE countries for the period 2006-2015 is analyzed. The following methods are used: 1 ordinary least squares (OLS, 2 fixed effects model (FE; 3 random effects model (RE. As a dependent variable there selected GDP per capita based on purchasing power parity, as an independent one — the exchange rate, export of high- and low-tech products, import of high-tech products, innovations. There used additional control variables: foreign direct investment, government efficiency, human capital, the Gini index, and public debt. The results of the study show that the devaluation of the monetary unit adversely affects the economic growth. Asymmetric results of the impact of high-technology and low-technology exports on GDP are obtained. The development of innovation and the improvement of the quality of human capital demonstrate a positive significant impact in terms of all specifications. The obtained results confirm that European integration supports non-price competition of CEE countries in the world market of high-tech products through participation in production networks of the EU-15.

  13. Respiratory medication used in COPD patients from seven Latin American countries: the LASSYC study.

    Science.gov (United States)

    Casas, Alejandro; Montes de Oca, Maria; Menezes, Ana Mb; Wehrmeister, Fernando C; Lopez Varela, Maria Victorina; Mendoza, Laura; Ramírez, Larissa; Miravitlles, Marc

    2018-01-01

    Limited information is available regarding medication use in COPD patients from Latin America. This study evaluated the type of medication used and the adherence to different inhaled treatments in stable COPD patients from the Latin American region. This was an observational, cross-sectional, multinational, and multicenter study in COPD patients attended by specialist doctors from seven Latin American countries. Adherence to inhaled therapy was assessed using the Test of Adherence to Inhalers (TAI) questionnaire. The type of medication was assessed as: short-acting β-agonist (SABA) or short-acting muscarinic antagonist (SAMA) only, long-acting muscarinic antagonist (LAMA), long-acting β-agonist (LABA), LABA/LAMA, inhaled corticosteroid (ICS), ICS/LABA, ICS/LAMA/LABA, or other. In total, 795 patients were included (59.6% male), with a mean age of 69.5±8.7 years and post-bronchodilator FEV 1 of 50.0%±18.6%. The ICS/LAMA/LABA (32.9%) and ICS/LABA (27.7%) combinations were the most common medications used, followed by LABA/LAMA (11.3%), SABA or SAMA (7.9%), LABA (6.4%), LAMA (5.8%), and ICS (4.3%). The types of medication most commonly used in each Global Initiative for Chronic Obstructive Lung Disease (GOLD) 2013 category were ICS/LABA (A: 32.7%; B: 19.8%; C: 25.7%; D: 28.2%) and ICS/LAMA/LABA (A: 17.3%; B: 30.2%; C: 33%; D: 41.1%). The use of long-acting bronchodilators showed the highest adherence (good or high adherence >50%) according to the TAI questionnaire. COPD management in specialist practice in Latin America does not follow the current guideline recommendations and there is an overuse of ICSs in patients with COPD from this region. Treatment regimens including the use of long-acting bronchodilators are associated with the highest adherence.

  14. Stakeholders’ Views on Factors Influencing Nutrition Policy: a Qualitative Study Across Ten European Countries

    Directory of Open Access Journals (Sweden)

    Jeruszka-Bielak Marta

    2015-12-01

    Full Text Available The objective was to identify the main factors influencing micronutrient policies in the opinion of policy actors in ten European countries. Study was carried out during Jan-Nov 2010 in European countries: the Czech Republic, Denmark, England, Germany, Greece, Italy, the Netherlands, Norway, Poland and Spain. Semi-structured qualitative interviews were conducted with representatives of stakeholders involved in the vitamin D, folate and iodine policy making process. Fifty eight key informants representing mainly scientific advisory bodies (n=24 and governmental organisations (n=19 participated in the study. The remaining interviewees represented non-governmental organisations (n=6, industry (n=4 or were independent academic or health professional experts (n=5. Data were analysed by theoretical interpretative thematic analysis. Insights from interviewees on the development of micronutrient policies were grouped using the Public Health Nutrition Policy-making model. The main factors influencing the micronutrient policies were: systematic monitoring of nutrition and health, causal relationships between consumers’ diet-related behaviours and health outcomes, scientific recommendations from national bodies (Science area; scientific recommendations from international authorities and experiences of other countries, EU legislation, cultural factors (Wider context and political environment, national capacity to deal with the problem, national legislation, economics, stakeholder engagement, relationships between stakeholders (Policy and institutions area. The spectrum and weight of the factors influencing nutritional policy depends on nutrient, country and degree of its “advanced status” within nutrition policy, political environment, culture and socio-economic conditions as well as the point of view (who is expressing the opinion.

  15. Household food access and child malnutrition: results from the eight-country MAL-ED study.

    Science.gov (United States)

    Psaki, Stephanie; Bhutta, Zulfiqar A; Ahmed, Tahmeed; Ahmed, Shamsir; Bessong, Pascal; Islam, Munirul; John, Sushil; Kosek, Margaret; Lima, Aldo; Nesamvuni, Cebisa; Shrestha, Prakash; Svensen, Erling; McGrath, Monica; Richard, Stephanie; Seidman, Jessica; Caulfield, Laura; Miller, Mark; Checkley, William

    2012-12-13

    Stunting results from decreased food intake, poor diet quality, and a high burden of early childhood infections, and contributes to significant morbidity and mortality worldwide. Although food insecurity is an important determinant of child nutrition, including stunting, development of universal measures has been challenging due to cumbersome nutritional questionnaires and concerns about lack of comparability across populations. We investigate the relationship between household food access, one component of food security, and indicators of nutritional status in early childhood across eight country sites. We administered a socioeconomic survey to 800 households in research sites in eight countries, including a recently validated nine-item food access insecurity questionnaire, and obtained anthropometric measurements from children aged 24 to 60 months. We used multivariable regression models to assess the relationship between household food access insecurity and anthropometry in children, and we assessed the invariance of that relationship across country sites. Average age of study children was 41 months. Mean food access insecurity score (range: 0-27) was 5.8, and varied from 2.4 in Nepal to 8.3 in Pakistan. Across sites, the prevalence of stunting (42%) was much higher than the prevalence of wasting (6%). In pooled regression analyses, a 10-point increase in food access insecurity score was associated with a 0.20 SD decrease in height-for-age Z score (95% CI 0.05 to 0.34 SD; p = 0.008). A likelihood ratio test for heterogeneity revealed that this relationship was consistent across countries (p = 0.17). Our study provides evidence of the validity of using a simple household food access insecurity score to investigate the etiology of childhood growth faltering across diverse geographic settings. Such a measure could be used to direct interventions by identifying children at risk of illness and death related to malnutrition.

  16. Household food access and child malnutrition: results from the eight-country MAL-ED study

    Directory of Open Access Journals (Sweden)

    Psaki Stephanie

    2012-12-01

    Full Text Available Abstract Background Stunting results from decreased food intake, poor diet quality, and a high burden of early childhood infections, and contributes to significant morbidity and mortality worldwide. Although food insecurity is an important determinant of child nutrition, including stunting, development of universal measures has been challenging due to cumbersome nutritional questionnaires and concerns about lack of comparability across populations. We investigate the relationship between household food access, one component of food security, and indicators of nutritional status in early childhood across eight country sites. Methods We administered a socioeconomic survey to 800 households in research sites in eight countries, including a recently validated nine-item food access insecurity questionnaire, and obtained anthropometric measurements from children aged 24 to 60 months. We used multivariable regression models to assess the relationship between household food access insecurity and anthropometry in children, and we assessed the invariance of that relationship across country sites. Results Average age of study children was 41 months. Mean food access insecurity score (range: 0–27 was 5.8, and varied from 2.4 in Nepal to 8.3 in Pakistan. Across sites, the prevalence of stunting (42% was much higher than the prevalence of wasting (6%. In pooled regression analyses, a 10-point increase in food access insecurity score was associated with a 0.20 SD decrease in height-for-age Z score (95% CI 0.05 to 0.34 SD; p = 0.008. A likelihood ratio test for heterogeneity revealed that this relationship was consistent across countries (p = 0.17. Conclusions Our study provides evidence of the validity of using a simple household food access insecurity score to investigate the etiology of childhood growth faltering across diverse geographic settings. Such a measure could be used to direct interventions by identifying children at risk of illness and

  17. Child marriage and intimate partner violence: a comparative study of 34 countries.

    Science.gov (United States)

    Kidman, Rachel

    2017-04-01

    : Studies in South Asia suggest that child marriage is a strong risk factor for intimate partner violence (IPV), but evidence outside the region is lacking. : This study uses standardized data from demographic and health surveys in 34 countries to test the hypothesis that young women (age 20-24) who married as children are at increased risk of past year physical and/or sexual IPV as compared with those women who married as adults. : Globally, 9% of respondents were married before they turned 15; another 25% were married between the ages of 15 and 17. Past year physical and/or sexual IPV was higher among women who married as children (29%) compared with those who married as adults (20%). This difference persisted in logistic regression models that adjust for sociodemographic characteristics [odds ratio (OR) 1.41 (1.30-1.52) for marriage before 15, and 1.42 (1.35-1.50) for marriage at 15-17]. However, there was considerable heterogeneity between countries: marriage before age 15 was associated with a combined measure of past year physical and/or sexual IPV in nine countries; women married between 15 and 17 were at increased risk of physical and/or sexual IPV in 19 countries. This heterogeneity was most evident in sub-Saharan Africa, and warrants further investigation in so far as it may help identify protective policies and norms. : Substantial reductions in IPV will likely require interventions to combat child marriage itself and to protect women from IPV within child marriages. © The Author 2016; all rights reserved. Published by Oxford University Press on behalf of the International Epidemiological Association

  18. Social roles and alcohol consumption: a study of 10 industrialised countries.

    Science.gov (United States)

    Kuntsche, Sandra; Knibbe, Ronald A; Gmel, Gerhard

    2009-04-01

    The empirical evidence as regards the precise associations between alcohol use and social roles, and these associations across genders and cultures is heterogeneous. The literature tends to focus on two central but conflicting theories. The first - classic role theory - assumes that a higher number of social roles is associated with a more structured life and thus fewer opportunities to drink heavily. The second - the multiple burden hypothesis - posits that the increasing complexity of multiple social roles leads to higher stress levels, and thus to increased alcohol use. Survey data on 25-54-year olds in 10 western industrialised countries which participate in the Gender, Alcohol and Culture: An International Study (GenACIS) project were used to test whether holding the three main social roles - partnership, parenthood, and paid labour - had a more protective or a more detrimental association with problematic alcohol use than holding fewer roles. Age and education were included as possible confounders, while the outcome variables were risky single occasion drinking (RSOD) and heavy-volume drinking. For both men and women and in almost all countries, the study found that those who had all three roles were least likely to drink heavily or engage in RSOD, thus supporting the assumptions of classic role theory. It also found that the protective effect of multiple roles was more consistent for RSOD. There were a few countries where a two-role model gave a better fit. Results for Germany (RSOD), Switzerland, and the Unites States (heavy-volume drinking) indicate that the role of paid labour appears to be particularly relevant for risky alcohol use among women. Despite some variability in the association between paid labour and heavy drinking or RSOD among women, in almost all countries the greater the number of roles a person held, the lower their risk of this type of alcohol use was.

  19. Evaluation of choices for sustainable rural electrification in developing countries: A multicriteria approach

    International Nuclear Information System (INIS)

    Rahman, Md. Mizanur; Paatero, Jukka V.; Lahdelma, Risto

    2013-01-01

    Rural electrification (RE) can be modelled as a multifactorial task connected to a large number of variables: decision makers need to choose the appropriate options by considering not only the techno-economic competitiveness but also socio-cultural dynamics and environmental consequences, making the task intricate. Many rural electrification projects have failed due to lack of attention to the issues beyond financial and technical dimensions. This paper presents a standardized approach for decision making concerning the extension of electricity services to rural areas. This approach first determines whether the supply provision should be grid expansion or off-grid on the basis of levelized cost of delivered electricity. If the grid expansion is found nonviable over off-grid options then a multicriteria decision aiding tool, SMAA-2 (Stochastic Multicriteria Acceptability Analysis), will evaluate off-grid technologies by aggregating 24 criteria values. While applying this approach, the delivered costs of electricity by the grid in remote areas within the 1–25 km distances vary in a range of 0.10–7.85 US$/kW h depending on the line lengths and load conditions. In the off-grid evaluation, the solar PV (photovoltaic) and biogas plants are found as the most preferable alternatives with 59% and 41% acceptability in their first rank, respectively. - Highlights: • Rural electrification involves a large number of socio-cultural issues in addition to technical and environmental considerations. • Decision makers need to choose the appropriate options by considering many criteria. • Many off-grid projects failed due to noncomplying of societal issues. • Multicriteria based decision choice can safeguard the projects from these issues. • SMAA analysis can select the alternatives based on merits

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

    International Nuclear Information System (INIS)

    1995-12-01

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

  1. The Global Trachoma Mapping Project: Methodology of a 34-Country Population-Based Study

    Science.gov (United States)

    Solomon, Anthony W.; Pavluck, Alexandre L.; Courtright, Paul; Aboe, Agatha; Adamu, Liknaw; Alemayehu, Wondu; Alemu, Menbere; Alexander, Neal D. E.; Kello, Amir Bedri; Bero, Berhanu; Brooker, Simon J.; Chu, Brian K.; Dejene, Michael; Emerson, Paul M.; Flueckiger, Rebecca M.; Gadisa, Solomon; Gass, Katherine; Gebre, Teshome; Habtamu, Zelalem; Harvey, Erik; Haslam, Dominic; King, Jonathan D.; Mesurier, Richard Le; Lewallen, Susan; Lietman, Thomas M.; MacArthur, Chad; Mariotti, Silvio P.; Massey, Anna; Mathieu, Els; Mekasha, Addis; Millar, Tom; Mpyet, Caleb; Muñoz, Beatriz E.; Ngondi, Jeremiah; Ogden, Stephanie; Pearce, Joseph; Sarah, Virginia; Sisay, Alemayehu; Smith, Jennifer L.; Taylor, Hugh R.; Thomson, Jo; West, Sheila K.; Willis, Rebecca; Bush, Simon; Haddad, Danny; Foster, Allen

    2015-01-01

    ABSTRACT Purpose: To complete the baseline trachoma map worldwide by conducting population-based surveys in an estimated 1238 suspected endemic districts of 34 countries. Methods: A series of national and sub-national projects owned, managed and staffed by ministries of health, conduct house-to-house cluster random sample surveys in evaluation units, which generally correspond to “health district” size: populations of 100,000–250,000 people. In each evaluation unit, we invite all residents aged 1 year and older from h households in each of c clusters to be examined for clinical signs of trachoma, where h is the number of households that can be seen by 1 team in 1 day, and the product h × c is calculated to facilitate recruitment of 1019 children aged 1–9 years. In addition to individual-level demographic and clinical data, household-level water, sanitation and hygiene data are entered into the purpose-built LINKS application on Android smartphones, transmitted to the Cloud, and cleaned, analyzed and ministry-of-health-approved via a secure web-based portal. The main outcome measures are the evaluation unit-level prevalence of follicular trachoma in children aged 1–9 years, prevalence of trachomatous trichiasis in adults aged 15 + years, percentage of households using safe methods for disposal of human feces, and percentage of households with proximate access to water for personal hygiene purposes. Results: In the first year of fieldwork, 347 field teams commenced work in 21 projects in 7 countries. Conclusion: With an approach that is innovative in design and scale, we aim to complete baseline mapping of trachoma throughout the world in 2015. PMID:26158580

  2. 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

  3. Evaluation of Influence Factors within Implementing of Nuclear Safety Culture in Embarking Countries

    International Nuclear Information System (INIS)

    Situmorang, J.

    2016-01-01

    The evaluation of the implementation nuclear safety culture at BATAN has been performed. BATAN is Indonesia’s national nuclear energy agency. Nowadays, BATAN is planning to develop an experimental power reactor. To implement the nuclear safety culture BATAN has issued BATAN chairman regulation (Perka BATAN 200). Perka BATAN is the reference for individuals and organizations to implement nuclear safety culture which includes basic principles, mechanisms, assessment, as well as the implementation of the application of safety culture. It covers the establishment of safety policies, program development, program implementation, development and measurement of safety culture. Each facilities within BATAN is expected to well implement a safety culture. The implementation of safety culture is developed by considering the characteristics, attributes and indicators. The characteristics, attributes and indicators referenced are elaborated from the IAEA. The activities to strengthen safety culture are monthly workshop with participants is head of every facilities, safety leadership training and workshop for safety division manager in every facilities. It is also issued a handbook of safety that is distributed to all employees BATAN.

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

    Science.gov (United States)

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

    2012-06-01

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

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

    Directory of Open Access Journals (Sweden)

    Ala`a Nimer AbuKhalifeh

    2015-12-01

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

  6. An innovative indicator of carbon dioxide emissions for developing countries. A study of Taiwan

    International Nuclear Information System (INIS)

    Huang, Yu-Fen; Lin, Yu-Chun; Yang, Jing-Tang

    2010-01-01

    Ever since the Kyoto Protocol entered into force, the issues of climate change and greenhouse gas (GHG) emissions have drawn more and more attention globally. However, the major concern of the Kyoto Protocol to reduce the overall GHG emissions might be inaccessible for most developing countries, which rely heavily on the energy-intensive industries for exports and economic growth. In this study, an innovative indicator of net carbon dioxide (CO 2 ) emissions, which excludes the emissions corresponding to the exports, is proposed to explicitly reveal domestic situations of developing countries. By introducing the indicator of net CO 2 emissions to top five energy-intensive industries in Taiwan, the analysis indicates that the increase in CO 2 emissions from 1999 to 2004 is mostly contributed by the expanded exports rather than the domestic demand. The distinct growth patterns of the apparent and net CO 2 emissions also imply the transformation of the industrial sector. It is expected that, for developing countries, the concept of net emissions may not only serve as a proper interim target during the process of international negotiations over GHG reductions but also highlights the prominence of addressing the emissions from the industrial sector as the top priority. (author)

  7. Communication in a Human biomonitoring study: Focus group work, public engagement and lessons learnt in 17 European countries.

    Science.gov (United States)

    Exley, Karen; Cano, Noemi; Aerts, Dominique; Biot, Pierre; Casteleyn, Ludwine; Kolossa-Gehring, Marike; Schwedler, Gerda; Castaño, Argelia; Angerer, Jürgen; Koch, Holger M; Esteban, Marta; Schoeters, Greet; Den Hond, Elly; Horvat, Milena; Bloemen, Louis; Knudsen, Lisbeth E; Joas, Reinhard; Joas, Anke; Dewolf, Marie-Christine; Van de Mieroop, Els; Katsonouri, Andromachi; Hadjipanayis, Adamos; Cerna, Milena; Krskova, Andrea; Becker, Kerstin; Fiddicke, Ulrike; Seiwert, Margarete; Mørck, Thit A; Rudnai, Peter; Kozepesy, Szilvia; Cullen, Elizabeth; Kellegher, Anne; Gutleb, Arno C; Fischer, Marc E; Ligocka, Danuta; Kamińska, Joanna; Namorado, Sónia; Reis, M Fátima; Lupsa, Ioana-Rodica; Gurzau, Anca E; Halzlova, Katarina; Jajcaj, Michal; Mazej, Darja; Tratnik, Janja Snoj; Huetos, Olga; López, Ana; Berglund, Marika; Larsson, Kristin; Sepai, Ovnair

    2015-08-01

    A communication strategy was developed by The Consortium to Perform Human Biomonitoring on a European Scale (COPHES), as part of its objectives to develop a framework and protocols to enable the collection of comparable human biomonitoring data throughout Europe. The framework and protocols were tested in the pilot study DEMOCOPHES (Demonstration of a study to Coordinate and Perform Human biomonitoring on a European Scale). The aims of the communication strategy were to raise awareness of human biomonitoring, encourage participation in the study and to communicate the study results and their public health significance. It identified the audiences and key messages, documented the procedure for dissemination of results and was updated as the project progressed. A communication plan listed the tools and materials such as press releases, flyers, recruitment letters and information leaflets required for each audience with a time frame for releasing them. Public insight research was used to evaluate the recruitment material, and the feedback was used to improve the documents. Dissemination of results was coordinated in a step by step approach by the participating countries within DEMOCOPHES, taking into account specific national messages according to the needs of each country. Participants received individual results, unless they refused to be informed, along with guidance on what the results meant. The aggregate results and policy recommendations were then communicated to the general public and stakeholders, followed by dissemination at European level. Several lessons were learnt that may assist other future human biomonitoring studies. Recruitment took longer than anticipated and so social scientists, to help with community engagement, should be part of the research team from the start. As a European study, involving multiple countries, additional considerations were needed for the numerous organisations, different languages, cultures, policies and priorities

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

    Energy Technology Data Exchange (ETDEWEB)

    Kerkhof, A.

    2009-09-18

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

  9. Study on the demand of climate finance for developing countries based on submitted INDC

    Directory of Open Access Journals (Sweden)

    Wen Zhang

    2016-03-01

    Full Text Available The 21st Conference of Party (COP21 held in Paris at the end of 2015 has opened a new era for the joint response dealing with climate change globally, and built up a new mode of global climate governance, that is, “all Parties submit INDC – global stocktake – enhance effort of actions – all Parties resubmit INDC – finally achieve the ultimate objective of the Convention.” With 160 INDC reports (covering 188 Parties that the UNFCCC Secretariat has currently received as research objects, this study classifies the mitigation targets of all Parties, and focuses on the systematic analysis of the financial demand, mitigation cost and priority investment areas for developing countries. The results are as follows: among 160 INDC reports, 122 reports clearly include the finance content; 64 reports propose specific amount of financial demand for the implementation of INDC; 31 reports pre-estimate domestic amount and financial demand for greenhouse gas mitigation in 2030, based on which they have calculated that the average mitigation cost for developing countries in 2030 would have reached up to US$22.3 per ton CO2; 28 Parties reclassify the financial demand for mitigation and adaptation areas, and reach the conclusion that the overall financial demand ratio for mitigation and adaptation is 1.4. Should the current mitigation commitments of the Parties from developed countries be used as benchmark, then in 2030 the total amount of financial demand for developing countries in response to climate change would have reached up to US$474 billion.

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

    International Nuclear Information System (INIS)

    Kerkhof, A.

    2009-01-01

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

  11. How have the Eastern European countries of the former Warsaw Pact developed since 1990? A bibliometric study.

    Science.gov (United States)

    Kozak, Marcin; Bornmann, Lutz; Leydesdorff, Loet

    Did the demise of the Soviet Union in 1991 influence the scientific performance of the researchers in Eastern European countries? Did this historical event affect international collaboration by researchers from the Eastern European countries with those of Western countries? Did it also change international collaboration among researchers from the Eastern European countries? Trying to answer these questions, this study aims to shed light on international collaboration by researchers from the Eastern European countries (Russia, Ukraine, Belarus, Moldova, Bulgaria, the Czech Republic, Hungary, Poland, Romania, and Slovakia). The number of publications and normalized citation impact values are compared for these countries based on InCites (Thomson Reuters), from 1981 up to 2011. The international collaboration by researchers affiliated to institutions in Eastern European countries at the time points of 1990, 2000 and 2011 was studied with the help of Pajek and VOSviewer software, based on data from the Science Citation Index (Thomson Reuters). Our results show that the breakdown of the communist regime did not lead, on average, to a huge improvement in the publication performance of the Eastern European countries and that the increase in international co-authorship relations by the researchers affiliated to institutions in these countries was smaller than expected. Most of the Eastern European countries are still subject to changes and are still awaiting their boost in scientific development.

  12. Country-level and individual correlates of overweight and obesity among primary school children: a cross-sectional study in seven European countries

    OpenAIRE

    Olaya, Beatriz; Moneta, Maria Victoria; Pez, Ondine; Bitfoi, Adina; Carta, Mauro Giovanni; Eke, Ceyda; Goelitz, Dietmar; Keyes, Katherine M.; Kuijpers, Rowella; Lesinskienė, Sigita; Mihova, Zlatka; Otten, Roy; Fermanian, Christophe; Haro, Josep Maria; Kovess, Viviane

    2015-01-01

    BACKGROUND: The present study aims to estimate childhood overweight and obesity prevalence and their association with individual and population-level correlates in Eastern and Western European countries. METHODS: Data were obtained from the School Children Mental Health in Europe, a cross-sectional survey conducted in 2010 in Italy, Germany, the Netherlands, Romania, Bulgaria, Lithuania and Turkey. The sample consists of 5,206 school children aged 6 to 11 years old. Information on socio-demog...

  13. Do individualism and collectivism on three levels (country, individual, and situation) influence theory-of-mind efficiency? A cross-country study

    OpenAIRE

    Vu, Tuong-Van; Finkenauer, Catrin; Huizinga, Mariette; Novin, Sheida; Krabbendam, Lydia

    2017-01-01

    This study investigated whether individualism and collectivism (IC) at country, individual, and situational level influence how quickly and accurately people can infer mental states (i.e. theory of mind, or ToM), indexed by accuracy and reaction time in a ToM task. We hypothesized that collectivism (having an interdependent self and valuing group concerns), compared to individualism (having an independent self and valuing personal concerns), is associated with greater accuracy and speed in re...

  14. A comparative study of medication use after stroke in four countries.

    Science.gov (United States)

    Desmaele, Sara; Putman, Koen; De Wit, Liesbet; Dejaeger, Eddy; Gantenbein, Andreas R; Schupp, Wilfried; Steurbaut, Stephane; Dupont, Alain G; De Paepe, Kristien

    2016-09-01

    The use of medication plays an important role in secondary stroke prevention and treatment of post-stroke comorbidities. The Collaborative Evaluation of Rehabilitation in Stroke across Europe (CERISE) was set up to investigate the inpatient stroke rehabilitation process in four centres, each in a different European country: Belgium, Germany, United Kingdom and Switzerland. Patients' medication use 5 years post-stroke was compared between countries. Focus was put on cerebrovascular secondary prevention, including (a) adequate antithrombotic treatment, (b) treatment of cardiovascular comorbidities and diabetes, and (c) the use of lipid-lowering drugs; as well as on the treatment of stroke-related disorders such as depression, anxiety and pain. Medication data were available for 247 patients. Data about depression and anxiety were available for 233. There were no significant differences between the four centres in antithrombotic treatment and in the treatment of cardiovascular comorbidities and diabetes. However, significantly more patients from the UK were treated with lipid-lowering drugs compared to Belgian patients. Significant differences were also observed between the centres in the prevalence and treatment of depression. More Belgian patients suffered from depression compared to German patients and significantly more Belgian patients took antidepressants than patients in Germany. This was in contrast to the prevalence and treatment of anxiety and pain, for which no significant differences between the centres were seen. Related to pain treatment, it was observed that almost 40% of all patients suffering from pain, used no specific medication. Copyright © 2016 Elsevier B.V. All rights reserved.

  15. Public Library Websites as Electronic Branches: A Multi-Country Quantitative Evaluation

    Science.gov (United States)

    Velasquez, Diane L.; Evans, Nina

    2018-01-01

    Introduction: This paper describes the findings of a study of 1517 public library Websites in Australia, Canada, and the United States over a period of four years. These Websites are referred to as 'electronic branches' of the libraries, thereby extending the definition of physical library branches into the digital realm. The purpose of the…

  16. Performance evaluation and ranking of participation Asian countries in 2012 London Olympic Games through Data Envelopment Analysis

    Directory of Open Access Journals (Sweden)

    Hadi Shirouyehzad

    2014-07-01

    Full Text Available The Olympic Games ranking is done through lexicographic multi criteria method in each period. According to this method, the country receiving the most gold medals will have the highest score, and in case of having equal silver medals, comparison will be done according to bronze ones. The problem of this method is to pay the most attention merely to gold medals. Using data envelopment analysis, some studies have recently suggested various ranking for the Olympic Games. The present research uses DEA to rank the participating Asian countries in London Olympic that have at least won one medal. As an output-oriented BCC model, this one considers the number of male and female athletes, received medals in two previous Olympic as well as the number of their presence in the Olympic games as the inputs. Gold, silver and bronze medals are the only output of the model. This model is solved in two forms of female and male athlete combination and their separation. Solving this model makes this opportunity to present a new rankings model for participating Asian countries in the Olympic Games that can be compared with the ranking used by Olympic committee.

  17. Should pharmacogenetics be incorporated in major depression treatment? Economic evaluation in high- and middle-income European countries.

    Science.gov (United States)

    Olgiati, Paolo; Bajo, Emanuele; Bigelli, Marco; De Ronchi, Diana; Serretti, Alessandro

    2012-01-10

    The serotonin transporter 5-HTTLPR polymorphism moderates response to SSRIs and side-effect burden. The aim of this study is to quantify the cost-utility of incorporating 5-HTTLPR genotyping in drug treatment of major depressive disorder (MDD). We previously reported a theoretical model to simulate antidepressant treatment with citalopram or bupropion for 12 weeks. The drugs were alternatively selected according to an 'as usual' algorithm or based on response and tolerability predicted by 5-HTTLPR profile. Here we apply this model to conduct a cost-utility analysis in three European regions with high GDP (Euro A), middle GDP (Euro B) and middle-high GDP (Euro C). In addition we test a verification scenario in which citalopram+bupropion augmentation is administered to individuals with the least favorable 5-HTTLPR genotype. Treatment outcomes are remission and Quality Adjusted-Life Weeks (QALW). Cost data (international $, year 2009) are retrieved from the World Health Organization (WHO) and national official sources. In base-case scenario incremental cost-effectiveness ratio (ICER) values are $1147 (Euro A), $1185 (Euro B) and $1178 (Euro C). From cost-effectiveness acceptability curve (CEAC), the probability of having an ICER value below WHO recommended cost-utility threshold (3 GDP per capita=$1926) is >90% in high-income countries (Euro A). In middle- income regions, these probabilities are <30% (Euro B) and <55% (Euro C) respectively. All estimates are robust against variations in treatment parameters, but if genetic test cost decreases to $100, pharmacogenetic approach becomes cost-effective in middle-income countries (Euro B). This simulation using data from 27 European states suggests that choosing antidepressant treatment from the results of 5-HTTLPR might be a cost-effective solution in high income countries. Its feasibility in middle income countries needs further research. Copyright © 2011 Elsevier Inc. All rights reserved.

  18. 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

  19. 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

  20. Cross-Country Comparison of the Corporate Social Responsibility Orientation in Germany and Qatar: An Empirical Study among Business Students

    OpenAIRE

    Maria Anne Schmidt; Daniel Cracau

    2015-01-01

    Corporate social responsibility (CSR) is a phenomenon of increasing interest. Today, it is practiced in most countries around the globe and studied in various fields of academia. However, the focus still lies on Western developed countries, their understanding, and implementation of CSR. This paper focuses on the comparison of the orientation towards CSR in Germany and Qatar, thereby closing a research gap by providing insights from a Middle Eastern country. Based on a survey among 265 busine...

  1. QUALICOPC: Birinci basamak sağlik hizmetlerini kalite, maliyet ve aşitlik açisindan değerlendiren çok ülkeli bir çalişma* = QUALICOPC: a multi-country study evaluating quality, costs and equity in primary care.

    NARCIS (Netherlands)

    Akman, M.; Kalaça, S.; Sargin, M.; Tuncel, B.; Ünlüoğlu, I.; Uğurlu, M.; Schäfer, W.L.A.; Boerma, W.G.W.; Groenewegen, P.P.

    2012-01-01

    Objectives: The QUALICOPC (Quality and Costs of Primary Care in Europe) study aims to evaluate the performance of primary care systems in Europe in terms of quality, equity and costs. QUALICOPC is funded by the European Commission under the "Seventh Framework Program". In this article the

  2. A multi-country study of dengue vaccination strategies with Dengvaxia and a future vaccine candidate in three dengue-endemic countries: Vietnam, Thailand, and Colombia.

    Science.gov (United States)

    Lee, Jung-Seok; Lourenço, José; Gupta, Sunetra; Farlow, Andrew

    2018-04-19

    The dengue vaccination era began when Dengvaxia (CYD-TDV) became available in 2016. In addition, several second-generation vaccine candidates are currently in phase 3 trials, suggesting that a broader availability of dengue vaccines may be possible in the near future. Advancing on the recent WHO-SAGE recommendations for the safe and effective use of CYD-TDV at the regional level on average, this study investigates the vaccination impacts and cost-effectiveness of CYD-TDV and of a hypothetical new vaccine candidate (NVC) in a country-specific manner for three endemic countries: Vietnam, Thailand, and Colombia. The vaccination impacts of CYD-TDV and NVC were derived by fitting the empirical seroprevalence rates of 9 year olds into an individual-based meta-population transmission model, previously used for the WHO-SAGE working group. The disability-adjusted life years were estimated by applying country-specific parametric values. The cost-effectiveness analyses of four intervention strategies in combination with routine and catch-up campaigns were compared for both vaccines to inform decision makers regarding the most suitable immunization program in each of the three countries. Both CYD-TDV and NVC could be cost-effective at the DALY threshold cost of $2000 depending upon vaccination costs. With CYD-TDV, targeting 9 year olds in routine vaccination programs and 10-29 year olds as a one-off catch-up campaign was the most cost-effective strategy in all three countries. With NVC, while the most cost-effective strategy was to vaccinate 9-29 and 9-18 year olds in Vietnam and Thailand respectively, vaccinating younger age cohorts between 1 and 5 years old in Colombia was more cost-effective than other strategies. Given that three countries will soon face decisions regarding whether and how to incorporate CYD-TDV or future dengue vaccines into their budget-constrained national immunization programs, the current study outcomes can be used to help decision makers

  3. An Evaluation of the Tax-Transfer Treatment of Married Couples in European Countries

    DEFF Research Database (Denmark)

    Immervoll, Herwig; Kleven, Henrik Jacobsen; Kreiner, Claus Thustrup

    negatively on the earnings of the spouse. This stands in contrast to the previous literature on this question, which has focused on a specific form of positive jointness. The presence of negative jointness is driven by family-based and means-tested transfer programs combined with tax systems that usually...... feature very little jointness. Second, we consider the labor supply distortion on secondary earners relative to primary earners implied by the current tax-transfer systems, and study the welfare effects of small reforms that change the relative taxation of spouses. By adopting a small-reform methodology...

  4. An Evaluation of the Tax-Transfer Treatment of Married Couples in European Countries

    DEFF Research Database (Denmark)

    Immervoll, Herwig; Kleven, Henrik Jacobsen; Kreiner, Claus Thustrup

    2009-01-01

    negatively on the earnings of the spouse. This stands in contrast to the previous literature on this question, which has focused on a specific form of positive jointness. The presence of negative jointness is driven by family-based and means-tested transfer programs combined with tax systems that usually...... feature very little jointness. Second, we consider the labour supply distortion on secondary earners relative to primary earners implied by the current tax-transfer systems, and study the welfare effects of small reforms that change the relative taxation of spouses. By adopting a small-reform methodology...

  5. The association between obesity and back pain in nine countries: a cross-sectional study.

    Science.gov (United States)

    Koyanagi, Ai; Stickley, Andrew; Garin, Noe; Miret, Marta; Ayuso-Mateos, Jose Luis; Leonardi, Matilde; Koskinen, Seppo; Galas, Aleksander; Haro, Josep Maria

    2015-02-11

    The association between obesity and back pain has mainly been studied in high-income settings with inconclusive results, and data from older populations and developing countries are scarce. The aim of this study was to assess this association in nine countries in Asia, Africa, Europe, and Latin America among older adults using nationally-representative data. Data on 42116 individuals ≥50 years who participated in the Collaborative Research on Ageing in Europe (COURAGE) study conducted in Finland, Poland, and Spain in 2011-2012, and the World Health Organization's Study on Global Ageing and Adult Health (SAGE) conducted in China, Ghana, India, Mexico, Russia, and South Africa in 2007-2010 were analysed. Information on measured height and weight available in the two datasets was used to calculate Body Mass Index (BMI). Self-reported back pain occurring in the past 30 days was the outcome. Multivariable logistic regression analysis was used to assess the association between BMI and back pain. The prevalence of back pain ranged from 21.5% (China) to 57.5% (Poland). In the multivariable analysis, compared to BMI 18.5-24.9 kg/m(2), significantly higher odds for back pain were observed for BMI ≥35 kg/m(2) in Finland (OR 3.33), Russia (OR 2.20), Poland (OR 2.03), Spain (OR 1.56), and South Africa (OR 1.48); BMI 30.0-34.0 kg/m(2) in Russia (OR 2.76), South Africa (OR 1.51), and Poland (OR 1.47); and BMI 25.0-29.9 kg/m(2) in Russia (OR 1.51) and Poland (OR 1.40). No significant associations were found in the other countries. The strength of the association between obesity and back pain may vary by country. Future studies are needed to determine the factors contributing to differences in the associations observed.

  6. Income Inequality or Performance Gap? A Multilevel Study of School Violence in 52 Countries.

    Science.gov (United States)

    Contreras, Dante; Elacqua, Gregory; Martinez, Matias; Miranda, Álvaro

    2015-11-01

    The purpose of the study was to examine the association between income inequality and school violence and between the performance inequality and school violence in two international samples. The study used data from Trends in International Mathematics and Science Study 2011 and from the Central Intelligence Agency of United States which combined information about academic performance and students' victimization (physical and social) for 269,456 fourth-grade students and 261,747 eighth-grade students, with gross domestic product and income inequality data in 52 countries. Ecological correlations tested associations between income inequality and victimization and between school performance inequality and victimization among countries. Multilevel ordinal regression and multilevel regression analyses tested the strength of these associations when controlling for socioeconomic and academic performance inequality at school level and family socioeconomic status and academic achievement at student level. Income inequality was associated with victimization rates in both fourth and eighth grade (r ≈ .60). Performance inequality shows stronger association with victimization among eighth graders (r ≈ .46) compared with fourth graders (r ≈ .30). Multilevel analyses indicate that both an increase in the income inequality in the country and school corresponds with more frequent physical and social victimization. On the other hand, an increase in the performance inequality at the system level shows no consistent association to victimization. However, school performance inequality seems related to an increase in both types of victimizations. Our results contribute to the finding that income inequality is a determinant of school violence. This result holds regardless of the national performance inequality between students. Copyright © 2015 Society for Adolescent Health and Medicine. Published by Elsevier Inc. All rights reserved.

  7. A multi-country study of the economic burden of dengue fever: Vietnam, Thailand, and Colombia.

    Science.gov (United States)

    Lee, Jung-Seok; Mogasale, Vittal; Lim, Jacqueline K; Carabali, Mabel; Lee, Kang-Sung; Sirivichayakul, Chukiat; Dang, Duc Anh; Palencia-Florez, Diana Cristina; Nguyen, Thi Hien Anh; Riewpaiboon, Arthorn; Chanthavanich, Pornthep; Villar, Luis; Maskery, Brian A; Farlow, Andrew

    2017-10-01

    Dengue fever is a major public health concern in many parts of the tropics and subtropics. The first dengue vaccine has already been licensed in six countries. Given the growing interests in the effective use of the vaccine, it is critical to understand the economic burden of dengue fever to guide decision-makers in setting health policy priorities. A standardized cost-of-illness study was conducted in three dengue endemic countries: Vietnam, Thailand, and Colombia. In order to capture all costs during the entire period of illness, patients were tested with rapid diagnostic tests on the first day of their clinical visits, and multiple interviews were scheduled until the patients recovered from the current illness. Various cost items were collected such as direct medical and non-medical costs, indirect costs, and non-out-of-pocket costs. In addition, socio-economic factors affecting disease severity were also identified by adopting a logit model. We found that total cost per episode ranges from $141 to $385 for inpatient and from $40 to $158 outpatient, with Colombia having the highest and Thailand having the lowest. The percentage of the private economic burden of dengue fever was highest in the low-income group and lowest in the high-income group. The logit analyses showed that early treatment, higher education, and better knowledge of dengue disease would reduce the probability of developing more severe illness. The cost of dengue fever is substantial in the three dengue endemic countries. Our study findings can be used to consider accelerated introduction of vaccines into the public and private sector programs and prioritize alternative health interventions among competing health problems. In addition, a community would be better off by propagating the socio-economic factors identified in this study, which may prevent its members from developing severe illness in the long run.

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

    Science.gov (United States)

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

    2018-01-01

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

  9. Internet addictive behavior in adolescence: a cross-sectional study in seven European countries.

    Science.gov (United States)

    Tsitsika, Artemis; Janikian, Mari; Schoenmakers, Tim M; Tzavela, Eleni C; Olafsson, Kjartan; Wójcik, Szymon; Macarie, George Florian; Tzavara, Chara; Richardson, Clive

    2014-08-01

    A cross-sectional school-based survey study (N=13,284; 53% females; mean age 15.8±0.7) of 14-17-year-old adolescents was conducted in seven European countries (Greece, Spain, Poland, Germany, Romania, the Netherlands, and Iceland). The aim of the study was to investigate the prevalence of Internet addictive behavior (IAB) and related psychosocial characteristics among adolescents in the participating countries. In the study, we distinguish two problematic groups: adolescents with IAB, characterized by a loss of control over their Internet use, and adolescents "at risk for IAB," showing fewer or weaker symptoms of IAB. The two groups combined form a group of adolescents with dysfunctional Internet behavior (DIB). About 1% of adolescents exhibited IAB and an additional 12.7% were at risk for IAB; thus, in total, 13.9% displayed DIB. The prevalence of DIB was significantly higher among boys than among girls (15.2% vs. 12.7%, p<0.001) and varied widely between countries, from 7.9% in Iceland to 22.8% in Spain. Frequent use of specific online activities (e.g., gambling, social networking, gaming) at least 6 days/week was associated with greater probability of displaying DIB. Multiple logistic regression analysis indicated that DIB was more frequent among adolescents with a lower educational level of the parents, earlier age at first use of the Internet, and greater use of social networking sites and gaming sites. Multiple linear regression analysis showed that externalizing (i.e., behavioral) and internalizing (i.e., emotional) problems were associated with the presence of DIB.

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

    Directory of Open Access Journals (Sweden)

    Wahyu Taufiq

    2016-09-01

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

  11. The implementation of the Strategy Europe 2020 objectives in European Union countries: the concept analysis and statistical evaluation.

    Science.gov (United States)

    Stec, Małgorzata; Grzebyk, Mariola

    2018-01-01

    The European Union (EU), striving to create economic dominance on the global market, has prepared a comprehensive development programme, which initially was the Lisbon Strategy and then the Strategy Europe 2020. The attainment of the strategic goals included in the prospective development programmes shall transform the EU into the most competitive economy in the world based on knowledge. This paper presents a statistical evaluation of progress being made by EU member states in meeting Europe 2020. For the basis of the assessment, the authors proposed a general synthetic measure in dynamic terms, which allows to objectively compare EU member states by 10 major statistical indicators. The results indicate that most of EU countries show average progress in realisation of Europe's development programme which may suggest that the goals may not be achieved in the prescribed time. It is particularly important to monitor the implementation of Europe 2020 to arrive at the right decisions which will guarantee the accomplishment of the EU's development strategy.

  12. Strategies for Evaluating a Freshman Studies Program.

    Science.gov (United States)

    Ketkar, Kusum; Bennett, Shelby D.

    1989-01-01

    The study developed an economic model for the evaluation of Seaton Hall University's freshman studies program. Two techniques used to evaluate the economic success of the program are break-even analysis and elasticity coefficient. (Author/MLW)

  13. Econometric Study to Foreign Investments and its Determinants in Arabic Countries (1980-2014

    Directory of Open Access Journals (Sweden)

    Ismail BENGANA

    2017-06-01

    Full Text Available We aim from this study to determine the factors that have an impact on the direct foreign investment in different Arabic countries. The possibility of existence a long-term equilibrium relationship between them was checked. We concluded that there are a lot of affecting variables on direct foreign investment, but we chose only the important ones by using Cluster Analysis technique than we tested whether is there a relationship between them after we checked the stationary of their time series data which seem to be Auto-Regressive Distributed Lag (ARDL type. Its degrees and border interval have been determined.

  14. A cross-country study of cigarette prices and affordability: evidence from the Global Adult Tobacco Survey.

    Science.gov (United States)

    Kostova, Deliana; Chaloupka, Frank J; Yurekli, Ayda; Ross, Hana; Cherukupalli, Rajeev; Andes, Linda; Asma, Samira

    2014-01-01

    To describe the characteristics of two primary determinants of cigarette consumption: cigarette affordability and the range of prices paid for cigarettes (and bidis, where applicable) in a set of 15 countries. From this cross-country comparison, identify places where opportunities may exist for reducing consumption through tax adjustments. Self-response data from 45,838 smokers from 15 countries, obtained from the Global Adult Tobacco Survey (GATS) 2008-2011. Using self-response data on individual cigarette expenditure and consumption, we construct a measure of the average cigarette price smokers pay for manufactured cigarettes (and bidis, where applicable) in 15 countries. We use these prices to evaluate cigarette affordability and the range of prices available in each country. These survey-derived measures of cigarette price and affordability are uniquely suited for cross-country comparison because they represent each country's distinctive mix of individual consumption characteristics such as brand choice, intensity of consumption, and purchasing behavior. In this sample of countries, cigarettes are most affordable in Russia, which has the most room for tobacco tax increase. Affordability is also relatively high in Brazil and China for cigarettes, and in India and Bangladesh for bidis. Although the affordability of cigarettes in India is relatively low, the range of cigarette prices paid is relatively high, providing additional evidence to support the call for simplifying the existing tax structure and reducing the width of price options. China has both high affordability and wide price ranges, suggesting multiple opportunities for reducing consumption through tax adjustments.

  15. An Evaluation Of Advertising Models In Emergent Countries – The Case Of Albania

    Directory of Open Access Journals (Sweden)

    Elenica Pjero

    2012-10-01

    Full Text Available The market today is confronted with cornucopia of challenges and opportunities. The unfolding scenario is being closely watched by marketers across the globe and they are competing with each other to grasp the market share. In order to win over the consumers, marketers are constantly evolving strategies.The western firms based and operating from market-based economies are progressively being confronted with the growing challenge of creating brand awareness amongst the perspective consumers. As a result, advertising has become an essential marketing tool for these foreign firms in establishing their relatively less or unknown brands and products. The study aims to report the results of a survey about changing attitudes towards advertising in Albania. It examines the questionnaire - based response of a sample population of consumers from the city of Vlora, in their general attitudes towards advertising. Findings will contribute to the understanding of theoretical explanations for advertising in emerging markets, and of western firms using advertising marketing tool to penetrate these markets.

  16. Examining Container Port Resources and Environments to Enhance Competitiveness: A Cross-Country Study from Resource-Based and Institutional Perspectives1

    Directory of Open Access Journals (Sweden)

    Hyuksoo CHO

    2015-09-01

    Full Text Available This study aims to analyze the competitiveness of container ports using a cross-country analysis with theoretical foundations. Tangible and intangible resources are discussed as determinants of container port competitiveness using the resource-based view and the institutional theory. This study analyzes the relationships among six variables: container port competitiveness, traffic volume, quality of infrastructure, linear shipping connectivity, operating efficiency, and institutional influence. This study retrieved country-level data on different indicators and countries from several trade and maritime databases. Structural Equation Modeling (SEM is used to test various hypotheses and to evaluate the casual relationships among six variables. Additionally, Ordinary Least Squares (OLS regression is used to test the moderating effects of institutional influence.

  17. [Feasibility and relevance of an operating room safety checklist for developing countries: Study in a French hospital in Djibouti].

    Science.gov (United States)

    Becret, A; Clapson, P; Andro, C; Chapelier, X; Gauthier, J; Kaiser, E

    2013-01-01

    The use of the World Health Organization surgical safety checklist, mandatory in operating rooms (OR) in France, significantly reduces morbidity and mortality. Our objective was to evaluate the use of this checklist in the OR of a French military hospital in Djibouti (Horn of Africa). The study was performed in three stages: a retrospective evaluation of the checklist use over the previous two months, to assess the utilization and completeness rates; provision of information to the OR staff; and thereafter, prospective evaluation for a one-month period of checklist use, the reasons for non-compliance, and the cases in which the checklist identified errors and thus prevented serious adverse events. The initial utilization rate was 49%, with only 24% complete. After staff training and during the study these rates reached 100% and 99%. The staff encountered language difficulties in 53% of cases, and an interpreter was available for 81% of them. The capacity of the surgical safety checklist to detect serious adverse events was highlighted. The utilization and completeness rates were initially worse than those observed in metropolitan French ORs, but a simple staff information program was rapidly effective. Language difficulties are frequent but an interpreter is often available, unlike in developed countries where language problems are uncommon and the availability of interpreters difficult. Moreover, this study illustrates the ability of the checklist to detect and therefore prevent potentially serious adverse events.

  18. Community support and participation among persons with disabilities. A study in three European countries

    Directory of Open Access Journals (Sweden)

    Jean-Pierre Wilken

    2014-09-01

    Full Text Available Community support and participation among persons with disabilities. A study in three European countriesThis article describes a European project which was aimed at improving the situation of persons with psychiatric or learning disabilities with regard to social participation and citizenship. The project took place in three countries (Estonia, Hungary and the Netherlands and four cities (Tallinn, Budapest, Amersfoort and Maastricht. The project included research and actions at the policy level, the organizational level and the practice level. At the policy level, the framework of the United Nations Convention on the Rights of Persons with Disabilities (United Nations, 2006 and the European Disability Strategy (European Commission, 2010 were used to look at national and local policies, at the reality of the lives of those with disabilities and at the support that professional services offer with regard to participation and inclusion. The project generated a number of insights, recommendations and methods by which to improve the quality of service and increase the number of opportunities for community engagement. In this article, we present some of the lessons learned from the meta-analysis. Although the circumstances in each country are quite different with regard to policy, culture and service systems, it is remarkable that people with disabilities face many of the same problems.The study shows that in all three countries, access to services could be improved. Barriers include bureaucratic procedures and a lack of services. The research identified that in every country and city there are considerable barriers regarding equal participation in the field of housing, work and leisure activities. In addition to financial barriers, there are the barriers of stigma and self-stigmatization. Marginalization keeps people in an unequal position and hinders their recovery and participation. In all countries, professionals need to develop a stronger focus

  19. The Analysis and Evaluation of Trends in the Socio-Economic Development of European Union Countries and their Regions

    Directory of Open Access Journals (Sweden)

    Yaroshenko Igor V.

    2016-02-01

    Full Text Available The modern development of Ukraine and its regions on the background of the ongoing European integration process requires a detailed study of the experience of forming the European regional policy, positive examples and trends that have contributed to economic growth of the territories and improvement of population welfare of EU countries with a view to their use in forming the own national policy in the country. The EU regional policy, which is called the “unification” policy, as part of the European structural policy is aimed at solving development problems of the territories, primarily, depressive, old industrial, underdeveloped ones reducing the existing imbalances in social and economic development of the regions and preventing the emergence of inter-regional imbalances in the European Union. Studies of the uneven development of a country’s territories are an important part of its government policy. Identification of the main features of the asymmetry makes it possible not only to reveal the current situation with imbalances in the regional potential for sustainable development but also to assess the government’s actions aimed at their elimination. For Ukraine, which sets a goal to integrate into the European community, a detailed study of the experience and analysis of the priority principles of EU countries’ regional policy are very feasible in the formation and implementation of its own regional policy with regard to the best European principles of organization of managing the regional and local development and local government reform. Using the best practices of the regional policy of EU countries in Central and Eastern Europe, which show stable positive change in the socio-economic development, can appear to be of a special value

  20. Prevalence of Nutrition and Health-Related Claims on Pre-Packaged Foods: A Five-Country Study in Europe

    Science.gov (United States)

    Hieke, Sophie; Kuljanic, Nera; Pravst, Igor; Miklavec, Krista; Kaur, Asha; Brown, Kerry A.; Egan, Bernadette M.; Pfeifer, Katja; Gracia, Azucena; Rayner, Mike

    2016-01-01

    This study is part of the research undertaken in the EU funded project CLYMBOL (“Role of health-related CLaims and sYMBOLs in consumer behaviour”). The first phase of this project consisted of mapping the prevalence of symbolic and non-symbolic nutrition and health-related claims (NHC) on foods and non-alcoholic beverages in five European countries. Pre-packaged foods and drinks were sampled based on a standardized sampling protocol, using store lists or a store floor plan. Data collection took place across five countries, in three types of stores. A total of 2034 foods and drinks were sampled and packaging information was analyzed. At least one claim was identified for 26% (95% CI (24.0%–27.9%)) of all foods and drinks sampled. Six percent of these claims were symbolic. The majority of the claims were nutrition claims (64%), followed by health claims (29%) and health-related ingredient claims (6%). The most common health claims were nutrient and other function claims (47% of all claims), followed by disease risk reduction claims (5%). Eight percent of the health claims were children’s development and health claims but these were only observed on less than 1% (0.4%–1.1%) of the foods. The category of foods for specific dietary use had the highest proportion of NHC (70% of foods carried a claim). The prevalence of symbolic and non-symbolic NHC varies across European countries and between different food categories. This study provides baseline data for policy makers and the food industry to monitor and evaluate the use of claims on food packaging. PMID:26950149

  1. Prevalence of Nutrition and Health-Related Claims on Pre-Packaged Foods: A Five-Country Study in Europe

    Directory of Open Access Journals (Sweden)

    Sophie Hieke

    2016-03-01

    Full Text Available This study is part of the research undertaken in the EU funded project CLYMBOL (“Role of health-related CLaims and sYMBOLs in consumer behaviour”. The first phase of this project consisted of mapping the prevalence of symbolic and non-symbolic nutrition and health-related claims (NHC on foods and non-alcoholic beverages in five European countries. Pre-packaged foods and drinks were sampled based on a standardized sampling protocol, using store lists or a store floor plan. Data collection took place across five countries, in three types of stores. A total of 2034 foods and drinks were sampled and packaging information was analyzed. At least one claim was identified for 26% (95% CI (24.0%–27.9% of all foods and drinks sampled. Six percent of these claims were symbolic. The majority of the claims were nutrition claims (64%, followed by health claims (29% and health-related ingredient claims (6%. The most common health claims were nutrient and other function claims (47% of all claims, followed by disease risk reduction claims (5%. Eight percent of the health claims were children’s development and health claims but these were only observed on less than 1% (0.4%–1.1% of the foods. The category of foods for specific dietary use had the highest proportion of NHC (70% of foods carried a claim. The prevalence of symbolic and non-symbolic NHC varies across European countries and between different food categories. This study provides baseline data for policy makers and the food industry to monitor and evaluate the use of claims on food packaging.

  2. Prevalence of Nutrition and Health-Related Claims on Pre-Packaged Foods: A Five-Country Study in Europe.

    Science.gov (United States)

    Hieke, Sophie; Kuljanic, Nera; Pravst, Igor; Miklavec, Krista; Kaur, Asha; Brown, Kerry A; Egan, Bernadette M; Pfeifer, Katja; Gracia, Azucena; Rayner, Mike

    2016-03-03

    This study is part of the research undertaken in the EU funded project CLYMBOL ("Role of health-related CLaims and sYMBOLs in consumer behaviour"). The first phase of this project consisted of mapping the prevalence of symbolic and non-symbolic nutrition and health-related claims (NHC) on foods and non-alcoholic beverages in five European countries. Pre-packaged foods and drinks were sampled based on a standardized sampling protocol, using store lists or a store floor plan. Data collection took place across five countries, in three types of stores. A total of 2034 foods and drinks were sampled and packaging information was analyzed. At least one claim was identified for 26% (95% CI (24.0%-27.9%)) of all foods and drinks sampled. Six percent of these claims were symbolic. The majority of the claims were nutrition claims (64%), followed by health claims (29%) and health-related ingredient claims (6%). The most common health claims were nutrient and other function claims (47% of all claims), followed by disease risk reduction claims (5%). Eight percent of the health claims were children's development and health claims but these were only observed on less than 1% (0.4%-1.1%) of the foods. The category of foods for specific dietary use had the highest proportion of NHC (70% of foods carried a claim). The prevalence of symbolic and non-symbolic NHC varies across European countries and between different food categories. This study provides baseline data for policy makers and the food industry to monitor and evaluate the use of claims on food packaging.

  3. The challenges of military medical education and training for physicians and nurses in the Nordic countries - an interview study.

    Science.gov (United States)

    Sonesson, Linda; Boffard, Kenneth; Lundberg, Lars; Rydmark, Martin; Karlgren, Klas

    2017-04-11

    Development and use of e-learning has not taken place to the same extent in military medicine in the Nordic countries. The aim was to explore the similarities and differences in education and training in military medicine for health professionals in the Nordic countries, and more specifically to identify the specific challenges regarding education and training of military medicine, and how e-learning is used at present and the opportunities for the future. Key educators within military medicine in the Nordic countries, as approved by the respective Surgeons General, were interviewed and the interviews were analyzed using content analysis. The data showed that all Nordic countries cooperate in the field of military medical training to some extent. The models of recruitment and employment of health professionals differed as well as the degree of political support. These differences affected the ability for health professionals to gain actual experience from the military environment. To improve the quality of medical education and training, attempts were made to recruit physicians. The recruitment of physicians was considered a challenge which had resulted in disruptions of courses, training programs and maintenance of accreditation. The Nordic countries were described as having commonalities in the military medical systems and common needs for international collaboration within training, but differing in the range of education and training. Gaps were identified in methods for transferring outcomes from education into practice, as well as regarding evaluation and feedback of outcomes to military medicine. The educational tradition was described as oriented towards practical skills training without requirements on pedagogical education of educators. The results confirmed previous studies showing that e-learning was underutilized. Contextual understanding and experience of healthcare were seen as crucial factors for successful e-learning development. Extended Nordic

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

    Science.gov (United States)

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

    2016-09-12

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

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

    Science.gov (United States)

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

    2017-09-11

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

  6. Experiences from a pilot study on how to conduct a qualitative multi-country research project regarding use of antibiotics in Southeast Europe

    DEFF Research Database (Denmark)

    Kaae, Susanne; Sporrong, Sofia Kälvemark; Traulsen, Janine Morgall

    2016-01-01

    regarding how to conduct these types of research projects by evaluating a pilot study of the project. METHODS: Local data collectors conducted the study according to a developed protocol and evaluated the study with the responsible researcher-team from University of Copenhagen. The pilot study focused......BACKGROUND: In 2014, a qualitative multi-country research project was launched to study the reasons behind the high use of antibiotics in regions of Southeast Europe by using previously untrained national interviewers (who were engaged in other antibiotic microbial resistance-related investigations......) to conduct qualitative interviews with local patients, physicians and pharmacists. Little knowledge exists about how to implement qualitative multi-country research collaborations involving previously untrained local data collectors. The aim of this paper was therefore to contribute to the knowledge...

  7. Correlations between cutaneous malignant melanoma and other cancers: An ecological study in forty European countries

    Directory of Open Access Journals (Sweden)

    Pablo Fernandez-Crehuet Serrano

    2016-01-01

    Full Text Available Background: The presence of noncutaneous neoplasms does not seem to increase the risk of cutaneous malignant melanoma; however, it seems to be associated with the development of other hematological, brain, breast, uterine, and prostatic neoplasms. An ecological transversal study was conducted to study the geographic association between cutaneous malignant melanoma and 24 localizations of cancer in forty European countries. Methods: Cancer incidence rates were extracted from GLOBOCAN database of the International Agency for Research on Cancer. We analyzed the age-adjusted and gender-stratified incidence rates for different localizations of cancer in forty European countries and calculated their correlation using Pearson′s correlation test. Results: In males, significant correlations were found between cutaneous malignant melanoma with testicular cancer (r = 0.83 [95% confidence interval (CI: 0.68-0.89], myeloma (r = 0.68 [95% CI: 0.46-0.81], prostatic carcinoma (r = 0.66 [95% CI: 0.43-0.80], and non-Hodgkin lymphoma (NHL (r = 0.63 [95% CI: 0.39-0.78]. In females, significant correlations were found between cutaneous malignant melanoma with breast cancer (r = 0.80 [95% CI: 0.64-0.88], colorectal cancer (r = 0.72 [95% CI: 0.52-0.83], and NHL (r = 0.71 [95% CI: 0.50-0.83]. Conclusions: These correlations call to conduct new studies about the epidemiology of cancer in general and cutaneous malignant melanoma risk factors in particular.

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

    Science.gov (United States)

    Kim, J K

    1996-12-01

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

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

    Science.gov (United States)

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

    2018-09-01

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

  10. Policy responses to hepatitis C in the Nordic countries: Gaps and discrepant reporting in the Hep-Nordic study.

    Directory of Open Access Journals (Sweden)

    Kelly Safreed-Harmon

    Full Text Available In the Nordic countries (Denmark, Finland, Iceland, Norway, Sweden, the prevalence of chronic hepatitis C virus (HCV infection is relatively low in the general population, but is much higher among people who inject drugs (PWID. We conducted an exploratory study to investigate the extent to which these countries have policies supporting key elements of the public health response that is necessary to achieve the global goal of eliminating HCV as a public health threat.Fourteen stakeholders representing government agencies, medical societies, and civil society organisations (CSOs in the Nordic countries completed a cross-sectional online survey that included 21 policy questions related to national coordination, prevention, testing, linkage to care, and treatment. We summarised the findings in a descriptive analysis, and noted discrepant responses from stakeholders within the same country.Stakeholders reported that three of the five study countries have national viral hepatitis strategies, while only Iceland has a national HCV elimination goal. The availability of harm reduction services varies, with opioid substitution therapy provided for the general population throughout all countries, but not needle and syringe programmes. No country has access to anonymous HCV testing in all parts of the country. National HCV treatment guidelines are available in all countries except Finland, and all countries provide publicly funded direct-acting antiviral treatment. Disagreement regarding policies was observed across countries, and CSOs were the stakeholder group that most frequently answered survey questions incorrectly.The Nordic region as a whole has not consistently expressed its commitment to tackling HCV, despite the existence of large HCV epidemics among PWID in these countries. Stakeholder alignment and an established elimination goal with an accompanying strategy and implementation plan should be recognised as the basis for coordinated national

  11. Policy responses to hepatitis C in the Nordic countries: Gaps and discrepant reporting in the Hep-Nordic study.

    Science.gov (United States)

    Safreed-Harmon, Kelly; Hetherington, Kristina L; Aleman, Soo; Alho, Hannu; Dalgard, Olav; Frisch, Tove; Gottfredsson, Magnus; Weis, Nina; Lazarus, Jeffrey V

    2018-01-01

    In the Nordic countries (Denmark, Finland, Iceland, Norway, Sweden), the prevalence of chronic hepatitis C virus (HCV) infection is relatively low in the general population, but is much higher among people who inject drugs (PWID). We conducted an exploratory study to investigate the extent to which these countries have policies supporting key elements of the public health response that is necessary to achieve the global goal of eliminating HCV as a public health threat. Fourteen stakeholders representing government agencies, medical societies, and civil society organisations (CSOs) in the Nordic countries completed a cross-sectional online survey that included 21 policy questions related to national coordination, prevention, testing, linkage to care, and treatment. We summarised the findings in a descriptive analysis, and noted discrepant responses from stakeholders within the same country. Stakeholders reported that three of the five study countries have national viral hepatitis strategies, while only Iceland has a national HCV elimination goal. The availability of harm reduction services varies, with opio