WorldWideScience

Sample records for current policy options

  1. Policy options

    International Nuclear Information System (INIS)

    Miller, A.

    1990-01-01

    The obstacles to bringing about consumer response to environmental dangers are particularly challenging for global problems like ozone depletion and the greenhouse effect. In this situation, there is the danger of what is commonly termed the tragedy of the commons, the ecological destruction that can occur from uncontrolled use of shared resources like the atmosphere. There is probably no country for which reductions in global warming provide an adequate economic incentive to reduce greenhouse gas emissions unilaterally, even though such action could yield substantial global benefits. From any one country's viewpoint, the costs of controlling emissions may exceed the benefits since, without international agreement, reductions achieved by one nation may be offset by another. Therefore, even though the entire world may be better off as a result of efforts to lower emissions, new economic incentives are necessary to lead the market to a socially efficient outcome. This paper describes the range of domestic and international policies that could be adopted to reduce emissions of greenhouse gases, and also discusses the results of modeling analyses of government actions that could reduce or increase such emissions

  2. Current Government Actions and Potential Policy Options for Reducing Obesity in Queensland Schools

    Directory of Open Access Journals (Sweden)

    Naser A. Alsharairi

    2018-01-01

    Full Text Available School nutrition policies provide promising avenues towards the improvement of children’s eating habits and the prevention of obesity. Childhood obesity rates and related chronic diseases are increasing in Queensland, in part as a result of unhealthy eating habits and lack of physical activity. There is a very high investment by the Queensland government in maintaining healthy weight and promoting nutrition and physical activity among schoolchildren through delivering a range of initiatives across the state. However, there is a lack of evidence concerning the effectiveness of nutrition/physical education and parental involvement programs addressing obesity delivered in Queensland schools. This paper can be used to guide government and policy-makers regarding the most effective policy options that will promote healthy eating and physical activity among Queensland schoolchildren. The aim of this paper is to: (i summarize current evidence on Queensland government responses to obesity; and (ii discuss potential policy options that could support healthy eating and regular physical activity, and examine the evidence base for each option and suggest new areas for future research.

  3. Current and future groundwater withdrawals: Effects, management and energy policy options for a semi-arid Indian watershed

    Science.gov (United States)

    Sishodia, Rajendra P.; Shukla, Sanjay; Graham, Wendy D.; Wani, Suhas P.; Jones, James W.; Heaney, James

    2017-12-01

    Effects of future expansion/intensification of irrigated agriculture on groundwater and surface water levels and availability in a semi-arid watershed were evaluated using an integrated hydrologic model (MIKE SHE/MIKE 11) in conjunction with biophysical measurements. Improved water use efficiency, water storage, and energy policy options were evaluated for their ability to sustain the future (2035) increased groundwater withdrawals. Three future withdrawal scenarios (low = 20, medium = 30, high = 50 wells/100 km2/year) based on the historical rate of growth of irrigation wells were formulated. While well drying from falling groundwater levels was limited to drought and consecutive below average rainfall years, under the current (2015) withdrawals, significant increases in frequency and duration (17-97 days/year) of well drying along with 13-26% (19-37 mm) reductions in surface flows were predicted under the future withdrawals. Higher (27-108%) energy demands of existing irrigation pumps due to declining groundwater levels and reduced hydroelectric generation due to decreased surface flows would create a vicious water-food-energy nexus in the future. Crop failure, one of the main causes of farmers' emotional distress and death in the region, is predicted to exacerbate under the future withdrawal scenarios. Shift to negative net recharge (-63 mm) and early and prolonged drying of wells under the high scenario will reduce the groundwater availability and negatively affect crop production in more than 60% and 90% of cropped areas in the Rabi (November-February) and summer (March-May) seasons, respectively during a drought year. Individual and combined demand (drip irrigation and reduced farm electricity subsidy) and supply (water storage) management options improved groundwater levels and reduced well drying by 55-97 days/year compared to business-as-usual management under the high scenario. The combined management (50% drip conversion, 50% reduction in subsidy, and

  4. Mental health policy: Options for South Africa

    Directory of Open Access Journals (Sweden)

    Y. G. Pillay

    1993-03-01

    Full Text Available This paper emphasizes the need for mental health professionals to become involved in developing mental health policies in South Africa. In particular, it examines three options that are currently the focus of attention with respect to national health options, i.e. a free market system, a national health service (NHS and a national health insurance system (NHIS. While the paper does not provide support for any one of these options it does attempt to investigate some of the implications of each option for the funding and delivery of mental health care.

  5. Current treatment options for meningioma.

    Science.gov (United States)

    Apra, Caroline; Peyre, Matthieu; Kalamarides, Michel

    2018-03-01

    With an annual incidence of 5/100,000, meningioma is the most frequent primary tumor of the central nervous system. Risk factors are radiotherapy and hormone intake. Most meningiomas are grade I benign tumors, but up to 15% are atypical and 2% anaplastic according to the WHO 2016 histological criteria. Areas covered: This review details the current standard therapy based on international guidelines and recent literature, and describes new approaches developed to treat refractory cases. First-line treatments are observation and surgery, but adjuvant radiotherapy/radiosurgery is discussed for atypical and indicated for anaplastic meningiomas. The most problematic cases include skull base meningiomas that enclose vasculo-nervous structures and surgery- and radiation-refractory tumors that present with significant morbidity and mortality. The treatment of recurrent tumors is based on radiotherapy and repeated surgery. Systematic therapies are not effective in general but several clinical trials are ongoing. Expert commentary: Molecular characterization of the tumors, based on genetic mutations such as NF2, SMO, TERT, TRAF7, and on the methylation profile are developing, completing the histological classification and giving new insights into prognosis and treatment options.

  6. Disc degeneration: current surgical options

    Directory of Open Access Journals (Sweden)

    C Schizas

    2010-10-01

    Full Text Available Chronic low back pain attributed to lumbar disc degeneration poses a serious challenge to physicians. Surgery may be indicated in selected cases following failure of appropriate conservative treatment. For decades, the only surgical option has been spinal fusion, but its results have been inconsistent. Some prospective trials show superiority over usual conservative measures while others fail to demonstrate its advantages. In an effort to improve results of fusion and to decrease the incidence of adjacent segment degeneration, total disc replacement techniques have been introduced and studied extensively. Short-term results have shown superiority over some fusion techniques. Mid-term results however tend to show that this approach yields results equivalent to those of spinal fusion. Nucleus replacement has gained some popularity initially, but evidence on its efficacy is scarce. Dynamic stabilisation, a technique involving less rigid implants than in spinal fusion and performed without the need for bone grafting, represents another surgical option. Evidence again is lacking on its superiority over other surgical strategies and conservative measures. Insertion of interspinous devices posteriorly, aiming at redistributing loads and relieving pain, has been used as an adjunct to disc removal surgery for disc herniation. To date however, there is no clear evidence on their efficacy. Minimally invasive intradiscal thermocoagulation techniques have also been tried, but evidence of their effectiveness is questioned. Surgery using novel biological solutions may be the future of discogenic pain treatment. Collaboration between clinicians and basic scientists in this multidisciplinary field will undoubtedly shape the future of treating symptomatic disc degeneration.

  7. The Chinese brain drain and policy options.

    Science.gov (United States)

    Chang, P; Deng, Z

    1992-01-01

    The authors discuss the growing problem caused by the increasing reluctance of Chinese receiving higher education overseas to return to China following completion of their studies. They note that the Tiananmen incident of June 1989 exacerbated this problem. The policy options open to the Chinese government are reviewed.

  8. Public Telecommunications Policies and Education's Options.

    Science.gov (United States)

    Norwood, Frank W.

    The use of satellite telecommunications for educational and other public service purposes has been restricted by educators' lack of awareness of the potential that exists. While industry actively promotes its own interests, educators rarely even realize that international policies being made today will affect critically the options available for…

  9. Chapter 13, Policy options: North America

    Science.gov (United States)

    Jane Barr; James Dobrowolski; John Campbell; Philippe Le Prestre; Lori Lynch; Marc Sydnor; Robert Adler; Jose Etcheverry; Alexander Kenny; Catherine Hallmich; Jim Lazar; Russell M. Meyer; Robin Newmark; Janet Peace; Julie A. Suhr Pierce; Stephen. Yamasaki

    2012-01-01

    As previously indicated, GEO-5 shifts the GEO focus from identifying environmental problems to identifying solutions that governments can then prioritize. This chapter provides examples of a number of policy options and market mechanisms that have shown some success in improving environmental conditions in North America. They are organized by priority environmental...

  10. Policy options for stabilizing global climate

    International Nuclear Information System (INIS)

    Lashof, D.A.; Tirpak, D.A.

    1990-12-01

    This report to congress by the US EPA explains the greenhouse effect and its influence on global climate. It outlines the trends in the greenhouse gases - their concentration history, distribution, sources and sinks and chemical and radiative properties. Climate change processes are discussed including climate feedbacks. Human activities affecting trace gases and climate are explained, followed by a chapter on the technical options for reducing greenhouse gas emissions which looks at energy services, energy supply, industry, forestry and agriculture. The future is considered, and the final chapters are concerned with policy options and international cooperation to reduce greenhouse gas emissions. 934 refs., 102 figs., 84 tabs

  11. Cost allocation policy review: options and preferred alternatives

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2010-10-15

    This policy review of the consultation process on the electricity cost allocation issue is presented with specific cost allocation policy issues addressed herein, such as: the new microFIT rate, accounting changes and the transition to IFRS, and review of allocating costs to load displacement generation. This report gave the current situation for all these issues, previous work, issues, viable options for dealing with these issues and the preferred alternatives.

  12. Deflation; Determinants, Risks, and Policy Options

    OpenAIRE

    Taimur Baig; Jörg Decressin; Tarhan Feyzioglu; Manmohan S. Kumar; Chris Faulkner-MacDonagh

    2003-01-01

    Deflation can be costly and difficult to anticipate, and concerns of a generalized decline in prices in both industrial and emerging market economies have increased recently. This paper investigates the causes and consequences of deflation, the risk of deflation globally and in individual countries, and policy options. The authors discuss issues related to the measurement, determinants, and costs of deflation and examine previous episodes of deflation. They compute an index of deflation vulne...

  13. Expanding policy options for educating teenagers.

    Science.gov (United States)

    Stern, David

    2009-01-01

    David Stern argues that some basic features of the American high school must be modified if it is to serve all students successfully. He notes, for example, that only three-quarters of U.S. high school students graduate four years after beginning ninth grade and that the National Assessment of Educational Progress found no improvement in reading or mathematics for seventeen-year-olds between 1971 and 2004. The nation's system for educating teenagers, says Stern, seems to be stuck, despite the constant efforts of teachers and repeated waves of reform. Citing two widely accepted public purposes of educating teenagers-preparation for civic participation and for economic self-sufficiency-Stern proposes four new strategies to achieve those goals. He draws on empirical evidence suggesting that these are promising directions for research and policy, but acknowledges that existing studies provide only limited guidance. First, he says, schools should continue the current trend toward integrating educational options to provide young people with skills and experiences that pave the way to both college and careers. Second, states and districts should tie education funding not simply to the number of students attending school, but also to what young people learn, whether they graduate, and whether they find jobs or enroll in postsecondary education. Such a move, he argues, would encourage teaching and learning formats that use students' time more effectively. Third, more adults in addition to classroom teachers should be involved in educating teenagers. Other adults acting as academic advisers, learning coaches, student advocates, internship supervisors, mentors, and college counselors could help guide the education of teenagers inside and outside of school and provide some relief for the chronic shortage of teachers. Fourth, schools should expand the options for educating teenagers outside of geographically fixed schools. Combining improved Internet-based curriculum with

  14. Commodities and Switzerland: Development Policy Challenges and Policy Options

    Directory of Open Access Journals (Sweden)

    Werner Thut

    2013-09-01

    Full Text Available EDITOR’S NOTEThis paper, written in December 2012, is a contribution to the ‘Policy Debate’ section of the International Development Policy. In this section, academics, policy makers and practitioners engage in a dialogue on global development challenges. Papers are copy-edited but not peer-reviewed. Instead, an initial thematic contribution is followed by critical comments and reactions from different stakeholders. This paper by Werner Thut is followed by reactions and analysis from a non-profit policy institute (Alexandra Gillies, Revenue Watch Institute, New York, ‘Crafting a Strategic Response to the Commodity-Development Conundrum’, a Southern scholar (Prof. Humberto Campodonico, Universidad Nacional Mayor de San Marcos, Lima ‘Going Beyond Transparency and Good Governance’ | ‘Más allá de la transparencia y una buena gobernanza’ and a representative of the trading sector (Stéphane Graber, Secretary General of Geneva Trading & Shipping Association – ‘Reassessing the Merchants’ Role in a Globalized Economy’.PAPER’S ABSTRACTSwitzerland is one of the world’s largest commodity trading hub. The author, senior policy adviser at the Swiss Agency for Development and Cooperation (SDC, reviews experiences and policy options related to commodity trading from a development policy perspective. While this sector has become of strategic importance to Switzerland’s economy, it also entails a number of risks. On the other hand, Swiss development cooperation efforts focus on several resource-rich countries, whose mineral and agricultural commodities are traded via Switzerland. How can Switzerland assist these countries to reap the benefits of their natural resource wealth? This paper looks at development policy aspects of commodity trading in relation to Swiss foreign and domestic policy. It examines ongoing policy debates in Switzerland and discusses development policy options.

  15. Managing plutonium in Britain. Current options

    International Nuclear Information System (INIS)

    1998-01-01

    This is the report of a two day meeting to discuss issues arising from the reprocessing of plutonium and production of mixed oxide nuclear fuels in Britain. It was held at Charney Manor, near Oxford, on June 25 and 26, 1998, and was attended by 35 participants, including government officials, scientists, policy analysts, representatives of interested NGO's, journalists, a Member of Parliament, and visiting representatives from the US and Irish governments. The topic of managing plutonium has been a consistent thread within ORG's work, and was the subject of one of our previous reports, CDR 12. This particular seminar arose out of discussions earlier in the year between Dr. Frank Barnaby and the Rt. Hon. Michael Meacher MP, Minister for the Environment. With important decisions about the management of plutonium in Britain pending, ORG undertook to hold a seminar at which all aspects of the subject could be aired. A number of on-going events formed the background to this initiative. The first was British Nuclear Fuels' [BNFL] application to the Environment Agency to commission a mixed oxide fuel [MOX] plant at Sellafield. The second was BNFL's application to vary radioactive discharge limits at Sellafield. Thirdly, a House of Lords Select Committee was in process of taking evidence, on the disposal of radioactive waste. Fourthly, the Royal Society, in a recent report entitled Management of Separated Plutonium, recommended that 'the Government should commission a comprehensive review... of the options for the management of plutonium'. Four formal presentations were made to the meeting, on the subjects of Britain's plutonium policy, commercial prospects for plutonium use, problems of plutonium accountancy, and the danger of nuclear terrorism, by experts from outside the nuclear industry. It was hoped that the industry's viewpoint would also be heard, and BNFL were invited to present a paper, but declined on the grounds that they were 'currently involved in a formal

  16. Global population trends and policy options.

    Science.gov (United States)

    Ezeh, Alex C; Bongaarts, John; Mberu, Blessing

    2012-07-14

    Rapid population growth is a threat to wellbeing in the poorest countries, whereas very low fertility increasingly threatens the future welfare of many developed countries. The mapping of global trends in population growth from 2005-10 shows four distinct patterns. Most of the poorest countries, especially in sub-Saharan Africa, are characterised by rapid growth of more than 2% per year. Moderate annual growth of 1-2% is concentrated in large countries, such as India and Indonesia, and across north Africa and western Latin America. Whereas most advanced-economy countries and large middle-income countries, such as China and Brazil, are characterised by low or no growth (0-1% per year), most of eastern Europe, Japan, and a few western European countries are characterised by population decline. Countries with rapid growth face adverse social, economic, and environmental pressures, whereas those with low or negative growth face rapid population ageing, unsustainable burdens on public pensions and health-care systems, and slow economic growth. Countries with rapid growth should consider the implementation of voluntary family planning programmes as their main policy option to reduce the high unmet need for contraception, unwanted pregnancies, and probirth reproductive norms. In countries with low or negative growth, policies to address ageing and very low fertility are still evolving. Further research into the potential effect of demographic policies on other social systems, social groups, and fertility decisions and trends is therefore recommended. Copyright © 2012 Elsevier Ltd. All rights reserved.

  17. Current and future treatment options in osteoporosis.

    LENUS (Irish Health Repository)

    Brewer, Linda

    2012-02-01

    PURPOSE: The incidence of osteoporosis-related fractures will increase substantially over the coming decades as the population ages globally. This has important economic and public health implications, contributing substantially to morbidity and excess mortality in this population. METHODS: When prescribing for older patients the effectiveness profile of drugs needs to be balanced against their tolerability in individual patients. RESULTS: Currently we have good anti-fracture data to support the use of many available anti-resorptive and anabolic drugs including bisphosphonates, strontium ranelate and recombinant human parathyroid hormone. We also have evidence to demonstrate the importance of calcium and vitamin D repletion in these patients. However, in recent years our understanding of normal bone physiology and the mechanisms underlying the development of osteoporosis has significantly advanced and this has led to the development of new therapies. Novel agents, particularly denosumab, but also inhibitors of cathepsin K and anabolic agents that act on Wnt signalling, will increase the therapeutic options for clinicians in the coming years. CONCLUSION: This review discusses the evidence supporting the use of currently available treatment options for osteoporosis and potential future advances in drug therapy. Particular consideration should be given when prescribing for certain older patients who have issues with compliance or tolerance and also in those with co-morbidities or levels of frailty that may restrict the choice of therapy. Understanding the evidence for the benefit and possible harm of osteoporosis treatments is critical to appropriate management of this patient population.

  18. Solar Access: Issues and Policy Options | State, Local, and Tribal

    Science.gov (United States)

    Governments | NREL Solar Access: Issues and Policy Options Solar Access: Issues and Policy Options June 06, 2017 by Alison Holm Distributed solar capacity in the United States is on the rise : approximately 2,580 megawatts (MW) of new residential solar photovoltaic (PV) capacity was brought online in

  19. Policy Options for Effective REDD+ Implementation in Indonesia

    DEFF Research Database (Denmark)

    Saito-Jensen, Moeko; Sikor, Thomas; Kurniawan, Y.

    2015-01-01

    Indonesia, which contains the third-largest area of tropical forest in the world, is currently exploring policy options for the effective implementation of REDD+, the global initiative to reduce emissions from deforestation and forest degradation. This article analyses the major questions regarding...... degradation, due to high opportunity costs. REDD+ finance may be more effectively used to reward small-scale dispersed activities that enhance carbon stocks, such as those already happening under Indonesia's community nursery programme. The analysis indicates the necessity for forest tenure reform...

  20. Policy options for effective REDD+ implementation in Indonesia

    DEFF Research Database (Denmark)

    Saito, Moeko; Sikor, T.; Kurniawan, Y.

    2015-01-01

    Indonesia, which contains the third-largest area of tropical forest in the world, is currently exploring policy options for the effective implementation of REDD+, the global initiative to reduce emissions from deforestation and forest degradation. This article analyses the major questions regarding...... the effective distribution of benefits on the basis of three village case studies in Kutai Barat district in the province of East Kalimantan. The case studies demonstrate that companies are unlikely to take up compensation payments for stopping large-scale activities that cause deforestation and forest...

  1. GATS Mode 4 Negotiation and Policy Options

    Directory of Open Access Journals (Sweden)

    Kil-Sang Yoo

    2004-06-01

    Full Text Available This study reviews the characteristics and issues of GATS Mode 4 and guesses the effects of Mode 4 liberalization on Korean economy and labor market to suggest policy options to Korea. Mode 4 negotiation started from the trade perspective, however, since Mode 4 involves international labor migration, it also has migration perspective. Thus developed countries, that have competitiveness in service sector, are interested in free movement of skilled workers such as intra-company transferees and business visitors. On the other hand, developing countries, that have little competitiveness in service sector, are interested in free movement of low-skilled workers. Empirical studies predict that the benefits of Mode 4 liberalization will be focused on developed countries rather than developing countries. The latter may suffer from brain drain and reduction of labor supply. Nevertheless developed countries are reluctant to Mode 4 negotiation because they can utilize skilled workers from developing countries by use of their own temporary visa programs. They are interested in Mode 4 related with Mode 3 in order to ease direct investment and movement of natural persons to developing countries. Regardless of the direction of a single undertaking of Mode 4 negotiation, the net effects of Mode 4 liberalization on Korean economy and labor market may be negative. The Korean initial offer on Mode 4 is the same as the UR offer. Since Korean position on Mode 4 is most defensive, it is hard to expect that Korean position will be accepted as the single undertaking of Mode 4 negotiation. Thus Korea has to prepare strategic package measures to minimize the costs of Mode 4 liberalization and improve competitiveness of service sector.

  2. Policy Options for the Improvement of the European Patent System

    DEFF Research Database (Denmark)

    Schovsbo, Jens Hemmingsen; Cowin, Robin; Van de Eijck, Wim

    2007-01-01

    , the Working Group recognizes that the protection and enforcement of the rights of inventors through the patent system must be done in a manner to stimulate innovation and the diffusion of knowledge. In order to propose meaningful policy options that meet these objectives as much as possible, the evidence put......The present report is based on an independent, policy-oriented investigation of the current European patent system. The central premise of the report is that the patent system has so far been a positive factor in promoting innovation and the diffusion of knowledge, and thus that the system...... is contributing in a constructive way to economic and social welfare objectives. In acknowledging the importance of the patent system in relation to many aspects of society, it is also essential to continually evaluate whether the system is working as effectively as it could be. In addition, because of some...

  3. Energy policy options for Illinois. Proceedings. [26 papers

    Energy Technology Data Exchange (ETDEWEB)

    1977-01-01

    Twenty-six papers presented at the Fifth Annual Oil Illinois Energy Conference are categorized into five sections, namely: An overview of U.S. and Illinois Energy Policy; Energy Policy; Conservation--Solar--Biomass and Solid Wastes; Energy Policy; Petroleum and Natural Gas; Energy Policy; Coal and Electric Utilities; and Economic and Consumer Concerns. One paper, A Perspective on Long-Range Nuclear Energy Options, by William O. Harms has previously appeared in EAPA 4: 1364. (MCW)

  4. Alternative entrepreneurial options: a policy mitigation strategy ...

    African Journals Online (AJOL)

    This study focused on alternative entrepreneurial options as a mitigation strategy against climate change among part-time farmers in Abia state Nigeria. Some farmers abandoned farming in the face of reoccurring adverse weather conditions to other livelihood sustaining activities. The objectives were to examine the ...

  5. How federalism shapes public health financing, policy, and program options.

    Science.gov (United States)

    Ogden, Lydia L

    2012-01-01

    In the United States, fiscal and functional federalism strongly shape public health policy and programs. Federalism has implications for public health practice: it molds financing and disbursement options, including funding formulas, which affect allocations and program goals, and shapes how funding decisions are operationalized in a political context. This article explores how American federalism, both fiscal and functional, structures public health funding, policy, and program options, investigating the effects of intergovernmental transfers on public health finance and programs.

  6. Environmental assessment of current and future Swiss electricity supply options

    International Nuclear Information System (INIS)

    Bauer, Christian; Heck, Thomas; Hirschberg, Stefan; Dones, Roberto

    2008-01-01

    Options for near future electricity supply are currently one of the main topics in the Swiss energy policy debate. Contrary to the total energy demand per capita the trend of rising electricity demand per capita is still visible. This paper presents a comparative environmental assessment of a broad portfolio of current and future electricity generation technologies including nuclear, fossil, and renewable power plants with their associated energy chains. The evaluation, based on Life Cycle Assessment (LCA), is carried out quantifying ten different environmental indicators, grouped in the categories greenhouse gas emissions, consumption of resources, waste, and impact on ecosystems. Hydropower shows minimal environmental impacts for all indicators; for other systems, the picture is diverse. The comparison of non-aggregated indicators allows preliminary conclusions about the environmental performance of the assessed systems. Establishing ranking of technologies calls for aggregating the indicators, which can be done by weighting of the indicators based on individual or stakeholder group preferences, either within a Multi-Criteria Decision Analysis (MCDA) framework or with Life Cycle Impact Assessment (LCIA) methods. Calculating total costs of electricity by adding external costs due to impacts on human health and ecosystems to the electricity production costs poses another option for ranking of technologies. (authors)

  7. Radiation indicator options for environmental policy

    CERN Document Server

    Pruppers, M J M

    2002-01-01

    It has proven impossible to create an indicator capable of showing the state of the art in a single figure so as to determine the progress made in the 'radiation component' of environmental policy from the trends indicated. This is the conclusion following an investigation requested by the Ministry of Housing, Spatial Planning and the Environment in the framework of the environmental theme 'dispersion of radioactive substances and ionising radiation' to develop a radiation indicator comparable to the indicators for proprietary substances and pesticides. The most important reasons for failing to develop this indicator lie in the absence of both suitable policy targets and data for the calculations necessary for the indicator. Substituting policy targets with reference emissions, reference concentrations and reference doses would make it possible to define indicators for radiation protection. Here, environmental pressure indicators are proposed for nuclear installations and the process industry. The environment...

  8. Current Treatment Options for Auricular Hematomas.

    Science.gov (United States)

    MacPhail, Catriona

    2016-07-01

    Ear disease, such as otitis externa, resulting in aggressive head shaking or ear scratching, is the most common cause of the development of aural hematomas in dogs and cats. An underlying immunologic cause has also been proposed to explain cartilage and blood vessel fragility. Numerous options exist for management of aural hematomas, from medical management alone with corticosteroids, to simple hematoma centesis, to surgical intervention. Because this condition is usually secondary to another disease process, regardless of mode of treatment, likelihood of recurrence is low if the underlying condition is managed properly. Copyright © 2016 Elsevier Inc. All rights reserved.

  9. Policy options to contain healthcare costs: a review and classification

    NARCIS (Netherlands)

    Stadhouders, N.W.; Koolman, X.; Tanke, M.A.C.; Maarse, H.; Jeurissen, P.P.T.

    2016-01-01

    Containing health care costs has been a challenge for most OECD member states. We classify 2250 cost containment policies in forty-one groups of policy options. This conceptual framework might act as a toolkit for policymakers that seek to develop strategies for cost control; and for researchers

  10. Options, Sustainability Policy and the Spontaneous Order

    Science.gov (United States)

    Foster, John

    2005-01-01

    This paper examines the implications for sustainability policy of environmental uncertainty and indeterminacy, and relates the associated problems with a conventional understanding of sustainable development to Hayek's critique of collective planning. It suggests that the appropriate recourse is not, however, a Hayekian endorsement of the free…

  11. EU policy options for climate and energy beyond 2020

    Energy Technology Data Exchange (ETDEWEB)

    Koelemeijer, R.; Ros, J.; Notenboom, J.; Boot, P. [Netherlands Environmental Assessment Agency PBL, Den Haag (Netherlands); Groenenberg, H.; Winkel, T. [Ecofys, Utrecht (Netherlands)

    2013-05-15

    In 2009, the EU climate and energy package with targets for 2020 (the so-called 20-20-20 targets) were formulated. For the period after 2020, however, there are no legally binding targets at the EU level, except for a decreasing ETS cap which will not be sufficient in light of the ambition for 2050. This leads to uncertainty for market players, as project lead times are long and high upfront investments need to deliver returns well beyond 2020. In its Green Paper on a 2030 framework for climate and energy policies, the European Commission recognised the need for clarity regarding the post-2020 policy framework. Currently under discussion is whether the approach for 2020 should be continued towards 2030 in the form of three more stringent targets or that other approaches would be more appropriate. Within this context, the Dutch Government asked PBL Netherlands Environmental Assessment Agency and Ecofys for advice. PBL and Ecofys have subsequently analysed possible options for an EU policy framework for 2030 that will steer towards a low-carbon economy by 2050 in a cost-effective way.

  12. Renewable energy policy evaluation using real option model. The case of Taiwan

    International Nuclear Information System (INIS)

    Lee, Shun-Chung; Shih, Li-Hsing

    2010-01-01

    This study presents a policy benefit evaluation model that integrates cost efficiency curve information on renewable power generation technologies into real options analysis (ROA) methods. The proposed model evaluates quantitatively the policy value provided by developing renewable energy (RE) in the face of uncertain fossil fuel prices and RE policy-related factors. The economic intuition underlying the policy-making process is elucidated, while empirical analysis illustrates the option value embedded in the current development policy in Taiwan for wind power. In addition to revealing the benefits that RE development provides when considering real options, analytical results indicate that ROA is a highly effective means of quantifying how policy planning uncertainty including managerial flexibility influences RE development. In addition to assessing the policy value of current RE development policy, this study also compares policy values in terms of internalized external costs and varying feed-in tariff (FIT). Simulation results demonstrate that the RE development policy with internalized CO 2 emission costs is appropriate policy planning from sustainability point of view. Furthermore, relationship between varying FIT and policy values can be shown quantitatively and appropriate FIT level could be determined accordingly. (author)

  13. The current treatment options for epilepsy

    International Nuclear Information System (INIS)

    Sykora, P.; Svecova, L.

    2014-01-01

    Epilepsy is the most prevalent chronic brain disease manifesting with epileptic seizures. Epilepsy itself is not one nosological entity, it rather includes several diseases with various etiology, clinics, course and therapy. Antiepileptic therapy aims seizure freedom without affecting psychical and physical functions. The therapy is in first line pharmacological. The choice of antiepileptic drug depends not only on the seizure phenomenology, but also on the respective type of epilepsy syndrome. Most patients achieve seizure freedom or at least significant seizure frequency reduction. In 20-30% of the patients is the pharmacotherapy ineffective. In these cases of refractory epilepsy therapeutical options include epilepsy surgery, vagal stimulation or ketogenic diet. Despite recent advances in the diagnostics and therapy, epilepsy remains a serious medical and social issue. (author)

  14. Green Building Policy Options for New Orleans

    Energy Technology Data Exchange (ETDEWEB)

    Doris, E.

    2011-09-01

    This document is adapted from a memo and report delivered to the City Council of New Orleans, the office of the Mayor of New Orleans, the Chairperson of the Citizen Stakeholders Group (New Orleans Energy Task Force) and the U.S. Department of Energy (DOE) Project Officer in 2008. The report outlines ideas for and potential impacts of various green building policies in New Orleans in the years following Hurricane Katrina.

  15. Danish Telecommunications: Keeping the Policy Options Open

    DEFF Research Database (Denmark)

    Henten, Anders; Wulff, Thomas

    1996-01-01

    In recent years Danish telecommunications policy has gone through a marked change in emphasis, Tele Danmark, formed only 6 years ago as the national operator in order to strengthen the Danish telecom industry, has come under pressure in the present liberalization. This article discusses Tele...... Danmark's situation and future possibilities and presents background information on the new Danish telecommunications legislation, the present Danish telecommunications market, and Tele Danmark's strategies. Copyright (C) 1996 Elsevier Science Ltd...

  16. World Energy Outlook - 2050: Policy Options

    Energy Technology Data Exchange (ETDEWEB)

    Ghouri, Salman Saif

    2007-07-01

    The paper analyzes the historical trends, resource distribution and forecasts the regional total primary energy consumption (TPEC) to 2050. The purpose is to provide a most probable path so that appropriate policies can be made to enhance/slowdown the energy consumption without hampering economic growth. Global TPEC is most likely to reach 763-1259 Quadrillion Btu (QBtu) to 2050 with reference case trending between and stood at 978 QBtu. By 2050 the equation of TPEC is expected to be tilted in favor of developing countries when their share is increased from 47 percent in 2003 to 59 percent. Asia developing region becomes the largest consumer of TPEC; however on per capita basis it remains the lowest after Africa. The forecast gives some guidance to policy makers. Which policy measures should be taken to ensure availability of predicted level of energy resources? How should we mobilize sizeable investment to increase the expected production/capacity/logistic both in the producing and consuming countries? Simultaneously, what strategic measures should be taken: to improve energy efficiency/conservation, development/promotion of renewable sources of energies and check population growth to downward shift the probable TPEC path without compromising economic growth, productivity and quality of life? (auth)

  17. Credit Ratings Failures and Policy Options

    OpenAIRE

    Marco Pagano; Paolo Volpin

    2009-01-01

    This paper examines the role of credit rating agencies in the subprime crisis that triggered the 2007-2008 financial turmoil. We focus on two aspects of ratings that contributed to the boom and bust of the market for structured debt: rating inflation and coarse information disclosure. The paper discusses how regulation can be designed to mitigate these problems in the future. Our preferred policy is to require rating agencies to be paid by investors rather than by issuers and to grant open an...

  18. Policy options addressing the greenhouse effect

    International Nuclear Information System (INIS)

    Klabbers, J.; Vellinga, P.; Swart, R.; Van Ulden, A.; Janssen, R.

    1994-01-01

    Whether and in what way our society can cope with the risks of climate change and the challenge of sustainable development have been the subjects of the title project. In order to be able to answer such questions a dialogue was initiated within the project between scientists, policy makers and other societal actors, such as representatives of the trade unions, employer's organizations, ministries, businesses and environmental non-governmental organizations. In this way interest and risks of climate change were set side by side. In this brochure an overview is given of the results of the title project

  19. Fertility targets and policy options in Asia.

    Science.gov (United States)

    Bulatao, R A

    1984-11-01

    The 3rd Asian and Pacific Population Conference in Colombo in 1982 recommended that countries review and modify existing demographic targets and goals for reducing birth and death rates in order to attain low levels as early as possible and to attain replacement level by the year 2000. The demographic goals of selected Asian countries (Bangladesh, Indonesia, Korea, Thailand, India, Pakistan, and the Philippines are assessed and compared to World Bank population projections. It also discusses the underlying rationale for setting fertility targets, and considers what government actions could make them more achievable. 6 stages for controlling population are distinguished: 1) collection and publication of reliable demographic data; 2) enunciation of an official policy to reduce population growth; 3) development of appropriate institutions to integrate demographic projections into economic plans; 4) promotion of family planning; 5) provision of incentives and disincentives, including elimination of all implicit and explicit subsidies for child bearing; and 6) restitution of birth quotas requiring permission for each child born. Principles to maintain and accelerate fertility declines to meet demographic targets include creating appropriate and equitable development policies, increasing the standard of family planning programs, confronting organizational problems, providing easier and more equal access to contraceptive methods, exploring innovative approaches to encourage smaller families and making a firm political commitment to population control. Rapid fertility decline will also require financial commitment. Willingness to spend the necessary amounts, and the capacity to spend them as well, will determine whether the countries of Asia enter the next century in control of their population.

  20. Current and potential treatment options for hyperphosphatemia.

    Science.gov (United States)

    Carfagna, Fabio; Del Vecchio, Lucia; Pontoriero, Giuseppe; Locatelli, Francesco

    2018-05-21

    Hyperphosphatemia is common in late stages of chronic kidney disease and is often associated with elevated parathormone levels, abnormal bone mineralization, extra-osseous calcification, and increased risk of cardiovascular events and death. Several classes of oral phosphate binders are available to help control plasma phosphorus levels. Although effective at lowering serum phosphorus, they all have safety, tolerability, and compliance issues that need to be considered when selecting which one to use. Areas covered: This paper reviews the most established treatment options for hyperphosphatemia, in patients with chronic kidney disease, focusing on the new inhibitors of active phosphate absorption. Expert opinion: The prevention and the treatment of hyperphosphatemia is today far to be satisfactory. Nonetheless, an extending range of phosphate binders are now available. Aluminum has potentially serious toxic risks. Calcium-based binders are very effective but can lead to hypercalcemia and/or positive calcium balance and progression of cardiovascular calcification. No long-term data are available for the new calcium acetate/magnesium combination product. Lanthanum is an effective phosphate binder, and long-term effects of tissue deposition seem clinically irrelevant. Sevelamer, appear to have profiles that would lead to pleiotropic effects and reduced progression of vascular calcification, and the main adverse events seen with these agents are gastrointestinal. Iron has a powerful capability of binding phosphate, thus numerous preparations are available, both with and without significant systemic absorption of the iron component. The inhibitors of active intestinal phosphate transport, with their very selective mechanism of action and low pill burden seem the most interesting approach; however, do not seem at present to be effective alone, in reducing serum phosphorus levels.

  1. Policy Options for Reducing Dietary Sodium Intake

    Directory of Open Access Journals (Sweden)

    Lindsay McLaren

    2012-06-01

    Full Text Available Faced with soaring health-care costs, Canadian governments should consider creative ways to enable the population to stay healthy — and making it possible for Canadians to reduce their sodium intake is an extremely cost-effective way to do so. Excess sodium consumption is a risk factor for high blood pressure, stroke and heart disease. On average, Canadians consume 3,400 mg of sodium a day (1,100 mg over recommended levels, at least three-quarters of which comes from processed foods. Any attempt at sodium reduction must therefore involve the food industry. This paper surveys sodium reduction efforts in jurisdictions around the globe, as well as past Canadian attempts, to provide provincial and federal policymakers with a comprehensive suite of lessons learned and a host of far-sighted policy recommendations ranging from food procurement to legislation and private sector engagement. Provincial governments, individually or together, must launch multi-pronged efforts involving food service companies, manufacturers, post-secondary institutes and the media to ensure that low-sodium alternatives are readily available, and that consumers are aware of them. They must also support federal action on changing dietary guidelines and introducing restrictions on food advertising to children. The benefits to be had are very real. In light of evidence showing that population-level intervention is superior to clinical intervention in terms of cost-effectiveness, returning up to $11.10 for every dollar spent and generating tens of billions in direct health-care savings, there is a very strong case for investing in population-level sodium reduction interventions that will work. The time for governments to act is now.

  2. Cost effectiveness of GHG mitigation options and policy implication

    Energy Technology Data Exchange (ETDEWEB)

    Lim, K. S. [Korea Institute for Industrial Economics and Trade, Seoul (Korea, Republic of)

    1998-04-01

    This paper represents the summary findings and conclusions of several studies implemented about microeconomics and macroeconomics marginal costs of GHG abatement policies. Financial, economic, and, where possible, environmental microeconomics costs of reducing GHGs are estimated by a World Bank team. Six energy-related CO{sub 2} mitigation policy options are applied to estimate the macroeconomics costs of GHG emission reduction, the macroeconomics impacts on the Chinese economy. In terms of policy, conservation is a better option to cope with a restrictive mitigation constraint, assuming a developing country can achieve planned energy-saving targets. Without a CO{sub 2} emission constraint or with less restrictive CO{sub 2} emission constraints, however, the simulation results indicate that a conservation strategy may be less attractive than fuel substitution in a developing country, mainly due to the economic dampening effect of reduced production in the energy sectors. This finding suggests that an often-cited costless or negative-cost energy conservation policy may not be a better option when a less restrictive mitigation target is in force. This does not mean that the potential for energy efficiency improvements in a developing country is not worthwhile, but that the overall macroeconomics impacts should be considered before implementing the policy option. (author). 9 refs., 3 figs., 3 tabs.

  3. Compulsory Annuitisation: A Policy Option for Australia?

    Directory of Open Access Journals (Sweden)

    Taleitha O'Meara

    2013-09-01

    Full Text Available Abstract The use of lifetime annuities is one obvious candidate to deliver guaranteed income in retirement. This paper quantifies the marginal increase in income to a single male when compelled to purchase a lifetime annuity from superannuation savings, compared to the current position of voluntary annuitisation in the Australian market. It is found that significant increases in average income are possible under compulsion, with an associated decrease in the cost of the age pension. Future mortality is shown to be the key area of sensitivity. The critical importance of future age pension eligibility rules being adaptable in line with mortality changes is demonstrated.

  4. Narcolepsy: current treatment options and future approaches

    Science.gov (United States)

    Billiard, Michel

    2008-01-01

    The management of narcolepsy is presently at a turning point. Three main avenues are considered in this review: 1) Two tendencies characterize the conventional treatment of narcolepsy. Modafinil has replaced methylphenidate and amphetamine as the first-line treatment of excessive daytime sleepiness (EDS) and sleep attacks, based on randomized, double blind, placebo-controlled clinical trials of modafinil, but on no direct comparison of modafinil versus traditional stimulants. For cataplexy, sleep paralysis, and hypnagogic hallucinations, new antidepressants tend to replace tricyclic antidepressants and selective serotonin reuptake inhibitors (SSRIs) in spite of a lack of randomized, double blind, placebo-controlled clinical trials of these compounds; 2) The conventional treatment of narcolepsy is now challenged by sodium oxybate, the sodium salt of gammahydroxybutyrate, based on a series of randomized, double-blind, placebo-controlled clinical trials and a long-term open label study. This treatment has a fairly good efficacy and is active on all symptoms of narcolepsy. Careful titration up to an adequate level is essential both to obtain positive results and avoid adverse effects; 3) A series of new treatments are currently being tested, either in animal models or in humans, They include novel stimulant and anticataplectic drugs, endocrine therapy, and, more attractively, totally new approaches based on the present state of knowledge of the pathophysiology of narcolepsy with cataplexy, hypocretine-based therapies, and immunotherapy. PMID:18830438

  5. Reconciling biofuels, sustainability and commodities demand. Pitfalls and policy options

    International Nuclear Information System (INIS)

    Uslu, A.; Bole, T.; Londo, M.; Pelkmans, L.; Berndes, G.; Prieler, S.; Fischer, G.; Cueste Cabal, H.

    2010-06-01

    Increasing fossil fuel prices, energy security considerations and environmental concerns, particularly concerning climate change, have motivated countries to explore alternative energy sources including biofuels. Global demand for biofuels has been rising rapidly due to biofuel support policies established in many countries. However, proposed strong links between biofuels demand and recent years' high food commodity prices, and notions that increasing biofuels production might bring about serious negative environmental impacts, in particularly associated with the land use change to biofuel crops, have shifted public enthusiasm about biofuels. In this context, the ELOBIO project aims at shedding further light to these aspects of biofuel expansion by collecting and reviewing the available data, and also developing strategies to decrease negative effects of biofuels while enabling their positive contribution to climate change, security of supply and rural development. ELOBIO considers aspects associated with both 1st and 2nd generation biofuels, hence analyses effects on both agricultural commodity markets and lignocellulosic markets. This project, funded by the Intelligent Energy Europe programme, consists of a review of current experiences with biofuels and other renewable energy policies and their impacts on other markets, iterative stakeholder-supported development of low-disturbing biofuels policies, model supported assessment of these policies' impacts on food, feed and lignocellulosic markets, and finally an assessment of the effects of selected optimal policies on biofuels costs and potentials. Results of the ELOBIO study show that rapid biofuel deployment without careful monitoring of consequences and implementation of mitigating measures risks leading to negative consequences. Implementing ambitious global biofuel targets for 2020, based on current 1st generation technologies, can push international agricultural commodity prices upwards and increase crop

  6. Narcolepsy: current treatment options and future approaches

    Directory of Open Access Journals (Sweden)

    Michel Billiard

    2008-06-01

    Full Text Available Michel BilliardDepartment of Neurology, Gui de Chauliac Hospital, Montpellier, FranceAbstract: The management of narcolepsy is presently at a turning point. Three main avenues are considered in this review: 1 Two tendencies characterize the conventional treatment of narcolepsy. Modafinil has replaced methylphenidate and amphetamine as the first-line treatment of excessive daytime sleepiness (EDS and sleep attacks, based on randomized, double blind, placebo-controlled clinical trials of modafinil, but on no direct comparison of modafinil versus traditional stimulants. For cataplexy, sleep paralysis, and hypnagogic hallucinations, new antidepressants tend to replace tricyclic antidepressants and selective serotonin reuptake inhibitors (SSRIs in spite of a lack of randomized, double blind, placebo-controlled clinical trials of these compounds; 2 The conventional treatment of narcolepsy is now challenged by sodium oxybate, the sodium salt of gammahydroxybutyrate, based on a series of randomized, double-blind, placebo-controlled clinical trials and a long-term open label study. This treatment has a fairly good efficacy and is active on all symptoms of narcolepsy. Careful titration up to an adequate level is essential both to obtain positive results and avoid adverse effects; 3 A series of new treatments are currently being tested, either in animal models or in humans, They include novel stimulant and anticataplectic drugs, endocrine therapy, and, more attractively, totally new approaches based on the present state of knowledge of the pathophysiology of narcolepsy with cataplexy, hypocretine-based therapies, and immunotherapy.Keywords: narcolepsy, treatment, conventional drugs, modafinil, sodium oxybate, future treatments

  7. Transport, environment and health in central and Eastern Europe. State of affairs and policy options

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1999-05-01

    The report provides a review of the current state of affairs and development trends in the transport sector in Central and Eastern Europe including the associated environmental and health effects. Focus in the report is on the challenges and policy options for counteracting the negative effects from transport as well as integrating environmental and health aspects in transport policies. The report is undertaken as a desk study supplemented by two case studies in the Czech Republic and Bulgaria. (au)

  8. Alcohol under the radar: do we have policy options regarding unrecorded alcohol?

    Science.gov (United States)

    Lachenmeier, Dirk W; Taylor, Benjamin J; Rehm, Jürgen

    2011-03-01

    According to the World Health Organization, the public health impact of illicit alcohol and informally produced alcohol should be reduced. This paper summarizes and evaluates the evidence base about policy and intervention options regarding unrecorded alcohol consumption. A systematic review of the literature using electronic databases. The literature on unrecorded consumption was sparse with less than 30 articles about policy options, mostly based on observational studies. The most simplistic option to reduce unrecorded consumption would be to lower recorded alcohol prices to remove the economic incentive of buying unrecorded alcohol. However, this may increase the net total alcohol consumption, making it an unappealing public health policy option. Other policy options largely depend on the specific sub-group of unrecorded alcohol. The prohibition of toxic compounds used to denature alcohol (e.g. methanol) can improve health outcomes associated with surrogate alcohol consumption. Cross-border shopping can be reduced by either narrowing the tax differences, or stricter control. Actions limiting illegal trade and counterfeiting include introduction of tax stamps and electronic surveillance systems of alcohol trade. Education campaigns might increase the awareness about the risks associated with illegal alcohol. The most problematic category appears to be the home and small-scale artisanal production, for which the most promising option is to offer financial incentives to the producers for registration and quality control. Even though there are suggestions and theories on how to reduce unrecorded alcohol consumption, there is currently no clear evidence base on the effectiveness or cost effectiveness of available policy options. In addition, the differences in consumption levels, types of unrecorded alcohol, culture and tradition point to different measures in different parts of the world. Thus, the recommendation of a framework for moving forward in decision making

  9. The Distributional Impact of Social Security Policy Options.

    Science.gov (United States)

    Couch, Kenneth A; Reznik, Gayle L; Tamborini, Christopher R; Iams, Howard M

    2017-01-01

    Using microsimulation, we estimate the effects of three policy proposals that would alter Social Security's eligibility rules or benefit structure to reflect changes in women's labor force activity, marital patterns, and differential mortality among the aged. First, we estimate a set of options related to the duration of marriage required to receive divorced spouse and survivor benefits. Second, we estimate the effects of an earnings sharing proposal with survivor benefits, in which benefits are based entirely on earned benefits with spouses sharing their earnings during years of marriage. Third, we estimate the effects of adjusting benefits to reflect the increasing differential life expectancy by lifetime earnings. The results advance our understanding of the distributional effects of these alternative policy options on projected benefits and retirement income, including poverty and supplemental poverty status, of divorced and widowed women aged 60 or older in 2030.

  10. Renewable energy policy options for Abu Dhabi: Drivers and barriers

    International Nuclear Information System (INIS)

    Mezher, Toufic; Dawelbait, Gihan; Abbas, Zeina

    2012-01-01

    Climate change and fossil fuel depletion are the main drivers for the recent focus on Renewable Energy (RE) resources. However, since the high cost of RE technologies is the main obstacle facing the diffusion of RE power generation, economic and political intervention is inevitable. In the United Arab Emirates (UAE) population and economic growth are the main causes of a sharp increase of energy demand. Two key related factors highlight the need to establish a RE sector: first the UAE has one of the highest carbon footprint in the world and second, the rate of depletion of its main energy generation resource – fossil fuel. In this study, we present a review of overall policies in sixty-one countries, focusing on their efforts to adopt RE resources in the power sector, and on their implementation of fundamental policies implemented. Furthermore, we investigate the applicability to Abu Dhabi UAE of the main RE policies implemented worldwide. As a result of our analysis, we recommend the implementation of a mixed policy of Feed-in-Tariff (FIT) and the Quota system for RE electricity generation in order for the UAE to meet its 7% target by 2020. - Highlights: ► Comprehensive review of renewable energy policy mechanisms. ► Summarizes the renewable energy policy adoptions, targets, and installed capacity in many countries. ► Gives recommendations on renewable energy policy options for Abu Dhabi, an oil rich country.

  11. Background document for climate change policy options in Northern Canada

    International Nuclear Information System (INIS)

    Newton, J.

    2001-01-01

    This paper presents an initial compilation of background material in support of the development of climate change policy options for the jurisdictions of Yukon, Northwest Territories and Nunavut in Northern Canada. While Northern Canada contributes only a small fraction of the world's greenhouse gas (GHG) emissions, scientists forecast changes in average annual temperatures to be among the highest in the world. The Northern Climate Exchange at Yukon College was created in March 2001 to address this issue and to help guide northerners in what they can do now and in the future. This paper includes an annotated bibliography of a total of 75 international, national, and territorial policy documents and major reference documents relevant to climate change issues. It is meant to be a resource for researchers, policy analysts and government officials developing policy options and implementing programs for Northern Canada. While each of the three northern territories are at a different stage in the evolution of their climate change activities, they are all striving to develop strategies and action plans and to initiate the implementation of those plans. It is recognized that many long-standing programs and initiatives, particularly in the areas of energy efficiency and alternate energy, will help northern jurisdictions address their climate change objectives. The three territories are cooperating to deliver their message to the federal government. 75 refs., 4 figs

  12. Current adaptation measures and policies

    Science.gov (United States)

    Geoff Roberts; John A. Parrotta; Anita. Wreford

    2009-01-01

    As stated in earlier chapters, the possible impacts of climate change on forests and the forest sector are considerable, and many impacts have already been observed. As forest conditions change, there is an inherent need to change management and policy measures to minimise negative impacts and to exploit the benefits derived from climate change. This chapter highlights...

  13. Options for sustainable passenger transport: an assessment of policy choices

    NARCIS (Netherlands)

    Vleugel, J.M.; Rienstra, S.A.

    1995-01-01

    If the current trends in transport are not changed, a sustainable transport system is not feasible. In order to achieve such a state, new technologiesmay be an interesting option. In this context several success and failure factors for the introduction of new technologies are analyzed in this

  14. Current options for the treatment of pathological scarring.

    Science.gov (United States)

    Poetschke, Julian; Gauglitz, Gerd G

    2016-05-01

    Scarring is the consequence of surgery, trauma or different skin diseases. Apart from fresh, immature scars,that transform into mature scars over the course of would healing and that do not require further treatment,linear hypertrophic scars, widespread hypertrophic scars, keloids and atrophic scars exist. Symptoms like pruritusand pain, stigmatization as well as functional and aesthetic impairments that are very disturbing for the affected patients can bethe basis for the desire for treatment. Today, a multitude of options for the treatment and prevention of scars exists. Topical agents based on silicone or onion extract, intralesional injections of cristalline glucocorticoids (oftentimes in combinationwith cryotherapy) or 5-Fluorouracil as well as ablative and nonablative laser treatment are used. Current guidelines summarize the multitude of available treatment options and the currently available datafor the treating physicians, allowing them to make clear therapy recommendations for every single scar type. Relieving patients of their discomfort and doing their aesthetic demands justice is thus possible. Apart from scar prevention becoming more and more important, the increased use of modernlaser treatment options constitutes a key point in clinical scar treatment. At the same time the attention is turned to evaluating current therapeutic options with the help of contemporary study designs so as to graduallyimprove the level of evidence in scar treatment. © 2016 Deutsche Dermatologische Gesellschaft (DDG). Published by John Wiley & Sons Ltd.

  15. Real options analysis for land use management: Methods, application, and implications for policy.

    Science.gov (United States)

    Regan, Courtney M; Bryan, Brett A; Connor, Jeffery D; Meyer, Wayne S; Ostendorf, Bertram; Zhu, Zili; Bao, Chenming

    2015-09-15

    Discounted cash flow analysis, including net present value is an established way to value land use and management investments which accounts for the time-value of money. However, it provides a static view and assumes passive commitment to an investment strategy when real world land use and management investment decisions are characterised by uncertainty, irreversibility, change, and adaptation. Real options analysis has been proposed as a better valuation method under uncertainty and where the opportunity exists to delay investment decisions, pending more information. We briefly review the use of discounted cash flow methods in land use and management and discuss their benefits and limitations. We then provide an overview of real options analysis, describe the main analytical methods, and summarize its application to land use investment decisions. Real options analysis is largely underutilized in evaluating land use decisions, despite uncertainty in policy and economic drivers, the irreversibility and sunk costs involved. New simulation methods offer the potential for overcoming current technical challenges to implementation as demonstrated with a real options simulation model used to evaluate an agricultural land use decision in South Australia. We conclude that considering option values in future policy design will provide a more realistic assessment of landholder investment decision making and provide insights for improved policy performance. Copyright © 2015 Elsevier Ltd. All rights reserved.

  16. Angina pectoris: current therapy and future treatment options.

    Science.gov (United States)

    Parikh, Raj; Kadowitz, Philip J

    2014-02-01

    Angina pectoris is the consequence of an inequality between the demand and supply of blood to the heart. Angina manifests itself as chest pain or discomfort and is a common complaint of patients in the hospital and in the clinic. There are, in fact, roughly half a million new cases of angina per year. Chest pain, while having many etiologies, is generally considered to be most lethal when related to a cardiac cause. In this review, the authors outline the current medical and surgical therapies that are used in the management of angina. Highlights of the various clinical trials that have assisted in the investigation of these therapies are summarized also. Then, the authors provide a focused review of the novel therapy options for angina that are currently being explored. From new medical treatments to revised surgical techniques to the discovery of stem cell therapy, many innovative options are being investigated for the treatment of angina.

  17. Current Treatment Options in Challenging Oral Diseases: Burning Mouth Syndrome

    OpenAIRE

    Bilgen Erdoğan; Murat Yılmaz

    2012-01-01

    Burning mouth syndrome is a chronic condition characterized by burning pain without any signs of an oral mucosal pathology, that usually affects postmenopausal women. Burning sensation is often accompanied by dysgeusia and xerostomia. The pathogenesis of the disease is unknown and an effective treatment option for most of the patients has not been defined yet. The aim of this review is to present current pharmacological and physicological treatments of burning mouth syndrome.

  18. Current Treatment Options in Challenging Oral Diseases: Burning Mouth Syndrome

    Directory of Open Access Journals (Sweden)

    Bilgen Erdoğan

    2012-12-01

    Full Text Available Burning mouth syndrome is a chronic condition characterized by burning pain without any signs of an oral mucosal pathology, that usually affects postmenopausal women. Burning sensation is often accompanied by dysgeusia and xerostomia. The pathogenesis of the disease is unknown and an effective treatment option for most of the patients has not been defined yet. The aim of this review is to present current pharmacological and physicological treatments of burning mouth syndrome.

  19. Prohibiting physicians' dual practice in Iran: Policy options for implementation.

    Science.gov (United States)

    Bazyar, Mohammad; Rashidian, Arash; Jahanmehr, Nader; Behzadi, Faranak; Moghri, Javad; Doshmangir, Leila

    2018-04-23

    In Iran, based on the recent national policy documents, physician dual practice (PDP) has been prohibited. This study aimed to develop policy options (POs) to implement physicians' dual practice prohibition law in Iran. International evidence published in English and local documents published in Persian about PDP analyzed and results (advantages, disadvantages, challenges and requirements to ban PDP, and applied policies to limit the dual practice) were extracted. Results discussed among the research team in 5 rounds of meetings. In each meeting, any possible PO to limit PDP in Iran was proposed based on brainstorming technique and 12 POs were developed. These 12 POs and their advantages and disadvantages were discussed in a focus group discussion attended by 14 informed policy makers, and 3 additional POs were added. Fifteen POs were developed. Each PO has its own advantages and disadvantages. It is worth to highlight that not only are the proposed POs not mutually exclusive but they are also mutually reinforcing; that is, each of these POs can be applied alone or they can be implemented alongside each other simultaneously. No single optimal PO exists for dealing with the dual practice in Iranian health system. Implementing a mix of POs could reduce possible complications of each PO and increase the chance of successful implementation of the law. It is advisable to follow a conservative and incremental approach and start with POs that will cause less resistance and political challenges. Copyright © 2018 John Wiley & Sons, Ltd.

  20. Non-OPEC Oil Supply: Economics and Energy Policy Options

    Energy Technology Data Exchange (ETDEWEB)

    Mourik, Maarten van [Paris (France); Shepherd, Richard K. [Perpignan (France)

    2003-07-01

    shift in investment strategy than the lure of better profits. However strong the evidence of an imminent peaking of offshore and perhaps total non-OPEC oil supply, the reality is that governments will not readily recognise a 'bad news' scenario that will inevitably tarnish their own political image. It follows that a global and permanent threat to their economies and energy security from a shortfall in oil supply outside the Persian Gulf and central Asia will only become a policy assumption if viable and attractive energy policy options are available. If there is single focus to any energy supply threat, then it is the market for transportation fuels, the strongest growing segment of the energy market and the only segment of the energy market where there are no significant alternatives already on offer. The second half of this paper suggests that there are industrial or financial obstacles to the large-scale introduction of fuels other than current specification gasoline and diesel. Almost all the current initiatives to explore and encourage alternative fuels address a long-term future in which fuel cells or hydrogen or 'California-clean' liquids replace the current fuels at the pump. Further, most research concentrates on the environmental aspects of the alternatives rather than their large-scale industrial availability. Yet the hard reality is that any solution to the global oil supply dilemma must be large scale (at least 10% of the total market for transportation fuels) and soon, which means within a decade. The technical facts are that fuels such as ethanol and methanol can be produced in very large volumes and delivered to the consumer without any significant change to the huge infrastructure constituted by the global internal combustion engine manufacturing industry and by the existing fuel distribution networks. This large, immediate and obvious opportunity has not been grasped so far for the excellent reason that the status quo is profitable

  1. The Current Cluster Policy: Essence and Characteristics

    Directory of Open Access Journals (Sweden)

    Onipko Tetiana A.

    2017-05-01

    Full Text Available The article is aimed at defining essence of the current cluster policy and its characteristics. It was specified that, in the process of developing and implementing regional, innovation and entrepreneurial policies, many governments drew attention to the clustering of economy as a means of achieving a high level of regional and national competitiveness. The current cluster policy needs to be integrated, that is, to unify different policies, programs, and means. One of the characteristics of the current cluster policy is its orientation towards public-private partnership. The efficient form of such a partnership is cluster organizations. The author’s vision of the current cluster policy is that both the State and the private sector should be parties to it. Emphasis has been placed on the need to support in Ukraine, at the State level, the innovation clusters that facilitate modernization of the existing economic sectors by combining the traditions and the challenges of modernity. It has been concluded that social organizations could be involved in the process of development and implementation of cluster policy in Ukraine. A prospect for further research can be development of the «intellectual specialization» strategy for regions as an important constituent of the current cluster policy.

  2. A climate for development. Climate change policy options for Africa

    International Nuclear Information System (INIS)

    Okoth-Ogendo, H.W.O.; Ojwang, J.B.

    1995-01-01

    The seriousness of the potential impacts of climate change on development in Africa is now well recognized within, and increasingly outside, scientific circles. The United Nations Framework Convention on Climate Change is a landmark in international environmental governance, providing a mechanism for exchange, negotiation and institution-building to re-direct development towards more efficient use of resources, especially energy. The message of 'A climate for Development' is that unless policy-makers fully understand both the international commitments made under the Convention and the essential national development priorities of their own countries, effective action on climate change is unlikely to be realized. The action needed, however, can at the same time stimulate capacity-building, planning and policy change which would strengthen the economic and ecological base of African countries. The climate change issue has hence brought us face to face with the urgency of the basic issues of sustainable development in Africa. The book discusses key issues that cut across all African countries, such as emissions and their impacts, financial resources and technology transfer for emissions abatement strategies. It then provides a sectoral analysis of greenhouse gas emissions and abatement options focusing on energy, industry, agriculture, forestry and transportation. The book concludes with guidelines for options which may be considered by African countries to ensure that climate change concerns are effectively dealt with in the context of their development priorities. 113 refs

  3. Policy options to respond to rapid climate change

    NARCIS (Netherlands)

    Swart, R.J.; Marinova, N.A.; Bakker, S.; Tilburg, van X.

    2009-01-01

    Ongoing research on climate change indicates that we cannot rule out the possibility of extreme climatic changes, beyond current IPCC scenarios. The thinking about policy responses to address these risks is still in its infancy. This study explores the possibilities for responding to extreme

  4. Current and emerging treatment options for myopic choroidal neovascularization

    Directory of Open Access Journals (Sweden)

    El Matri L

    2015-04-01

    Full Text Available Leila El Matri, Ahmed Chebil, Fedra Kort Department B of Ophthalmology, Hedi Rais Institute of Ophthalmology, Faculty of Medicine of Tunis, University of El Manar, Tunis, Tunisia Abstract: Choroidal neovascularization (CNV is the main cause of visual impairment in highly myopic patients younger than 50 years of age. There are different treatments for myopic CNV (mCNV, with 5- to 10-year outcomes currently. Chorioretinal atrophy is still the most important determinant factor for visual outcome. The purpose of this study is to provide an overview of the current treatments for mCNV, including laser, surgical management, verteporfin photodynamic therapy, and mainly anti-vascular endothelial growth factor therapy. Emerging treatment options are also discussed. Keywords: myopia, choroidal neovascularization, current treatment, emerging treatment

  5. Renewable energy policy in South Africa: policy options for renewable electricity

    International Nuclear Information System (INIS)

    Winkler, H.

    2005-01-01

    Investment in renewable energy and energy efficiency is important to reduce the negative economic, social and environmental impacts of energy production and consumption in South Africa. Currently, renewable energy contributes relatively little to primary energy and even less to the consumption of commercial energy. This article examines policy options for promoting renewable electricity. Feed-in tariffs guarantee prices for developers, but lack certainty on the amount of renewable electricity such laws would deliver under local conditions. Portfolio standards set a fixed quantity, which would guarantee diversity of supply. The question is whether the incremental upfront cost to be paid by society may be unacceptably high, compared to future health and environmental benefits. A renewables obligation combines the setting of a target with a tendering process, but may be bureaucratic to administer. Neither setting targets or regulating prices alone, however, will be sufficient. Power purchase agreements, access to the grid and creating markets for green electricity are some supporting activities that should be considered. Given that renewable electricity technologies have to compete with relatively low electricity tariffs, funding will be needed. Possible sources, both locally and internationally, are identified. The extent to which these are utilised will determine the future mix of renewable energy in South Africa. (author)

  6. Renewable energy policy in South Africa: policy options for renewable electricity

    International Nuclear Information System (INIS)

    Winkler, Harald

    2005-01-01

    Investment in renewable energy and energy efficiency is important to reduce the negative economic, social and environmental impacts of energy production and consumption in South Africa. Currently, renewable energy contributes relatively little to primary energy and even less to the consumption of commercial energy. This article examines policy options for promoting renewable electricity. Feed-in tariffs guarantee prices for developers, but lack certainty on the amount of renewable electricity such laws would deliver under local conditions. Portfolio standards set a fixed quantity, which would guarantee diversity of supply. The question is whether the incremental upfront cost to be paid by society may be unacceptably high, compared to future health and environmental benefits. A renewables obligation combines the setting of a target with a tendering process, but may be bureaucratic to administer. Neither setting targets or regulating prices alone, however, will be sufficient. Power purchase agreements, access to the grid and creating markets for green electricity are some supporting activities that should be considered. Given that renewable electricity technologies have to compete with relatively low electricity tariffs, funding will be needed. Possible sources, both locally and internationally, are identified. The extent to which these are utilised will determine the future mix of renewable energy in South Africa

  7. Climatic change and local policy, Amsterdam, Netherlands. Policy options and implementation strategies to reduce emission of CO2

    International Nuclear Information System (INIS)

    Schol, E.; Van den Bosch, A.; Ligthart, F.A.T.M.; Roemer, J.C.; Ruijg, G.J.; Schaeffer, G.J.; Dinkelman, D.H.; Kok, I.C.; De Paauw, K.F.B.

    1998-04-01

    Insight is given into the local policy options with respect to climate change, in this case within the sphere of influence of Amsterdam local authorities. A list of new policy options for CO2-reduction has been made with the assistance of local policy makers and representatives of interest groups. These policy options have been divided into three qualitative scenarios: Institutional Cultural Change, Technological Innovation and Least Regrets. The environmental, economic and other effects have been described for each policy option. The three most interesting policy options have been selected by local policy makers and representatives of interest groups during a workshop. Implementation strategies have been developed for the options selected. These strategies have been discussed during a second workshop. The reduction target, stabilization of CO2-emissions in 2015 compared to 1993, can be realized by a combination of all the new policy options. The three selected policy options count for 40% of this total CO2-emission reduction. Finally, a general outline on the methodology to construct local policies for climate protection has been described. This methodology can also be applied to other cities and municipal administrators, e.g. participants of Cities for Climate Protection, an initiative of the International Council for Local Environmental Initiatives, or the Netherlands Climate Association. 136 refs

  8. Another countryside? Policy options for land and agrarian reform in ...

    African Journals Online (AJOL)

    abel

    The focus on South Africa's land and agrarian policies is relevant at a time ... be coordinated at various policy levels, including macroeconomic policy, trade policy, agricultural policy and local economic development and planning for land.

  9. Development Potentials and Policy Options of Biomass in China

    Science.gov (United States)

    Shen, Lei; Liu, Litao; Yao, Zhijun; Liu, Gang; Lucas, Mario

    2010-10-01

    Biomass, one of the most important renewable energies, is playing and will continue to play an important role in the future energy structure of the world. This article aims to analyze the position and role, assess the resource availability, discuss the geographic distribution, market scale and industry development, and present the policy options of biomass in China. The resource availability and geographical distribution of biomass byproducts are assessed in terms of crop residues, manure, forest and wood biomass byproducts, municipal waste and wastewater. The position of biomass use for power generation is just next to hydropower among types of renewable energy in China. The potential quantity of all biomass byproducts energy in 2004 is 3511 Mtce (Mtce is the abbreviation of million tons of coal equivalents and 1 Mtce is equal to106 tce.), while the acquirable quantity is 460 Mtce. Biomass energy plays a critical role in rural regions of China. The geographical distribution and quantity of biomass byproducts resources depends mainly on the relationship between ecological zones and climate conditions. Our estimation shows that the total quantity of crop residues, manure, forest and wood biomass byproducts, municipal waste and wastewater resources are 728, 3926, 2175, 155 and 48240 Mt (million tons), respectively. Crop residues come mainly from the provinces of Henan, Shandong, Heilongjiang, Jilin and Sichuan. All manure is mainly located in the provinces of Henan, Shandong, Sichuan, Hebei and Hunan. Forest and wood biomass byproducts are mainly produced in the provinces or autonomous regions of Tibet, Sichuan, Yunnan, Heilongjiang and Inner Mongolia, while most of municipal waste mainly comes from Guangdong, Shandong, Heilongjiang, Hubei and Jiangsu. Most of wastewater is largely discharged from advanced provinces like Guangdong, Jiangsu, Zhejiang, Shandong and Henan. Biomass byproducts’ energy distribution also varies from province to province in China. Based on

  10. The Study on Policy Options for Siting Hazardous Energy Facility

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Jin Oh [Korea Energy Economics Institute, Euiwang (Korea)

    2000-10-01

    The problem of site allocation on locally unwanted land uses related to energy utilities that extended most recently is becoming a new energy policy issue due to the improvement of national standard of living and livelihood quality. Residents do not generally agree on establishing the construction of public energy utilities in their village due to NIMBY syndrome while they basically agree to have them. These circumstances made a big problem against mass production of industry society and the improvement of the national welfare. Locally unwanted land use related to energy utilities includes waste incineration system, nuclear power plant, coal fired power plant, oil and Gas storage tank, briquette manufacturing plant and etc. Opportunity for SOC projects carried out by central and local government is lost because of the regional egoism. The site dispute between government and residents obstructs optimal energy supply to be necessary for industry growth and the national welfare. The main objective of this study is to propose the policy option for finding a solution after surveying theory and background of site troubles and dispute factors. Final results of this study propose a solution on structural and institutional dispute. The former introduces three kinds of approaches such as tradition, compensation and negotiation. The transition of an environmentally sound energy consumption pattern and the improvement of energy efficiency could be carried out by traditional approaches. To claim the damage and offer the accommodation facilities could be settled by compensational approaches. The establishment of regional decentralization on NIMBY facilities could be settled by negotiatory approaches through fair share criteria. The latter proposes 1) 'polluter pays principle', 2) internalization of social cost and benefit on air or water pollution, 3) the behind - the - scene negotiation in a bid to settle a site dispute, 4) and supporting system for peripheral areas

  11. Current status in the treatment options for esophageal achalasia.

    Science.gov (United States)

    Chuah, Seng-Kee; Chiu, Chien-Hua; Tai, Wei-Chen; Lee, Jyong-Hong; Lu, Hung-I; Changchien, Chi-Sin; Tseng, Ping-Huei; Wu, Keng-Liang

    2013-09-07

    Recent advances in the treatment of achalasia include the use of high-resolution manometry to predict the outcome of patients and the introduction of peroral endoscopic myotomy (POEM). The first multicenter randomized, controlled, 2-year follow-up study conducted by the European Achalasia Trial group indicated that laparoscopic Heller myotomy (LHM) was not superior to pneumatic dilations (PD). Publications on the long-term success of laparoscopic surgery continue to emerge. In addition, laparoscopic single-site surgery is applicable to advanced laparoscopic operations such as LHM and anterior fundoplication. The optimal treatment option is an ongoing matter of debate. In this review, we provide an update of the current progress in the treatment of esophageal achalasia. Unless new conclusive data prove otherwise, LHM is considered the most durable treatment for achalasia at the expense of increased reflux-associated complications. However, PD is the first choice for non-surgical treatment and is more cost-effective. Repeated PD according to an "on-demand" strategy based on symptom recurrence can achieve long-term remission. Decision making should be based on clinical evidence that identifies a subcategory of patients who would benefit from specific treatment options. POEM has shown promise but its long-term efficacy and safety need to be assessed further.

  12. Ragweed-induced allergic rhinoconjunctivitis: current and emerging treatment options

    Directory of Open Access Journals (Sweden)

    Ihler F

    2015-02-01

    Full Text Available Friedrich Ihler, Martin CanisDepartment of Otorhinolaryngology, University Medical Center Göttingen, Göttingen, GermanyAbstract: Ragweed (Ambrosia spp. is an annually flowering plant whose pollen bears high allergenic potential. Ragweed-induced allergic rhinoconjunctivitis has long been seen as a major immunologic condition in Northern America with high exposure and sensitization rates in the general population. The invasive occurrence of ragweed (A. artemisiifolia poses an increasing challenge to public health in Europe and Asia as well. Possible explanations for its worldwide spread are climate change and urbanization, as well as pollen transport over long distances by globalized traffic and winds. Due to the increasing disease burden worldwide, and to the lack of a current and comprehensive overview, this study aims to review the current and emerging treatment options for ragweed-induced rhinoconjunctivitis. Sound clinical evidence is present for the symptomatic treatment of ragweed-induced allergic rhinoconjunctivitis with oral third-generation H1-antihistamines and leukotriene antagonists. The topical application of glucocorticoids has also been efficient in randomized controlled clinical trials. Combined approaches employing multiple agents are common. The mainstay of causal treatment to date, especially in Northern America, is subcutaneous immunotherapy with the focus on the major allergen, Amb a 1. Beyond this, growing evidence from several geographical regions documents the benefit of sublingual immunotherapy. Future treatment options promise more specific symptomatic treatment and fewer side effects during causal therapy. Novel antihistamines for symptomatic treatment are aimed at the histamine H3-receptor. New adjuvants with toll-like receptor 4 activity or the application of the monoclonal anti-immunoglobulin E antibody, omalizumab, are supposed to enhance conventional immunotherapy. An approach targeting toll-like receptor 9 by

  13. Current and emerging treatment options for nasopharyngeal carcinoma

    Directory of Open Access Journals (Sweden)

    Spratt DE

    2012-10-01

    Full Text Available Daniel E Spratt, Nancy LeeDepartment of Radiation Oncology, Memorial Sloan-Kettering Cancer Center, New York, NY, USAAbstract: In this article, we focus on the current and emerging treatments in nasopharyngeal cancer (NPC. A detailed evolution of the current standard of care, and new techniques and treatment options will be reviewed. Intergroup 0099 established the role for chemoradiotherapy (chemo-RT in the treatment of nasopharyngeal carcinoma. Multiple randomized Phase III trials have shown the benefit of chemo-RT; however, none of these studies utilized modern radiotherapy (RT techniques of intensity-modulated radiation therapy (IMRT. IMRT has the ability to deliver high doses of radiation to the target structures while sparing adjacent bystander healthy tissues, and has now become the preferred RT treatment modality. Chemotherapy also has had a shifting paradigm of induction and/or adjuvant chemotherapy combined with RT alone, to the investigation with concurrent chemo-RT. New treatment options including targeted monoclonal antibodies and small molecule tyrosine kinase inhibitors are being studied in NPC. These new biologic therapies have promising in vitro activity for NPC, and emerging clinical studies are beginning to define their role. RT continues to expand its capabilities, and since IMRT and particle therapy, specifically intensity-modulated proton therapy (IMPT, has reports of impressive dosimetric efficacy in-silica. Adaptive RT is attempting to reduce toxicity while maintaining treatment efficacy, and the clinical results are still in their youth. Lastly, Epstein–Barr virus (EBV DNA has recently been studied for prediction of tumor response and its use as a biomarker is increasingly promising to aid in early detection as well as supplementing the current staging system. RT with or without chemotherapy remains the standard of care for nasopharyngeal carcinoma. Advances in RT technique, timing of chemotherapy, biologically

  14. New and current preventive treatment options in actinic keratosis.

    Science.gov (United States)

    Arenberger, P; Arenbergerova, M

    2017-09-01

    Actinic keratosis (AK) is a characteristic skin lesion on skin areas of subjects with mainly phototype I and phototype II, or with specific genetic factors and who are exposed to prolonged ultraviolet radiation. AK may be considered a precursor of in situ squamous cell carcinoma (SCC), a type of non-melanoma skin cancer (NMSC). However, it is still not possible to predict which AK lesions will develop into SCC. Early treatment of AK is therefore recommended. Despite the increasing number of patients with AK developing into SCC, to date, there is still no clear suggestion of therapeutic strategy for AK. Current treatment consists of a multitude of topical lesion-directed or field-directed therapies or a combination of both. Recently, orally administered nicotinamide has shown to significantly reduce rates of new NMSC and AK in high-risk patients. This study aims to provide an update on the most relevant information about AK and to provide an insight into current and new treatment options. © 2017 European Academy of Dermatology and Venereology.

  15. Bringing biofuels on the market. Options to increase EU biofuels volumes beyond the current blending limits

    Energy Technology Data Exchange (ETDEWEB)

    Kampman, B.; Van Grinsven, A.; Croezen, H. [CE Delft, Delft (Netherlands); Verbeek, R.; Van Mensch, P.; Patuleia, A. [TNO, Delft, (Netherlands)

    2013-07-15

    This handbook on biofuels provides a comprehensive overview of different types of biofuels, and the technical options that exist to market the biofuels volumes expected to be consumed in the EU Member States in 2020. The study concludes that by fully utilizing the current blending limits of biodiesel (FAME) in diesel (B7) and bioethanol in petrol (E10) up to 7.9% share of biofuels in the EU transport sector can be technically reached by 2020. Increasing use of advanced biofuels, particularly blending of fungible fuels into diesel (eg. HVO and BTL) and the use of higher ethanol blends in compatible vehicles (e.g. E20), can play an important role. Also, the increased use of biomethane (in particular bio-CNG) and higher blends of biodiesel (FAME) can contribute. However, it is essential for both governments and industry to decide within 1 or 2 years on the way ahead and take necessary actions covering both, the fuels and the vehicles, to ensure their effective and timely implementation. Even though a range of technical options exist, many of these require considerable time and effort to implement and reach their potential. Large scale implementation of the options beyond current blending limits requires new, targeted policy measures, in many cases complemented by new fuel and vehicle standards, adaptation of engines and fuel distribution, etc. Marketing policies for these vehicles, fuels and blends are also likely to become much more important than in the current situation. Each Member State may develop its own strategy tailored to its market and policy objectives, but the EU should play a crucial facilitating role in these developments.

  16. Interim Policy Options for Commercialization of Solar Heating and Cooling Systems.

    Science.gov (United States)

    Bezdek, Roger

    This interim report reviews the major incentive policy options available to accelerate market penetration of solar heating and cooling (SHAC) systems. Feasible policy options designed to overcome existing barriers to commercial acceptance and market penetration are identified and evaluated. The report is divided into seven sections, each dealing…

  17. Contribution to the economic impact assessment of policy options to regulate animal cloning for food production with an economic simulation model

    OpenAIRE

    Koen Dillen; Emanuele Ferrari; Pascal Tillie; George Philippidis; Sophie Helaine

    2013-01-01

    The EU is currently evaluating different policy options towards the use of cloning or products derived from cloned animals in the food chain. This study presents a first attempt to quantify the likely effects of different policy scenarios on international trade and EU domestic production. In the context of the Impact Asessment process the JRC was requested to simulate via a modelling study the economic impact of selected policy options. Based on a literature review and the specific constra...

  18. Current practices and options for confinement of uranium mill tailings

    International Nuclear Information System (INIS)

    1981-01-01

    At the United Nations Conference on the Human Environment, which took place in Stockholm from 4 to 6 June 1972, national governments were asked to explore, with the International Atomic Energy Agency and other appropriate international organizations, international co-operation on radioactive waste matters including those of mining and tailings disposal. Since that time the IAEA has been active in the field of uranium and thorium mill tailings management. As part of this activity, the present report describes current practices and options for confinement of uranium mill tailings. It is addressed to technical and administrative personnel who are involved in planning and implementing national and industrial programmes on the management of such tailings. In 1974 and 1975 the IAEA convened meetings of experts to review matters of interest and importance in the management of uranium and thorium mine and mill tailings. These activities led to the publication in 1976 of Management of Wastes from the Mining and Milling of Uranium and Thorium Ores, a Code of Practice and Guide to the Code, IAEA Safety Series No. 44. As a continuation of this activity, the IAEA is here dealing more specifically with the design and siting considerations for the management of uranium mill tailings

  19. Diagnosis of Helicobacter pylori infection: Current options and developments

    Science.gov (United States)

    Wang, Yao-Kuang; Kuo, Fu-Chen; Liu, Chung-Jung; Wu, Meng-Chieh; Shih, Hsiang-Yao; Wang, Sophie SW; Wu, Jeng-Yih; Kuo, Chao-Hung; Huang, Yao-Kang; Wu, Deng-Chyang

    2015-01-01

    Accurate diagnosis of Helicobacter pylori (H. pylori) infection is a crucial part in the effective management of many gastroduodenal diseases. Several invasive and non-invasive diagnostic tests are available for the detection of H. pylori and each test has its usefulness and limitations in different clinical situations. Although none can be considered as a single gold standard in clinical practice, several techniques have been developed to give the more reliable results. Invasive tests are performed via endoscopic biopsy specimens and these tests include histology, culture, rapid urease test as well as molecular methods. Developments of endoscopic equipment also contribute to the real-time diagnosis of H. pylori during endoscopy. Urea breathing test and stool antigen test are most widely used non-invasive tests, whereas serology is useful in screening and epidemiological studies. Molecular methods have been used in variable specimens other than gastric mucosa. More than detection of H. pylori infection, several tests are introduced into the evaluation of virulence factors and antibiotic sensitivity of H. pylori, as well as screening precancerous lesions and gastric cancer. The aim of this article is to review the current options and novel developments of diagnostic tests and their applications in different clinical conditions or for specific purposes. PMID:26523098

  20. Current and emerging treatment options for Peyronie's disease

    Directory of Open Access Journals (Sweden)

    Gokce A

    2013-01-01

    Full Text Available Ahmet Gokce, Julie C Wang, Mary K Powers, Wayne JG HellstromDepartment of Urology, Tulane University – School of Medicine, New Orleans, LA, USAAbstract: Peyronie's disease (PD is a condition of the penis, characterized by the presence of localized fibrotic plaque in the tunica albuginea. PD is not an uncommon disorder, with recent epidemiologic studies documenting a prevalence of 3–9% of adult men affected. The actual prevalence of PD may be even higher. It is often associated with penile pain, anatomical deformities in the erect penis, and difficulty with intromission. As the definitive pathophysiology of PD has not been completely elucidated, further basic research is required to make progress in the understanding of this enigmatic condition. Similarly, research on effective therapies is limited. Currently, nonsurgical treatments are used for those men who are in the acute stage of PD, whereas surgical options are reserved for men with established PD who cannot successfully penetrate. Intralesional treatments are growing in clinical popularity as a minimally invasive approach in the initial treatment of PD. A surgical approach should be considered when men with PD do not respond to conservative, medical, or minimally invasive therapies for approximately 1 year and cannot have satisfactory sexual intercourse. As scientific breakthroughs in the understanding of the mechanisms of this disease process evolve, novel treatments for the many men suffering with PD are anticipated.Keywords: oral therapy, intralesional treatment, topical therapy, extracorporeal shockwave therapy, traction devices, plication, incision and grafting, penile prosthesis.

  1. Impact of advanced fuel cycle options on waste management policies

    International Nuclear Information System (INIS)

    Gordelier, Stan; Cavedon, Jean-Marc

    2006-01-01

    OECD/NEA has performed a study on the impact of advanced fuel cycle options on waste management policies with 33 experts from 12 member countries, 1 non-member country and 2 international organizations. The study extends a series of previous ones on partitioning and transmutation (P and T) issues, focusing on the performance assessments for repositories of high-level waste (HLW) arising from advanced fuel cycles. This study covers a broader spectrum than previous studies, from present industrial practice to fully closed cycles via partially closed cycles (in terms of transuranic elements); 9 fuel cycle schemes and 4 variants. Elements of fuel cycles are considered primarily as sources of waste, the internal mass flows of each scheme being kept for the sake of mass conservation. The compositions, activities and heat loads of all waste flows are also tracked. Their impact is finally assessed on the waste repository concepts. The study result confirms the findings from the previous NEA studies on P and T on maximal reduction of the waste source term and maximal use of uranium resources. In advanced fuel cycle schemes the activity of the waste is reduced by burning first plutonium and then minor actinides and also the uranium consumption is reduced, as the fraction of fast reactors in the park is increased to 100%. The result of the repository performance assessments, analysing the effect of different HLW isotopic composition on repository performance and on repository capacity, shows that the maximum dose released to biosphere at any time in normal conditions remains, for all schemes and for all the repository concepts examined, well below accepted radiation protection thresholds. The major impact is on the detailed concept of the repositories, through heat load and waste volume. Advanced fuel cycles could allow a repository to cover waste produced from 5 to 20 times more electricity generation than PWR once-through cycle. Given the flexibility of the advanced fuel

  2. Current Nondopaminergic Therapeutic Options for Motor Symptoms of Parkinson's Disease

    Institute of Scientific and Technical Information of China (English)

    Juan-Juan Du; Sheng-Di Chen

    2017-01-01

    Objective:The aim of this study was to summarize recent studies on nondopaminergic options for the treatment of motor symptoms in Parkinson's disease (PD).Data Sources:Papers in English published in PubMed,Cochrane,and Ovid Nursing databases between January 1988 and November 2016 were searched using the following keywords:PD,nondopaminergic therapy,adenosine,glutamatergic,adrenergic,serotoninergic,histaminic,and iron chelator.We also reviewed the ongoing clinical trials in the website of clinicaltrials.gov.Study Selection:Articles related to the nondopaminergic treatment of motor symptoms in PD were selected for this review.Results:PD is conventionally treated with dopamine replacement strategies,which are effective in the early stages of PD.Long-term use oflevodopa could result in motor complications.Recent studies revealed that nondopaminergic systems such as adenosine,glutamatergic,adrenergic,serotoninergic,histaminic,and iron chelator pathways could include potential therapeutic targets for motor symptoms,including motor fluctuations,levodopa-induced dyskinesia,and gait disorders.Some nondopaminergic drugs,such as istradefylline and amantadine,are currently used clinically,while most such drugs are in preclinical testing stages.Transitioning of these agents into clinically beneficial strategies requires reliable evaluation since several agents have failed to show consistent results despite positive findings at the preclinical level.Conclusions:Targeting nondopaminergic transmission could improve some motor symptoms in PD,especially the discomfort ofdyskinesia.Although nondopaminergic treatments show great potential in PD treatment as an adjunct therapy to levodopa,further investigation is required to ensure their success.

  3. Biofuels development in China: Technology options and policies needed to meet the 2020 target

    International Nuclear Information System (INIS)

    Chang, Shiyan; Zhao, Lili; Timilsina, Govinda R.; Zhang, Xiliang

    2012-01-01

    China promulgated the Medium and Long-Term Development Plan for Renewable Energy in 2007, which included sub-targets of 2010 and 2020 for various renewable energy technologies. Almost all the 2010 sub-targets have been met and even surpassed except non-grain fuel ethanol. There is debate surrounding the questions of whether and how the country will be able to meet the 2020 biofuels target. This paper provides the assessment of potential technology pathways to achieve the 2020 target regarding their respective resource potential and supply cost. Barriers and policy options are identified based on broad literatures review. And an overview of biofuels projections is presented to provide insight into the comparison of various policy scenarios. The study shows that China can potentially satisfy non-grain fuel ethanol target by 2020 from technology perspective. But she will probably fall far short of this target if current situations continue. Additional policy efforts are needed. Meanwhile, the target of biodiesel production has high probability to be achieved. However, if given support policies, it will develop better. - Highlights: ► I. Non-grain feedstocks such as cassava, sweet sorghum and sweet potato grown in low productive arable lands or unutilized lands have enough potential to meet ethanol targets in 2020. ► II. If current situations continue, China will fall far short of the 2020 target. ► III. The target of biodiesel production has high probability to be achieved, while, if given support policies, it will develop better. ► IV. Supply cost is one of the major barriers faced by all biofuels pathways. ► V. Various policy measures would be necessary to overcome the costs barriers to biofuels in China.

  4. A study on the alternative option for nuclear policy

    Energy Technology Data Exchange (ETDEWEB)

    Choi, J. W.; Choi, H. J.; Lee, J. Y.; Cho, D. K.; Jeon, K. S.; Park, S. W.; Hahn, D. H.; Yoon, J. S.; Lee, K. S. [KAERI, Daejeon (Korea, Republic of)

    2008-02-15

    Since a decision-making by intuitive judgement under uncertain future conditions can not select an optimum alternative, reaching an agreement for alternatives between experts requires a development of several scientific opinion collection methodologies and performing these methodologies. Therefore, opinion collection for all points related to the nuclear energy, public hearing induction related researches and the acts, procedure, etc. performed in developed countries such as U.S, U.K, France, etc. are reviewed and analyzed in this research. And after the analysis of domestic spent nuclear fuel management plan, Task Force Team composed of experts in several related areas is organized to suggest strategies and directions which are necessary for making a national policy. Beside, Task Force Team selects an optimum technical alternative by the analysis and comparison in depth between these technical alternatives to establish the policy direction. They also established the procedures such as opinion collecting, etc. through policy conference and forum and suggested the technical data related nuclear policy which supports the nuclear policy conference. Results from this research are expected to decrease the trial and error that has been occurred in the present policy-making procedure such as radioactive waste repository related procedure and contribute for socio-cultural stability. Moreover, opinion collection plan for developing a nuclear policy alternative is expected to contribute for making a nuclear policy in the nuclear policy conference so that the nuclear technology will be enhanced more.

  5. A study on the alternative option for nuclear policy

    International Nuclear Information System (INIS)

    Choi, J. W.; Choi, H. J.; Lee, J. Y.; Cho, D. K.; Jeon, K. S.; Park, S. W.; Hahn, D. H.; Yoon, J. S.; Lee, K. S.

    2008-02-01

    Since a decision-making by intuitive judgement under uncertain future conditions can not select an optimum alternative, reaching an agreement for alternatives between experts requires a development of several scientific opinion collection methodologies and performing these methodologies. Therefore, opinion collection for all points related to the nuclear energy, public hearing induction related researches and the acts, procedure, etc. performed in developed countries such as U.S, U.K, France, etc. are reviewed and analyzed in this research. And after the analysis of domestic spent nuclear fuel management plan, Task Force Team composed of experts in several related areas is organized to suggest strategies and directions which are necessary for making a national policy. Beside, Task Force Team selects an optimum technical alternative by the analysis and comparison in depth between these technical alternatives to establish the policy direction. They also established the procedures such as opinion collecting, etc. through policy conference and forum and suggested the technical data related nuclear policy which supports the nuclear policy conference. Results from this research are expected to decrease the trial and error that has been occurred in the present policy-making procedure such as radioactive waste repository related procedure and contribute for socio-cultural stability. Moreover, opinion collection plan for developing a nuclear policy alternative is expected to contribute for making a nuclear policy in the nuclear policy conference so that the nuclear technology will be enhanced more

  6. INTEGRATION POLICY TOWARDS IMMIGRANTS: CURRENT EXPERIENCE

    Directory of Open Access Journals (Sweden)

    Nadiia Bureiko

    2012-03-01

    Full Text Available In the contemporary world the intensity of the immigration movements is constantly increasing. Countries which experience great immigrant flows are facing numerous problems which should be solved. The article studies the current immigration flows in EU countries, the United States of America and Canada and presents three main models of integration policy towards immigrants – political assimilation, functional integration and multicultural model. Separate models are distinguished for the Muslims’ integration. The author examines the peculiarities of every model and examines the conclusions provided by the Migrant Integration Policy Index (MIPEX concerning the situation of the immigrants’ integration in 31 countries in 2011. Among all the policy indicators the first that are defined are as follows: political participation, education, labour market mobility and anti-discrimination. The situation with immigrants’ integration in Ukraine is also studied as it is gaining a great attention of the authorities and the public. The measures and practical steps done regarding this situation in Ukraine in recent years are analyzed using the information offered by the State Migration Service of Ukraine.

  7. Sustainability of UK shale gas in comparison with other electricity options: Current situation and future scenarios.

    Science.gov (United States)

    Cooper, Jasmin; Stamford, Laurence; Azapagic, Adisa

    2018-04-01

    Many countries are considering exploitation of shale gas but its overall sustainability is currently unclear. Previous studies focused mainly on environmental aspects of shale gas, largely in the US, with scant information on socio-economic aspects. To address this knowledge gap, this paper integrates for the first time environmental, economic and social aspects of shale gas to evaluate its overall sustainability. The focus is on the UK which is on the cusp of developing a shale gas industry. Shale gas is compared to other electricity options for the current situation and future scenarios up to the year 2030 to investigate whether it can contribute towards a more sustainable electricity mix in the UK. The results obtained through multi-criteria decision analysis suggest that, when equal importance is assumed for each of the three sustainability aspects shale gas ranks seventh out of nine electricity options, with wind and solar PV being the best and coal the worst options. However, it outranks biomass and hydropower. Changing the importance of the sustainability aspects widely, the ranking of shale gas ranges between fourth and eighth. For shale gas to become the most sustainable option of those assessed, large improvements would be needed, including a 329-fold reduction in environmental impacts and 16 times higher employment, along with simultaneous large changes (up to 10,000 times) in the importance assigned to each criterion. Similar changes would be needed if it were to be comparable to conventional or liquefied natural gas, biomass, nuclear or hydropower. The results also suggest that a future electricity mix (2030) would be more sustainable with a lower rather than a higher share of shale gas. These results serve to inform UK policy makers, industry and non-governmental organisations. They will also be of interest to other countries considering exploitation of shale gas. Copyright © 2017 Elsevier B.V. All rights reserved.

  8. Iran's Nuclear Strategy Options and U.S. Foreign Policy Implications

    National Research Council Canada - National Science Library

    Davis, Jimmy D

    2005-01-01

    .... strategic interests. Iran's movement toward a nuclear weapon option creates complex issues for American national security policy makers and highlights the international community's inability to police rogue states effectively...

  9. Engaging China in the International Export Control Process: Options for U.S. Policy

    National Research Council Canada - National Science Library

    Goldman, Charles

    1995-01-01

    This documented briefing is intended to provide options for U.S. policy that will enhance China's participation in the control of international transfers of destabilizing military or dual use technology...

  10. Table of Policy Options for Smart Growth Fixes for Climate Adaptation and Resilience

    Science.gov (United States)

    Sortable table of policy options discussed in the publication Smart Growth Fixes for Climate Adaptation and Resilience, which can help local governments prepare for climate change while gaining other environmental, economic, health, and social benefits

  11. An African account of ecosystem service provision: Use, threats and policy options for sustainable livelihoods

    CSIR Research Space (South Africa)

    Egoh, Benis N

    2012-12-01

    Full Text Available -1 Ecosystem Services December 2012/ Vol. 2 An African account of ecosystem service provision: Use, threats and policy options for sustainable livelihoods Benis N. Egoh a, , , , Patrick J. O'Farrellb, Aymen Charefa, Leigh Josephine Gurney a...

  12. Modelling Options for Policy Impact Analysis on African Dairy Farms

    Directory of Open Access Journals (Sweden)

    Oghaiki Asaah NDAMBI

    2008-01-01

    Full Text Available Studies on the priorities for agricultural research in Eastern and CentralAfrica concluded that milk is the most important commodity for research anddevelopment in the region, based on its potential contribution to the agriculturalGDP. It has been presumed that, the right policies, marketing systems and technicalsupport must be sought for dairy development in Africa. In order to determine theright development pattern, appropriate analytical tools must be applied. The TIPICAL(Technology Impact Policy Impact model was used to analyse the impact ofdifferent policies on two typical dairy farming systems in Uganda, which accountfor more than 70% of milk produced in the country. Seven influential policy areaswere also identified: provision of veterinary services, consumption promotion,marketing promotion, input provision, credit access improvement, milk qualityimprovement and genetic improvement. In general, the policy impacts are very littleon farms with local cows but can be magnified up to threefold, if the farms havegraded cows. Policies which improve farmers’ accessibility to markets have thegreatest impacts. The results obtained from this model were compared to thoseusing the EXTRAPOLATE model. This comparison shows that both models couldcomplement each other in analysing policy impacts on African dairy farms.However, differences in results from the models indicate that more focus should bemade on farmers’ willingness to adopt new technology.

  13. Chinese water policy for sustainable water resources: Options for ...

    African Journals Online (AJOL)

    China has no option but to press on with the implementation of the National Water Initiative as stated by its government in ''Document No. 1". One might observe that it can be a bit heavy in political terms. Most hydrological means are pretty meaningless in reality. Though the nation is not sure if it can handle such a project ...

  14. New perspective of real options theory for policy analysis

    NARCIS (Netherlands)

    Sadowski, B.M.

    2007-01-01

    In deze Reflectie geeft Sadowski een alternatief, of eigenlijk een aanvulling op de KBA, vanuit de real options theory, zoals die ook in de financiële sector gebruikt wordt. Het idee is dat er in dynamische markten veel ontwikkelingen zijn: technologisch, een markt in beweging of industriële

  15. Spatial management of invasive species : Pathways and policy options

    NARCIS (Netherlands)

    Sanchirico, James N.; Albers, Heidi J.; Fischer, Carolyn; Coleman, Conrad

    2010-01-01

    In addressing the problem of invasive species, decision makers have a variety of options, each targeting different aspects as it evolves over time and space. We develop a 2-region bioeconomic model that includes several transmission pathways that spread the invader. Within each region, inspections,

  16. Payout phase in DC pension funds – policy option - Theoretical considerations and Albanian available options

    Directory of Open Access Journals (Sweden)

    Enkeleda Shehi

    2015-11-01

    Full Text Available The aim of this paper is to provide a brief overview of the third pillar of pensions in Albania and what are the different alternatives related to the payout. Referring to the actual development of this market in Albania, experience of the actors involved, I find it indispensable and necessary to provide some theoretical background and considerations, and then build up a simple model of projection of a pension scheme cost and a model for payout alternatives for the Albanian pension funds. A great deal of importance is shown towards posing the assumptions. Also, the paper gives an explanation about the differences among different payout options and suggests the best option for the existing pension funds in Albania. The best option represents my conclusion and recommendation for the actual third pillar of pensions and the others that might join latter. To sum up, the first conclusion of the paper is that the annuity option is the best alternative for the payout phase of the pensions. It has the advantage of providing the highest protection against the risk of longevity. The second conclusion is that based on other countries experiences, the annuity market have to be developed hand in hand with the pension system development. Therefore Albania should rely on and follow this experience.

  17. Incentive Policy Options for Product Remanufacturing: Subsidizing Donations or Resales?

    Science.gov (United States)

    Zhu, Xiaodong; Wang, Yue; Li, Bangyi

    2017-01-01

    Remanufactured products offer better environmental benefits, and governments encourage manufacturers to remanufacture through various subsidy policies. This practice has shown that, in addition to product sales, remanufactured product can also achieve its value through social donation. Based on the remanufactured product value realization approaches, governments provide two kinds of incentive policies, which are remanufactured product sales subsidies and remanufactured product donation subsidies. This paper constructs a two-stage Stackelberg game model including a government and a manufacturer under two different policies, which can be solved by backward induction. By comparing the optimal decision of the two policies, our results show that, compared with the remanufacturing sales subsidy, donation subsidy weakens the cannibalization of remanufactured products for new products and increases the quantity of new products. It reduces the sales quantity of remanufactured products, but increases their total quantity. Under certain conditions of low subsidy, the manufacturer adopting sales subsidy provides better economic and environmental benefits. Under certain conditions of high subsidy, the manufacturer adopting donation subsidy offers better economic and environmental benefits. When untreated product environmental impact is large enough, donation subsidy policy has a better social welfare. Otherwise, the choice of social welfare of these two different policies depends on the social impact of remanufactured product donated. PMID:29194411

  18. Incentive Policy Options for Product Remanufacturing: Subsidizing Donations or Resales?

    Science.gov (United States)

    Zhu, Xiaodong; Wang, Zhe; Wang, Yue; Li, Bangyi

    2017-12-01

    Remanufactured products offer better environmental benefits, and governments encourage manufacturers to remanufacture through various subsidy policies. This practice has shown that, in addition to product sales, remanufactured product can also achieve its value through social donation. Based on the remanufactured product value realization approaches, governments provide two kinds of incentive policies, which are remanufactured product sales subsidies and remanufactured product donation subsidies. This paper constructs a two-stage Stackelberg game model including a government and a manufacturer under two different policies, which can be solved by backward induction. By comparing the optimal decision of the two policies, our results show that, compared with the remanufacturing sales subsidy, donation subsidy weakens the cannibalization of remanufactured products for new products and increases the quantity of new products. It reduces the sales quantity of remanufactured products, but increases their total quantity. Under certain conditions of low subsidy, the manufacturer adopting sales subsidy provides better economic and environmental benefits. Under certain conditions of high subsidy, the manufacturer adopting donation subsidy offers better economic and environmental benefits. When untreated product environmental impact is large enough, donation subsidy policy has a better social welfare. Otherwise, the choice of social welfare of these two different policies depends on the social impact of remanufactured product donated.

  19. U.S. weapons-usable plutonium disposition policy: Implementation of the MOX fuel option

    Energy Technology Data Exchange (ETDEWEB)

    Woods, A.L. [ed.] [Amarillo National Resource Center for Plutonium, TX (United States); Gonzalez, V.L. [Texas A and M Univ., College Station, TX (United States). Dept. of Political Science

    1998-10-01

    A comprehensive case study was conducted on the policy problem of disposing of US weapons-grade plutonium, which has been declared surplus to strategic defense needs. Specifically, implementation of the mixed-oxide fuel disposition option was examined in the context of national and international nonproliferation policy, and in contrast to US plutonium policy. The study reveals numerous difficulties in achieving effective implementation of the mixed-oxide fuel option including unresolved licensing and regulatory issues, technological uncertainties, public opposition, potentially conflicting federal policies, and the need for international assurances of reciprocal plutonium disposition activities. It is believed that these difficulties can be resolved in time so that the implementation of the mixed-oxide fuel option can eventually be effective in accomplishing its policy objective.

  20. U.S. weapons-useable plutonium disposition policy: Implementation of the MOX fuel option

    International Nuclear Information System (INIS)

    Woods, A.L.; Gonzalez, V.L.

    1998-10-01

    A comprehensive case study was conducted on the policy problem of disposing of US weapons-grade plutonium, which has been declared surplus to strategic defense needs. Specifically, implementation of the mixed-oxide fuel disposition option was examined in the context of national and international nonproliferation policy, and in contrast to US plutonium policy. The study reveals numerous difficulties in achieving effective implementation of the mixed-oxide fuel option including unresolved licensing and regulatory issues, technological uncertainties, public opposition, potentially conflicting federal policies, and the need for international assurances of reciprocal plutonium disposition activities. It is believed that these difficulties can be resolved in time so that the implementation of the mixed-oxide fuel option can eventually be effective in accomplishing its policy objective

  1. Policy options for carbon taxation in the EU

    International Nuclear Information System (INIS)

    Laurent, Eloi; Le Cacheux, Jacques

    2010-06-01

    Even though the EU clearly leads the global fight against climate change and despite the additional reduction in emissions due to the global crisis and European recession, the ambitious objectives flagged in the '20-20-20 by 2020' strategy and 'climate-energy package' are probably out of reach if a more resolute and consistent policy of carbon taxation is not rapidly put in place. First, the EU is not as 'virtuous' as it may seem, and shows signs of a 'fatigue' in mitigating climate change; this is explained by the weak incentive structure of current climate institutions, due to both narrow coverage and insufficient stringency of the European 'Emission Trading Scheme' (ETS) - the European 'carbon market'-, and to excessive reliance on emission standards combined with weak energy taxation. Fears of losing competitiveness are a major argument against imposing a higher carbon price on industries, feeding tax competition both within the EU and vis-a-vis the rest of the world. Though not fully satisfactory, the Commission's recent proposal (a revision of the 2003 energy taxation directive introducing floors on national excises based on carbon content) would help solving the intra-EU conundrum. Alternatively, an extension of the EU ETS to households and the transport sector via the 'upstream' inclusion of fossil fuel dealers would also be a feasible solution. In order to answer the 'carbon leakage' argument and to send appropriate price signals to European consumers on extra-EU imports, a border adjustment mechanism - carbon levy or inclusion of importers into the EU ETS - is also necessary. Ultimately though, in order to make sure that economic agents face a uniform carbon price, a generalized carbon tax, in the form of a European 'Carbon Added Tax' (ECAT), would be the most effective instrument in the fight against climate change, as well as the pillar of a thorough tax

  2. Current Ground Test Options for Nuclear Thermal Propulsion (NTP)

    Science.gov (United States)

    Gerrish, Harold P., Jr.

    2014-01-01

    (approximately 1 GW) with a maximum burn time of 1 hour. The concept utilized lessons learned from NF-1. The strategy breaks down the exhaust into parallel paths to allow flexibility with engine size and mass flow of exhaust. Similar to NF-1, the exhaust is slowed down, cooled, filtered of particulates, filtered of noble gases, and then the clean hydrogen is flared to open air. Another concept proposed by Steve Howe (currently Director of the Center for Space Nuclear Research) to simplify the NTP exhaust filtering is to run the hydrogen exhaust into boreholes underground to filter the exhaust. The two borehole site locations proposed are at the NTS and at the Idaho National Laboratory (INL). At NTS, the boreholes are 8' diameter and 1200' deep. The permeability of hydrogen through the soil and its buoyancy will allow it to rise up through the soil and allow the filtering of noble gases and radioactive particulates. The exhaust needs to be cooled to 600C before entering the borehole to avoid soil glazing. Preliminary analysis shows a small buildup of back pressure with time which depends on permeability. Noble gases entering the borehole walls deep can take a long time before reaching the surface. Other factors affecting permeability include borehole pressure, water saturation, and turbulence. Also, a possible need to pump out contaminated water collected at the bottom of the borehole. At INL, the borehole concept is slightly different. The underground borehole has openings to the soil at special depths which have impermeable interbeds above the water table and below the surface to allow the exhaust to travel horizontal between the impermeable layers. Preliminary results indicate better permeability than at NTS. The last option is total containment of the exhaust during the test run. The concept involves slowing down the flow to subsonic in a water cooled diffuser. The hydrogen is burned off in an oxygen rich afterburner with the only products being steam, oxygen, and some noble

  3. Multiperiod Production and Ordering Policies for a Retailer-Led Supply Chain through Option Contracts

    Directory of Open Access Journals (Sweden)

    Nana Wan

    2018-01-01

    Full Text Available This paper formulates two groups of multiperiod production and ordering models with call and bidirectional option contracts for a two-party supply chain consisting of one followed supplier and one dominant retailer, respectively. Based on dynamic programming theory, we characterize the optimal policy structures for two partners in each period. We also provide an approximation for the corresponding policy parameters evaluation in two cases. Then, we investigate the impacts of different option contracts and the demand risk on the decisions and performances of two members. Our results suggest that, whether concerning call or bidirectional option contracts, the optimal policies for two members always follow a base stock type. When the price parameters are the same for different option contracts, the service levels of both the system and the retailer are higher with call option contracts than with bidirectional ones, whereas the retailer’s inventory risk is lower with bidirectional option contracts than with call ones. Under the same conditions stated above, call option contracts can always benefit the supplier, but not the retailer. Owing to the retailer’s dominant position, call option contracts are better choice for the supply chain if the option (exercise price is low (high, while bidirectional option contracts are more suitable choice for the supply chain if the option (exercise price is high (low. In addition, an increase in the demand risk would prompt the supplier to increase his production quantity and the retailer to reduce the initial firm order quantity, either with call or bidirectional option contracts.

  4. China Policy Options in a Post Crisis World : Young China Scholars ...

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

    China Policy Options in a Post Crisis World : Young China Scholars Network - Phase II ... and the social dimensions of the crisis and post-crisis policy; rural economic ... at fostering effective, long-term climate action to reduce social inequality, ...

  5. Long-Term Policy Options for the Palestinian Economy

    OpenAIRE

    World Bank

    2002-01-01

    In light of deteriorating economic relations between Israel and the West Bank and Gaza, and suspended peace negotiations, it is timely at this juncture between the lapsed Interim Period and a final status agreement to examine past experience with a view to assessing the policy choices facing Palestinian policymakers in the future. The post-Oslo experience points to failed economic normaliz...

  6. An Empirical Exploration of Selected Policy Options in Organ Donation.

    Science.gov (United States)

    Klenow, Daniel J.; Youngs, George A., Jr.

    1995-01-01

    Presents findings from a mail survey of 414 persons regarding organ transplantation and donation policy issues. Gauged three measures of support for organ donation: donor card commitment, required request of next-of-kin support, and weak presumed consent support. High levels of support exist for organ donor cards and the next-of-kin law. Little…

  7. Current options for palliative treatment in patients with pancreatic cancer.

    Science.gov (United States)

    Ridwelski, K; Meyer, F

    2001-01-01

    Palliative treatment is often the only remaining option in the management of pancreatic carcinoma, but its efficacy is poor due to low tumor sensitivity and inadequate treatment protocols. There are several options of palliative treatment with antitumor or supportive intention. Classical end points of palliative treatment are survival, tumor response, and quality of life. A decade ago, palliative chemotherapy consisted mainly of 5-fluorouracil as the standard agent in combination with either other agents and/or radiotherapy. Only the new antineoplastic drug gemcitabine, which was introduced simultaneously with the definition of novel end points of chemotherapy such as clinical benefit, allowed to achieve some progress. However, while gemcitabine monotherapy appeared to be superior to 5-fluorouracil and improved important parameters of quality of life, it could not provide a significant improvement of survival. A novel concept, therefore, is to improve this beneficial cytostatic response in pancreatic carcinoma using a gemcitabine-based protocol by combining it with antineoplastic drugs such as taxanes or platin analogs. This strategy may have the potential to improve the outcome in palliative chemotherapy of pancreatic carcinoma patients with advanced tumor growth or metastases. Best supportive care in pancreatic cancer consists of the treatment of symptoms, such as pain, jaundice, duodenal obstruction, weight loss, exocrine pancreatic insufficiency, and tumor-associated depression. Copyright 2001 S. Karger AG, Basel

  8. Gastroparesis: a review of current and emerging treatment options

    Directory of Open Access Journals (Sweden)

    Enweluzo C

    2013-09-01

    Full Text Available Chijioke Enweluzo, Fahad AzizHospital Medicine, Department of Internal Medicine, Wake Forest School of Medicine, Winston Salem, NC, USAAbstract: Gastroparesis is a motility disorder of the stomach causing delay in food emptying from the stomach without any evidence of mechanical obstruction. The majority of cases are idiopathic. Patients need to be diagnosed properly by formal testing, and the evaluation of the severity of the gastroparesis may assist in guiding therapy. Initially, dietary modifications are encouraged, which include frequent and small semisolid-based meals. Promotility medications, like erythromycin, and antiemetics, like prochlorperazine, are offered for symptom relief. In patients who are refractory to pharmacologic treatment, more invasive options, such as intrapyloric botulinum toxin injections, placement of a jejunostomy tube, or implantation of a gastric stimulator, can be considered. Hemin therapy and gastric electric stimulation are emerging treatment options that are still at different stages of research. Regenerative medicine and stem cell-based therapies also hold promise for gastroparesis in the near future.Keywords: Gastroparesis, gastric emptying, gastric electrical stimulation, hemin

  9. Current and future contraceptive options for women living with HIV.

    Science.gov (United States)

    Patel, Rena C; Bukusi, Elizabeth A; Baeten, Jared M

    2018-01-01

    Among women living with HIV, half of the pregnancies are unintended. Effective contraception can prevent unintended pregnancies and consequently reduce maternal mortality and perinatal transmission of HIV. While contraceptive options available for all women also apply to women living with HIV, specific considerations exist to the use of contraception by women living with HIV. Areas covered: First, general principles guiding the use of contraception among women living with HIV are discussed, such as choice, method mix, relative effectiveness, and drug-drug interactions. Second, a detailed discussion of each contraceptive method and issues surrounding the use of that method, such as drug-drug interactions, follows. Third, future contraceptive options in advanced development for use by women or men are briefly discussed. Expert opinion: Contraceptive methods available to all women should also be accessible to women living with HIV. When the relative effectiveness of a contraceptive method is reduced, for example due to drug-drug interactions with antiretrovirals, the method should still be made available to women living with HIV with the appropriate information sharing and counseling. Greater research on various aspects of contraceptive use by women living with HIV and more comprehensive testing of co-administration of hormonal contraceptives and common medications used by these women are warranted.

  10. Options for including nitrogen management in climate policy

    International Nuclear Information System (INIS)

    Erisman, J.W.

    2010-12-01

    The outline of the presentation is as follows: Climate change and nitrogen; Nitrogen and climate interlinkages; Options for nitrogen management; Report, workshop and IPCC; and Conclusions. The concluding remarks are: Fertilizing the biosphere with reactive nitrogen compounds lead to ecosystem, health, water and climate impacts; Nitrogen deposition can lead to additional carbon sequestration and to impacts on biodiversity and ecosystem services; Nitrogen addition to the biosphere might have a net cooling effect of 1 W/m 2 ; Life Cycle Analysis is needed to show the full impact; and Nitrogen management is essential for the environment and can have a positive effect on the net GHG exchange.

  11. Renewable energy and policy options in an integrated ASEAN electricity market: Quantitative assessments and policy implications

    International Nuclear Information System (INIS)

    Chang, Youngho; Li, Yanfei

    2015-01-01

    Energy market integration (EMI) in the ASEAN region is a promising solution to relieve the current immobilization of its renewable energy resources and would serve the fast increasing demand for electricity in the region. EMI could be further extended with coordinated policies in carbon pricing, renewable energy portfolio standards (RPS), and feed-in-tariffs (FIT) in the ASEAN countries. Using a linear dynamic programming model, this study quantitatively assesses the impacts of EMI and the above-mentioned policies on the development of renewable energy in the power generation sector of the region, and the carbon emissions reduction achievable with these policies. According to our results, EMI is expected to significantly promote the adoption of renewable energy. Along with EMI, FIT appears to be more cost-effective than RPS and is recommended for the ASEAN region, albeit political barriers for policy coordination among the countries might be a practical concern. In addition, an RPS of 30% electricity from renewable sources by 2030, which is considered politically a “low-hanging fruit”, would achieve moderate improvements in carbon emissions reductions and renewable energy development, while incurring negligible increases in the total cost of electricity. -- Highlights: •Energy market integration (EMI), carbon pricing, RPS, and FIT are examined for ASEAN. •EMI is a promising and feasible solution to promote renewable energy for ASEAN. •Along with EMI, FIT appears to be more cost-effective than RPS for ASEAN. •RPS of 30% by 2030 appears to be reasonable and feasible for ASEAN. •Coordinating FIT and RPS policies under EMI among ASEAN is advised

  12. Basic orientation of current enterprise technological policy

    OpenAIRE

    Lapteva, V.

    2008-01-01

    The article reviews the factors stimulating industrials to intensification of technological policy; quick analysis of possible sources for investment of technological policy; problems of transition to active technological policy; outline of basic forms of fixed capital stock reproduction. The article indicates necessity of keeping of optimum relationship between all forms of fixed capital stock reproduction.

  13. A Policy Alternative Analysis and Simplified Scoring Method to Assess Policy Options for Marine Conservation Areas

    Science.gov (United States)

    Sharuga, S. M.; Reams, M.

    2016-12-01

    Traditional approaches to marine conservation and management are increasingly being found as inadequate; and, consequently, more complex ecosystem-based approaches to protecting marine ecosystems are growing in popularity. Ecosystem-based approaches, however, can be particularly challenging at a local level where resources and knowledge of specific marine conservation components may be limited. Marine conservation areas are known by a variety of names globally, but can be divided into four general types: Marine Protected Areas (MPAs), Marine Reserves, Fishery Reserves, and Ecological Reserves (i.e. "no take zones"). Each type of conservation area involves specific objectives, program elements and likely socioeconomic consequences. As an aid to community stakeholders and decision makers considering establishment of a marine conservation area, a simple method to compare and score the objectives and attributes of these four approaches is presented. A range of evaluation criteria are considered, including conservation of biodiversity and habitat, effective fishery management, overall cost-effectiveness, fairness to current users, enhancement of recreational activities, fairness to taxpayers, and conservation of genetic diversity. Environmental and socioeconomic costs and benefits of each type of conservation area are also considered. When exploring options for managing the marine environment, particular resource conservation needs must be evaluated individually on a case-by-case basis and the type of conservation area established must be tailored accordingly. However, MPAs are often more successful than other conservation areas because they offer a compromise between the needs of society and the environment, and therefore represent a viable option for ecosystem-based management.

  14. Clean Energy Policy Analysis: Impact Analysis of Potential Clean Energy Policy Options for the Hawaii Clean Energy Initiative (HCEI)

    Energy Technology Data Exchange (ETDEWEB)

    Busche, S.; Doris, E.; Braccio, R.; Lippert, D.; Finch, P.; O' Toole, D.; Fetter, J.

    2010-04-01

    This report provides detailed analyses of 21 clean energy policy options considered by the Hawaii Clean Energy Initiative working groups for recommendation to the 2010 Hawaii State Legislature. The report considers the impact each policy may have on ratepayers, businesses, and the state in terms of energy saved, clean energy generated, and the financial costs and benefits. The analyses provide insight into the possible impacts, both qualitative and quantitative, that these policies may have in Hawaii based on the experience with these policies elsewhere. As much as possible, the analyses incorporate Hawaii-specific context to reflect the many unique aspects of energy use in the State of Hawaii.

  15. Current options for the treatment of facial angiofibromas.

    Science.gov (United States)

    Salido-Vallejo, R; Garnacho-Saucedo, G; Moreno-Giménez, J C

    2014-01-01

    Facial angiofibromas are hamartomatous growths that are closely associated with tuberous sclerosis complex and, in fact, they constitute one of the main diagnostic criteria for that disease. These lesions composed of blood vessels and fibrous tissue appear on the face at an early age. Since they have important physical and psychological repercussions for patients, several treatment options have been used to remove them or improve their appearance. However, the lack of treatment guidelines prevents us from developing a common protocol for patients with this condition. The present article aims to review the treatments for facial angiofibromas used to date and to propose a new evidence-based treatment protocol. Copyright © 2012 Elsevier España, S.L. and AEDV. All rights reserved.

  16. Current treatment options for the management of patent ductus arteriosus

    Directory of Open Access Journals (Sweden)

    Takeuchi K

    2013-03-01

    Full Text Available Koh Takeuchi,1 Atsushi Hirota,2 Sachito Minegishi,1 Jotaro Kobayashi,1 Keiji Tsuchiya3 1Division of Cardiovascular Surgery, 2Department of Neonatology, 3Department of Pediatrics, Japanese Red Cross Medical Center, Shibuya, Tokyo, Japan Abstract: Pharmacological and/or surgical closure of a hemodynamically significant patent ductus arteriosus (PDA in the very premature infant has been the standard of care over the past few decades. However, the rationale for closure of PDA has recently been challenged. In this article, three ways of approaching the closure of PDA including pharmacological treatment, catheter intervention, and surgical intervention, are reviewed in detail. In addition, the different treatment strategies applied in clinical care are evaluated with a focus on the discussion of the available evidence of PDA treatment in the literature. Keywords: patent ductus arteriosus, premature infant, treatment option

  17. Accounting Policy Options under IFRS: Evidence from Turkey

    OpenAIRE

    Oguzhan BAHADIR; Buke TOLGA

    2013-01-01

    Although one of the main purposes of International Accounting Standards Board (IASB) is to improve comparability of financial statements by eliminating different accounting treatments applied by companies, International Financial Reporting Standards (IFRSs) still permit choices in accounting treatment of similar transactions and events. This paper examines the accounting choices made by Turkish listed companies in cases where IFRSs permit a choice between alternative accounting policies. The ...

  18. Cost benefit analysis of two policy options for cannabis: status quo and legalisation.

    Directory of Open Access Journals (Sweden)

    Marian Shanahan

    Full Text Available AIMS: To date there has been limited analysis of the economic costs and benefits associated with cannabis legalisation. This study redresses this gap. A cost benefit analysis of two cannabis policy options the status quo (where cannabis use is illegal and a legalised-regulated option was conducted. METHOD: A cost benefit analysis was used to value the costs and benefits of the two policies in monetary terms. Costs and benefits of each policy option were classified into five categories (direct intervention costs, costs or cost savings to other agencies, benefits or lost benefits to the individual or the family, other impacts on third parties, and adverse or spill over events. The results are expressed as a net social benefit (NSB. FINDINGS: The mean NSB per annum from Monte Carlo simulations (with the 5 and 95 percentiles for the status quo was $294.6 million AUD ($201.1 to $392.7 million not substantially different from the $234.2 million AUD ($136.4 to $331.1 million for the legalised-regulated model which excludes government revenue as a benefit. When government revenue is included, the NSB for legalised-regulated is higher than for status quo. Sensitivity analyses demonstrate the significant impact of educational attainment and wellbeing as drivers for the NSB result. CONCLUSION: Examining the percentiles around the two policy options, there appears to be no difference between the NSB for these two policy options. Economic analyses are essential for good public policy, providing information about the extent to which one policy is substantially economically favourable over another. In cannabis policy, for these two options this does not appear to be the case.

  19. Cost benefit analysis of two policy options for cannabis: status quo and legalisation.

    Science.gov (United States)

    Shanahan, Marian; Ritter, Alison

    2014-01-01

    To date there has been limited analysis of the economic costs and benefits associated with cannabis legalisation. This study redresses this gap. A cost benefit analysis of two cannabis policy options the status quo (where cannabis use is illegal) and a legalised-regulated option was conducted. A cost benefit analysis was used to value the costs and benefits of the two policies in monetary terms. Costs and benefits of each policy option were classified into five categories (direct intervention costs, costs or cost savings to other agencies, benefits or lost benefits to the individual or the family, other impacts on third parties, and adverse or spill over events). The results are expressed as a net social benefit (NSB). The mean NSB per annum from Monte Carlo simulations (with the 5 and 95 percentiles) for the status quo was $294.6 million AUD ($201.1 to $392.7 million) not substantially different from the $234.2 million AUD ($136.4 to $331.1 million) for the legalised-regulated model which excludes government revenue as a benefit. When government revenue is included, the NSB for legalised-regulated is higher than for status quo. Sensitivity analyses demonstrate the significant impact of educational attainment and wellbeing as drivers for the NSB result. Examining the percentiles around the two policy options, there appears to be no difference between the NSB for these two policy options. Economic analyses are essential for good public policy, providing information about the extent to which one policy is substantially economically favourable over another. In cannabis policy, for these two options this does not appear to be the case.

  20. The economic policy options and their connection with inflation and unemployment

    Directory of Open Access Journals (Sweden)

    Bogna Kopeć

    2015-04-01

    Full Text Available Economic system after 1990 had many fluctuations. This article applies to two essential phenomena in a free market economy: inflation and unemployment. This article applies to changes in the process of inflation and fluctuations in the unemployment rate under different economic policy options. Economic policies can affect the development of the inflation and unemployment. It includes interest rates and budget deficits. Methodology of model is based on a pendulum. Economic policy has been designated as a synthetic indicator of the resultant two policies - monetary and fiscal policies. With the help of the pendulum model has been established that the character had run monetary and fiscal policy, and how developed as economic policy. By the dominance of one of the policy options is understood that during cycles level inflation or the deficit fluctuated strongly to economic stabilization. One of the stages of the study was to analyze the monetary policy and assess whether there is a link between the evolution of interest rates and the evolution of the inflation rate. In a similar way, fiscal policy was analyzed. This article attempts to determine whether the conduct of economic policy was correct, and has had an impact on the economic situation.

  1. Current approaches to the European Health Policy

    Directory of Open Access Journals (Sweden)

    Anda CURTA

    2010-06-01

    Full Text Available The purpose of this paper is to identify the key elements that define the new European health policy. We observed that the health policy actually appeared to be an enclave within the integration process. The development of health policy in the new Member States followed a common pattern. Therefore, the European health policy reflected a general desire on behalf of the members to have more clarity of the rules in this area, given the different interpretation of the rules by different Member States.The Lisbon Treaty does not bring substantive changes regarding the public health policy, therefore the Member States shall keep their competence in defining the organization and financing this domain. However, the EU2020 Strategy states that “Europe faces a moment of transformation”. Therefore, the “Europeanization” of health policy could lead to the positive developments that all EU citizens are expecting.

  2. PRP in OA knee - update, current confusions and future options.

    Science.gov (United States)

    Dhillon, Mandeep S; Patel, Sandeep; John, Rakesh

    2017-01-01

    Positive results have been uniformly observed by various researchers for platelet-rich plasma (PRP) in early osteoarthritis (OA) knee in the past few years. PRP has clearly demonstrated its supremacy in comparison to hyaluronic acid (HA) and placebo in various clinical trials and is undoubtedly the best option available for symptomatic treatment in early OA. The release of growth factors from PRP occurs immediately and lasts for around three weeks and the clinical effect tends to wane down by the end of the year. Prolonged and sustained release of growth factors from platelets could possibly help in much better biological healing and sustained clinical effects. PRP in combination with biocompatible carriers could be one way of achieving this. Gelatin hydrogel PRP and chitosan PRP seem to be promising based on early in vitro studies and animal studies. PRP in combination with hyaluronic acid also seems to be additive. This article intends to discuss the present status of the PRP, confusions surrounding its use, upcoming trends and ideas for improvising PRP for use early OA knees based on available evidence. © The Authors, published by EDP Sciences, 2017.

  3. Current options for the treatment of optic neuritis

    Directory of Open Access Journals (Sweden)

    Pula JH

    2012-07-01

    Full Text Available John H Pula,1 Christopher J MacDonald21Division of Neuro-ophthalmology, University of Illinois College of Medicine at Peoria, Peoria; 2University of Illinois College of Medicine at Urbana-Champaign, Champaign, IL, USAAbstract: Optic neuritis can be defined as typical (associated with multiple sclerosis, improving independent of steroid treatment, or atypical (not associated with multiple sclerosis, steroid-dependent improvement. Causes of atypical optic neuritis include connective tissue diseases (eg, lupus, vasculitis, sarcoidosis, or neuromyelitis optica. In this manuscript, updated treatment options for both typical and atypical optic neuritis are reviewed. Conventional treatments, such as corticosteroids, therapeutic plasma exchange, and intravenous immunoglobulin therapy are all discussed with commentary regarding evidence-based outcomes. Less commonly used treatments and novel purported therapies for optic neuritis are also reviewed. Special scenarios in the treatment of optic neuritis – pediatric optic neuritis, acute demyelinating encephalomyelitis, and optic neuritis occurring during pregnancy – are specifically examined.Keywords: optic neuritis, optic neuropathy, treatment, neuroophthalmology

  4. Rectal cancer and Fournier's gangrene - current knowledge and therapeutic options.

    Science.gov (United States)

    Bruketa, Tomislav; Majerovic, Matea; Augustin, Goran

    2015-08-14

    Fournier's gangrene (FG) is a rapid progressive bacterial infection that involves the subcutaneous fascia and part of the deep fascia but spares the muscle in the scrotal, perianal and perineal region. The incidence has increased dramatically, while the reported incidence of rectal cancer-induced FG is unknown but is extremely low. Pathophysiology and clinical presentation of rectal cancer-induced FG per se does not differ from the other causes. Only rectal cancer-specific symptoms before presentation can lead to the diagnosis. The diagnosis of rectal cancer-induced FG should be excluded in every patient with blood on digital rectal examination, when urogenital and dermatological causes are excluded and when fever or sepsis of unknown origin is present with perianal symptomatology. Therapeutic options are more complex than for other forms of FG. First, the causative rectal tumor should be removed. The survival of patients with rectal cancer resection is reported as 100%, while with colostomy it is 80%. The preferred method of rectal resection has not been defined. Second, oncological treatment should be administered but the timing should be adjusted to the resolution of the FG and sometimes for the healing of plastic reconstructive procedures that are commonly needed for the reconstruction of large perineal, scrotal and lower abdominal wall defects.

  5. [Tibial plateau fractures in winter sports. Current treatment options].

    Science.gov (United States)

    Zimmermann, V

    2014-01-01

    Tibial plateau fractures overall and especially in winter sports are rare. However, the incidence in recent years is increasing. In a retrospective study from 2009-2012, we found 52 injuries affiliated with winter sports. Noticeable was the high rate of severe injury patterns. In 20 of the 52 cases, there were complete articular or bicondylar fractures (38 %). In 25 cases (48 %), fragment dislocation corresponding to the Moore classification was observed. The operative algorithm was based on the initial soft tissue damage and the type of fracture. A two or more stage procedure with first line soft tissue management and temporary external fixation stabilization was performed 12 times. The final internal osteosynthesis was based on the morphology of the fracture, i.e., direct exposition and stabilization of relevant fracture patterns. In 24 cases (46 %), there was a need for two (or more) approaches. In the anterior aspect of the tibial head, customary implants were used; posterior pathologies were stabilized with low-dimension implants. Summarizing with regard to the literature, there is a more discriminating view of tibial plateau fractures, regarding all relevant fracture patterns. Thus, different options in operative access and choice of implants can be made.

  6. Programme and policy options for preventing obesity in China.

    Science.gov (United States)

    Wang, H; Zhai, F

    2013-11-01

    By 2002, China's prevalence of overweight and obesity among adults was 18.9 and 2.9%, respectively. The replacement of traditional Chinese diet with 'Western diet', major declines in all phases of activity and increased sedentary activity are cited as the main reasons explaining the rapid increase in overweight and obesity, which bring major economic and health costs. The Nutrition Improvement Work Management Approach was released in 2010. Overweight and obesity prevention-related policies were added to national planning for disease prevention and control. The Guidelines for Prevention and Control of Overweight and Obesity of Chinese Adults and the School-age Children and Teenagers Overweight and Obesity Prevention and Control Guidelines in China were promulgated in 2003 and 2007, respectively. Few education programmes have been implemented. Selected academic intervention research projects dominate with a focus on reducing child obesity and promoting healthier diets; increasing physical activity and reducing sedentary time; and facilitating changes in family, school, social and cultural environments. Intervention samples are small and have not addressed the increasing rates of obesity throughout the entire population. Government provision of effective policy measures, multisectoral cooperation and increasing corporate social responsibility are keys to curbing the trend towards overweight and obesity in China. © 2013 The Authors. Obesity Reviews published by John Wiley & Sons Ltd on behalf of the International Association for the Study of Obesity.

  7. Program and Policy Options for Preventing Obesity in China

    Science.gov (United States)

    Huijun, Wang; Fengying, Zhai

    2014-01-01

    By 2002, China’s prevalence of overweight and obesity among adults was 18.9 percent and 2.9 percent, respectively. The Chinese traditional diet has been replaced by the “Western diet” and major declines in all phases of activity and increased sedentary activity as the main reasons explaining the rapid increase in overweight and obesity, bring major economic and health costs. The Nutrition Improvement Work Management Approach was released in 2010. Overweight and obesity prevention-related policies were added to national planning for disease prevention and control. The Guidelines for Prevention and Control of Overweight and Obesity of Chinese Adults and the School-age Children and Teenagers Overweight and Obesity Prevention and Control Guidelines in China were promulgated in 2003 and 2007, respectively. Few education programs have been implemented. Selected academic intervention research projects dominate with a focus on reducing child obesity and promoting healthier diets; increasing physical activity and reducing sedentary time; and facilitating changes in family, school, social, and cultural environments. Intervention samples are small and have not addressed the increasing rates of obesity throughout the entire population. Government provision of effective policy measures, multisectoral cooperation and increasing corporate social responsibility are keys to curb the trend toward overweight and obesity in China. PMID:24102781

  8. Management of patients with resistant hypertension: current treatment options

    Directory of Open Access Journals (Sweden)

    Kumar N

    2013-10-01

    options to treat RHTN.Keywords: RHTN, blood pressure, chlorthalidone, hydrochlorothiazide, baroreflex activation, renal denervation, aldosterone, heart failure, renovascular, obstructive sleep apnea

  9. Cybersecurity: Current Legislation, Executive Branch Initiatives, and Options for Congress

    Science.gov (United States)

    2009-09-30

    responsibilities of cybersecurity stakeholders. Privacy and civil liberties—maintaining privacy and freedom of speech protections on the Internet...securing networks before tackling the attendant issues such as freedom of speech , privacy, and civil liberty protections as they pertain to the Internet...legislation to mandate privacy and freedom of speech protections to be incorporated into a national strategy. • Assessing current congressional

  10. Transfer of technology to developing countries: unilateral and multilateral policy options

    International Nuclear Information System (INIS)

    Hockman, B.M.; Maskus, K.E.; Saggi, K.

    2005-01-01

    This paper analyzes national and international policy options to encourage the international transfer of technology, distinguishing between four major channels of such transfer: trade in products, trade in knowledge and technology, foreign direct investment, and intranational and international movement of people. A typology of countries and appropriate policy rules of thumb are developed as a guide to both national policymakers and multilateral rule making in the WTO. We argue that the optimal policy mix varies across countries and that there is a need for differentiation in the design and application of rules in trade agreements as well as for a more explicit focus on evaluation of the impacts of policies. (author)

  11. Designing a climate change policy for the international maritime transport sector: Market-based measures and technological options for global and regional policy actions

    International Nuclear Information System (INIS)

    Miola, A.; Marra, M.; Ciuffo, B.

    2011-01-01

    The international maritime transport sector has a significant abatement potential and some technical improvements that reduce GHG emissions would already be profitable without any policy in place. This paper analyses in-depth the limits and opportunities of policy options currently under consideration at the international level to stimulate the sector to reduce its GHG emissions. In particular, in order for the maritime transport sector to become more environmentally friendly, the flexible nature of international market-based measures and the European Union Emission Trading Scheme provide a definite window of opportunity without placing unnecessary high burden on the sector. However, the development of a regional policy, such as at European level, for the international maritime transport sector faces several obstacles: allocation of emissions, carbon leakage, permit allocation, treatment of the great variety in ship type, size and usage, and transaction cost. Global market-based policies could overcome most of these challenges. This paper provides an in-depth analysis of the policy instruments currently under discussion to reduce the sector's burden on the environment, and focuses on economic theory, legal principles, technological options, and the political framework that together make up the basis of decision-making regarding the international maritime transport sector's climate change policies. - Highlights: → Technologies for a more environmental friendly maritime transport sector and their cost-effectiveness. → How to combine ambitious CO 2 reduction goals with a sector-wide market-based policy. → Permits should be auctioned frequently and small emitters have to be excluded. → Inclusion of shipping in the EU ETS causes carbon leakage, so the policy should aim at expansion.

  12. Energy and the environment: Technology assessment and policy options

    International Nuclear Information System (INIS)

    Silveira, M.P.W.

    1990-01-01

    While the energy crisis of the 1970s stimulated technological innovation in developed countries, it often had the opposite effect in the third world. However, developing countries can be considered to have two types of energy systems: ''connected'' and ''disconnected''. The connected system is affected by changes in the price of commercial energy, but the disconnected system is usually rural and remote. Commercial forms of energy may be needed in the disconnected system, but they are largely unavailable. In some of the developing countries, new energy technologies have therefore been developed which adapt traditional technologies still existing in the disconnected sector. In this article some of the work of the United National Centre for Science and Technology for Development is described. Through its ATAS (Advance Technology Alert System) programme, international and regional workshops are held to discuss policy questions arising in regard to new technologies and developments. Workshops have been held in Moscow on new energy technologies in the industry subsystem (connected), in Guatemala City on new energy technologies and the disconnected system, and in Ottawa on new energy technologies, transportation and development. Initial assessments made by or through these workshops are outlined here. A fourth workshop will be held in June 1990 in Saarbrucken on energy technologies and climate change. (author). 3 figs

  13. Mycoplasma genitalium infections: current treatment options and resistance issues

    Directory of Open Access Journals (Sweden)

    Sethi S

    2017-09-01

    Full Text Available Sunil Sethi, Kamran Zaman, Neha Jain Department of Medical Microbiology, Postgraduate Institute of Medical Education and Research, Chandigarh, India Abstract: Mycoplasma genitalium is one of the important causes of non-gonococcal urethritis. Rising incidence and emerging antimicrobial resistance are a major concern these days. The poor clinical outcomes with doxycycline therapy led to the use of azithromycin as the primary drug of choice. Single-dose azithromycin regimen over a period of time was changed to extended regimen following studies showing better clinical cures and less risk of resistance development. However, emerging macrolide resistance, either due to transmission of resistance or drug pressure has further worsened the management of this infection. The issues of drug resistance and treatment failures also exist in cases of M. genitalium infection. At present, the emergence of multidrug-resistant (MDR M. genitalium strains is an alarming sign for its treatment and the associated public health impact due to its complications. However, newer drugs like pristinamycin, solithromycin, sitafloxacin, and others have shown a hope for the clinical cure, but need further clinical trials to optimize the therapeutic dosing schedules and formulate appropriate treatment regimens. Rampant and inappropriate use of these newer drugs will further sabotage future attempts to manage MDR strains. There is currently a need to formulate diagnostic algorithms and etiology-based treatment regimens rather than the syndromic approach, preferably using combination therapy instead of a monotherapy. Awareness about the current guidelines and recommended treatment regimens among clinicians and local practitioners is of utmost importance. Antimicrobial resistance testing and global surveillance are required to assess the efficacy of current treatment regimens and for guiding future research for the early detection and management of MDR M. genitalium infections

  14. Current Surgical Options for the Management of Pediatric Glaucoma

    Directory of Open Access Journals (Sweden)

    Jose Morales

    2013-01-01

    Full Text Available Currently, there are numerous choices for the treatment of pediatric glaucoma depending on the type of glaucoma, the age of the patient, and other particularities of the condition discussed in this review. Traditionally, goniotomy and trabeculotomy ab externo have been the preferred choices of treatment for congenital glaucoma, and a variety of adult procedures adapted to children have been utilized for other types of pediatric glaucoma with variable results and complications. More recently, seton implantations of different types have become more popular to use in children, and newer techniques have become available including visualized cannulation and opening of Schlemm’s canal, deep sclerectomy, trabectome, and milder more directed cyclodestructive procedures such as endolaser and transcleral diode laser cyclophotocoagulation. This paper reviews the different surgical techniques currently available, their indications, results, and most common complications to allow the surgeon treating these conditions to make a more informed choice in each particular case. Although the outcome of surgical treatment in pediatric glaucoma has improved significantly, its treatment remains challenging.

  15. Clostridium difficile infection: current, forgotten and emerging treatment options.

    Science.gov (United States)

    Drekonja, Dimitri M

    2014-09-01

    Clostridium difficile infection (CDI) has increased in incidence and severity, and is now among the most common nosocomial infections. Several agents are available for the initial treatment of CDI, some of which are rarely used, and none of which is clearly superior for initial clinical cure. Fidaxomicin appears to offer a benefit in terms of preventing recurrent disease, although the cost-benefit ratio is debated. Recurrent CDI is a major challenge, occurring after 15-30% of initial episodes. The treatment of recurrent CDI is difficult, with sparse evidence available to support any particular agent. Fecal microbiota therapy, also known as 'stool transplantation', appears to be highly effective, although availability is currently limited, and the regulatory environment is in flux. Synthetic stool products and an orally available fecal microbiota therapy product are both under investigation, which may address the problem of availability. As with most infectious diseases, an effective vaccine would be a welcome addition to our armamentarium, but none is currently available.

  16. The Pacific Islands. Policy options for telecommunications investment.

    Science.gov (United States)

    Jussawalla, M; Ogden, M R

    1989-03-01

    The Independent Commission for World-Wide Telecommunications Development (Maitland Commission) reported that telecommunication networks, including public telephone systems, are an infrastructure which aids economic development throughout the world. The Commissions objective is to bring the majority of the world's population within easy access of a telephone and, in time, other communications services. Development in the Pacific Islands region is slowed by a lack of efficient communications. The islands are spread over 29 million square kilometers of ocean and extremely vulnerable to natural disasters. Pacific Island Nations (PINs) have problems of foreign exchange, skill shortages, and poor credit terms. Telecommunications infrastructure audits showed the overall regional teledensity of 3 telephones per 100 population. The individual countries vary form 8.3 in Fiji to 1.5 in Papua New Guinea and 25.2 in New Zealand. The population of the developing island countries is in mostly rural areas where there is a chronic shortage of telephones. The constraints on radio systems can be overcome with satellite technology. The new technologies are coming on the market faster than these countries can afford to handle them. By using satellite technology and sharing facilities PINs can greatly reduce the cost of telecommunications systems. Fiber optic cables will be used to carry large volumes of traffic over major routes while satellites can be used for a array of services for the smallest PIN nation to the largest route rim country. Work is being done to standardize the equipment specifications and to develop policies for the coordination of regional telecommunications training. To further facilitate communications development in this area, changes need to be made in international funding priorities for development, and recommendations by the Maitland Commission must be taken seriously.

  17. Policy options for pharmaceutical pricing and purchasing: issues for low- and middle-income countries.

    Science.gov (United States)

    Nguyen, Tuan Anh; Knight, Rosemary; Roughead, Elizabeth Ellen; Brooks, Geoffrey; Mant, Andrea

    2015-03-01

    Pharmaceutical expenditure is rising globally. Most high-income countries have exercised pricing or purchasing strategies to address this pressure. Low- and middle-income countries (LMICs), however, usually have less regulated pharmaceutical markets and often lack feasible pricing or purchasing strategies, notwithstanding their wish to effectively manage medicine budgets. In high-income countries, most medicines payments are made by the state or health insurance institutions. In LMICs, most pharmaceutical expenditure is out-of-pocket which creates a different dynamic for policy enforcement. The paucity of rigorous studies on the effectiveness of pharmaceutical pricing and purchasing strategies makes it especially difficult for policy makers in LMICs to decide on a course of action. This article reviews published articles on pharmaceutical pricing and purchasing policies. Many policy options for medicine pricing and purchasing have been found to work but they also have attendant risks. No one option is decisively preferred; rather a mix of options may be required based on country-specific context. Empirical studies in LMICs are lacking. However, risks from any one policy option can reasonably be argued to be greater in LMICs which often lack strong legal systems, purchasing and state institutions to underpin the healthcare system. Key factors are identified to assist LMICs improve their medicine pricing and purchasing systems. Published by Oxford University Press in association with The London School of Hygiene and Tropical Medicine © The Author 2014; all rights reserved.

  18. Radioimmunotherapy for malignant diseases. Current contributions and future options

    International Nuclear Information System (INIS)

    Mahe, M.A.; Chatal, J.F.

    1995-01-01

    Radioimmunotherapy is based on the use of radioactive agents (iodine 131, yttrium 90), murine-derived monoclonal antibodies and specific tumour-related membrane antigens. This new treatment modality was applied in 800 patients with different types of malignant tumours which had not responded to traditional therapy. Among the haematologic tumours, the most promising results were obtained in B phenotype non-Hodgkin lymphoma. More modest results were obtained for solid tumours although good results were observed after intraperitoneal administration in patients with cancer of the ovary. The main side effects are acute reversible anaphylactic shock, haematologic toxicity and development of anti-murine human antibodies. Several methods are currently under study to increase irradiation dose delivered at the tumoural site since less than 1% of the injected radioactive dose is absorbed by tumoural cells. Several clinical studies are to be conducted in France, particularly for malignant non-Hodgkin lymphoma and cancer of the ovary. (authors). 31 refs

  19. Current management options for latent tuberculosis: a review

    Directory of Open Access Journals (Sweden)

    Norton BL

    2012-11-01

    Full Text Available Brianna L Norton, David P HollandDepartment of Medicine, Division of Infectious Diseases, Duke University Medical Center, Durham, NC, USAAbstract: Tuberculosis remains the world’s second leading infectious cause of death, with nearly one-third of the global population latently infected. Treatment of latent tuberculosis infection is a mainstay of tuberculosis-control efforts in low-to medium-incidence countries. Isoniazid monotherapy has been the standard of care for decades, but its utility is impaired by poor completion rates. However, new, shorter-course regimens using rifamycins improve completion rates and are cost-saving compared with standard isoniazid monotherapy. We review the currently available therapies for latent tuberculosis infection and their toxicities and include a brief economic comparison of the different regimens.Keywords: isoniazid, rifampin, rifapentine, tuberculin skin test, interferon-gamma release assay

  20. Current and emerging treatment options for hairy cell leukemia

    Directory of Open Access Journals (Sweden)

    López-Rubio M

    2015-08-01

    Full Text Available Montserrat López-Rubio,1 Jose Antonio Garcia-Marco2 1Department of Hematology, Hospital Universitario Príncipe de Asturias, Alcalá de Henares, 2Department of Hematology, Hospital Universitario Puerta de Hierro Majadahonda, Majadahonda, Madrid, Spain Abstract: Hairy cell leukemia (HCL is a lymphoproliferative B-cell disorder characterized by pancytopenia, splenomegaly, and characteristic cytoplasmic hairy projections. Precise diagnosis is essential in order to differentiate classic forms from HCL variants, such as the HCL-variant and VH4-34 molecular variant, which are more resistant to available treatments. The current standard of care is treatment with purine analogs (PAs, such as cladribine or pentostatin, which provide a high rate of long-lasting clinical remissions. Nevertheless, ~30%–40% of the patients relapse, and moreover, some of these are difficult-to-treat refractory cases. The use of the monoclonal antibody rituximab in combination with PA appears to produce even higher responses, and it is often employed to minimize or eliminate residual disease. Currently, research in the field of HCL is focused on identifying novel therapeutic targets and potential agents that are safe and can universally cure the disease. The discovery of the BRAF mutation and progress in understanding the biology of the disease has enabled the scientific community to explore new therapeutic targets. Ongoing clinical trials are assessing various treatment strategies such as the combination of PA and anti-CD20 monoclonal antibodies, recombinant immunotoxins targeting CD22, BRAF inhibitors, and B-cell receptor signal inhibitors. Keywords: hairy cell leukemia, purine analogs, rituximab, immunotoxins, vemurafenib, ibrutinib

  1. Regulation of alcohol advertising: Policy options for Australia

    Directory of Open Access Journals (Sweden)

    Sandra C. Jones

    2013-06-01

    Full Text Available A systematic search of academic databases was conducted to identify all refereed papers published between 1990 and 2012 on the regulation of alcohol advertising in Australia and three comparison countries (New Zealand, Canada and the UK. This paper reviews the codes that apply to alcohol advertising in each of the four countries, research into the effectiveness of these codes, and the small body of research into consumer attitudes towards alcohol advertising regulation. This review adduces considerable evidence that alcohol advertising influences drinking behaviours, and that current regulatory systems based on co-regulation and voluntary regulation (as is the case in Australia are ineffective. Recommendations are provided regarding the three pillars of regulation: volume restrictions, content restrictions, and infrastructure to support the regulatory environment.

  2. Current options and new developments in the treatment of haemophilia.

    Science.gov (United States)

    Wong, Trisha; Recht, Michael

    2011-02-12

    Haemophilia A and B are X-linked bleeding disorders due to the inherited deficiency of factor VIII or factor IX, respectively. Of the approximately 1 per 5000-10000 male births affected by haemophilia, 80% are deficient in factor VIII and 20% are deficient in factor IX. Haemophilia is characterized by spontaneous and provoked joint, muscle, gastrointestinal and CNS bleeding leading to major morbidity and even mortality if left untreated or under-treated. The evolution of haemophilia management has been marked by tragedy and triumph over recent decades. Clotting factors and replacement strategies continue to evolve for patients without inhibitors. For patients with an inhibitor, factor replacement for acute bleeding episodes and immune tolerance, immune modulation and extracorporeal methods for inhibitor reduction are the cornerstone of care. In addition, adjuvant therapies such as desmopressin, antifibrinolytics and topical agents also contribute to improved outcomes for patients with and without inhibitors. The future direction of haemophilia care is promising with new longer-acting clotting factors and genetic therapies, including gene transfer and premature termination codon suppressors. With these current and future treatment modalities, the morbidity and mortality rates in patients with haemophilia certainly will continue to improve.

  3. Lysosomal storage diseases: current diagnostic and therapeutic options

    International Nuclear Information System (INIS)

    Malinova, V.; Honzik, T.

    2013-01-01

    Lysosomal storage diseases are rare genetic diseases caused by insufficient activity of some of the lysosomal enzymes and/or transport proteins. Initial symptoms may appear any time from the neonatal period to late adulthood; early forms tend to have a severe course with rapid progression and unfavorable prognosis. There is multisystem involvement with continuous progression of symptoms and involvement of metabolically active organs or tissues – the bone marrow, liver, bones, skeletal muscles, myocardium, or CNS. The diagnosis is definitively confirmed by demonstration of reduced activity of the particular enzyme and by mutation analysis. Some of the storage diseases can be effectively treated by intravenous administration of recombinant enzymes or by limiting the amount of the substrate stored. In a small number of lysosomal storage diseases, bone marrow transplantation is successful. Multidisciplinary collaboration, including genetic counselling and prenatal diagnosis in patient families, is required. The first part of the paper deals with general characteristics of lysosomal storage diseases and the most common diseases that are currently treatable in the Czech Republic (Gaucher’s disease, Pompe disease, Fabry disease, Niemann–Pick disease, cholesterol ester storage disease). The second part of the paper deals with mucopolysaccharidase, another group of rare lysosomal storage diseases. (author)

  4. Current pharmacotherapy options for cancer anorexia and cachexia.

    Science.gov (United States)

    Macciò, Antonio; Madeddu, Clelia; Mantovani, Giovanni

    2012-12-01

    Anorexia and cachexia syndrome represents a complex clinical picture that occurs in the late stage of several chronic inflammatory diseases, including cancer. Unless counteracted cancer-related anorexia and cachexia syndrome affects quality of life (QL) and survival. However, to date a standard effective treatment is lacking. The aim of this review is to describe the current pharmacological approaches for anorexia and cachexia syndrome, focusing on cancer-related syndrome. The several pharmacological agents tested so far are discussed, distinguishing them in unproven drugs, effective drugs, and drugs under investigation. Moreover, a section is devoted to the promising use of nutritional supplements and nutraceuticals. The emerging role of a multitargeted combined treatment approach is exhaustively reviewed. Considering the complex clinical picture and the multifactorial pathogenesis of anorexia and cachexia syndrome, we believe that its clinical management requires a multidisciplinary and multipharmacological approach. In our opinion the anorexia and cachexia syndrome treatment should include drugs that target the following conditions: inflammatory status, oxidative stress, nutritional disorders, muscle catabolism, anemia, immunosuppression, and fatigue. The multidimensional therapies for anorexia and cachexia syndrome should ideally be introduced within a context of the "best supportive care," which includes optimal symptom management and careful psychosocial counseling.

  5. [Current options of preimplantion genetic screening and preimplantation genetic diagnostics].

    Science.gov (United States)

    Šimečková, V

    The aim of this work is to summarize the current knowledge about preimplantation genetic screening and diagnostics. A review article. Department of Gynecology and Obstetrics, District Hospital Šternberk, IVF Clinic, Olomouc. Preimplantation genetic testing is a complex of genetic and molecular cytogenetic examinations, which can help to detect abnormalities in embryos before transfer into the uterus of the mother. These specialized examinations are based on the latest findings in genetics and assisted reproduction. The preimplantation genetic testing is necessarily associated with a method of in vitro fertilization. It is performed on isolated blastomeres on the third day of embryo cultivation. Nowadays, it is preferred trophectoderm examination of cells from the five-day blastocysts. Generally speaking, after preimplantation genetic testing, we can select only embryos without genetic load to transfer into uterus. Preimplantation genetic testing is an important part of treatment of infertility. Complex diagnostics and treatment of infertile couples are increasingly influenced by the development and use of advanced genomic technologies. Further development and application of these modern methods require close cooperation between the field of assisted reproduction and clinical genetics.

  6. Current and emerging treatment options in the management of lupus

    Science.gov (United States)

    Jordan, Natasha; D’Cruz, David

    2016-01-01

    Systemic lupus erythematosus (SLE) is a complex autoimmune disease with variable clinical manifestations. While the clearest guidelines for the treatment of SLE exist in the context of lupus nephritis, patients with other lupus manifestations such as neuropsychiatric, hematologic, musculoskeletal, and severe cutaneous lupus frequently require immunosuppression and/or biologic therapy. Conventional immunosuppressive agents such as mycophenolate mofetil, azathioprine, and cyclophosphamide are widely used in the management of SLE with current more rationalized treatment regimens optimizing the use of these agents while minimizing potential toxicity. The advent of biologic therapies has advanced the treatment of SLE particularly in patients with refractory disease. The CD20 monoclonal antibody rituximab and the anti-BLyS agent belimumab are now widely in use in clinical practice. Several other biologic agents are in ongoing clinical trials. While immunosuppressive and biologic agents are the foundation of inflammatory disease control in SLE, the importance of managing comorbidities such as cardiovascular risk factors, bone health, and minimizing susceptibility to infection should not be neglected. PMID:27529058

  7. Uruguay - Policy Options for Improving the Efficiency of Uruguay’s Railway Sector : Consolidated Report

    OpenAIRE

    World Bank

    2010-01-01

    The aim of this paper is to review the state of the productive infrastructure of Uruguay and the development policies that govern it and to propose policy options for the long term contribution to achieving a higher level of economic and sustainable development, based on the premise that there is a link between the development of a country's infrastructure and its economic growth. The stud...

  8. Tourette Syndrome and comorbid ADHD: current pharmacological treatment options.

    Science.gov (United States)

    Rizzo, Renata; Gulisano, Mariangela; Calì, Paola V; Curatolo, Paolo

    2013-09-01

    Attention Deficit Hyperactivity Disorder (ADHD) is the most common co-morbid condition encountered in people with tics and Tourette Syndrome (TS). The co-occurrence of TS and ADHD is associated with a higher psychopathological, social and academic impairment and the management may represent a challenge for the clinicians. To review recent advances in management of patients with tic, Tourette Syndrome and comorbid Attention Deficit Hyperactivity Disorder. We searched peer reviewed and original medical publications (PUBMED 1990-2012) and included randomized, double-blind, controlled trials related to pharmacological treatment for tic and TS used in children and adolescents with comorbid ADHD. "Tourette Syndrome" or "Tic" and "ADHD", were cross referenced with the words "pharmacological treatment", "α-agonist", "psychostimulants", "selective norepinephrine reuptake inhibitor", "antipsychotics". Three classes of drugs are currently used in the treatment of TS and comorbid ADHD: α-agonists (clonidine and guanfacine), stimulants (amphetamine enantiomers, methylphenidate enantiomers or slow release preparation), and selective norepinephrine reuptake inhibitor (atomoxetine). It has been recently suggested that in a few selected cases partial dopamine agonists (aripiprazole) could be useful. Level A of evidence supported the use of noradrenergic agents (clonidine). Reuptake inhibitors (atomoxetine) and stimulants (methylphenidate) could be, also used for the treatment of TS and comorbid ADHD. Taking into account the risk-benefit profile, clonidine could be used as the first line treatment. However only few studies meet rigorous quality criteria in terms of study design and methodology; most trials have low statistical power due to small sample size or short duration. Treatment should be "symptom targeted" and personalized for each patient. Copyright © 2013 European Paediatric Neurology Society. Published by Elsevier Ltd. All rights reserved.

  9. Projection of energy use and greenhouse gas emissions by motor vehicles in China: Policy options and impacts

    International Nuclear Information System (INIS)

    Huo Hong; Wang, Michael; Zhang Xiliang; He Kebin; Gong Huiming; Jiang Kejun; Jin Yuefu; Shi Yaodong; Yu Xin

    2012-01-01

    We project the well-to-wheels (WTW) and tank-to-wheels (TTW) fossil-energy use, petroleum use, and greenhouse gas (GHG) emissions of the road-transport sector in China up to year 2050 and evaluate the effects of various potential policy options with the fuel economy and environmental impacts (FEEI) model ( (http://www.feeimodel.org/)). The policies evaluated include (1) vehicle fuel-consumption improvements, (2) dieselization, (3) vehicle electrification, and (4) fuel diversification, with plausible policy scenarios. Under the business-as-usual scenario, road transport in China would create 410–520 million metric tons (MMT) of oil-equivalent of TTW oil demand (three to four times the current level), 28–36 billion GJ of WTW energy demand, and 1900–2300 MMT of CO 2 -equivalent of WTW GHG emissions by 2050. The policies (in the same order as above) are projected to reduce the TTW oil demand by 35%, 10%, 29%, and 44%, and reduce WTW GHG emissions by 34%, 5%, 12%, and 13%, respectively, by 2050. This evaluation reveals that the fuel-consumption improvement policy could achieve greater benefit in reducing oil use, fossil-energy use, and GHG emissions. Implications of each policy option are discussed and the uncertainties associated with the policy scenarios are analyzed. - Highlights: ► Fuel-cycle energy use and GHG emissions of vehicles in China are projected up to 2050. ► Various policies are evaluated with the fuel economy and environmental impacts model. ► Fuel economy standards have greatest benefit in saving energy use and GHG emissions. ► Electrification is effective. Benefit of dieselization and fuel blending is limited.

  10. Teaching Social Policy: Integration of Current Legislation and Media Resources

    Science.gov (United States)

    DeRigne, LeaAnne

    2011-01-01

    Social work students enter the field of social work for many reasons--from wanting to become clinicians to wanting to advocate for a more socially just world. Social policy classes can be the ideal courses to provide instruction on conducting research on current policy issues. Teaching students about policy advocacy can lead to a class rich with…

  11. Transnational Education: Current Developments and Policy Implications

    Science.gov (United States)

    Gu, Jianxin

    2009-01-01

    Ever since the transnational education trend took off since the 1980s, transnational education has come to bearing political, economic and cultural implications. Different approaches have been formulated to achieve specific policy objectives by both importing and exporting countries. Such approaches demonstrate a four dimensional composition,…

  12. Curbing International Piracy of Intellectual Property. Policy Options for a Major Exporting Country.

    Science.gov (United States)

    Hoffman, Gary M.; Marcou, George T.

    This report of the International Piracy Project addresses three major topics: (1) The Costs and Complications of Piracy; (2) Rights Enforcement Today; and (3) Policy Options for Curbing Piracy. The first section discusses piracy of copyrights, patents, and other intellectual property, including economic losses and damage to the finances and…

  13. White Flight from School Desegregation: Magnitude, Sources, and Policy Options. Final Report.

    Science.gov (United States)

    Rossell, Christine H.; Hawley, Willis D.

    Discussed in this report are the extent and causes of white flight from school desegregation and policy options for controlling it. After an introductory section, the report considers the extent of white flight from desegregating schools, taking into account the effects of suburbanization, interregional migration, and differentials in…

  14. China Policy Options in a Post Crisis World : Young China Scholars ...

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

    China Policy Options in a Post Crisis World : Young China Scholars Network - Phase II. This project builds on an earlier phase, Poverty and Inequality Research Network for China ... Les chaînes de valeur comme leviers stratégiques. Les entreprises peuvent comprendre les tendances commerciales et les défis futurs dans ...

  15. Advanced policy options to regulate sugar-sweetened beverages to support public health.

    Science.gov (United States)

    Pomeranz, Jennifer L

    2012-02-01

    Consumption of sugar-sweetened beverages (SSBs) has increased worldwide. As public health studies expose the detrimental impact of SSBs, consumer protection and public health advocates have called for increased government control. A major focus has been on restricting marketing of SSBs to children, but many innovative policy options--legally defensible ways to regulate SSBs and support public health--are largely unexplored. We describe the public health, economic, and retail marketing research related to SSBs (including energy drinks). We review policy options available to governments, including mandatory factual disclosures, earmarked taxation, and regulating sales, including placement within retail and food service establishments, and schools. Our review describes recent international initiatives and classifies options available in the United States by jurisdiction (federal, state, and local) based on legal viability.

  16. Public health economic evaluation of different European Union-level policy options aimed at reducing population dietary trans fat intake.

    Science.gov (United States)

    Martin-Saborido, Carlos; Mouratidou, Theodora; Livaniou, Anastasia; Caldeira, Sandra; Wollgast, Jan

    2016-11-01

    The adverse relation between dietary trans fatty acid (TFA) intake and coronary artery disease risk is well established. Many countries in the European Union (EU) and worldwide have implemented different policies to reduce the TFA intake of their populations. The aim of this study was to assess the added value of EU-level action by estimating the cost-effectiveness of 3 possible EU-level policy measures to reduce population dietary TFA intake. This was calculated against a reference situation of not implementing any EU-level policy (i.e., by assuming only national or self-regulatory measures). We developed a mathematical model to compare different policy options at the EU level: 1) to do nothing beyond the current state (reference situation), 2) to impose mandatory TFA labeling of prepackaged foods, 3) to seek voluntary agreements toward further reducing industrially produced TFA (iTFA) content in foods, and 4) to impose a legislative limit for iTFA content in foods. The model indicated that to impose an EU-level legal limit or to make voluntary agreements may, over the course of a lifetime (85 y), avoid the loss of 3.73 and 2.19 million disability-adjusted life-years (DALYs), respectively, and save >51 and 23 billion euros when compared with the reference situation. Implementing mandatory TFA labeling can also avoid the loss of 0.98 million DALYs, but this option incurs more costs than it saves compared with the reference option. The model indicates that there is added value of an EU-level action, either via a legal limit or through voluntary agreements, with the legal limit option producing the highest additional health benefits. Introducing mandatory TFA labeling for the EU common market may provide some additional health benefits; however, this would likely not be a cost-effective strategy.

  17. Using economic policy to tackle chronic disease: options for the Australian Government.

    Science.gov (United States)

    Kaplin, Lauren; Thow, Anne Marie

    2013-03-01

    Australia suffers from one of the highest prevalences among developed countries of persons being overweight and obese, these conditions arising from the overconsumption of energy-dense, nutrient-poor foods that are generally less expensive than healthier options. One potential avenue for intervention is to influence the price of foods such that healthier options are less expensive and, therefore, are an easier choice to make. This article considers the potential for fiscal policies that would realign food prices with health incentives. Through a review of consumption taxes, consumer subsidies, trade policies, agricultural support policies, and other incentive programs as possible avenues for intervention, this article asks what the Commonwealth Government has already done to help improve Australian diets, and looks at where further improvements could be made.

  18. Policy Options for Addressing Health System and Human Resources for Health Crisis in Liberia Post-Ebola Epidemic

    Directory of Open Access Journals (Sweden)

    Fidel C.T. Budy, MPH

    2016-01-01

    Full Text Available Qualified healthcare workers within an effective health system are critical in promoting and achieving greater health outcomes such as those espoused in the Millennium Development Goals. Liberia is currently struggling with the effects of a brutal 14-year long civil war that devastated health infrastructures and caused most qualified health workers to flee and settle in foreign countries. The current output of locally trained health workers is not adequate for the tasks at hand. The recent Ebola Virus Disease (EVD exposed the failings of the Liberian healthcare system. There is limited evidence of policies that could be replicated in Liberia to encourage qualified diaspora Liberian health workers to return and contribute to managing the phenomenon. This paper reviews the historical context for the human resources for health crisis in Liberia; it critically examines two context-specific health policy options to address the crisis, and recommends reverse brain drain as a policy option to address the immediate and critical crisis facing the health care sector in Liberia.

  19. Policy Options for Addressing Health System and Human Resources for Health Crisis in Liberia Post-Ebola Epidemic

    Science.gov (United States)

    Budy, Fidel C.T.

    2015-01-01

    Qualified healthcare workers within an effective health system are critical in promoting and achieving greater health outcomes such as those espoused in the Millennium Development Goals. Liberia is currently struggling with the effects of a brutal 14-year long civil war that devastated health infrastructures and caused most qualified health workers to flee and settle in foreign countries. The current output of locally trained health workers is not adequate for the tasks at hand. The recent Ebola Virus Disease (EVD) exposed the failings of the Liberian healthcare system. There is limited evidence of policies that could be replicated in Liberia to encourage qualified diaspora Liberian health workers to return and contribute to managing the phenomenon. This paper reviews the historical context for the human resources for health crisis in Liberia; it critically examines two context-specific health policy options to address the crisis, and recommends reverse brain drain as a policy option to address the immediate and critical crisis facing the health care sector in Liberia. PMID:27622002

  20. Carbon accounting of forest bioenergy: from model calibrations to policy options (Invited)

    Science.gov (United States)

    Lamers, P.

    2013-12-01

    Programs to stimulate biomass use for the production of heating/cooling and electricity have been implemented in many countries as part of their greenhouse gas emission reduction strategies. Critiques claim however that the use of forest biomass, e.g. as a replacement of hard-coal in large-scale power plants or mineral oil fuelled residential heating boilers, countervails carbon saving and thus also climate change mitigation strategies, at least in the short-term, as forest biomass combustion releases previously stored biogenic carbon back into the atmosphere. While there seems general agreement that carbon emitted from bioenergy combustion was and will again be sequestered from the atmosphere given a sustainable biomass management system, there is inherent concern that carbon release and sequestration rates may not be in temporal balance with each other and eventually jeopardize mid-century carbon/temperature/climate targets. So far, biomass carbon accounting systems (including those that are part of regulatory standards) have not incorporated this potential temporal imbalance or ';carbon debt'. The potential carbon debt caused by wood harvest and the resulting time spans needed to reach pre-harvest carbon levels (payback) or those of a reference case (parity) have become important parameters for climate and bioenergy policy developments. The present range of analyses however varies in assumptions, regional scopes, and conclusions. Policy makers are confronted with this portfolio while needing to address the temporal carbon aspect in current regulations. In order to define policies for our carbon constrained world, it is critical to better understand the dimensions and regional differences of these carbon cycles. This paper/presentation discusses to what extent and under which circumstances (i.e. bioenergy systems) a temporal forest carbon imbalance could jeopardize future temperature and eventually climate targets. It further reviews the current state of

  1. A Game of Two Elderly Care Facilities: Competition, Mothballing Options, and Policy Implications

    Directory of Open Access Journals (Sweden)

    Congcong Wang

    2016-01-01

    Full Text Available This article develops a model to investigate the entry strategies of private investors to the elderly care service market, with the purpose of explaining the reasons behind dilemma of low signing rate plaguing China’s Public-Private Partnership projects. We focus on the competition between two private investors with or without mothballing options under price uncertainty. After the derivation of equilibria of entry strategies, we employ numerical examples to analyze the dependencies of entry thresholds on market parameters, cost parameters, subsidy, and possession of mothballing option. Conclusions are drawn and some policy implications are given with the intention to alleviate the problem of low signing rate.

  2. adjustment policies and current account behaviour: empirical ...

    African Journals Online (AJOL)

    DJFLEX

    2009-10-15

    Oct 15, 2009 ... test, co-integration test and the variance decomposition and impulse response function. The variance ... economic performance and the external account. In the ... net impacts of the financial deepening and monetary credibility on .... profitability. In terms of .... cadgdp = the ratio of current account to GDP.

  3. The economics of nuclear decontamination: assessing policy options for the management of land around Fukushima dai-ichi

    International Nuclear Information System (INIS)

    Munro, Alistair

    2013-01-01

    Highlights: • Assesses land management options after the Fukushima accident. • Builds a model for exploring intervention and decontaminations options in areas affected by radioactive contamination. • Findings suggest delaying decontamination efforts by 3–10 years is optimal with a central figure of 8.75 years. • Results are sensitive to estimates of the benefits of resettlement. • Poor state of knowledge about some variables that are key for policy actions, such as psychological benefits and costs of resettlement. -- Abstract: In the light of the Japanese government's intensive efforts to decontaminate areas affected by radioactive Caesium from Fukushima dai-ichi nuclear power plant, I create a framework for assessing the merits of management options. In particular I consider delayed intervention as a possible policy. Delay can be optimal because allowing the natural decay of radiation can lower significantly the costs of achieving targets for exposure. Using some benchmark data for Japan I estimate that optimal delay is positive for most reasonable parameter values. Optimal delay generally lies in the range of 3–10 years with a central figure of 8.8 years. There is however considerable uncertainty over some of the key parameter values, particularly with regard to the behaviour of currently evacuated inhabitants

  4. Air emissions of ammonia and methane from livestock operations: valuation and policy options.

    Science.gov (United States)

    Shih, Jhih-Shyang; Burtraw, Dallas; Palmer, Karen; Siikamäki, Juha

    2008-09-01

    The animal husbandry industry is a major emitter of ammonia (NH3), which is a precursor of fine particulate matter (PM2.5)--arguably, the number-one environment-related public health threat facing the nation. The industry is also a major emitter of methane (CH4), which is an important greenhouse gas (GHG). We present an integrated process model of the engineering economics of technologies to reduce NH3 and CH4 emissions at dairy operations in California. Three policy options are explored: PM offset credits for NH3 control, GHG offset credits for CH4 control, and expanded net metering policies to provide revenue for the sale of electricity generated from captured methane (CH4) gas. Individually these policies vary substantially in the economic incentives they provide for farm operators to reduce emissions. We report on initial steps to fully develop the integrated process model that will provide guidance for policy-makers.

  5. Evolution and current thoughts about environmental policies

    International Nuclear Information System (INIS)

    Long, B.L.

    1994-01-01

    In this work is presented an overview of trends and current thinking in environmental management, broadly defined, as a context for people consideration of the environmental and ethical aspects of the disposal of long-lived radioactive wastes. The author sets out a general framework of the principles and strategies which have been, and are being, used by OECD Member countries to manage environmental problems and risks. (O.L.)

  6. Policy Options to Reduce Fragmentation in the Pooling of Health Insurance Funds in Iran.

    Science.gov (United States)

    Bazyar, Mohammad; Rashidian, Arash; Kane, Sumit; Vaez Mahdavi, Mohammad Reza; Akbari Sari, Ali; Doshmangir, Leila

    2016-02-11

    There are fragmentations in Iran's health insurance system. Multiple health insurance funds exist, without adequate provisions for transfer or redistribution of cross subsidy among them. Multiple risk pools, including several private secondary insurance schemes, have resulted in a tiered health insurance system with inequitable benefit packages for different segments of the population. Also fragmentation might have contributed to inefficiency in the health insurance systems, a low financial protection against healthcare expenditures for the insured persons, high coinsurance rates, a notable rate of insurance coverage duplication, low contribution of well-funded institutes with generous benefit package to the public health insurance schemes, underfunding and severe financial shortages for the public funds, and a lack of transparency and reliable data and statistics for policy-making. We have conducted a policy analysis study, including qualitative interviews of key informants and document analysis. As a result we introduce three policy options: keeping the existing structural fragmentations of social health insurance (SHI)schemes but implementing a comprehensive "policy integration" strategy; consolidation of existing health insurance funds and creating a single national health insurance scheme; and reducing fragmentation by merging minor well-resourced funds together and creating two or three large insurance funds under the umbrella of the existing organizations. These policy options with their advantages and disadvantages are explained in the paper. © 2016 by Kerman University of Medical Sciences.

  7. Policy Options to Reduce Fragmentation in the Pooling of Health Insurance Funds in Iran

    Science.gov (United States)

    Bazyar, Mohammad; Rashidian, Arash; Kane, Sumit; Vaez Mahdavi, Mohammad Reza; Akbari Sari, Ali; Doshmangir, Leila

    2016-01-01

    There are fragmentations in Iran’s health insurance system. Multiple health insurance funds exist, without adequate provisions for transfer or redistribution of cross subsidy among them. Multiple risk pools, including several private secondary insurance schemes, have resulted in a tiered health insurance system with inequitable benefit packages for different segments of the population. Also fragmentation might have contributed to inefficiency in the health insurance systems, a low financial protection against healthcare expenditures for the insured persons, high coinsurance rates, a notable rate of insurance coverage duplication, low contribution of well-funded institutes with generous benefit package to the public health insurance schemes, underfunding and severe financial shortages for the public funds, and a lack of transparency and reliable data and statistics for policy-making. We have conducted a policy analysis study, including qualitative interviews of key informants and document analysis. As a result we introduce three policy options: keeping the existing structural fragmentations of social health insurance (SHI)schemes but implementing a comprehensive "policy integration" strategy; consolidation of existing health insurance funds and creating a single national health insurance scheme; and reducing fragmentation by merging minor well-resourced funds together and creating two or three large insurance funds under the umbrella of the existing organizations. These policy options with their advantages and disadvantages are explained in the paper. PMID:27239868

  8. Environmental Issues in the Power Sector : Long-Term Impacts and Policy Options for Karnataka

    OpenAIRE

    World Bank

    2004-01-01

    This study of the long-term environmental impacts and policy options for power sector development in Karnataka, is one of a series undertaken by the Bank, in cooperation with the Government of India and state governments. It is a follow-up to the broader study Environmental Issues in the Power Sector (EIPS) (ESMAP/World Bank 1998), and the general methodology developed for EIPS, is used fo...

  9. Mitigation of environmental problems in Lake Victoria, East Africa: causal chain and policy options analyses.

    Science.gov (United States)

    Odada, Eric O; Olago, Daniel O; Kulindwa, Kassim; Ntiba, Micheni; Wandiga, Shem

    2004-02-01

    Lake Victoria is an international waterbody that offers the riparian communities a large number of extremely important environmental services. Over the past three decades or so, the lake has come under increasing and considerable pressure from a variety of interlinked human activities such as overfishing, species introductions, industrial pollution, eutrophication, and sedimentation. In this paper we examine the root causes for overfishing and pollution in Lake Victoria and give possible policy options that can help remediate or mitigate the environmental degradation.

  10. Nonnative forest insects and pathogens in the United States: impacts and policy options

    Science.gov (United States)

    Gary M. Lovett; Marissa Weiss; Andrew M. Liebhold; Tom Holmes; Brian Leung; Kathy-Fallon Lambert; David A. Orwig; Faith T. Campbell; Jonathan Rosenthal; Deborah G. McCullough; Radka Wildova; Matthew P. Ayres; Charles D. Canham; David R. Foster; Shannon L. LaDeau; Troy Weldy

    2016-01-01

    We review and synthesize information on invasions of nonnative forest insects and diseases in the United States, including their ecological and economic impacts, pathways of arrival, distribution within the United States, and policy options for reducing future invasions. Nonnative insects have accumulated in United States forests at a rate of ~2.5 per yr over the last...

  11. Taking Action Against Ocean Acidification: A Review of Management and Policy Options

    Science.gov (United States)

    Billé, Raphaël; Kelly, Ryan; Biastoch, Arne; Harrould-Kolieb, Ellycia; Herr, Dorothée; Joos, Fortunat; Kroeker, Kristy; Laffoley, Dan; Oschlies, Andreas; Gattuso, Jean-Pierre

    2013-10-01

    Ocean acidification has emerged over the last two decades as one of the largest threats to marine organisms and ecosystems. However, most research efforts on ocean acidification have so far neglected management and related policy issues to focus instead on understanding its ecological and biogeochemical implications. This shortfall is addressed here with a systematic, international and critical review of management and policy options. In particular, we investigate the assumption that fighting acidification is mainly, but not only, about reducing CO2 emissions, and explore the leeway that this emerging problem may open in old environmental issues. We review nine types of management responses, initially grouped under four categories: preventing ocean acidification; strengthening ecosystem resilience; adapting human activities; and repairing damages. Connecting and comparing options leads to classifying them, in a qualitative way, according to their potential and feasibility. While reducing CO2 emissions is confirmed as the key action that must be taken against acidification, some of the other options appear to have the potential to buy time, e.g. by relieving the pressure of other stressors, and help marine life face unavoidable acidification. Although the existing legal basis to take action shows few gaps, policy challenges are significant: tackling them will mean succeeding in various areas of environmental management where we failed to a large extent so far.

  12. Taking action against ocean acidification: a review of management and policy options.

    Science.gov (United States)

    Billé, Raphaël; Kelly, Ryan; Biastoch, Arne; Harrould-Kolieb, Ellycia; Herr, Dorothée; Joos, Fortunat; Kroeker, Kristy; Laffoley, Dan; Oschlies, Andreas; Gattuso, Jean-Pierre

    2013-10-01

    Ocean acidification has emerged over the last two decades as one of the largest threats to marine organisms and ecosystems. However, most research efforts on ocean acidification have so far neglected management and related policy issues to focus instead on understanding its ecological and biogeochemical implications. This shortfall is addressed here with a systematic, international and critical review of management and policy options. In particular, we investigate the assumption that fighting acidification is mainly, but not only, about reducing CO2 emissions, and explore the leeway that this emerging problem may open in old environmental issues. We review nine types of management responses, initially grouped under four categories: preventing ocean acidification; strengthening ecosystem resilience; adapting human activities; and repairing damages. Connecting and comparing options leads to classifying them, in a qualitative way, according to their potential and feasibility. While reducing CO2 emissions is confirmed as the key action that must be taken against acidification, some of the other options appear to have the potential to buy time, e.g. by relieving the pressure of other stressors, and help marine life face unavoidable acidification. Although the existing legal basis to take action shows few gaps, policy challenges are significant: tackling them will mean succeeding in various areas of environmental management where we failed to a large extent so far.

  13. The Health Equity and Effectiveness of Policy Options to Reduce Dietary Salt Intake in England: Policy Forecast.

    Directory of Open Access Journals (Sweden)

    Duncan O S Gillespie

    Full Text Available Public health action to reduce dietary salt intake has driven substantial reductions in coronary heart disease (CHD over the past decade, but avoidable socio-economic differentials remain. We therefore forecast how further intervention to reduce dietary salt intake might affect the overall level and inequality of CHD mortality.We considered English adults, with socio-economic circumstances (SEC stratified by quintiles of the Index of Multiple Deprivation. We used IMPACTSEC, a validated CHD policy model, to link policy implementation to salt intake, systolic blood pressure and CHD mortality. We forecast the effects of mandatory and voluntary product reformulation, nutrition labelling and social marketing (e.g., health promotion, education. To inform our forecasts, we elicited experts' predictions on further policy implementation up to 2020. We then modelled the effects on CHD mortality up to 2025 and simultaneously assessed the socio-economic differentials of effect.Mandatory reformulation might prevent or postpone 4,500 (2,900-6,100 CHD deaths in total, with the effect greater by 500 (300-700 deaths or 85% in the most deprived than in the most affluent. Further voluntary reformulation was predicted to be less effective and inequality-reducing, preventing or postponing 1,500 (200-5,000 CHD deaths in total, with the effect greater by 100 (-100-600 deaths or 49% in the most deprived than in the most affluent. Further social marketing and improvements to labelling might each prevent or postpone 400-500 CHD deaths, but minimally affect inequality.Mandatory engagement with industry to limit salt in processed-foods appears a promising and inequality-reducing option. For other policy options, our expert-driven forecast warns that future policy implementation might reach more deprived individuals less well, limiting inequality reduction. We therefore encourage planners to prioritise equity.

  14. EVALUATING THE IMPACT OF POLICY OPTIONS ON AGRICULTURAL LANDSCAPES: AN ALTERNATIVE-FUTURES APPROACH

    Science.gov (United States)

    Alternative-futures analysis was used to analyze different scenarios of future growth patterns and attendant resource allocations on the agricultural system of Oregon's Willamette River Basin. A stakeholder group formulated three policy alternatives: a continuation of current tr...

  15. Technical backgrounder to CAPP input on June 14, 2002 workshop on federal climate change policy options

    International Nuclear Information System (INIS)

    2002-06-01

    This paper presents arguments regarding the Federal Discussion Paper on Climate Change which presents four options for Canada to implement the Kyoto Protocol. This paper describes some major flaws with the package. The Canadian Association of Petroleum Producers (CAPP) believes that policy on climate change should ensure that measures for the trade exposed industry sectors are based on achievable objectives and that all levels of government should take a coordinated approach to greenhouse gases. In addition there should be no unfair burden on any region or unfairness in any sector. Climate change policy objectives should also consider economic, environmental and social objectives. With respect to the Kyoto Protocol in particular, governments should assess the liability that ratification would create and determine whether it makes economic sense. CAPP argues that none of the four options in the federal discussion paper meets requirements for industry objectives and form of policies. In addition, if Canada does not shift industry and emissions to other countries, or buy foreign credits, energy use by consumers would have to be significantly reduced in order to meet the Kyoto target. It was also noted that if the 'polluter pay' policy proposal is to be adopted, it must be based on a thorough understanding of what it implies and be applied in such a way to reflect the reality of international markets

  16. Analysing pseudoephedrine/methamphetamine policy options in Australia using multi-criteria decision modelling.

    Science.gov (United States)

    Manning, Matthew; Wong, Gabriel T W; Ransley, Janet; Smith, Christine

    2016-06-01

    In this paper we capture and synthesize the unique knowledge of experts so that choices regarding policy measures to address methamphetamine consumption and dependency in Australia can be strengthened. We examine perceptions of the: (1) influence of underlying factors that impact on the methamphetamine problem; (2) importance of various models of intervention that have the potential to affect the success of policies; and (3) efficacy of alternative pseudoephedrine policy options. We adopt a multi-criteria decision model to unpack factors that affect decisions made by experts and examine potential variations on weight/preference among groups. Seventy experts from five groups (i.e. academia (18.6%), government and policy (27.1%), health (18.6%), pharmaceutical (17.1%) and police (18.6%)) in Australia participated in the survey. Social characteristics are considered the most important underlying factor, prevention the most effective strategy and Project STOP the most preferred policy option with respect to reducing methamphetamine consumption and dependency in Australia. One-way repeated ANOVAs indicate a statistically significant difference with regards to the influence of underlying factors (F(2.3, 144.5)=11.256, pmethamphetamine consumption and dependency. Most experts support the use of preventative mechanisms to inhibit drug initiation and delayed drug uptake. Compared to other policies, Project STOP (which aims to disrupt the initial diversion of pseudoephedrine) appears to be a more preferable preventative mechanism to control the production and subsequent sale and use of methamphetamine. This regulatory civil law lever engages third parties in controlling drug-related crime. The literature supports third-party partnerships as it engages experts who have knowledge and expertise with respect to prevention and harm minimization. Copyright © 2016 Elsevier B.V. All rights reserved.

  17. Global warming and options for China: energy and environmental policy profile

    International Nuclear Information System (INIS)

    Lin Gan.

    1990-09-01

    This report attempts to give a comprehensive review of current perspectives on energy/environmental problems and policies in China during the last ten years. The second chapter serves as a starting point by giving a general background of the characteristics of economic development and major policy changes in China during the last ten years (1979-89). The third chapter analyzes the characteristics and problems of energy demand and supply in China by breaking down different economic sectors (industry, agriculture, transportation and residential/commercial sectors). The fourth chapter focuses on the problems of CO 2 emissions by giving a historical review of CO 2 emissions by linking up the impact of economic policies and political development in the country during 1950-89. The fifth chapter is mostly devoted to describing policy performance within government environmental policy-making and implementation in the last ten years. Finally, the report concludes by giving several policy recommendations. (Quittner)

  18. The feasibility of multisectoral policy options aimed at reducing trans fats and encouraging its replacement with healthier oils in India.

    Science.gov (United States)

    Downs, Shauna M; Thow, Anne-Marie; Ghosh-Jerath, Suparna; Leeder, Stephen R

    2015-05-01

    The World Health Organization recommends replacement of trans fat with polyunsaturated fat to reduce cardiovascular disease risk. Although several high-income countries have been successful in reducing trans fat in the food supply, low- and middle-income countries such as India may face additional contextual challenges such as the large informal sector, lack of consumer awareness, less enforcement capacity and low availability and affordability of healthier unsaturated fats. The objective of this study was to examine the feasibility and acceptability of multisectoral policy options aimed at supporting trans fat reduction and its replacement with polyunsaturated fats in India. Multisectoral policy options examined in this study were identified using food supply chain analysis. Semi-structured interviews (n = 17) were conducted with key informants from agriculture, trade, finance, retail, industry, food standards, non-governmental organizations and the health professions to gain their views on the feasibility and acceptability of the policy options. Purposive sampling was used to identify key informants. Data were coded and organized based on key themes. There was support for policies aimed at improving the quality of seeds, supporting farmer co-operatives and developing affordable farming equipment suited to smallholders to improve the production of healthier oils. Increasing the role of the private sector to improve links among producers, processors and retailers may help to streamline the fats supply chain in India. Blending healthier oils with oils high in saturated fat, which are currently readily available, could help to improve the quality of fat in the short term. Improving consumer awareness through mass media campaigns and improved labelling may help increase consumer demand for healthier products. Reorienting agricultural policies to support production of healthier oils will help increase their uptake by industry. Policy coherence across sectors will be

  19. Policy options for alcohol price regulation: the importance of modelling population heterogeneity.

    Science.gov (United States)

    Meier, Petra Sylvia; Purshouse, Robin; Brennan, Alan

    2010-03-01

    Context and aims Internationally, the repertoire of alcohol pricing policies has expanded to include targeted taxation, inflation-linked taxation, taxation based on alcohol-by-volume (ABV), minimum pricing policies (general or targeted), bans of below-cost selling and restricting price-based promotions. Policy makers clearly need to consider how options compare in reducing harms at the population level, but are also required to demonstrate proportionality of their actions, which necessitates a detailed understanding of policy effects on different population subgroups. This paper presents selected findings from a policy appraisal for the UK government and discusses the importance of accounting for population heterogeneity in such analyses. Method We have built a causal, deterministic, epidemiological model which takes account of differential preferences by population subgroups defined by age, gender and level of drinking (moderate, hazardous, harmful). We consider purchasing preferences in terms of the types and volumes of alcoholic beverages, prices paid and the balance between bars, clubs and restaurants as opposed to supermarkets and off-licenses. Results Age, sex and level of drinking fundamentally affect beverage preferences, drinking location, prices paid, price sensitivity and tendency to substitute for other beverage types. Pricing policies vary in their impact on different product types, price points and venues, thus having distinctly different effects on subgroups. Because population subgroups also have substantially different risk profiles for harms, policies are differentially effective in reducing health, crime, work-place absence and unemployment harms. Conclusion Policy appraisals must account for population heterogeneity and complexity if resulting interventions are to be well considered, proportionate, effective and cost-effective.

  20. Stakeholder appraisal of policy options for responding to obesity in Hungary.

    Science.gov (United States)

    Horváth, Z; Pankotai, M G; Szabolcs, I

    2007-05-01

    Overweight and obesity increases risks for many diseases, while treating them is expensive. Trends in the prevalence of overweight and obesity over the last two decades indicate the need for urgent interventions. Several different kinds of interventions could modify the obesogenic environment. The aim of this study was to map which policy options will be acceptable and effective in Hungary. Interviews were conducted with 21 stakeholders representing a wide range of viewpoints to evaluate seven core and 13 discretionary policy options under different criteria. The 21 Hungarian participants used 92 appraisal criteria covering a wide range of issues. Efficacy, practical feasibility, social acceptability and societal benefits were widely judged more important than the costs of measures. Significant additional social and health benefits were anticipated from changes in transport and planning policies, but the cost to the public sector was considered high and the implementation difficult. There was broad support for changes in patterns of food consumption and levels of physical activity. There was a consensus that without developing the attitudes of individuals to be more responsible for their health, environmental changes alone would not be enough to reverse the trend of the growing prevalence of obesity.

  1. Organized medicine and Scandinavian professional unionism: hospital policies and exit options in Denmark and Sweden.

    Science.gov (United States)

    Heidenheimer, A J; Johansen, L N

    1985-01-01

    Strikes by junior hospital doctors over the issue of on-call remuneration in Denmark and Sweden in 1981 are analyzed to clarify the impact of public-sector cost-control policies on intra- and interprofessional solidarity within the Scandinavian professional peak associations. The junior doctors' grievances could find expression either through increased "voice" within the medical negotiating machinery, or by pursuing the exit option in having the medical associations quit the peak associations. The article explains why the "exit" option was selected in Denmark, while in Sweden the granting of additional voice helped persuade the medical association to withdraw its exit threat and to remain within the peak association. The two cases are interpreted as presaging a divergence in the paths being taken by the various Scandinavian welfare states.

  2. Current Trends in Foreign Trade Theory and Policy

    Directory of Open Access Journals (Sweden)

    Zdzisław W. Puślecki

    2017-12-01

    Full Text Available In this research work, Author focus on the current analysis trends in foreign trade theory and policy. Accordance with the foreign trade policy theory further trade liberalisation and improved framework policies would increase trade and promote growth. It must be emphasized that openness to trade is associated with higher incomes and growth and there is the need for new approaches to trade cooperation in light of the forces that are currently re-shaping international business. What indicates the importance and innovativeness of the research is the presentation of the new models of the foreign trade policy and trade interests. First of all, it must underline that in the new theoretical terms in demand for trade policy very important is factor specificity. The low specificity of factors means that factor returns are equalized throughout a region’s economy. On the other hand, some factors are stuck in their present uses; therefore, factor returns are not equalized throughout a region’s economy but are industry specific. The main objective of the research task is to give a comprehensive analysis of current trends in foreign trade theory and policy and in particular models of foreign trade policy, trade interests indicated by export orientation and import sensitivity, foreign trade policy in different types of authoritarian regimes, protectionist pressures in different political system, the level of protectionist pressures, the tendencies to bilateralism in the foreign trade policy. It should be stressed that free trade in itself is not responsible for economic growth, but more significant are the determining macroeconomic stability and increasing investment.

  3. Assessment of policy options with regard to air pollution from international shipping

    International Nuclear Information System (INIS)

    Deutsch, F.; Veldeman, N.; Lodewijks, P.; Duuerinck, J.; Janssen, L.; Campling, P.; Janssen, S.; Vanherle, K.

    2011-01-01

    Recently, a study has been carried out for DG Environment of the European Commission titled 'Market-based instruments for Reducing Air Pollution. Assessment of Policy Options to reducing air pollution from shipping'. Within this study it was decided to study the environmental impact of two legally possible trading systems: a voluntary emissions trading system for all sea areas belonging to the European Union and a mandatory emissions trading system for the ports and territorial waters of EU Member States. If the emissions in ports and coastal waters will be made part of such a trading system it can result in lower environmental exposure for the population. [nl

  4. Managing plutonium in Britain. Current options[Mixed oxide nuclear fuels; Nuclear weapons

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1998-09-01

    This is the report of a two day meeting to discuss issues arising from the reprocessing of plutonium and production of mixed oxide nuclear fuels in Britain. It was held at Charney Manor, near Oxford, on June 25 and 26, 1998, and was attended by 35 participants, including government officials, scientists, policy analysts, representatives of interested NGO's, journalists, a Member of Parliament, and visiting representatives from the US and Irish governments. The topic of managing plutonium has been a consistent thread within ORG's work, and was the subject of one of our previous reports, CDR 12. This particular seminar arose out of discussions earlier in the year between Dr. Frank Barnaby and the Rt. Hon. Michael Meacher MP, Minister for the Environment. With important decisions about the management of plutonium in Britain pending, ORG undertook to hold a seminar at which all aspects of the subject could be aired. A number of on-going events formed the background to this initiative. The first was British Nuclear Fuels' [BNFL] application to the Environment Agency to commission a mixed oxide fuel [MOX] plant at Sellafield. The second was BNFL's application to vary radioactive discharge limits at Sellafield. Thirdly, a House of Lords Select Committee was in process of taking evidence, on the disposal of radioactive waste. Fourthly, the Royal Society, in a recent report entitled Management of Separated Plutonium, recommended that 'the Government should commission a comprehensive review... of the options for the management of plutonium'. Four formal presentations were made to the meeting, on the subjects of Britain's plutonium policy, commercial prospects for plutonium use, problems of plutonium accountancy, and the danger of nuclear terrorism, by experts from outside the nuclear industry. It was hoped that the industry's viewpoint would also be heard, and BNFL were invited to present a paper, but declined on the grounds that they

  5. Marker-assisted selection: Policy considerations and options for developing countries

    International Nuclear Information System (INIS)

    Dargie, J.D.

    2007-01-01

    Policy options for research, development and diffusion of the products of marker-assisted selection (MAS) depend on the development objectives and priorities of the agricultural sector, its various subsectors and cross-cutting activities dealing with science and technology (S and T), including biotechnology and the management of genetic resources. The policy agenda in each of these areas has shifted from the traditional focus of 'raising productivity' to a broader agenda of improving rural livelihoods in both economic and non-economic terms in support of the Millennium Development Goals (MDGs). Securing financial commitments from national governments and donors to invest in MAS and related molecular approaches requires more active engagement by national agricultural research and extension systems (NARES) in the processes of revising poverty reduction strategy papers (PRSPs), and in developing policies and strategies for agricultural development, S and T and genetic resources. Agriculture and agricultural S and T are undergoing rapid change but few developing countries have either agricultural S and T or biotechnology policies. They need to develop these to build coherence across the agricultural sector including delineating the roles of public and private sector entities, and as a means to strengthen accountability with respect to priority setting, monitoring and evaluating the outcomes and impacts of both research and practical applications of MAS. Options are provided for developing and implementing MAS programmes and projects, for setting priorities and evaluating outcomes and impacts. Given the uncertain nature of technical change and the long time frames that often characterize translation of the research and extension services provided by NARES into sustainable improvements in productivity and livelihoods through genetic enhancement, it is concluded that greater emphasis needs to be placed on research to analyse systematically the critical paths involved in

  6. Environmental and technology policy options in the electricity sector. Interactions and outcomes

    International Nuclear Information System (INIS)

    Fischer, Carolyn; Newell, Richard G.; Preonas, Louis

    2014-01-01

    Myriad policy measures aim to reduce greenhouse gas emissions from the electricity sector, promote generation from renewable sources, and encourage energy conservation. To what extent do innovation and energy efficiency (EE) market failures justify additional interventions when a carbon price is in place? We extend the model of Fischer and Newell (2008) with advanced and conventional renewable energy technologies and short and long-run EE investments. We incorporate both knowledge spillovers and imperfections in the demand for energy efficiency. We conclude that some technology policies, particularly correcting R and D market failures, can be useful complements to emissions pricing, but ambitious renewable targets or subsidies seem unlikely to enhance welfare when placed alongside sufficient emissions pricing. The desirability of stringent EE policies is highly sensitive to the degree of undervaluation of EE by consumers, which also has implications for policies that tend to lower electricity prices. Even with multiple market failures, emissions pricing remains the single most cost-effective option for reducing emissions.

  7. Environmental and technology policy options in the electricity sector. Interactions and outcomes

    Energy Technology Data Exchange (ETDEWEB)

    Fischer, Carolyn [Resources for the Future, Inc., Washington, DC (United States); Newell, Richard G. [Duke Univ., Durham, NC (United States); Preonas, Louis [California Univ., Berkeley, CA (United States); Resources for the Future, Inc., Washington, DC (United States)

    2014-04-15

    Myriad policy measures aim to reduce greenhouse gas emissions from the electricity sector, promote generation from renewable sources, and encourage energy conservation. To what extent do innovation and energy efficiency (EE) market failures justify additional interventions when a carbon price is in place? We extend the model of Fischer and Newell (2008) with advanced and conventional renewable energy technologies and short and long-run EE investments. We incorporate both knowledge spillovers and imperfections in the demand for energy efficiency. We conclude that some technology policies, particularly correcting R and D market failures, can be useful complements to emissions pricing, but ambitious renewable targets or subsidies seem unlikely to enhance welfare when placed alongside sufficient emissions pricing. The desirability of stringent EE policies is highly sensitive to the degree of undervaluation of EE by consumers, which also has implications for policies that tend to lower electricity prices. Even with multiple market failures, emissions pricing remains the single most cost-effective option for reducing emissions.

  8. Reactivation of nuclear power plant construction projects. Plant status, policy issues and regulatory options

    International Nuclear Information System (INIS)

    Spangler, M.B.

    1986-07-01

    Prior to the TMI-2 accident on March 28, 1979, four nuclear power plant units that had previously been issued a construction permit were cancelled, principally because of reduced projections of regional power demand. Since that time, an additional 31 units with CPs have been cancelled and eight units deferred. On December 23, 1985 one of the deferred units (Limerick-2) was reactivated and construction resumed. The primary objective of this policy study is to identify the principal issues requiring office-level consideration in the event of reactivation of the construction of one or more of the nuclear power plants falling into two categories: (1) LWR units issued a construction permit whose construction has been cancelled, and (2) LWR units whose construction has been deferred. The study scope is limited to identifying regulatory issues or questions deserving analysis rather than providing, at this time, answers or recommended actions. Five tasks are addressed: a tabulation and discussion of the status of all cancelled and deferred LWR units; and identification of potential safety and environmental issues; an identification of regulatory or policy issues and needed information to determine the desirability of revising certain rules and policies; and identification of regulatory options and decision criteria; and an identification of decision considerations in determining staff requirements and organizational coordination of LWR reactivation policy and implementation efforts. 41 refs

  9. Evaluation of policy options to reform the EU Emissions Trading System. Effects on carbon price, emissions and the economy

    Energy Technology Data Exchange (ETDEWEB)

    Verdonk, M.; Brink, C.; Vollebergh, H.; Roelfsema, M.

    2013-04-15

    The EU Emissions Trading System (EU ETS) is a key instrument of EU climate policy, providing a clear reduction pathway for CO2 emissions. The current carbon price (of about 3 euros per tonne of CO2, April 2013) is much lower than previously expected (which was around 30 euros) and is likely to remain low for a long time. This fuels doubts about whether the ETS will remain a key policy instrument in the long term. Such doubts also increase investment uncertainty, which is likely to have a negative impact on further investments in low-carbon technologies needed for a low-carbon economy in 2050. In November 2012, the European Commission put forward six options for a more structural reform of the EU ETS. The proposed options vary from reducing the cap and expanding the ETS to include other sectors, to strengthening the ETS by measures directly affecting allowance prices. The Dutch Ministry of Infrastructure and the Environment (IenM) asked the PBL Netherlands Environmental Assessment Agency to assess the impact of these options. Four categories of options for reforming the ETS were evaluated: (1) reducing the supply of emission allowances; (2) expanding the ETS by including other sectors; (3) a minimum price for auctioned allowances; and (4) combining ETS with a carbon tax. Recently, the European Parliament voted against the European Commission's proposal to temporarily set aside emission allowances. In an earlier assessment of this proposal, PBL concluded that the impact of this backloading proposal on CO2 prices is likely to be limited, because the total amount of allowances up to 2020 would remain unchanged. All options analysed would reduce emissions and cause the emission price to increase. A minimum price on carbon, however, would provide the best opportunity to make the ETS more robust against unforeseen events, such as a further deterioration of the economy. Such a minimum price would result in more emission reductions if abatement proves to be cheaper

  10. Analysis of federal policy options for improving US lighting energy efficiency: Commercial and residential buildings

    Energy Technology Data Exchange (ETDEWEB)

    Atkinson, B.A.; McMahon, J.E.; Mills, E.; Chan, P.; Chan, T.W.; Eto, J.H.; Jennings, J.D.; Koomey, J.G.; Lo, K.W.; Lecar, M.; Price, L.; Rubinstein, F.; Sezgen, O.; Wenzel, T.

    1992-12-01

    The US Department of Energy (DOE) has recognized the opportunity to achieve energy, economic, and environmental benefits by promoting energy-efficient lighting through federal policies, including lighting standards, financial incentives, and information programs. To assist in this process, the Office of Conservation and Renewable Energy's Office of Codes and Standards invited Lawrence Berkeley Laboratory to assess prospective national impacts for a variety of policy options. Some progress has already been made in developing lighting policies at both the federal and state levels. The US DOE's Office of Building Technologies has evaluated lighting efficiency incentives as part of its analysis for the National Energy Strategy. Fluorescent and incandescent lamp standards are included in the national Energy Policy Act of 1992 (P.L. 102-486, October 24, 1992). A few states have analyzed or implemented lamp and luminaire standards. Many policy-related issues merit further investigation. For example, there is considerable debate over issues such as mandatory or voluntary standards versus component labeling and other education-oriented strategies. Several different technologies are involved that interact with each other-lamps (incandescent, compact fluorescent, and HID), ballasts (for fluorescent and HID lamps), and fixtures with reflectors and lenses. Control systems and operation patterns must also be considered (timers, automated dimming, or occupancy sensors). Lighting applications are diverse, ranging from offices, restaurants, hallways, hospital operating rooms, to exterior lights. Lighting energy use influences heating and cooling requirements in buildings. Successful lighting system design must also address interactions between architectural design elements and daylighting availability. Proper system installation and ongoing operation and maintenance are crucial. The economic aspects of the preceding points must also be considered for policy making.

  11. Analysis of federal policy options for improving US lighting energy efficiency: Commercial and residential buildings

    Energy Technology Data Exchange (ETDEWEB)

    Atkinson, B.A.; McMahon, J.E.; Mills, E.; Chan, P.; Chan, T.W.; Eto, J.H.; Jennings, J.D.; Koomey, J.G.; Lo, K.W.; Lecar, M.; Price, L.; Rubinstein, F.; Sezgen, O.; Wenzel, T.

    1992-12-01

    The US Department of Energy (DOE) has recognized the opportunity to achieve energy, economic, and environmental benefits by promoting energy-efficient lighting through federal policies, including lighting standards, financial incentives, and information programs. To assist in this process, the Office of Conservation and Renewable Energy`s Office of Codes and Standards invited Lawrence Berkeley Laboratory to assess prospective national impacts for a variety of policy options. Some progress has already been made in developing lighting policies at both the federal and state levels. The US DOE`s Office of Building Technologies has evaluated lighting efficiency incentives as part of its analysis for the National Energy Strategy. Fluorescent and incandescent lamp standards are included in the national Energy Policy Act of 1992 (P.L. 102-486, October 24, 1992). A few states have analyzed or implemented lamp and luminaire standards. Many policy-related issues merit further investigation. For example, there is considerable debate over issues such as mandatory or voluntary standards versus component labeling and other education-oriented strategies. Several different technologies are involved that interact with each other-lamps (incandescent, compact fluorescent, and HID), ballasts (for fluorescent and HID lamps), and fixtures with reflectors and lenses. Control systems and operation patterns must also be considered (timers, automated dimming, or occupancy sensors). Lighting applications are diverse, ranging from offices, restaurants, hallways, hospital operating rooms, to exterior lights. Lighting energy use influences heating and cooling requirements in buildings. Successful lighting system design must also address interactions between architectural design elements and daylighting availability. Proper system installation and ongoing operation and maintenance are crucial. The economic aspects of the preceding points must also be considered for policy making.

  12. Making Homes Part of the Climate Solution: Policy Options To Promote Energy Efficiency

    Energy Technology Data Exchange (ETDEWEB)

    Brown, Dr. Marilyn Ann [Georgia Institute of Technology; Chandler, Jess [Georgia Institute of Technology; Lapsa, Melissa Voss [ORNL; Ally, Moonis [Oak Ridge National Laboratory (ORNL)

    2009-06-01

    In the area of energy efficiency, advanced technologies combined with best practices appear to afford not only large, but also cost-effective options to conserve energy and reduce greenhouse gas emissions (McKinsey & Company, 2007). In practice, however, the realization of this potential has often proven difficult. Progress appears to require large numbers of individuals to act knowledgeably, and each individual must often act with enabling assistance from others. Even when consumer education is effective and social norms are supportive, the actions of individuals and businesses can be impeded by a broad range of barriers, many of which are non-technical in nature. Title XVI of the Energy Policy Act of 2005 included a mandate to examine barriers to progress and make recommendations in this regard. A detailed report on barriers as well as the National strategy for overcoming barriers met this requirement (Brown et al, 2008; CCCSTI, 2009). Following up on this mandate, the U.S. Climate Change Technology Program (CCTP) chose to focus next on the development of policy options to improve energy efficiency in residential buildings, with supporting analysis of pros and cons, informed in part by behavioral research. While this work is sponsored by CCTP, it has been undertaken in coordination with DOE's Building Technologies Program and Office of Electricity Delivery and Energy Reliability.

  13. Risk adjustment policy options for casemix funding: international lessons in financing reform.

    Science.gov (United States)

    Antioch, Kathryn M; Ellis, Randall P; Gillett, Steve; Borovnicar, Daniel; Marshall, Ric P

    2007-09-01

    This paper explores modified hospital casemix payment formulae that would refine the diagnosis-related group (DRG) system in Victoria, Australia, which already makes adjustments for teaching, severity and demographics. We estimate alternative casemix funding methods using multiple regressions for individual hospital episodes from 2001 to 2003 on 70 high-deficit DRGs, focussing on teaching hospitals where the largest deficits have occurred. Our casemix variables are diagnosis- and procedure-based severity markers, counts of diagnoses and procedures, disease types, complexity, day outliers, emergency admission and "transfers in." The results are presented for four policy options that vary according to whether all of the dollars or only some are reallocated, whether all or some hospitals are used and whether the alternatives augment or replace existing payments. While our approach identifies variables that help explain patient cost variations, hospital-level simulations suggest that the approaches explored would only reduce teaching hospital underpayment by about 10%. The implications of various policy options are discussed.

  14. Environmental cost-effectiveness of bio diesel production in Greece: Current policies and alternative scenarios

    International Nuclear Information System (INIS)

    Iliopoulos, Constantine; Rozakis, Stelios

    2010-01-01

    Following European Directive 2003/30/EC, the Greek Government adapted legislation that introduces and regulates the bio diesel market. The implemented quota scheme allocates the country's annual, predetermined, tax exempt production of bio diesel to industries based on their ability to meet several criteria. A number of bio diesel supply chain stakeholders have criticized this policy for being efficiency-robbing and vague. This paper uses 2007 data from energy crop farms and three bio diesel-producing companies in order to assess these criticisms. We study the economic and environmental aspects of the currently adopted policy and compare them to three alternative scenarios. We conclude that such criticisms have a merit and that policy makers need to reconsider their alternative options regarding the promotion of bio diesel in transport. Permission of sales directly to local consumers and promotion of forward integration by farmers are efficiency enhancing and environment-friendly means of promoting the use of bio diesel in transport.

  15. Drinking and its burden in a global perspective: policy considerations and options.

    Science.gov (United States)

    Room, Robin; Graham, Kathryn; Rehm, Jürgen; Jernigan, David; Monteiro, Maristela

    2003-10-01

    To identify the policy implications of the magnitude and characteristics of alcohol consumption and problems, viewed globally, and to summarize conclusions on the effectiveness of the strategies available to policymakers concerned with reducing rates of alcohol problems. This summative article draws on the findings of the articles preceding it and of reviews of the literature. Overall volume of consumption is the major factor in the prevalence of harms from drinking. Since consumption and associated problems tend to increase with economic development, policymakers in developing economies should be especially aware of the need to develop policies to minimize overall increases in alcohol consumption. Unrecorded consumption is also an important consideration for policy in many parts of the world, and poses difficulties for alcohol control policies. Drinking pattern is also an important contributing factor toward alcohol-related harm. Although some drinking patterns have been shown to produce beneficial health effects, because the net effect of alcohol on coronary disease is negative in most parts of the world, policies that promote abstinence or lower drinking overall may be the safest options. Moreover, sporadic intoxication is common in many parts of the world, and policies are unlikely to change this drinking pattern at least in the short to medium term. At the same time, because injuries comprise a large proportion of the burden of alcohol, it is appropriate to enhance these policies with targeted harm reduction strategies such as drinking and driving countermeasures and interventions focused on reducing alcohol-related violence in specific high-risk settings. Alcohol consumption is a major factor for the global burden of disease and should be considered a public health priority globally, regionally, and nationally for the vast majority of countries in the world. The need for alcohol policy is even stronger when it is taken into consideration that the burden of

  16. How to buy a medical home? Policy options and practical questions.

    Science.gov (United States)

    Berenson, Robert A; Rich, Eugene C

    2010-06-01

    In this paper, we describe a range of payment options to support the PCMH, identifying their conceptual strengths and weaknesses. These include enhanced FFS payment for office visits to the PCMH; paying additional FFS for "new" PCMH services; variations of traditional FFS combined with new PCMH-oriented per patient per month capitation; and combined capitation payments for traditional primary care medical services as well as new medical home services. In discussing options for PCMH payment reform we consider issues in patient severity adjustment, performance payment, and the role of payments to community service organizations to collaborate with the PCMH. We also highlight some of the practical challenges that can complicate reimbursement reform for primary care and the PCMH. Through this discussion we identify key dimensions to provider payment reform relevant to promoting enhanced primary care through the patient centered medical home. These consist of paying for the basic medical home services, rewarding excellent performance of medical homes, incentivizing medical home connections to other community health care resources, and overcoming implementation challenges to medical home payments. Each of these overarching policy issues invokes a substantial subset of policy relevant research questions that collectively comprise a robust research agenda. We conclude that the conceptual strengths and weaknesses of available payment models for medical home functions invoke a complex array of options with varying levels of real-world feasibility. The different needs of patients and communities, and varying characteristics of practices must also be factors guiding PCMH payment reform. Indeed, it may be that different circumstances will require different payment approaches in various combinations.

  17. Ukraine: Current Issues and U.S. Policy

    Science.gov (United States)

    2014-09-04

    as Putin’s attempt to test how far he can go in destabilizing Ukraine while avoiding the imposition of additional sanctions by the EU and United...cooperative threat reduction and other nonproliferation activities with Russia. Figure 1. Ukraine Ukraine: Current Issues and U.S. Policy

  18. Assessing the Impact of Current National Policies to Reduce Salt ...

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

    Assessing the Impact of Current National Policies to Reduce Salt and Trans Fatty Acids in Argentina ... The Codex Alimentarius, or international food safety standards, will also decrease trans fatty acids (TFA) ... Researchers will develop a strategy to share results with policymakers and other stakeholders. ... Journal articles.

  19. Policy options to improve the effectiveness of the EU emissions trading system: A multi-criteria analysis

    International Nuclear Information System (INIS)

    Clò, Stefano; Battles, Susan; Zoppoli, Pietro

    2013-01-01

    This paper considers several policy options which have been proposed to improve the functioning of the ETS. These options require an intervention either on the ETS cap (−30% target, set-aside, carbon central bank, long-term target) or on the carbon price (European and national price floor). We analyse the impact of each policy on the ETS carbon price and emissions. A multi-criteria evaluation method is applied to compare the policy options against a plurality of environmental, economic and procedural criteria. We find that the final ranking depends on the goals to be achieved, i.e., the relative weights attributed to the criteria. When policymakers want mainly to support the carbon price both in the short and long-run, while improving ETS flexibility and harmonization, the CCB and the EU price floor are, respectively ranked as first and second-best options. As the preference for environmental and implementation goals gradually increases, the position of the EU price floor and CCB options tend to invert. The −30% target should be adopted when reducing emissions is the priority goal, while a national price floor is the worst option, in this case. Nevertheless, self-interested States looking for a relatively quick, feasible solution, may find it optimal. - Highlights: ► A multi-criteria analysis is adopted to compare policy options to improve the ETS effectiveness. ► An ETS cap reversible adjustment by a carbon central bank is the first-best option. ► The establishment of a EU-wide price floor would represent a second-best solution. ► A national price floor is the worst option but self-interest states may find it optimal. ► A post-2020 target is not a mutually exclusive option and should be set

  20. The Farm Credit Situation: Implications for Agricultural Policy.

    Science.gov (United States)

    Bullock, J. Bruce

    1986-01-01

    Examines issues regarding current farm finance situation from a public policy perspective: origins and causes of current situation, available policy options for dealing with the problems, and impacts of policy options. (NEC)

  1. Current situation of Islamabad solid waste dumpsite and options for improvement

    International Nuclear Information System (INIS)

    Baig, M.A.; Elahi, R.E.; Malik, M.

    2003-01-01

    A study was undertaken to assess the existing situation of H-12 dumpsite, where solid waste from Islamabad City is being dumped since 1988, and to propose options for its improvement. The study methodology involved collection of baseline information, topographical survey, analysis of leachate samples, characterization of incoming waste and evaluation of options for rehabilitation and improvement of the site. The results of the study revealed that solid waste dumped at the H-12 dumpsite, which currently receives about 320 tons of solid waste daily, covers an area of 22.4 hectares. The corresponding volume and weight of the waste were found to be 0.45 million m3 and 0.143 million tons, respectively. Specific weight and moisture content of the old dumped waste were found to be 22 percent and 320 kg/m3, respectively. Analysis of leachate samples collected from the dumpsite were found to be highly contaminated. Characterization of solid waste delivered at the site showed that it mainly comprises a mix of construction and demolition waste, food waste and hospital waste thus indicating that material recovery operations would not be feasible. In order to improve and rehabilitate the dumpsite with a view to mitigate its adverse environmental impacts, three options were considered. These include (a) improvement and rehabilitation of the site without making provision for further inflow of waste; (b) improvement and rehabilitation of the dumpsite with provision to receive the waste for a period of another 10 years; and (c) shifting the dumped waste to the proposed Kurri Landfill site. Technical and financial aspects of all the three options are described and recommendations regarding the most environment friendly option are presented. (author)

  2. THE INNOVATIVE POLICY OPTIONS FOR COASTAL FISHERIES ECONOMIC DEVELOPMENT: A CASE OF KWANDANG BAY COASTAL ECOSYSTEM

    Directory of Open Access Journals (Sweden)

    Noel Taylor Moore

    2017-07-01

    Full Text Available Socio-environmental problems, such as climate change, pollution and habitat destruction, present serious challenges for fisheries economic development. The integration of interventions or investments within a coastal marine ecosystem, a defined spatial area, is considered important in the economic development of local communities leading to the planned outcomes of livelihoods, food security and conservation The coastal marine ecosystem, is the provider of products and services to the local economy adjacent to the ecosystem where the benefit flows, within that area, are interconnected. The roles of science, technology and innovation (STI are an integral part of these multi-dimensional interventions. Hence the need for an integrated approach for these interventions by government and/or through donor funded projects to enhance economic development of coastal communities. The policy framework proposed is therefore an STI perspective of the links between these intervention and investment options, based on a ‘fisheries economic development Hub’ (Hub and discussed using the multi-level perspective (MLP. The policy innovation proposal suggests an implementation strategy of a pilot project and analyses the selection and implications of a potential Indonesian site for the application of the Hub. This paper aims to introduce the MLP into the framework of coastal community-based fisheries economic development.   Key words: policy innovation. coastal marine ecosystem, fisheries economic development Hub, value chains, multi-level perspective (MLP

  3. Designing Canada's low-carb diet : options for effective climate policy

    Energy Technology Data Exchange (ETDEWEB)

    Jaccard, M. [Simon Fraser Univ., Burnaby, BC (Canada)

    2007-11-28

    This document presented a framework for future Canadian action in designing effective climate policies. The document provided background information on the rationale for reducing greenhouse gas emissions and discussed how much and how quickly. It also discussed Canada-specific targets. The author cautioned that the threat of anthropogenic climate change is worth insuring against and presented a number of criteria for evaluating potential premiums Canadians might pay for an insurance policy. Other options such as subsidies and offsets were also discussed, as well as emission taxation. The document also included a novel suggestion for a carbon-management standard that would apply to all producers and importers of fossil fuels for domestic use. It was concluded that energy efficiency is more expensive to achieve than advocates suggest, but an understanding of this fact is critical if greenhouse gas abatement policies are to be well designed. In addition, subsidies and information programs are largely ineffective by themselves. The author suggested that a carbon tax would be the most economically efficient and administratively simple way to price the atmosphere. 34 refs., 2 figs.

  4. VAMOS: The verification and monitoring options study: Current research options for in-situ monitoring and verification of contaminant remediation and containment within the vadose zone

    International Nuclear Information System (INIS)

    Betsill, J.D.; Gruebel, R.D.

    1995-09-01

    The Verification and Monitoring Options Study Project (VAMOS) was established to identify high-priority options for future vadose-zone environmental research in the areas of in-situ remediation monitoring, post-closure monitoring, and containment emplacement and verification monitoring. VAMOS examined projected needs not currently being met with applied technology in order to develop viable monitoring and verification research options. The study emphasized a compatible systems approach to reinforce the need for utilizing compatible components to provide user friendly site monitoring systems. To identify the needs and research options related to vadose-zone environmental monitoring and verification, a literature search and expert panel forums were conducted. The search included present drivers for environmental monitoring technology, technology applications, and research efforts. The forums included scientific, academic, industry, and regulatory environmental professionals as well as end users of environmental technology. The experts evaluated current and future monitoring and verification needs, methods for meeting these needs, and viable research options and directions. A variety of high-priority technology development, user facility, and technology guidance research options were developed and presented as an outcome of the literature search and expert panel forums

  5. Policy options when giving negative externalities market value. Clean energy policymaking and restructuring the Western Australian energy sector

    International Nuclear Information System (INIS)

    McHenry, Mark

    2009-01-01

    Uncertainty surrounds the choice of instruments that internalise fossil-fuel pollution at the local, regional and global level. This work outlines the considerable growth in the Western Australian (WA) energy sector and explores the available options and potential hazards of using specific instruments to internalise externalities. These core options are discussed with respect to liberalising energy markets, providing private investment certainty, and imparting commentary on the developments and consequences of reform in the WA context. As a large energy exporter, providing certainty for the WA energy sector investment and the community is necessary to maintain the current prosperity. Remarkably, in the decades of market reform progress, the absence of one essential element is evident: economic externalities. Policymakers are under increasing pressure to understand economic reform, new energy markets and the multifaceted repercussions they entail. With modern energy reform sitting squarely within the milieu of more efficient governments and climate policy, there are clear economic advantages to internalising negative and positive externalities and other market distortions during energy market developments. Ignoring market failures when commercialising government-owned energy utilities in de-regulated and competitive markets invites continued ad-hoc government interference that generates investment uncertainty in addition to a perplexed electorate. (author)

  6. U. K. surface passenger transport sector. Energy consumption and policy options for conservation

    Energy Technology Data Exchange (ETDEWEB)

    Maltby, D; Monteath, I G; Lawler, K A

    1978-12-01

    Forecasts of U.K. energy consumption in this sector for four future scenarios based on different economic growth rates, energy prices, and energy conservation policies, show that by the year 2000, private transport will probably account for 76-94% of total energy consumption in surface passenger transport. A 33% increase in the average miles-per-gallon fuel consumption through technological improvements in private vehicles, conversion of private vehicles to diesel oil, additional fuel taxation equivalent to 25 or 50% fuel price increase, a 10% reduction in average car engine size (encouraged by taxation), and changes in public transport technology offer energy savings of about 20, 5-10, 6.3 or 12.5, 2-4, and 2%, respectively. There is considerable uncertainty about the outcome of these options.

  7. Treatment Options for Severe Obesity in the Pediatric Population: Current Limitations and Future Opportunities.

    Science.gov (United States)

    Ryder, Justin R; Fox, Claudia K; Kelly, Aaron S

    2018-06-01

    Severe obesity is the only obesity classification increasing in prevalence among children and adolescents. Treatment options that produce meaningful and sustained weight loss and comorbidity resolution are urgently needed. The purpose of this review is to provide a brief overview of the current treatment options for pediatric severe obesity and offer suggestions regarding future opportunities for accelerating the development and evaluation of innovative treatment strategies. At present, there are three treatment options for youth with severe obesity: lifestyle modification therapy, pharmacotherapy, and bariatric surgery. Lifestyle modification therapy can be useful for improving many chronic disease risk factors and comorbid conditions but often fails to achieve clinically meaningful and sustainable weight loss. Pharmacotherapy holds promise as an effective adjunctive treatment but remains in the primordial stages of development in the pediatric population. Bariatric surgery provides robust weight loss and risk factor/comorbidity improvements but is accompanied by higher risks and lower uptake compared to lifestyle modification therapy and pharmacotherapy. New areas worth pursuing include combination pharmacotherapy, device therapy, identification of predictors of response aimed at precision treatment, and interventions in the postbariatric surgical setting to improve long-term outcomes. Treating pediatric severe obesity effectively and safely is extremely challenging. Some progress has been made, but substantially more effort and innovation are needed in the future to combat this serious and ongoing medical and public health issue. © 2018 The Obesity Society.

  8. SURGICAL TREATMENT OF HEMORRHOIDS: A CRITICAL APPRAISAL OF THE CURRENT OPTIONS

    Science.gov (United States)

    CERATO, Marlise Mello; CERATO, Nilo Luiz; PASSOS, Patrícia; TREIGUE, Alberto; DAMIN, Daniel C.

    2014-01-01

    Introduction Surgical treatment of hemorrhoids is still a dilemma. New techniques have been developed leading to a lower rate of postoperative pain; however, they are associated with a greater likelihood of recurrence. Aim To review current indications as well as the results and complications of the main techniques currently used in the surgical treatment of hemorrhoidal disease. Methods A systematic search of the published data on the options for treatment of hemorrhoids up to December 2012 was conducted using Medline/PubMed, Cochrane, and UpToDate. Results Currently available surgical treatment options include procedure for prolapse and hemorrhoids (PPH), transanal hemorrhoidal dearterialization (THD), and conventional hemorrhoidectomy techniques. Excisional techniques showed similar results regarding pain, time to return to normal activities, and complication rates. PPH and THD were associated with less postoperative pain and lower complication rates; however, both had higher postoperative recurrence rates. Conclusion Conventional surgical techniques yield better long-term results. Despite good results in the immediate postoperative period, PPH and THD have not shown consistent long-term favorable results. PMID:24676303

  9. The Baltic policy of Germany and current international relations

    Directory of Open Access Journals (Sweden)

    Salikov Aleksey

    2016-03-01

    Full Text Available This article analyses the Baltic policy of united Germany from the 1990s until today. The authors set out to identify the significance of German-Baltic relations and the role of the Eastern policy in Russian-German relations. The method of dynamic comparison between the political and economic narrative in intergovernmental relations makes it possible to identify distinctive features of Germany’s Baltic policy in the context of current international relations. In particular, it is noted that Germany was most active in the Baltic region in the 1990s, when the country was establishing political, economic, and cultural ties with the new independent states. In the second half of the 1990s, Germany’s foreign policy became less intense. After the accession of Lithuania, Latvia, and Estonia to the EU and NATO in 2004, certain disagreements started to arise between Germany and the Baltics. It explains the lukewarm relations between them. The Ukraine events brought about a change in Germany’s regional policy. Despite Russia remaining one of the key economic and political counteractors, Germany, being a partner of the Baltics in the EU and NATO, cannot adopt a neutral position in the conflict of interests between the Baltics and Russia.

  10. Iran's petroleum policy: Current trends and the future outlook

    International Nuclear Information System (INIS)

    Pezeshki, S.; Fesharaki, F.

    1994-12-01

    The Iranian economy and political situation have undergone radical changes since the 1979 Islamic revolution. The excesses of the early years of the revolution have gradually given way to moderation and a more pragmatic economic policy--based on the principles of the free market. The petroleum policy, as a subset of the economic policies, has been somewhat affected by the political and economic developments in Iran. The petroleum policy has changed from a position of no foreign participation to a position that includes a desire for foreign participation, the text of a model contract, and an attempt to introduce new technologies in the upstream sector. This report provides an overview of the key issues facing the Iranian oil industry and the economic context in which the oil industry is operating in Iran. It describes the evolution of policies meant to move the oil industry toward the free market; it discusses Iran's oil trading partners, the outlook for refining and project investments, and current and likely future developments in the natural gas and petrochemical sectors. In short, the report provides an up-to-date assessment of the Iranian petroleum sector and its likely evolution in the future

  11. Behavioural Climate Change Mitigation Options and Their Appropriate Inclusion in Quantitative Longer Term Policy Scenarios

    Energy Technology Data Exchange (ETDEWEB)

    Faber, J.; Schroten, A.; Bles, M.; Sevenster, M.; Markowska, A.; Smit, M. [CE Delft, Delft (Netherlands); Rohde, C.; Duetschke, E.; Koehler, J.; Gigli, M. [Fraunhofer Institute for Systems and Innovation Research ISI, Karlsruhe (Germany); Zimmermann, K.; Soboh, R.; Van ' t Riet, J. [Landbouw Economisch Instituut LEI, Wageningen (Netherlands)

    2012-01-15

    Changes in consumer behaviour can lead to major reductions in greenhouse gas emissions in the European Union, particularly in the areas of transport, housing and food. Behavioural changes can complement technological changes and can allow emission reduction targets to be achieved more cost-effectively overall. The study identifies 36 options for behavioural change that would cut greenhouse gas emissions. Of these, 11 particularly relevant options have been studied in detail. They include shifting to a more healthy and balanced diet, eating less meat and dairy products, buying and using a smaller car or an electric car, teleworking, adjusting room temperature and optimising ventilation. For each of the behavioural changes studied in depth, emission reduction potentials have been quantified for 2020, 2030 and 2050. The study identifies barriers to implementing the changes, and quantifies the likely effects of policy packages which could overcome these barriers. The results show that the behavioural changes that could take place simultaneously have the potential to save emissions totalling up to about 600 million tonnes of CO2-equivalent a year in 2020. This is about one-quarter of the projected annual emissions from sectors not covered by the EU emissions trading system. The savings potential is particularly high in the area of food.

  12. Ukraine: Current Issues and U.S. Policy

    Science.gov (United States)

    2016-10-27

    benefit Kyiv for a while longer. Current Economic Situation After Russia proper, the Ukrainian republic was the most important economic component of...greater strides in energy conservation, which has required a steep and politically unpopular hike in natural gas prices, including for households...or enthusiasm for funding social policies, Moscow has been bankrolling pensions, social benefits , and salaries of local officials and the separatist

  13. Policy options for sustainable energy use in a general model of the UK economy

    International Nuclear Information System (INIS)

    Barker, T.; Ekins, P.; Johnstone, N.

    1996-01-01

    A quantitative general economic model has been developed for options available in greenhouse gas abatement policy concerning energy use. It has been applied in three exercises to explore the effects of energy taxes on the United Kingdom economy. One of these examined the effect of the proposed European Commission carbon/energy tax; the second attempts to set out a policy framework which would enable the UK to reach the IPCC target of 60% reduction in CO 2 emissions by 2040 and explores the economic implications; the third compares the proposal of the UK government to levy VAT on domestic fuel with the EC carbon/energy tax. Additionally, estimates have been made of the secondary benefits of reducing CO 2 emissions. The results present a striking contrast to much of the literature. They include the conclusions that: the EC carbon/energy tax would have negligible macroeconomic effects on the UK economy providing revenues were recycled in such a way as to neutralise inflation; reduction of UK CO 2 emissions by 60% would not necessarily cause great economic disruption; the secondary benefits of reducing CO 2 emissions are of sufficient size to alter radically the benefit cost profile of carbon abatement; equity and efficiency should be regarded as complementary, not competing, objectives in the abatement of CO 2 emissions from the domestic sector. (UK)

  14. The United States and the Southwest Pacific: Policy Options for a Changing Region.

    Science.gov (United States)

    1986-03-01

    Water applies in the South Pacific: DETERMINED to keep the region free of environmental polution by radioactive wastes and other radioactive matter...extend this plant at a cost of $11 million. 51 \\ ik source). While there are no current programs for dumping radioactive waste in the region, the...policy. The Japanese prime minister further assured Island leaders that Japan would never dump low- level radioactive waste in the Pacific without the

  15. A successful Charter challenge to medicare? Policy options for Canadian provincial governments.

    Science.gov (United States)

    Flood, Colleen M; Thomas, Bryan

    2018-03-26

    In September 2016, a case went to trial in British Columbia that seeks to test the constitutionality of provincial laws that (1) ban private health insurance for medically necessary hospital and physician services; (2) ban extra-billing (physicians cannot charge patients more than the public tariff); and (3) require physicians to work solely for the public system or 'opt-out' and practice privately. All provinces have similar laws that have been passed to meet the requirements of federal legislation, the Canada Health Act (and thus qualify for federal funds). Consequently, a finding of unconstitutionality of one or more of these laws could have a very significant impact on the future of Canada's single-payer system ('medicare'). However, should the court find that a particular law is not in compliance with the Canadian Charter of Rights and Freedoms, the baton is then passed back to the government which may respond with other laws or policies that they believe to be constitutionally compliant. The ultimate impact of any successful Charter challenge to laws protecting medicare from privatization will thus significantly depend on how Canadian governments respond. Provincial governments could allow privatization to undercut equity and access, or they could respond creatively with new legal and policy solutions to both improve equity and access and tackle some of the problems that have long bedeviled Canadian medicare. This paper provides an understanding - grounded in comparative health systems evidence - of law and policy options available to Canadian lawmakers for limiting two-tier care in the wake of any successful challenge to existing laws. The paper presents the results of a large inter-disciplinary, comparative study, started in 2015, that systematically reviewed the legal and broader regulatory schemes used to regulate the public/private divide in 15 Organization for Economic Co-Operation and Development countries with a particular eye to what the effect of

  16. Effective treatment options for musculoskeletal pain in primary care: A systematic overview of current evidence

    Science.gov (United States)

    Hill, Jonathan C.; Foster, Nadine E.; Protheroe, Joanne

    2017-01-01

    Background & aims Musculoskeletal pain, the most common cause of disability globally, is most frequently managed in primary care. People with musculoskeletal pain in different body regions share similar characteristics, prognosis, and may respond to similar treatments. This overview aims to summarise current best evidence on currently available treatment options for the five most common musculoskeletal pain presentations (back, neck, shoulder, knee and multi-site pain) in primary care. Methods A systematic search was conducted. Initial searches identified clinical guidelines, clinical pathways and systematic reviews. Additional searches found recently published trials and those addressing gaps in the evidence base. Data on study populations, interventions, and outcomes of intervention on pain and function were extracted. Quality of systematic reviews was assessed using AMSTAR, and strength of evidence rated using a modified GRADE approach. Results Moderate to strong evidence suggests that exercise therapy and psychosocial interventions are effective for relieving pain and improving function for musculoskeletal pain. NSAIDs and opioids reduce pain in the short-term, but the effect size is modest and the potential for adverse effects need careful consideration. Corticosteroid injections were found to be beneficial for short-term pain relief among patients with knee and shoulder pain. However, current evidence remains equivocal on optimal dose, intensity and frequency, or mode of application for most treatment options. Conclusion This review presents a comprehensive summary and critical assessment of current evidence for the treatment of pain presentations in primary care. The evidence synthesis of interventions for common musculoskeletal pain presentations shows moderate-strong evidence for exercise therapy and psychosocial interventions, with short-term benefits only from pharmacological treatments. Future research into optimal dose and application of the most

  17. Managing vulnerability to drought and enhancing livelihood resilience in sub-Saharan Africa: Technological, institutional and policy options

    Directory of Open Access Journals (Sweden)

    Bekele Shiferaw

    2014-06-01

    Full Text Available Agriculture and the economies of Sub-Saharan Africa (SSA are highly sensitive to climatic variability. Drought, in particular, represents one of the most important natural factors contributing to malnutrition and famine in many parts of the region. The overall impact of drought on a given country/region and its ability to recover from the resulting social, economic and environmental impacts depends on several factors. The economic, social and environmental impacts of drought are huge in SSA and the national costs and losses incurred threaten to undermine the wider economic and development gains made in the last few decades in the region. There is an urgent need to reduce the vulnerability of countries to climate variability and to the threats posed by climate change. This paper attempts to highlight the challenges of drought in SSA and reviews the current drought risk management strategies, especially the promising technological and policy options for managing drought risks to protect livelihoods and reduce vulnerability. The review suggests the possibilities of several ex ante and ex post drought management strategies in SSA although their effectiveness depends on agro-climatic and socio-economic conditions. Existing technological, policy and institutional risk management measures need to be strengthened and integrated to manage drought ex ante and to minimize the ex post negative effects for vulnerable households and regions. A proactive approach that combines promising technological, institutional and policy solutions to manage the risks within vulnerable communities implemented by institutions operating at different levels (community, sub-national, and national is considered to be the way forward for managing drought and climate variability.

  18. Analysis of policy options and implementation measures promoting electricity from renewable biomass in the EU

    International Nuclear Information System (INIS)

    Kautto, N.

    2005-04-01

    Biomass as a renewable energy source holds a great potential in responding to energy challenges of the future as well as meeting renewable energy targets set by the European Union. The objective of this study was to analyse various policy options and implementation measures promoting electricity from renewable biomass in the European Union, including new Member States (EU-25). The main political driving force behind this investigation was the RES-E Directive (2001/77/EC). The effectiveness of policy instruments regarding the development of electricity from biomass and biogas in the period of 1990-2002, and the framework conditions, i.e. success and risk factors, for this progress were assessed though a 'five-step approach'. Past development in terms of bioelectricity production and generating capacity was assessed based on statistics of Eurostat and the IEA. Policy instruments promoting bioelectricity and the framework factors on the national level in each EU Member State (excluding Cyprus and Malta) were investigated using the EU and governmental documents, independent evaluations and expert contacts as information sources. It became clear that determination of the effectiveness of policy instruments cannot be separated from the environment these mechanisms are applied to: mapping of the frame conditions for development is essential. Instead of selecting distinct policy instruments, successful Member State/bioelectricity combinations were chosen. The most successful combinations were found to be Germany, United Kingdom, Spain and Finland, whereas examples of unsuccessful measures were found in Greece, Luxembourg and the new Member States. Bioelectricity has clearly benefited from feed-in tariff system in countries like Germany but the use of biomass has essentially increased even without this measure in Sweden and Finland, where favourable taxation and strong links between forestry and power industries are defining factors for positive development. This study

  19. Current Therapeutic Options for Esophageal Motor Disorders as Defined by the Chicago Classification.

    Science.gov (United States)

    Zerbib, Frank; Roman, Sabine

    2015-07-01

    With the development of high-resolution manometry and specific metrics to characterize esophageal motility, the Chicago Classification has become the gold standard for the diagnosis of esophageal motor disorders. Major and significant disorders, that is, never observed in healthy subjects, are achalasia, esophagogastric junction outflow obstruction, distal esophageal spasm, absent peristalsis, and hypercontractile (Jackhammer) esophagus. Achalasia subtyping is relevant to predict the response to endoscopic and surgical therapies as several studies suggest that, pneumatic dilation is less effective than Heller myotomy, in type III achalasia. Peroral endoscopic myotomy, initially developed in expert centers, is a promising technique for the treatment of achalasia. The medical therapeutic options for distal esophageal spasm and hypercontractile esophagus are smooth muscle relaxants and pain modulators. Intraesophageal injection of botulinum toxin might be an interesting option for treatment of these disorders but further studies are required to determine the optimal injection protocol and the best candidates based on manometric patterns. The treatment of hypotensive motility disorders is disappointing and relies mainly on dietary and lifestyle changes as no effective esophageal prokinetic is currently available.

  20. Therapeutic options in pediatric non alcoholic fatty liver disease: current status and future directions

    Directory of Open Access Journals (Sweden)

    Vajro Pietro

    2012-10-01

    Full Text Available Abstract The epidemics of overweight and obesity has resulted in a significant increase of non alcoholic fatty liver disease (NAFLD, a potentially progressive condition. Currently, obesity related hepatopathy represents therefore the main cause of pediatric chronic liver disease. The first choice treatment at all ages is weight loss and/or lifestyle changes, however compliance is very poor and a pharmacological approach has become necessary. In the present article we present a systematic literature review focusing on established pediatric NALFD drugs (ursodeoxycholic acid, insulin sensitizers, and antioxidants and on innovative therapeutic options as well. Regarding the former ones, a pediatric pilot study highlighted that ursodeoxycholic acid is not efficient on transaminases levels and bright liver. Similarly, a recent large scale, multicenter randomized clinical trial (TONIC study showed that also insulin sensitizers and antioxidant vitamin E have scarce effects on serum transaminase levels. Among a large series of novel therapeutic approaches acting on recently proposed different pathomechanisms, probiotics seem hitherto the most interesting and reasonable option for their safety and tolerability. Toll-like receptors modifiers, Pentoxifylline, and Farnesoid X receptors agonists have been still poorly investigated, and will need further studies before becoming possible promising innovative therapeutic strategies.

  1. Evaluation of supplier obligation policy options: Report for DTI and DEFRA

    Energy Technology Data Exchange (ETDEWEB)

    Radov, Daniel; Klevnas, Per; Nagler, David

    2007-05-23

    This report examines various policy design options for a future 'Supplier Obligation' to promote energy efficiency in the domestic sector. It examines possible reasons that low-cost energy efficiency measures have not been taken up to the extent predicted by simple models of household financial decision-making. Having characterised these 'barriers' to energy efficiency we review a range of policy designs that could be considered to reduce household CO{sub 2} emissions. We then evaluate these options against a range of criteria and suggest areas for further research. There is a substantial literature on the barriers to energy efficiency both within households and more generally across the economy. Based on this literature, w e have identified seven categories of 'barriers'. Briefly, these include: Basic financial barriers: These include the potentially higher (upfront) costs of energy efficient products and the interest rates available to households; Hidden costs: These include 'transaction costs' associated with finding reputable providers, time costs of disruption, and the costs of differences in quality of product or service - all of which may reduce the net benefit derived from efficiency measures. Lack of information: If households do not know their level of energy expenditure, how energy use can be reduced, by how much, or at what cost, they are unlikely to consider investing in energy efficiency. Risks and uncertainty: Uncertainty about future energy prices or period of tenure may deter households from investing, since they cannot be assured of future savings. In addition, households may be wary of the risk associated with new (or unfamiliar) products or services. Poorly aligned incentives: The most commonly cited barrier of this kind is the 'landlord-tenant split, whereby landlords under-invest in energy-efficiency because tenants pay energy bills, or tenants do not economise on energy because the landlord pays

  2. Bioenergy transition in rural China: Policy options and co-benefits

    International Nuclear Information System (INIS)

    Gan Lin; Yu Juan

    2008-01-01

    This paper reviews the current situation of bioenergy development in China, particularly on its relationship to sustainable rural development. It argues that the current government strategy, investment policy and industrial interest are over-emphasized on biomass-burning power generation as part of the clean energy development trajectories, which may not lead to the most cost-effective outcomes in terms of investments, resource use and social development objectives. It points out that there are large potentials in developing and disseminating household-based biomass technologies in rural areas, especially with energy-efficient modern biomass stoves, which can produce far more economic, social and environmental benefits than biomass power plants. It is a decentralized solution to use renewable energy resources for meeting multi-objectives. It is suggested that key incentive policies be provided by the government to encourage this technological transition, or the leapfrogging from using traditional household stoves towards modern biomass stoves, which will lead to a win-win situation in global, regional and local environmental protection, sustainable resource management and related social benefits, particularly for the poor in remote communities. Six policy recommendations are made: (1) financial schemes development; (2) preferable tax and carbon tax; (3) regulatory policy reform; (4) service industry support; (5) market research, training and capacity building for key stakeholders; (6) development of methodologies and standards for CDM projects. The potential co-benefits brought up by this massive biomass technology transition will bring new perspectives to realizing Millennium Development Goals (MDGs) and global CO 2 emissions reduction targets in China, and also set an example to other developing countries

  3. [Novel current and future therapy options for treatment of dry eye disease].

    Science.gov (United States)

    Messmer, E M

    2018-02-01

    Dry eye disease was redefined by the dry eye workshop (DEWS II) in May 2017. According to the new definition "dry eye is a multifactorial disease of the ocular surface characterized by a loss of homeostasis of the tear film and accompanied by ocular symptoms". The current definition encompasses etiological factors, such as instability and hyperosmolarity of the tear film, ocular surface inflammation and damage as well as a new aspect compared to the former definition, neurosensory abnormalities. Recent and future therapeutic options for dry eye focus on treatment of the aforementioned pathogenetic events. New tear substitutes, medications and devices to stimulate tear production, innovative anti-inflammatory treatment, medications to influence corneal innervation and new methods for treatment of Meibomian gland dysfunction are already available or will be available in the near future.

  4. Public health economic evaluation of different European Union–level policy options aimed at reducing population dietary trans fat intake12

    Science.gov (United States)

    Mouratidou, Theodora; Livaniou, Anastasia

    2016-01-01

    Background: The adverse relation between dietary trans fatty acid (TFA) intake and coronary artery disease risk is well established. Many countries in the European Union (EU) and worldwide have implemented different policies to reduce the TFA intake of their populations. Objective: The aim of this study was to assess the added value of EU-level action by estimating the cost-effectiveness of 3 possible EU-level policy measures to reduce population dietary TFA intake. This was calculated against a reference situation of not implementing any EU-level policy (i.e., by assuming only national or self-regulatory measures). Design: We developed a mathematical model to compare different policy options at the EU level: 1) to do nothing beyond the current state (reference situation), 2) to impose mandatory TFA labeling of prepackaged foods, 3) to seek voluntary agreements toward further reducing industrially produced TFA (iTFA) content in foods, and 4) to impose a legislative limit for iTFA content in foods. Results: The model indicated that to impose an EU-level legal limit or to make voluntary agreements may, over the course of a lifetime (85 y), avoid the loss of 3.73 and 2.19 million disability-adjusted life-years (DALYs), respectively, and save >51 and 23 billion euros when compared with the reference situation. Implementing mandatory TFA labeling can also avoid the loss of 0.98 million DALYs, but this option incurs more costs than it saves compared with the reference option. Conclusions: The model indicates that there is added value of an EU-level action, either via a legal limit or through voluntary agreements, with the legal limit option producing the highest additional health benefits. Introducing mandatory TFA labeling for the EU common market may provide some additional health benefits; however, this would likely not be a cost-effective strategy. PMID:27680991

  5. The Sulu-Sulawesi Sea: environmental and socioeconomic status, future prognosis and ameliorative policy options.

    Science.gov (United States)

    DeVantier, Lyndon; Alcala, Angel; Wilkinson, Clive

    2004-02-01

    The Sulu-Sulawesi Sea, with neighboring Indonesian Seas and South China Sea, lies at the center of the world's tropical marine biodiversity. Encircled by 3 populous, developing nations, the Philippines, Indonesia and Malaysia, the Sea and its adjacent coastal and terrestrial ecosystems, supports ca. 33 million people, most with subsistence livelihoods heavily reliant on its renewable natural resources. These resources are being impacted severely by rapid population growth (> 2% yr-1, with expected doubling by 2035) and widespread poverty, coupled with increasing international market demand and rapid technological changes, compounded by inefficiencies in governance and a lack of awareness and/or acceptance of some laws among local populations, particularly in parts of the Philippines and Indonesia. These key root causes all contribute to illegal practices and corruption, and are resulting in severe resource depletion and degradation of water catchments, river, lacustrine, estuarine, coastal, and marine ecosystems. The Sulu-Sulawesi Sea forms a major geopolitical focus, with porous borders, transmigration, separatist movements, piracy, and illegal fishing all contributing to environmental degradation, human suffering and political instability, and inhibiting strong trilateral support for interventions. This review analyzes these multifarious environmental and socioeconomic impacts and their root causes, provides a future prognosis of status by 2020, and recommends policy options aimed at amelioration through sustainable management and development.

  6. Perspective on the current realities confronting Canadian energy policy

    International Nuclear Information System (INIS)

    Oulton, D.

    1993-01-01

    The importance of the Canadian energy sector is indicated by the large proportion of energy investments in the economy, the significant contribution of energy exports to total exports, the major role of the energy sector in Canada's regional economies, the high per-capita energy consumption, and the high contribution of fossil fuels to Canadian greenhouse gas emissions. The history of Canadian energy policy is characterized by three relatively distinct periods: a period of strong growth and development in the energy sector starting in the late 1940s, a crisis management period starting with the oil crises in the 1970s, and a market orientation in the early 1980s which reduced the role of government in the energy sector. Energy policy has generally focused on two main themes: assuring access to competitively priced energy supplies, and ensuring maximum economic benefit from energy developments. A third theme, environmental responsibility, has emerged since the late 1980s. Current pressures on Canadian energy policies include the increasing integration of energy markets in North America, the influence of international conditions on energy prices, and environmental quality concerns relating to the costs and uncertainties of environmental assessment, climate change, and sustainable development. Further constraints and influences on energy policy come from multilateral agreements with other countries and international agencies, and the need for cooperation among the different levels of Canadian governments. Economic regulation has fallen out of favor with most governments, industry, and the public, and the increased use of regulation to pursue environmental goals in the energy sector seems likely to continue

  7. Adolescent suicide prevention. Current research and social policy implications.

    Science.gov (United States)

    Garland, A F; Zigler, E

    1993-02-01

    The rate of adolescent suicide has increased dramatically in the past few decades, prompting several interventions to curb the increase. Unfortunately, many of the intervention efforts have not benefited from current research findings because the communication between researchers and those who develop the interventions is inadequate. Of specific concern are the increasingly popular curriculum-based suicide prevention programs, which have not demonstrated effectiveness and may contain potentially deleterious components. This article reviews the current epidemiological research in adolescent suicide and suggests how this knowledge could be used more effectively to reduce the rate of adolescent suicide. Recommendations include support for integrated primary prevention efforts; suicide prevention education for professionals; education and policies on firearm management; education for the media about adolescent suicide; more efficient identification and treatment of at-risk youth, including those exposed to suicidal behavior; crisis intervention; and treatment for suicide attempters.

  8. Mathematical modeling for exploring the effects of overtime option, rework, and discontinuous inventory issuing policy on EMQ model

    Directory of Open Access Journals (Sweden)

    Singa Wang Chiu

    2018-09-01

    Full Text Available This study employs mathematical modeling to explore the effects of overtime option, rework, and discontinuous end-item issuing policy on the economic manufacturing quantity (EMQ model. Conventional EMQ model assumed that all products fabricated are of good quality and are issued under continuous policy. In real world, however, nonconforming items are randomly produced, due to diverse unexpected factors in fabrication process. When finished items are to be distributed to outside locations, discontinuous multi-shipment policy is often used rather than continuous rule. In addition, with the intention of increasing short-term capacity or shortening replenishment cycle length to smooth the production planning, adopting overtime option can be an effective strategy. To cope with the aforementioned features in real production systems, this study incorporates overtime option, rework, and multi-shipment policy into the EMQ model and explores their joint effects on optimal lot size and number of shipments, and on other relevant system parameters. Mathematical modeling and Hessian matrix equations enable us to derive the optimal policies to the problem. Through the use of numerical example, the applicability of research result is exhibited and a variety of significant effects of these features on the proposed system are revealed.

  9. A real options approach to biotechnology investment policy-the case of developing a Campylobacter vaccine to poultry.

    Science.gov (United States)

    Lund, Mogens; Jensen, Jørgen Dejgård

    2016-06-01

    The aim of the article is to identify and analyse public-private incentives for the development and marketing of new animal vaccines within a real options methodological framework, and to investigate how real options methodology can be utilized to support economic incentives for vaccine development in a cost-effective way. The development of a vaccine against Campylobacter jejuni in poultry is applied as a case study. Employing the real options methodology, the net present value of the vaccine R&D project becomes larger than a purely probabilistic expected present value throughout the different stages of the project - and the net present value becomes larger, when more types of real options are taken into consideration. The insight from the real options analysis reveals opportunities for new policies to promote the development of animal vaccines. One such approach might be to develop schemes combining stage-by-stage optimized subsidies in the individual development stages, with proper account taken of investors'/developers' economic incentives to proceed, sell or cancel the project in the respective stages. Another way of using the real options approach to support the development of desirable animal vaccines could be to issue put options for the vaccine candidate, enabling vaccine developers to hedge against the economic risk from market volatility. Copyright © 2016 Elsevier B.V. All rights reserved.

  10. Iran's energy policy current dilemmas and perspective for a sustainable energy policy

    International Nuclear Information System (INIS)

    Massarrat, M.

    2005-01-01

    Iran is facing large challenges in the area of energy policy. In order to illuminate these challenges and the problems and possibilities they present, first I will analyze the current energy consumption patterns in Iran as well as the energy policy of the Iranian government-Including its atomic energy programs. Based on this analysis, I will then formulate alternative concepts for Iran's future energy and national security policy. The increase in energy usage in Iran is distinctly out of proportion with the development of economic productivity. Negative structural characteristics of this system are: first, an above-average energy intensity; second, an increase in energy consumption in the traffic sector; third, a high growth rate in the use of electrical energy; and lastly, an above-average amount of stress to the environment. Traditionally, Iran's energy policy has focused on satisfying the growing demand for energy by oil and, in the last fifteen years, by successively expanding natural gas. However, the further development of the natural gas supply only makes sense within the context of a holistic energy policy, which takes into account the principles of sustainable development. In the short term, such a policy would take advantage of both considerable energy-saving techniques, as well as potential renewable energy sources. In the long term, such a policy would strive for the complete transfer to renewable energy sources and technology. The atomic energy program is not a good answer to the future energy needs of Iran, and better solutions should be envisaged for Iran's legitimate security concerns

  11. Greenhouse gas options, policy and measures for the Canadian Transportation Equipment Manufacturing Industry - Final report

    International Nuclear Information System (INIS)

    2000-02-01

    This report summarizes and analyses the work that have been carried out by the Transportation Equipment Manufacturing Sector (TEMS) Working Group of the National Climate Change Industry Table over the last 14 months, and presents the Group's view of appropriate policies for greenhouse gas emission reduction in Canada. To develop its approach, the Working Group conducted five separate studies which are included in this report as annexes. Annex A is a Foundation Paper, which provides an overview of the sector's performance vis-a-vis energy use and greenhouse gas production. Annex B analyzes the competitive position of the industry by reviewing growth trends in each of the industry sub-sectors and the key factors in maintaining and enhancing the sector's international competitive position. Annex C is a technology assessment. It provides an overview of the uptake of energy saving technology in the sector. Annex D provides a facility level analysis focusing on energy use in the automotive parts manufacturing sector. Annex E is a review of American policies on climate change, summarizing the approach currently being taken towards greenhouse gas emission reduction in the United States. Some of the key findings of this report are: (1) business-as-usual emissions will greatly exceed the implicit Kyoto target of six per cent reduction from 1990 levels, (2) relatively few opportunities exist for major emissions reductions through the use of existing technology, (3) sector-specific policies appear to be ill-advised, but cross-cutting policies provide good opportunities for the transportation equipment manufacturing sector to do its part in helping Canada meeting its Kyoto commitment. The report recommends investigation of barriers to adoption of new technologies and examination of market imperfections, promotion of cogeneration where it makes economic sense, and consideration of the use of flexible instruments such as carbon taxes and tradable emission permits. Overall, the

  12. Universal Health Coverage in Francophone Sub-Saharan Africa: Assessment of Global Health Experts' Confidence in Policy Options.

    Science.gov (United States)

    Paul, Elisabeth; Fecher, Fabienne; Meloni, Remo; van Lerberghe, Wim

    2018-05-29

    Many countries rely on standard recipes for accelerating progress toward universal health coverage (UHC). With limited generalizable empirical evidence, expert confidence and consensus plays a major role in shaping country policy choices. This article presents an exploratory attempt conducted between April and September 2016 to measure confidence and consensus among a panel of global health experts in terms of the effectiveness and feasibility of a number of policy options commonly proposed for achieving UHC in low- and middle-income countries, such as fee exemptions for certain groups of people, ring-fenced domestic health budgets, and public-private partnerships. To ensure a relative homogeneity of contexts, we focused on French-speaking sub-Saharan Africa. We initially used the Delphi method to arrive at expert consensus, but since no consensus emerged after 2 rounds, we adjusted our approach to a statistical analysis of the results from our questionnaire by measuring the degree of consensus on each policy option through 100 (signifying total consensus) minus the size of the interquartile range of the individual scores. Seventeen global health experts from various backgrounds, but with at least 20 years' experience in the broad region, participated in the 2 rounds of the study. The results provide an initial "mapping" of the opinions of a group of experts and suggest interesting lessons. For the 18 policy options proposed, consensus emerged only on strengthening the supply of quality primary health care services (judged as being effective with a confidence score of 79 and consensus score of 90), and on fee exemptions for the poorest (judged as being fairly easy to implement with a confidence score of 66 and consensus score of 85). For none of the 18 common policy options was there consensus on both potential effectiveness and feasibility, with very diverging opinions concerning 5 policy options. The lack of confidence and consensus within the panel seems to

  13. Breaking the Mold: A Review of Mucormycosis and Current Pharmacological Treatment Options.

    Science.gov (United States)

    Riley, Treavor T; Muzny, Christina A; Swiatlo, Edwin; Legendre, Davey P

    2016-09-01

    To review the current literature for the pathogenesis of mucormycosis, discuss diagnostic strategies, and evaluate the efficacy of polyenes, triazoles, and echinocandins as pharmacological treatment options. An electronic literature search was conducted in PubMed using the MESH terms Rhizopus, zygomycetes, zygomycosis, Mucorales and mucormycosis, with search terms amphotericin B, micafungin, anidulafungin, caspofungin, extended infusion amphotericin B, liposomal amphotericin B, combination therapy, triazole, posaconazole, isavuconazole, diagnosis, and clinical manifestations. Studies written in the English language from January 1960 to March 2016 were considered for this review article. All search results were reviewed, and the relevance of each article was determined by the authors independently. Mucormycosis is a rare invasive fungal infection with an exceedingly high mortality and few therapeutic options. It has a distinct predilection for invasion of endothelial cells in the vascular system, which is likely important in dissemination of disease from a primary focus of infection. Six distinct clinical syndromes can occur in susceptible hosts, including rhino-orbital-cerebral, pulmonary, gastrointestinal, cutaneous, widely disseminated, and miscellaneous infection. Diagnosis of mucormycosis is typically difficult to make based on imaging studies, sputum culture, bronchoalveolar lavage culture, or needle aspirate. Surgical debridement prior to dissemination of infection improves clinical outcomes. Surgery combined with early, high-dose systemic antifungal therapy yields greater than a 1.5-fold increase in survival rates. The Mucorales are inherently resistant to most widely used antifungal agents. Amphotericin B is appropriate for empirical therapy, whereas posaconazole and isavuconazole are best reserved for de-escalation, refractory cases, or patients intolerant to amphotericin B. © The Author(s) 2016.

  14. Climate policy through changing consumption choices: Options and obstacles for reducing greenhouse gas emissions

    NARCIS (Netherlands)

    Girod, B.; van Vuuren, D.P.; Hertwich, E.G.

    2014-01-01

    While national climate policy can address countries’ production or consumption, climate mitigation via changes in consumption has previously received relatively little attention in climate policy literature. In the absence of an effective international climate policy, the focus on consumption is

  15. Management options for pediatric patients who stutter: current challenges and future directions

    Directory of Open Access Journals (Sweden)

    Donaghy MA

    2016-07-01

    Full Text Available Michelle A Donaghy,1 Kylie A Smith,2,3 1Faculty of Health Sciences, Australian Catholic University, North Sydney, NSW, 2Murdoch Childrens Research Institute, Royal Childrens Hospital, 3Department of Paediatrics, University of Melbourne, Parkville, VIC, Australia Abstract: Stuttering is a speech disorder, with onset often occurring in the preschool years. The prevalence of stuttering in young children is much higher than that in the general population, suggesting a high rate of recovery. However, we are unable to predict which children will recover without treatment, and it is widely acknowledged that stuttering therapy during childhood provides the best safeguard against chronic stuttering. This review reports on current evidence-based stuttering treatment options for preschoolers through to adolescents. We discuss the clinical challenges associated with treating pediatric clients who stutter at different stages of development and explore potential areas of treatment research that might serve to advance current clinical practice in the future. Keywords: stuttering, stammering, pediatric, therapy, evidence based

  16. FISCAL POLICY AND ECONOMIC DEVELOPMENT IN THE CURRENT FINANCIAL CRISIS

    Directory of Open Access Journals (Sweden)

    VALENTIN SAVA

    2012-05-01

    Full Text Available Fiscal policies in the current era are the sovereign right of states to collect and administer taxes on national territory. In this respect, the European Union, which is an association of independent states, did not created an European tax - although many politicians proposing it - and within the Union is found important differences between the tax systems of member states. Due to historical and national different traditions, the EU member states have heterogeneous tax systems and revenue sharing systems because of different conceptions of public policies relative to the role of state in social and economic respective community’s life. The financing of public spending is usually considered the main function of taxation. In the original tradition following Locke1, property protection is the main functions of the state. As a result, the tax must correspond to the services rendered, that is to say, to pay the State for the protection of the rights it provides. Here we are at the origin of the doctrine of the benefit that there should be equivalence between the utility derived by the citizens of public services they consume and the "price" they pay tax.

  17. Policy options to reduce passenger car CO2 emissions after 2020

    Energy Technology Data Exchange (ETDEWEB)

    De Wilde, H.P.J.; Kroon, P. [ECN Beleidsstudies, Petten (Netherlands)

    2013-02-15

    The EU has set emission targets for new cars up to 2020 and is now preparing the post 2020 legislation. The present study aims to give insight in the design of policies to further reduce passenger car emissions after 2020. Internal combustion engine (ICE) vehicles are now expected to enable deeper and less costly CO2 emission reductions than envisioned until recently. However, even advanced ICE vehicles will not enable to meet the very stringent long term emission reduction targets for passenger cars. Therefore transport policies need not only to reduce emissions of ICE vehicles, but also ensure that electric and hydrogen vehicles are phased in timely, along with low-CO2 electricity and hydrogen. Current legislation to regulate tank-to-wheel vehicle emissions is based on CO2-limits, expressed in g CO2/km. On the short term it is important to maximize the efficiency of conventional vehicles. At the same time it is essential to foster the market introduction of electric and hydrogen vehicles, given their potential to reach eventually much deeper overall CO2-reductions. When the market share of electric and hydrogen vehicles grows it becomes increasingly important to maximize their efficiency and to minimize their upstream CO2 emissions. Maximizing both efficiency and overall CO2-performance of all vehicle types - ICE, electric, and hydrogen - will be complicated to achieve with a single CO2-based standard. At this point an efficiency-based standard is more effective, and may offer some additional benefits too. The current report provides basic directions of how such legislation could be shaped.

  18. Pharmacotherapy for chronic non-specific low back pain: current and future options.

    Science.gov (United States)

    Koes, Bart W; Backes, Daan; Bindels, Patrick J E

    2018-04-01

    Low back pain is associated with a large burden-of-illness. It is responsible for the most years lived with disability as compared with any other medical condition. A comprehensive overview of the evidence on pharmacological treatment options for chronic low back pain is lacking. This review evaluates the evidence for the benefits and risks of currently available pharmacological treatments for chronic low back pain. Areas covered: The authors focus on the recent (Cochrane) systematic reviews and meta-analyses of randomized clinical trials covering paracetamol (acetaminophen), NSAIDs, muscle relaxants, antidepressants, anticonvulsants, opioids, and other (new) drugs. Expert opinion: The overall impression of the efficacy of pharmacological treatments for patients with chronic low back pain is rather sobering. The effects on pain reduction and improvement of function are commonly small to moderate and short lasting when compared to placebo. At the same time, the various types of drugs are not without side-effects. This holds especially true for serious side-effects associated with (prolonged) use of strong opioids. Future studies on patients with chronic back pain should aim to identify subgroups of patients with good response to specific pharmacological treatment to facilitate personalized care.

  19. Addressing Therapeutic Options for Ebola Virus Infection in Current and Future Outbreaks.

    Science.gov (United States)

    Haque, Azizul; Hober, Didier; Blondiaux, Joel

    2015-10-01

    Ebola virus can cause severe hemorrhagic disease with high fatality rates. Currently, no specific therapeutic agent or vaccine has been approved for treatment and prevention of Ebola virus infection of humans. Although the number of Ebola cases has fallen in the last few weeks, multiple outbreaks of Ebola virus infection and the likelihood of future exposure highlight the need for development and rapid evaluation of pre- and postexposure treatments. Here, we briefly review the existing and future options for anti-Ebola therapy, based on the data coming from rare clinical reports, studies on animals, and results from in vitro models. We also project the mechanistic hypotheses of several potential drugs against Ebola virus, including small-molecule-based drugs, which are under development and being tested in animal models or in vitro using various cell types. Our paper discusses strategies toward identifying and testing anti-Ebola virus properties of known and medically approved drugs, especially those that can limit the pathological inflammatory response in Ebola patients and thereby provide protection from mortality. We underline the importance of developing combinational therapy for better treatment outcomes for Ebola patients. Copyright © 2015, American Society for Microbiology. All Rights Reserved.

  20. England Policy in Gifted Education: Current Problems and Promising Directions

    Science.gov (United States)

    Koshy, Valsa; Smith, Carole Portman; Casey, Ronald

    2018-01-01

    This article presents and analyzes policies in identification and provisions in England with respect to gifted education. England has developed a national policy to provide services to identified students. Surveys and interviews with teachers illustrate how implementation of both identification and provision policy elements were handled. Although…

  1. Climate change : expert opinion on the economics of policy options to address climate change

    Science.gov (United States)

    2008-05-01

    Panelists identified key strengths and limitations of alternative policy approaches that should be of assistance to the Congress in weighing the potential benefits and costs of different policies for addressing climate change. Many panelists said tha...

  2. Optimal Replacement Policies for Non-Uniform Cache Objects with Optional Eviction

    National Research Council Canada - National Science Library

    Bahat, Omri; Makowski, Armand M

    2002-01-01

    .... However, since the introduction of optimal replacement policies for conventional caching, the problem of finding optimal replacement policies under the factors indicated has not been studied in any systematic manner...

  3. Financial considerations of policy options to enhance biomass utilization for reducing wildfire hazards

    Science.gov (United States)

    Dennis R. Becker; Debra Larson; Eini C. Lowell

    2009-01-01

    The Harvest Cost-Revenue Estimator, a financial model, was used to examine the cost sensitivity of forest biomass harvesting scenarios to targeted policies designed to stimulate wildfire hazardous fuel reduction projects. The policies selected represent actual policies enacted by federal and state governments to provide incentive to biomass utilization and are aimed at...

  4. Health services financing and delivery: analysis of policy options for Dubai, United Arab Emirates

    Science.gov (United States)

    Hamidi, Samer

    2015-01-01

    Introduction A national health account (NHA) provides a systematic approach to mapping the flow of health sector funds within a specified health system over a defined time period. This article attempts to present a profile of health system financing in Dubai, United Arab Emirates using data from NHAs, and to compare the functional structures of financing schemes in Dubai with schemes in Qatar and selected member countries of the Organization for Economic Cooperation and Development (OECD). Methods The author analyzed secondary data published in NHAs of Dubai and Qatar and data collected by the OECD countries and publicly available from Eurostat (Statistical Office of the European Union) of 25 OECD countries for comparative analysis. All health financing indicators used were as defined in the international System of Health Accounts (SHA). Results In Dubai, spending on inpatient care was the highest-costing component, with 30% of current health expenditures (CHE). Spending on outpatient care was the second highest-costing component and accounted for about 23% of the CHE. Household spending accounted for about 22% of CHE (equivalent to US$187 per capita), compared to an average of 20% of CHE of OECD countries. Dubai spent 0.02% of CHE on long-term care, compared to an average of 11% of CHE of OECD countries. Dubai spent about 6% of CHE on prevention and public health services, compared to an average of 3.2% of CHE of OECD countries. Conclusion The findings point to potential opportunities for growth and improvement in several health policy issues in Dubai, including increasing focus and funding of preventive services; shifting from inpatient care to day surgery, outpatient, and home-based services and strengthening long-term care; and introducing cost-containment measures for pharmaceuticals. More investment in the translation of NHA data into policy is suggested for future researchers. PMID:25750545

  5. Health services financing and delivery: analysis of policy options for Dubai, United Arab Emirates.

    Science.gov (United States)

    Hamidi, Samer

    2015-01-01

    A national health account (NHA) provides a systematic approach to mapping the flow of health sector funds within a specified health system over a defined time period. This article attempts to present a profile of health system financing in Dubai, United Arab Emirates using data from NHAs, and to compare the functional structures of financing schemes in Dubai with schemes in Qatar and selected member countries of the Organization for Economic Cooperation and Development (OECD). The author analyzed secondary data published in NHAs of Dubai and Qatar and data collected by the OECD countries and publicly available from Eurostat (Statistical Office of the European Union) of 25 OECD countries for comparative analysis. All health financing indicators used were as defined in the international System of Health Accounts (SHA). In Dubai, spending on inpatient care was the highest-costing component, with 30% of current health expenditures (CHE). Spending on outpatient care was the second highest-costing component and accounted for about 23% of the CHE. Household spending accounted for about 22% of CHE (equivalent to US$187 per capita), compared to an average of 20% of CHE of OECD countries. Dubai spent 0.02% of CHE on long-term care, compared to an average of 11% of CHE of OECD countries. Dubai spent about 6% of CHE on prevention and public health services, compared to an average of 3.2% of CHE of OECD countries. The findings point to potential opportunities for growth and improvement in several health policy issues in Dubai, including increasing focus and funding of preventive services; shifting from inpatient care to day surgery, outpatient, and home-based services and strengthening long-term care; and introducing cost-containment measures for pharmaceuticals. More investment in the translation of NHA data into policy is suggested for future researchers.

  6. A real option-based model to valuate CDM projects under uncertain energy policies for emission trading

    International Nuclear Information System (INIS)

    Park, Taeil; Kim, Changyoon; Kim, Hyoungkwan

    2014-01-01

    Highlights: • A real option-based model for the valuation of CDM projects is proposed. • This study investigates the impact of energy policies on the value of CDM projects. • Level of target emission and its schedule should be carefully designed. • Government subsidy facilitates the implementation of CDM projects. • Period for free emission allowance prevents promoting CDM projects. - Abstract: Emission trading has been considered a primary policy tool for emission reduction. Governments establish national targets for emission reduction and assign emission reduction goals to private entities to accomplish the targets. To attain the goal, private entities should perform offset projects that can produce emission credits or buy emission credits from the market. However, it is not easy for private entities to decide to implement the projects because energy policies associated with emission trading keep changing; thus, the future benefits of the offset projects are quite uncertain. This study presents a real option-based model to investigate how uncertain energy policies affect the financial viability of an offset project. A case study showed that the establishment of a target emission was attractive to the government because it could make the CDM project financially viable with a small amount of government subsidy. In addition, the level of the government subsidy could determine the investment timing for the CDM project. In this context, governments should be cautious in designing energy policies, because even the same energy policies could have different impacts on private entities. Overall, this study is expected to assist private entities in establishing proper investment strategies for CDM projects under uncertain energy policies

  7. Health services financing and delivery: analysis of policy options for Dubai, United Arab Emirates

    Directory of Open Access Journals (Sweden)

    Hamidi S

    2015-02-01

    Full Text Available Samer Hamidi School of Health and Environmental Studies, Hamdan Bin Mohammed Smart University, Dubai, United Arab Emirates Introduction: A national health account (NHA provides a systematic approach to mapping the flow of health sector funds within a specified health system over a defined time period. This article attempts to present a profile of health system financing in Dubai, United Arab Emirates using data from NHAs, and to compare the functional structures of financing schemes in Dubai with schemes in Qatar and selected member countries of the Organization for Economic Cooperation and Development (OECD. Methods: The author analyzed secondary data published in NHAs of Dubai and Qatar and data collected by the OECD countries and publicly available from Eurostat (Statistical Office of the European Union of 25 OECD countries for comparative analysis. All health financing indicators used were as defined in the international System of Health Accounts (SHA. Results: In Dubai, spending on inpatient care was the highest-costing component, with 30% of current health expenditures (CHE. Spending on outpatient care was the second highest-costing component and accounted for about 23% of the CHE. Household spending accounted for about 22% of CHE (equivalent to US$187 per capita, compared to an average of 20% of CHE of OECD countries. Dubai spent 0.02% of CHE on long-term care, compared to an average of 11% of CHE of OECD countries. Dubai spent about 6% of CHE on prevention and public health services, compared to an average of 3.2% of CHE of OECD countries. Conclusion: The findings point to potential opportunities for growth and improvement in several health policy issues in Dubai, including increasing focus and funding of preventive services; shifting from inpatient care to day surgery, outpatient, and home-based services and strengthening long-term care; and introducing cost-containment measures for pharmaceuticals. More investment in the translation of

  8. Treatment Options for Paediatric Anaplastic Large Cell Lymphoma (ALCL: Current Standard and beyond

    Directory of Open Access Journals (Sweden)

    Nina Prokoph

    2018-03-01

    Full Text Available Anaplastic Lymphoma Kinase (ALK-positive Anaplastic Large Cell Lymphoma (ALCL, remains one of the most curable cancers in the paediatric setting; multi-agent chemotherapy cures approximately 65–90% of patients. Over the last two decades, major efforts have focused on improving the survival rate by intensification of combination chemotherapy regimens and employing stem cell transplantation for chemotherapy-resistant patients. More recently, several new and ‘renewed’ agents have offered the opportunity for a change in the paradigm for the management of both chemo-sensitive and chemo-resistant forms of ALCL. The development of ALK inhibitors following the identification of the EML4-ALK fusion gene in Non-Small Cell Lung Cancer (NSCLC has opened new possibilities for ALK-positive ALCL. The uniform expression of CD30 on the cell surface of ALCL has given the opportunity for anti-CD30 antibody therapy. The re-evaluation of vinblastine, which has shown remarkable activity as a single agent even in the face of relapsed disease, has led to the consideration of a revised approach to frontline therapy. The advent of immune therapies such as checkpoint inhibition has provided another option for the treatment of ALCL. In fact, the number of potential new agents now presents a real challenge to the clinical community that must prioritise those thought to offer the most promise for the future. In this review, we will focus on the current status of paediatric ALCL therapy, explore how new and ‘renewed’ agents are re-shaping the therapeutic landscape for ALCL, and identify the strategies being employed in the next generation of clinical trials.

  9. Rationalization and Student/School Personhood in U.S. College Admissions: The Rise of Test-Optional Policies, 1987 to 2015

    Science.gov (United States)

    Furuta, Jared

    2017-01-01

    This article examines the rise of "test-optional" college admissions policies since the 1990s. I argue that the rationalization of college admissions policies after World War II contributed to the rise of "meritocratic" stratification (in policy) and standardized tests, like the SAT, but it also led to the expansion and…

  10. Policies for second generation biofuels: current status and future challenges

    Energy Technology Data Exchange (ETDEWEB)

    Egger, Haakan; Greaker, Mads; Potter, Emily

    2011-07-01

    Current state-of-the-art knowledge concludes that green house gas (GHG) emissions must be controlled and reduced within the next 30-40 years. The transport sector contributes almost a fifth of the current global emissions, and its share is likely to increase in the future. The US and a number of European countries have therefore introduced various support schemes for research and development (RandD) of low emission fuels that can potentially replace the current fossil fuels. One such alternative is biofuels. The advantage of biofuels are that it is easy to introduce into the transport sector. On the other hand, recent research papers question whether the supply of feedstock is sufficient, and to what extent biofuels lead to GHG emission reductions. This report reviews the current status of second generation biofuels. Second generation biofuels are made from cellulose, which according to our survey of the literature, is in more abundant supply than the first generation biofuels feedstocks. Furthermore, it seems to have the potential to reduce GHG emissions from the transport sector without leading to devastating land use changes, which recent critique has held against first generation biofuels. Given that governments have decided to support RandD of low emission fuels, we ask the following questions: Should second generation biofuels receive RandD support to the same extent as other low emission fuels like hydrogen? How should support schemes for second generation biofuels be designed? Second generation biofuels can be divided according to the production process into thermo-chemical and bio-chemical. With respect to the thermo-chemical process the potential for cost reductions seems to be low. On the other hand, ethanol made from cellulose using the biochemical conversion process is far from a ripe technology. Expert reports point to several potential technological breakthroughs which may reduce costs substantially. Hence, cellulosic ethanol, should receive direct

  11. Is recycling the best policy option? Insights from life cycle analysis

    Energy Technology Data Exchange (ETDEWEB)

    Gaines, L.L.; Stodolsky, F.

    1996-03-01

    The public perceives that the more we recycle, the better off we are. However, both the concept of recycling and the benefits to be achieved from recycling are somewhat vague. To determine the best option for disposition of a material at the end of its first use, we need to first define the available options and then clarify the possible goals that can be achieved by them. The best option will depend on the material, goals to be achieved, and location-dependent factors, such as costs, resources, and regulations. This paper presents the results of a life-cycle energy analysis of kraft paper and newsprint by Argonne National Laboratory. They indicate that under some circumstances, the option of fiber-energy recovery will maximize the benefits that can. be realized from the U.S. used paper resource.

  12. How to Buy a Medical Home? Policy Options and Practical Questions

    OpenAIRE

    Berenson, Robert A.; Rich, Eugene C.

    2010-01-01

    In this paper, we describe a range of payment options to support the PCMH, identifying their conceptual strengths and weaknesses. These include enhanced FFS payment for office visits to the PCMH; paying additional FFS for “new” PCMH services; variations of traditional FFS combined with new PCMH-oriented per patient per month capitation; and combined capitation payments for traditional primary care medical services as well as new medical home services. In discussing options for PCMH payment re...

  13. Government policy, research and stakeholder confidence - Current Trends in Canada

    International Nuclear Information System (INIS)

    Letourneau, Carmel

    2006-01-01

    The author addressed the topic of government Policy, research and stakeholder Confidence from the perspective of government policy makers in Canada. The presentation reviewed the question: why carry out more research into methods of long-term management of nuclear fuel waste? In addressing this question, the author provided some perspectives that were expressed by the Canadian public, since reflected in the Final Study of management approaches led by the Nuclear Waste Management Organization (NWMO), an organization set up by the nuclear industry to study options for the long-term management of nuclear fuel waste. The Final Study was submitted to the federal Minister of Natural Resources in November 2005 as required under the Nuclear Fuel Waste Act. The NWMO's Final Study emphasized the important role of continuous learning, a key element in the NWMO's recommendation of Adaptive Phased Management. It was reported that the NWMO work had identified many reasons to carry out further research. Regardless of the management approach adopted, activities to manage radioactive waste will continue for a very long time. Any management program could be expected to apply the best practice available at the time. A program that will evolve over a long period of time will have many opportunities for improvements to increase performance, enhance effectiveness, and address rising societal concerns. It was suggested that, to realize these benefits, there needs to be a vibrant and robust research and development effort during management program development and execution, a period that will last many generations, and enable implementers to adapt to a changing environment. Among the reasons put forward for continuing research were, to: - Embody the principles of continuous learning which encourages standards of excellence and integrity; - Prepare for facility siting, design, licensing, development and operations to improve designs, minimize costs, enhance schedules, and reduce

  14. Current Policy Issues in Early Foreign Language Learning

    Directory of Open Access Journals (Sweden)

    Janet Enever

    2012-01-01

    Full Text Available The development of policy in relation to language learning at the early primary level of schooling has received only limited attention in the literature on policy studies in general, and within the framework of an emerging education policy space across Europe specifically. This paper offers an introductory discussion of the growth of education policy in Europe, identifying the extent to which the histories of national language policies are being re-shaped by the rise of numerical data and comparison within a newly-formed European education space. A summary review of key measures of particular relevance to early language learning illustrates thescale of “soft” policy mechanisms now available as tools in an on-going process of shaping, adapting and refining policy in response to the continuously shifting language priorities that arise particularly during periods of economic instability. This paper draws on key themes from a transnational, longitudinal study of early language learning in Europe to discuss the extent to which implementation in schools has so far been moulded by a plethora of recommendations, reports and indicators formulated in response to the step change in policy development that has occurred since the publication of the Lisbon Strategy (2000.

  15. Current alcohol policy in the Republic of Belarus

    OpenAIRE

    Razvodovsky, Y. E.

    2012-01-01

    An analysis of the state alcohol policy is presented. The dynamics of total alcohol consumption, unregistered alcohol consumption and alcohol sales in Belarus were evaluated for the period 1980-2009. It was shown that the implementation of measures within the framework of the state alcohol policy resulted in a significant reduction in unregistered alcohol consumption and a slight reduction in total alcohol consumption.

  16. Policy implications of Iran's Nuclear Deal in technical terms for the plutonium route, uranium route, covert options, inspections, monitoring and verifications

    Energy Technology Data Exchange (ETDEWEB)

    Pinheiro, Andre Ricardo M., E-mail: andrericardopinheiro@usp.br [Universidade de São Paulo (USP), SP (Brazil). Departamento de Engenharia Naval; Guimarães, Leonam dos Santos, E-mail: leonam@eletronuclear.gov.br [Eletrobrás Termonuclear S.A. (ELETRONUCLEAR), Rio de Janeiro, RJ (Brazil)

    2017-07-01

    The present Paper addresses the policy implications of Joint Comprehensive Plan of Action (JCPOA) known as 'Ian Nuclear Deal', implemented on 16{sup th} January of 2016 between the Iran and the P5+1 countries (the U.S., U.K. France, Germany, Russia, and China), along with the EU in technical terms to analyze the Plutonium Route, Uranium Route and the Covert options and Inspections, Monitoring and Verifications. A historical review is presented to understand how the Iranian Nuclear Program is formed. Following is shown the current nuclear facilities in Iran and its capacity to process nuclear materials. It is analyzed the impact of JCPOA in Uranium and Plutonium routes. Covert Options always will be an option, so the most sensitive impact is related to the new monitoring and verification policies that must ensure real control of illegal procedures. The main conclusion is that the deal postpones the Iran's nuclear program for more than a decade (15 years), delaying Iran's nuclear bomb time from a few months to at least one year, although there is a current latent capacity to develop a nuclear bomb in Uranium route. It also gives IAEA inspectors capability to monitor nuclear activities and prevent to possible development to a nuclear bomb. To arrive in this conclusion an extensive technical analyze of impact of JCPOA in Iran's nuclear capabilities was made to discover how effective is the deal to prevent Iran to build, or acquire a nuclear weapon. (author)

  17. Policy implications of Iran's Nuclear Deal in technical terms for the plutonium route, uranium route, covert options, inspections, monitoring and verifications

    International Nuclear Information System (INIS)

    Pinheiro, Andre Ricardo M.

    2017-01-01

    The present Paper addresses the policy implications of Joint Comprehensive Plan of Action (JCPOA) known as 'Ian Nuclear Deal', implemented on 16 th January of 2016 between the Iran and the P5+1 countries (the U.S., U.K. France, Germany, Russia, and China), along with the EU in technical terms to analyze the Plutonium Route, Uranium Route and the Covert options and Inspections, Monitoring and Verifications. A historical review is presented to understand how the Iranian Nuclear Program is formed. Following is shown the current nuclear facilities in Iran and its capacity to process nuclear materials. It is analyzed the impact of JCPOA in Uranium and Plutonium routes. Covert Options always will be an option, so the most sensitive impact is related to the new monitoring and verification policies that must ensure real control of illegal procedures. The main conclusion is that the deal postpones the Iran's nuclear program for more than a decade (15 years), delaying Iran's nuclear bomb time from a few months to at least one year, although there is a current latent capacity to develop a nuclear bomb in Uranium route. It also gives IAEA inspectors capability to monitor nuclear activities and prevent to possible development to a nuclear bomb. To arrive in this conclusion an extensive technical analyze of impact of JCPOA in Iran's nuclear capabilities was made to discover how effective is the deal to prevent Iran to build, or acquire a nuclear weapon. (author)

  18. Perspective: Improving nutritional guidelines for sustainable health policies: Current status and perspectives

    DEFF Research Database (Denmark)

    Magni, Paolo; Bier, Dennis M; Pecorelli, Sergio

    2017-01-01

    a constructive coalition among scientists, policy makers, and communication professionals for sustainable health and nutritional policies. Currently, a strong rationale and available data support a personalized dietary approach according to personal variables, including sex and age, circulating metabolic...

  19. Shifting currents: Progress, setbacks, and shifts in policy and practice

    Science.gov (United States)

    ,; Dunning, Charles; Robertson, Dale M.

    2016-01-01

    clean water future. More than a decade has passed since our first statewide WOW conversation and the report that captured recommendations from its participants: Waters of Wisconsin: The Future of Our Aquatic Ecosystems and Resources. Drawing from a diverse and growing set of stakeholders from across the state, the Wisconsin Academy initiated a new conversation in 2012 (known as WOW II) to assess progress in regard to our 2003 recommendations. We also sought to review the status of waters in Wisconsin today. The result of this renewed conversation is Shifting Currents: Progress, Setbacks, and Shifts in Policy and Practice. The new report assesses progress in brief, and explores in greater depth the continuing and emerging challenges to water quality, supply, and aquatic ecosystems in Wisconsin.In this report, we first review the context and frameworks for public decision-making about water and then examine some of the root causes—or “drivers”—and ecological stressors that underlie many of the symptoms we see in the form of pollution or ecosystem degradation in Wisconsin. This is followed by a summary of current water issues, many of which had been identified in the 2003 report and remain relevant today. We examine progress since 2003 but also setbacks, and discuss issues that we are likely to continue to face in the coming decades, including controlling agricultural runoff, mitigating climate change and grappling with its effects on the state’s waters, protecting groundwater from bacterial contamination and other pollutants, and preventing groundwater depletion. We also attempt to anticipate issues on the horizon. We offer a deeper look at some particular challenges, such as phosphorus pollution and groundwater contamination. We then consider the current decision-making framework and how it is shaping our capacity to respond to water challenges in Wisconsin. Finally, we offer recommendations and identify opportunities to safeguard Wisconsin’s waters in the

  20. Advancing the climate agenda: Exploiting material and institutional linkages to develop a menu of policy options

    NARCIS (Netherlands)

    van Asselt, H.D.; Gupta, J.; Biermann, F.

    2005-01-01

    The utilization of interlinkages of existing material and the strengthening and promotion of new institutional interlinkages can widen the climate change agenda through new and innovative policy and legal measures. Material linkages are inherent structural connections between policy domains that are

  1. Current treatment options for vulvovaginal candidiasis caused by azole-resistant Candida species.

    Science.gov (United States)

    Sobel, J D; Sobel, R

    2018-06-22

    Clinicians are increasingly challenged by patients with refractory vulvovaginal candidiasis (VVC) caused by azole-resistant Candida species. Fluconazole resistant C.albicans is a growing and perplexing problem following years of indiscriminate drug prescription and unnecessary drug exposure and for which there are few therapeutic alternatives. Regrettably, although the azole class of drugs has expanded, new classes of antifungal drugs have not been forthcoming, limiting effective treatment options in patients with azole resistant Candida vaginitis. Areas covered: This review covers published data on epidemiology, pathophysiology and treatment options for women with azole-resistant refractory VVC. Expert opinion: Fluconazole resistant C.albicans adds to the challenge of azole resistant non-albicans Candida spp. Both issues follow years of indiscriminate drug prescription and unnecessary fluconazole exposure. Although an understanding of azole resistance in yeast has been established, this knowledge has not translated into useful therapeutic advantage. Treatment options for such women with refractory symptoms are extremely limited. New therapeutic options and strategies are urgently needed to meet this challenge of azole drug resistance.

  2. Quantifying policy options for reducing future coronary heart disease mortality in England: a modelling study.

    Directory of Open Access Journals (Sweden)

    Shaun Scholes

    Full Text Available To estimate the number of coronary heart disease (CHD deaths potentially preventable in England in 2020 comparing four risk factor change scenarios.Using 2007 as baseline, the IMPACTSEC model was extended to estimate the potential number of CHD deaths preventable in England in 2020 by age, gender and Index of Multiple Deprivation 2007 quintiles given four risk factor change scenarios: (a assuming recent trends will continue; (b assuming optimal but feasible levels already achieved elsewhere; (c an intermediate point, halfway between current and optimal levels; and (d assuming plateauing or worsening levels, the worst case scenario. These four scenarios were compared to the baseline scenario with both risk factors and CHD mortality rates remaining at 2007 levels. This would result in approximately 97,000 CHD deaths in 2020. Assuming recent trends will continue would avert approximately 22,640 deaths (95% uncertainty interval: 20,390-24,980. There would be some 39,720 (37,120-41,900 fewer deaths in 2020 with optimal risk factor levels and 22,330 fewer (19,850-24,300 in the intermediate scenario. In the worst case scenario, 16,170 additional deaths (13,880-18,420 would occur. If optimal risk factor levels were achieved, the gap in CHD rates between the most and least deprived areas would halve with falls in systolic blood pressure, physical inactivity and total cholesterol providing the largest contributions to mortality gains.CHD mortality reductions of up to 45%, accompanied by significant reductions in area deprivation mortality disparities, would be possible by implementing optimal preventive policies.

  3. Quantifying policy options for reducing future coronary heart disease mortality in England: a modelling study.

    Science.gov (United States)

    Scholes, Shaun; Bajekal, Madhavi; Norman, Paul; O'Flaherty, Martin; Hawkins, Nathaniel; Kivimäki, Mika; Capewell, Simon; Raine, Rosalind

    2013-01-01

    To estimate the number of coronary heart disease (CHD) deaths potentially preventable in England in 2020 comparing four risk factor change scenarios. Using 2007 as baseline, the IMPACTSEC model was extended to estimate the potential number of CHD deaths preventable in England in 2020 by age, gender and Index of Multiple Deprivation 2007 quintiles given four risk factor change scenarios: (a) assuming recent trends will continue; (b) assuming optimal but feasible levels already achieved elsewhere; (c) an intermediate point, halfway between current and optimal levels; and (d) assuming plateauing or worsening levels, the worst case scenario. These four scenarios were compared to the baseline scenario with both risk factors and CHD mortality rates remaining at 2007 levels. This would result in approximately 97,000 CHD deaths in 2020. Assuming recent trends will continue would avert approximately 22,640 deaths (95% uncertainty interval: 20,390-24,980). There would be some 39,720 (37,120-41,900) fewer deaths in 2020 with optimal risk factor levels and 22,330 fewer (19,850-24,300) in the intermediate scenario. In the worst case scenario, 16,170 additional deaths (13,880-18,420) would occur. If optimal risk factor levels were achieved, the gap in CHD rates between the most and least deprived areas would halve with falls in systolic blood pressure, physical inactivity and total cholesterol providing the largest contributions to mortality gains. CHD mortality reductions of up to 45%, accompanied by significant reductions in area deprivation mortality disparities, would be possible by implementing optimal preventive policies.

  4. Residential Water Scarcity in Cyprus: Impact of Climate Change and Policy Options

    Directory of Open Access Journals (Sweden)

    Theodoros Zachariadis

    2010-10-01

    Full Text Available This paper presents an assessment of the cost of water scarcity in Cyprus, today and in the next 20 years, taking into account the effect of projected climate change in the region. It focuses on the residential sector, accounting also for tourism and industry. Using a simple demand function, total scarcity costs in Cyprus are computed for the period 2010–2030, and three scenarios of future water demand are presented. The central estimate shows that the present value of total costs due to water shortages will amount to 72 million Euros (at 2009 prices, and, if future water demand increases a little faster, these costs may reach 200 million Euros. Using forecasts of regional climate models, costs are found to be about 20% higher in a “climate change” scenario. Compared to the loss of consumer surplus due to water shortages, desalination is found to be a costly solution, even if environmental damage costs from the operation of desalination plants are not accounted for. Finally, dynamic constrained optimization is employed and shows that efficient residential water prices should include a scarcity price of about 40 Eurocents per cubic meter at  2009 prices; this would constitute a 30–100% increase in current prices faced by residential consumers. Reductions in rainfall due to climate change would raise this price by another 2-3 Eurocents. Such a pricing policy would provide a clear long-term signal to consumers and firms and could substantially contribute to a sustainable use of water resources in the island.

  5. Policies for Resource Efficient and Effective Solutions : A review of concepts, current policy landscape and future policy considerations for the transition to a Circular Economy

    OpenAIRE

    Milios, Leonidas

    2016-01-01

    This report presents basic concepts around resources, resource efficiency and the Circular Economy. The limitations and the opportunities within the Circular Economy are identified and clearly presented. The current policy landscape in the EU as well as in Sweden is thoroughly analysed and a set of policy areas with a significant untapped potential for resource efficiency is identified. The policy areas which have been underutilised so far include policies for re-use, repair and remanufacturi...

  6. An Assessment of Current Policy Initiatives in Zambia's Cotton Sector

    OpenAIRE

    Zulu, Ballard; Tschirley, David L.

    2004-01-01

    This paper assesses three of these policy initiatives: input credit provision for smallholder producers of selected cash crops including cotton, the proposed creation of a Cotton Board, and the emergence in 2003 of District Council levies as a point of conflict between local governments and cotton companies. The purpose of the paper is to provide guidance to public and private decision makers regarding key modifications which may need to be made to these policies to ensure continued healthy d...

  7. U. S. environmental policy - trends and options. Die USA-Umweltpolitik: Trends und Optionen

    Energy Technology Data Exchange (ETDEWEB)

    Kaltenthaler, K C [Akron Univ., OH (United States) Technische Univ. Dresden (Germany)

    1991-01-01

    U.S. environmental policy has a turbulent history. Although Americans strongly express themselves in favor of the preservation of the environment, elections do not always reflect this attitude. Thus, the policy of the seventies, which was based on strict environmental regulation, was followed by deregulation under Reagan. Environmental responsibility was shifted from the federal to the governmental level where economic interests tend to dominate and where financial means for the environment are insufficient. The environmental policy which has come on stronger in recent years is mainly based on market-oriented methods. Academic discussion about the preservation and improvement of the environment goes on and continues to bring forth different proposals. (orig.).

  8. Development of AIM for analysing policy options to reduce greenhouse gas emissions

    International Nuclear Information System (INIS)

    Kainuma, M.; Morita, T.; Matsuoka, Y.

    1999-01-01

    AIM (Asian-Pacific Integrated Model) has been developed for predicting greenhouse gas emissions and evaluating policy measures to reduce them. Two socio-economic scenarios were assumed and CO 2 emissions were predicted based on these scenarios and policy intervention assumptions. It is found that mitigating CO 2 emissions without scaling back productive activities or standards of living in Japan is possible. However, if one relies on the market mechanism alone, it cannot be done. The analysis has shown that it is essential to introduce new policies and measures such as carbon tax and subsidies. (author)

  9. Comparison of auctions and alternative policy options for RES-E support

    DEFF Research Database (Denmark)

    Kitzing, Lena; Islam, Marco; Fitch-Roy, Oscar

    2016-01-01

    benefits of RES, there may be valid reasons for policy makers not to employ auctions, since under particular circumstances it may be desirable not to control quantities but the price. As such, they raise the question whether pure support cost minimisation should be the only goal when implementing......This report concludes the work carried out in the course of Task 6.2 of the AURES project. It is its aim to compare auctions with alternative policy instruments and in particular, to examine under which circumstances auctions may be superior and inferior to achieve intended policy targets....... For that purpose, we identify a number of potential drivers that might affect an instrument’s effectiveness, its efficiency and further success criteria. Among this list of relevant drivers, the basis for our analysis is the factor risk, where our core focus is on risk for policy makers. Assuming a world...

  10. Preventing Catastrophe: U.S. Policy Options for the Management of Nuclear Weapons in South Asia

    National Research Council Canada - National Science Library

    Wojtyaiak, Martin

    2001-01-01

    The "peaceful nuclear explosion" of an Indian device in 1974 was a watershed event that called upon the U,S to focus its nonproliferation policy in South Asia, During the mid-198Os, Pakistan developed...

  11. Policy options for non-grain bioethanol in China: Insights from an economy-energy-environment CGE model

    International Nuclear Information System (INIS)

    Ge, Jianping; Lei, Yalin

    2017-01-01

    The Chinese government has been issuing numerous incentive policies to promote non-grain bioethanol development to address the problem of excessive energy consumption and environmental pollution. In this study, we divide the incentive policies into five categories: subsidies on bioethanol production, non-grain feedstocks planting, marginal land reclamation and utilization, bioethanol consumption in more cities, and consumption tax on gasoline use. The objective of the paper is to evaluate and compare the economic, energy, and environmental effects of the incentive policies to help the government choose the optimal policies to promote bioethanol in China. The results show that subsidies on bioethanol production and consumption can boost GDP, and simultaneously, decrease crude oil and gasoline consumption, and reduce CO_2 emissions. However, the increase in bioethanol consumption is combined with the rise in coal and electricity consumption. Subsidies on bioethanol production can promote GDP and reduce energy consumption and CO_2 emission but have less effect on bioethanol development than that under the scenario of subsides on bioethanol consumption. On the contrary, although subsidies on non-grain feedstocks planting and marginal land reclamation and utilization can improve macro-economy but have a negative effect on energy saving and CO_2 emission reduction. Therefore, appropriate subsidies on bioethanol production and consumption can promote bioethanol consumption with economic, energy and environmental benefits. The Chinese government should further pay more attention to the coordination of different policy options by policy tools and intensities. - Highlights: • Non-grain bioethanol incentive policy is divided into supply and demand perspectives. • China's bioethanol CGE model is constructed. • Demand incentives have largest positive effects on GDP. • Demand incentives have better effects on energy saving and emission reduction. • Subsidies on

  12. Demographic Consequences of Gender Discrimination in China: Simulation Analysis of Policy Options

    OpenAIRE

    Quanbao, Jiang; Shuzhuo, Li; Marcus W., Feldman

    2011-01-01

    The large number of missing females in China, a consequence of gender discrimination, is having and will continue to have a profound effect on the country's population development. In this paper, we analyze the causes of this gender discrimination in terms of institutions, culture and, economy, and suggest public policies that might help eliminate gender discrimination. Using a population simulation model, we study the effect of public policies on the sex ratio at birth and excess female chil...

  13. Policy Options for Private Forest Owners in Western Balkans: A Qualitative Study

    OpenAIRE

    Mersudin AVDIBEGOVIĆ; Dragan NONIĆ; Stjepan POSAVEC; Nenad PETROVIĆ; Bruno MARIĆ; Vojislav MILIJIĆ; Silvija KRAJTER; Florin IORAS; Ioan Vasile ABRUDAN

    2010-01-01

    Private forest owners start to play an important role in Western Balkans’ forestry and they are essential to the successful implementation of environmental policies. Little is known about how forest policy can support private forest owners in these countries and therefore this study was conducted though a qualitative method, based on personal interviews with representatives of 54 stakeholders that include state forest authorities and administration, private forest owners associations, forest ...

  14. Tobacco Town: Computational Modeling of Policy Options to Reduce Tobacco Retailer Density.

    Science.gov (United States)

    Luke, Douglas A; Hammond, Ross A; Combs, Todd; Sorg, Amy; Kasman, Matt; Mack-Crane, Austen; Ribisl, Kurt M; Henriksen, Lisa

    2017-05-01

    To identify the behavioral mechanisms and effects of tobacco control policies designed to reduce tobacco retailer density. We developed the Tobacco Town agent-based simulation model to examine 4 types of retailer reduction policies: (1) random retailer reduction, (2) restriction by type of retailer, (3) limiting proximity of retailers to schools, and (4) limiting proximity of retailers to each other. The model examined the effects of these policies alone and in combination across 4 different types of towns, defined by 2 levels of population density (urban vs suburban) and 2 levels of income (higher vs lower). Model results indicated that reduction of retailer density has the potential to decrease accessibility of tobacco products by driving up search and purchase costs. Policy effects varied by town type: proximity policies worked better in dense, urban towns whereas retailer type and random retailer reduction worked better in less-dense, suburban settings. Comprehensive retailer density reduction policies have excellent potential to reduce the public health burden of tobacco use in communities.

  15. Current state of seagrass ecosystem services: Research and policy integration

    KAUST Repository

    Ruiz-Frau, A.

    2017-10-12

    Seagrasses contribute to the maintenance of human wellbeing. However certain aspects of their role as ecosystem service (ES) providers remain understudied. Here, we synthesise the state of seagrass ES (SGES) research and policy implications. Additionally, we recommend ways in which SGES research can be integrated in to policy design, by drawing lessons from the case of Blue Carbon (BC). SGES research suffers from three main biases: a geographical bias, SGES has been restricted to chartered seagrass areas; a type of service research bias, provisioning and regulating services have received extensive attention while cultural services remain understudied; a type of discipline bias, the ecological aspects of SGES have been well documented while economic and social aspects remain in comparison understudied. These are particularly important, as an understanding of the social and economic considerations of the provision of ES is fundamental to facilitate its integration into policy frameworks. Lessons drawn from the operationalization process of BC show the reoccurrence of certain aspects that have enabled the integration of BC into policy. These aspects are grouped under 4 different categories. From the analysis of these elements we draw lessons that could facilitate the operationalization of other ecosystem services and their incorporation into management policy frameworks.

  16. Current Treatment Options for Bilateral Vocal Fold Paralysis: A State-of-the-Art Review

    Science.gov (United States)

    Li, Yike; Garrett, Gaelyn; Zealear, David

    2017-01-01

    Vocal fold paralysis (VFP) refers to neurological causes of reduced or absent movement of one or both vocal folds. Bilateral VFP (BVFP) is characterized by inspiratory dyspnea due to narrowing of the airway at the glottic level with both vocal folds assuming a paramedian position. The primary objective of intervention for BVFP is to relieve patients’ dyspnea. Common clinical options for management include tracheostomy, arytenoidectomy and cordotomy. Other options that have been used with varying success include reinnervation techniques and botulinum toxin (Botox) injections into the vocal fold adductors. More recently, research has focused on neuromodulation, laryngeal pacing, gene therapy, and stem cell therapy. These newer approaches have the potential advantage of avoiding damage to the voicing mechanism of the larynx with an added goal of restoring some physiologic movement of the affected vocal folds. However, clinical data are scarce for these new treatment options (i.e., reinnervation and pacing), so more investigative work is needed. These areas of research are expected to provide dramatic improvements in the treatment of BVFP. PMID:28669149

  17. Environmental economics and policy making in developing countries. Current issues

    International Nuclear Information System (INIS)

    Motta, R.S. da

    2001-01-01

    In developing countries, where growth expectations are high, least-cost environmental policies are crucial since they can reduce the conflict between economic growth and the environment. In view of this, policymakers in these economies must be very aware of the relationship between economic and environmental issues to offer policy initiatives which can increase efficiency and improve equity. The authors provide a comprehensive analysis of topics varying from the general problems of growth and conservation to specific applications such as; pollution costs, environmental taxation, deforestation and climate change. This volume also offers policymakers a comprehensive view of the challenges they face, and the legacies they leave, in order to convert environmental policy making into an actual programme of welfare improvement. (author)

  18. Policies and design elements for the repowering of wind farms: A qualitative analysis of different options

    International Nuclear Information System (INIS)

    Rio, Pablo del; Calvo Silvosa, Anxo; Iglesias Gomez, Guillermo

    2011-01-01

    Repowering of a wind farm is the process of replacing existing wind turbines with new turbines that either have a larger nameplate capacity or more efficiency, resulting in a net increase of the power generated. Although repowering brings, both, social and private benefits, there are also several obstacles to repowering which justify public support. The aim of this paper is to provide an overview and a qualitative analysis of instruments and design options to support repowering of on-shore wind farms. The multicriteria analysis carried out in this paper shows that all instruments have their advantages and drawbacks. However, feed-in tariffs and investment subsidies seem to be particularly appropriate instruments in this regard. Furthermore, we provide an assessment of different design options to promote repowering according to key assessment criteria. The relevance of design elements hinges on the fact that these are the ones directly affecting the variables that are relevant in the decision to repower (capacity factors and investment costs). - Research highlights: → This paper provides a qualitative analysis of instruments and design options to support repowering in wind farms. → The multicriteria analysis has shown that all instruments have their advantages and drawbacks regarding promotion of repowering. → However, feed-in tariffs and investment subsidies seem to be particularly appropriate instruments in this regard. → The choice of design elements within instruments is at least as important to promote repowering as the choice of specific instruments.

  19. Climate change and foreign policy : an exploration of options for greater integration

    International Nuclear Information System (INIS)

    Drexhage, J.; Murphy, D.; Brown, O.; Cosbey, A.; Dickey, P.; Parry, J.-E.; Van Ham, J.; Tarasofsky, R.; Darkin, B.

    2007-01-01

    Climate change is a global challenge and one of biggest challenges of this century. Addressing the challenges posed by climate change requires new thinking in foreign policy. This paper discussed the results of a research study that examined the role of foreign policy in fostering a more effective international response to the challenge of climate change. The scope involved an examination of instruments relevant to Danish foreign policy. The paper first identified the climate change challenge and discussed international diplomacy and relations. Energy security and investment was discussed in terms of the impact of energy security on climate change efforts and opportunities for integration. Other areas where critical issues and opportunities for integration were offered include international peace and security; trade and investment; and development cooperation. The paper made several recommendations in these areas in addition to diplomatic networking. The study concluded that foreign policy can further the climate change agenda in a number of areas in diplomacy and foreign relations within the European Union, transatlantic relations, Arctic issues and United Nations affairs. This includes better integration of climate change into the European Union's common foreign and security policy, the Lisbon Agenda, and incorporating climate change in the work of a wide range of bodies under the United Nations. refs., figs

  20. Freshwater Ecosystem Services in Mining Regions: Modelling Options for Policy Development Support

    Directory of Open Access Journals (Sweden)

    Daniel Mercado-Garcia

    2018-04-01

    Full Text Available The ecosystem services (ES approach offers an integrated perspective of social-ecological systems, suitable for holistic assessments of mining impacts. Yet for ES models to be policy-relevant, methodological consensus in mining contexts is needed. We review articles assessing ES in mining areas focusing on freshwater components and policy support potential. Twenty-six articles were analysed concerning (i methodological complexity (data types, number of parameters, processes and ecosystem–human integration level and (ii potential applicability for policy development (communication of uncertainties, scenario simulation, stakeholder participation and management recommendations. Articles illustrate mining impacts on ES through valuation exercises mostly. However, the lack of ground- and surface-water measurements, as well as insufficient representation of the connectivity among soil, water and humans, leave room for improvements. Inclusion of mining-specific environmental stressors models, increasing resolution of topographies, determination of baseline ES patterns and inclusion of multi-stakeholder perspectives are advantageous for policy support. We argue that achieving more holistic assessments exhorts practitioners to aim for high social-ecological connectivity using mechanistic models where possible and using inductive methods only where necessary. Due to data constraints, cause–effect networks might be the most feasible and best solution. Thus, a policy-oriented framework is proposed, in which data science is directed to environmental modelling for analysis of mining impacts on water ES.

  1. Demographic Consequences of Gender Discrimination in China: Simulation Analysis of Policy Options

    Science.gov (United States)

    Quanbao, Jiang; Marcus W., Feldman

    2013-01-01

    The large number of missing females in China, a consequence of gender discrimination, is having and will continue to have a profound effect on the country's population development. In this paper, we analyze the causes of this gender discrimination in terms of institutions, culture and, economy, and suggest public policies that might help eliminate gender discrimination. Using a population simulation model, we study the effect of public policies on the sex ratio at birth and excess female child mortality, and the effect of gender discrimination on China's population development. We find that gender discrimination will decrease China's population size, number of births, and working age population, accelerate population aging and exacerbate the male marriage squeeze. These results provide theoretical support for suggesting that the government enact and implement public policies aimed at eliminating gender discrimination. PMID:24363477

  2. Demographic Consequences of Gender Discrimination in China: Simulation Analysis of Policy Options.

    Science.gov (United States)

    Quanbao, Jiang; Shuzhuo, Li; Marcus W, Feldman

    2011-08-01

    The large number of missing females in China, a consequence of gender discrimination, is having and will continue to have a profound effect on the country's population development. In this paper, we analyze the causes of this gender discrimination in terms of institutions, culture and, economy, and suggest public policies that might help eliminate gender discrimination. Using a population simulation model, we study the effect of public policies on the sex ratio at birth and excess female child mortality, and the effect of gender discrimination on China's population development. We find that gender discrimination will decrease China's population size, number of births, and working age population, accelerate population aging and exacerbate the male marriage squeeze. These results provide theoretical support for suggesting that the government enact and implement public policies aimed at eliminating gender discrimination.

  3. Language Policy in Ethiopia: History and Current Trends | Getachew ...

    African Journals Online (AJOL)

    Interviews were conducted with various bodies that are concerned with developing, implementing and monitoring language use policies, such as the Ethiopian Language Research Center, the Ministry of Tourism and Culture, the information and education bureaus of three regional states, namely the Amhara, Oromiya and ...

  4. Revenue Sharing: An Assessment of Current Policies at UK Universities

    Science.gov (United States)

    Gazzard, James; Brown, Sarah A.

    2012-01-01

    The transfer of academic technologies to industry is an important process underpinning innovation and economic development. Various approaches have been adopted by universities to encourage academics to participate in commercial activities. Many have implemented revenue sharing policies, through which the revenues generated from university-owned…

  5. Current policies affecting the market penetration of biomaterials

    NARCIS (Netherlands)

    Hermann, B.G.; Patel, M.K.; Blok, K.

    2011-01-01

    Policies aimed at supporting the bio-based economy have so far centered on biomass use for electricity and fuels. But using biomass for the production of materials offers higher greenhouse gas savings than bioenergy per kg feedstock as well as per hectare. This has received comparatively little

  6. Assessment of policy options with regard to air pollution from international shipping; Beoordeling beleidsopties luchtvervuiling internationale scheepvaart

    Energy Technology Data Exchange (ETDEWEB)

    Deutsch, F.; Veldeman, N.; Lodewijks, P.; Duuerinck, J.; Janssen, L.; Campling, P.; Janssen, S. [Vlaamse Instelling voor Technologisch Onderzoek VITO, Mol (Belgium); Vanherle, K. [Transport and Mobility Leuven, Kessel-Lo, Leuven (Belgium)

    2011-10-15

    Recently, a study has been carried out for DG Environment of the European Commission titled 'Market-based instruments for Reducing Air Pollution. Assessment of Policy Options to reducing air pollution from shipping'. Within this study it was decided to study the environmental impact of two legally possible trading systems: a voluntary emissions trading system for all sea areas belonging to the European Union and a mandatory emissions trading system for the ports and territorial waters of EU Member States. If the emissions in ports and coastal waters will be made part of such a trading system it can result in lower environmental exposure for the population. [Dutch] Recent is een studie uitgevoerd voor DG Environment van de Europese Commissie met de titel 'Market-based instruments for reducing air pollution. Assessment of policy options to reduce air pollution from shipping'. Binnen deze studie is er voor gekozen om de milieu-impact van twee juridisch mogelijke handelssystemen te bestuderen: een vrijwillig emissiehandelssysteem voor alle zeegebieden behorende tot de Europese Unie en een verplicht emissiehandelssysteem voor de havens en de territoriale wateren van de EU-lidstaten. Als de emissies in havens en kustwateren in een handelssysteem meedraaien, kan dat tot lagere blootstelling van de bevolking leiden.

  7. Trends in Connectivity Technologies and Their Socioeconomic Impacts. Final Report of the Study: Policy Options for the Ubiquitous Internet Society. Technical Report

    Science.gov (United States)

    Cave, Jonathan; van Oranje-Nassau, Constantijn; Schindler, Helen Rebecca; Shehabi, Ala'a; Brutscher, Philipp-Bastian; Robinson, Neil

    2009-01-01

    This report is intended to inform the European Commission's DG Information Society and Media in developing its policies for the period 2010-2020. It is targeted to policymakers with expert knowledge of the field. The report summarises the work conducted in the study: "Policy Options for the Ubiquitous Internet Society". It builds on…

  8. Energy policy options--from the perspective of public attitudes and risk perceptions

    International Nuclear Information System (INIS)

    Viklund, Mattias

    2004-01-01

    In the present study a representative sample (N=797) of the Swedish population was surveyed, with regard to attitudes related to energy policy issues (e.g., environmental attitudes, risk perceptions, and attitudes towards different energy production systems), and self-reported electricity saving behavior. These factors were considered relevant in a Swedish energy policy context, due to the planned phase-out of nuclear power. Citizens' attitudes have traditionally been important factors in energy policy-making, especially nuclear policy. One of the conditions for a successful phase-out is decreased levels of electricity consumption among households and in industry, in order to compensate for the loss in energy production. Respondents reported positive attitudes to the environment in general and to electricity saving, while the attitudes to nuclear power as an energy production system in Sweden were relatively negative. Perceived risk was an important predictor of these attitudes and it was concluded that it is important to investigate factors behind this variable. The relationship between attitudes towards electricity saving and electricity saving behavior was weak. It is suggested that a contribution of psychological knowledge in energy conservation campaigns could be to elaborate on people's willingness to be public-spirited citizens in combination with their pro-environmental attitudes. Viklund (1999, Electricity saving: Attitudes and behavior of Swedish households. Center for Risk Research, Stockholm.) presented more data from the survey referred to here

  9. Policy options to improve the U.S. standard of living

    OpenAIRE

    C. Alan Garner

    1988-01-01

    The U.S. standard of living has been slipping relative to living standards in other industrial nations. While there is no easy road to national wealth, reducing the federal budget deficit appears to be the most dependable policy to enhance the future U.S. living standard.

  10. Sensitising rural policy: Assessing spatial variation in rural development options for Europe

    NARCIS (Netherlands)

    Berkel, van D.B.; Verburg, P.H.

    2011-01-01

    Regional distinctiveness is supported by the European Union in rural development policy. However, there is little information about the spatial distribution of the potential for rural development across Europe. The concept of territorial capital is used to consider spatial characteristics in

  11. Policy options to stimulate social innovation initiatives addressing food waste prevention and reduction

    NARCIS (Netherlands)

    Vittuari, Matteo; Gaiani, Silvia; Politano, Alessandro; Timmermans, A.J.M.; Bos-Brouwers, H.E.J.

    2016-01-01

    The report builds on the knowledge created by the FUSIONS position paper “Stimulating social innovation through policy measures” that uses as key inputs the range of existing social innovation initiatives catalogued by FUSIONS WP4 in the inventory and draws on the outcomes of the WP3 Social Camp

  12. Digital platforms: an analytical framework for identifying and evaluating policy options

    NARCIS (Netherlands)

    van Eijk, N.; Fahy, R.; van Til, H.; Nooren, P.; Stokking, H.; Gelevert, H.

    2015-01-01

    At the request of the Ministry of Economic Affairs, a project consortium of TNO, Ecorys and IViR have developed a framework to analyse policy questions regarding ‘digital platforms’. This framework enables the government to take advantage of the opportunities these platforms offer and to appreciate

  13. Colombia - The Quality of Education in Colombia : An Analysis and Options for a Policy Agenda

    OpenAIRE

    World Bank

    2008-01-01

    The main objective of this report is to analyze student learning in Colombia in order to foster policies to improve education quality that are grounded in research and the Colombian context. In 2006, Colombia participated for the first time in the Programme for International Student Assessment (PISA) of the Organization for Economic Cooperation and Development (OECD), which provides an imp...

  14. Energy policy and the environmental challenges and options at the turn of the century

    Energy Technology Data Exchange (ETDEWEB)

    Holdgate, M. [Energy Advisory Panel (United Kingdom)

    1994-12-31

    In 1998, all domestic energy franchises, together with the coal contract and the Fossil-fuel Levy expire in the UK. Over the next 20 years, environmental factors will be an important part of the context within which energy policy and industrial investment involve. These factors and some of the likely developments are discussed. 8 refs.

  15. Policy Options for Encouraging Energy Efficiency Best Practices in Shandong Province's Cement Industry

    Energy Technology Data Exchange (ETDEWEB)

    Price, Lynn [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Zhou, Nan [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Lu, Hongyou [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Sambeek, Emiel van [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Yowargana, Ping [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Shuang, Liu [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Kejun, Jiang [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States)

    2012-07-12

    This research intends to explore possible design options for a sectoral approach in the cement sector in Shandong Province and to consider its respective advantages and disadvantages for future application. An effort has been made in this research to gather and analyze data that will provide a transparent and robust basis for development of a Business-As-Usual (BAU) scenario, maximum technology potential scenario, and ultimately a sector crediting baseline. Surveys among cement companies and discussions with stakeholders were also conducted in order to better understand the industry and local needs related to the sectoral approach.

  16. Poliomyelitis in the United States: A Historical Perspective and Current Vaccination Policy.

    Science.gov (United States)

    Farizo, Karen M.; And Others

    1990-01-01

    Examines poliomyelitis in the United States by reviewing clinical manifestations and outcomes, history, recent epidemiologic characteristics, characteristics of currently available vaccines, controversies surrounding vaccination policy, current poliovirus vaccination recommendations, and prospects for worldwide eradication. Poliomyelitis remains…

  17. Overview of current energy-efficiency policies in China

    International Nuclear Information System (INIS)

    Zhou Nan; Levine, Mark D.; Price, Lynn

    2010-01-01

    From 1970 to 2001, China was able to significantly limit energy demand growth through aggressive energy-efficiency programs. Energy use per unit of gross domestic product (GDP) declined by approximately 5% per year during this period. However, the period 2002-2005 saw energy use per unit of GDP increase an average of 3.8% per year. To stem this out-of-control growth in energy demand, in November 2005 the Chinese government enunciated a mandatory goal of 20% reduction of energy intensity between 2006 and 2010. The National People's Congress passed legislation identifying the National Reform and Development Commission as the lead agency to design and carry out programs in support of this goal. These policies and programs, created after almost a decade of decline of the energy-efficiency policy apparatus, have had considerable impact. Although initial efforts have not been sufficient to meet the annual declines required to reach the ambitious 20% energy intensity target, the latest reports indicate that China may now be on track to meet this goal. The paper provides an assessment of these policies and programs to begin to understand issues that will play a critical role in China's energy and economic future. Activities undertaken in China will have a significant influence on the global effort to reduce the growth, and later the absolute quantity, of greenhouse gas emissions.

  18. Current nuclear non-proliferation policies in the world

    International Nuclear Information System (INIS)

    Kurosawa, Mitsuru

    1997-01-01

    Although a global nuclear confrontation between the U.S. and the Soviet Union has disappeared, many challenges to nuclear non-proliferation have emerged. Sources of concern, like a nuclear weapon program by Iraq and suspicions of North Korea have caused the adoption of a variety of political and technical measures in order to meet these challenges in the post-Cold War era. This paper describes the following ten policies for non-proliferation: 1) Strengthening the NPT; 2) Nuclear reduction; 3) CTBT and cut-off treaty; 4) Establishment of NWFZs; 5) Counterproliferation; 6) Strengthening the IAEA Safeguards; 7) Control and disposal of nuclear material from dismantled nuclear weapons; 8) Export control; 9) Registration of plutonium; and 10) Actions against nuclear smuggling. The first four measures can be said to be mainly political policies, the fifth measure (counterproliferation), can be categorized as basically a military policy, and the last five measures can be said to be technical. (J.P.N.)

  19. Early and School-Age Care in Santa Monica: Current System, Policy Options, and Recommendations

    Science.gov (United States)

    Pierson, Ashley; Karoly, Lynn A.; Zellman, Gail L.; Beckett, Megan K.

    2014-01-01

    The landscape of early learning and out-of-school-time programs in the City of Santa Monica is complex, with numerous providers and funding streams. This complexity reflects its evolution in response to changes in federal, state, and local priorities and initiatives. Future shifts in funding levels, program auspices, and other features are likely.…

  20. Recruiting Youth in the College Market. Current Practices and Future Policy Options

    National Research Council Canada - National Science Library

    Kilburn, M

    2003-01-01

    .... While the unusually strong labor market of the 1990s undoubtedly played some role in recent recruiting difficulties, another long-term demographic trend is likely to also contribute to recruiting woes...

  1. 76 FR 38399 - Assessing the Current Research, Policy, and Practice Environment in Public Health Genomics

    Science.gov (United States)

    2011-06-30

    ... DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Disease Control and Prevention [Docket Number CDC-2011-0008] Assessing the Current Research, Policy, and Practice Environment in Public Health... information helpful to assess the current research, policy, and practice environment in public health genomics...

  2. Noninductive current drive for INTOR: A comparison of four driver options

    International Nuclear Information System (INIS)

    Ehst, D.A.; Evans, K. Jr.; Mikkelsen, D.R.; Ignat, D.W.; Mau, T.K.

    1987-01-01

    The current drive power and normalized efficiency are calculated for the INTOR tokamak, including spatial profiles of the plasma and current density. Current drive requirements are computed for purely steady state operation with no electromotive force and also in the presence of a reversed emf typical of start-up or transformer recharging. Results are obtained for lower-hybrid-waves, high frequency fast waves, low frequency fast waves and neutral beam injection

  3. The Supply of Medical Radioisotopes. Policy Options for Ensuring Long-term Supply Security of Molybdenum-99 and/or Technetium-99m Produced Without Highly Enriched Uranium Targets

    International Nuclear Information System (INIS)

    Westmacott, Chad; Cameron, Ron

    2012-01-01

    Following the shortages of the key medical radioisotopes, molybdenum-99 ( 99 Mo) and its daughter technetium-99m (' 99m Tc), the OECD-Nuclear Energy Agency (NEA) created the High-level Group on the Security of Supply of Medical Radioisotopes (HLG-MR). Since 2009, this group has identified the reasons for the isotope shortages and developed a policy approach to address the challenges to a long-term secure supply of these important medical isotopes. On top of the ongoing concerns related to long-term reliability, all current long-term major 99 Mo-producing nations have agreed to convert to using low-enriched uranium (LEU) targets for the production of 99 Mo. This decision was made based on important nonproliferation reasons; however, the conversion will have potential impacts on the global supply chain - both in terms of costs and available capacity. Recognising that conversion is important and will occur, and also recognising the need to ensure a long-term secure supply of 99 Mo/' 99m Tc, the NEA, along with stakeholders, examined potential policy options that could be used by to ensure a reliable supply of 99 Mo and/or ' 99m Tc produced without highly enriched uranium (HEU), consistent with the time frames and policies of the HLG-MR. This discussion paper provides the various policy options available to governments to encourage a reliable supply of 99 Mo and/or ' 99m Tc produced without HEU. The examination of these options was done through the lens of ensuring a reliable supply, consistent with the time frames and policies of the HLG-MR. The options described in this document are meant to meet this objective by taking one of three general actions: - Making the option of purchasing or producing non-HEU-based 99 Mo and/or ' 99m Tc more attractive. - Making the option of purchasing or producing HEU-based 99 Mo and/or ' 99m Tc less attractive. - Limiting access to HEU-based 99 Mo and/or ' 99m Tc. This paper presents the options in each category and provides some views

  4. Political economy of the energy-groundwater nexus in India: exploring issues and assessing policy options

    Science.gov (United States)

    Shah, Tushaar; Giordano, Mark; Mukherji, Aditi

    2012-08-01

    Indian agriculture is trapped in a complex nexus of groundwater depletion and energy subsidies. This nexus is the product of past public policy choices that initially offered opportunities to India's small-holder-based irrigation economy but has now generated in its wake myriad economic, social, and environmental distortions. Conventional `getting-the-price-right' solutions to reduce these distortions have consistently been undermined by the invidious political economy that the nexus has created. The historical evolution of the nexus is outlined, the nature and scale of the distortions it has created are explored, and alternative approaches which Indian policy makers can use to limit, if not eliminate, the damaging impacts of the distortions, are analysed.

  5. Energy in transition: a report on energy policy and future options

    Energy Technology Data Exchange (ETDEWEB)

    Loennroth, M; Steen, P; Johansson, T B

    1977-01-01

    This publication sums up reports published to create a conceptual background for analyzing Swedish long-term energy policy. Swedish energy policy--today, yesterday, tomorrow--is discussed in Chapter 1. Oil being supplemented now and replaced later is discussed in Chapter 2. Chapter 3 identifies the main alternatives: breeder reactors, coal, and renewable energy sources, i.e., solar energy. The alternatives possess varying characteristics and the supply of energy from these sources must fit into the pattern of energy use. Because of long lead times for development, Chapter 4 discusses the risks of getting rigidly committed and the chances of maintaining and creating freedom of action, so that none of the alternatives disappears unintentionally. Freedom of action has its limits, which mainly lie on three levels: the interaction of energy policy with other political goals; technical properties of the energy system; and characteristics of the economic and social system of rules in which the energy issues are to be found. Some conceivable conflicts over political goals are discussed in chapter 5, which takes up the relations between energy consumption on the one hand and, on the other hand, economic growth, environmental protection, geographic structure, foreign policy, etc. Technical limits to freedom of action are the subject of Chapter 6, which is chiefly concerned with the importance of energy quality and the energy carriers. Organizational and institutional limits to freedom of action are discussed in Chapter 7, taking as example the development of the electric sector in Sweden. The main conclusions are given in Chapter 8. (MCW)

  6. Sexual Orientation and U.S. Military Personnel Policy: Options and Assessment

    Science.gov (United States)

    1993-01-01

    include smaller actions, such as allocation of time to the new policy and keeping the change before members through video or other messages such as...were also taken. A condensed video and still picture S record has been provided separately, and the complete videotape and all photography have been...touching, leering. las- s’ylimilter,.Ies attouchements.Iles regards concupis-* civous remarks and the display of porno - cents, les remarques lascives et

  7. The syndrome of inappropriate antidiuretic hormone: current and future management options.

    LENUS (Irish Health Repository)

    Sherlock, Mark

    2010-06-01

    Hyponatraemia is the commonest electrolyte abnormality, and syndrome of inappropriate antidiuretic hormone (SIADH) is the most frequent underlying pathophysiology. Hyponatraemia is associated with significant morbidity and mortality, and as such appropriate treatment is essential. Treatment options for SIADH include fluid restriction, demeclocycline, urea, frusemide and saline infusion, all of which have their limitations. The introduction of the vasopressin-2 receptor antagonists has allowed clinicians to specifically target the underlying pathophysiology of SIADH. Initial studies have shown good efficacy and safety profiles in the treatment of mild to moderate hyponatraemia. However, studies assessing the efficacy and safety of these agents in acute severe symptomatic hyponatraemia are awaited. Furthermore, the cost of these agents at present may limit their use.

  8. Cost and CO2 aspects of future vehicle options in Europe under new energy policy scenarios

    International Nuclear Information System (INIS)

    Thiel, Christian; Perujo, Adolfo; Mercier, Arnaud

    2010-01-01

    New electrified vehicle concepts are about to enter the market in Europe. The expected gains in environmental performance for these new vehicle types are associated with higher technology costs. In parallel, the fuel efficiency of internal combustion engine vehicles and hybrids is continuously improved, which in turn advances their environmental performance but also leads to additional technology costs versus today's vehicles. The present study compares the well-to-wheel CO 2 emissions, costs and CO 2 abatement costs of generic European cars, including a gasoline vehicle, diesel vehicle, gasoline hybrid, diesel hybrid, plug in hybrid and battery electric vehicle. The predictive comparison is done for the snapshots 2010, 2020 and 2030 under a new energy policy scenario for Europe. The results of the study show clearly that the electrification of vehicles offer significant possibilities to reduce specific CO 2 emissions in road transport, when supported by adequate policies to decarbonise the electricity generation. Additional technology costs for electrified vehicle types are an issue in the beginning, but can go down to enable payback periods of less than 5 years and very competitive CO 2 abatement costs, provided that market barriers can be overcome through targeted policy support that mainly addresses their initial cost penalty. (author)

  9. Policy options for the split incentive: Increasing energy efficiency for low-income renters

    International Nuclear Information System (INIS)

    Bird, Stephen; Hernández, Diana

    2012-01-01

    The split incentive problem concerns the lack of appropriate incentives to implement energy efficiency measures. In particular, low income tenants face a phenomenon of energy poverty in which they allocate significantly more of their household income to energy expenditures than other renters. This problem is substantial, affecting 1.89% of all United States' energy use. If effectively addressed, it would create a range of savings between 4 and 11 billion dollars per year for many of the nation's poorest residents. We argue that a carefully designed program of incentives for participants (including landlords) in conjunction with a unique type of utility-managed on-bill financing mechanism has significant potential to solve many of the complications. We focus on three kinds of split incentives, five concerns inherent to addressing split incentive problems (scale, endurance, incentives, savings, political disfavor), and provide a detailed policy proposal designed to surpass those problems, with a particular focus on low-income tenants in a U.S. context. - Highlights: ► We demonstrate the significant impact of the split incentive on low-income tenants. ► We discuss split incentive characteristics, and policy failures. ► We described an on-bill financing model with unique features. ► This policy has protections and incentives for tenants and landlords.

  10. 20% biofuels in 2020. An outline of policy options for the implementation of 20-20

    International Nuclear Information System (INIS)

    Verhagen, B.; Ritter, B.; Van Thuijl, E.; Neeft, J.; Hoogma, R.

    2008-07-01

    This report provides an outline of the technical feasibility of the Dutch target of 20% biofuels on energy basis in 2020. In order to reach this target additional effort is required with respect to the obligatory market share of 10% as proposed by the EU. The first chapters of this report describe the basic data. Chapter 2 gives an overview of developments in the market for transport fuels in the period 2008-2020 and the division of that market in a number of market segments. Chapter 3 provides information on production, distribution, availability of vehicles and user aspects of the main biofuels. Subsequently, chapter 4 addresses the options for achieving the 20% biofuels target. Chapter 5 sketches the variants on the basic route and calculates the costs of these variants. Chapter 6 discusses the timing and cost of the basic route and the variants. The main conclusion of this report is that 20% blending can be achieved. [mk] [nl

  11. Temporary oil production, current account deterioration and the role of monetary and fiscal policy

    International Nuclear Information System (INIS)

    Harvie, C.

    1992-01-01

    This paper extends earlier work on the macroeconomic adjustment processes arising for an economy experiencing a temporary period of oil production. Emphasis is placed on developments in the current account, as reflected in foreign asset stock movements, after oil production ceases, as well as on the role that monetary, fiscal or fiscal/monetary policy can play in influencing current-account developments during this same period. The results presented suggest that, to improve the performance of the current account, irrespective of the wage adjustment mechanism operative, after oil production ceases, the major thrust of macroeconomic policy should operate through fiscal rather than monetary policy. However developments in non-oil output would be influenced by the wage adjustment mechanism. With wage indexation, a tight fiscal policy after oil production ceases leads to a higher level of non-oil output than in the no policy response case, or one where monetary policy alone is used. With no wage indexation, the use of monetary and/or fiscal policy leads to lower levels of non-oil output. The use of fiscal policy also has the added benefit of contributing to a lower consumer price level, again irrespective of the operative wage adjustment mechanism. If the emphasis of policy operates through monetary policy, irrespective of the wage adjustment mechanism, the current-account problem will be exacerbated since foreign assets stocks will be lower. In addition, non-oil output and consumer prices will be lower. (Author)

  12. 228 Empirical Analysis of Fiscal Policy Shocks and Current Account ...

    African Journals Online (AJOL)

    First Lady

    2013-01-28

    Jan 28, 2013 ... budget deficit on the current account balance in Nigeria but their claims and results are sketchy at ..... financial sector variables on Nigeria's CAB. The results ..... 08/60 (Washington: International Monetary Fund). Looney, R. E. ...

  13. Who Owns Renewable Energy Certificates? An Exploration of PolicyOptions and Practice

    Energy Technology Data Exchange (ETDEWEB)

    Holt, Edward A.; Wiser, Ryan; Bolinger, Mark

    2006-04-05

    Renewable energy certificates (RECs) represent the bundle of information that describes the characteristics of renewable electricity generation, and may be (and increasingly are) sold separately from the underlying electricity itself. RECs are a relatively new phenomenon, emerging as a tradable commodity in voluntary markets in the late 1990s, and gaining strength as a means of compliance with various state policy requirements affecting renewable generation in the early 2000s (Holt and Bird 2005). Twenty states and Washington, D.C. now have mandatory renewables portfolio standard (RPS) obligations, and most of these may be satisfied by owning and retiring RECs. Many states also have fuel source and emissions disclosure requirements, for which RECs are useful. Even where state policy does not allow unbundled and fully tradable RECs to meet these requirements, RECs may still be used as an accounting and verification tool (REC tracking systems are in place or under development in many regions of the U.S.). These applications, plus REC trading activity in support of voluntary green claims, give rise to potential ''double counting'' to the extent that the purchaser of the RECs and the purchaser of the underlying electricity both make claims to the renewable energy attributes of the facility in question (Hamrin and Wingate 2003). When renewable electricity is sold and purchased, an important question therefore arises: ''Who owns the RECs created by the generation of renewable energy?'' In voluntary transactions, most agree that the question of REC ownership can and should be negotiated between the buyer and the seller privately, and should be clearly established by contract. Claims about purchasing renewable energy should only be made if REC ownership can be documented. In many other cases, however, renewable energy transactions are either mandated or encouraged through state or federal policy. In these cases, the issue of REC

  14. It's more than money: policy options to secure medical specialist workforce for regional centres.

    Science.gov (United States)

    May, Jennifer; Walker, Judi; McGrail, Mathew; Rolley, Fran

    2017-12-01

    Objectives Regional centres and their rural hinterlands support significant populations of non-metropolitan Australians. Despite their importance in the settlement hierarchy and the key medical services provided from these centres, little research has focused on their issues of workforce supply and long-term service requirements. In addition, they are a critical component of the recent growth of 'regional' hub-and-spoke specialist models of service delivery. Methods The present study interviewed 62 resident specialists in four regional centres, seeking to explore recruitment and retention factors important to their location decision making. The findings were used to develop a framework of possible evidence-informed policies. Results This article identifies key professional, social and locational factors, several of which are modifiable and amenable to policy redesign, including work variety, workplace culture, sense of community and spousal employment; these factors that can be targeted through initiatives in selection, training and incentives. Conclusions Commonwealth, state and local governments in collaboration with communities and specialist colleges can work synergistically, with a multiplicity of interdigitating strategies, to ensure a positive approach to the maintenance of a critical mass of long-term rural specialists. What is known about the topic? Rural origin increases likelihood of long-term retention to rural locations, with rural clinical school training associated with increased rural intent. Recruitment and retention policy has been directed at general practitioners in rural communities, with little focus on regional centres or medical specialists. What does this study add? Rural origin is associated with regional centre recruitment. Professional, social and locational factors are all moderately important in both recruitment and retention. Specialist medical training for regional centres ideally requires both generalist and subspecialist skills

  15. Corrigendum to: It's more than money: policy options to secure medical specialist workforce for regional centres.

    Science.gov (United States)

    May, Jennifer; Walker, Judi; McGrail, Mathew; Rolley, Fran

    2017-12-01

    Objectives Regional centres and their rural hinterlands support significant populations of non-metropolitan Australians. Despite their importance in the settlement hierarchy and the key medical services provided from these centres, little research has focused on their issues of workforce supply and long-term service requirements. In addition, they are a critical component of the recent growth of 'regional' hub-and-spoke specialist models of service delivery. Methods The present study interviewed 62 resident specialists in four regional centres, seeking to explore recruitment and retention factors important to their location decision making. The findings were used to develop a framework of possible evidence-informed policies. Results This article identifies key professional, social and locational factors, several of which are modifiable and amenable to policy redesign, including work variety, workplace culture, sense of community and spousal employment; these factors that can be targeted through initiatives in selection, training and incentives. Conclusions Commonwealth, state and local governments in collaboration with communities and specialist colleges can work synergistically, with a multiplicity of interdigitating strategies, to ensure a positive approach to the maintenance of a critical mass of long-term rural specialists. What is known about the topic? Rural origin increases likelihood of long-term retention to rural locations, with rural clinical school training associated with increased rural intent. Recruitment and retention policy has been directed at general practitioners in rural communities, with little focus on regional centres or medical specialists. What does this study add? Rural origin is associated with regional centre recruitment. Professional, social and locational factors are all moderately important in both recruitment and retention. Specialist medical training for regional centres ideally requires both generalist and subspecialist skills

  16. The foreign policy and security options of Romania in the vision of Klaus Johannis

    Directory of Open Access Journals (Sweden)

    Radu-Ioan Opriș

    2015-03-01

    Full Text Available If a decade ago, Romania became a NATO member and it was enrolled in the accession process to the European Union, in 2014, the problem is radically different: Romania has a new status within NATO, it is part of the EU, it is in process of accession to the Schengen area and it has developed its strategic partnership with the United States of America. In this context, the aim of this paper is to bring into attention the vision of the new president of Romania, Klaus Iohannis, regarding the romanian foreign policy and security.

  17. Essential equivalence: the objectives and requirements of a stategic nuclear policy: a perspective on the evolution of US strategic nuclear policy, and an assessment of present and emerging US strategic policy and force stucture options

    International Nuclear Information System (INIS)

    Hughes, P.C.

    1979-01-01

    This study provides a discussion of the origins and evolution of US strategic nuclear policy, the objectives an requirements of US nuclear forces, and an assessment of present and emerging US stategic nuclear policy and force structure options. It identifies the distinctive phases of US strategic nuclear policy, the conditions of the military environments in which those policies were developed, the interaction of US-Soviet strategic force and arms control processes during these phases, and the domestic debates which have accompanied US strategic nuclear policy developments. In particular, the study focuses on the major contending views which continue to characterize the debate concerning US strategic nuclear policy. The study assesses the implications of the contending views represented in what is commonly referred to as the counterforce-countervalue debate, particularly as they relate to the perception of what constitutes a credible US deterrent posture, and the corresponding alternatives that these views bring with them for making US strategic nuclear policy and force structure decisions. The arms control process, in general, and SALT I and SALT II in particular, is discussed as an integral and dynamic component of the strategic debate, fundamentally affecting the nation's security policies. The implications of modern weapons technology, and the problems inherent in preserving strategic stability between adversary nations with asymmetries in military force structures and doctrines, are also discussed. Further, the study focuses on the question of whether or not nuclear superiority can be considered relevant under the contemporary international conditions

  18. Preferences on policy options for ensuring the financial sustainability of health care services in the future: results of a stakeholder survey.

    Science.gov (United States)

    Tordrup, David; Angelis, Aris; Kanavos, Panos

    2013-12-01

    Universal access to health care in most western European countries has been a given for many decades; however, macroeconomic developments and increased pressure on health care budgets could mean the status quo cannot be maintained. As populations age, a declining proportion of economically active citizens are being required to support a larger burden of health and social care, while increasing availability of novel technologies for extending and improving life continues to push health care costs upwards. With health expenditure continuing to rise as a proportion of national income, concerns are raised about the current and future financial sustainability of Organisation for Economic Co-Operation and Development (OECD) health care systems. Against this backdrop, a discussion about options to fund health care in the future, including whether to raise additional health care finance (and the ways to do so), reallocate resources and/or ration services becomes very pertinent. This study elicits preferences among a group of key stakeholders (payers, providers, government, academia and health-related industry) on the issue of health care financial sustainability and the future funding of health care services, with a view to understanding the different degrees of acceptability between policy interventions and future funding options as well as their feasibility. We invited 842 individuals from academia, other research organisations (eg. think tanks), national health services, providers, health insurance organisations, government representatives and health-related industry and related advisory stakeholders to participate in an online survey collecting preferences on a variety of revenue-generating mechanisms and cost/demand reducing policies. Respondents represented the 28 EU member states as well as Norway, Iceland, Switzerland, Australia, Russian Federation, Canada and New Zealand. We received 494 responses to our survey from all stakeholder groups. Across all groups, the

  19. Fuel particles in the Chernobyl cooling pond: current state and prediction for remediation options

    International Nuclear Information System (INIS)

    Bulgakov, A.; Konoplev, A.; Smith, J.; Laptev, G.; Voitsekhovich, O.

    2009-01-01

    During the coming years, a management and remediation strategy for the Chernobyl cooling pond (CP) will be implemented. Remediation options include a controlled reduction in surface water level of the cooling pond and stabilisation of exposed sediments. In terrestrial soils, fuel particles deposited during the Chernobyl accident have now almost completely disintegrated. However, in the CP sediments the majority of 90 Sr activity is still in the form of fuel particles. Due to the low dissolved oxygen concentration and high pH, dissolution of fuel particles in the CP sediments is significantly slower than in soils. After the planned cessation of water pumping from the Pripyat River to the Pond, significant areas of sediments will be drained and exposed to the air. This will significantly enhance the dissolution rate and, correspondingly, the mobility and bioavailability of radionuclides will increase with time. The rate of acidification of exposed bottom sediments was predicted on the basis of acidification of similar soils after liming. Using empirical equations relating the fuel particle dissolution rate to soil and sediment pH allowed prediction of fuel particle dissolution and 90 Sr mobilisation for different remediation scenarios. It is shown that in exposed sediments, fuel particles will be almost completely dissolved in 15-25 years, while in parts of the cooling pond which remain flooded, fuel particle dissolution will take about a century

  20. Rectal cancer and Fournier’s gangrene - current knowledge and therapeutic options

    Science.gov (United States)

    Bruketa, Tomislav; Majerovic, Matea; Augustin, Goran

    2015-01-01

    Fournier’s gangrene (FG) is a rapid progressive bacterial infection that involves the subcutaneous fascia and part of the deep fascia but spares the muscle in the scrotal, perianal and perineal region. The incidence has increased dramatically, while the reported incidence of rectal cancer-induced FG is unknown but is extremely low. Pathophysiology and clinical presentation of rectal cancer-induced FG per se does not differ from the other causes. Only rectal cancer-specific symptoms before presentation can lead to the diagnosis. The diagnosis of rectal cancer-induced FG should be excluded in every patient with blood on digital rectal examination, when urogenital and dermatological causes are excluded and when fever or sepsis of unknown origin is present with perianal symptomatology. Therapeutic options are more complex than for other forms of FG. First, the causative rectal tumor should be removed. The survival of patients with rectal cancer resection is reported as 100%, while with colostomy it is 80%. The preferred method of rectal resection has not been defined. Second, oncological treatment should be administered but the timing should be adjusted to the resolution of the FG and sometimes for the healing of plastic reconstructive procedures that are commonly needed for the reconstruction of large perineal, scrotal and lower abdominal wall defects. PMID:26290629

  1. Transport sector CO2 emissions growth in Asia: Underlying factors and policy options

    International Nuclear Information System (INIS)

    Timilsina, Govinda R.; Shrestha, Ashish

    2009-01-01

    This study analyze the potential factors influencing the growth of transport sector carbon dioxide (CO 2 ) emissions in selected Asian countries during the 1980-2005 period by decomposing annual emissions growth into components representing changes in fuel mix, modal shift, per capita gross domestic product (GDP) and population, as well as changes in emission coefficients and transportation energy intensity. We find that changes in per capita GDP, population growth and transportation energy intensity are the main factors driving transport sector CO 2 emission growth in the countries considered. While growth in per capita income and population are responsible for the increasing trend of transport sector CO 2 emissions in China, India, Indonesia, Republic of Korea, Malaysia, Pakistan, Sri Lanka and Thailand; the decline of transportation energy intensity is driving CO 2 emissions down in Mongolia. Per capita GDP, population and transportation energy intensity effects are all found responsible for transport sector CO 2 emissions growth in Bangladesh, the Philippines and Vietnam. The study also reviews existing government policies to limit CO 2 emissions growth, such as fiscal instruments, fuel economy standards and policies to encourage switching to less emission intensive fuels and transportation modes.

  2. Maori challenges and crown responsibilities: Maori policymaker ideas on smokefree policy options.

    Science.gov (United States)

    Gifford, Heather; Parata, Kiri; Thomson, George

    2010-11-26

    To determine obstacles/opportunities within policy processes, for smokefree interventions appropriate to Maori. In particular, to explore Maori policymakers' ideas on how to achieve progress on smokefree homes, cars and community property. Documents and interviews with 16 senior Maori officials and Members of Parliament, and nine interviews in two case studies, were used to explore Maori policymakers' ideas for (i) Progress, within relevant policy processes, on smoking in homes, cars and community property; (ii) Particular interventions that the interviewees felt were most and least effective, practical, sustainable, politically feasible or desirable in some way; (iii) The context, and obstacles and opportunities for such interventions. The case studies were of a Maori health service and a group of Maori District Health Board managers. Several key themes emerged from the research including, (i) children as drivers for change, (ii) strong national and local indigenous leadership needed for change, (iii) delivering smokefree messages as part of wider healthy living approaches, (iv) targeting of the messages for greatest impact for Maori, (v) need for a Maori approach, not a general approach, (vi) central and local government having a significant role in the prevention of tobacco harm, (vii) ideas on how tobacco tax revenue should be spent on tobacco control, and (viii) the rights of children to smokefree environments. Results indicate that indigenous specific approaches and indigenous leadership are critical for Maori tobacco-free advances. Harnessing indigenous values and principles related to health, family and children was the preferred method of these Maori policymakers for delivering social marketing messages.

  3. Transport sector CO{sub 2} emissions growth in Asia: Underlying factors and policy options

    Energy Technology Data Exchange (ETDEWEB)

    Timilsina, Govinda R., E-mail: gtimilsina@worldbank.or [Development Research Group, World Bank, 1818H Street, NW, Washington, DC 20433 (United States); Shrestha, Ashish [Development Research Group, World Bank, 1818H Street, NW, Washington, DC 20433 (United States)

    2009-11-15

    This study analyze the potential factors influencing the growth of transport sector carbon dioxide (CO{sub 2}) emissions in selected Asian countries during the 1980-2005 period by decomposing annual emissions growth into components representing changes in fuel mix, modal shift, per capita gross domestic product (GDP) and population, as well as changes in emission coefficients and transportation energy intensity. We find that changes in per capita GDP, population growth and transportation energy intensity are the main factors driving transport sector CO{sub 2} emission growth in the countries considered. While growth in per capita income and population are responsible for the increasing trend of transport sector CO{sub 2} emissions in China, India, Indonesia, Republic of Korea, Malaysia, Pakistan, Sri Lanka and Thailand; the decline of transportation energy intensity is driving CO{sub 2} emissions down in Mongolia. Per capita GDP, population and transportation energy intensity effects are all found responsible for transport sector CO{sub 2} emissions growth in Bangladesh, the Philippines and Vietnam. The study also reviews existing government policies to limit CO{sub 2} emissions growth, such as fiscal instruments, fuel economy standards and policies to encourage switching to less emission intensive fuels and transportation modes.

  4. Transport sector CO{sub 2} emissions growth in Asia. Underlying factors and policy options

    Energy Technology Data Exchange (ETDEWEB)

    Timilsina, Govinda R.; Shrestha, Ashish [Development Research Group, The World Bank, 1818H Street, NW, Washington, DC 20433 (United States)

    2009-11-15

    This study analyze the potential factors influencing the growth of transport sector carbon dioxide (CO{sub 2}) emissions in selected Asian countries during the 1980-2005 period by decomposing annual emissions growth into components representing changes in fuel mix, modal shift, per capita gross domestic product (GDP) and population, as well as changes in emission coefficients and transportation energy intensity. We find that changes in per capita GDP, population growth and transportation energy intensity are the main factors driving transport sector CO{sub 2} emission growth in the countries considered. While growth in per capita income and population are responsible for the increasing trend of transport sector CO{sub 2} emissions in China, India, Indonesia, Republic of Korea, Malaysia, Pakistan, Sri Lanka and Thailand; the decline of transportation energy intensity is driving CO{sub 2} emissions down in Mongolia. Per capita GDP, population and transportation energy intensity effects are all found responsible for transport sector CO{sub 2} emissions growth in Bangladesh, the Philippines and Vietnam. The study also reviews existing government policies to limit CO{sub 2} emissions growth, such as fiscal instruments, fuel economy standards and policies to encourage switching to less emission intensive fuels and transportation modes. (author)

  5. Policy needs and options for a common transatlantic approach towards measuring adoption, usage and benefits of eHealth.

    Science.gov (United States)

    Stroetmann, Karl A; Middleton, Blackford

    2011-01-01

    The European Union (EU) sponsored ARGOS project analysed current eHealth policy thinking in both the EU and the USA, compared strategic challenges and outcomes in selected fields, and drafted roadmaps towards developing advanced global approaches for these issues. This policy brief focuses on better understanding the benefits and costs of eHealth investments, assessing their overall socio-economic impact, identifying challenges and success factors, as well as measuring and globally benchmarking the concrete usage of eHealth solutions. These are by now key policy priorities not only of national governments and the European Commission, but also of international institutions like WHO or OECD. There is a strong felt transatlantic need for stocktaking, identifying lessons learned, sharing of experience, and working together to advance these issues for the benefit of health systems. A growing number of national and international activities can be taken advantage of. Recommendations on how to proceed with such transatlantic activities are proposed.

  6. Optimal management of seizures associated with tuberous sclerosis complex: current and emerging options

    Directory of Open Access Journals (Sweden)

    Wang S

    2014-10-01

    Full Text Available Shelly Wang,1 Aria Fallah2,3 1Department of Neurosurgery, University of Toronto, Toronto, ON, Canada; 2Department of Neurosurgery, Miami Children’s Hospital, Miami, FL, USA; 3Department of Clinical Epidemiology and Biostatistics, McMaster University, Hamilton, ON, Canada Abstract: Seizures are clinically significant manifestations associated with 79%–90% of patients with tuberous sclerosis complex. Often occurring within the first year of life in the form of infantile spasms, seizures interfere with neuropsychiatric, social, and cognitive development and carry significant individual and societal consequences. Prompt identification and treatment of seizures is an important focus in the overall management of tuberous sclerosis complex patients. Medical management, either after seizure onset or prophylactically in infants with electroencephalographic abnormalities, is considered first-line therapy. Vigabatrin and adrenocorticotropic hormone have emerged over the past few decades as mainstay pharmacologic modalities. Furthermore, emerging research on mammalian target of rapamycin inhibitors demonstrated promise for the management of seizures and subependymal giant cell astrocytoma. For appropriate surgical candidates with an epileptogenic zone associated with one or more glioneuronal hamartomas, ideally in noneloquent cortex, resective surgery can be considered, which provides a cure in 56% of patients. For medically refractory patients who do not meet criteria for curative surgery, palliative surgical approaches focused on reducing seizure burden, in the form of corpus callosotomy and vagus nerve stimulation, are alternative management options. Lastly, the ketogenic diet, a reemerging therapy based on the anticonvulsant effects of ketone bodies, can be utilized independently or in conjunction with other treatment modalities for the management of difficult-to-treat seizures. Keywords: epilepsy, adrenocorticotropic hormone, vigabatrin, mammalian

  7. Current classification, treatment options, and new perspectives in the management of adipocytic sarcomas

    Directory of Open Access Journals (Sweden)

    De Vita A

    2016-10-01

    Full Text Available Alessandro De Vita,1 Laura Mercatali,1 Federica Recine,1 Federica Pieri,2 Nada Riva,1 Alberto Bongiovanni,1 Chiara Liverani,1 Chiara Spadazzi,1 Giacomo Miserocchi,1 Dino Amadori,1 Toni Ibrahim1 1Osteoncology and Rare Tumors Center, Istituto Scientifico Romagnolo per lo Studio e la Cura dei Tumori (IRST IRCCS, Meldola, FC, 2Pathology Unit, Morgagni-Pierantoni Hospital, Forlì, Italy Abstract: Sarcomas are a heterogeneous group of mesenchymal tumors arising from soft tissue or bone, with an uncertain etiology and difficult classification. Soft tissue sarcomas (STSs account for around 1% of all adult cancers. Till date, more than 50 histologic subtypes have been identified. Adipocyte sarcoma or liposarcoma (LPS is one of the most common STS subtypes, accounting for 15% of all sarcomas, with an incidence of 24% of all extremity STSs and 45% of all retroperitoneal STSs. The new World Health Organization classification system has divided LPS into four different subgroups: atypical lipomatous tumor/well-differentiated LPS, dedifferentiated LPS, myxoid LPS, and pleomorphic LPS. These lesions can develop at any location and exhibit different aggressive potentials reflecting their morphologic diversity and clinical behavior. Patients affected by LPS should be managed in specialized multidisciplinary cancer centers. Whereas surgical resection is the mainstay of treatment for localized disease, the benefits of adjuvant and neoadjuvant chemotherapy are still unclear. Systemic treatment, particularly chemotherapy, is still limited in metastatic disease. Despite the efforts toward a better understanding of the biology of LPS, the outcome of advanced and metastatic patients remains poor. The advent of targeted therapies may lead to an improvement of treatment options and clinical outcomes. A larger patient enrollment into translational and clinical studies will help increase the knowledge of the biological behavior of LPSs, test new drugs, and introduce new

  8. Economic and Energy Development in China: Policy Options and Implications for Climate Change

    Energy Technology Data Exchange (ETDEWEB)

    McElroy, M. B.; Nielsen, C.

    2003-01-23

    The Harvard University Center for the Environment and partner institutions in China established a multidisciplinary program of integrated research on energy-related environmental issues, local air pollution and global climate change, in China and their role in U.S.-Chinese relations. Major research streams included: (a) developing a dynamic, multi-sector model of the Chinese economy that can estimate energy use, emission, and health damages from pollution, and using this model to simulate broad economic effects of market-based pollution-control policies; (b) developing a regionally disaggregated model of technology and investment choice in the Chinese electric power sector; (c) applying an atmospheric chemical tracer transport model to investigate carbon uptake in Eurasis (notably China) and North America, and to inform observational strategies for CO{sub 2} in China and elsewhere.

  9. Health issues and the practicing radiologist: defining concepts and developing recommendations for leave options and policies.

    Science.gov (United States)

    Heilbrun, Marta E; Bender, Claire E; Truong, Hang B; Bluth, Edward I

    2013-09-01

    Radiologists today are faced with the challenges of maintaining and balancing individual and family health needs and the demands of the workplace. To provide the highest quality and safest care of our patients, a corresponding ethos of support for a healthy workforce is required. There is a paucity of targeted information describing protections for and maintenance of the health of the practicing radiologist, in both private and academic settings. However, a review of existing family and medical leave policies may be helpful to practice leaders and practicing radiologists as a platform for the development of strategic workforce plans. This writing, by members of the ACR Commission on Human Resources, addresses the following areas: (1) medical leave, (2) maternity and/or paternity leave, and (3) disability. Copyright © 2013 American College of Radiology. Published by Elsevier Inc. All rights reserved.

  10. India and the fissile material cut-off treaty: policy options

    International Nuclear Information System (INIS)

    Nayan, Rajiv

    2011-01-01

    The international community inside and outside the Conference of Disarmament is underscoring the need for concluding a fissile material cut-off treaty (FMCT). The Indian government, for a long period, has been sponsoring the idea. Notwithstanding the international stagnation, the issue has been instigating periodic debate in India on the Indian approach. The periodic revival of the issue requires that India revisit its policy on fissile material production as well as its approach towards a possible EVICT. This article examines the question: should India's approach to conclude an FMCT be within the UN institutional framework? The new international reality is pushing for a new context, new realignments and a fresh outlook for an FMCT. India should take its own time to support conclusion of an FMCT so that its national interests and security are not adversely affected. (author)

  11. Private initiatives and policy options: recent health system experience in India.

    Science.gov (United States)

    Purohit, B C

    2001-03-01

    In the recent past the impact of structural adjustment in the Indian health care sector has been felt in the reduction in central grants to States for public health and disease control programmes. This falling share of central grants has had a more pronounced impact on the poorer states, which have found it more difficult to raise local resources to compensate for this loss of revenue. With the continued pace of reforms, the likelihood of increasing State expenditure on the health care sector is limited in the future. As a result, a number of notable trends are appearing in the Indian health care sector. These include an increasing investment by non-resident Indians (NRIs) in the hospital industry, leading to a spurt in corporatization in the States of their original domicile and an increasing participation by multinational companies in diagnostics aiming to capture the potential of the Indian health insurance market. The policy responses to these private initiatives are reflected in measures comprising strategies to attract private sector participation and management inputs into primary health care centres (PHCs), privatization or semi-privatization of public health facilities such as non-clinical services in public hospitals, innovating ways to finance public health facilities through non-budgetary measures, and tax incentives by the State governments to encourage private sector investment in the health sector. Bearing in mind the vital importance of such market forces and policy responses in shaping the future health care scenario in India, this paper examines in detail both of these aspects and their implications for the Indian health care sector. The analysis indicates that despite the promising newly emerging atmosphere, there are limits to market forces; appropriate refinement in the role of government should be attempted to avoid undesirable consequences of rising costs, increasing inequity and consumer exploitation. This may require opening the health

  12. Estimating the influence of U.S. ethanol policy on plant investment decisions: A real options analysis with two stochastic variables

    International Nuclear Information System (INIS)

    Schmit, T.M.; Luo, J.; Conrad, J.M.

    2011-01-01

    U.S. ethanol policies have contributed to changes in the levels and the volatilities of revenues and costs facing ethanol firms. The implications of these policies for optimal investment behavior are investigated through an extension of the real options framework that allows for the consideration of volatility in both revenue and cost components, as well as the correlation between them. The effects of policy affecting plant revenues dominate the effects of those policies affecting production costs. In the absence of these policies, much of the recent expansionary periods would have not existed and market conditions in the late-1990s would have led to some plant closures. We also show that, regardless of plant size, U.S. ethanol policy has narrowed the distance between the optimal entry and exit curves, implying a more narrow range of inactivity and indicative of a more volatile evolution for the industry than would have existed otherwise. - Highlights: ► An extended real options framework with two stochastic variables is developed. ► Ethanol expansion largely induced by the revenue-enhancing effects of policy. ► Removing effects of policy changes optimal entry/exit environment considerably. ► To expand US ethanol industry, size of policy contributions needs to grow. ► US ethanol policy has fostered more volatile industry development.

  13. Policy options for developing Asian countries in the Post-Kyoto world

    International Nuclear Information System (INIS)

    Siddiqi, Toufiq A.

    2003-01-01

    The developing countries of Asia are amongst the largest contributors to the anthropogenic emissions of greenhouse gases as well as being amongst those most likely to be impacted by global climate change. There are at present no legal requirements for the Asian developing countries to reduce their emissions, however, the medium and long-term impact of global climate change is likely to be proportionately larger for the developing countries than for the industrialized countries, since the latter have the resources to reduce the adverse impacts. Therefore, it is of great interest of the developing countries, as well as the rest of the world, to have longer-term goals for stabilizing their greenhouse gas emissions, and taking actions during the medium term to achieve these goals. Asia is home to about 50% of the world's population, and there is great variation in the levels of industrialization and contribution to greenhouse gas emissions. A differentiated strategy for addressing concerns related to global climate change may be appropriate for the Asian developing countries at this time. Some elements of this strategy are discussed in this paper. Development in energy technology present several attractive options for the developing countries. However, their introduction and successful use depends at least as much on the existence of the necessary infrastructure as on the attractiveness of the technologies themselves. It is suggested that international and bilateral development agencies, as well as the countries themselves, consider the accelerated development of such infrastructure as a major way to contribute to the efforts to address global climate change. (BA)

  14. Current status and future options for trauma and emergency surgery in Turkey.

    Science.gov (United States)

    Taviloğlu, Korhan; Ertekin, Cemalettin

    2008-01-01

    The number of trauma victims in Turkey is expected to increase as a consequence of the increasing vehicular traffic, potential for earthquakes, and risk of terrorist attacks. The Turkish Association for Trauma and Emergency Surgery monitors trauma cases, publishes a quarterly journal, organizes trauma courses and seminars for various health personnel nationwide. It is also extending efforts to improve in-hospital care by establishing trauma and emergency surgery fellowships and trauma and emergency surgery centers nationwide, which is run by General Surgeons currently. Turkey faces the same dilemma as the rest of the developed world regarding the future of trauma surgeons in the current era of nonoperative trauma management. We suggest that the field of trauma and emergency surgery be redefined to include emergency general surgery and cavitary trauma.

  15. Ensuring an optimal environment for peer education in South African schools: Goals, systems, standards and policy options for effective learning.

    Science.gov (United States)

    Swartz, Sharlene; Deutsch, Charles; Moolman, Benita; Arogundade, Emma; Isaacs, Dane; Michel, Barbara

    2016-12-01

    Peer education has long been seen as a key health promotion strategy and an important tool in preventing HIV infection. In South African schools, it is currently one of the strategies employed to do so. Based on both a recent research study of peer education across 35 schools and drawing on multiple previous studies in South Africa, this paper examines the key elements of peer education that contribute to its effectiveness and asks how this aligns with current educational and health policies. From this research, it summarises and proposes shared goals and aims, minimum standards of implementation and reflects on the necessary infrastructure required for peer education to be effective. In light of these findings, it offers policy recommendations regarding who should be doing peer education and the status peer education should have in a school's formal programme.

  16. Exploring policy options for a transition to sustainable heating system diffusion using an agent-based simulation

    International Nuclear Information System (INIS)

    Maya Sopha, Bertha; Kloeckner, Christian A.; Hertwich, Edgar G.

    2011-01-01

    Change in home heating to more efficient and renewable systems is important for a sound climate policy. The present paper aims to identify potential interventions for the uptake of wood-pellet heating in Norway using an agent-based model (ABM). The theoretically based, empirically founded, agent-based simulation demonstrates that financial support, i.e., a stable wood-pellet price, and technical development, i.e., functional reliability improvement, have to be established all at the same time for a successful wood-pellet market to start. Furthermore, a soft intervention through persuading households to use environmentally beneficial heating system is not a promising driver for wood-pellet diffusion. Limitations and suggestions for future work are also discussed. - Research highlights: → The theoretically based, empirically founded, agent-based simulation is applied to investigate potential policy options toward diffusion of wood-pellet heating in Norway. → Relative advantages are necessary for wood-pellet heating to be adopted, consistent with Diffusion of Innovation theory (). → Simultaneous development is also required for further uptake of wood-pellet heating, supporting the existing empirical hypothesis by . → Persuading households to use environmentally friendly heating system is not a promising driver, in line with empirical finding of , who investigated psychological factors underlying the adoption of wood-pellet heating.

  17. Exploring policy options for a transition to sustainable heating system diffusion using an agent-based simulation

    Energy Technology Data Exchange (ETDEWEB)

    Maya Sopha, Bertha, E-mail: bertha.sopha@ntnu.n [Industrial Ecology Programme and Department of Energy and Process Engineering, Norwegian University of Science and Technology, NO-7491 Trondheim (Norway); Kloeckner, Christian A. [Department of Psychology, Section for Risk Psychology, Environment and Safety (RIPENSA), Norwegian University of Science and Technology, NO-7491 Trondheim (Norway); Hertwich, Edgar G. [Industrial Ecology Programme and Department of Energy and Process Engineering, Norwegian University of Science and Technology, NO-7491 Trondheim (Norway)

    2011-05-15

    Change in home heating to more efficient and renewable systems is important for a sound climate policy. The present paper aims to identify potential interventions for the uptake of wood-pellet heating in Norway using an agent-based model (ABM). The theoretically based, empirically founded, agent-based simulation demonstrates that financial support, i.e., a stable wood-pellet price, and technical development, i.e., functional reliability improvement, have to be established all at the same time for a successful wood-pellet market to start. Furthermore, a soft intervention through persuading households to use environmentally beneficial heating system is not a promising driver for wood-pellet diffusion. Limitations and suggestions for future work are also discussed. - Research highlights: {yields} The theoretically based, empirically founded, agent-based simulation is applied to investigate potential policy options toward diffusion of wood-pellet heating in Norway. {yields} Relative advantages are necessary for wood-pellet heating to be adopted, consistent with Diffusion of Innovation theory (). {yields} Simultaneous development is also required for further uptake of wood-pellet heating, supporting the existing empirical hypothesis by . {yields} Persuading households to use environmentally friendly heating system is not a promising driver, in line with empirical finding of , who investigated psychological factors underlying the adoption of wood-pellet heating.

  18. Livestock-related greenhouse gas emissions: impacts and options for policy makers

    International Nuclear Information System (INIS)

    Garnett, Tara

    2009-01-01

    Research shows that livestock account for a significant proportion of greenhouse gas (GHG) emissions and global consumption of livestock products is growing rapidly. This paper reviews the life cycle analysis (LCA) approach to quantifying these emissions and argues that, given the dynamic complexity of our food system, it offers a limited understanding of livestock's GHG impacts. It is argued that LCA's conclusions need rather to be considered within a broader conceptual framework that incorporates three key additional perspectives. The first is an understanding of the indirect second order effects of livestock production on land use change and associated CO 2 emissions. The second compares the opportunity cost of using land and resources to rear animals with their use for other food or non-food purposes. The third perspective is need-the paper considers how far people need livestock products at all. These perspectives are used as lenses through which to explore both the impacts of livestock production and the mitigation approaches that are being proposed. The discussion is then broadened to consider whether it is possible to substantially reduce livestock emissions through technological measures alone, or whether reductions in livestock consumption will additionally be required. The paper argues for policy strategies that explicitly combine GHG mitigation with measures to improve food security and concludes with suggestions for further research.

  19. The delusion of decoupling, and policy options for mitigating the rebound effect and the environmental impact

    DEFF Research Database (Denmark)

    Nørgaard, Jørgen

    reduce, or at least limit, ‘P’ and ‘A’, including their rebound growth from the ‘T’ decrease. The paper suggest this to be achievable in affluent countries, by letting ‘P’ decline through low birth rates, and encouraging ‘A’ to decline in exchange for lowering labor input to the economy, partly......When analyzing environmental problems, it is useful to apply the following simple equation for the environmental impact ‘I’, (here representing energy consumption): I = P·A·T, With ‘P’ representing population, ‘A’ affluence per capita, and ‘T’ resource intensity, i.e. energy per affluence unit ‘A......’. All three factors are through the equation coupled to ‘I’, and in general we should avoid using the misleading terminology of decoupling environmental impact (energy consumption) from the economy, represented by ‘P·A’. So far essentially all policies towards lowering ‘I’ has been devoted towards...

  20. Maternity waiting homes and institutional birth in Nicaragua: policy options and strategic implications.

    Science.gov (United States)

    García Prado, Ariadna; Cortez, Rafael

    2012-01-01

    With the aim of promoting institutional births and reducing the high maternal and child mortality rates in rural and poor zones, the government of Nicaragua is supporting the creation of maternity waiting homes. This study analyzes that strategy and examines the factors associated with the use of maternity waiting homes and institutional birth. To that end, we apply a quantitative approach, by means of an econometric analysis of the data extracted from surveys conducted in 2006 on a sample of women and parteras or traditional birth attendants, as well as a qualitative approach based on interviews with key informants. Results indicate that although the operation of the maternity waiting homes is usually satisfactory, there is still room for improvement along the following lines: (i) disseminating information about the homes to both women and men, as the latter frequently decide the course of women's healthcare, and to parteras, who can play an important role in referring women; (ii) strengthening the postpartum care; (iii) ensuring financial sustainability by obtaining regular financial support from the government to complement contributions from the community; and (iv) strengthening the local management and involvement of the regional government. These measures might be useful for health policy makers in Nicaragua and in other developing countries that are considering this strategy. Copyright © 2011 John Wiley & Sons, Ltd.

  1. Compensating the opportunity cost of forest functional zoning - two alternative options for the Romanian forest policy

    Directory of Open Access Journals (Sweden)

    Marian Drăgoi,

    2010-09-01

    Full Text Available An important challenge of the environmental policy is conceivingappropriate economic instruments able to account for the positive externalities provided by forest ecosystems. This issue is extremely important for implementing the provisions of the Romanian Forest Act, which states that forest owners shall be compensated for the opportunity costs of giving up harvesting operations due to various conservation purposes. The paper presents a statistical method based on analytical assessment of the effective forgone revenues brought about by banning the harvesting operations in 96 cases, each case being a distinctive forest management plan conceived for a large forest area, i.e. a production unit. Doing so, the scale effect has been taken into account because all legal provisions referring to forest management planning systems are focused on production units, considered the basic reference elements for sustainable forest management. The multiple regression function produced by the statistical analysis was turned into a simple formula allowing for a straightforward set up of the average compensation worth being paid per year and hectare. In order to better fetch the real opportunity cost paid for each hectare of protected forest, the algorithmwas further improved in order to account for the differences in stumpage residual value. Actually, the average compensation is differentiated onto five categories of hauling distances, using the same algorithm used by the National Forest Administration for differentiating the average reservation price established at national level on the ground of full-cost method stumpage pricing system.

  2. Compensating the opportunity cost of forest functional zoning - two alternative options for the Romanian forest policy

    Directory of Open Access Journals (Sweden)

    Marian Drăgoi

    2010-06-01

    Full Text Available An important challenge of the environmental policy is conceiving appropriate economic instruments able to account for the positive externalities provided by forest ecosystems. This issue is extremely important for implementing the provisions of the Romanian Forest Act, which states that forest owners shall be compensated for the opportunity costs of giving up harvesting operations due to various conservation purposes. The paper presents a statistical method based on analytical assessment of the effective forgone revenues brought about by banning the harvesting operations in 96 cases, each case being a distinctive forest management plan conceived for a large forest area, i.e. a production unit. Doing so, the scale effect has been taken into account because all legal provisions referring to forest management planning systems are focused on production units, considered the basic reference elements for sustainable forest management. The multiple regression function produced by the statistical analysis was turned into a simple formula allowing for a straightforward set up of the average compensation worth being paid per year and hectare. In order to better fetch the real opportunity cost paid for each hectare of protected forest, the algorithm was further improved in order to account for the differences in stumpage residual value. Actually, the average compensation is differentiated onto five categories of hauling distances, using the same algorithm used by the National Forest Administration for differentiating the average reservation price established at national level on the ground of full-cost method stumpage pricing system. 

  3. Managing Behçet’s disease: An update on current and emerging treatment options

    Directory of Open Access Journals (Sweden)

    P LA van Daele

    2009-05-01

    Full Text Available P LA van Daele, J H Kappen, P M van Hagen, J AM van LaarDepartment of Internal Medicine, Department of Immunology, Erasmus MC, ‘s Gravendijkwal 230, 3015 Ce Rotterdam, The NetherlandsAbstract: Behçet’s disease is an autoinflammatory vasculitis of unknown origin characterized by recurrent oral and genital ulcers, uveitis, arthritis and skin lesions. Additionally, involvement of the gastrointestinal tract, central nervous system and large vessels may occur. The disease is prevalent in countries along the ancient Silk Road from Eastern Asia to the Mediterranean Basin. Many treatment modalities are currently available. The choice of treatment depends on organ involvement and severity of disease. Topical treatment with corticosteroids is often sufficient for mucocutaneous involvement, however for more severe disease with vasculitis or neurological involvement a more aggressive approach is warranted. Newer drugs (biologicals influencing cytokines and thereby T-cell function are promising with an acceptable side effect profile. Unfortunately, reimbursement of the costs of biologicals for rare disease is still a problem in various countries. In this report we discuss the current treatment modalities for Behçet’s disease.Keywords: Behçet’s disease, biologicals, treatment

  4. Using ecological thresholds to inform resource management: current options and future possibilities

    Directory of Open Access Journals (Sweden)

    Melissa M Foley

    2015-11-01

    Full Text Available In the face of growing human impacts on ecosystems, scientists and managers recognize the need to better understand thresholds and nonlinear dynamics in ecological systems to help set management targets. However, our understanding of the factors that drive threshold dynamics, and when and how rapidly thresholds will be crossed is currently limited in many systems. In spite of these limitations, there are approaches available to practitioners today—including ecosystem monitoring, statistical methods to identify thresholds and indicators, and threshold-based adaptive management—that can be used to help avoid ecological thresholds or restore systems that have crossed them. We briefly review the current state of knowledge and then use real-world examples to demonstrate how resource managers can use available approaches to avoid crossing ecological thresholds. We also highlight new tools and indicators being developed that have the potential to enhance our ability to detect change, predict when a system is approaching an ecological threshold, or restore systems that have already crossed a tipping point.

  5. Current anti-doping policy: a critical appraisal.

    Science.gov (United States)

    Kayser, Bengt; Mauron, Alexandre; Miah, Andy

    2007-03-29

    Current anti-doping in competitive sports is advocated for reasons of fair-play and concern for the athlete's health. With the inception of the World Anti Doping Agency (WADA), anti-doping effort has been considerably intensified. Resources invested in anti-doping are rising steeply and increasingly involve public funding. Most of the effort concerns elite athletes with much less impact on amateur sports and the general public. We review this recent development of increasingly severe anti-doping control measures and find them based on questionable ethical grounds. The ethical foundation of the war on doping consists of largely unsubstantiated assumptions about fairness in sports and the concept of a "level playing field". Moreover, it relies on dubious claims about the protection of an athlete's health and the value of the essentialist view that sports achievements reflect natural capacities. In addition, costly antidoping efforts in elite competitive sports concern only a small fraction of the population. From a public health perspective this is problematic since the high prevalence of uncontrolled, medically unsupervised doping practiced in amateur sports and doping-like behaviour in the general population (substance use for performance enhancement outside sport) exposes greater numbers of people to potential harm. In addition, anti-doping has pushed doping and doping-like behaviour underground, thus fostering dangerous practices such as sharing needles for injection. Finally, we argue that the involvement of the medical profession in doping and anti-doping challenges the principles of non-maleficience and of privacy protection. As such, current anti-doping measures potentially introduce problems of greater impact than are solved, and place physicians working with athletes or in anti-doping settings in an ethically difficult position. In response, we argue on behalf of enhancement practices in sports within a framework of medical supervision. Current anti

  6. An overview of current NAMA guidance. Policy Brief

    Energy Technology Data Exchange (ETDEWEB)

    Cameron, L.R. [ECN Policy Studies, Amsterdam (Netherlands)

    2013-05-15

    The International Climate Initiative formed a number of working groups within an Enhanced NAMA Cooperation Group. The Tools and Guides working group seeks to coordinate current efforts on NAMA related tools, guidebooks and templates, as well as reduce repetition of such work by different organisations. As a first step towards this goal, this brief analysis looks at the 8 main guides on NAMA development that have been published, or made available in draft form, as of May 2013. This note summarises the approach found in these guides and identifies a number of areas, or gaps, that would benefit from further effort to provide supporting resources and guidance. It also aims to provide the basis for further discussion within the working group.

  7. Lujan Center upgrade for cold moderators: current design and future options

    International Nuclear Information System (INIS)

    Ferguson, P. D.; Russell, G. J.; Pitcher, E. J.

    1997-09-01

    The upgraded Lujan Center target system is designed to be a split target with two tiers of moderators. The original suite of four moderators serving twelve flight paths has been optimized and an additional pair of moderators, one water and one LH 2 , have been added in a new upper moderator tier serving four additional flight paths. The upper moderators are partially coupled and viewed in backscattering geometry, as opposed to the decoupled moderators in the existing Lujan Center target system, which are viewed in transmission geometry. Fabrication of this new target system is currently in progress and installation is expected in 1998. The decoupling scheme for the upper moderator tier is documented. The neutronic performance of the two cold moderators is presented in the form of time and energy spectra with comparisons to the existing Lujan Center LH 2 moderator. Neutronic performance of a partially-coupled flux trap LH 2 moderator is also presented.

  8. Simulating policy options for psychiatric care in general hospitals under Medicare's PPS.

    Science.gov (United States)

    Freiman, M P; Mitchell, J B; Rosenbach, M L

    1988-11-01

    Psychiatric hospitals and certain distinct part psychiatric units of general hospitals are currently exempt from diagnosis related group (DRG)-based payment under Medicare's prospective payment system (PPS), in large part due to concern about the degree to which such payment would match historical costs for these facilities. This communication simulates DRG-based payments for psychiatric admissions to general hospitals under the PPS and also under a modified version of the PPS. Two major types of modifications are made: (1) an increase in the role of outlier payments and (2) a restructuring of the DRG classification to allow for a difference in the basic payment rate, depending on whether or not care is provided in a facility that is currently exempt. When compared with cost data from just before the start of the PPS, the simulation results show the degree to which these hypothetical modifications will decrease the systematic risk of general hospitals with exempt units from receiving payments that fall short of costs.

  9. Non-ionizing radiation protection summary of research and policy options

    CERN Document Server

    Karipidis, Ken

    2017-01-01

    This book explains the characteristics of all forms of electromagnetic non-ionizing radiation (NIR) and analyzes the relationship between exposure and its biological effects, as well as the known dose-response relationships associated with each. Taking a uniquely holistic approach to the concept of health that builds upon the WHO definition to include not only absence of disease, but the physical, mental and social well-being of individuals and the population, it reviews established and potential risks and protections, along with regulatory issues associated with each. The risks to public health of NIR, whether in the form of UV light, radio waves from wireless devices, or electric and magnetic fields associated with electrical power systems, is currently a cause of great concern among members of the public and lawmakers. But in order to separate established science from speculation and make informed decisions about how to mitigate the risks of NIR and allocate precious resources, policymakers, manufacturers...

  10. Policy options and their potential effects on Moroccan small farmers and the poor facing increased world food prices: A general equilibrium model analysis

    OpenAIRE

    Diao, Xinshen; Doukkali, Rachid; Yu, Bingxin

    2008-01-01

    "This study evaluates the potential impact of the recent rise in world food prices on the Moroccan economy and possible policy options to respond to it. The study focuses mainly on the poverty effects of such an external shock and the possible policy responses to it. A new social accounting matrix (SAM) and a computable general equilibrium (CGE) model have been developed for this study based on micro-level data in combination with sectoral and economywide data. The CGE model simulations show ...

  11. Proceedings of the INCO-DEV International Workshop on Policy Options for the Sustainable Use of Coral Reefs and Associated Ecosystems

    OpenAIRE

    2001-01-01

    The present report contains the proceedings of the INCO-DEV International Workshop on “Policy Options for the Sustainable Use of Coral Reefs and Associated Ecosystems” convened in Mombasa, Kenya, 19-22 June 2000. It was convened to address issues associated with the ongoing degradation of coral reefs and associated ecosystems. This degradation takes place inspite of an impressing body of research results and and increasing number of technical solutions becoming available. Policy ...

  12. Current options for the treatment of Paget’s disease of the bone

    Directory of Open Access Journals (Sweden)

    Daniela Merlotti

    2009-07-01

    Full Text Available Daniela Merlotti, Luigi Gennari, Giuseppe Martini, Ranuccio NutiDepartment of Internal Medicine, Endocrine-Metabolic Sciences and Biochemistry, University of Siena, Siena, ItalyAbstract: Paget’s disease of bone (PDB is a chronic bone remodeling disorder characterized by increased osteoclast-mediated bone resorption, with subsequent compensatory increases in new bone formation, resulting in a disorganized mosaic of woven and lamellar bone at affected skeletal sites. This disease is most often asymptomatic but can be associated with bone pain or deformity, fractures, secondary arthritis, neurological complications, deafness, contributing to substantial morbidity and reduced quality of life. Neoplastic degeneration of pagetic bone is a relatively rare event, occurring with an incidence of less than 1%, but has a grave prognosis. Specific therapy for PDB is aimed at decreasing the abnormal bone turnover and bisphosphonates are currently considered the treatment of choice. These treatments are associated with a reduction in plasma alkaline phosphatase (ALP activity and an improvement in radiological and scintigraphic appearance and with a reduction in bone pain and bone deformity, Recently, the availability of newer, more potent nitrogen-containing bisphosphonates has improved treatment outcomes, allowing a more effective and convenient management of this debilitating disorder.Keywords: Paget’s disease of bone, bisphosphonates, aminobisphosphonates, bone remodeling

  13. Options for the disposition of current inventory of Rocky Flats Plant residues

    International Nuclear Information System (INIS)

    Chang, Lychin.

    1994-01-01

    With the end of the Cold War, much concern has been directed towards the accumulation of special nuclear material resulting from the dismantlement of a large number of nuclear weapons. This concern has opened up a debate over the final disposition of the large inventory of weapons-capable plutonium. Technologies for the conversion of plutonium into acceptable forms will need to be assessed and evaluated. Candidate strategies for interim and final disposition include a variety of immobilization techniques (vitrification in glass, ceramic, or metal), conversion to reactor fuel, or direct discard as waste. The selected disposition strategy will be chosen based upon a range of decision metric such as expected conversion costs, equipment requirements, and waste generation. To this end, a systems analysis approach is necessary for the evaluation and comparison of the different disposition strategies. Current data on inventory of plutonium, such as that at the Rocky Flats Plant (RFP), may be useful for the evaluation and selection of candidate disposition technologies. A preliminary analysis of the residues of scrap at Rocky Flats was performed to establish a foundation for comparison of candidate strategies. About 3 metric tons of plutonium and 270 metric tons of other wastes remain in the inventory at Rocky Flats. Estimates on the equipment, facility, manpower, and cost requirements to process this inventory over a proposed 10-year cleanup campaign will provide a benchmark for comparison and assessment of proposed disposition technologies

  14. Microalgae as multi-functional options in modern agriculture: current trends, prospects and challenges.

    Science.gov (United States)

    Renuka, Nirmal; Guldhe, Abhishek; Prasanna, Radha; Singh, Poonam; Bux, Faizal

    Algae are a group of ubiquitous photosynthetic organisms comprising eukaryotic green algae and Gram-negative prokaryotic cyanobacteria, which have immense potential as a bioresource for various industries related to biofuels, pharmaceuticals, nutraceuticals and feed. This fascinating group of organisms also has applications in modern agriculture through facilitating increased nutrient availability, maintaining the organic carbon and fertility of soil, and enhancing plant growth and crop yields, as a result of stimulation of soil microbial activity. Several cyanobacteria provide nitrogen fertilization through biological nitrogen fixation and through enzymatic activities related to interconversions and mobilization of different forms of nitrogen. Both green algae and cyanobacteria are involved in the production of metabolites such as growth hormones, polysaccharides, antimicrobial compounds, etc., which play an important role in the colonization of plants and proliferation of microbial and eukaryotic communities in soil. Currently, the development of consortia of cyanobacteria with bacteria or fungi or microalgae or their biofilms has widened their scope of utilization. Development of integrated wastewater treatment and biomass production systems is an emerging technology, which exploits the nutrient sequestering potential of microalgae and its valorisation. This review focuses on prospects and challenges of application of microalgae in various areas of agriculture, including crop production, protection and natural resource management. An overview of the recent advances, novel technologies developed, their commercialization status and future directions are also included. Copyright © 2018 Elsevier Inc. All rights reserved.

  15. Options for the disposition of current inventory of Rocky Flats Plant residues. Revision 1

    International Nuclear Information System (INIS)

    Chang, L.

    1994-01-01

    With the end of the Cold War, much concern has been directed towards the accumulation of special nuclear material resulting from the dismantlement of a large number of nuclear weapons. This concern has opened up a debate over the final disposition of the large inventory of weapons-capable plutonium. Technologies for the conversion of plutonium into acceptable forms will need to be assessed and evaluated. Candidate strategies for interim and final disposition include a variety of immobilization techniques (vitrification in glass, ceramic, or metal), conversion to reactor fuel, or direct discard as waste. The selected disposition strategy will be chosen based upon a range of decision metrics such as expected conversion costs, equipment requirements, and waste generation. To this end, a systems analysis approach is necessary for the evaluation and comparison of the different disposition strategies. Current data on inventory of plutonium, such as that at the Rocky Flats Plant (RFP), may be useful for the evaluation and selection of candidate disposition technologies. A preliminary analysis of the residues of scrap at Rocky Flats was performed to establish a foundation for comparison of candidate strategies. About 3 metric tons of plutonium and 270 metric tons of other wastes remain in the inventory at Rocky Flats. Estimates on the equipment, facility, manpower, and cost requirements to process this inventory over a proposed 10-year cleanup campaign will provide a benchmark for comparison and assessment of proposed disposition technologies

  16. Management of menopause-associated vasomotor symptoms: Current treatment options, challenges and future directions

    Directory of Open Access Journals (Sweden)

    Deirdre R Pachman

    2010-05-01

    Full Text Available Deirdre R Pachman1, Jason M Jones1, Charles L Loprinzi21Internal Medicine, Mayo Clinic, Rochester, MN, USA; 2Medical Oncology, Mayo Clinic, Rochester, MN, USAAbstract: Hot flashes are one of the most common and distressing symptoms associated with menopause, occurring in more than 75% of postmenopausal women. They are especially problematic in breast cancer patients since some breast cancer therapies can induce hot flashes. For mild hot flashes, it is proposed that behavioral modifications are the first step in management. Hormonal therapies, including estrogens and progestogens, are the most well known effective agents in relieving hot flashes; however, the safety of these agents is controversial. There is an increasing amount of literature on nonhormonal agents for the treatment of hot flashes. The most promising data regard newer antidepressant agents such as venlafaxine, which reduces hot flashes by about 60%. Gabapentin is another nonhormonal agent that is effective in reducing hot flashes. While many complimentary therapies, including phytoestrogens, black cohosh, and dehydroepiandrosterone, have been explored for the treatment of hot flashes; none can be recommended at this time. Furthermore, there is a lack of strong evidence to support exercise, yoga, or relaxation for the treatment of hot flashes. Paced respirations and hypnosis appear to be promising enough to warrant further investigation. Another promising nonpharmacological therapy, currently under investigation, involves a stellate ganglion block.Keywords: vasomotor symptoms, hot flashes, menopause, therapy

  17. Patent ductus arteriosus: are current neonatal treatment options better or worse than no treatment at all?

    Science.gov (United States)

    Clyman, Ronald I.; Couto, Jim; Murphy, Gail M.

    2012-01-01

    Although a moderate-size PDA needs to be closed by the time a child is 1–2 years old, there is great uncertainty about whether it needs to be closed during the neonatal period. While 95% of neonatologists believe that a moderate-size PDA should be closed if it persists in infants (born before 28 weeks) who still require mechanical ventilation, the number that treat a PDA when it occurs in infants that do not require mechanical ventilation varies widely. Both the high likelihood of spontaneous ductus closure and the absence of RCTs, specifically addressing the risks and benefits of neonatal ductus closure, adds to the current uncertainty. New information suggests that early pharmacologic treatment has several important short-term benefits for the preterm newborn. On the other hand, ductus ligation, while eliminating the detrimental effects of a PDA on lung development, may create its own set of morbidities that counteract many of the benefits derived from ductus closure. PMID:22414883

  18. Diabetic Macular Edema: Current Understanding, Pharmacologic Treatment Options, and Developing Therapies.

    Science.gov (United States)

    Miller, Kevin; Fortun, Jorge A

    2018-01-01

    Diabetic retinopathy and diabetic macular edema comprise a major source of visual disability throughout the developed world. The etiology and pathogenesis of macular edema is intricate and multifactorial, in which the hyperglycemic state in diabetes induces a microangiopathy. Through several inflammatory and vasogenic mediators, including vascular endothelial growth factor (VEGF) upregulation and inflammatory cytokines and chemokines, pathologic changes are induced in the vascular endothelium triggering breakdown of the blood retinal barrier, causing extravasation of fluid into the extracellular space and manifesting clinically as macular edema, resulting in visual loss. The advent of medications targeting the VEGF pathway has led to great clinical improvements compared with the previous standard of care of laser therapy alone, as shown in studies such as RISE, RIDE, VIVID, VISTA, and DRCR. However, analyses have shown that many patients have inadequate response or are nonresponders to anti-VEGF therapy, demonstrating the need for additional therapies to more comprehensively treat this disease. Although corticosteroid treatments and implants have demonstrated some efficacy in adjunctive and supplemental treatment, the need to more adequately treat macular edema remains. Our knowledge of diabetic macular edema continues to grow, leading to new currently available and emerging pharmacotherapies to further enhance our treatment and restore vision in those affected by diabetic macular edema. This review will discuss the pathogenesis of diabetic macular edema and the pharmacologic therapies available for its treatment, including anti-VEGF, steroids, and newer therapies still in development, such as angiopoietin antagonists, Tie2 agonists, kallikrein inhibitors, interleukin inhibitors, and others. Copyright 2018 Asia-Pacific Academy of Ophthalmology.

  19. Clostridium difficile Diarrhea in the Elderly: Current Issues and Management Options.

    Science.gov (United States)

    Mizusawa, Masako; Doron, Shira; Gorbach, Sherwood

    2015-08-01

    Clostridium difficile infection (CDI) is the most common cause of infectious diarrhea in healthcare settings. Along with antimicrobial exposure, advanced age has been shown to be a significant risk factor for the development and recurrence of, and mortality from, CDI. The substantial burden of CDI in the elderly may be related to frequent healthcare exposure, the necessity for more medications, altered intestinal microbiota, and complicated comorbidities. A diagnosis of CDI is based on evidence of toxin, or the C. difficile organism itself, in a stool sample in the presence of clinical signs and symptoms. Only symptomatic patients should be tested for CDI, and routine surveillance or repeat testing on asymptomatic patients as a test of cure is discouraged. Antibiotic discontinuation alone can improve or resolve CDI in some patients, and concomitant use of antibiotics is associated with decreased response to CDI treatment. Metronidazole, vancomycin, and fidaxomicin are the therapeutic agents currently available for CDI, with the selection of these agents being based on disease severity, history of recurrence, and cost. The recurrence rate after initial treatment is 20-30%. The first recurrence can be treated with the same therapeutic agent and, for subsequent recurrences, vancomycin in a tapered and/or pulsed regimen is recommended. Fecal microbiota transplantation has shown remarkable effectiveness for recurrent anti-refractory CDI, although caution is advised in treating immunocompromised hosts and those with toxic megacolon. C. difficile can be transmitted directly and indirectly via contact with patients or their environment; therefore, isolation precautions should be initiated at the first suspicion of CDI. C. difficile spores can survive for a long time on environmental surfaces, and the patient's room and all equipment used in the room should be disinfected. In order to manage CDI in the elderly, timely diagnosis, appropriate treatment based on severity of

  20. Assessment and management of respiratory function in patients with Duchenne muscular dystrophy: current and emerging options

    Science.gov (United States)

    LoMauro, Antonella; D’Angelo, Maria Grazia; Aliverti, Andrea

    2015-01-01

    Duchenne muscular dystrophy (DMD) is an X-linked myopathy resulting in progressive weakness and wasting of all the striated muscles including the respiratory muscles. The consequences are loss of ambulation before teen ages, cardiac involvement and breathing difficulties, the main cause of death. A cure for DMD is not currently available. In the last decades the survival of patients with DMD has improved because the natural history of the disease can be changed thanks to a more comprehensive therapeutic approach. This comprises interventions targeted to the manifestations and complications of the disease, particularly in the respiratory care. These include: 1) pharmacological intervention, namely corticosteroids and idebenone that significantly reduce the decline of spirometric parameters; 2) rehabilitative intervention, namely lung volume recruitment techniques that help prevent atelectasis and slows the rate of decline of pulmonary function; 3) scoliosis treatment, namely steroid therapy that is used to reduce muscle inflammation/degeneration and prolong ambulation in order to delay the onset of scoliosis, being an additional contribution to the restrictive lung pattern; 4) cough assisted devices that improve airway clearance thus reducing the risk of pulmonary infections; and 5) non-invasive mechanical ventilation that is essential to treat nocturnal hypoventilation, sleep disordered breathing, and ultimately respiratory failure. Without any intervention death occurs within the first 2 decades, however, thanks to this multidisciplinary therapeutic approach life expectancy of a newborn with DMD nowadays can be significantly prolonged up to his fourth decade. This review is aimed at providing state-of-the-art methods and techniques for the assessment and management of respiratory function in DMD patients. PMID:26451113

  1. Policy Options for Radio Frequency Identification (RFID) Application in Healthcare; a Prospective View: Final Report (D5).

    Science.gov (United States)

    van Oranje-Nassau, Constantijn; Schindler, Helen Rebecca; Vilamovska, Anna-Marie; Botterman, Maarten

    2012-01-01

    This article reviews the state of play of European markets and applications of Radio Frequency Identification (RFID) technology in healthcare in Europe. Based on the current situation the study presents three scenarios for 2020, to describe futures in which the technology and health care sectors develop in different ways. The scenarios were discussed in expert workshops to derive issues that need to be addressed by future policies of the European Union and other stakeholders. The market assessment is based on a review of literature and an analysis of proprietary market data. The information on the state of RFID applications in Health in Europe summarises the results of a literature review, an online Delphi survey, expert interviews and seven cases studies in Europe and the US. The policy analysis is based on the outcomes of a scenario gaming workshop with experts from academia, industry, healthcare providers, policymakers and representatives of patient organisations.

  2. UNICEF's contribution to the adoption and implementation of option B+ for preventing mother-to-child transmission of HIV: a policy analysis.

    Science.gov (United States)

    Chersich, M F; Newbatt, E; Ng'oma, K; de Zoysa, I

    2018-06-01

    Between 2011 and 2013, global and national guidelines for preventing mother-to-child transmission (PMTCT) of HIV shifted to recommend Option B+, the provision of lifelong antiretroviral treatment for all HIV-infected pregnant women. We aimed to analyse how Option B+ reached the policy agenda, and unpack the processes, actors and politics that explain its adoption, with a focus on examining UNICEF's contribution to these events. Analysis drew on published articles and other documentation, 30 key informants interviews with staff at UNICEF, partner organisations and government officials, and country case studies. Cameroon, India, South Africa and Zimbabwe were each visited for 5-8 days. Interview transcripts were analysed using Dedoose software, reviewed several times and then coded thematically. A national policy initiative in Malawi in 2011, in which the country adopted Option B+, rather than existing WHO recommended regimens, irrevocably placed the policy on the global agenda. UNICEF and other organisations recognised the policy's potential impact and strategically crafted arguments to support it, framing these around operational considerations, cost-effectiveness and values. As 'policy entrepreneurs', these organisations vigorously promoted the policy through a variety of channels and means, overcoming concerted opposition. WHO, on the basis of scanty evidence, released a series of documents towards the policy's endorsement, paving the way for its widespread adoption. National-level policy transformation was rapid and definitive, distinct from previous incremental policy processes. Many organisations, including UNICEF, facilitated these changes in country, acting individually, or in concert. The adoption of the Option B+ policy marked a departure from established processes for PMTCT policy formulation which had been led by WHO with the support of technical experts, and in which recommendations were developed following shifts in evidence. Rather, changes were

  3. Viewpoint – Swimming against the Current: Questioning Development Policy and Practice

    Directory of Open Access Journals (Sweden)

    Kurt Mørck Jensen

    2013-06-01

    Full Text Available The water world is dominated by normative policies prescribing what 'good development' is all about. It is a universe of its own where policies live their own lives and feed in and out of each other. As new buzzwords continue to be invented or reinvented, policies continue to maintain their shiny images of how water resources or water supply should be managed. There are many water professionals acting as missionaries in the service of policies but probably fewer professionals acting up against blindfolded policy promotion. It is when water policies are being implemented in the real world that the trouble starts. In spite of their well-intended mission, water policies often suffer shipwreck on the socio-economic and political realities in developing countries. Through cases from India and the Mekong, the author demonstrates what happens when normative water polices are forced out of their comfort zone and into social and political realities. Although policies are made of stubborn material they need to be questioned through continuous analytical insight into developing country realities. But undertaking critical analysis and questioning the wisdom of water policies are easier said than done. It takes a lot of effort to swim against the policy current.

  4. Sodium reduction and the correction of iodine intake in Belgium: Policy options.

    Science.gov (United States)

    Vandevijvere, Stefanie

    2012-05-30

    Many studies suggest that high salt intakes are related to high blood pressure and consequently cardiovascular diseases. In addition salt intake was found to be related with obesity, renal stones, osteoporosis and stomach cancer. Belgium, such as other European countries, is suffering from both salt intakes that are twice as high as the recommended intakes and mild iodine deficiency. No comprehensive strategy encompassing both public health problems has been developed. While specific salt reduction targets for processed foods are still under discussion using a consensus approach with industry, an agreement was signed between the bakery sector and the Ministry of Health in April 2009, to encourage and increase the use of iodised salt in the production of bread. Based on results of recent surveys on population iodine status it is advised not to currently revise iodine concentrations in salt in bread but to advocate for a higher percentage of bakers using iodised salt and to install a good monitoring system to control the percentage of bakers effectively using adequately iodised salt. With regard to salt reduction, it is of utmost importance that all companies contribute and harmonise the salt content of their products according to the lowest possible thresholds in a first step. In order to achieve this goal, it will be necessary, in addition to the consensus approach, to come up with at least some legislative tools such as a salt tax or mandatory labelling of foods exceeding a specific sodium concentration. Once salt reduction targets have been clearly defined in Belgium over the longer term, a legal framework should be set in place where iodine concentration in salt for the production of bread and household salt is strictly regulated by law, to avoid a large variability in the iodine content of salt brands consumed. In conclusion, it is possible to tackle salt reduction and iodine deficiency at the same time on the condition that the approach is coordinated and well

  5. An Overview of Turkish Healthcare System after Health Transformation Program: Main Successes, Performance Assessment, Further Challenges, and Policy Options

    Directory of Open Access Journals (Sweden)

    Kadir GÜRSOY

    2015-02-01

    Full Text Available Turkish healthcare system has been stated to show significant improvements regarding wider access to healthcare facilities, and the quality and efficiency through the introduction of Health Transformation Program launched in 2003. While the old system relied on differing provisions and financing and lacked behind many developed nations in terms of health outcomes, the new system achieved nearly universal coverage and many health outcomes enhanced significantly. Health expenditures rose to 5.4% of GDP in 2013 from 4.8% in 1998. Furthermore, Turkey provided both better financial protection for the poor against high health expenditures, and equity in access to health care across the population. However, Turkey still faces new challenges to catch other developed countries to have better health and further improve financial sustainability. To reach these targets, Turkey needs to further implement new policy options for reform such as combating informal economy, allocating more on health resources, designing incentive- based payment methods, adopting gate keeping system and referral chain, developing capacity to deploy health technology assessments in reimbursement decisions, and ensuring the hospital autonomy.

  6. Mars ISRU for Production of Mission Critical Consumables - Options, Recent Studies, and Current State of the Art

    Science.gov (United States)

    Sanders, G. B.; Paz, A.; Oryshchyn, L.; Araghi, K.; Muscatello, A.; Linne, D.; Kleinhenz, J.; Peters, T.

    2015-01-01

    with Mars ISRU systems further substantiated the preliminary results from the Mars DRA 5.0 study. This paper will provide an overview of Mars ISRU consumable production options, the analyses, results, and conclusions from the Mars DRA 5.0 (2007), Mars Collaborative (2013), and Mars ISRU Payload for the Supersonic Retro Propulsion (2014) mission studies, and the current state-of-the-art of Mars ISRU technologies and systems. The paper will also briefly discuss the mission architectural implications associated with Mars resource and ISRU processing options.

  7. Vietnam's energy sector: A review of current energy policies and strategies

    International Nuclear Information System (INIS)

    Tien Minh Do; Sharma, Deepak

    2011-01-01

    Since the introduction of market-oriented economy in 1986, Vietnam has made noticeable socio-economic progress. In this progress, the energy sector has played a vital role. This role is likely to deepen in the years to come as Vietnam strives to achieve even higher levels in economic progress. Such deepening in the role of energy, this paper argues, will heighten concerns about the security of energy supply, and economic, environmental, social and political consequences. In order to address these issues, Vietnam has over the last decade, developed a suite of energy policies. A deeper review of these policies suggests that they are typified by economic-growth orientation, exclusive focus on a single-sector or single issue, and largely neglect the significance of cross-sectoral and cross-thematic issues arising from the interdependencies between energy, economy, and the polity at large. The existing energy policy settings are, therefore, unlikely to be able to provide a satisfactory redress to the challenges noted above. This paper provides an overview of the current energy policies with a view to identify areas where further policy effort is needed in order to facilitate a sustainable development of the Vietnamese energy sector. - Highlights: → Identifying challenges faced by the Vietnamese energy sector. → Analyzing limitations of the existing energy policy settings (policies, strategies and institutions) in addressing these challenges. → Developing recommendations on improving the existing energy policy settings to provide a satisfactory redress for the challenges noted above.

  8. Vietnam's energy sector: A review of current energy policies and strategies

    Energy Technology Data Exchange (ETDEWEB)

    Tien Minh Do, E-mail: tmdo@eng.uts.edu.au [Hanoi University of Science and Technology (HUST), 1 Dai Co Viet Street, Hai Ba Trung District, Hanoi (Viet Nam); Sharma, Deepak [University of Technology, Sydney (UTS), Broadway, Ultimo, NSW 2007 (Australia)

    2011-10-15

    Since the introduction of market-oriented economy in 1986, Vietnam has made noticeable socio-economic progress. In this progress, the energy sector has played a vital role. This role is likely to deepen in the years to come as Vietnam strives to achieve even higher levels in economic progress. Such deepening in the role of energy, this paper argues, will heighten concerns about the security of energy supply, and economic, environmental, social and political consequences. In order to address these issues, Vietnam has over the last decade, developed a suite of energy policies. A deeper review of these policies suggests that they are typified by economic-growth orientation, exclusive focus on a single-sector or single issue, and largely neglect the significance of cross-sectoral and cross-thematic issues arising from the interdependencies between energy, economy, and the polity at large. The existing energy policy settings are, therefore, unlikely to be able to provide a satisfactory redress to the challenges noted above. This paper provides an overview of the current energy policies with a view to identify areas where further policy effort is needed in order to facilitate a sustainable development of the Vietnamese energy sector. - Highlights: > Identifying challenges faced by the Vietnamese energy sector. > Analyzing limitations of the existing energy policy settings (policies, strategies and institutions) in addressing these challenges. > Developing recommendations on improving the existing energy policy settings to provide a satisfactory redress for the challenges noted above.

  9. Low-level radioactive waste disposal in the USA - Use of mill tailings impoundments as a new policy option

    International Nuclear Information System (INIS)

    Farrell, C.W.

    2006-01-01

    Disposal of low-level radioactive waste (LLW) in the United States is facing severe and immediate capacity limitations. Seemingly intractable regulatory and jurisdictional conflicts make establishment of new LLW disposal sites effectively impossible. Uranium mill tailings impoundments constructed at conventional uranium open-cast and underground mines could offer approximately 40 to 80+ million tons of disposal capacity for low activity radioactive waste. Such impoundments would provide an enhanced, high level of environmental and health and safety protection for the direct disposal of depleted uranium, special nuclear material, technologically-enhanced, naturally-occurring radioactive material (TENORM) and mixed waste. Many waste streams, such as TENORM and decommissioning rubble, will be high-volume, low activity materials and ideally suited for disposal in such structures. Materials in a given decay chain with a total activity from all radionuclides present of ∼820 Bq/g (2.22 x 10 -08 Ci/g) with no single radionuclide present in an activity greater than ∼104 Bq/g (2,800 pCi/g) should be acceptable for disposal. Materials of this type could be accepted without any site-specific dose modelling, so long as the total activity of the tailings impoundment not exceed its design capacity (generally 82 x 10 07 Bq/metric tonne) (0.020 Ci/short ton) and the cover design requirements to limit radon releases are satisfied. This paper provides background on US LLW disposal regulations, examines LLW disposal options under active consideration by the US Environmental Protection Agency and Department of Energy, develops generic waste acceptance criteria and identifies policy needs for federal and state governments to facilitate use of uranium mill tailings impoundments for LLW disposal. (author)

  10. Analysis of the economic impact of different Chinese climate policy options based on a CGE model incorporating endogenous technological change

    International Nuclear Information System (INIS)

    Wang Ke; Wang Can; Chen Jining

    2009-01-01

    Abatement cost is the main concern for climate change mitigation and the key factor for mitigation cost is technological change. This study established an integrated economic, energy, environmental, dynamic, computable general equilibrium (CGE) model representing endogenous technological change for China's climate change policy analysis. This study analyzed and compared the economic impact of different approaches to mitigation commitments as well as the potential role of technological change in the formulation of mitigation targets and commitments, taking into account China's climate policy-making needs based on the current international climate negotiation process. The results show that, absolute emission limits similar to the Kyoto Protocol will seriously impede the future economic development of China, while the impact of an 80% reduction in carbon intensity, forecast for 2050 based on the 2005 level, is relatively small. Technological change can promote economic growth, improve energy efficiency and reduce carbon intensity per unit of output through the substitution of production factors. Consequently it can reduce marginal abatement cost and related GDP loss by mitigation. At the same time it can increase mitigation potentials and extend the emission reduction amount, showing that consideration of the impact of technological change when deciding the emission reduction targets is necessary.

  11. An Analysis of Alternatives to New York City's Current Marijuana Arrest and Detention Policy.

    Science.gov (United States)

    Johnson, Bruce D; Golub, Andrew; Dunlap, Eloise; Sifaneck, Stephen J

    2008-01-01

    During the 1990s, the New York Police Department (NYPD) instituted a policy of arresting and detaining people for minor offenses that occur in public as part of their quality-of-life (hereafter QOL) policing initiative. The number of NYPD arrests for smoking marijuana in public view (MPV) increased from 3,000 in 1994 to over 50,000 in 2000, and have been about 30,000 in the mid 2000s. Most of these arrestees (84%) have been minority; blacks have been 2.7 more likely and Hispanics 1.8 times more likely to be detained than whites for an MPV arrest. Minorities have been most likely to receive more severe dispositions, even controlling for demographics and prior arrest histories.This paper examines the pros and cons of the current policy; this is compared with possible alternatives including the following: arrest and issue a desk appearance ticket (DAT); issue a non-criminal citation (violation); street warnings; and tolerate public marijuana smoking. The authors recommend that the NYPD change to issuing DATs on a routine basis. Drug policy reformers might wish to further pursue changing statutes regarding smoking marijuana in public view into a violation (noncriminal) or encourage the wider use of street warnings. Any of these policy changes would help reduce the disproportionate burden on minorities associated with the current arrest and detention policy. These policies could help maintain civic norms against smoking marijuana in public.

  12. Governance and the Gulf of Mexico Coast: How Are Current Policies Contributing to Sustainability?

    Directory of Open Access Journals (Sweden)

    Stephen Jordan

    2013-11-01

    Full Text Available The quality of life and economies of coastal communities depend, to a great degree, on the ecological integrity of coastal ecosystems. Paradoxically, as more people are drawn to the coasts, these ecosystems and the services they provide are increasingly stressed by development and human use. Employing the coastal Gulf of Mexico as an example, we explore through three case studies how government policies contribute to preventing, mitigating, or exacerbating the degradation of coastal ecosystems. We consider the effectiveness of the current systems, what alternate or additional policy solutions might be needed to ensure the sustainability of the region and its quality of life, and what this example can tell us about the sustainability of coastal systems globally. In our examples, among other aspects, policies that are proactive and networked governance structures are observed to favor sustainable outcomes, in contrast to reactive policies and hierarchical models of governance.

  13. Encouraging private sector investment in climatefriendly technologies in developing countries. An assessment of policy options for the Dutch government

    International Nuclear Information System (INIS)

    Van Rooijen, S.N.M.; Van Wees, M.T.

    2006-10-01

    This study aims to explore new or reformed policies to be adopted by the Dutch government to encourage private sector investments in climate-friendly technologies in developing countries. A literature review of barriers to climate-friendly investments and of directions for solutions has been complemented with a number of in-depth interviews with stakeholders representing the major actors involved in investment projects (project sponsors, financing institutions, institutional investors and government). The barrier analysis has resulted in the following list of key obstacles to climate-friendly investments: (1) Lack of a sound, transparent and stable enabling environment for investing in developing countries; (2) Shortage of experienced and creditworthy sponsors; (3) High specific project risks; (4) Overestimation investment risks related to (sustainable) investments in developing countries in general (risk perspective); (5) Additional costs of climate-friendly technologies; (6) Shortage of risk capital; (7) Insufficient guarantee mechanisms; (8) Lack of know-how on public-private partnership structures and on financial design; and (9) Lack of insight how corporate social responsibility can be operationalised. Four main gaps have been identified on the basis of an assessment of current Dutch policies and instruments: (1) Shortage of instruments to directly promote investments; (2) Underdeveloped guarantee instruments; (3) Too restrictive cap on project size in financial schemes; (4) Lack of support in operationalising the concept of corporate social responsibility. Four areas for new or intensified policies have been identified based on the barrier and gap analysis: (1) Direct promotion of (potentially large scale) investments, including: (a) Supporting (the establishment of) sponsor companies developing sustainable energy projects in developing countries; (b) Making risk capital available; (c) Creating investment credit facilities; (d) Making development capital in

  14. Policy responses to problematic video game use: A systematic review of current measures and future possibilities.

    Science.gov (United States)

    Király, Orsolya; Griffiths, Mark D; King, Daniel L; Lee, Hae-Kook; Lee, Seung-Yup; Bányai, Fanni; Zsila, Ágnes; Takacs, Zsofia K; Demetrovics, Zsolt

    2017-09-01

    Background and aims Empirical research into problematic video game playing suggests that overuse might cause functional and psychological impairments for a minority of gamers. Therefore, the need for regulation in the case of video games (whether governmental or self-imposed) has arisen but has only been implemented in a few countries around the world, and predominantly in Asia. This paper provides a systematic review of current and potential policies addressing problematic gaming. Methods After conducting a systematic search in the areas of prevention, treatment, and policy measures relating to problematic Internet and video game use, papers were selected that targeted problematic gaming policies (N = 12; six in English and six in Korean). These papers served as the basis of this review. Results Policies were classified into three major groups: (i) policy measures limiting availability of video games (e.g., shutdown policy, fatigue system, and parental controls), (ii) measures aiming to reduce risk and harm (e.g., warning messages), and (iii) measures taken to provide help services for gamers. Beyond the attempt to classify the current and potential policy measures, the authors also tried to evaluate their efficiency theoretically and (if data were available) empirically. Discussion and conclusions Overall, it appears that although several steps have been taken to address problematic video game playing, most of these steps were not as effective as expected, or had not been evaluated empirically for efficacy. The reason for this may lie in the fact that the policies outlined only addressed or influenced specific aspects of the problem instead of using a more integrative approach.

  15. Options Study - Phase II

    Energy Technology Data Exchange (ETDEWEB)

    R. Wigeland; T. Taiwo; M. Todosow; W. Halsey; J. Gehin

    2010-09-01

    The Options Study has been conducted for the purpose of evaluating the potential of alternative integrated nuclear fuel cycle options to favorably address the issues associated with a continuing or expanding use of nuclear power in the United States. The study produced information that can be used to inform decisions identifying potential directions for research and development on such fuel cycle options. An integrated nuclear fuel cycle option is defined in this study as including all aspects of the entire nuclear fuel cycle, from obtaining natural resources for fuel to the ultimate disposal of used nuclear fuel (UNF) or radioactive wastes. Issues such as nuclear waste management, especially the increasing inventory of used nuclear fuel, the current uncertainty about used fuel disposal, and the risk of nuclear weapons proliferation have contributed to the reluctance to expand the use of nuclear power, even though it is recognized that nuclear power is a safe and reliable method of producing electricity. In this Options Study, current, evolutionary, and revolutionary nuclear energy options were all considered, including the use of uranium and thorium, and both once-through and recycle approaches. Available information has been collected and reviewed in order to evaluate the ability of an option to clearly address the challenges associated with the current implementation and potential expansion of commercial nuclear power in the United States. This Options Study is a comprehensive consideration and review of fuel cycle and technology options, including those for disposal, and is not constrained by any limitations that may be imposed by economics, technical maturity, past policy, or speculated future conditions. This Phase II report is intended to be used in conjunction with the Phase I report, and much information in that report is not repeated here, although some information has been updated to reflect recent developments. The focus in this Options Study was to

  16. Introducing short term flexibility in the EU ETS to assure its long-term credibility: a multi-criteria analysis of policy options. Climate Report no. 45

    International Nuclear Information System (INIS)

    Desai, Zuheir; Alberola, Emilie; Berghmans, Nicolas

    2014-07-01

    It is now well established that the European Union Emissions Trading Scheme (EU ETS) needs to be reformed. After more than 18 months of discussions, the EU Commission disclosed, in its communication published in January 2014 on 'A policy framework for climate and energy in the period from 2020 to 2030', its legislative proposal of a market stability reserve (MSR) in the EU ETS. This measure, that should be implemented from the next compliance period (2021-2028) onwards, would reduce the surplus of allowances growing since 2008 and improve the ETS's resilience to external shocks by automatically adjusting the supply of allowances to be auctioned. The operation of this MSR would be determined by predefined rules that, once agreed on, leave no discretion to either the Commission or Member States. The choice of the EU Commission to introduce a reserve in the EU ETS is very innovative even if other emissions trading schemes have already introduced a reserve in their design. Initial discussions began in March and April 2014 in the European Parliament and Council and the question of whether the MSR really improves the functioning of the EU ETS in the long term is still being debated. What other structural mechanism would be better suited in improving the long-term effectiveness of the EU ETS? To help in the decision making process, this report presents a multi-criteria analysis. Without prejudging their political support, five policy options have been evaluated that would introduce some flexibility in the EU ETS and potentially ensure its long-term credibility: an auction reserve price, permit supply rules that target a certain corridor of surplus (market stability reserve), permit supply rules that target economic activity, permit supply rules that target overlap with other energy policies and a rolling emissions cap. The assessment of these five policy options was based on a criteria tree and on the EU ETS experts' panel's votes that expressed

  17. A real options approach to biotechnology Investment policy - the case of developing a Campylobacter vaccine to poultry

    DEFF Research Database (Denmark)

    Lund, Mogens; Jensen, Jørgen Dejgård

    2016-01-01

    The aim of the article is to identify and analyse public-private incentives for the development and marketing of new animal vaccines within a real options methodological framework, and to investigate how real options methodology can be utilized to support economic incentives for vaccine developme...

  18. Current Trends in Malaysian Higher Education and the Effect on Education Policy and Practice: An Overview

    Science.gov (United States)

    Grapragasem, Selvaraj; Krishnan, Anbalagan; Mansor, Azlin Norhaini

    2014-01-01

    Malaysia has evolved from a production-based to knowledge-based economy in order to stay relevant and compete in the global marketplace. Thus, the purpose of this article is to discuss current trends in Malaysian higher education and how these affect education policies and practices. Four main trends are discussed in this study: Globalization,…

  19. Considering departures from current timber harvesting policies: case studies of four communities in the Pacific Northwest.

    Science.gov (United States)

    Con H Schallau; Paul E. Polzin

    1983-01-01

    U.S. Department of Agriculture regulations permit departures from current National Forest timber harvesting policies when "implementation of base harvest schedules.., would cause a substantial adverse impact upon a community .... " This paper describes the kinds of information needed for forest managers to adequately assess the relevance of the departure...

  20. Soft regulations in pharmaceutical policy making : an overview of current approaches and their consequences

    NARCIS (Netherlands)

    Wettermark, B.; Godman, B.; Jacobsson, B.; Haaijer-Ruskamp, F.M.

    2009-01-01

    It is a challenge to improve public health within limited resources. Pharmaceutical policy making is a greater challenge due to conflicting interests between key stakeholder groups. This paper reviews current and future strategies to help improve the quality and efficiency of care, with special

  1. Place of Diversity in the Current Ethiopian Education and Training Policy: Analysis of Cardinal Dimensions

    Science.gov (United States)

    Sime, Tariku; Latchanna, Gara

    2016-01-01

    The purpose of this paper was to investigate to what extent the diversity dimensions are addressed in the current Education and Training Policy. To that end, document analysis was employed. The major diversity dimensions were analyzed based on their cardinal features. The study demonstrated that there is an ambitious need to address issues of…

  2. The healthy options for nutrition environments in schools (Healthy ONES group randomized trial: using implementation models to change nutrition policy and environments in low income schools

    Directory of Open Access Journals (Sweden)

    Coleman Karen J

    2012-06-01

    Full Text Available Abstract Background The Healthy Options for Nutrition Environments in Schools (Healthy ONES study was an evidence-based public health (EBPH randomized group trial that adapted the Institute for Healthcare Improvement’s (IHI rapid improvement process model to implement school nutrition policy and environmental change. Methods A low-income school district volunteered for participation in the study. All schools in the district agreed to participate (elementary = 6, middle school = 2 and were randomly assigned within school type to intervention (n = 4 and control (n =4 conditions following a baseline environmental audit year. Intervention goals were to 1 eliminate unhealthy foods and beverages on campus, 2 develop nutrition services as the main source on campus for healthful eating (HE, and 3 promote school staff modeling of HE. Schools were followed across a baseline year and two intervention years. Longitudinal assessment of height and weight was conducted with second, third, and sixth grade children. Behavioral observation of the nutrition environment was used to index the amount of outside foods and beverages on campuses. Observations were made monthly in each targeted school environment and findings were presented as items per child per week. Results From an eligible 827 second, third, and sixth grade students, baseline height and weight were collected for 444 second and third grade and 135 sixth grade students (51% reach. Data were available for 73% of these enrolled students at the end of three years. Intervention school outside food and beverage items per child per week decreased over time and control school outside food and beverage items increased over time. The effects were especially pronounced for unhealthy foods and beverage items. Changes in rates of obesity for intervention school (28% baseline, 27% year 1, 30% year 2 were similar to those seen for control school (22% baseline, 22% year 1, 25% year 2 children

  3. Reproductive health policy affecting low-income women: historical precedents and current need for social work action.

    Science.gov (United States)

    Averitt Taylor, Jessica

    2014-01-01

    This article provides an overview of the historical arguments surrounding reproductive health policy and current policy initiatives. Because reproductive policy itself is a vast subject matter with sometimes blurry boundaries, the struggle concerning the advent of birth control is used to illustrate the historic complexities of policy affecting such a wide array of individuals. The battle over introduction of the birth control pill is pertinent because the very same arguments are used today in debates over reproductive health policy.

  4. [Air contamination in the Autonomous City of Buenos Aires: the current risk or future climate change, a false option].

    Science.gov (United States)

    Abrutzky, Rosana; Dawidowski, Laura; Murgida, Ana; Natenzon, Claudia Eleonor

    2014-09-01

    Based on the theoretical framework of environmental risk, this article discusses the management of air quality in the Autonomous City of Buenos Aires in relation to current and potential impacts of toxic gases and global climate change on the health of the population. Information on historical and current management of the air was linked to the results of the South American Emissions, Megacities and Climate research project to assess danger, exposure, vulnerability and uncertainty as the dimensions of risk. By contextualizing public policies developed in recent decades on this subject, it was possible to identify emerging configurations of risk and uncertainties as accelerators of social vulnerability. On the one hand, the fact that there is a positive correlation between mortality, changes in temperature and air pollution was confirmed. On the other hand, it became clear that there is a disconnect between air quality management and health care management, while limitations were found in the proposed mitigation measures relating to emissions of greenhouse gases produced by fuel, revealing uncertainties regarding their efficacy.

  5. Language Policy in Canada: Current Issues. A Selection of the Proceedings of the Papers Dealing with Language Policy Issues in Canada at the Conference "Language Policy and Social Problems" (Curacao, Venezuela, December, 1983). Publication B-150.

    Science.gov (United States)

    Cobarrubias, Juan, Ed.

    The papers related to Canadian language policy at an international conference are presented: "Language Policy in Canada: Current Issues" (Juan Cobarrubias); "Multiculturalism and Language Policy in Canada" (Jim Cummins, Harold Troper); "Defining Language Policy in a Nationalistic Milieu and in a Complex Industrialized…

  6. Combined Heat and Power (CHP) as a Compliance Option under the Clean Power Plan: A Template and Policy Options for State Regulators

    Energy Technology Data Exchange (ETDEWEB)

    None

    2015-07-30

    Combined Heat and Power (CHP) is an important option for states to consider in developing strategies to meet their emission targets under the US Environmental Protection Agency's Clean Power Plan. This Template is designed to highlight key issues that states should consider when evaluating whether CHP could be a meaningful component of their compliance plans. It demonstrates that CHP can be a valuable approach for reducing emissions and helping states achieve their targets. While the report does not endorse any particular approach for any state, and actual plans will vary dependent upon state-specific factors and determinations, it provides tools and resources that states can use to begin the process, and underscores the opportunity CHP represents for many states. . By producing both heat and electricity from a single fuel source, CHP offers significant energy savings and carbon emissions benefits over the separate generation of heat and power, with a typical unit producing electricity with half the emissions of conventional generation. These efficiency gains translate to economic savings and enhanced competitiveness for CHP hosts, and emissions reductions for the state, along with helping to lower electric bills; and creating jobs in the design, construction, installation and maintenance of equipment. In 2015, CHP represents 8 percent of electric capacity in the United States and provides 12 percent of total power generation. Projects already exist in all 50 states, but significant technical and economic potential remains. CHP offers a tested way for states to achieve their emission limits while advancing a host of ancillary benefits.

  7. The territorial approach to EU cohesion policy: Current issues and evidence from Greece

    Directory of Open Access Journals (Sweden)

    Thoidou Elisavet

    2011-01-01

    Full Text Available The importance attributed to the territorial dimension of the European Union cohesion policy steadily influences its successive reforms and adaptations, while in recent years there has been an evolution in the way this particular dimension of cohesion policy is perceived. Important evidence for this is the way in which the Community Strategic Guidelines on cohesion 2007-13 take account of the territorial dimension of cohesion policy. This paper discusses the territorial approach to cohesion policy in relation to both policy and practice. Specifically, it examines the territorial dimension of regional development planning in Greece as it has emerged in the relevant official documents, namely the successive three Community Support Frameworks since 1989 and the National Strategic Reference Framework for the current 2007-13 period. The territorial dimension of the organization of the planning system is also considered in an effort to understand limitations and prospects, in light of the importance of the territorial approach to cohesion policy post-2013.

  8. Paying for Cures: How Can We Afford It? Managed Care Pharmacy Stakeholder Perceptions of Policy Options to Address Affordability of Prescription Drugs.

    Science.gov (United States)

    Yeung, Kai; Suh, Kangho; Basu, Anirban; Garrison, Louis P; Bansal, Aasthaa; Carlson, Josh J

    2017-10-01

    High-priced medications with curative potential, such as the newer hepatitis C therapies, have contributed to the recent growth in pharmaceutical expenditure. Despite the obvious benefits, health care decision makers are just beginning to grapple with questions of how to value and pay for curative therapies that may feature large upfront cost, followed by health benefits that are reaped over a patient's lifespan. Alternative policy options have been proposed to promote high value and financially sustainable use of these therapies. It is unclear which policy options would be most acceptable to health care payer and biomedical manufacturer stakeholders. To (a) briefly review pharmaceutical policy options to address health system affordability and (b) assess the acceptability of alternative policy options to health care payers and biomedical manufacturers before and after an Academy of Managed Care Pharmacy (AMCP) continuing pharmacy education (CPE) session. We searched MEDLINE and Cochran databases for pharmaceutical policy options addressing affordability. With input from a focus group of managed care professionals, we developed CPE session content and an 8-question survey focusing on the most promising policy options. We fielded the survey before and after the CPE session, which occurred as part of the 2016 AMCP Annual Meeting. We first conducted a chi-squared goodness-of-fit test to assess response distributions. Next, we tested how responses differed before and after by using an ordered logit and a multinomial logit to model Likert scale and unordered responses, respectively. Although risk-sharing payments over time remained the most favorable choice before (37%) and after (35%) the CPE session, this choice was closely followed by HealthCoin after the session, which increased in favorability from 4% to 33% of responses (P = 0.001). About half of the respondents (54%) indicated that legislative change is the most significant barrier to the implementation of any

  9. How do international trade obligations affect policy options for obesity prevention? Lessons from recent developments in trade and tobacco control.

    Science.gov (United States)

    von Tigerstrom, Barbara

    2013-06-01

    Regulatory measures, including taxes and subsidies on food and beverage products, food labelling requirements, regulation of food content and regulation of food marketing, have been proposed to encourage healthier eating and prevent obesity. The objective of this article is to explore the extent to which international trade agreements affect governments' choices to use such regulatory measures. It reviews key provisions of relevant World Trade Organization (WTO) agreements and their implications. Some insights can be gained by examining 2 recent developments in the WTO regarding tobacco control: a current dispute involving Australia's plain packaging law and its effect on trademarks, and a recent decision involving the United States law banning flavoured cigarettes. This decision said that the ban did not restrict trade more than necessary to fulfil its legitimate health objective, but it was discriminatory because it banned imported products (clove cigarettes) while exempting domestic products (menthol cigarettes) with similar characteristics. The conclusion we can draw from this decision is that WTO member states probably enjoy a significant degree of latitude in developing food regulations as part of an obesity prevention strategy, so long as those do not disproportionately affect imported products and therefore raise questions of discrimination. The approach taken in this case encourages the adoption of public health policies that are consistent with strong scientific evidence, but may restrict governments' ability to make political compromises, which could frustrate some proposals. The ongoing development of WTO law will continue to affect policy choices in public health. Copyright © 2013 Canadian Diabetes Association. Published by Elsevier Inc. All rights reserved.

  10. Current status of alcohol marketing policy--an urgent challenge for global governance.

    Science.gov (United States)

    Casswell, Sally

    2012-03-01

    To review research literature and available information on the extent and impacts of marketing, current policy response and the interests engaged in the policy debate in order to inform recommendations for policy change on alcohol marketing. Relevant literature, including systematic reviews and publicly available information (websites and participant observation) is reviewed and synthesized. Alcohol marketing has expanded markedly in the past 50 years and, while there remains uncertainty about the impact across the population, there is now clear evidence of its impact on the consumption of young people. Few countries have effective policy in place restricting alcohol marketing, and there is a lack of an international response to alcohol marketing which crosses national boundaries. The protection of alcohol marketing has been a major focus for vested interest groups and this has affected governmental response at national and international levels. There has been a lack of non-governmental organization engagement. The policy response to tobacco marketing provides a clear contrast to that of alcohol marketing policy and provides a model for alcohol marketing policy. The global exposure of young people to alcohol marketing requires an urgent policy response. The Framework Convention on Tobacco Control provides an appropriate model for global governance to control alcohol marketing. There are extant examples of national level legislation achieving comprehensive bans with France's Loi Evin providing a feasible model. Resources from philanthropic organizations to allow non-governmental organization engagement are urgently required, as is engagement by the governmental sector independent of commercial influence. © 2012 The Author, Addiction © 2012 Society for the Study of Addiction.

  11. Global forces and local currents in Argentina's science policy crossroads: restricted access or open knowledge

    Directory of Open Access Journals (Sweden)

    Horacio Javier Etchichury

    2014-11-01

    Full Text Available The article describes the tensions between two competing approaches to scientific policy in Argentina. The traditional vision favors autonomous research. The neoliberal conception fosters the link between science and markets. In the past few years, a neodevelopmentalist current also tries to stress relevance of scientific research. Finally, the article describes how the Open Access movement has entered the debate. The World Bank intervention and the human rights dimension of the question are discussed in depth. The article introduces the notion of open knowledge as a guiding criterion to design a human-rights based scientific policy.

  12. Current treatment options with immunoglobulin G for the individualization of care in patients with primary immunodeficiency disease.

    Science.gov (United States)

    Jolles, S; Orange, J S; Gardulf, A; Stein, M R; Shapiro, R; Borte, M; Berger, M

    2015-02-01

    Primary antibody deficiencies require lifelong replacement therapy with immunoglobulin (Ig)G to reduce the incidence and severity of infections. Both subcutaneous and intravenous routes of administering IgG can be effective and well tolerated. Treatment regimens can be individualized to provide optimal medical and quality-of-life outcomes in infants, children, adults and elderly people. Frequency, dose, route of administration, home or infusion-centre administration, and the use of self- or health-professional-administered infusion can be tailored to suit individual patient needs and circumstances. Patient education is needed to understand the disease and the importance of continuous therapy. Both the subcutaneous and intravenous routes have advantages and disadvantages, which should be considered in selecting each patient's treatment regimen. The subcutaneous route is attractive to many patients because of a reduced incidence of systemic adverse events, flexibility in scheduling and its comparative ease of administration, at home or in a clinic. Self-infusion regimens, however, require independence and self-reliance, good compliance on the part of the patient/parent and the confidence of the physician and the nurse. Intravenous administration in a clinic setting may be more appropriate in patients with reduced manual dexterity, reluctance to self-administer or a lack of self-reliance, and intravenous administration at home for those with good venous access who prefer less frequent treatments. Both therapy approaches have been demonstrated to provide protection from infections and improve health-related quality of life. Data supporting current options in IgG replacement are presented, and considerations in choosing between the two routes of therapy are discussed. © 2014 British Society for Immunology.

  13. Physician payment 2008 for interventionalists: current state of health care policy.

    Science.gov (United States)

    Manchikanti, Laxmaiah; Giordano, James

    2007-09-01

    Physicians in the United States have been affected by significant changes in the pattern(s) of medical practice evolving over the last several decades. These changes include new measures to 1) curb increasing costs, 2) increase access to patient care, 3) improve quality of healthcare, and 4) pay for prescription drugs. Escalating healthcare costs have focused concerns about the financial solvency of Medicare and this in turn has fostered a renewed interest in the economic basis of interventional pain management practices. The provision and systemization of healthcare in North America and several European countries are difficult enterprises to manage irrespective of whether these provisions and systems are privatized (as in the United States) or nationalized or seminationalized (as in Great Britain, Canada, Australia and France). Consequently, while many management options have been put forth, none seem to be optimally geared toward affording healthcare as a maximized individual and social good, and none have been completely enacted. The current physician fee schedule (released on July 12, 2007) includes a 9.9% cut in payment rate. Since the Medicare program was created in 1965, several methods have been used to determine physicians' rate(s) for each covered service. The sustained growth rate (SGR) system, established in 1998, has evoked negative consequences on physician payment(s). Based on the current Medicare expenditure index, practice expenses are projected to increase by 34.5% from 2002 to 2016, whereas, if actual practice inflation is considered, this increase will be 90%. This is in contrast to projected physician payment cuts that are depicted to be 51%. No doubt, this scenario will be devastating to many practices and the US medical community at large. Resolutions to this problem have been offered by MedPAC, the Government Accountability Office, physician organizations, economists, and various other interested groups. In the past, temporary measures have

  14. Instruments and options for environmental policy during the accession process of EU associated countries in the area of environment and energy. Final report

    Energy Technology Data Exchange (ETDEWEB)

    Cames, M.; Matthes, F.C.; Baer, S.; Oberthuer, S.; Krug, M.; Mez, L.; Tempel, S.

    2001-07-01

    With regard to the leading role of the EU in climate protection policies, it is important to consider the impact of the accession process on EU climate policy. This study includes the analysis of the most important issues related to environment and energy within the accession process, namely: 1) status quo and development of the energy sector and structural CO{sub 2} mitigation options; 2) legal gap assessment and analysis of performance in the accession process; 3) identification of implementation patterns through detailed policy analysis; 4) evaluation of co-operation projects in the field of environment and energy in order to develop new projects that promote the accession process. This volume includes comparative analysis of the five Accession Countries. The detailed analysis of each country is documented in five country reports, each in a separate volume available only on the attached CD. (orig.)

  15. Iran`s petroleum policy: Current trends and the future outlook

    Energy Technology Data Exchange (ETDEWEB)

    Pezeshki, S.; Fesharaki, F.

    1994-12-01

    The Iranian economy and political situation have undergone radical changes since the 1979 Islamic revolution. The excesses of the early years of the revolution have gradually given way to moderation and a more pragmatic economic policy--based on the principles of the free market. The petroleum policy, as a subset of the economic policies, has been somewhat affected by the political and economic developments in Iran. The petroleum policy has changed from a position of no foreign participation to a position that includes a desire for foreign participation, the text of a model contract, and an attempt to introduce new technologies in the upstream sector. This report provides an overview of the key issues facing the Iranian oil industry and the economic context in which the oil industry is operating in Iran. It describes the evolution of policies meant to move the oil industry toward the free market; it discusses Iran`s oil trading partners, the outlook for refining and project investments, and current and likely future developments in the natural gas and petrochemical sectors. In short, the report provides an up-to-date assessment of the Iranian petroleum sector and its likely evolution in the future.

  16. Assessment of current Dutch energy transition policy instruments for the existing housing stock

    International Nuclear Information System (INIS)

    Tambach, Milly; Hasselaar, Evert; Itard, Laure

    2010-01-01

    This research assesses to what extent current Dutch energy transition policy instruments for the existing housing stock can fulfil local executive actors' needs and instigate adoption of energy efficiency measures by them. This is done by studying energy policy instruments for the existing housing stock in the Netherlands and in other European countries, and by an empirical research, which analyses barriers and needs of local executive actors. We found that, despite current Dutch energy transition policy instruments for the existing housing stock seem to fulfil local executive actors' needs to a large extent, complementary policy instruments are needed to stimulate and pressure the incumbent renovation regime. A long-term oriented financial rewarding system is needed to build up a structural market for the deployment of renewables, to increase the number of specialist jobs in the building sector, and to stimulate the development of integrated, standardized, building components. Furthermore, a long-term oriented financial rewarding system for energy efficiency investments in housing renovation projects, and a low VAT rate applied to energy efficient renovation measures, are needed. Finally, enforcement possibilities and sanctions (fines) should become an integrative part of Dutch energy certification regulation to make the certificate become part of a value chain.

  17. Small Business and Defense Acquisitions: A Review of Policies and Current Practices

    Science.gov (United States)

    2011-01-01

    Office of Management and Budget xviii Small Business and Defense Acquisitions: A Review of Policies and Current Practices PSC Product and Service Code...themselves as minority-owned, women-owned, veteran- owned, or small disadvantaged businesses . The resulting database gives sourcing managers a tool for...REPORT DATE 2011 2. REPORT TYPE 3. DATES COVERED 00-00-2011 to 00-00-2011 4. TITLE AND SUBTITLE Small Business and Defense Acquisitions: A

  18. Information Technology in New Zealand: Review of Emerging Social Trends, Current Issues, and Policies

    OpenAIRE

    Erturk, Emre; Fail, Derwyn

    2015-01-01

    This paper discusses the general state of information technology in New Zealand society, current issues, and policies. It is a qualitative study that reviews recent scholarly articles, periodicals, and surveys in order to create an understanding of some of the information technology issues and trends in New Zealand. After reviewing previous research, it assesses the potential existence and nature of a 'digital divide' in New Zealand society whilst also evaluating possible strategic responses ...

  19. System-wide and Superemitter Policy Options for the Abatement of Methane Emissions from the U.S. Natural Gas System

    Science.gov (United States)

    Mayfield, E. N.; Robinson, A. L.; Cohon, J. L.

    2017-12-01

    This work assesses trade-offs between system-wide and superemitter policy options for reducing methane emissions from compressor stations in the U.S. transmission and storage system. Leveraging recently collected national emissions and activity data sets, we developed a new process-based emissions model implemented in a Monte Carlo simulation framework to estimate emissions for each component and facility in the system. We find that approximately 83% of emissions, given the existing suite of technologies, have the potential to be abated, with only a few emission categories comprising a majority of emissions. We then formulate optimization models to determine optimal abatement strategies. Most emissions across the system (approximately 80%) are efficient to abate, resulting in net benefits ranging from 160M to 1.2B annually across the system. The private cost burden is minimal under standard and tax instruments, and if firms market the abated natural gas, private net benefits may be generated. Superemitter policies, namely, those that target the highest emitting facilities, may reduce the private cost burden and achieve high emission reductions, especially if emissions across facilities are highly skewed. However, detection across all facilities is necessary regardless of the policy option and there are nontrivial net benefits resulting from abatement of relatively low-emitting sources.

  20. Status of the U.S. nuclear option, conditions leading to its resurgence, and current licensing requirements

    International Nuclear Information System (INIS)

    Ioannidi, J.

    2007-01-01

    The projected increase in electricity demand, increased concern over emissions along with more stringent emission requirements, volatility of the gas and oil supplies and prices, and the convergence of favourable conditions and legislation make nuclear power a practical option for meeting future electricity base-load demands. (author)

  1. Cost-effectiveness of public-health policy options in the presence of pretreatment NNRTI drug resistance in sub-Saharan Africa

    DEFF Research Database (Denmark)

    Phillips, Andrew N; Cambiano, Valentina; Nakagawa, Fumiyo

    2018-01-01

    BACKGROUND: There is concern over increasing prevalence of non-nucleoside reverse-transcriptase inhibitor (NNRTI) resistance in people initiating antiretroviral therapy (ART) in low-income and middle-income countries. We assessed the effectiveness and cost-effectiveness of alternative public health...... sources and considers specific drugs and resistance mutations. We used this model to generate multiple setting scenarios mimicking those in sub-Saharan Africa and considered the prevalence of pretreatment NNRTI drug resistance in 2017. We then compared effectiveness and cost-effectiveness of alternative...... policy options. We took a 20 year time horizon, used a cost effectiveness threshold of US$500 per DALY averted, and discounted DALYs and costs at 3% per year. FINDINGS: A transition to use of a dolutegravir as a first-line regimen in all new ART initiators is the option predicted to produce the most...

  2. Meeting human resources for health staffing goals by 2018: a quantitative analysis of policy options in Zambia

    Directory of Open Access Journals (Sweden)

    Schroder Kate

    2010-06-01

    Full Text Available Abstract Background The Ministry of Health (MOH in Zambia is currently operating with fewer than half of the health workers required to deliver basic health services. The MOH has developed a human resources for health (HRH strategic plan to address the crisis through improved training, hiring, and retention. However, the projected success of each strategy or combination of strategies is unclear. Methods We developed a model to forecast the size of the public sector health workforce in Zambia over the next ten years to identify a combination of interventions that would expand the workforce to meet staffing targets. The key forecasting variables are training enrolment, graduation rates, public sector entry rates for graduates, and attrition of workforce staff. We model, using Excel (Office, Microsoft; 2007, the effects of changes in these variables on the projected number of doctors, clinical officers, nurses and midwives in the public sector workforce in 2018. Results With no changes to current training, hiring, and attrition conditions, the total number of doctors, clinical officers, nurses, and midwives will increase from 44% to 59% of the minimum necessary staff by 2018. No combination of changes in staff retention, graduation rates, and public sector entry rates of graduates by 2010, without including training expansion, is sufficient to meet staffing targets by 2018 for any cadre except midwives. Training enrolment needs to increase by a factor of between three and thirteen for doctors, three and four for clinical officers, two and three for nurses, and one and two for midwives by 2010 to reach staffing targets by 2018. Necessary enrolment increases can be held to a minimum if the rates of retention, graduation, and public sector entry increase to 100% by 2010, but will need to increase if these rates remain at 2008 levels. Conclusions Meeting the minimum need for health workers in Zambia this decade will require an increase in health

  3. Integrating ecosystem services into the tropical timber value chain : Dutch policy options from an innovation system approach

    NARCIS (Netherlands)

    Berg, van den J.; Ingram, V.J.; Bogaardt, M.J.; Harms, B.

    2013-01-01

    This WOt Working document explores the governance options available to the Dutch government for the promotion of the sustainable use and maintenance of ecosystem services in tropical timber value chains with Dutch links and how ecosystem services can be given a more explicit place in the public and

  4. Transboundary Movements of Hazardous Wastes. A Comparative Analysis of Policy Options to Control the International Waste Trade.

    Science.gov (United States)

    Hilz, Christoph; Ehrenfeld, John R.

    1991-01-01

    Several policy frameworks for managing hazardous waste import/export are examined with respect to economic issues, environmental sustainability, and administrative feasibility and effectiveness. Several recommendations for improving the present instrument and implementing process are offered. (Author/CW)

  5. The Cost of Compliance: A CGE Assessment of Canada's Policy Options under the Kyoto Protocol

    Energy Technology Data Exchange (ETDEWEB)

    Boehringer, Christoph (Univ. of Oldenburg, Dept. of Economics, D-26111 Oldenburg (Germany)); Rutherford, Thomas F. (ETH Zuerich, Center for Energy Policy and Economy, CH-8032 Zuerich (Switzerland))

    2008-07-01

    Canada is committed under the Kyoto Protocol to reduce greenhouse gas emissions between 2008 and 2012 to a level six percent below the 1990 reference value. To date, however, Canada's greenhouse gas emissions remain far above 1990 levels. Stringent short-term policy measures are needed if Canada is to meet this legally binding commitment. This paper uses a multi-region, multi-commodity static general equilibrium model to quantify the economic impacts of alternative compliance strategies for Canada in the context of climate policies undertaken by other Kyoto Parties. The numerical results confirm fears among Canadian policy makers of larger economic adjustment cost should Canada fulfill its Kyoto commitment solely through domestic action. Comprehensive use of flexible mechanisms - in particular the Clean Development Mechanism - could allow Canada to live up with its international climate policy commitment at a substantially lower economic cost

  6. Virtuous and Vicious Circles: Lessons for Current European Policies from Italian Post-War Development

    Directory of Open Access Journals (Sweden)

    Gioacchino Garofoli

    2017-06-01

    Full Text Available The paper deals with the Italian economic development, explaining the main features and the crucial variables in the long-term transformation process. The Italian economy has been analysed taking into account the different and changing international rules in medium and long-term to understand their role on the development strategies and on the changing competitive position of the country. The comparative international analysis on selected crucial variables shows some contradictions between expectations and effective outcomes of changing institutional rules and introduced economic policies. This underlines both the emergence of unexpected trajectories and economic performances and the lasting of structural differences among European countries. The selection of consistent economic policies in Europe, then, should take into account these phenomena. The paper underlines the crucial role of long-term economic analysis to fully understand not only the crucial structural variables but even opportunities and challenges for strategic decisions in the current economic crisis.

  7. Current Policies and New Directions for Speech-Language Pathology Assistants.

    Science.gov (United States)

    Paul-Brown, Diane; Goldberg, Lynette R

    2001-01-01

    This article provides an overview of current American Speech-Language-Hearing Association (ASHA) policies for the appropriate use and supervision of speech-language pathology assistants with an emphasis on the need to preserve the role of fully qualified speech-language pathologists in the service delivery system. Seven challenging issues surrounding the appropriate use of speech-language pathology assistants are considered. These include registering assistants and approving training programs; membership in ASHA; discrepancies between state requirements and ASHA policies; preparation for serving diverse multicultural, bilingual, and international populations; supervision considerations; funding and reimbursement for assistants; and perspectives on career-ladder/bachelor-level personnel. The formation of a National Leadership Council is proposed to develop a coordinated strategic plan for addressing these controversial and potentially divisive issues related to speech-language pathology assistants. This council would implement strategies for future development in the areas of professional education pertaining to assistant-level supervision, instruction of assistants, communication networks, policy development, research, and the dissemination/promotion of information regarding assistants.

  8. The impact of managed care and current governmental policies on an urban academic health care center.

    Science.gov (United States)

    Rodriguez, J L; Peterson, D J; Muehlstedt, S G; Zera, R T; West, M A; Bubrick, M P

    2001-10-01

    Managed care and governmental policies have restructured hospital reimbursement. We examined reimbursement trends in trauma care to assess the impact of this market driven change on an urban academic health center. Patients injured between January 1997 and December 1999 were analyzed for Injury Severity Score (ISS), length of hospital stay, hospital cost, payer, and reimbursement. Between 1997 and 1999, the volume of patients with an ISS less than 9 increased and length of stay decreased. In addition, overall cost, payment, and profit margin increased. Commercially insured patients accounted for this margin increase, because the margins of managed care and government insured patients experienced double-digit decreases. Patients with ISS of 9 or greater also experienced a volume increase and a reduction in length of stay; however, costs within this group increased greater than payments, thereby reducing profit margin. Whereas commercially insured patients maintained their margin, managed care and government insured patients did not (double- and triple-digit decreases). Managed care and current governmental policies have a negative impact on urban academic health center reimbursement. Commercial insurers subsidize not only the uninsured but also the government insured and managed care patients as well. National awareness of this issue and policy action are paramount to urban academic health centers and may also benefit commercial insurers.

  9. Policy options to reduce consumer waste to zero: comparing product stewardship and extended producer responsibility for refrigerator waste.

    Science.gov (United States)

    Nicol, Scott; Thompson, Shirley

    2007-06-01

    Today, over-consumption, pollution and resource depletion threaten sustainability. Waste management policies frequently fail to reduce consumption, prevent pollution, conserve resources and foster sustainable products. However, waste policies are changing to focus on lifecycle impacts of products from the cradle to the grave by extending the responsibilities of stakeholders to post-consumer management. Product stewardship and extended producer responsibility are two policies in use, with radically different results when compared for one consumer product, refrigerators. North America has enacted product stewardship policies that fail to require producers to take physical or financial responsibility for recycling or for environmentally sound disposal, so that releases of ozone depleting substances routinely occur, which contribute to the expanding the ozone hole. Conversely, Europe's Waste Electrical and Electronic Equipment (WEEE) Directive requires extended producer responsibility, whereby producers collect and manage their own post-consumer waste products. WEEE has resulted in high recycling rates of greater than 85%, reduced emissions of ozone-depleting substances and other toxins, greener production methods, such as replacing greenhouse gas refrigerants with environmentally friendly hydrocarbons and more reuse of refrigerators in the EU in comparison with North America.

  10. 21 CFR 1404.135 - May the Office of National Drug Control Policy exclude a person who is not currently...

    Science.gov (United States)

    2010-04-01

    ... 21 Food and Drugs 9 2010-04-01 2010-04-01 false May the Office of National Drug Control Policy exclude a person who is not currently participating in a nonprocurement transaction? 1404.135 Section 1404.135 Food and Drugs OFFICE OF NATIONAL DRUG CONTROL POLICY GOVERNMENTWIDE DEBARMENT AND SUSPENSION (NONPROCUREMENT) General § 1404.135 May the...

  11. Assessing policy options for increasing the use of renewable energy for sustainable development: Modelling energy scenarios for Sichuan, China. A UN-ENERGY demonstration study

    International Nuclear Information System (INIS)

    2007-01-01

    UN-Energy was created in 2004 as the United Nations' principal interagency mechanism in the field of energy. Its creation responds to a request in the Johannesburg Plan of Implementation, adopted by the 2002 World Summit on Sustainable Development, for a new collaborative mechanism between UN agencies, programmes and institutions. UN-Energy has published several reports. The first was prepared for the September 2005 World Summit, 'The Energy Challenge for Achieving the Millennium Development Goals', showing the key role energy access plays for countries to achieve the MDGs. A second report was presented at the May 2006 session of the UN Commission on Sustainable Development (CSD-14), 'Energy in the United Nations: An Overview of UN-Energy Activities'. For the May 2007 CSD-15 UN-Energy brought forward 'Sustainable Bio-Energy: A Framework for Decision-Makers' to help inform dialogue in one critical area of future energy policy choice. Another critical energy policy issue is how renewable energy can be promoted as countries plan for sustainable development. UN-Energy therefore decided to look at how the tools for energy modelling could be evolved. In May 2006, for CSD-14, UN-Energy presented 'Assessing Policy Options for Increasing the Use of Renewable Energy for Sustainable Development: Modelling Energy Scenarios for Ghana'. The Ghana study was carried out by five UN organizations and the Energy Commission of Ghana. It was led by the International Atomic Energy Agency (IAEA) and included the Department of Economic and Social Affairs (DESA) in the UN Secretariat, the Food and Agriculture Organization (FAO), the UN Environment Programme (UNEP) and the UN Industrial Development Organization (UNIDO). UN-Energy now presents a similar study for Sichuan, China. Together these two reports are the first UN-Energy reports to present analytic results from interagency cooperation that, without UN-Energy, would not have happened. This report analyzes alternative provincial

  12. From Market Uncertainty to Policy Uncertainty for Investment in Power Generation: Real Options for NPP on Electricity Market

    International Nuclear Information System (INIS)

    Tomsic, Zeljko

    2014-01-01

    In the electricity sector, market participants must make decisions about capacity choice in a situation of radical uncertainty about future market conditions. Sector is normally characterised by non-storability and periodic and stochastic demand fluctuations. In these cases capacity determination is a decision for the long term, whereas production is adjusted in the short run. Capacities need to be installed well in advance (decision for investment even earlier because of long construction time and even longer in case of NPP to prepare all needed legal, financial and physical infrastructure), at times when firms face considerable demand and cost uncertainty when choosing their capacity. Paper looks on the main contributions in investment planning under uncertainty, in particular in the electricity market for capital intensive investments like NPP. The relationship between market and non-market factors (recent UK policy example) in determining investment signals in competitive electricity markets was analysed. Paper analyse the ability of competitive electricity markets to deliver the desired quantity and type of generation capacity and also investigates the variety of market imperfections operating in electricity generation and their impact on long-term dynamics for generation capacity, the most capital-intensive of the liberalised functions in the electricity supply industry. Paper analyses how price formation influences investment signals. Today, investment decisions are made by several operators that act independently. Number of factors (including market power, wholesale price volatility, lack of liquidity in the wholesale and financial market, policy and regulatory risks etc.) contribute to polluting the price signal and generating sub-optimal behaviour. Climate change policies can easily distort market signals, insulating renewables generation from market dynamics. This in turn reduces the proportion of the market that is effectively opened to competitive

  13. Online media coverage of air pollution risks and current policies in India: A content analysis.

    Science.gov (United States)

    Murukutla, Nandita; Negi, Nalin S; Puri, Pallavi; Mullin, Sandra; Onyon, Lesley

    2017-09-01

    institution or organization - such as the government or industry groups - as the primary responsible stakeholder, thus leaving ambiguous the organizations whose leadership was necessary to mitigate air pollution. Conclusion Gaps exist in the current media discourse on air pollution, suggesting the need for strengthening engagement with the media as a means of creating citizen engagement and enabling policy action. Through greater elaboration of the health burdens and evidence-based policy actions, the media can play a critical role in galvanizing India's action on air quality. These data may suggest opportunities for media advocacy and greater public and policy engagement to address issues around air quality in India.

  14. US Interagency Regional Foreign Policy Implementation: A Survey of Current Practice and an Analysis of Options for Improvement

    Science.gov (United States)

    2014-06-01

    Interagency System, pt. 1, 3–4; and Free Encyclopedia of Ecommerce , “National Infrastructure Protection Center (NIPC),” http:// ecommerce .hostip.info...the president, secretary of defense, and JCS cre- ated the office of Civil Operations and Revolutionary (later “ Rural ”) Development Support (CORDS) to...command COIN counterinsurgency CORDS Office of Civil Operations and Revolutionary (or “ Rural ”) Development Support CPA Coalition Provisional Authority

  15. Energy options

    International Nuclear Information System (INIS)

    Hampton, Michael

    1999-01-01

    This chapter focuses on energy options as a means of managing exposure to energy prices. An intuitive approach to energy options is presented, and traditional definitions of call and put options are given. The relationship between options and swaps, option value and option exercises, commodity options, and option pricing are described. An end-user's guide to energy option strategy is outlined, and straight options, collars, participating swaps and collars, bull and bear spreads, and swaption are examined. Panels explaining the defining of basis risk, and discussing option pricing and the Greeks, delta hedging, managing oil options using the Black-Scholes model, caps, floors and collars, and guidelines on hedging versus speculation with options are included in the paper

  16. Tax exemption for bio fuels in Germany: is bio-ethanol really an option for climate policy?

    International Nuclear Information System (INIS)

    Henke, J.M.; Klepper, G.; Schmitz, N.

    2005-01-01

    In 2002 the German Parliament decided to exempt biofuels from the gasoline tax to increase their competitiveness compared to conventional gasoline. The policy to promote biofuels is being justified by their allegedly positive effects on climate, energy, and agricultural policy goals. An increased use of biofuels would contribute to sustainable development by reducing greenhouse-gas emissions and the use of non-renewable resources. The paper takes a closer look at bio-ethanol as a substitute for gasoline. It analyzes the underlying basic German, European, and worldwide conditions that provide the setting for the production and promotion of biofuels. It is shown that the production of bio-ethanol in Germany is not competitive and that imports are likely to increase. Using energy and greenhouse-gas balances we then demonstrate that the promotion and a possible increased use of bio-ethanol to reduce greenhouse-gas emissions are economically inefficient and that there are preferred alternative strategies. In addition, scenarios of the future development of the bio-ethanol market are derived from a model that allows for variations in all decisive variables and reflects the entire production and trade chain of bio-ethanol, from the agricultural production of wheat and sugar beet to the consumption of bio-ethanol in the fuel sector. (author)

  17. Tax exemption for bio fuels in Germany: is bio-ethanol really an option for climate policy?

    Energy Technology Data Exchange (ETDEWEB)

    Henke, J.M.; Klepper, G. [Kiel Institute for World Economics, Kiel (Germany); Schmitz, N. [Meo Consulting Team, Koeln (Germany)

    2005-11-01

    In 2002 the German Parliament decided to exempt biofuels from the gasoline tax to increase their competitiveness compared to conventional gasoline. The policy to promote biofuels is being justified by their allegedly positive effects on climate, energy, and agricultural policy goals. An increased use of biofuels would contribute to sustainable development by reducing greenhouse-gas emissions and the use of non-renewable resources. The paper takes a closer look at bio-ethanol as a substitute for gasoline. It analyzes the underlying basic German, European, and worldwide conditions that provide the setting for the production and promotion of biofuels. It is shown that the production of bio-ethanol in Germany is not competitive and that imports are likely to increase. Using energy and greenhouse-gas balances we then demonstrate that the promotion and a possible increased use of bio-ethanol to reduce greenhouse-gas emissions are economically inefficient and that there are preferred alternative strategies. In addition, scenarios of the future development of the bio-ethanol market are derived from a model that allows for variations in all decisive variables and reflects the entire production and trade chain of bio-ethanol, from the agricultural production of wheat and sugar beet to the consumption of bio-ethanol in the fuel sector. (author)

  18. Controlling liver cancer internationally: A qualitative study of clinicians' perceptions of current public policy needs.

    Science.gov (United States)

    Bridges, John Fp; Gallego, Gisselle; Blauvelt, Barri M

    2011-07-28

    Liver cancer is the fifth most common cancer in men and the seventh for women. Usually because of late diagnosis, the prognosis for liver cancer remains poor, resulting in liver cancer being the third most common cause of death from cancer. While some countries have treatment guidelines, little is known or understood about the strategies needed for liver cancer control internationally. To explore leading liver cancer clinician's perceptions of the current public policy needs to control liver cancer internationally. Key informant interviews were conducted with a range of liver cancer clinicians involved in policy in eleven countries. Interviews were digitally recorded, transcribed verbatim, translated (where necessary), de-identified and analyzed by two researchers using a constant comparative method. Twenty in-depth semi-structured interviews were conducted in: Australia, China, France, Germany, Italy, Japan, Spain, South Korea, Taiwan, Turkey and the United States. Nine themes were identified and cluster into three groups: 1) Promoting prevention via early risk assessment, focusing on viral hepatitis and other lifestyle factors; 2) Increasing political, public and medical community awareness; and 3) Improving funding for screening, liver cancer surveillance and treatment. This study is an important step towards developing an evidence-based approach to assessing preparedness for implementing comprehensive liver cancer control strategies. Evaluation mechanisms to assess countries' performance on the needs described are needed. Future research will concentrate of understanding how these needs vary across countries and the optimal strategies to improve the diagnosis and prognosis of patients with liver cancer internationally.

  19. Current situation of used household batteries in Iran and appropriate management policies.

    Science.gov (United States)

    Zand, A Daryabeigi; Abduli, M A

    2008-11-01

    Used household batteries are considered as hazardous wastes in many countries due to the potential environmental and human health risks associated with the heavy metals present in batteries. This article presents the current situation of waste household batteries and policies in Iran. Iran with more than 70 million people is a developing country where latest technologies like cell phones and laptops are in widespread use and battery consumption increases accordingly. The household battery demand in Iran has rapidly grown since 2001 and it is expected to increase more quickly in next years, due to increasing technological development. Based on the available data, more than 9800 metric tons of household batteries were imported into Iran in recent decade, with the market value of about US$ 42.6 million. At present, there is no program available in Iran regarding to collection, separation, recycling or safe disposal of used batteries. Therefore, almost all of the spent household are discarded into municipal solid waste (MSW) and sent to sanitary landfills. Appropriate policies to meet safe disposal of household batteries in Iran is also discussed in this investigation.

  20. Why the Japanese Nuclear Power Plants are not trusted? Verification of current nuclear energy policy

    International Nuclear Information System (INIS)

    Yoshioka, Hitoshi

    2007-01-01

    Since the liberalization of electric power following the trend of structural reform and government's economic and financial rebuild had impacted the management of electric utilities in 1990, current nuclear power comes to be subject to government's leadership and support to promote nuclear energy. The Framework for Nuclear Energy Policy Japan of atomic energy commission in 2005 aims to (1) maintain the 30 to 40% or more share of nuclear energy in electricity generation up to 2030 and afterwards, (2) promote the nuclear fuel cycle and (3) commercialize the fast-breeder reactors. Nuclear Energy National Plan of ministry of economy, trade and industry in 2006 makes reference to construction of FBR demonstration reactor by 2025, development of Japanese next-generation LWR and also construction of second reprocessing plant. Major stakeholders related with nuclear power generation such as politicians, government (the authorities concerned), electric utilities and local governments play respective important role in nuclear policy as 'a tetrahedral structure'. The Niigataken Chuets-oki earthquake reminded risk problems of nuclear power management and shook the nuclear tetrahedron structure, which might collapse with loss of public trust. (T. Tanaka)

  1. The impact of current visa regime policy on tourism recovery and development in Zimbabwe

    Directory of Open Access Journals (Sweden)

    Nelson Zengeni

    2012-12-01

    Full Text Available This paper reports the results on the impact of the current visa regime policy on tourism recovery and development in Zimbabwe. The focus was on finding out how the visa regime could impact on efforts to bring into the country more visitors following the decline in visitor inflows from 2000 to 2008. Data was collected from selected visitors from different member states which require visas to enter into the county in the period between January 2010 and July 2010.The findings shows that visa restrictions play a small part in discouraging visitors to visit Zimbabwe. The visa regime policy was designed in such a way that it was easy for passport holders from traditional markets to have relatively easy passage into Zimbabwe. It was also discovered that visa restrictions were part of international travel conditions but how to get the visa became the competitive advantage or disadvantage a destination can have compared with its competitors. Zimbabwe’s traditional markets believed that the visa was not difficult to get nor was it too expensive as to scare away visitors. However, the emerging markets such as China who are in Group C had problems getting the visa as they were required to apply for the visa before traveling to Zimbabwe.

  2. Current status and analysis of renewable promotional policies in Indian restructured power sector - A review

    International Nuclear Information System (INIS)

    Singh, Randhir; Sood, Yog Raj

    2011-01-01

    Restructuring has changed the traditional mission and mandates of power utilities in complex ways, and had large impacts on environmental, social, and political conditions for any particular country. At the same time, new regulatory approaches are being found for reducing environmental impacts in restructured power sectors. India has a vast supply of renewable energy resources, and it has one of the largest programs in the world for deploying renewable energy based products and systems. So this paper attempts to review the various policies and measures undertaken by Indian government for promotion of renewable energy. The aim of this paper is also to review the current policy mechanisms, especially investment- or generation-based price-driven and capacity-driven mechanisms, ranging from investment incentives for the development of renewable energy projects, feed-in tariffs, production tax incentives, tradable green certificates, and their effects upon the prospects of encouraging as well as expanding the development of renewable energy in Indian restructured power sector. This will make renewable more attractive in the Indian future electricity market. (author)

  3. Analysis of an M[X]/(G1,G2/1 retrial queueing system with balking, optional re-service under modified vacation policy and service interruption

    Directory of Open Access Journals (Sweden)

    P. Rajadurai

    2014-09-01

    Full Text Available This paper deals with the steady state analysis of batch arrival retrial queueing system with two types of service under modified vacation policy, where each type consists of an optional re-service. An arriving batch may balk the system at some particular times. After the completion of each types of service the customers may re-service of the same type without joining the orbit or may leave the system. If the orbit is empty at the service completion of each types of service, the server takes at most J vacations until at least one customer is received in the orbit when the server returns from a vacation. Busy server may breakdown at any instance and the service channel will fail for a short interval of time. The steady state probability generating function for system/orbit size is obtained by using the supplementary variable method. Some system performance measures and numerical illustrations are discussed.

  4. The quest for the oil and gas infrastructure protection in central Asia : time bombs and policy options

    Energy Technology Data Exchange (ETDEWEB)

    Bi, J. [Carleton Univ., Ottawa, ON (Canada). Norman Paterson School of International Affairs

    2006-03-15

    The growing economies of China and India have increased global anxieties over dwindling fossil fuel resources. Regional countries in central Asia have advocated for more extensive strategic partnerships within the oil and gas industry as insurance against the pressures of more powerful nations. However, non-traditional threats such as terrorism raise serious questions about critical oil and gas infrastructure protection in central Asia. This paper assessed the vulnerability and threats inherent in protecting the critical oil and gas infrastructure of Central Asia, with a specific focus on Kazakhstan, Turkmenistan, Uzbekistan, and the region of Xinjiang in China. An-depth analysis of the development strategies, terrorist threats, and water issues confronted by Central Asian powers was conducted to demonstrate their vulnerability. The analysis was then used to consider options available for managing oil and gas infrastructure in the regions. It was observed that different perceptions and technological difficulties have made cooperation on critical oil and gas infrastructure protection less important than national sovereignty and domestic stability. It was concluded that a low-key approach to homeland security and oil and gas infrastructure may be the best strategy for Central Asia and China. 44 refs.

  5. Balancing Fiscal, Energy, and Environmental Concerns: Analyzing the Policy Options for California’s Energy and Economic Future

    Directory of Open Access Journals (Sweden)

    Edward Manderson

    2013-03-01

    Full Text Available This study estimates the fiscal, energy, and environmental tradeoffs involved in supplying California’s future energy needs. An integrated framework is developed whereby an econometric forecasting system of California energy demand is coupled with engineering-economic models of energy supply, and economic impacts are estimated using input-output models of the California economy. A baseline scenario in which California relies on imported electricity to meet future demand is then compared against various energy supply development scenarios over the forecast horizon (2012–2035. The results indicate that if California implements its renewable portfolio standard (RPS, there will be a substantial net cost in terms of value added, employment, and state tax revenues because the economic benefits of building capacity are outweighed by higher energy prices. Although carbon emissions fall, the cost per ton of avoided emissions is well above market prices. Building out natural gas fired generation capacity also leads to losses compared to the baseline, although the impacts are relatively minor. Meanwhile, a strategy of replacing imported crude oil and natural gas with domestic production using indigenous resources increases gross state product, employment, and tax revenues, with minimal impact on carbon emissions. This option could, therefore, help mitigate the costs of California meeting its RPS commitment.

  6. Sugars and health: a review of current evidence and future policy.

    Science.gov (United States)

    Evans, Charlotte Elizabeth Louise

    2017-08-01

    The automation of the process of extracting sugars in the 1900s reduced cost and increased availability of sugars leading to a dramatic rise in consumption, which reached a peak in the 1970s. There are different definitions for sugars not naturally available in foods, and free sugars is the term used by WHO. The epidemiological evidence of the associations between sugars and obesity and type 2 diabetes mellitus is fairly strong and consistent, particularly for sugar sweetened drinks in adults. The Department of Health in the UK and many other countries have recently updated their recommendations for free sugars as a result of this scientific evidence. In the UK the recommended amount of free sugars is currently 5 % of energy (reduced from 10 %), which is difficult to meet and very different from current British dietary patterns. Reducing intakes of free sugars is a challenge and will necessitate a range of different actions and policies. Public Health England has put forward eight suggestions but the four most likely to improve dietary behaviour based on available evidence are social marketing, reduction of marketing of high sugar foods and drinks to children, reformulation and reductions in portion size and a sugar excise tax. Any action taken needs to be evaluated to check inequalities are not widened. The new childhood obesity strategy has incorporated some but not all of these strategies and may not go far enough. It is likely that government policies alone will not be sufficient and a change in the food culture is necessary to see real progress.

  7. Intrauterine transfusion and non-invasive treatment options for hemolytic disease of the fetus and newborn - review on current management and outcome.

    Science.gov (United States)

    Zwiers, Carolien; van Kamp, Inge; Oepkes, Dick; Lopriore, Enrico

    2017-04-01

    Hemolytic disease of the fetus and newborn (HDFN) remains a serious pregnancy complication which can lead to severe fetal anemia, hydrops and perinatal death. Areas covered: This review focusses on the current prenatal management, treatment with intrauterine transfusion (IUT) and promising non-invasive treatment options for HDFN. Expert commentary: IUTs are the cornerstone in prenatal management of HDFN and have significantly improved perinatal outcome in the past decades. IUT is now a relatively safe procedure, however the risk of complications is still high when performed early in the second trimester. Non-invasive management using intravenous immunoglobulin may be a safe alternative and requires further investigation.

  8. Sustainable alternatives for land-based biofuels in the European Union. Assessment of options and development of a policy strategy

    Energy Technology Data Exchange (ETDEWEB)

    Kampman, B.; Van Grinsven, A.; Croezen, H.

    2012-12-15

    It is feasible for EU member states to meet their commitments regarding transport fuels under the Renewable Energy Directive (RED) and the Fuel Quality Directive (FQD) without resorting to biofuels from food crops. The RED target (10% renewable transport energy in 2020) can be met by a mix of measures aimed at improving energy efficiency, combined with a strong focus on growth of renewable electricity use and biofuels and biomethane from waste and residues. These measures also contribute to the FQD target (6% reduction in carbon intensity of fuels by 2020), but will need to be complemented by other measures such as reduced flaring and venting during oil production. The report shows how EU transport energy policy could reduce its reliance on biofuels from food crops that are likely to cause land use change. This alternative vision for the transport sector in 2020 would cut CO2 emissions by 205 million tonnes.

  9. Carbon tax and greenhouse gas control : options and considerations for Congress

    Science.gov (United States)

    2009-02-23

    This report prepared by the Congressional Research Service discusses the current policy tools available for use in bridging the gap between a carbon tax and a cap-and-trade program, implementation issues and options for revenue distribution.

  10. Cost-effectiveness of public-health policy options in the presence of pretreatment NNRTI drug resistance in sub-Saharan Africa: a modelling study.

    Science.gov (United States)

    Phillips, Andrew N; Cambiano, Valentina; Nakagawa, Fumiyo; Revill, Paul; Jordan, Michael R; Hallett, Timothy B; Doherty, Meg; De Luca, Andrea; Lundgren, Jens D; Mhangara, Mutsa; Apollo, Tsitsi; Mellors, John; Nichols, Brooke; Parikh, Urvi; Pillay, Deenan; Rinke de Wit, Tobias; Sigaloff, Kim; Havlir, Diane; Kuritzkes, Daniel R; Pozniak, Anton; van de Vijver, David; Vitoria, Marco; Wainberg, Mark A; Raizes, Elliot; Bertagnolio, Silvia

    2018-03-01

    There is concern over increasing prevalence of non-nucleoside reverse-transcriptase inhibitor (NNRTI) resistance in people initiating antiretroviral therapy (ART) in low-income and middle-income countries. We assessed the effectiveness and cost-effectiveness of alternative public health responses in countries in sub-Saharan Africa where the prevalence of pretreatment drug resistance to NNRTIs is high. The HIV Synthesis Model is an individual-based simulation model of sexual HIV transmission, progression, and the effect of ART in adults, which is based on extensive published data sources and considers specific drugs and resistance mutations. We used this model to generate multiple setting scenarios mimicking those in sub-Saharan Africa and considered the prevalence of pretreatment NNRTI drug resistance in 2017. We then compared effectiveness and cost-effectiveness of alternative policy options. We took a 20 year time horizon, used a cost effectiveness threshold of US$500 per DALY averted, and discounted DALYs and costs at 3% per year. A transition to use of a dolutegravir as a first-line regimen in all new ART initiators is the option predicted to produce the most health benefits, resulting in a reduction of about 1 death per year per 100 people on ART over the next 20 years in a situation in which more than 10% of ART initiators have NNRTI resistance. The negative effect on population health of postponing the transition to dolutegravir increases substantially with higher prevalence of HIV drug resistance to NNRTI in ART initiators. Because of the reduced risk of resistance acquisition with dolutegravir-based regimens and reduced use of expensive second-line boosted protease inhibitor regimens, this policy option is also predicted to lead to a reduction of overall programme cost. A future transition from first-line regimens containing efavirenz to regimens containing dolutegravir formulations in adult ART initiators is predicted to be effective and cost-effective in

  11. Current Measures on Radioactive Contamination in Japan: A Policy Situation Analysis.

    Science.gov (United States)

    Gilmour, Stuart; Miyagawa, Shoji; Kasuga, Fumiko; Shibuya, Kenji

    2016-01-01

    radioactive contamination. Monitoring of radioactive materials in food products in the prefectures has been mainly conducted before shipment to restrict the distribution of radio-contaminated foods. Between March 2011 and March 2012, 133,832 tests of non-commercial and commercial products were conducted, and 1,204 tests (0.9%) were found to violate the provisional standards. Since April 2012, 278,275 tests were conducted, and 2,372 tests (0.9%) were found to violate the revised standards. MHLW assessment of representative market baskets of foodstuffs at 15 locations throughout Japan between February and March 2014 found very low estimated dietary intake of radioactive cesium (0.0007-0.019 mSv/year), as did assessments of the contents of an average day's food. Monitoring of fisheries products in coastal areas affected by the nuclear accident found very limited and declining radio-contamination of live fish outside of Fukushima prefecture. Fisheries monitoring is of limited geographical scope and covers only certain fishes. Area-specific bans on production and distribution have been effective in preventing radioactive contamination in the Japanese food market. Currently there is no major concern about radioactive cesium concentrations in retail foodstuffs in Japan, and very low levels of contamination at the production and wholesale stage. However, because the residue limits and food safety policies were revised on an ad hoc, emergency basis after the nuclear accident, the monitoring procedure needs to be reviewed based on objective and scientifically rational criteria. A transparent and objective scientific framework is needed for prioritizing foodstuffs for inspection and revising Prefecture-specific restrictions. Monitoring of fishes and other seafood products in the wild should be regularized and the information made more publicly accessible, and monitoring activities expanded to identify foodstuffs that are no longer a food safety risk. Consultation with producers and

  12. Current Measures on Radioactive Contamination in Japan: A Policy Situation Analysis.

    Directory of Open Access Journals (Sweden)

    Stuart Gilmour

    areas at risk of radioactive contamination. Monitoring of radioactive materials in food products in the prefectures has been mainly conducted before shipment to restrict the distribution of radio-contaminated foods. Between March 2011 and March 2012, 133,832 tests of non-commercial and commercial products were conducted, and 1,204 tests (0.9% were found to violate the provisional standards. Since April 2012, 278,275 tests were conducted, and 2,372 tests (0.9% were found to violate the revised standards. MHLW assessment of representative market baskets of foodstuffs at 15 locations throughout Japan between February and March 2014 found very low estimated dietary intake of radioactive cesium (0.0007-0.019 mSv/year, as did assessments of the contents of an average day's food. Monitoring of fisheries products in coastal areas affected by the nuclear accident found very limited and declining radio-contamination of live fish outside of Fukushima prefecture. Fisheries monitoring is of limited geographical scope and covers only certain fishes.Area-specific bans on production and distribution have been effective in preventing radioactive contamination in the Japanese food market. Currently there is no major concern about radioactive cesium concentrations in retail foodstuffs in Japan, and very low levels of contamination at the production and wholesale stage. However, because the residue limits and food safety policies were revised on an ad hoc, emergency basis after the nuclear accident, the monitoring procedure needs to be reviewed based on objective and scientifically rational criteria. A transparent and objective scientific framework is needed for prioritizing foodstuffs for inspection and revising Prefecture-specific restrictions. Monitoring of fishes and other seafood products in the wild should be regularized and the information made more publicly accessible, and monitoring activities expanded to identify foodstuffs that are no longer a food safety risk. Consultation with

  13. Exploring the Interweaving of Contrary Currents: Transnational Policy Enactment and Path-Dependent Policy Implementation in Australia and Japan

    Science.gov (United States)

    Takayama, Keita

    2012-01-01

    This article explores the neo-institutional theory of global policy convergence, or "isomorphism", by comparatively examining one of its most recent manifestations--the global diffusion of national standardised testing--in Australia and Japan. By understanding the particular configurations of national testing as being conditioned by both…

  14. ELECTRICITY SUPPLY, FOSSIL FUEL CONSUMPTION, CO2 EMISSIONS AND ECONOMIC GROWTH: IMPLICATIONS AND POLICY OPTIONS FOR SUSTAINABLE DEVELOPMENT IN NIGERIA

    Directory of Open Access Journals (Sweden)

    Chibueze Eze Nnaji

    2013-01-01

    Full Text Available This paper investigates the causal relationship among electricity supply, fossil fuel consumption, CO2 emissions and economic growth in Nigeria for the period 1971-2009, in a multivariate framework.Using the bound test approach to cointegration, we found a short-run as well as a long-run relationship among the variables with a positive and statistically significant relationship between CO2 emissions and fossil fuel consumption. The findings also indicate that economic growth is associated with increased CO2 emissions while a positive relationship exists between electricity supply and CO2 emissions revealing the poor nature of electricity supply in Nigeria. Further, the Granger causality test results indicate that electricity supply has not impacted significantly on economic growth in Nigeria. The results also strongly imply that policies aimed at reducing carbon emissions in Nigeria will not impede economic growth. The paper therefore concludes that a holistic energy planning and investment in energy infrastructure is needed to drive economic growth. In the long-run however, it is possible to meet the energy needs of the country, ensure sustainable development and at the same time reduce CO2 emissions by developing alternatives to fossil fuel consumption, the main source of CO2 emissions.

  15. Energy drink consumption in Europe: A review of the risks, adverse health effects and policy options to respond

    Directory of Open Access Journals (Sweden)

    João Joaquim Breda

    2014-10-01

    Full Text Available With the worldwide consumption of energy drinks increasing in recent years, concerns have been raised both in the scientific community and among the general public about the health effects of these products. Recent studies provide data on consumption patterns in Europe however more research is needed to determine the potential for adverse health effects related to the increasing consumption of energy drinks, particularly among young people. A review of the literature was conducted to identify published articles that examined the health risks, consequences and policies related to energy drink consumption. The health risks associated with energy drink consumption are primarily related to their caffeine content, but more research is needed that evaluates the long term effects of consuming common energy drink ingredients. The evidence indicating adverse health effects due to the consumption of energy drinks with alcohol is growing. The risks of heavy consumption of energy drinks among young people have largely gone unaddressed and are poised to become a significant public health problem in the future.

  16. Energy Drink Consumption in Europe: A Review of the Risks, Adverse Health Effects, and Policy Options to Respond

    Science.gov (United States)

    Breda, João Joaquim; Whiting, Stephen Hugh; Encarnação, Ricardo; Norberg, Stina; Jones, Rebecca; Reinap, Marge; Jewell, Jo

    2014-01-01

    With the worldwide consumption of energy drinks increasing in recent years, concerns have been raised both in the scientific community and among the general public about the health effects of these products. Recent studies provide data on consumption patterns in Europe; however, more research is needed to determine the potential for adverse health effects related to the increasing consumption of energy drinks, particularly among young people. A review of the literature was conducted to identify published articles that examined the health risks, consequences, and policies related to energy drink consumption. The health risks associated with energy drink consumption are primarily related to their caffeine content, but more research is needed that evaluates the long-term effects of consuming common energy drink ingredients. The evidence indicating adverse health effects due to the consumption of energy drinks with alcohol is growing. The risks of heavy consumption of energy drinks among young people have largely gone unaddressed and are poised to become a significant public health problem in the future. PMID:25360435

  17. Energy drink consumption in europe: a review of the risks, adverse health effects, and policy options to respond.

    Science.gov (United States)

    Breda, João Joaquim; Whiting, Stephen Hugh; Encarnação, Ricardo; Norberg, Stina; Jones, Rebecca; Reinap, Marge; Jewell, Jo

    2014-01-01

    With the worldwide consumption of energy drinks increasing in recent years, concerns have been raised both in the scientific community and among the general public about the health effects of these products. Recent studies provide data on consumption patterns in Europe; however, more research is needed to determine the potential for adverse health effects related to the increasing consumption of energy drinks, particularly among young people. A review of the literature was conducted to identify published articles that examined the health risks, consequences, and policies related to energy drink consumption. The health risks associated with energy drink consumption are primarily related to their caffeine content, but more research is needed that evaluates the long-term effects of consuming common energy drink ingredients. The evidence indicating adverse health effects due to the consumption of energy drinks with alcohol is growing. The risks of heavy consumption of energy drinks among young people have largely gone unaddressed and are poised to become a significant public health problem in the future.

  18. Family medicine graduate proximity to their site of training: policy options for improving the distribution of primary care access.

    Science.gov (United States)

    Fagan, Ernest Blake; Gibbons, Claire; Finnegan, Sean C; Petterson, Stephen; Peterson, Lars E; Phillips, Robert L; Bazemore, Andrew W

    2015-02-01

    The US Graduate Medical Education (GME) system is failing to produce primary care physicians in sufficient quantity or in locations where they are most needed. Decentralization of GME training has been suggested by several federal advisory boards as a means of reversing primary care maldistribution, but supporting evidence is in need of updating. We assessed the geographic relationship between family medicine GME training sites and graduate practice location. Using the 2012 American Medical Association Masterfile and American Academy of Family Physicians membership file, we obtained the percentage of family physicians in direct patient care located within 5, 25, 75, and 100 miles and within the state of their family medicine residency program (FMRP). We also analyzed the effect of time on family physician distance from training site. More than half of family physicians practice within 100 miles of their FMRP (55%) and within the same state (57%). State retention varies from 15% to 75%; the District of Columbia only retains 15% of family physician graduates, while Texas and California retain 75%. A higher percentage of recent graduates stay within 100 miles of their FMRP (63%), but this relationship degrades over time to about 51%. The majority of practicing family physicians remained proximal to their GME training site and within state. This suggests that decentralized training may be a part of the solution to uneven distribution among primary care physicians. State and federal policy-makers should prioritize funding training in or near areas with poor access to primary care services.

  19. ANALYSIS OF THE CURRENT STATE ON LABOUR POLICIES IN THE ROMANIAN ORGANIZATIONS

    Directory of Open Access Journals (Sweden)

    BĂLĂNEASA MARIA-CRISTINA

    2013-02-01

    Full Text Available The policies on labour relations can be considered as the philosophy or values promoted by an organization and help ensure a unitary approach within it. The existence of such policies in each organization has the maximum utility because helps employees to understand the values promoted by them and the behaviour that must be adopted. The main areas that can be covered by policies concerning labour relations are human resources planning, the quality of the employees, hiring and promoting employees, work-life balance, non-discrimination, dismissal, work discipline, complains, substance abuse, smoking at work, employment and relations with employees infected with HIV and other fields mentioned in the paper. Throughout the study, the attention was given preponderantly on three categories of policies: discipline policy, equal opportunities policy and work-life balance policy, the last two also being promoted by European institutions. Therefore, these policies were analysed in practical terms within Romanian organizations. We found that discipline policies are widely used at work, while the other two types of policies exist at a lower percentage within the analysed establishments. Most units having such policies concerning non-discrimination and work-life balance are oversized. This situation requires action from the management of small and medium-sized units in order to draw up and respect the non-discrimination policy and the balance between work and family life.

  20. Controlling liver cancer internationally: A qualitative study of clinicians' perceptions of current public policy needs

    Directory of Open Access Journals (Sweden)

    Bridges John FP

    2011-07-01

    Full Text Available Abstract Background Liver cancer is the fifth most common cancer in men and the seventh for women. Usually because of late diagnosis, the prognosis for liver cancer remains poor, resulting in liver cancer being the third most common cause of death from cancer. While some countries have treatment guidelines, little is known or understood about the strategies needed for liver cancer control internationally. Objective To explore leading liver cancer clinician's perceptions of the current public policy needs to control liver cancer internationally. Methods Key informant interviews were conducted with a range of liver cancer clinicians involved in policy in eleven countries. Interviews were digitally recorded, transcribed verbatim, translated (where necessary, de-identified and analyzed by two researchers using a constant comparative method. Results Twenty in-depth semi-structured interviews were conducted in: Australia, China, France, Germany, Italy, Japan, Spain, South Korea, Taiwan, Turkey and the United States. Nine themes were identified and cluster into three groups: 1 Promoting prevention via early risk assessment, focusing on viral hepatitis and other lifestyle factors; 2 Increasing political, public and medical community awareness; and 3 Improving funding for screening, liver cancer surveillance and treatment. Conclusion This study is an important step towards developing an evidence-based approach to assessing preparedness for implementing comprehensive liver cancer control strategies. Evaluation mechanisms to assess countries' performance on the needs described are needed. Future research will concentrate of understanding how these needs vary across countries and the optimal strategies to improve the diagnosis and prognosis of patients with liver cancer internationally.

  1. Social Security reform: evaluating current proposals. Latest results of the EBRI-SSASIM2 policy simulation model.

    Science.gov (United States)

    Copeland, C; VanDerhei, J; Salisbury, D L

    1999-06-01

    The present Social Security program has been shown to be financially unsustainable in the future without modification to the current program. The purpose of this Issue Brief, EBRI's fourth in a series on Social Security reform, is threefold: to illustrate new features of the EBRI-SSASIM2 policy simulation model not available in earlier EBRI publications, to expand quantitative analysis to specific proposals, and to evaluate the uncertainty involved in proposals that rely on equity investment. This analysis compares the Gregg/Breaux-Kolbe/Stenholm (GB-KS) and Moynihan/Kerrey proposals with three generic or "traditional" reforms: increasing taxes, reducing benefits, and/or increasing the retirement age. Both proposals would create individual accounts by "carving out" funds from current Social Security payroll taxes. This analysis also examines other proposed changes that would "add on" to existing Social Security funds through the use of general revenue transfers and/or investment in the equities market. President Clinton has proposed a general revenue transfer and the collective investment of some of the OASDI trust fund assets in equities. Reps. Archer and Shaw have proposed a general revenue tax credit to establish individual accounts that would be invested partially in the equities markets. When comparing Social Security reform proposals that would specifically alter benefit levels, the Moynihan/Kerrey bill compares quite favorably with the other proposals in both benefit levels and payback ratios, when individuals elect to use the individual account option. In contrast, the GB-KS bills do not compare quite as favorably for their benefit levels, but do compare favorably in terms of payback ratios. An important comparison in these bills is the administrative costs of managing the individual accounts, since benefits can be lowered by up to 23 percent when going from the assumed low to high administrative costs. Moreover, allowing individuals to decide whether to

  2. Vasopressin Receptor Antagonists for the Correction of Hyponatremia in Chronic Heart Failure: An Underutilized Therapeutic Option in Current Clinical Practice?

    Directory of Open Access Journals (Sweden)

    Renato De Vecchis

    2016-10-01

    Full Text Available In the congestive heart failure (CHF setting, chronic hyponatremia is very common. The present review aims at addressing topics relevant to the pathophysiology of hyponatremia in the course of CHF as well as its optimal treatment, including the main advantages and the limitations resulting from the use of the available dietary and pharmacological measures approved for the treatment of this electrolytic trouble. A narrative review is carried out in order to represent the main modalities of therapy for chronic hyponatremia that frequently complicates CHF. The limits of usual therapies implemented for CHF-related chronic hyponatremia are outlined, while an original analysis of the main advancements achieved with the use of vasopressin receptor antagonists (VRAs is also executed. The European regulatory restrictions that currently limit the use of VRAs in the management of CHF are substantially caused by financial concerns, i.e., the high costs of VRA therapy. A thoughtful reworking of current restrictions would be warranted in order to enable VRAs to be usefully associated to loop diuretics for decongestive treatment of CHF patients with hyponatremia.

  3. Current status and policies on biodiesel industry in Malaysia as the world's leading producer of palm oil

    International Nuclear Information System (INIS)

    Abdullah, A.Z.; Salamatinia, B.; Mootabadi, H.; Bhatia, S.

    2009-01-01

    This article discusses current status of palm oil-based biodiesel industry in Malaysia, the policies introduced and strategies for its implementation. Due to renewability, high production rate, technical feasibility and role in reducing greenhouse gases (GHG) emission, palm oil is in the right position to supply the energy needs by the incorporation into the diesel supply. As a leading producer of palm oil, Malaysia has embarked on a comprehensive palm biofuel program since 1982. It has successfully established the use of palm biodiesel blend (B5) as a suitable fuel for the transport and industrial sectors through the introduction of the National Biofuel Policy. The current scenario of biodiesel program in Malaysia, as well as biofuel policies with respect to its use, technology, export, environmental issues and implementation aspects are thoroughly discussed. The roles of the policy towards the prosperity of the stakeholders, oil price and the reduction of greenhouse gasses are also highlighted. (author)

  4. Policy options to improve leadership of middle managers in the Australian residential aged care setting: a narrative synthesis

    Science.gov (United States)

    2010-01-01

    Background The prevalence of both chronic diseases and multi-morbidity increases with longer life spans. As Australia's population ages, the aged care sector is under increasing pressure to ensure that quality aged care is available. Key to responding to this pressure is leadership and management capability within the aged care workforce. A systematic literature review was conducted to inform the policy development necessary for the enhancement of clinical and managerial leadership skills of middle managers within residential aged care. Methods Using scientific journal databases, hand searching of specialist journals, Google, snowballing and suggestions from experts, 4,484 papers were found. After a seven-tiered culling process, we conducted a detailed review (narrative synthesis) of 153 papers relevant to leadership and management development in aged care, incorporating expert and key stakeholder consultations. Results • Positive staff experiences of a manager's leadership are critical to ensure job satisfaction and workforce retention, the provision of quality care and the well-being of care recipients, and potentially a reduction of associated costs. • The essential attributes of good leadership for aged care middle management are a hands-on accessibility and professional expertise in nurturing respect, recognition and team building, along with effective communication and flexibility. However, successful leadership and management outcomes depend on coherent and good organisational leadership (structural and psychological empowerment). • There is inadequate preparation for middle management leadership roles in the aged care sector and a lack of clear guidelines and key performance indicators to assess leadership and management skills. • Theory development in aged care leadership and management research is limited. A few effective generic clinical leadership programs targeting both clinical and managerial leaders exist. However, little is known regarding

  5. INVASIVE CANDIDA INFECTIONS IN PATIENTS WITH HAEMATOLOGICAL MALIGNANCIES AND HEMATOPOIETIC STEM CELL TRANSPLANT RECIPIENTS: CURRENT EPIDEMIOLOGY AND THERAPEUTIC OPTIONS.

    Directory of Open Access Journals (Sweden)

    Corrado Girmenia

    2011-03-01

    Full Text Available In the last decades, the global epidemiological impact of invasive candidiasis (IC in patients with hematologic malignancies (HM and in hematopoietic stem cell transplant (HSCT recipients has decreased and the incidence of invasive aspergillosis  exceeded that of Candida infections. The use of prevention strategies, first of all antifungal prophylaxis with triazoles,  contributed to the reduction of IC in these populations as demonstrated by several  epidemiological studies. However, relatively little is known about the current epidemiological patterns of IC in HM and HSCT populations, because recent epidemiological data almost exclusively derive from retrospective experiences and few prospective data are available. Several prospective, controlled studies in the prophylaxis of invasive fungal diseases have been conducted in both the HM and HSCT setting. On the contrary, most of the prospective controlled trials that demonstrated the efficacy of the antifungal drugs echinocandins and voriconazole in the treatment of candidemia and invasive candidiasis mainly involved  patients with underlying conditions other than HM or  HSCT.  For these reasons, international guidelines provided specific indications for the prophylaxis strategies in HM and HSCT patients, whereas the  recommendations on therapy of documented Candida infections are based on the results observed in the general population and should be considered with caution.

  6. Evaluating State Options for Reducing Medicaid Churning

    Science.gov (United States)

    Swartz, Katherine; Short, Pamela Farley; Graefe, Deborah R.; Uberoi, Namrata

    2015-01-01

    Medicaid churning - the constant exit and re-entry of beneficiaries as their eligibility changes - has long been a problem for both Medicaid administrators and recipients. Churning will continue under the Affordable Care Act, because despite new federal rules, Medicaid eligibility will continue to be based on current monthly income. We developed a longitudinal simulation model to evaluate four policy options for modifying or extending Medicaid eligibility to reduce churning. The simulations suggest that two options, extending Medicaid eligibility either to the end of a calendar year or for twelve months after enrollment, would be far more effective in reducing churning than the other options of a three-month extension or eligibility based on projected annual income. States should consider implementation of the option that best balances costs, including both administration and services, with improved health of Medicaid enrollees. PMID:26153313

  7. A Study of Heavy Metal Pollution in China: Current Status, Pollution-Control Policies and Countermeasures

    Directory of Open Access Journals (Sweden)

    Hui Hu

    2014-09-01

    Full Text Available In the past 30 years, China’s economy has experienced rapid development, which led to a vast increase in energy consumption and serious environmental pollution. Among the different types of pollution, heavy metal pollution has become one of the major environmental issues in China. A number of studies show that high level of heavy metal exposure is a frequent cause of permanent intellectual and developmental disabilities. In recent years, some traditional pollutants, such as sulfur dioxide and carbon dioxide, have been put under control in China. However, heavy metal pollution, which poses even greater risks to public health and sustainable development, has yet to gain policymakers’ attention. The purpose of this paper is to explore effective countermeasures for heavy metal pollution in China. The present study reviews the current status of China’s heavy metal pollution and analyzes related public policies and countermeasures against that pollution. It also presents a few recommendations and measures for prevention of heavy metal pollution.

  8. Alternatives to current HIV/AIDS policies and practices in South African prisons.

    Science.gov (United States)

    Goyer, K C; Gow, Jeff

    2002-01-01

    Prisoners in South Africa face problems of overcrowding, violence and poor nutrition. Added to this burden in recent times is the increased threat from HIV. The HIV epidemic has been relatively late in coming to South Africa but infection rates are now 20% in the adult population. However, there is no data available on the level of HIV infection in the prison population. Overseas studies suggest that the characteristics of prisoners place them at much greater risk of HIV infection. Factors which contribute to increased levels of HIV infection include poor health care facilities, lack of condoms and lack of disinfectants. Current policies and practices on HIV in prison attempt to balance the constraints of limited resources with the need to preserve prisoner human rights. The outcomes include: mass testing not freely available, HIV education is limited, and early release of prisoners with advanced AIDS is not allowed. Constraints on the implementation of effective HIV prevention strategies include: bureaucratic inefficiency, lack of resources, and a reluctance by prison authorities to address the issue of HIV in prison. These problems can possibly be overcome by addressing the issue from both management and prisoner perspectives. On the management side, increased resources, increased training of prison officials, and increased political commitment to address the issue are required. Outside partnerships are probably required for an effective response. Prisoners require better nutrition, better living conditions, better health care, freely available condoms and disinfectants.

  9. Employment-related administrative roentgenograms: characteristics of policy formulation and current practice

    International Nuclear Information System (INIS)

    Gift, D.A.; Harris, G.I.; Gard, J.W.; Alexander, G.P.; Potchen, E.J.

    1983-01-01

    A significant proportion of diagnostic medical procedures are used in response to public or private policy rather than in response to an individual patient-physician interaction. We have studied the system whereby such policies are developed and implemented in the case of employment-related chest and lumbar spine roentgenograms, which were found to account for about 11% of the total use of diagnostic radiographs in the state of Michigan. We observed that factors influencing formulation of policy are diverse and largely nonmedical, organizational policies developed in similar environments are often very dissimilar and are highly subject to external influence, and perceptions of policy success and examination utility are typically subjective and uncertain. It is concluded that considerable opportunity exists to enhance the efficacy of such radiographic examinations through leverage provided by their policy-driven nature

  10. ANALYSIS OF THE CURRENT STATE ON LABOUR POLICIES IN THE, ROMANIAN ORGANIZATIONS

    OpenAIRE

    BALANEASA MARIA-CRISTINA

    2013-01-01

    The policies on labour relations can be considered as the philosophy or values promoted by an organization and help ensure a unitary approach within it. The existence of such policies in each organization has the maximum utility because helps employees to understand the values promoted by them and the behaviour that must be adopted. The main areas that can be covered by policies concerning labour relations are human resources planning, the quality of the employees, hiring and promoting employ...

  11. Employer Supported Child Care: An Idea Whose Time Has Come. A Conference on Child Care as an Employee Benefit (Costs and Benefits, Successful Programs, Company Options, Current Issues). Conference Proceedings.

    Science.gov (United States)

    Haiman, Peter, Ed.; Sud, Gian, Ed.

    Many aspects of employer-sponsored child care programs--including key issues, costs and benefits, programmatic options, and implementation strategies--are discussed in these conference proceedings. Public policy issues, legal aspects of child care as an employee benefit, tax incentives for corporate child care, and funding sources for child care…

  12. Climate policies in China, India and Brazil: current issues and future challenges

    International Nuclear Information System (INIS)

    Bellevrat, Elie

    2012-07-01

    Emerging countries will have to tackle different social and economic development challenges in the future, which translate nationally into the concepts of 'harmonious society' in China and 'inclusive growth' in India, and into the Brazilian slogan 'a wealthy country is a country without poverty'. Per capita (current US$), Brazil is more than two times richer than China, which in turn is three times richer than India. This graduation explains the variety of priorities of those countries: reducing inequalities and achieving the development processes in China and Brazil, alleviating poverty and enhancing energy access in India. Furthermore, these countries are increasingly linked internationally, along with the globalization process. Energy security is a key issue for China and India, while Brazil aims at playing a key role on future international energy markets. Emerging economies are progressively laying the foundations for low-carbon development strategies that will depend on their national contexts and priorities. Investments in building and transport infrastructures are increasingly important in all those countries, creating the conditions today for tomorrow's low-carbon economic development. China recently made important resolutions in the framework of its 12. Five-Year Plan, decoupling economic growth from GHG emissions. India has developed eight 'National Missions' on climate change and is now exploring future low-carbon strategies. And Brazil is affirming its position internationally, pushing for innovative 'green growth' concepts, within the framework of the Rio+20 Conference. All countries have already implemented several energy and climate policies and plan to develop them further, through innovative policy institutions and instruments. They are switching progressively from command- and-control to economic instruments. In particular, market-based mechanisms are increasingly used in all countries: mandatory pilot Emission Trading Systems (ETS) in China

  13. Report on Current Praxis of Policies and Activities Supporting Societal Engagement in Research and Innovation

    NARCIS (Netherlands)

    Kuhn, Rainer; Mbungu, Grace; Anderson, Edward; Chonkova, Blagovesta; Damianova, Zoya; Davis, Houda; Dencker, Siri; Jørgensen, Marie-Louise; Kozarev, Ventseslav; Larsen, Gy; Mulder, Henk; Pfersdorf, Simon

    2014-01-01

    The aim of the “Engage2020 Project” 1 is to promote the use of engagement methods and policies that support societal engagement in research and innovation by mapping what is practiced and spreading awareness of the opportunities amongst researchers, policy makers, and other interested parties. The

  14. Information Policy for (Digital Information in Archaeology: current state and suggestions for development

    Directory of Open Access Journals (Sweden)

    Lisa Börjesson

    2015-07-01

    Full Text Available The introduction of digital data capturing and management technologies has transformed information practices in archaeology. Digital documentation and digital infrastructures are integrated in archaeologists' daily work now more than ever. International and national institutions and projects have contributed to the development of digital archiving and curation practices. Because knowledge production in archaeology depends heavily on documentation and information dissemination, and on retrieval of past documentation, the question of how information is managed is profoundly intertwined with the possibilities for knowledge production. Regulations at different levels articulate demands and expectations from the emerging digital information practices, but how are these different regulations coordinated, and do they support archaeological knowledge production? In this article we look into the state of information policy - the sum of principles guiding decisions about information - in archaeology and related areas. The aim of the article is to shed light on how information policy directs practice in archaeology, and to show that analysis of such policies is therefore vital. Information policy in legislation and guidelines in Swedish archaeology serves as a case study, and examples from development-led archaeology and the museum sector illustrate how information policies have varied roles across different heritage sectors. There are historical and local trajectories in the policy documents specific to Sweden, but the discussion shows that the emergence of Swedish policies have many parallels with processes in other countries. The article provides recommendations for information policy development for archaeology and related areas.

  15. A Review and Analysis of the Current Policy on Early Childhood Education in Mainland China

    Science.gov (United States)

    Liu, Yan; Pan, Yue-Juan

    2013-01-01

    Compared with the former policies on early childhood education, the policies recently issued in mainland China clearly defined early childhood education as an integral part of education and social public welfare and stipulated the responsibilities of the government in its development, shifting the developmental orientation to promoting social…

  16. Evaluation of policies to promote physical activity in afterschool programs: are we meeting current benchmarks?

    Science.gov (United States)

    Beets, Michael W; Rooney, Laura; Tilley, Falon; Beighle, Aaron; Webster, Collin

    2010-01-01

    Policies now recommend afterschool programs (ASP, 3-6 pm) provide children a minimum amount of physical activity daily. We examined the extent to which children attending ASPs meet existing national and state-level policies that specify expected levels of physical activity (PA). Accelerometer-derived physical activity (light and moderate-to-vigorous, MVPA) of 253 children (5-13 years) was compared to policies that recommend varying amounts of PA children should achieve during an ASP. The proportion of children achieving a policy ranged from 0.0% (California 60 min MVPA and North Carolina 20% of daily program time devoted to MVPA), 1.2% (California 30 min MVPA), to 48.2% (National Afterschool Association 30 min light plus MVPA). Random effects logistic models indicated boys (odds ratio [OR] range 2.0 to 6.27) and children from a minority background (Black/Hispanic, OR range 1.87 to 3.98) were more likely to achieve a recommended level of physical activity, in comparison to girls and White children. Neither age nor BMI were related to achieving a policy. The PA of children attending ASP falls below policy recommended levels; however, these policies were developed in absence of data on expected PA levels during ASPs. Thus, concerted effort towards building a stronger ASP evidence-base for policy refinement is required. Copyright © 2010 Elsevier Inc. All rights reserved.

  17. Women's Views about Gender Equality on the Current Social Policy in Turkey

    Science.gov (United States)

    Öztop, Hülya; Finkel, Müge

    2015-01-01

    Women's equal participation in all aspects of social, political and economic life is an essential requirement for sustainable development and democratic governance. How to engage women in these different spheres of policy, increase their access to information and ensure their participation in policy debates are therefore among the key questions…

  18. Rehabilitation Options

    Science.gov (United States)

    ... Speech Pathology Occupational Therapy Art Therapy Recreational therapy Neuropsychology Home Care Options Advanced Care Planning Palliative Care ... Speech Pathology Occupational Therapy Art Therapy Recreational therapy Neuropsychology Home Care Options Advanced Care Planning Palliative Care ...

  19. The Greek sovereign debt: Are there really any options?

    OpenAIRE

    Papanikos, Gregory T.

    2014-01-01

    Debt Overhang is a controversial issue in the eurozone countries and is considered as one of the factors which created the current economic crisis. How to deal with sovereign debt has been debated both at the theoretical and policy making level. This paper looks at the Greek debt and four options are discussed: (a) unilateral default (b) unilaterally imposed austerity measures (c) restructuring through negotiating and (d) a tax on wealth to pay for the debt. Optimal options depend on the borr...

  20. Colombian ancillary services and international connections: Current weaknesses and policy challenges

    International Nuclear Information System (INIS)

    Carvajal, S.X.; Serrano, J.; Arango, S.

    2013-01-01

    Ancillary services are required to maintain the unity, stability, and quality of power systems. In Colombia these services are required to operate the national power system and the international connections with the neighboring countries. The system is influenced by factors ranging from system's topology to social and political aspects, such as the large number of terrorist attacks. In light of these particularities, we consider Colombia as a learning lab for ancillary services in the region. Colombia's power system relies on three ancillary services for its operation, namely frequency regulation, voltage control, and blackstart service. From 2010 Special Protection Systems were also added. In this paper we first analyze the technical aspects, operational restrictions, financial management, and the most relevant regulatory conditions of these ancillary services of the SIN. We also take into consideration the main regulatory characteristics and statistical data related to energy exchanges that have taken place between Colombia and Venezuela and Ecuador. Thereafter, we depict the main weaknesses and policy challenges that Colombia must address in order to increase the effectiveness and coverage of ancillary services in both the SIN and in the international interconnections. Finally, we propose new market oriented regulations to encourage investments and new tools for international connections. - Highlights: ► Blackout of 2007 forces Colombian regulator to improve security of power system. ► Four ancillary services are currently used for secure operation of Colombian system. ► Special Protection Systems service added in 2010. ► Frequency control is the only remunerated service in Colombia. ► Legislation should exist for remuneration of voltage control and black start services.

  1. Nuclear spent fuel management. Experience and options

    International Nuclear Information System (INIS)

    1986-01-01

    Spent nuclear fuel can be stored safely for long periods at relatively low cost, but some form of permanent disposal will eventually be necessary. This report examines the options for spent fuel management, explores the future prospects for each stage of the back-end of the fuel cycle and provides a thorough review of past experience and the technical status of the alternatives. Current policies and practices in twelve OECD countries are surveyed

  2. China-U.S. Relations: Current Issues and Implications for U.S. Policy

    National Research Council Canada - National Science Library

    Dumbaugh, Kerry

    2007-01-01

    .... policy makers have adopted tougher stances on issues involving China and U.S.-China relations, concerned about the impact of the PRC's strong economic growth and a more assertive international diplomacy...

  3. Flexible working policies and environments in UK Local Authorities: current practice

    OpenAIRE

    Price, Ilfryn

    2001-01-01

    The research surveys the uptake of 'modern' or flexible working practices in UK Local Authorities, especially as it impacts on property and office accommodation.\\ud Nearly all permit flexible starting and finishing times for as many employees as is practical while forms of accredited hours working for at least some appropriate employees are policy in a majority. Flexible practices with property and ICT implications, working from home without a dedicated work station, formal policies, 'hot' de...

  4. The Evolving Arctic: Current State of U.S. Arctic Policy

    Science.gov (United States)

    2013-09-01

    to advance national interests. The U.S. has not yet acceded to UNCLOS, and trails its Arctic neighbors in regards to national policy and direction...maritime transportation, and maritime tourism are expanding exponentially. As commercial opportunities increase in the region, the U.S. needs an...UNCLOS without having ratified it, it trails behind the remainder of the Arctic states on its policy and in asserting its

  5. The current status of the debate on socio-economic regulatory assessments: positions and policies in Canada, the USA, the EU and developing countries

    NARCIS (Netherlands)

    Falck-Zepeda, J.; Wesseler, J.H.H.; Smyth, S.

    2013-01-01

    Article 26.1 of the Cartagena Protocol on Biosafety has the option of considering socio-economic issues in biosafety regulatory approval processes related to genetically engineered organisms. National laws and regulations in some countries have already defined positions and may have enacted policies

  6. [Health and indigenous peoples in Brazil: notes on some current policy mistakes].

    Science.gov (United States)

    Cardoso, Marina Denise

    2014-04-01

    This article aims to analyze health policies for indigenous peoples in Brazil with reference to the 1988 National Constitution and its consequences for their healthcare. Three components are central to this analysis: the management model, based on the concepts of "autonomy" and "social control", but essentially expressing the forms of indigenous representation and participation in public policies; the concept of "differential care" for establishing an inclusive (but operationally normative) healthcare model; and the relationship between the management model for indigenous healthcare and indigenous therapeutic practices.

  7. Idaho's Energy Options

    Energy Technology Data Exchange (ETDEWEB)

    Robert M. Neilson

    2006-03-01

    This report, developed by the Idaho National Laboratory, is provided as an introduction to and an update of the status of technologies for the generation and use of energy. Its purpose is to provide information useful for identifying and evaluating Idaho’s energy options, and for developing and implementing Idaho’s energy direction and policies.

  8. Integrated primary health care in Greece, a missing issue in the current health policy agenda: a systematic review

    Directory of Open Access Journals (Sweden)

    Christos Lionis

    2009-07-01

    Full Text Available Background: Over the past years, Greece has undergone several endeavors aimed at modernizing and improving national health care services with a focus on PHC. However, the extent to which integrated primary health care has been achieved is still questioned. Purpose: This paper explores the extent to which integrated primary health care (PHC is an issue in the current agenda of policy makers in Greece, reporting constraints and opportunities and highlighting the need for a policy perspective in developing integrated PHC in this Southern European country. Methods: A systematic review in PubMed/Medline and SCOPUS, along with a hand search in selected Greek biomedical journals was undertaken to identify key papers, reports, editorials or opinion letters relevant to integrated health care. Results: Our systematic review identified 198 papers and 161 out of them were derived from electronic search. Fifty-three papers in total served the scope of this review and are shortly reported. A key finding is that the long-standing dominance of medical perspectives in Greek health policy has been paving the way towards vertical integration, pushing aside any discussions about horizontal or comprehensive integration of care. Conclusion: Establishment of integrated PHC in Greece is still at its infancy, requiring major restructuring of the current national health system, as well as organizational culture changes. Moving towards a new policy-based model would bring this missing issue on the discussion table, facilitating further development.

  9. Policies for patient access to clinical data via PHRs: current state and recommendations.

    Science.gov (United States)

    Collins, Sarah A; Vawdrey, David K; Kukafka, Rita; Kuperman, Gilad J

    2011-12-01

    Healthcare delivery organizations are increasingly using online personal health records (PHRs) to provide patients with direct access to their clinical information; however, there may be a lack of consistency in the data made available. We aimed to understand the general use and functionality of PHRs and the organizational policies and decision-making structures for making data available to patients. A cross-sectional survey was administered by telephone structured interview to 21 organizations to determine the types of data made available to patients through PHRs and the presence of explicit governance for PHR data release. Organizations were identified based on a review of the literature, PHR experts, and snowball sampling. Organizations that did not provide patients with electronic access to their data via a PHR were excluded. Interviews were conducted with 17 organizations for a response rate of 81%. Half of the organizations had explicit governance in the form of a written policy that outlined the data types made available to patients. Overall, 88% of the organizations used a committee structure for the decision-making process and included senior management and information services. All organizations sought input from clinicians. Discussion There was considerable variability in the types of clinical data and the time frame for releasing these data to patients. Variability in data release policies may have implications for PHR use and adoption. Future policy activities, such as requirement specification for the latter stages of Meaningful Use, should be leveraged as an opportunity to encourage standardization of functionality and broad deployment of PHRs.

  10. Contested Discourses of Teacher Professionalism: Current Tensions between Education Policy and Teachers' Union

    Science.gov (United States)

    Mausethagen, Solvi; Granlund, Lise

    2012-01-01

    This article addresses constructions and redefinitions of teacher professionalism by focusing on the discursive negotiations between the government and the teachers' union in Norway. Based on an examination of three white papers on teacher education from the past 15 years and policy documents put forth by the Union of Education Norway during the…

  11. Teacher Quality, Teacher Effectiveness and the Diminishing Returns of Current Education Policy Expressions

    Science.gov (United States)

    Skourdoumbis, Andrew

    2017-01-01

    This paper engages with an overt policy storyline, namely that the effective classroom teaching practice(s) of quality teachers not only corrects for but overcomes post-Fordist capital insecurities. Increasingly considered the sole and only solid foundations needed to enhance student achievement as preparation for twenty-first century economic…

  12. Valuation of Drug Abuse: A Review of Current Methodologies and Implications for Policy Making

    Science.gov (United States)

    Schori, Maayan

    2011-01-01

    This article reviews the use of several valuation methods as they relate to drug abuse and places them within the context of U.S. policy. First, cost-of-illness (COI) studies are reviewed and their limitations discussed. Second, three additional economic methods of valuing drug abuse are reviewed, including cost-effectiveness analysis (CEA),…

  13. Learning Disabilities: Current Policy and Directions for Community Involvement among the Arab Community in Israel

    Science.gov (United States)

    Jabareen-Taha, Samaher; Taha, Haitham

    2016-01-01

    This article seeks to identify and review the basic characteristics of learning disability which are specifically mentioned in the literature. In addition, the article intends to conduct a brief analysis on learning disability policy in Israel and the differentiation problems at the level of awareness among the Arab society in Israel. Despite the…

  14. Student Loan Debt and Economic Outcomes. Current Policy Perspective No. 14-7

    Science.gov (United States)

    Cooper, Daniel; Wang, J. Christina

    2014-01-01

    This policy brief advances the growing literature on how student loan debt affects individuals' other economic decisions. Specifically, it examines the impact of student loan liabilities on individuals' homeownership status and wealth accumulation. The analysis employs a rich set of financial and demographic control variables that are not…

  15. Testing the price and affordability of healthy and current (unhealthy) diets and the potential impacts of policy change in Australia.

    Science.gov (United States)

    Lee, Amanda J; Kane, Sarah; Ramsey, Rebecca; Good, Elizabeth; Dick, Mathew

    2016-04-12

    Price and affordability of foods are important determinants of health. Targeted food pricing policies may help improve population diets. However, methods producing comparable data to inform relevant policy decisions are lacking in Australia and globally. The objective was to develop and pilot standardised methods to assess the price, relative price and affordability of healthy (recommended) and current (unhealthy) diets and test impacts of a potential policy change. Methods followed the optimal approach proposed by INFORMAS using recent Australian dietary intake data and guidelines. Draft healthy and current (unhealthy) diet baskets were developed for five household structures. Food prices were collected in stores in a high and low SES location in Brisbane, Australia. Diet prices were calculated and compared with household incomes, and with potential changes to the Australian Taxation System. Wilcoxen-signed rank tests were used to compare differences in price. The draft tools and protocols were deemed acceptable at household level, but methods could be refined. All households spend more on current (unhealthy) diets than required to purchase healthy (recommended) diets, with the majority (53-64 %) of the food budget being spent on 'discretionary' choices, including take-away foods and alcohol. A healthy diet presently costs between 20-31 % of disposable income of low income households, but would become unaffordable for these families under proposed changes to expand the GST to apply to all foods in Australia. Results confirmed that diet pricing methods providing meaningful, comparable data to inform potential fiscal and health policy actions can be developed, but draft tools should be refined. Results suggest that healthy diets can be more affordable than current (unhealthy) diets in Australia, but other factors may be as important as price in determining food choices.

  16. Testing the price and affordability of healthy and current (unhealthy diets and the potential impacts of policy change in Australia

    Directory of Open Access Journals (Sweden)

    Amanda J. Lee

    2016-04-01

    Full Text Available Abstract Background Price and affordability of foods are important determinants of health. Targeted food pricing policies may help improve population diets. However, methods producing comparable data to inform relevant policy decisions are lacking in Australia and globally. The objective was to develop and pilot standardised methods to assess the price, relative price and affordability of healthy (recommended and current (unhealthy diets and test impacts of a potential policy change. Methods Methods followed the optimal approach proposed by INFORMAS using recent Australian dietary intake data and guidelines. Draft healthy and current (unhealthy diet baskets were developed for five household structures. Food prices were collected in stores in a high and low SES location in Brisbane, Australia. Diet prices were calculated and compared with household incomes, and with potential changes to the Australian Taxation System. Wilcoxen-signed rank tests were used to compare differences in price. Results The draft tools and protocols were deemed acceptable at household level, but methods could be refined. All households spend more on current (unhealthy diets than required to purchase healthy (recommended diets, with the majority (53–64 % of the food budget being spent on ‘discretionary’ choices, including take-away foods and alcohol. A healthy diet presently costs between 20–31 % of disposable income of low income households, but would become unaffordable for these families under proposed changes to expand the GST to apply to all foods in Australia. Conclusions Results confirmed that diet pricing methods providing meaningful, comparable data to inform potential fiscal and health policy actions can be developed, but draft tools should be refined. Results suggest that healthy diets can be more affordable than current (unhealthy diets in Australia, but other factors may be as important as price in determining food choices.

  17. U.S. policy and current practices for blending low-level radioactive waste for disposal

    Energy Technology Data Exchange (ETDEWEB)

    Kessel, David S.; Kim, Chang Lak [KEPCO International Nuclear Graduate School, Ulsan (Korea, Republic of)

    2016-09-15

    In the near future, many countries, including the Republic of Korea, will face a significant increase in low level radioactive waste (LLW) from nuclear power plant decommissioning. The purpose of this paper is to look at blending as a method for enhancing disposal options for low-level radioactive waste from the decommissioning of nuclear reactors. The 2007 U.S. Nuclear Regulatory Commission strategic assessment of the status of the U.S. LLW program identified the need to move to a risk-informed and performance-based regulatory approach for managing LLW. The strategic assessment identified blending waste of varying radionuclide concentrations as a potential means of enhancing options for LLW disposal. The NRC's position is that concentration averaging or blending can be performed in a way that does not diminish the overall safety of LLW disposal. The revised regulatory requirements for blending LLW are presented in the revised NRC Branch Technical Position for Concentration Averaging and Encapsulation (CA BTP 2015). The changes to the CA BTP that are the most significant for NPP operation, maintenance and decommissioning are reviewed in this paper and a potential application is identified for decommissioning waste in Korea. By far the largest volume of LLW from NPPs will come from decommissioning rather than operation. The large volumes in decommissioning present an opportunity for significant gains in disposal efficiency from blending and concentration averaging. The application of concentration averaging waste from a reactor bio-shield is also presented.

  18. U.S. policy and current practices for blending low-level radioactive waste for disposal

    International Nuclear Information System (INIS)

    Kessel, David S.; Kim, Chang Lak

    2016-01-01

    In the near future, many countries, including the Republic of Korea, will face a significant increase in low level radioactive waste (LLW) from nuclear power plant decommissioning. The purpose of this paper is to look at blending as a method for enhancing disposal options for low-level radioactive waste from the decommissioning of nuclear reactors. The 2007 U.S. Nuclear Regulatory Commission strategic assessment of the status of the U.S. LLW program identified the need to move to a risk-informed and performance-based regulatory approach for managing LLW. The strategic assessment identified blending waste of varying radionuclide concentrations as a potential means of enhancing options for LLW disposal. The NRC's position is that concentration averaging or blending can be performed in a way that does not diminish the overall safety of LLW disposal. The revised regulatory requirements for blending LLW are presented in the revised NRC Branch Technical Position for Concentration Averaging and Encapsulation (CA BTP 2015). The changes to the CA BTP that are the most significant for NPP operation, maintenance and decommissioning are reviewed in this paper and a potential application is identified for decommissioning waste in Korea. By far the largest volume of LLW from NPPs will come from decommissioning rather than operation. The large volumes in decommissioning present an opportunity for significant gains in disposal efficiency from blending and concentration averaging. The application of concentration averaging waste from a reactor bio-shield is also presented

  19. Payment of research participants: current practice and policies of Irish research ethics committees.

    Science.gov (United States)

    Roche, Eric; King, Romaine; Mohan, Helen M; Gavin, Blanaid; McNicholas, Fiona

    2013-09-01

    Payment of research participants helps to increase recruitment for research studies, but can pose ethical dilemmas. Research ethics committees (RECs) have a centrally important role in guiding this practice, but standardisation of the ethical approval process in Ireland is lacking. Our aim was to examine REC policies, experiences and concerns with respect to the payment of participants in research projects in Ireland. Postal survey of all RECs in Ireland. Response rate was 62.5% (n=50). 80% of RECs reported not to have any established policy on the payment of research subjects while 20% had refused ethics approval to studies because the investigators proposed to pay research participants. The most commonly cited concerns were the potential for inducement and undermining of voluntary consent. There is considerable variability among RECs on the payment of research participants and a lack of clear consensus guidelines on the subject. The development of standardised guidelines on the payment of research subjects may enhance recruitment of research participants.

  20. U.S.-Vietnam Relations in 2011: Current Issues and Implications for U.S. Policy

    Science.gov (United States)

    2012-05-18

    a policy of neutrality on the claims by the parties, which also include Brunei, Indonesia, Malaysia , the Philippines, and Taiwan. Throughout 2009...territorial disputes. Roughly one and a half times the size of the Mediterranean Sea, it is ringed by China, Vietnam, Malaysia , Indonesia, Brunei...government to monitor data processed by these companies and/or more susceptible to government pressure on issues such as censorship .36 Many of the

  1. Current policy and research on radioactive waste management in the European Union

    International Nuclear Information System (INIS)

    Forsstroem, H.; Taylor, D.M.

    2000-01-01

    Each Member State of the European Union is responsible for the safe management and disposal of the radioactive waste produced on its own territory. This includes setting the policy and taking the necessary steps to ensure that the radioactive waste does not constitute a threat to the health of workers and to the general public. For the practical implementation of the policy, specific waste management organizations have been established. Extensive cooperation, not least in the area of research, is taking place between these organizations and between the regulatory authorities, both bilaterally and through the European Commission. Cooperation takes place through the European Commission by two different mechanisms, the Community Plan of Action in the field of radioactive waste and the EURATOM framework programme on research and training. In view of the future enlargement of the European Union, the Commission is also actively involved in the development of waste management practices in the Central and Eastern European countries. Waste management is also an important aspect of the Tacis and other nuclear safety support programmes to the States of the former Soviet Union. The general policies for waste management in all Member States are in harmony with the Joint Convention on the Safety of Spent Fuel Management and on the Safety of Radioactive Waste Management. The specific policies are, however, dependent on the specific conditions of that State, e.g. the existence, size and time perspective of the nuclear power programme, the geological formations available for disposal (clay, salt, crystalline rock), etc. The management of short lived waste is an established practice in many Member States and the research needs are consequently low. Most of the policy efforts and research are thus dedicated to the management, treatment, conditioning and geological disposal of long lived waste and spent fuel. Each Member State with a nuclear power programme also has an important

  2. A qualitative study of governance of evolving response to non-communicable diseases in low-and middle- income countries: current status, risks and options.

    Science.gov (United States)

    Rani, Manju; Nusrat, Sharmin; Hawken, Laura H

    2012-10-16

    Segmented service delivery with consequent inefficiencies in health systems was one of the main concerns raised during scaling up of disease-specific programs in the last two decades. The organized response to NCD is in infancy in most LMICs with little evidence on how the response is evolving in terms of institutional arrangements and policy development processes. Drawing on qualitative review of policy and program documents from five LMICs and data from global key-informant surveys conducted in 2004 and 2010, we examine current status of governance of response to NCDs at national level along three dimensions- institutional arrangements for stewardship and program management and implementation; policies/plans; and multisectoral coordination and partnerships. Several positive trends were noted in the organization and governance of response to NCDs: shift from specific NCD-based programs to integrated NCD programs, increasing inclusion of NCDs in sector-wide health plans, and establishment of high-level multisectoral coordination mechanisms.Several areas of concern were identified. The evolving NCD-specific institutional structures are being treated as 'program management and implementation' entities rather than as lead 'technical advisory' bodies, with unclear division of roles and responsibilities between NCD-specific and sector-wide structures. NCD-specific and sector-wide plans are poorly aligned and lack prioritization, costing, and appropriate targets. Finally, the effectiveness of existing multisectoral coordination mechanisms remains questionable. The 'technical functions' and 'implementation and management functions' should be clearly separated between NCD-specific units and sector-wide institutional structures to avoid duplicative segmented service delivery systems. Institutional capacity building efforts for NCDs should target both NCD-specific units (for building technical and analytical capacity) and sector-wide organizational units (for building

  3. Alternative fuel buses currently in use in China: Life-cycle fossil energy use, GHG emissions and policy recommendations

    International Nuclear Information System (INIS)

    Ou Xunmin; Zhang Xiliang; Chang Shiyan

    2010-01-01

    The Chinese government has enacted policies to promote alternative vehicle fuels (AVFs) and alternative fuel vehicles (AFVs), including city bus fleets. The life cycle (LC), energy savings (ES) and GHG reduction (GR) profiles of AVFs/AFVs are critical to those policy decisions. The well-to-wheels module of the Tsinghua-CA3EM model is employed to investigate actual performance data. Compared with conventional buses, AFVs offer differences in performance in terms of both ES and GR. Only half of the AFVs analyzed demonstrate dual benefits. However, all non-oil/gas pathways can substitute oil/gas with coal. Current policies seek to promote technology improvements and market creation initiatives within the guiding framework of national-level diversification and district-level uniformity. Combined with their actual LC behavior and in keeping with near- and long-term strategies, integrated policies should seek to (1) apply hybrid electric technology to diesel buses; (2) encourage NG/LPG buses in gas-abundant cities; (3) promote commercialize electric buses or plug-in capable vehicles through battery technology innovation; (4) support fuel cell buses and hydrogen technology R and D for future potential applications; and (5) conduct further research on boosting vehicle fuel efficiency, applying low-carbon transportation technologies, and addressing all resultant implications of coal-based transportation solutions to human health and natural resources.

  4. Alternative fuel buses currently in use in China: Life-cycle fossil energy use, GHG emissions and policy recommendations

    Energy Technology Data Exchange (ETDEWEB)

    Ou Xunmin, E-mail: oxm07@mails.tsinghua.edu.c [School of Public Policy and Management (SPPM), Tsinghua University, Beijing 100084 (China); China Automotive Energy Research Center (CAERC), Tsinghua University, Beijing 100084 (China); Institute of Energy, Environment and Economy (3E), Tsinghua University, Beijing 100084 (China); Zhang Xiliang, E-mail: zhang_xl@tsinghua.edu.c [China Automotive Energy Research Center (CAERC), Tsinghua University, Beijing 100084 (China); Institute of Energy, Environment and Economy (3E), Tsinghua University, Beijing 100084 (China); Chang Shiyan [China Automotive Energy Research Center (CAERC), Tsinghua University, Beijing 100084 (China); Institute of Energy, Environment and Economy (3E), Tsinghua University, Beijing 100084 (China)

    2010-01-15

    The Chinese government has enacted policies to promote alternative vehicle fuels (AVFs) and alternative fuel vehicles (AFVs), including city bus fleets. The life cycle (LC), energy savings (ES) and GHG reduction (GR) profiles of AVFs/AFVs are critical to those policy decisions. The well-to-wheels module of the Tsinghua-CA3EM model is employed to investigate actual performance data. Compared with conventional buses, AFVs offer differences in performance in terms of both ES and GR. Only half of the AFVs analyzed demonstrate dual benefits. However, all non-oil/gas pathways can substitute oil/gas with coal. Current policies seek to promote technology improvements and market creation initiatives within the guiding framework of national-level diversification and district-level uniformity. Combined with their actual LC behavior and in keeping with near- and long-term strategies, integrated policies should seek to (1) apply hybrid electric technology to diesel buses; (2) encourage NG/LPG buses in gas-abundant cities; (3) promote commercialize electric buses or plug-in capable vehicles through battery technology innovation; (4) support fuel cell buses and hydrogen technology R and D for future potential applications; and (5) conduct further research on boosting vehicle fuel efficiency, applying low-carbon transportation technologies, and addressing all resultant implications of coal-based transportation solutions to human health and natural resources.

  5. Alternative fuel buses currently in use in China. Life-cycle fossil energy use, GHG emissions and policy recommendations

    Energy Technology Data Exchange (ETDEWEB)

    Ou, Xunmin [School of Public Policy and Management (SPPM), Tsinghua University, Beijing 100084 (China); China Automotive Energy Research Center (CAERC), Tsinghua University, Beijing 100084 (China); Institute of Energy, Environment and Economy (3E), Tsinghua University, Beijing 100084 (China); Zhang, Xiliang; Chang, Shiyan [China Automotive Energy Research Center (CAERC), Tsinghua University, Beijing 100084 (China); Institute of Energy, Environment and Economy (3E), Tsinghua University, Beijing 100084 (China)

    2010-01-15

    The Chinese government has enacted policies to promote alternative vehicle fuels (AVFs) and alternative fuel vehicles (AFVs), including city bus fleets. The life cycle (LC), energy savings (ES) and GHG reduction (GR) profiles of AVFs/AFVs are critical to those policy decisions. The well-to-wheels module of the Tsinghua-CA3EM model is employed to investigate actual performance data. Compared with conventional buses, AFVs offer differences in performance in terms of both ES and GR. Only half of the AFVs analyzed demonstrate dual benefits. However, all non-oil/gas pathways can substitute oil/gas with coal. Current policies seek to promote technology improvements and market creation initiatives within the guiding framework of national-level diversification and district-level uniformity. Combined with their actual LC behavior and in keeping with near- and long-term strategies, integrated policies should seek to (1) apply hybrid electric technology to diesel buses; (2) encourage NG/LPG buses in gas-abundant cities; (3) promote commercialize electric buses or plug-in capable vehicles through battery technology innovation; (4) support fuel cell buses and hydrogen technology R and D for future potential applications; and (5) conduct further research on boosting vehicle fuel efficiency, applying low-carbon transportation technologies, and addressing all resultant implications of coal-based transportation solutions to human health and natural resources. (author)

  6. APA guidelines: their importance and a plan to keep them current: 2013 annual report of the Policy and Planning Board.

    Science.gov (United States)

    2014-01-01

    When guidelines are approved by APA, they become association policy, and it is imperative that they remain current. The revision of guidelines poses several challenges to the association. These challenges range from the availability and allocation of resources to support the complicated processes involved in developing and updating these policies to the lack of a clearly defined process that includes identification of tasks, assignments of responsibilities, and so forth. For this reason, the APA Board of Directors asked the Policy and Planning Board (P&P) to work with the boards of the four directorates (i.e., the Education Directorate, the Practice Directorate, the Public Interest Directorate, and the Science Directorate) to create a proposal that would (a) make recommendations with regard to how the review and revision of guidelines documents might best be accomplished in accordance with the APA Strategic Plan and existing policies and procedures and (b) make suggestions regarding the association resources that might be required. The Board of Directors approved the proposed review process in December 2013. 2014 APA, all rights reserved

  7. The Value of CCS under Current Policy Scenarios: NDCs and Beyond

    Energy Technology Data Exchange (ETDEWEB)

    Davidson, Casie L.; Dahowski, Robert T.; McJeon, Haewon C.; Clarke, Leon E.; Iyer, Gokul C.; Muratori, Matteo

    2017-07-01

    This paper describes preliminary results of analysis using the Global Change Assessment Model (GCAM) to evaluate the potential role of CCS in addressing emissions reduction targets. Scenarios are modelled using the Paris-Increased Ambition (PIA) case developed by Fawcett et al. (2015), and a more aggressive Paris Two-Degree Ambition (P2A) case. Both cases are based upon nationally determined contributions (NDCs) agreed to at the UNFCCC Conference of Parties (COP-21) in December 2015, coupled with additional mitigation effort beyond the 2030 Paris timeframe, through the end of the century. Analysis of CCS deployment and abatement costs under both policy scenarios suggests that, as modelled, having CCS in the technological portfolio could reduce the global cost of addressing emissions reduction targets specified under the policy scenario by trillions of dollars, primarily by enabling a smoother and lower-cost transition to next-generation technologies. Through the end of the century, total global abatement costs associated with the PIA case – with five percent annual reduction in emission intensity and reaching 2.2 degrees by 2100 – are reduced by $15 trillion USD in the scenario where CCS is available to deploy by 2025 and remains available through 2100, reflecting a 47 percent savings in the cost of climate change abatement. Under the more ambitious P2A case, with 8 percent annual reduction in emission intensity and reaching 1.9 degrees by 2100, the availability of CCS reduces global abatement costs by $22 trillion USD through the end of the century, again nearly halving the costs of addressing the policy, relative to achieving the same target using an energy portfolio that does not include CCS. PIA and P2A scenarios with CCS result in 1,250 and 1,580 GtCO2 of global geologic storage by the end of the century, respectively.

  8. An Analysis of Alternatives to New York City's Current Marijuana Arrest and Detention Policy

    OpenAIRE

    Johnson, Bruce D.; Golub, Andrew; Dunlap, Eloise; Sifaneck, Stephen J.

    2008-01-01

    During the 1990s, the New York Police Department (NYPD) instituted a policy of arresting and detaining people for minor offenses that occur in public as part of their quality-of-life (hereafter QOL) policing initiative. The number of NYPD arrests for smoking marijuana in public view (MPV) increased from 3,000 in 1994 to over 50,000 in 2000, and have been about 30,000 in the mid 2000s. Most of these arrestees (84%) have been minority; blacks have been 2.7 more likely and Hispanics 1.8 times mo...

  9. The absorption of UE funds in the current context of the cohesion policy

    Directory of Open Access Journals (Sweden)

    Dumitrescu, A.

    2011-01-01

    Full Text Available Romania continues to be affected by the global recession. It has suffered a significant reduction in foreign investment since the start of the recession, as investors have moved away from emerging markets in search for security. Developing an appropriate, focused strategy for the allocation of EU funds is only the first, though perhaps the most important step in implementing the EU cohesion policy. The successful implementation of EU co-funded projects is contingent not only upon the effectiveness of these countries’ administrative systems, but also on the activity of the potential beneficiaries.

  10. 48 CFR 570.401 - Renewal options.

    Science.gov (United States)

    2010-10-01

    ... 48 Federal Acquisition Regulations System 4 2010-10-01 2010-10-01 false Renewal options. 570.401... Requirements 570.401 Renewal options. (a) Exercise of options. Before exercising an option to renew, follow the... survey. Before exercising an option to renew a lease, review current market information to ensure the...

  11. Management for Mountain Pine Beetle Outbreak Suppression: Does Relevant Science Support Current Policy?

    Directory of Open Access Journals (Sweden)

    Diana L. Six

    2014-01-01

    Full Text Available While the use of timber harvests is generally accepted as an effective approach to controlling bark beetles during outbreaks, in reality there has been a dearth of monitoring to assess outcomes, and failures are often not reported. Additionally, few studies have focused on how these treatments affect forest structure and function over the long term, or our forests’ ability to adapt to climate change. Despite this, there is a widespread belief in the policy arena that timber harvesting is an effective and necessary tool to address beetle infestations. That belief has led to numerous proposals for, and enactment of, significant changes in federal environmental laws to encourage more timber harvests for beetle control. In this review, we use mountain pine beetle as an exemplar to critically evaluate the state of science behind the use of timber harvest treatments for bark beetle suppression during outbreaks. It is our hope that this review will stimulate research to fill important gaps and to help guide the development of policy and management firmly based in science, and thus, more likely to aid in forest conservation, reduce financial waste, and bolster public trust in public agency decision-making and practice.

  12. Medication management policy, practice and research in Australian residential aged care: Current and future directions.

    Science.gov (United States)

    Sluggett, Janet K; Ilomäki, Jenni; Seaman, Karla L; Corlis, Megan; Bell, J Simon

    2017-02-01

    Eight percent of Australians aged 65 years and over receive residential aged care each year. Residents are increasingly older, frailer and have complex care needs on entry to residential aged care. Up to 63% of Australian residents of aged care facilities take nine or more medications regularly. Together, these factors place residents at high risk of adverse drug events. This paper reviews medication-related policies, practices and research in Australian residential aged care. Complex processes underpin prescribing, supply and administration of medications in aged care facilities. A broad range of policies and resources are available to assist health professionals, aged care facilities and residents to optimise medication management. These include national guiding principles, a standardised national medication chart, clinical medication reviews and facility accreditation standards. Recent Australian interventions have improved medication use in residential aged care facilities. Generating evidence for prescribing and deprescribing that is specific to residential aged care, health workforce reform, medication-related quality indicators and inter-professional education in aged care are important steps toward optimising medication use in this setting. Copyright © 2016 Elsevier Ltd. All rights reserved.

  13. Budget Options

    National Research Council Canada - National Science Library

    2000-01-01

    This volume-part of the Congressional Budget Office's (CBO's) annual report to the House and Senate Committees on the Budget-is intended to help inform policymakers about options for the federal budget...

  14. The origins of options.

    Science.gov (United States)

    Smaldino, Paul E; Richerson, Peter J

    2012-01-01

    Most research on decision making has focused on how human or animal decision makers choose between two or more options, posed in advance by the researchers. The mechanisms by which options are generated for most decisions, however, are not well understood. Models of sequential search have examined the trade-off between continued exploration and choosing one's current best option, but still cannot explain the processes by which new options are generated. We argue that understanding the origins of options is a crucial but untapped area for decision making research. We explore a number of factors which influence the generation of options, which fall broadly into two categories: psycho-biological and socio-cultural. The former category includes factors such as perceptual biases and associative memory networks. The latter category relies on the incredible human capacity for culture and social learning, which doubtless shape not only our choices but the options available for choice. Our intention is to start a discussion that brings us closer toward understanding the origins of options.

  15. Health care justice and its implications for current policy of a mandatory waiting period for elective tubal sterilization.

    Science.gov (United States)

    Moaddab, Amirhossein; McCullough, Laurence B; Chervenak, Frank A; Fox, Karin A; Aagaard, Kjersti Marie; Salmanian, Bahram; Raine, Susan P; Shamshirsaz, Alireza A

    2015-06-01

    Tubal sterilization during the immediate postpartum period is 1 of the most common forms of contraception in the United States. This time of the procedure has the advantage of 1-time hospitalization, which results in ease and convenience for the woman. The US Collaborative Review of Sterilization Study indicates the high efficacy and effectiveness of postpartum tubal sterilization. Oral and written informed consent is the ethical and legal standard for the performance of elective tubal sterilization for permanent contraception for all patients, regardless of source of payment. Current health care policy and practice regarding elective tubal sterilization for Medicaid beneficiaries places a unique requirement on these patients and their obstetricians: a mandatory waiting period. This requirement originates in decades-old legislation, which we briefly describe. We then introduce the concept of health care justice in professional obstetric ethics and explain how it originates in the ethical concepts of medicine as a profession and of being a patient and its deontologic and consequentialist dimensions. We next identify the implications of health care justice for the current policy of a mandatory 30-day waiting period. We conclude that Medicaid policy allocates access to elective tubal sterilization differently, based on source of payment and gender, which violates health care justice in both its deontologic and consequentialist dimensions. Obstetricians should invoke health care justice in women's health care as the basis for advocacy for needed change in law and health policy, to eliminate health care injustice in women's access to elective tubal sterilization. Copyright © 2015 Elsevier Inc. All rights reserved.

  16. Competition in health insurance markets: limitations of current measures for policy analysis.

    Science.gov (United States)

    Scanlon, Dennis P; Chernew, Michael; Swaminathan, Shailender; Lee, Woolton

    2006-12-01

    Health care reform proposals often rely on increased competition in health insurance markets to drive improved performance in health care costs, access, and quality. We examine a range of data issues related to the measures of health insurance competition used in empirical studies published from 1994-2004. The literature relies exclusively on market structure and penetration variables to measure competition. While these measures are correlated, the degree of correlation is modest, suggesting that choice of measure could influence empirical results. Moreover, certain measurement issues such as the lack of data on PPO enrollment, the treatment of small firms, and omitted market characteristics also could affect the conclusions in empirical studies. Importantly, other types of measures related to competition (e.g., the availability of information on price and outcomes, degree of entry barriers, etc.) are important from both a theoretical and policy perspective, but their impact on market outcomes has not been widely studied.

  17. Energy sector assistance in developing countries: Current trends and policy recommendations

    International Nuclear Information System (INIS)

    Tharakan, Pradeep J.; Castro, Julio de; Kroeger, Timm

    2007-01-01

    An estimated 2.5 billion people remain without access to modern energy supplies. This shortfall is expected to grow as the population in developing countries continues to grow rapidly and the existing infrastructure ages. The United Nations' goal of lowering poverty by half by 2015 will not be attained unless the poor in developing countries gain greater access to basic infrastructure and services, including energy services. The key objective of this paper is to analyze trends in overseas development assistance (ODA) to the energy sector in developing countries during the period 1990-2003, relative to realized private sector investments. This analysis then forms the basis for policy recommendations for consideration by decision makers within countries that are major contributors to ODA

  18. Applying Earlier Literacy Research in Iran to Current Literacy Theory and Policy

    Directory of Open Access Journals (Sweden)

    Brian Street

    2013-05-01

    Full Text Available In this paper, I attempt to bring together approaches toliteracy in theory and in practice, drawing upon variousactivities I have been involved in over the years–research inIranian villages during the 1970s; linking research andtheory to literacy policy, with particular reference to acontribution to the Unesco Global Monitoring Report in2004 and involvement in an ongoing adult literacy trainingprogramme appropriately entitled Learning Empowermentthrough Training in Ethnographic Research (LETTER.IJSCL is interested in publishing original research andreview articles on the relationship between society, culture,and language and in particular ‘linking sound theoreticalapproaches on these fields with visible practical applicationsthat can be used by specialists in anthropology, sociology,linguistics, education, intercultural studies, and policymaking’. I hope that this piece on literacy, with duereference to work in Iran, will fit with that brief.

  19. Current account imbalances in the EMU: An assessment of official policy responses

    Directory of Open Access Journals (Sweden)

    Dodig Nina

    2015-01-01

    Full Text Available To handle the sovereign debt crisis in general and macroeconomic imbalances in particular the leading EU institutions and the Troika (European Central Bank, European Commission and International Monetary Fund adopted two broad approaches: The short-term approach is based on enhancing the Stability and Growth Pact and to impose fiscal austerity on crisis countries. The medium- to long-term strategy consists of internal devaluation via reducing wage costs. Both approaches were combined with structural adjustment programs in the spirit of the Washington Consensus. The Troika’s policy implies an asymmetric adjustment process burdening only crisis countries. It led to the shrinking of demand and output in crisis countries comparable to the Great Depression and brought the European Monetary Union to the edge of deflation. These polices must be judged as mislead increasing the risk of Japanese disease with more than one lost decade.

  20. Active transportation: do current traffic safety policies protect non-motorists?

    Science.gov (United States)

    Mader, Emily M; Zick, Cathleen D

    2014-06-01

    This study investigated the impact that state traffic safety regulations have on non-motorist fatality rates. Data obtained from the National Highway Traffic Safety Administration (NHTSA), the Federal Highway Administration (FHWA), and the National Institute on Alcohol Abuse and Alcoholism (NIAAA) were analyzed through a pooled time series cross-sectional model using fixed effects regression for all 50 states from 1999 to 2009. Two dependent variables were used in separate models measuring annual state non-motorist fatalities per million population, and the natural log of state non-motorist fatalities. Independent variables measuring traffic policies included state expenditures for highway law enforcement and safety per capita; driver cell phone use regulations; graduated driver license regulations; driver blood alcohol concentration regulations; bike helmet regulations; and seat belt regulations. Other control variables included percent of all vehicle miles driven that are urban and mean per capita alcohol consumption per year. Non-motorist traffic safety was positively impacted by state highway law enforcement and safety expenditures per capita, with a decrease in non-motorist fatalities occurring with increased spending. Per capita consumption of alcohol also influenced non-motorist fatalities, with higher non-motorist fatalities occurring with higher per capita consumption of alcohol. Other traffic safety covariates did not appear to have a significant impact on non-motorist fatality rates in the models. Our research suggests that increased expenditures on state highway and traffic safety and the initiation/expansion of programs targeted at curbing both driver and non-motorist intoxication are a starting point for the implementation of traffic safety policies that reduce risks for non-motorists. Copyright © 2014 Elsevier Ltd. All rights reserved.