District heating development, air quality improvement, and cogeneration in Krakow, Poland

International Nuclear Information System (INIS)

Manczyk, H.; Leach, M.D.

1992-01-01

Krakow, Poland, is served by a district heating system that includes coal-fired electrical and heating plants and distribution networks and by approximately 200,000 residential coal furnaces. Cogeneration facilities were added in the mid-1970s to supply up to 40% of the regional peak electrical demand and to optimize energy extraction from the low-heating-value coal mined in the region. Several difficulties prevent the district from realizing the potential efficiencies of its technology: the poor condition of the distribution network, the lack of consumption control and metering devices, inadequate plant maintenance, and the lack of economic incentives for operator productivity and energy conservation by users. Environmental concerns have caused the local government and international agencies to plan major improvements to the system. This paper discusses the development of the district heating system, coal use in Poland, cogeneration facilities, environmental concerns and pollution control plans, and improvement strategies

Improving the Small Rural or Remote School: The Role of the District

Science.gov (United States)

Clarke, Simon; Wildy, Helen

2011-01-01

There is a robust body of work highlighting distinctive challenges encountered by leaders of small schools in pursuit of school improvement but this work has focused on the school as the unit of change and neglects the role of the district. As the district potentially influences what principals know and how they use their knowledge, this article…

A Systems Theory Approach to the District Central Office's Role in School-Level Improvement

Science.gov (United States)

Mania-Singer, Jackie

2017-01-01

This qualitative case study used General Systems Theory and social network analysis to explore the relationships between the members of a district central office and principals of elementary schools within an urban school district in the Midwest. Findings revealed sparse relationships between members of the district central office and principals,…

Can sonographers offer an accurate upper abdominal ultrasound service in a district general hospital?

International Nuclear Information System (INIS)

Dongola, N.A.; Guy, R.L.; Giles, J.A.; Ward, S.

2003-01-01

Purpose: This study was performed to evaluate the accuracy of upper abdominal ultrasound (US) scanning performed by sonographers in a district general hospital, to identify potential areas of weakness and to make recommendations to improve the service. Materials and methods: Upper abdominal US examinations performed and reported by sonographers over a 4-week period were retrospectively reviewed. The accuracy of the imaging findings and reports were assessed against other imaging, surgical, histological or laboratory findings and against clinical outcome. Results: A heterogenous group of 104 patients were included in the study, 62 of whom had an US abnormality. Errors of scanning or interpretation were identified in 10 patients (9.6%) of whom five (4.8%) were felt to be potentially significant. Conclusions: The sonographers' accuracy in reporting upper abdominal US scans was 90%. However, on the basis of this study we have implemented specific recommendations to improve the quality of the service

Air source absorption heat pump in district heating: Applicability analysis and improvement options

International Nuclear Information System (INIS)

Wu, Wei; Shi, Wenxing; Li, Xianting; Wang, Baolong

2015-01-01

Highlights: • Applicability of air source absorption heat pump (ASAHP) district heating is studied. • Return temperature and energy saving rate (ESR) in various conditions are optimized. • ASAHP is more suitable for shorter distance or lower temperature district heating. • Two options can reduce the primary return temperature and improve the applicability. • The maximum ESR is improved from 13.6% to 20.4–25.6% by compression-assisted ASAHP. - Abstract: The low-temperature district heating system based on the air source absorption heat pump (ASAHP) was assessed to have great energy saving potential. However, this system may require smaller temperature drop leading to higher pump consumption for long-distance distribution. Therefore, the applicability of ASAHP-based district heating system is analyzed for different primary return temperatures, pipeline distances, pipeline resistances, supplied water temperatures, application regions, and working fluids. The energy saving rate (ESR) under different conditions are calculated, considering both the ASAHP efficiency and the distribution consumption. Results show that ASAHP system is more suitable for short-distance district heating, while for longer-distance heating, lower supplied hot water temperature is preferred. In addition, the advantages of NH 3 /H 2 O are inferior to those of NH 3 /LiNO 3 , and the advantages for warmer regions and lower pipeline resistance are more obvious. The primary return temperatures are optimized to obtain maximum ESRs, after which the suitable distances under different acceptable ESRs are summarized. To improve the applicability of ASAHP, the integration of cascaded heat exchanger (CHX) and compression-assisted ASAHP (CASAHP) are proposed, which can reduce the primary return temperature. The integration of CHX can effectively improve the applicability of ASAHP under higher supplied water temperatures. As for the utilization of CASAHP, higher compression ratio (CR) is better in

Improving urban district heating systems and assessing the efficiency of the energy usage therein

Science.gov (United States)

Orlov, M. E.; Sharapov, V. I.

2017-11-01

The report describes issues in connection with improving urban district heating systems from combined heat power plants (CHPs), to propose the ways for improving the reliability and the efficiency of the energy usage (often referred to as “energy efficiency”) in such systems. The main direction of such urban district heating systems improvement suggests transition to combined heating systems that include structural elements of both centralized and decentralized systems. Such systems provide the basic part of thermal power via highly efficient methods for extracting thermal power plants turbines steam, while peak loads are covered by decentralized peak thermal power sources to be mounted at consumers’ locations, with the peak sources being also reserve thermal power sources. The methodology was developed for assessing energy efficiency of the combined district heating systems, implemented as a computer software product capable of comparatively calculating saving on reference fuel for the system.

VT Data - Overlay District 20170419, Colchester

Data.gov (United States)

Vermont Center for Geographic Information — The following Overlay Districts are included in the data:General Development Four Commercial DistrictGeneral Development Four Openspace DistrictShoreland...

Can action research strengthen district health management and improve health workforce performance? A research protocol.

Science.gov (United States)

Mshelia, C; Huss, R; Mirzoev, T; Elsey, H; Baine, S O; Aikins, M; Kamuzora, P; Bosch-Capblanch, X; Raven, J; Wyss, K; Green, A; Martineau, T

2013-08-30

The single biggest barrier for countries in sub-Saharan Africa (SSA) to scale up the necessary health services for addressing the three health-related Millennium Development Goals and achieving Universal Health Coverage is the lack of an adequate and well-performing health workforce. This deficit needs to be addressed both by training more new health personnel and by improving the performance of the existing and future health workforce. However, efforts have mostly been focused on training new staff and less on improving the performance of the existing health workforce. The purpose of this paper is to disseminate the protocol for the PERFORM project and reflect on the key challenges encountered during the development of this methodology and how they are being overcome. The overall aim of the PERFORM project is to identify ways of strengthening district management in order to address health workforce inadequacies by improving health workforce performance in SSA. The study will take place in three districts each in Ghana, Tanzania and Uganda using an action research approach. With the support of the country research teams, the district health management teams (DHMTs) will lead on planning, implementation, observation, reflection and redefinition of the activities in the study. Taking into account the national and local human resource (HR) and health systems (HS) policies and practices already in place, 'bundles' of HR/HS strategies that are feasible within the context and affordable within the districts' budget will be developed by the DHMTs to strengthen priority areas of health workforce performance. A comparative analysis of the findings from the three districts in each country will add new knowledge on the effects of these HR/HS bundles on DHMT management and workforce performance and the impact of an action research approach on improving the effectiveness of the DHMTs in implementing these interventions. Different challenges were faced during the development of

Lessons Learned: A Strategic Alliance to Improve Elementary Physical Education in an Urban School District.

Science.gov (United States)

Thompson, Hannah R; Haguewood, Robin; Tantoco, Nicole; Madsen, Kristine A

2015-01-01

Physical education (PE) can help to achieve important public health goals, but is often under-prioritized and lacking in schools. To detail the actions, impact, and successes of a strategic alliance formed by three collaborating organizations to improve PE in a large California school district. Semistructured interviews with alliance members, principals, and teachers in 20 elementary schools, 3 years after the alliance formation. Interviewees reported district-level increases in priority and funding for PE and attributed improvements to the alliance's collection and dissemination of local data on the status of PE. Common goals, trust, and open communication within the alliance were seen as critical to the alliance's success. However, changes in district- or school-level accountability measures for PE were not reported. This strategic alliance succeeded in promoting district-level priority and funding for PE. Ongoing alliance work will focus on increasing accountability measures for PE, which may take longer to implement.

Improving quality of reproductive health care in Senegal through formative supervision: results from four districts.

Science.gov (United States)

Suh, Siri; Moreira, Philippe; Ly, Moussa

2007-11-29

In Senegal, traditional supervision often focuses more on collection of service statistics than on evaluation of service quality. This approach yields limited information on quality of care and does little to improve providers' competence. In response to this challenge, Management Sciences for Health (MSH) has implemented a program of formative supervision. This multifaceted, problem-solving approach collects data on quality of care, improves technical competence, and engages the community in improving reproductive health care. This study evaluated changes in service quality and community involvement after two rounds of supervision in 45 health facilities in four districts of Senegal. We used checklists to assess quality in four areas of service delivery: infrastructure, staff and services management, record-keeping, and technical competence. We also measured community involvement in improving service quality using the completion rates of action plans. The most notable improvement across regions was in infection prevention.Management of staff, services, and logistics also consistently improved across the four districts. Record-keeping skills showed variable but lower improvement by region. The completion rates of action plans suggest that communities are engaged in improving service quality in all four districts. Formative supervision can improve the quality of reproductive health services, especially in areas where there is on-site skill building and refresher training. This approach can also mobilize communities to participate in improving service quality.

Improving quality of reproductive health care in Senegal through formative supervision: results from four districts

Directory of Open Access Journals (Sweden)

Moreira Philippe

2007-11-01

Full Text Available Abstract Background In Senegal, traditional supervision often focuses more on collection of service statistics than on evaluation of service quality. This approach yields limited information on quality of care and does little to improve providers' competence. In response to this challenge, Management Sciences for Health (MSH has implemented a program of formative supervision. This multifaceted, problem-solving approach collects data on quality of care, improves technical competence, and engages the community in improving reproductive health care. Methods This study evaluated changes in service quality and community involvement after two rounds of supervision in 45 health facilities in four districts of Senegal. We used checklists to assess quality in four areas of service delivery: infrastructure, staff and services management, record-keeping, and technical competence. We also measured community involvement in improving service quality using the completion rates of action plans. Results The most notable improvement across regions was in infection prevention. Management of staff, services, and logistics also consistently improved across the four districts. Record-keeping skills showed variable but lower improvement by region. The completion rates of action plans suggest that communities are engaged in improving service quality in all four districts. Conclusion Formative supervision can improve the quality of reproductive health services, especially in areas where there is on-site skill building and refresher training. This approach can also mobilize communities to participate in improving service quality.

District nurse training

OpenAIRE

Elliott, Arnold; Freeling, Paul; Owen, John

1980-01-01

Training for district nursing is being reviewed. By 1981 district nurses will have a new administrative structure, a new curriculum, and a new examination. Training for nursing, like that for general practice, is to become mandatory. The history of the development of district nurse training is briefly described.

General practitioners' and district nurses' conceptions of the encounter with obese patients in primary health care

Directory of Open Access Journals (Sweden)

Rasmussen Finn

2011-02-01

Full Text Available Abstract Background Primary health care specialists have a key role in the management of obesity. Through understanding how they conceive the encounter with patients with obesity, treatment may be improved. The aim of this study was thus to explore general practitioners' and district nurses' conceptions of encountering patients with obesity in primary health care. Method Data were collected through semi-structured interviews, and analysed using a phenomenographic approach. The participants were 10 general practitioners (6 women, 4 men and 10 district nurses (7 women, 3 men from 19 primary health care centres within a well-defined area of Sweden. Results Five descriptive categories were identified: Adequate primary health care, Promoting lifestyle change, Need for competency, Adherence to new habits and Understanding patient attitudes. All participants, independent of gender and profession, were represented in the descriptive categories. Some profession and gender differences were, however, found in the underlying conceptions. The general staff view was that obesity had to be prioritised. However, there was also the contradictory view that obesity is not a disease and therefore not the responsibility of primary health care. Despite this, staff conceived it as important that patients were met with respect and that individual solutions were provided which could be adhered to step-by-step by the patient. Patient attitudes, such as motivation to change, evasive behaviour, too much trust in care and lack of self-confidence, were, however, conceived as major barriers to a fruitful encounter. Conclusions Findings from this study indicate that there is a need for development and organisation of weight management in primary health care. Raising awareness of staff's negative views of patient attitudes is important since it is likely that it affects the patient-staff relationship and staff's treatment efforts. More research is also needed on gender and

Evidence from district level inputs to improve quality of care for maternal and newborn health: interventions and findings.

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Salam, Rehana A; Lassi, Zohra S; Das, Jai K; Bhutta, Zulfiqar A

2014-09-04

District level healthcare serves as a nexus between community and district level facilities. Inputs at the district level can be broadly divided into governance and accountability mechanisms; leadership and supervision; financial platforms; and information systems. This paper aims to evaluate the effectivness of district level inputs for imporving maternal and newborn health. We considered all available systematic reviews published before May 2013 on the pre-defined district level interventions and included 47 systematic reviews. Evidence suggests that supervision positively influenced provider's practice, knowledge and client/provider satisfaction. Involving local opinion leaders to promote evidence-based practice improved compliance to the desired practice. Audit and feedback mechanisms and tele-medicine were found to be associated with improved immunization rates and mammogram uptake. User-directed financial schemes including maternal vouchers, user fee exemption and community based health insurance showed significant impact on maternal health service utilization with voucher schemes showing the most significant positive impact across all range of outcomes including antenatal care, skilled birth attendant, institutional delivery, complicated delivery and postnatal care. We found insufficient evidence to support or refute the use of electronic health record systems and telemedicine technology to improve maternal and newborn health specific outcomes. There is dearth of evidence on the effectiveness of district level inputs to improve maternal newborn health outcomes. Future studies should evaluate the impact of supervision and monitoring; electronic health record and tele-communication interventions in low-middle-income countries.

Summary of hydrologic conditions in the Reedy Creek Improvement District, central Florida

Science.gov (United States)

German, Edward R.

1986-01-01

The Reedy Creek Improvement is an area of about 43 square miles in southwestern Orange and northwestern Osceola Counties, Florida. A systematic program of hydrologic data collection in the Reedy Creek Improvement District and vicinity provided data for assessing the impact of development, mostly the Walt Disney World Theme Park and related development on the hydrology. Data collected include stream discharge, water quality, groundwater levels, lakes levels, and climatological. Rainfall has been less than the long-term average in the Reedy Creek Improvement District since development began in 1968. The deficient rainfall has reduced stream discharge, lowered groundwater and lake levels, and possibly affected water quality in the area. Groundwater levels and lake levels have declined since 1970. However, the coincidence of below-average rainfall with the period of development makes it impossible to assess the effect of pumping on declines. Occurrence of toxic metals does not relate to development, but distribution of insecticides and herbicides does appear to relate to development. Specific conductance, phosphorous, and nitrate concentrations have increased in Reedy Creek since 1970, probably due to disposal of treated wastes. (USGS)

Enlightenment of Qilou Street Space Intelligence to Pedestrian System Design in Commercial District

Directory of Open Access Journals (Sweden)

Chen Jing

2016-01-01

Full Text Available Aiming at those generally existing problems in urban commercial pedestrian districts, through the design methods of extracting separation of man from vehicle in traditional Qilou pedestrian street space, continuous pedestrian space with shelter, and the behavior paths with combination of commercial activities, this thesis sets about from the behaviors of pedestrians in walking state, and finds that the traditional Qilou pedestrian street space can satisfy pedestrians’ physiological and psychological demands in shopping better. At the same time, combining current urban commercial districts developing demands, and the successful experience from traditional Qilou, this thesis also proposes relevant improvement measures. The improvements in design means are expected to improve pedestrian environment for, and achieve the commercial values of these districts, as well as the win-win of environment improvement and commercial activity development.

District Finds the Right Equation to Improve Math Instruction

Science.gov (United States)

Holmstrom, Annette

2010-01-01

The math problem is common to most U.S. school districts, and education leaders are well aware that U.S. math achievement lags far behind many other countries in the world. University Place (Washington) School District Superintendent Patti Banks found the conspicuous income gap for math scores even more disturbing. In her school district, only 23%…

Webinar: Healthy Schools, Healthy Students: Taking Action to Improve IAQ in Your School District

Science.gov (United States)

A page to register to view the first webinar in the IAQ Knowledge-to-Action Professional Training Webinar Series: Healthy Schools, Healthy Students: Taking Action to Improve IAQ in Your School District

STUDIES OF ADVERSE DRUG REACTION PROFILE OF ANTISNAKE VENOM AT DISTRICT GENERAL HOSPITAL

OpenAIRE

Mulchand Shende *, Sneha Gawali , Kanchan Bhongade , Vivek Bhuskade , Abhijit Nandgaonkar

2017-01-01

Snake bite is a common predominant problem of the rural and periurban areas, neglected and frequently devastating environmental and occupational disease, especially in rural areas of tropical developing countries. This study aimed to investigate of the adverse drug reaction profile of anti-snake venom (ASV) in a district general hospital. An observational study was conducted in hospital for six months. A total number of 142 indoor case papers of snake bite from October 2016 to April 2017 were...

Can a District-Level Teacher Salary Incentive Policy Improve Teacher Recruitment and Retention? Policy Brief 13-4

Science.gov (United States)

Hough, Heather J.; Loeb, Susanna

2013-01-01

In this policy brief, Heather Hough and Susanna Loeb examine the effect of the Quality Teacher and Education Act of 2008 (QTEA) on teacher recruitment, retention, and overall teacher quality in the San Francisco Unified School District (SFUSD). They provide evidence that a salary increase can improve a school district's attractiveness within their…

School District Leadership Styles and School Improvement: Evidence from Selected School Principals in the Eastern Cape Province

Science.gov (United States)

Moorosi, Pontso; Bantwini, Bongani D.

2016-01-01

The purpose of this study was to investigate how leadership styles in the Eastern Cape school districts support school improvement. Mixed methods research was employed and data was collected through the use of questionnaires and semi-structured interviews with school principals in various districts. The study was guided by the following questions:…

Water supply network district metering theory and case study

CERN Document Server

Di Nardo, Armando; Di Mauro, Anna

2013-01-01

The management of a water supply network can be substantially improved defining permanent sectors or districts that enhances simpler water loss detection and pressure management. However, the water network partitioning may compromise water system performance, since some pipes are usually closed to delimit districts in order not to have too many metering stations, to decrease costs and simplify water balance. This may reduce the reliability of the whole system and not guarantee the delivery of water at the different network nodes. In practical applications, the design of districts or sectors is generally based on empirical approaches or on limited field experiences. The book proposes a design support methodology, based on graph theory principles and tested on real case study. The described methodology can help water utilities, professionals and researchers to define the optimal districts or sectors of a water supply network.

Building district-level capacity for continuous improvement in maternal and newborn health.

Science.gov (United States)

Stover, Kim Ethier; Tesfaye, Solomon; Frew, Aynalem Hailemichael; Mohammed, Hajira; Barry, Danika; Alamineh, Lamesgin; Teshome, Abebe; Hepburn, Kenneth; Sibley, Lynn M

2014-01-01

The Maternal and Newborn Health in Ethiopia Partnership (MaNHEP) adapted a collaborative improvement strategy to develop woreda (district) leadership capacity to support and facilitate continuous improvement of community maternal and neonatal health (CMNH) and to provide a model for other woredas, dubbed "lead" woredas. Community-level quality improvement (QI) teams tested solutions to improve CMNH care supported by monthly coaching and regular meetings to share experiences. This study examines the extent of the capacity built to support continuous improvement in CMNH care. Surveys and in-depth interviews assessed the extent to which MaNHEP developed improvement capacity. A survey questionnaire evaluated woreda culture, leadership support, motivation, and capacity for improvement activities. Interviews focused on respondents' understanding and perceived value of the MaNHEP improvement approach. Bivariate analyses and multivariate linear regression models were used to analyze the survey data. Interview transcripts were organized by region, cadre, and key themes. Respondents reported significant positive changes in many areas of woreda culture and leadership, including involving a cross-section of community stakeholders (increased from 3.0 to 4.6 on 5-point Likert scale), using improvement data for decision making (2.8-4.4), using locally developed and tested solutions to improve CMNH care (2.5-4.3), demonstrating a commitment to improve the health of women and newborns (2.6-4.2), and creating a supportive environment for coaches and QI teams to improve CMNH (2.6-4.0). The mean scores for capacity were 3.7 and higher, reflecting respondents' agreement that they had gained capacity in improvement skills. Interview respondents universally recognized the capacity built in the woredas. The themes of community empowerment and focused improvement emerged strongly from the interviews. MaNHEP was able to build capacity for continuous improvement and develop lead woredas. The

The Business Improvement District Movement: Contributions to Public Administration and Management by Seth A. Grossman

Directory of Open Access Journals (Sweden)

Stephen Kleinschmit

2016-11-01

Full Text Available Grossman, S. (2016. The Business Improvement District Movement: Contributions to Public Administration and Management. New York, NY: Routledge. $49.95 (paperback, ISBN: 978-1-1386-6889-8.

Management of spontaneous pneumothorax compared to British Thoracic Society (BTS) 2003 guidelines: a district general hospital audit.

Science.gov (United States)

Medford, Andrew Rl; Pepperell, Justin Ct

2007-10-01

In 1993, the British Thoracic Society (BTS) issued guidelines for the management of spontaneous pneumothorax (SP). These were refined in 2003. To determine adherence to the 2003 BTS SP guidelines in a district general hospital. An initial retrospective audit of 52 episodes of acute SP was performed. Subsequent intervention involved a junior doctor educational update on both the 2003 BTS guidelines and the initial audit results, and the setting up of an online guideline hyperlink. After the educational intervention a further prospective re-audit of 28 SP episodes was performed. Management of SP deviated considerably from the 2003 BTS guidelines in the initial audit - deviation rate 26.9%. After the intervention, a number of clinical management deviations persisted (32.1% deviation rate); these included failure to insert a chest drain despite unsuccessful aspiration, and attempting aspiration of symptomatic secondary SPs. Specific tools to improve standards might include a pneumothorax proforma to improve record keeping and a pneumothorax care pathway to reduce management deviations compared to BTS guidelines. Successful change also requires identification of the total target audience for any educational intervention.

75 FR 15453 - Central Valley Project Improvement Act, Westlands Water District Drainage Repayment Contract

Science.gov (United States)

2010-03-29

... DEPARTMENT OF THE INTERIOR Bureau of Reclamation Central Valley Project Improvement Act, Westlands Water District Drainage Repayment Contract AGENCY: Bureau of Reclamation, Interior. ACTION: Notice of Proposed Repayment Contract. SUMMARY: The Bureau of Reclamation will be initiating negotiations with the...

Empowering districts to target priorities for improving child health service in Uganda using change management and rapid assessment methods

Science.gov (United States)

Odaga, John; Henriksson, Dorcus K.; Nkolo, Charles; Tibeihaho, Hector; Musabe, Richard; Katusiime, Margaret; Sinabulya, Zaccheus; Mucunguzi, Stephen; Mbonye, Anthony K.; Valadez, Joseph J.

2016-01-01

Background Local health system managers in low- and middle-income countries have the responsibility to set health priorities and allocate resources accordingly. Although tools exist to aid this process, they are not widely applied for various reasons including non-availability, poor knowledge of the tools, and poor adaptability into the local context. In Uganda, delivery of basic services is devolved to the District Local Governments through the District Health Teams (DHTs). The Community and District Empowerment for Scale-up (CODES) project aims to provide a set of management tools that aid contextualised priority setting, fund allocation, and problem-solving in a systematic way to improve effective coverage and quality of child survival interventions. Design Although the various tools have previously been used at the national level, the project aims to combine them in an integral way for implementation at the district level. These tools include Lot Quality Assurance Sampling (LQAS) surveys to generate local evidence, Bottleneck analysis and Causal analysis as analytical tools, Continuous Quality Improvement, and Community Dialogues based on Citizen Report Cards and U reports. The tools enable identification of gaps, prioritisation of possible solutions, and allocation of resources accordingly. This paper presents some of the tools used by the project in five districts in Uganda during the proof-of-concept phase of the project. Results All five districts were trained and participated in LQAS surveys and readily adopted the tools for priority setting and resource allocation. All districts developed health operational work plans, which were based on the evidence and each of the districts implemented more than three of the priority activities which were included in their work plans. Conclusions In the five districts, the CODES project demonstrated that DHTs can adopt and integrate these tools in the planning process by systematically identifying gaps and setting

Empowering districts to target priorities for improving child health service in Uganda using change management and rapid assessment methods

Directory of Open Access Journals (Sweden)

John Odaga

2016-05-01

Full Text Available Background: Local health system managers in low- and middle-income countries have the responsibility to set health priorities and allocate resources accordingly. Although tools exist to aid this process, they are not widely applied for various reasons including non-availability, poor knowledge of the tools, and poor adaptability into the local context. In Uganda, delivery of basic services is devolved to the District Local Governments through the District Health Teams (DHTs. The Community and District Empowerment for Scale-up (CODES project aims to provide a set of management tools that aid contextualised priority setting, fund allocation, and problem-solving in a systematic way to improve effective coverage and quality of child survival interventions. Design: Although the various tools have previously been used at the national level, the project aims to combine them in an integral way for implementation at the district level. These tools include Lot Quality Assurance Sampling (LQAS surveys to generate local evidence, Bottleneck analysis and Causal analysis as analytical tools, Continuous Quality Improvement, and Community Dialogues based on Citizen Report Cards and U reports. The tools enable identification of gaps, prioritisation of possible solutions, and allocation of resources accordingly. This paper presents some of the tools used by the project in five districts in Uganda during the proof-of-concept phase of the project. Results: All five districts were trained and participated in LQAS surveys and readily adopted the tools for priority setting and resource allocation. All districts developed health operational work plans, which were based on the evidence and each of the districts implemented more than three of the priority activities which were included in their work plans. Conclusions: In the five districts, the CODES project demonstrated that DHTs can adopt and integrate these tools in the planning process by systematically identifying

Empowering districts to target priorities for improving child health service in Uganda using change management and rapid assessment methods.

Science.gov (United States)

Odaga, John; Henriksson, Dorcus K; Nkolo, Charles; Tibeihaho, Hector; Musabe, Richard; Katusiime, Margaret; Sinabulya, Zaccheus; Mucunguzi, Stephen; Mbonye, Anthony K; Valadez, Joseph J

2016-01-01

Local health system managers in low- and middle-income countries have the responsibility to set health priorities and allocate resources accordingly. Although tools exist to aid this process, they are not widely applied for various reasons including non-availability, poor knowledge of the tools, and poor adaptability into the local context. In Uganda, delivery of basic services is devolved to the District Local Governments through the District Health Teams (DHTs). The Community and District Empowerment for Scale-up (CODES) project aims to provide a set of management tools that aid contextualised priority setting, fund allocation, and problem-solving in a systematic way to improve effective coverage and quality of child survival interventions. Although the various tools have previously been used at the national level, the project aims to combine them in an integral way for implementation at the district level. These tools include Lot Quality Assurance Sampling (LQAS) surveys to generate local evidence, Bottleneck analysis and Causal analysis as analytical tools, Continuous Quality Improvement, and Community Dialogues based on Citizen Report Cards and U reports. The tools enable identification of gaps, prioritisation of possible solutions, and allocation of resources accordingly. This paper presents some of the tools used by the project in five districts in Uganda during the proof-of-concept phase of the project. All five districts were trained and participated in LQAS surveys and readily adopted the tools for priority setting and resource allocation. All districts developed health operational work plans, which were based on the evidence and each of the districts implemented more than three of the priority activities which were included in their work plans. In the five districts, the CODES project demonstrated that DHTs can adopt and integrate these tools in the planning process by systematically identifying gaps and setting priority interventions for child survival.

Strengthening health district management competencies in Ghana, Tanzania and Uganda: lessons from using action research to improve health workforce performance.

Science.gov (United States)

Martineau, Tim; Raven, Joanna; Aikins, Moses; Alonso-Garbayo, Alvaro; Baine, Sebastian; Huss, Reinhard; Maluka, Stephen; Wyss, Kaspar

2018-01-01

To achieve Universal Health Coverage (UHC), more health workers are needed; also critical is supporting optimal performance of existing staff. Integrated human resource management (HRM) strategies, complemented by other health systems strategies, are needed to improve health workforce performance, which is possible at district level in decentralised contexts. To strengthen the capacity of district management teams to develop and implement workplans containing integrated strategies for workforce performance improvement, we introduced an action-research-based management strengthening intervention (MSI). This consisted of two workshops, follow-up by facilitators and meetings between participating districts. Although often used in the health sector, there is little evaluation of this approach in middle-income and low-income country contexts. The MSI was tested in three districts in Ghana, Tanzania and Uganda. This paper reports on the appropriateness of the MSI to the contexts and its effects. Documentary evidence (workshop reports, workplans, diaries, follow-up visit reports) was collected throughout the implementation of the MSI in each district and interviews (50) and focus-group discussions (6) were conducted with managers at the end of the MSI. The findings were analysed using Kirkpatrick's evaluation framework to identify effects at different levels. The MSI was appropriate to the needs and work patterns of District Health Management Teams (DHMTs) in all contexts. DHMT members improved management competencies for problem analysis, prioritisation and integrated HRM and health systems strategy development. They learnt how to refine plans as more information became available and the importance of monitoring implementation. The MSI produced changes in team behaviours and confidence. There were positive results regarding workforce performance or service delivery; these would increase with repetition of the MSI. The MSI is appropriate to the contexts where tested and

Care of "new" long-stay patients in a district general hospital psychiatric unit. The first two years of a hospital-hostel.

Science.gov (United States)

Gibbons, J S

1986-05-01

The paper describes the need for long-term inpatient care in an English health district whose psychiatric services were based on a unit in a District General Hospital. Patients who became long-stay were placed in a new hospital-hostel in a city centre. Three quarters of those eligible could be managed in the hostel, with those rejected posing more control problems. Patients in the hostel became less withdrawn and increased their activity and use of community facilities.

Review of paediatric cardiology services in district general hospitals in the United Kingdom.

Science.gov (United States)

Andrews, Hannah; Singh, Yogen

2016-03-01

Following the Safe and Sustainable review of Paediatric Services in 2012/2013, National Health Service England recommended that local paediatric cardiology services should be provided by specially trained paediatricians with expertise in cardiology in all non-specialist hospitals. To understand the variation in local paediatric cardiology services provided across district general hospitals in the United Kingdom. An internet-based questionnaire was sent out via the Paediatrician with Expertise in Cardiology Special Interest Group and the Neonatologists with Interest in Cardiology and Haemodynamics contact databases and the National Health Service directory. Non-responders were followed-up via telephone. The response rate was 80% (141 of 177 hospitals), and paediatricians with expertise in cardiology were available in 68% of those. Local cardiology clinics led by paediatricians with expertise in cardiology were provided in 96 hospitals (68%), whereas specialist outreach clinics were held in 123 centres (87%). A total of 11 hospitals provided neither specialist outreach clinics nor any local cardiology clinics led by paediatricians with expertise in cardiology. Paediatric echocardiography services were provided in 83% of the hospitals, 12-lead electrocardiogram in 96%, Holter electrocardiogram in 91%, and exercise testing in only 47% of the responding hospitals. Telemedicine facilities were established in only 52% of the centres, where sharing echocardiogram images via picture archiving and communication system was used most commonly. There has been a substantial increase in the availability of paediatricians with expertise in cardiology since 2008. Most of the hospitals are well-supported by specialist cardiology centres via outreach clinics; however, there remains significant variation in the local paediatric cardiology services provided across district general hospitals in the United Kingdom.

Integration of leprosy services into the General Health Service in Sri Lanka: overcoming challenges to implementation in a remote district.

Science.gov (United States)

Wijesinghe, Thushanthi S; Wijesinghe, Pushpa Ranjan

2013-01-01

Sri Lanka took a policy decision to integrate leprosy services into the general health services (GHS) in 1999. This paper aims to summarize the emergence of new, specific challenges and how they were overcome during the integration of leprosy services to the GHS in a remote, leprosy endemic district in Sri Lanka. In this article, the regional epidemiologist as the team leader describes the principles used for transition to an effective integrated model of leprosy services from a centralized leprosy control model in the district. In addition, rationale for integration is viewed from the epidemiological and operational perspectives. National and district leprosy epidemiological data from secondary sources are also reviewed for corroborating the effectiveness of integration. Challenges surfaced were mainly related to the transfer of ownership of the programme, selection of appropriate service providing institutions easily accessible to clients, sustainability of leprosy services at the GHS, ensuring participation of all stakeholders in capacity building programmes and co-ordination of patient care in the absence of a dermatologist in the district. An empowered district team leader with specified roles and responsibilities, his sound technical and managerial know how and ability to translate 'team work' concept to practice were found to be essential for successful implementation of integration. Decision-making powers at the district level and flexibility to introduce new, area-specific changes to the centrally prepared core activities of integration were also vital to overcome locally surfaced challenges.

Improving district level health planning and priority setting in Tanzania through implementing accountability for reasonableness framework

DEFF Research Database (Denmark)

Maluka, Stephen; Kamuzora, Peter; Sebastián, Miguel San

2010-01-01

In 2006, researchers and decision-makers launched a five-year project - Response to Accountable Priority Setting for Trust in Health Systems (REACT) - to improve planning and priority-setting through implementing the Accountability for Reasonableness framework in Mbarali District, Tanzania...

Trees of Electoral District in Indonesian Legislative Election: Empirical Case of Assortments in 2004 General Election

OpenAIRE

Situngkir, Hokky; Mauludy, Rolan

2007-01-01

The short paper presents interesting discussions related to specific Indonesian legislative election system. We build algorithmic steps in computational geometry that employ the basic patterns that emerged from the legal decisions of Indonesian General Election Commission about the election district. Some interesting facts are observed and tried to be analyzed and concerning them to the democratization processes in the country. The further implementation of the model can be utilized as a tool...

Redesigning the District Operating System

Science.gov (United States)

Hodas, Steven

2015-01-01

In this paper, we look at the inner workings of a school district through the lens of the "district operating system (DOS)," a set of interlocking mutually-reinforcing modules that includes functions like procurement, contracting, data and IT policy, the general counsel's office, human resources, and the systems for employee and family…

No One Way: Differentiating School District Leadership and Support for School Improvement

Science.gov (United States)

Anderson, Stephen E.; Mascall, Blair; Stiegelbauer, Suzanne; Park, Jaddon

2012-01-01

This article examines findings from a qualitative investigation of how school district administrators in four mid to large sized urban school districts (10,000-50,000) identify and address differences in school performance. The analysis explores the interaction between district policies and actions that centralize and standardize expectations for…

What do District Health Planners in Tanzania think about improving priority setting using 'Accountability for Reasonableness'?

Directory of Open Access Journals (Sweden)

Olsen Oystein

2007-11-01

Full Text Available Abstract Background Priority setting in every health system is complex and difficult. In less wealthy countries the dominant approach to priority setting has been Burden of Disease (BOD and cost-effectiveness analysis (CEA, which is helpful, but insufficient because it focuses on a narrow range of values – need and efficiency – and not the full range of relevant values, including legitimacy and fairness. 'Accountability for reasonableness' is a conceptual framework for legitimate and fair priority setting and is empirically based and ethically justified. It connects priority setting to broader, more fundamental, democratic deliberative processes that have an impact on social justice and equity. Can 'accountability for reasonableness' be helpful for improving priority setting in less wealthy countries? Methods In 2005, Tanzanian scholars from the Primary Health Care Institute (PHCI conducted 6 capacity building workshops with senior health staff, district planners and managers, and representatives of the Tanzanian Ministry of Health to discussion improving priority setting in Tanzania using 'accountability for reasonableness'. The purpose of this paper is to describe this initiative and the participants' views about the approach. Results The approach to improving priority setting using 'accountability for reasonableness' was viewed by district decision makers with enthusiastic favour because it was the first framework that directly addressed their priority setting concerns. High level Ministry of Health participants were also very supportive of the approach. Conclusion Both Tanzanian district and governmental health planners viewed the 'accountability for reasonableness' approach with enthusiastic favour because it was the first framework that directly addressed their concerns.

Upper gastrointestinal endoscopy in patients aged 85 years or more. Results of a feasibility study in a district general hospital.

NARCIS (Netherlands)

Kouwen, M.C.A. van; Drenth, J.P.H.; Verhoeven, H.M.; Bos, L.P.; Engels, L.G.

2003-01-01

We performed a cross sectional analysis of the feasibility and yield of upper gastrointestinal endoscopy (UGE) in a cohort of patients aged 85 years or more. The study involved 218 patients who underwent diagnostic upper gastrointestinal endoscopy in a district general hospital between 1994 and

Characteristics of patients who are admitted with or acquire Pressure Ulcers in a District General Hospital; a 3 year retrospective analysis

NARCIS (Netherlands)

Worsley, P.R.; Smith, G.; Schoonhoven, L.; Bader, D.L.

2016-01-01

AIM: The study aimed to characterize demographic and clinical practice factors associated with community (CAPU) and hospital acquired pressure ulcers (HAPU). DESIGN: A comparative retrospective evaluation of pressure ulcer data, collected from a district general hospital. METHODS: Demographic and

78 FR 58049 - Proposed Establishment of the Adelaida District, Creston District, El Pomar District, Paso Robles...

Science.gov (United States)

2013-09-20

... Shallow, well- Deep alluvial Deep to moderate Mostly shallow drained, residual soils, with clay, depth... neither an approval nor an endorsement by TTB of the wine produced in that area. Requirements Section 4.25... Adelaida District viticultural area are hillside residual soils, which generally have shallow rooting...

Superintendents' Perceptions of the School Improvement Planning Process in the Southeastern USA

Science.gov (United States)

Dunaway, David M.; Bird, James J.; Wang, Chuang; Hancock, Dawson

2014-01-01

The purpose of this study of school improvement planning in the southeastern USA was to establish the current view of the process through the eyes of the district superintendents. The answers to the questions were consistently mixed. Generally, the presence of school improvement planning is prevalent in the large majority of districts. However,…

Deficiencies in provision of integrated multidisciplinary podiatry care for patients with inflammatory arthritis: a UK district general hospital experience.

Science.gov (United States)

Juarez, M; Price, E; Collins, D; Williamson, L

2010-01-01

Foot problems are highly prevalent in inflammatory arthritis (IA), especially rheumatoid arthritis (RA). Chronic inflammation can lead to permanent structural changes, deformity and disability. Early podiatry intervention in RA improves long term outcomes. National guidelines recommend that patients should be treated by a multidisciplinary team with dedicated podiatry services. In clinical practice funding constraints limit availability of these services. To assess prevalence of foot problems and quality and availability of foot care services at a UK district general hospital. 1200 IA patients in Swindon (Wiltshire, UK) were invited to complete an anonymised questionnaire regarding access to foot care services and education/information on foot problems. 448 patients. Prevalence of foot problems: 68%. Only 31% of patients had access to appropriate foot specialist. 24% had received foot assessment within 3 months of diagnosis of IA and 17% yearly review thereafter. Despite high prevalence of foot problems in our population we identified significant deficiencies in provision of integrated multidisciplinary podiatry care. The data we present could be used by others to support business cases to obtain funding to improve the links between rheumatology and podiatry services. Copyright 2010 Elsevier Ltd. All rights reserved.

Cooperating with a palliative home-care team: expectations and evaluations of GPs and district nurses

DEFF Research Database (Denmark)

Goldschmidt, Dorthe; Groenvold, Mogens; Johnsen, Anna Thit

2005-01-01

BACKGROUND: Palliative home-care teams often cooperate with general practitioners (GPs) and district nurses. Our aim was to evaluate a palliative home-care team from the viewpoint of GPs and district nurses. METHODS: GPs and district nurses received questionnaires at the start of home-care and one...... month later. Questions focussed on benefits to patients, training issues for professionals and cooperation between the home-care team and the GP/ district nurse. A combination of closed- and open-ended questions was used. RESULTS: Response rate was 84% (467/553). Benefits to patients were experienced...... by 91 %, mainly due to improvement in symptom management, 'security', and accessibility of specialists in palliative care. After one month, 57% of the participants reported to have learnt aspects of palliative care, primarily symptom control, and 89% of them found cooperation satisfactory...

Do district health systems perform differently because of their managers? Preliminary insights from Indonesia

Directory of Open Access Journals (Sweden)

Augustine Asante

2015-07-01

Full Text Available District health systems (DHS are central to the global efforts to improve health outcomes but many remain ineffective. In many lowresource settings, despite the generally weak DHS there is evidence that some districts consistently perform well against the odds, and this is often attributed to the calibre of managers leading such districts and their management and leadership (M&L skills. This paper examines the M&L practices of district health managers in high and low performing districts in Indonesia in an attempt to understand whether the differences in the performance of DHS can be explained, at least in part, by the differences in the performance of their health managers. We employed a mixed methods case study design focusing on two purposefully selected districts. Data were collected in 2011 using questionnaires and in-depth interviews. The preliminary results suggest that M&L practices of managers in the high and low performing districts are similar and provide little explanation for the differences in the performance of the two DHS. Contextual and health system factors offered a much better explanation for the variations in DHS performance.

Future Services for District Heating Solutions in Residential Districts

Directory of Open Access Journals (Sweden)

Hannele Ahvenniemi

2014-06-01

Full Text Available The underlying assumption of this study is that in order to retain the competitiveness while reaching for the EU targets regarding low-energy construction, district heating companies need to develop new business and service models. How district heating companies could broaden their perspective and switch to a more service-oriented way of thinking is a key interest of our research. The used methods in our study are house builder interviews and a questionnaire. With the help of these methods we discussed the potential interest in heating related services acquiring a comprehensive understanding of the customer needs. The results indicate the importance of certain criteria when choosing the heating system in households: easiness, comfort and affordability seem to dominate the house builders’ preferences. Also environmental awareness seems to be for many an important factor when making a decision about the heating of the house. Altogether, based on the results of this study, we suggest that the prospects of district heating could benefit from highlighting certain aspects and strengths in the future. District heating companies need to increase flexibility, readiness to adopt new services, to invest in new marketing strategies and improving the communication skills.

Praises & Nudges: A Case of District-Wide Change.

Science.gov (United States)

Doyle, Richard; And Others

This paper describes the processes and outcomes experienced by the Marshalltown Community School District (Iowa) as it implemented a shared decision-making, school-improvement program. A district Shared Decision Making (SDM) Team and School Improvement Program (SIP) teams were trained to facilitate greater staff participation in the…

Procedures for selecting and buying district heating equipment. Sofia district heating. Final report

Energy Technology Data Exchange (ETDEWEB)

NONE

1997-11-01

The aim of this Final Report, prepared for the project `Procedures for Selecting and Buying DistRict Heating Equipment - Sofia District Heating Company`, is to establish an overview of the activities accomplished, the outputs delivered and the general experience gained as a result of the project. The main objective of the project is to enable Sofia District Heating Company to prepare specifications and tender documents, identify possible suppliers, evaluate offers, etc. in connection with purchase of district heating equipment. This objective has been reached by using rehabilitation of sub-stations as an example requested by Sofia DH. The project was originally planned to be finalized end of 1995, but due to the extensions of the scope of work, the project has been prolonged until end 1997. The following main activities were accomplished: Preparation of a detailed work plan; Collection of background information; Discussion and advice about technical specifications and tender documents for sub-station rehabilitation; Input to terms of reference for a master plan study; Input to technical specification for heat meters; Collection of ideas for topics and examples related to dissemination of information to consumers about matters related to district heating consumption. (EG)

Rural district hospitals - essential cogs in the district health system - and primary healthcare re-engineering.

Science.gov (United States)

le Roux, K W D P; Couper, I

2015-06-01

The re-engineering of primary healthcare (PHC) is regarded as an essential precursor to the implementation of National Health Insurance in South Africa, but improvements in the provision of PHC services have been patchy. The authors contend that the role of well- functioning rural district hospitals as a hub from which PHC services can be most efficiently managed has been underestimated, and that the management of district hospitals and PHC clinics need to be co-located at the level of the rural district hospital, to allow for proper integration of care and effective healthcare provision.

46 CFR 1.01-15 - Organization; Districts; National Maritime Center.

Science.gov (United States)

2010-10-01

... 46 Shipping 1 2010-10-01 2010-10-01 false Organization; Districts; National Maritime Center. 1.01... General Flow of Functions § 1.01-15 Organization; Districts; National Maritime Center. (a) To assist the... navigation, vessel inspection and seaman laws in general. (c) The Commanding Officer of the National Maritime...

District Energy Windsor

Energy Technology Data Exchange (ETDEWEB)

NONE

2002-07-01

This paper presents a summary of how District Energy Windsor operates. It includes a system site map and reasons why it is advantageous to get connected to a district heating system. District Energy Windsor is a division of the Windsor Utilities Commission. It was developed in 1996 and was the first in North America to supply both heating and cooling requirements. It supplies nearly 2 million square feet of heating and cooling for Windsor's city centre. The district energy system produces hot water or chilled water at a central plant. Energy is then piped out to buildings in the area, including the Art Gallery of Windsor, the Royal Bank Business Centre, the Windsor Justice Facility, the Windsor Casino, and Northwind Windsor. The energy, which is transferred through heat exchangers, is used for space heating, domestic hot water heating, and air conditioning. The 8 reasons for getting connected are: (1) less management costs, (2) lower energy costs, (3) lower level of risk management, (4) stable energy rates, (5) better use of building space, (6) reliable service, (7) reduced expansion costs, and (8) a cleaner environment. District heating improves air quality through reduced carbon dioxide and nitrogen oxide emissions. In addition, fuel delivery and storage are eliminated. figs.

Impact of extension interventions in improving livelihood of dairy farmers of Nadia district of West Bengal, India.

Science.gov (United States)

Garai, Suman; Garai, Sanchita; Maiti, Sanjit; Meena, B S; Ghosh, M K; Bhakat, Champak; Dutta, T K

2017-03-01

Livestock is a one of the major sources of livelihood for most of the small and marginal farmers in India, particularly for rural households who live in below poverty line. Extension interventions have long been seen as a key element for enabling farmers to obtain information and technologies that can improve their livelihoods. It is also recognized that extension is an important factor in promoting dairy development. Ex-post-facto cause to effect research design was applied in this study to trace out the impact of extension interventions in improving knowledge, attitude, adoption towards scientific dairy farming practices and improvement in milk production of dairy animal and income from dairying which will be resulted into improved livelihood of rural poor in Nadia district of West Bengal, India. Therefore, 60 dairy farmers of experimental villages who were considered as beneficiaries and 60 dairy farmers of control villages who were considered as non-beneficiaries were selected as sample for the study. It was found that beneficiaries had significantly higher score in all the five components of livelihood improvement with its all sub components, i.e., knowledge, attitude, adoption of scientific dairy farming practices, milk production per household per day and monthly income from dairying except disease control, and marketing component of adoption. Hence, it may be concluded that extension interventions had a significant impact on improving livelihood of rural dairy farmers in Nadia district of West Bengal, India.

Vendor-to-vendor education to improve malaria treatment by private drug outlets in Bungoma District, Kenya

Directory of Open Access Journals (Sweden)

Makama Sammy

2003-05-01

Full Text Available Abstract Background Private outlets are the main suppliers of uncomplicated malaria treatment in Africa. However, they are so numerous that they are difficult for governments to influence and regulate. This study's objective was to evaluate a low-cost outreach education (vendor-to-vendor programme to improve the private sector's compliance with malaria guidelines in Bungoma district, Kenya. The cornerstone of the programme was the district's training of 73 wholesalers who were equipped with customized job aids for distribution to small retailers. Methods Six months after training the wholesalers, the programme was evaluated using mystery shoppers. The shoppers posed as caretakers of sick children needing medication at 252 drug outlets. Afterwards, supervisors assessed the outlets' knowledge, drug stocks, and prices. Results The intervention seems to have had a significant impact on stocking patterns, malaria knowledge and prescribing practices of shops/kiosks, but not consistently on other types of outlets. About 32% of shops receiving job aids prescribed to mystery shoppers the approved first-line drug, sulfadoxine-pyremethamine, as compared to only 3% of the control shops. In the first six months, it is estimated that 500 outlets were reached, at a cost of about $8000. Conclusions Changing private sector knowledge and practices is widely acknowledged to be slow and difficult. The vendor-to-vendor programme seems a feasible district-level strategy for achieving significant improvements in knowledge and practices of shops/kiosks. However, alternate strategies will be needed to influence pharmacies and clinics. Overall, the impact will be only moderate unless national policies and programmes are also introduced.

Management of perforated peptic ulcer in a district general hospital.

Science.gov (United States)

Critchley, A C; Phillips, A W; Bawa, S M; Gallagher, P V

2011-11-01

Laparoscopic surgery has become increasingly popular for elective surgery but it has gained slow transference to emergency surgery. The management of perforated peptic ulcers (PPU) laparoscopically is an accepted strategy yet it still remains infrequently used. The purpose of this study was to analyse the utility and outcomes of laparoscopy versus open repair for PPU in a district general hospital. In addition, we evaluated whether the subspecialty of the on-call consultant affected the method of repair performed and the training opportunities for trainee surgeons. Between 2003 and 2009, 53 patients underwent laparoscopic repair, 89 patients underwent open repair and a further 20 patients had laparoscopic repair that was converted to open repair for PPU. The results from a prospectively compiled database were analysed with primary outcome measures including operative time, length of hospital stay and mortality. The median operating time in the laparoscopic group was 60.0 minutes compared with 50.5 minutes in the open group. Hospital stay in surviving patients was significantly shorter in patients treated completely laparoscopically (5 days) when compared with the open group (6 days) ( p management of PPU. Our findings support the view that this procedure can be successfully used as a training operation.

Dysphagia referrals to a district general hospital gastroenterology unit: hard to swallow.

Science.gov (United States)

Melleney, Elizabeth Mary-Ann; Subhani, Javaid Mohammed; Willoughby, Charles Peter

2004-01-01

The aim of our study was to audit dysphagia referrals received by a specialist gastroenterology unit during an entire year. We used a prospective audit carried out over a 12-month period at the District General Hospital gastroenterology unit. The audit included 396 consecutive patients who were referred with swallowing difficulties. We found that 60 referrals (15.2%) were inaccurate and the patients had no swallowing problem. Of the 336 patients with genuine dysphagia, only 29 (8.6%) were new cancer cases. The large majority of subjects had benign disease mostly related to acid reflux. Weight loss was significantly associated with malignancy but also occurred in one third of patients with reflux alone. The temporal pattern of dysphagia was not significantly predictive of cancer. All the cancer patients were above the age of 50 years. Although patients were in general assessed rapidly after hospital referral, the productivity, in terms of early tumor diagnosis, was extremely low. We conclude that there is a substantial rate of inaccurate referrals of dysphagia patients. Most true cases of swallowing difficulty relate to benign disease. Even the devotion of considerable resources to the early diagnosis of esophago gastric malignancy in an attempt to conform with best practice guidelines results in a very low success rate in terms of the detection of potentially curable tumors.

In the way of clean and safe drinking water : exploring limitations to improvement of the water supply in Bagamoyo District, Tanzania

OpenAIRE

Bemspång, Josefina; Segerström, Rebecka

2009-01-01

Bagamoyo District, in the Pwani region in Tanzania, supplies a large part of Tanzania'sbiggest city, Dar es Salaam, with water. At the same time many people in rural villages in thedistrict do not have access to clean and safe water. This thesis aims to explore what limitationsthere are to improvement of the rural water supply in Bagamoyo District. Specific attention ispaid to the organizational structure of the water sector and how roles and responsibilities aredivided, defined and communica...

An implementation evaluation of a policy aiming to improve financial access to maternal health care in Djibo district, Burkina Faso.

Science.gov (United States)

Belaid, Loubna; Ridde, Valéry

2012-12-08

To bring down its high maternal mortality ratio, Burkina Faso adopted a national health policy in 2007 that designed to boost the assisted delivery rate and improving quality of emergency obstetrical and neonatal care. The cost of transportation from health centres to district hospitals is paid by the policy. The worst-off are exempted from all fees. The objectives of this paper are to analyze perceptions of this policy by health workers, assess how this health policy was implemented at the district level, identify difficulties faced during implementation, and highlight interactional factors that have an influence on the implementation process. A multiple site case study was conducted at 6 health centres in the district of Djibo in Burkina Faso. The following sources of data were used: 1) district documents (n = 23); 2) key interviews with district health managers (n = 10), health workers (n = 16), traditional birth attendants (n = 7), and community management committees (n = 11); 3) non-participant observations in health centres; 4) focus groups in communities (n = 62); 5) a feedback session on the findings with 20 health staff members. All the activities were implemented as planned except for completely subsidizing the worst-off, and some activities such as surveys for patients and the quality assurance service team aiming to improve quality of care. District health managers and health workers perceived difficulties in implementing this policy because of the lack of clarity on some topics in the guidelines. Entering the data into an electronic database and the long delay in reimbursing transportation costs were the principal challenges perceived by implementers. Interactional factors such as relations between providers and patients and between health workers and communities were raised. These factors have an influence on the implementation process. Strained relations between the groups involved may reduce the effectiveness of the policy

An implementation evaluation of a policy aiming to improve financial access to maternal health care in Djibo district, Burkina Faso

Directory of Open Access Journals (Sweden)

Belaid Loubna

2012-12-01

Full Text Available Abstract Background To bring down its high maternal mortality ratio, Burkina Faso adopted a national health policy in 2007 that designed to boost the assisted delivery rate and improving quality of emergency obstetrical and neonatal care. The cost of transportation from health centres to district hospitals is paid by the policy. The worst-off are exempted from all fees. Methods The objectives of this paper are to analyze perceptions of this policy by health workers, assess how this health policy was implemented at the district level, identify difficulties faced during implementation, and highlight interactional factors that have an influence on the implementation process. A multiple site case study was conducted at 6 health centres in the district of Djibo in Burkina Faso. The following sources of data were used: 1 district documents (n = 23; 2 key interviews with district health managers (n = 10, health workers (n = 16, traditional birth attendants (n = 7, and community management committees (n = 11; 3 non-participant observations in health centres; 4 focus groups in communities (n = 62; 5 a feedback session on the findings with 20 health staff members. Results All the activities were implemented as planned except for completely subsidizing the worst-off, and some activities such as surveys for patients and the quality assurance service team aiming to improve quality of care. District health managers and health workers perceived difficulties in implementing this policy because of the lack of clarity on some topics in the guidelines. Entering the data into an electronic database and the long delay in reimbursing transportation costs were the principal challenges perceived by implementers. Interactional factors such as relations between providers and patients and between health workers and communities were raised. These factors have an influence on the implementation process. Strained relations between the groups involved

Prioritizing quality improvement in general surgery.

Science.gov (United States)

Schilling, Peter L; Dimick, Justin B; Birkmeyer, John D

2008-11-01

Despite growing interest in quality improvement, uncertainty remains about which procedures offer the most room for improvement in general surgery. In this context, we sought to describe the relative contribution of different procedures to overall morbidity, mortality, and excess length of stay in general surgery. Using data from the American College of Surgeons' National Surgery Quality Improvement Program (ACS-NSQIP), we identified all patients undergoing a general surgery procedure in 2005 and 2006 (n=129,233). Patients were placed in 36 distinct procedure groups based on Current Procedural Terminology codes. We first examined procedure groups according to their relative contribution to overall morbidity and mortality. We then assessed procedure groups according to their contribution to overall excess length of stay. Ten procedure groups alone accounted for 62% of complications and 54% of excess hospital days. Colectomy accounted for the greatest share of adverse events, followed by small intestine resection, inpatient cholecystectomy, and ventral hernia repair. In contrast, several common procedures contributed little to overall morbidity and mortality. For example, outpatient cholecystectomy, breast procedures, thyroidectomy, parathyroidectomy, and outpatient inguinal hernia repair together accounted for 34% of procedures, but only 6% of complications (and only 4% of major complications). These same procedures accounted for surgery. Focusing quality improvement efforts on these procedures may be an effective strategy for improving patient care and reducing cost.

Boise geothermal district heating system

Energy Technology Data Exchange (ETDEWEB)

Hanson, P.J.

1985-10-01

This document describes the Boise geothermal district heating project from preliminary feasibility studies completed in 1979 to a fully operational system by 1983. The report includes information about the two local governments that participated in the project - the City of Boise, Idaho and the Boise Warm Springs Water District. It also discusses the federal funding sources; the financial studies; the feasibility studies conducted; the general system planning and design; design of detailed system components; the legal issues involved in production; geological analysis of the resource area; distribution and disposal; the program to market system services; and the methods of retrofitting buildings to use geothermal hot water for space heating. Technically this report describes the Boise City district heating system based on 170/sup 0/F water, a 4000 gpm production system, a 41,000 foot pipeline system, and system economies. Comparable data are also provided for the Boise Warm Springs Water District. 62 figs., 31 tabs.

Understanding Standards and Assessment Policy in Science Education: Relating and Exploring Variations in Policy Implementation by Districts and Teachers in Wisconsin

Science.gov (United States)

Anderson, Kevin John Boyett

Current literature shows that many science teachers view policies of standards-based and test-based accountability as conflicting with research-based instruction in science education. With societal goals of improving scientific literacy and using science to spur economic growth, improving science education policy becomes especially important. To understand perceived influences of science education policy, this study looked at three questions: 1) How do teachers perceive state science standards and assessment and their influence on curriculum and instruction? 2) How do these policy perspectives vary by district and teacher level demographic and contextual differences? 3) How do district leaders' interpretations of and efforts within these policy realms relate to teachers' perceptions of the policies? To answer these questions, this study used a stratified sample of 53 districts across Wisconsin, with 343 middle school science teachers responding to an online survey; science instructional leaders from each district were also interviewed. Survey results were analyzed using multiple regression modeling, with models generally predicting 8-14% of variance in teacher perceptions. Open-ended survey and interview responses were analyzed using a constant comparative approach. Results suggested that many teachers saw state testing as limiting use of hands-on pedagogy, while standards were seen more positively. Teachers generally held similar views of the degree of influence of standards and testing regardless of their experience, background in science, credentials, or grade level taught. District SES, size and past WKCE scores had some limited correlations to teachers' views of policy, but teachers' perceptions of district policies and leadership consistently had the largest correlation to their views. District leadership views of these state policies correlated with teachers' views. Implications and future research directions are provided. Keywords: science education, policy

Decimated Input Ensembles for Improved Generalization

Science.gov (United States)

Tumer, Kagan; Oza, Nikunj C.; Norvig, Peter (Technical Monitor)

1999-01-01

Recently, many researchers have demonstrated that using classifier ensembles (e.g., averaging the outputs of multiple classifiers before reaching a classification decision) leads to improved performance for many difficult generalization problems. However, in many domains there are serious impediments to such "turnkey" classification accuracy improvements. Most notable among these is the deleterious effect of highly correlated classifiers on the ensemble performance. One particular solution to this problem is generating "new" training sets by sampling the original one. However, with finite number of patterns, this causes a reduction in the training patterns each classifier sees, often resulting in considerably worsened generalization performance (particularly for high dimensional data domains) for each individual classifier. Generally, this drop in the accuracy of the individual classifier performance more than offsets any potential gains due to combining, unless diversity among classifiers is actively promoted. In this work, we introduce a method that: (1) reduces the correlation among the classifiers; (2) reduces the dimensionality of the data, thus lessening the impact of the 'curse of dimensionality'; and (3) improves the classification performance of the ensemble.

New Zealand evidence for the impact of primary healthcare investment in Capital and Coast District Health Board.

Science.gov (United States)

Tan, Lee; Carr, Julia; Reidy, Johanna

2012-03-30

This paper provides New Zealand evidence on the effectiveness of primary care investment, measured through the Capital and Coast District Health Board's (DHB) Primary Health Care Framework. The Framework was developed in 2002/2003 to guide funding decisions at a DHB level, and to provide a transparent basis for evaluation of the implementation of the Primary Health Care Strategy in this district. The Framework used a mixed method approach; analysis was based on quantitative and qualitative data. This article demonstrates the link between investment in primary health care, increased access to primary care for high-need populations, workforce redistribution, and improved health outcomes. Over the study period, ambulatory sensitive hospitalisations and emergency department use reduced for enrolled populations and the District's immunisation coverage improved markedly. Funding and contracting which enhanced both 'mainstream' and 'niche' providers combined with community-based health initiatives resulted in a measurable impact on a range of health indicators and inequalities. Maori primary care providers improved access for Maori but also for their enrolled populations of Pacific and Other ethnicity. Growth and redistribution of primary care workforce was observed, improving the availability of general practitioners, nurses, and community workers in poorer communities.

VOLUNTEERING TO BE TAXED: BUSINESS IMPROVEMENT DISTRICTS AND THE EXTRA-GOVERNMENTAL PROVISION OF PUBLIC SAFETY

OpenAIRE

Leah Brooks

2006-01-01

When the median voter's preference sets the level of local public goods, some voters are left unsatisfied. Is there an institution by which subsets of voters can resolve the collective action problem and increase the local provision of public goods? If so, what are the consequences? In response to problems such as crime and vandalism, neighborhood property owners have established Business Improvement Districts (BIDs) to provide local public goods. When a BID is approved by a majority of prope...

Organizing for Improvement in an Urban School District: Shifting From a Culture of Compliance to a Culture of Collective Responsibility

OpenAIRE

Kovacic, Kelly Anne

2015-01-01

There is high demand for understanding the ways in which a central office can best support school improvement and student growth. This Capstone examines how a cross-functional senior leadership team collaborated to design a district-wide school improvement planning process with the goal of improving the quality of teaching and learning for all students. In particular, the analysis focuses on the functions of teaming and strategic improvement planning as drivers to help an organization achieve...

Improving disaster risk reduction capacity of District Civil Protection Units in managing veld fires: A case of Mangwe District in Matabeleland South Province, Zimbabwe

Directory of Open Access Journals (Sweden)

Ernest Dube

2015-05-01

Full Text Available This article analysed disaster risk reduction capacity of District Civil Protection Units (DCPUs in managing veld fires in Mangwe District of Matabeleland South Province, Zimbabwe. Veld fires have resulted in unnecessary material, environmental and economic losses. Communities’ livelihoods and property have been destroyed, and the natural environment depleted. The research sought to improve disaster risk reduction capacity of DCPUs in managing veld fires, through new intervention strategies and a new model. The objectives of the study were to investigate the main causes of veld fires; to analyse their impacts; to examine the effectiveness of the current intervention strategies; and to identify challenges in implementing these interventions. Furthermore, the study sought to recommend new possible intervention strategies. This mainly qualitative study employed self-administered questionnaires, interviews and focus-group discussions. Questionnaires were used to investigate members of the DCPU’s ideas, views and experiences, interviews solicited perceptions of community leaders and their subjects, whilst focus-group discussions assisted with information from members of the District Civil Protection Planning Committee. Veld fires in the district are mainly caused by human activities, and they are prevalent during the months of September and October. They affect livelihoods and the natural environment the most. This study found that DCPUs are not prepared to manage veld fires and therefore recommended new strategies and adoption of the community-based disaster risk reduction model. The new strategies include involving community leaders and members of the communities in DCPUs; regular training and workshops to members of DCPUs on veld fire management; creation of fire protection associations; regular campaigns and rehearsal of emergency drills by the DCPU personnel; the introduction of competitions and incentives in veld fire management; vigorous

District Fiscal Policy and Student Achievement

Directory of Open Access Journals (Sweden)

Gary G. Huang

2002-09-01

Full Text Available School restructuring raises questions about the role of school districts in improving student learning. Centralization by state governments and decentralization to individual schools as proposed in systemic reform leave districts' role unsettled. Empirical research on the district role in the context of ongoing reform is inadequate. This analysis of combined data from the NAEP and the Common Core of Data (CCD was intended to address the issue. We analyzed 1990, 1992, and 1996 NAEP 8th grade mathematics national assessment data in combination with CCD data of corresponding years to examine the extent to which student achievement was related to districts' control over instructional expenditure, adjusting for relevant key factors at both district and student levels. Upon sample modification, we used hierarchical linear modeling (HLM to estimate the relationships of student achievement to two district fiscal policy indictors, current expenditure per pupil (CEPP and districts' discretionary rates for instructional expenditure (DDR. Net of relevant district factors, DDR was found unrelated to districts' average 8th grade math performance. The null effect was consistent in the analysis of the combined NAEP-CCD data for 1990, 1992, and 1996. In contrast, CEPP was found related to higher math performance in a modest yet fairly consistent way. Future research may be productive to separately study individual states and integrate the findings onto the national level.

Ten thousand steps: a pedometer study of junior dentists in a major British teaching hospital and a district general hospital.

Science.gov (United States)

Keat, R M; Thomas, M; McKechnie, A

2017-05-01

Sedentary behaviour is widely associated with deleterious health outcomes that in modern medicine have similar connotations to smoking tobacco and alcohol misuse. The integration of e-portfolio, e-logbook, British National Formulary (BNF) and encrypted emails has made smartphones a necessity for trainees. Smartphones also have the ability to record the amount of exercise taken, which allows activity at work to be monitored. The aim of this study to compare the activity of the same group of dental core trainees when they worked within a large multisite teaching hospital and a smaller district general hospital, to find out if supplementary activity was needed outside work. Data were collected from smartphones. To ensure continuity, data were collected only from those who had calibrated iPhones (n=10). At the teaching hospital six of the trainees walked over 10 000 steps a day while working (mean (SD) 10 004 (639)). At the district hospital none of the trainees walked 10 000 steps. The mean (SD) number of steps completed by all trainees was 6265 (119). Walking at work provides the full quota of recommended daily exercise most of the time for those working in the teaching hospital, but additional exercise is occasionally required. While working at the district hospital they walk less, meaning that they should try to increase their activity outside work. Trainees working in the teaching hospital walk significantly more steps than in the district hospital. Copyright © 2016 The British Association of Oral and Maxillofacial Surgeons. Published by Elsevier Ltd. All rights reserved.

IMPROVEMENT OF MANGOSTEEN FARMING AND POSTHARVEST HANDLING STRATEGIES BASED ON GLOBAL GAP STANDARD AT KIARA PEDES, PURWAKARTA DISTRICT

Directory of Open Access Journals (Sweden)

Nanda Erlangga

2012-09-01

Full Text Available The objectives of this research were (1 to determine the value chain of mangosteen at Kiara Pedes Sub district, Purwakarta District, (2 to identify the gap between actual condition at Kiara Pedes and Global GAP standard, (3 to identify internal and external factors that can affect the implementation strategy of Global GAP standards, and (4 to develop alternative strategies that can be applied to improve the system of mangosteen cultivation and post harvest handling based on Global GAP standards. The analytical tools being used in this study were value chain analysis, gap analysis, internal and external factor evaluation (IFE, EFE, IE matrix, SWOT analysis, and quantitative strategic planning matrix (QSPM. Identified primary actors in mangosteen value chain were farmers, middlemen, suppliers, exporters, and local and overseas retailers. Based on IE Matrix and SWOT analysis, the strategies to implement Global GAP standards were (a to increase mangosteen productivity and improve its quality by using developed cultivation and postharvest technology, (b to increase productivity, and improve quality and transportation network in accordance with Global GAP standard, (c to improve clean water and post-harvest infrastructure through cooperation with exporters and financial institutions, and (d to improve warehouse and supporting facilities such as packaging and sanitation according to the Global GAP standard for minimizing the environmental constraints. The most priority strategies from the QSPM analysis were improving clean water and post-harvest infrastructure through cooperation with exporters and financial institutions, followed by using the developed cultivation and postharvest technology to increase mangosteen productivity and improve its quality.Keywords: Mangosteen, Global GAP Standard, Value Chain, Improvement Strategies, Farming and Postharvest Handling Practices

Food and nutrition surveillance and planning in Kilifi District, Kenya : a model for district based multi-sectoral policy formulation and planning

NARCIS (Netherlands)

Owuor, J.O.; Okello, W.O.

1995-01-01

Chronic malnutrition has been consistently high in Kilifi District, Kenya, despite efforts to improve nutrition. This report presents an alternative approach to nutrition planning in Kilifi District, taking into account the multidimensional and multidisciplinary nature of nutrition. This approach

Reforming health service delivery at district level in Ghana: the perspective of a district medical officer.

Science.gov (United States)

Agyepong, I A

1999-03-01

Many countries in sub-Saharan Africa face the problem of organizing health service delivery in a manner that provides adequate quality and coverage of health care to their populations against a background of economic recession and limited resources. In response to these challenges, different governments, including that of Ghana, have been considering or are in the process of implementing varying degrees of reform in the health sector. This paper examines aspects of health services delivery, and trends in utilization and coverage, using routine data over time in the Dangme West district of the Greater Accra region of Ghana, from the perspective of a district health manager. Specific interventions through which health services delivery and utilization at district level could be improved are suggested. Suggestions include raising awareness among care providers and health managers that increased resource availability is only a success in so far as it leads to improvements in coverage, utilization and quality; and developing indicators of performance which assess and reward use of resources at the local level to improve coverage, utilization and quality. Also needed are more flexibility in Central Government regulations for resource allocation and use; integration of service delivery at district level with more decentralized planning to make services better responsive to local needs; changes in basic and inservice training strategies; and exploration of how the public and private sectors can effectively collaborate to achieve maximum coverage and quality of care within available resources.

Improving malaria treatment and prevention in India by aiding district managers to manage their programmes with local information: a trial assessing the impact of Lot Quality Assurance Sampling on programme outcomes.

Science.gov (United States)

Valadez, Joseph J; Devkota, Baburam; Pradhan, Madan Mohan; Meherda, Pramod; Sonal, G S; Dhariwal, Akshay; Davis, Rosemary

2014-10-01

This paper reports the first trial of Lot Quality Assurance Sampling (LQAS) assessing associations between access to LQAS data and subsequent improvements in district programming. This trial concerns India's approach to addressing an increase in malaria-attributable deaths by training community health workers to diagnose, treat and prevent malaria, while using LQAS to monitor sub-district performance and make programme improvements. The Ministry of Health introduced LQAS into four matched high malaria burden districts (Annual Parasite Incidence >5) (N > 5 million). In each sub-district, we sampled four populations in three 6-monthly surveys: households, children LQAS results appeared to support district managers to increase coverage in underperforming areas, especially for vertical strategies in the presence of diligent managers. © 2014 The Authors. Tropical Medicine & International Health published by John Wiley & Sons Ltd.

The Nation's Report Card Reading 2013 Trial Urban District Snapshot Report. Austin Independent School District. Grade 4, Public Schools

Science.gov (United States)

National Center for Education Statistics, 2013

2013-01-01

The National Assessment of Educational Progress (NAEP), in partnership with the National Assessment Governing Board and the Council of the Great City Schools (CGCS), created the Trial Urban District Assessment (TUDA) in 2002 to support the improvement of student achievement in the nation's large urban districts. NAEP TUDA results in mathematics…

The Nation's Report Card Mathematics 2013 Trial Urban District Snapshot Report. Austin Independent School District. Grade 4, Public Schools

Science.gov (United States)

National Center for Education Statistics, 2013

2013-01-01

The National Assessment of Educational Progress (NAEP), in partnership with the National Assessment Governing Board and the Council of the Great City Schools (CGCS), created the Trial Urban District Assessment (TUDA) in 2002 to support the improvement of student achievement in the nation's large urban districts. NAEP TUDA results in mathematics…

The Nation's Report Card Mathematics 2013 Trial Urban District Snapshot Report. Austin Independent School District. Grade 8, Public Schools

Science.gov (United States)

National Center for Education Statistics, 2013

2013-01-01

The National Assessment of Educational Progress (NAEP), in partnership with the National Assessment Governing Board and the Council of the Great City Schools (CGCS), created the Trial Urban District Assessment (TUDA) in 2002 to support the improvement of student achievement in the nation's large urban districts. NAEP TUDA results in mathematics…

The Nation's Report Card Reading 2013 Trial Urban District Snapshot Report. Austin Independent School District. Grade 8, Public Schools

Science.gov (United States)

National Center for Education Statistics, 2013

2013-01-01

The National Assessment of Educational Progress (NAEP), in partnership with the National Assessment Governing Board and the Council of the Great City Schools (CGCS), created the Trial Urban District Assessment (TUDA) in 2002 to support the improvement of student achievement in the nation's large urban districts. NAEP TUDA results in mathematics…

Extension and improvement of Central Station District heating budget period 1 and 2, Krakow Clean Fossil Fuels and Energy Efficiency Program. Final report

Energy Technology Data Exchange (ETDEWEB)

NONE

1997-07-01

Project aim was to reduce pollution levels in the City of Krakow through the retirement of coal-fired (hand and mechanically-stoked) boiler houses. This was achieved by identifying attractive candidates and connecting them to the Krakow district heating system, thus permitting them to eliminate boiler operations. Because coal is less costly than district hot water, the district heating company Miejskie Przedsiebiorstwo Energetyki Cieplnej S.A., henceforth identified as MPEC, needed to provide potential customers with incentives for purchasing district heat. These incentives consisted of offerings which MPEC made to the prospective client. The offerings presented the economic and environmental benefits to district heating tie-in and also could include conservation studies of the facilities, so that consumption of energy could be reduced and the cost impact on operations mitigated. Because some of the targeted boiler houses were large, the capacity of the district heating network required enhancement at strategic locations. Consequently, project construction work included both enhancement to the district piping network as well as facility tie-ins. The process of securing new customers necessitated the strengthening of MPEC`s competitive position in Krakow`s energy marketplace, which in turn required improvements in marketing, customer service, strategic planning, and project management. Learning how US utilities address these challenges became an integral segment of the project`s scope.

Army Engineers in Memphis District: A Documentary Chronicle

Science.gov (United States)

1982-05-01

of levees in the St. Francis Levee District, stretching from just above Point Pleasant, Missouri, to Pecan Point, Arkansas. Meanwhile, the...troops in Trieste, Italy , 1948-1951 Commanding General, 9th Corps, Korea, 1951 Commanding General, 4th U.S. Army, 1952-1953 Commanding General

Korean district heating. Part 1: A general report on Korean district heating 1994/1995; Fjaerrvaerme i Korea. Del 1: En allmaen redovisning av koreansk fjaerrvaerme aarsskiftet 1994/95

Energy Technology Data Exchange (ETDEWEB)

Joensson, Mats; Olsson, Nils

1996-02-01

This thesis describes the conditions for district heating in the Republic of Korea at the turn of the year 1994-95. It is based on a study made in Seoul at Korea District Heating Corporation, which is the largest district heating utility in Korea. The substations were particularly studied. District heating was introduced in Korea in the 80s because of the environmental advantages. KHDC was established in 1985 and in 1994 they provided 340 000 households with district heating. By the year of 2001 KDHC plans to supply 45% of the heating in Seoul with its 12 million inhabitants. KDHC receives most of its thermal energy from combined heat and power plants that use natural gas as fuel. In 1991 KDHC initiated a collaboration with Ekono of Finland to develop more advanced technology in Korea. Therefore the Finnish standard, which is similar to Swedish standard, has left it`s mark on the Korean district heating technology. Typical for the Korean substation is that the heat exchangers are connected in parallel in only one step. KDHC:s expansion will, within a couple of years, help to make Korea one of the leading countries in modern district heating. 9 refs, 3 figs, 2 tabs

Forging Multidisciplinary Collaboration to Improve Mental/Behavioral Health.

Science.gov (United States)

Vaughn, Wanda M; Bunde, Paula K; Remick-Erickson, Kara; Rebeck, Shelby; Denny, Darla

2017-09-01

Five Johnson and Johnson fellows validated the lack of communication regarding students with mental/behavioral health issues and took a leadership position within their school district to address the problem. An open-ended survey revealed inconsistent and fragmented support given to students with mental/behavioral health concerns. A multidisciplinary task force was formed consisting of stakeholders including district and nondistrict community members. The procedure for district staff to address students' behavioral/mental health concerns was adapted by representatives from all stakeholders and was distributed district wide and uploaded to the district's staff website for general access. Training of district employees in Youth Mental Health First Aid has provided the foundation for communicating and implementing a standardized approach for identifying, responding, and referring students with mental/behavioral health concerns. Open dialog, better communication and understanding of disciplines, and more initiatives aimed at improving the mental health of all students has resulted from the collaboration started with this initiative.

Making Good Choices: Districts Take the Lead. Comprehensive School Reform.

Science.gov (United States)

North Central Regional Educational Lab., Oak Brook, IL.

Public schools across the country are aiming to improve student performance by engaging in comprehensive school reform (CSR). This guide was created to help school districts make CSR an integral part of their strategies for improving student achievement. Five components for CSR are described: (1) Strategizing, whereby the district supports CSR by…

Possibility of introducing Smallholder Beef Cattle Farmer’s Association as a starting point to develop the beef cattle chain and improve their income in Arua district, Uganda

NARCIS (Netherlands)

Candia, A.

2008-01-01

The theme of the research is “Possibility of introducing smallholder Beef Cattle Farmers Association as a starting point to develop the beef chain and improve their income in Arua district, Uganda”. The study was carried out in two Sub Counties of Arua district, Uganda. The objective was to

An application of data mining in district heating substations for improving energy performance

Science.gov (United States)

Xue, Puning; Zhou, Zhigang; Chen, Xin; Liu, Jing

2017-11-01

Automatic meter reading system is capable of collecting and storing a huge number of district heating (DH) data. However, the data obtained are rarely fully utilized. Data mining is a promising technology to discover potential interesting knowledge from vast data. This paper applies data mining methods to analyse the massive data for improving energy performance of DH substation. The technical approach contains three steps: data selection, cluster analysis and association rule mining (ARM). Two-heating-season data of a substation are used for case study. Cluster analysis identifies six distinct heating patterns based on the primary heat of the substation. ARM reveals that secondary pressure difference and secondary flow rate have a strong correlation. Using the discovered rules, a fault occurring in remote flow meter installed at secondary network is detected accurately. The application demonstrates that data mining techniques can effectively extrapolate potential useful knowledge to better understand substation operation strategies and improve substation energy performance.

Association of oral health related quality of life with dental anxiety and depression along with general health among people of Bhopal district, Madhya Pradesh

Science.gov (United States)

Shet, RGK; Jain, Gaurvi; Maroli, Sohani; Srivastava, Kirti Jajoo; Kasina, Sitaram Prasad; Shwetha, GS

2013-01-01

Background: To associate oral health related quality of life with dental anxiety and depression along with general health among people of Bhopal district, Madhya Pradesh. Materials & Methods: A cross sectional questionnaires based survey was conducted among the subjects of Bhopal district, Madhya Pradesh. The survey was carried among 101 subjects aging from 20-40 years. Subjects under investigation were belonging to various occupations. They were assigned a questionnaire. Questionnaire consisted of four parts, first part consists of socio-demographic data along with dental visiting habits, second part has OHqOL-questionnaire, third part has general health (sf-12) and fourth part has hospital anxiety and depression questionnaire. Questionnaire was used for assessment of OHqOL. It consists of 16 questions which takes into account both effect and impact of oral health on quality of life. Dental anxiety and depression was measured by Hospital Anxiety and Depression Scale. Each question was provided with four options and numbering ranging from 0-3. For general health consideration sf-12 v2 was being used, which calculates two values PCS and MCS giving result in percentage. Results: A large proportion of respondent perceived oral health as having an enhanced effect on their quality of life in all three aspects that is general health, social and psychological. This is in stark contrast to other studies, where only physical aspects of oral health were more frequently considered to have the greatest overall impact of life quality compared with items relating to social, psychological and general health aspects. Conclusion: Gender variations were not apparent in the study. Both genders were likely to perceive oral health as it is impacting strongly on their quality of life. No significant gender variations are seen. But both have specific oral health needs and are most likely to utilize dental services which may be the key in understanding oral health behavior, including

Differences in Food and Beverage Marketing Policies and Practices in US School Districts, by Demographic Characteristics of School Districts, 2012.

Science.gov (United States)

Merlo, Caitlin L; Michael, Shannon; Brener, Nancy D; Coffield, Edward; Kingsley, Beverly S; Zytnick, Deena; Blanck, Heidi

2016-12-15

Foods and beverages marketed in schools are typically of poor nutritional value. School districts may adopt policies and practices to restrict marketing of unhealthful foods and to promote healthful choices. Students' exposure to marketing practices differ by school demographics, but these differences have not yet been examined by district characteristics. We analyzed data from the 2012 School Health Policies and Practices Study to examine how food and beverage marketing and promotion policies and practices varied by district characteristics such as metropolitan status, size, and percentage of non-Hispanic white students. Most practices varied significantly by district size: a higher percentage of large districts than small or medium-sized districts restricted marketing of unhealthful foods and promoted healthful options. Compared with districts whose student populations were majority (>50%) non-Hispanic white, a higher percentage of districts whose student populations were minority non-Hispanic white (≤50% non-Hispanic white) prohibited advertising of soft drinks in school buildings and on school grounds, made school meal menus available to students, and provided families with information on school nutrition programs. Compared with suburban and rural districts, a higher percentage of urban districts prohibited the sale of soft drinks on school grounds and used several practices to promote healthful options. Preliminary findings showing significant associations between district demographics and marketing policies and practices can be used to help states direct resources, training, and technical assistance to address food and beverage marketing and promotion to districts most in need of improvement.

Empowerment Of Farmer Group In Improving Chilli Farming Income In Kerinci District, Indonesia

Directory of Open Access Journals (Sweden)

Indra Karim

2013-08-01

Full Text Available Purpose of the agricultural development is to raise the quality of human resources and the livelihood of farmers and their families. The role of farmer groups are very important in supporting the agricultural intensification program, but their ability to adopt new technologies are still very limited. Base on these facts then problems of this research is role of the chilli farmers group empowerment in improving the farming revenues.The research was carried out in the Air Hangat Timur Subdistrict, Kerinci District, many farmers who insist the chili farming traditionally, they have not implemented the recommended agrotechnologies package. The number of samples as much as two groups of farmers, including 28 farmers from the Pinang-Jaya farmers group and 17 farmers from Usaha-Sepakat farmer groups. To find out the improvement level of farmers ability in improving farmer income, it is conducted the Coefficient Spearman test.The results showed that the ability of chilli agrotechnology implementation is included in the category of “intermediate”. There is a strong relationship between farmer age, educational level, experience farming and the number of family member with the farmer capability in implementing chilli agrotechnologies. Keywords: farmer group, chili farming, farming income

Feasibility study on rehabilitation and improvement of thermal power plants, district heating and heat supply system in Botosani City

Energy Technology Data Exchange (ETDEWEB)

NONE

2001-03-01

Discussions have been given on the improvement and modification project intended of saving energies and reducing greenhouse gas emission in the Botosani district heating and heat supplying facilities in Romania. Thirty years have elapsed since the building of the Botosani district heating and heat supplying facilities, whereas noticeable energy loss has occurred due to aged deterioration, such as thermal efficiency decrease, performance decrease, and hot water leakage due to piping corrosion. The present project is intended to improve the heat production and power generation facility efficiencies, and reduce the heat loss in heat transportation and distribution to less than 5%. The improvements will be implemented by replacing and rehabilitating the existing boilers, replacing the turbine generators, and replacing the transportation and distribution pipelines and heat exchangers. As a result of the discussions, the present project is estimated to result in annual fuel conservation of 35,820 tons of crude oil equivalent, and annual reduction of the greenhouse gas emission of 110,835 t-CO2. The total amount of the initial investment for the project would be 11.369 billion yen, and the payback period would be 12 years. The project will produce profit of 31.358 billion yen in 20 years, thus the project is financially feasible. (NEDO)

Differences in Food and Beverage Marketing Policies and Practices in US School Districts, by Demographic Characteristics of School Districts, 2012

Science.gov (United States)

Michael, Shannon; Brener, Nancy D.; Coffield, Edward; Kingsley, Beverly S.; Zytnick, Deena; Blanck, Heidi

2016-01-01

Introduction Foods and beverages marketed in schools are typically of poor nutritional value. School districts may adopt policies and practices to restrict marketing of unhealthful foods and to promote healthful choices. Students’ exposure to marketing practices differ by school demographics, but these differences have not yet been examined by district characteristics. Methods We analyzed data from the 2012 School Health Policies and Practices Study to examine how food and beverage marketing and promotion policies and practices varied by district characteristics such as metropolitan status, size, and percentage of non-Hispanic white students. Results Most practices varied significantly by district size: a higher percentage of large districts than small or medium-sized districts restricted marketing of unhealthful foods and promoted healthful options. Compared with districts whose student populations were majority (>50%) non-Hispanic white, a higher percentage of districts whose student populations were minority non-Hispanic white (≤50% non-Hispanic white) prohibited advertising of soft drinks in school buildings and on school grounds, made school meal menus available to students, and provided families with information on school nutrition programs. Compared with suburban and rural districts, a higher percentage of urban districts prohibited the sale of soft drinks on school grounds and used several practices to promote healthful options. Conclusion Preliminary findings showing significant associations between district demographics and marketing policies and practices can be used to help states direct resources, training, and technical assistance to address food and beverage marketing and promotion to districts most in need of improvement. PMID:27978408

A study of a small nuclear power plant system for district heating

International Nuclear Information System (INIS)

Imamura, Mitsuru; Sato, Kotaro; Narabayashi, Tadashi; Shimazu, Yoichiro; Tsuji, Masashi

2009-01-01

We have studied nuclear power plant for district heating. Already some towns and villages in Hokkaido have requested small reactor for district heating. Using existing technology allows us to shorten development period and to keep a lid on development cost. We decided to develop new reactor based on 'MUTSU' reactor technology because 'MUTSU' had already proved its safety. And this reactor was boron free reactor. It allows plant system to reduce the chemical control system. And moderator temperature coefficient is deeply negative. It means to improve its operability and leads to dependability enhancement. We calculated burn-up calculation of erbium addition fuel. In the result, the core life became about 10 years. And we adapt the cassette type refueling during outagein in order to maintain nonproliferation. In the district heating system, a double heat exchanger system enables to response to load change in season. To obtain the acceptance of public, this system has a leak prevention system of radioactive materials to public. And road heating system of low grade heat utilization from turbine condenser leads to improve the heat utilization efficiency. We carried out performance evaluation test of district heating pipeline. Then the heat loss of pipeline is estimated at about 0.440degC/km. This result meets general condition, which is about 1degC/km. This small plant has passive safety system. It is natural cooling of containment vessel. In case of loss of coolant accident, decay heat can remove by natural convection air cooling after 6 hours. Decay heat within 6 hours can remove by evaporative heat transfer of pool on containment vessel. (author)

Evaluation of the Implementation of the Reaching Every District ...

African Journals Online (AJOL)

46987.2

ABSTRACT. Background: In 2003, the Government of Zambia in collaboration with implementing partners in immunisation introduced the Reaching Every District. (RED) strategy to improve immunization coverage. The aim of this study is to evaluate the implementation of the. RED strategy in Lusaka district. Methods: A ...

76 FR 1592 - National Poultry Improvement Plan; General Conference Committee Meeting

Science.gov (United States)

2011-01-11

...] National Poultry Improvement Plan; General Conference Committee Meeting AGENCY: Animal and Plant Health... General Conference Committee of the National Poultry Improvement Plan. DATES: The General Conference... Improvement Plan, VS, APHIS, 1498 Klondike Road, Suite 101, Conyers, GA 30094-5104; (770) 922-3496...

District heating in sequential energy supply

International Nuclear Information System (INIS)

Persson, Urban; Werner, Sven

2012-01-01

Highlights: ► European excess heat recovery and utilisation by district heat distribution. ► Heat recovery in district heating systems – a structural energy efficiency measure. ► Introduction of new theoretical concepts to express excess heat recovery. ► Fourfold potential for excess heat utilisation in EU27 compared to current levels. ► Large scale excess heat recovery – a collaborative challenge for future Europe. -- Abstract: Increased recovery of excess heat from thermal power generation and industrial processes has great potential to reduce primary energy demands in EU27. In this study, current excess heat utilisation levels by means of district heat distribution are assessed and expressed by concepts such as recovery efficiency, heat recovery rate, and heat utilisation rate. For two chosen excess heat activities, current average EU27 heat recovery levels are compared to currently best Member State practices, whereby future potentials of European excess heat recovery and utilisation are estimated. The principle of sequential energy supply is elaborated to capture the conceptual idea of excess heat recovery in district heating systems as a structural and organisational energy efficiency measure. The general conditions discussed concerning expansion of heat recovery into district heating systems include infrastructure investments in district heating networks, collaboration agreements, maintained value chains, policy support, world market energy prices, allocation of synergy benefits, and local initiatives. The main conclusion from this study is that a future fourfold increase of current EU27 excess heat utilisation by means of district heat distribution to residential and service sectors is conceived as plausible if applying best Member State practice. This estimation is higher than the threefold increase with respect to direct feasible distribution costs estimated by the same authors in a previous study. Hence, no direct barriers appear with

An improved model for provision of rural community-based health rehabilitation services in Vhembe District, Limpopo Province of South Africa

Directory of Open Access Journals (Sweden)

Rudzani E. Luruli

2016-03-01

Full Text Available Background: In 1991, Riakona Community Rehabilitation Programme initiated community-based rehabilitation (CBR in the Vhembe District of Limpopo Province. Subsequently, the South African government adopted the programme. Aim: The aim of the study was to suggest an improvement in the model of providing CBR services. Setting: The study was conducted in six rehabilitation centres located in hospitals in the Vhembe District in Limpopo Province of South Africa. Method: A mixed-mode research design with qualitative and quantitative elements was used to conduct the study. Content analysis, the chi-square test for Goodness of Fit and the Kruskal–Wallis and Mann–Whitney non-parametric tests were conducted. Results: The key determinants of client satisfaction with the services that the community rehabilitation workers rendered included provision of assistive devices and the adoption of a holistic approach to their work. Overall, satisfaction per domain for each one of the five domains of satisfaction scored less than 90%. More than 80% of clients were satisfied with empathy (83% and assurance (80% domains. Tangibles, reliability and responsiveness domains had scores of 78%, 72% and 67%, respectively. These results, together with the reasoning map of conceptual framework description, were used as the building blocks of the CBR model. Conclusion: The improved CBR model is useful for putting the programme into practice. This is particularly so for the CBR managers in the districts of the Limpopo Province. Keywords: client satisfaction, disability, community-based rehabilitation, community rehabilitation worker

District-level hospital trauma care audit filters: Delphi technique for defining context-appropriate indicators for quality improvement initiative evaluation in developing countries.

Science.gov (United States)

Stewart, Barclay T; Gyedu, Adam; Quansah, Robert; Addo, Wilfred Larbi; Afoko, Akis; Agbenorku, Pius; Amponsah-Manu, Forster; Ankomah, James; Appiah-Denkyira, Ebenezer; Baffoe, Peter; Debrah, Sam; Donkor, Peter; Dorvlo, Theodor; Japiong, Kennedy; Kushner, Adam L; Morna, Martin; Ofosu, Anthony; Oppong-Nketia, Victor; Tabiri, Stephen; Mock, Charles

2016-01-01

Prospective clinical audit of trauma care improves outcomes for the injured in high-income countries (HICs). However, equivalent, context-appropriate audit filters for use in low- and middle-income country (LMIC) district-level hospitals have not been well established. We aimed to develop context-appropriate trauma care audit filters for district-level hospitals in Ghana, was well as other LMICs more broadly. Consensus on trauma care audit filters was built between twenty panellists using a Delphi technique with four anonymous, iterative surveys designed to elicit: (i) trauma care processes to be measured; (ii) important features of audit filters for the district-level hospital setting; and (iii) potentially useful filters. Filters were ranked on a scale from 0 to 10 (10 being very useful). Consensus was measured with average percent majority opinion (APMO) cut-off rate. Target consensus was defined a priori as: a median rank of ≥9 for each filter and an APMO cut-off rate of ≥0.8. Panellists agreed on trauma care processes to target (e.g. triage, phases of trauma assessment, early referral if needed) and specific features of filters for district-level hospital use (e.g. simplicity, unassuming of resource capacity). APMO cut-off rate increased successively: Round 1--0.58; Round 2--0.66; Round 3--0.76; and Round 4--0.82. After Round 4, target consensus on 22 trauma care and referral-specific filters was reached. Example filters include: triage--vital signs are recorded within 15 min of arrival (must include breathing assessment, heart rate, blood pressure, oxygen saturation if available); circulation--a large bore IV was placed within 15 min of patient arrival; referral--if referral is activated, the referring clinician and receiving facility communicate by phone or radio prior to transfer. This study proposes trauma care audit filters appropriate for LMIC district-level hospitals. Given the successes of similar filters in HICs and obstetric care filters in LMICs

Distributed heat generation in a district heating system

OpenAIRE

Lennermo, Gunnar; Lauenberg, Patrick

2016-01-01

District heating (OH) systems need to be improved  regarding integration  of decentralised  heat generation. Micro production, prosumers and smart grids are terms becoming more and more common  in  connection  to  the  power  grid.  Concerning district  heating,  the  development  is slower, although improving. Today there are a number of such decentralised units for heat generation,  mainly  solar,  that have been partly evaluated.  Previous  studies  have shown  that there is a need to deve...

Determinants of modern family planning use among women of reproductive age in the Nkwanta district of Ghana: a case–control study

Science.gov (United States)

2014-01-01

Background Average contraceptive prevalence rate in the Nkwanta district of Ghana was estimated to be 6.2% relative to the national average at the time, of 19%. While several efforts had been made to improve family planning in the country, the district still had very low use of modern family planning methods. This study sought to determine the factors that influenced modern family planning use in general and specifically, the factors that determined the consistently low use of modern family planning methods in the district. Methods A case–control study was conducted in the Nkwanta district of Ghana to determine socio-economic, socio-cultural and service delivery factors influencing family planning usage. One hundred and thirty cases and 260 controls made up of women aged 15–49 years were interviewed using structured questionnaires. A logistic regression was fitted. Results Awareness and knowledge of modern family planning methods were high among cases and controls (over 90%). Lack of formal education among women, socio-cultural beliefs and spousal communication were found to influence modern family planning use. Furthermore, favourable opening hours of the facilities and distance to health facilities influenced the use of modern contraceptives. Conclusion While modern family planning seemed to be common knowledge among these women, actual use of such contraceptives was limited. There is need to improve use of modern family planning methods in the district. In addition to providing health facilities and consolidating close-to-client service initiatives in the district, policies directed towards improving modern family planning method use need to consider the influence of formal education. Promoting basic education, especially among females, will be a crucial step as the district is faced with high levels of school dropout and illiteracy rates. PMID:25117887

11 CFR 108.8 - Exemption for the District of Columbia.

Science.gov (United States)

2010-01-01

... 11 Federal Elections 1 2010-01-01 2010-01-01 false Exemption for the District of Columbia. 108.8 Section 108.8 Federal Elections FEDERAL ELECTION COMMISSION GENERAL FILING COPIES OF REPORTS AND STATEMENTS WITH STATE OFFICERS (2 U.S.C. 439) § 108.8 Exemption for the District of Columbia. Any copy of a...

District file of major risks for the Moselle district: B6 - The nuclear risk; B7 - The risk related to radioactive material transport

International Nuclear Information System (INIS)

2013-10-01

A first document addresses the nuclear risk with some generalities (definition, occurrence, consequences for people and for the environment with an indication of exposure thresholds, presentation of individual safety directives), a discussion of the nuclear risk level in the district (history, contamination threats, preventive actions for the Cattenom nuclear plant, existence of a triple barrier for radioactive product containment, other factors aimed at nuclear safety, urban development control, control of nuclear activities, information, rescue organisation, map of concerned communes). The second document addresses the risk related to radioactive material transport with some generalities (definition, occurrence, consequences for persons and goods, individual safety directive in case of road or railway accident), a more detailed analysis of the risk in the district (situation of the radioactive material transport in the district, risk history, human and environmental stakes, preventive actions, radiation protection safety challenges, safety factors, control of transports, rescue organisation)

A study of the improvement of the district heat price cap system

Energy Technology Data Exchange (ETDEWEB)

Yoo, S.J. [Korea Energy Economics Institute, Euiwang (Korea)

2001-11-01

This study proposes revision of the price cap mechanism applied to the district heating company, which was introduced in 1999. The revision aims at the provision of the incentives to lower the production cost to the heat producers and preventing the monopoly price from being charged to the consumer. It is proposed to extend the application period of the price cap to 3 or 5 years. 3 year application period is recommended because of lack of the experiences of the price cap mechanism and information of its performance in the public utility industries in Korea. The calculation of the price cap is better to be set based upon the minimum of the full cost of heat production in the last year of the previous application periods or the prices actually charged to the consumer during the previous application period. As the opportunity cost of the equity capital, the interest rate of the 5 year government bond or the actual interest cost of the debt financed capital is recommended to increase the share of the equity capital and to reflect the investment risk of the district heating industry. Production efficiency index applicable to the district heating company is estimated with 3 different methods. Among three different results, 3% is the first choice from a conservative perspective. It is also recommended to adjust production efficiency index as the data are accumulated and to be implemented with a profit sharing mechanism between the consumer and the monopoly supplier. In application of the price index, producer price index is applicable if the price cap is calculated from the full production cost. consumer price index is applicable if the price cap is set from the previous year's actual district heat prices (tariffs). Transfer of the ownership either by transferring stocks or by asset selling could affect the price cap determined by the full cost of the district heat production. In order to keep the consumer's welfare from being decreased, it is necessary to set

Decentralization in Zambia: resource allocation and district performance.

Science.gov (United States)

Bossert, Thomas; Chitah, Mukosha Bona; Bowser, Diana

2003-12-01

Zambia implemented an ambitious process of health sector decentralization in the mid 1990s. This article presents an assessment of the degree of decentralization, called 'decision space', that was allowed to districts in Zambia, and an analysis of data on districts available at the national level to assess allocation choices made by local authorities and some indicators of the performance of the health systems under decentralization. The Zambian officials in health districts had a moderate range of choice over expenditures, user fees, contracting, targeting and governance. Their choices were quite limited over salaries and allowances and they did not have control over additional major sources of revenue, like local taxes. The study found that the formula for allocation of government funding which was based on population size and hospital beds resulted in relatively equal per capita expenditures among districts. Decentralization allowed the districts to make decisions on internal allocation of resources and on user fee levels and expenditures. General guidelines for the allocation of resources established a maximum and minimum percentage to be allocated to district offices, hospitals, health centres and communities. Districts tended to exceed the maximum for district offices, but the large urban districts and those without public district hospitals were not even reaching the minimum for hospital allocations. Wealthier and urban districts were more successful in raising revenue through user fees, although the proportion of total expenditures that came from user fees was low. An analysis of available indicators of performance, such as the utilization of health services, immunization coverage and family planning activities, found little variation during the period 1995-98 except for a decline in immunization coverage, which may have also been affected by changes in donor funding. These findings suggest that decentralization may not have had either a positive or

Improving the performance of district heating systems by utilization of local heat boosters

DEFF Research Database (Denmark)

Falcone, A.; Dominkovic, D. F.; Pedersen, A. S.

was to evaluate the possibilities to lower the forward temperature of the heat supply in order to reduce the heat losses of the system. Booster heat pumps are introduced to increase the water temperature close to the final users. A Matlab model was developed to simulate the state of the case study DH network...... was set to minimize the system heat losses. * Corresponding author 0303-1 1 This goal was achieved by lowering the forward temperature to 40°C and relying on the installed heat pumps to boost the water temperature to the admissible value needed for the domestic hot water preparation. Depending......District Heating (DH) plays an important role into the Danish energy green transition towards the future sustainable energy systems. The new, 4 th generation district heating network, the so called Low Temperature District Heating (LTDH), tends to lower the supply temperature of the heat down to 40...

Structuring diabetes care in general practices: many improvements, remaining challenges.

LENUS (Irish Health Repository)

Jennings, S

2009-08-07

BACKGROUND: For people with type 2 diabetes to enjoy improved longevity and quality of life, care needs to be organised in a systematic way. AIM: To test if processes and intermediate outcomes for patients with type 2 diabetes changed with the move to structured care in general practice shared with secondary care. METHODS: An audit of process and intermediate outcomes for patients with type 2 diabetes before and after the change to structured care in 10 Dublin general practices shared with secondary care four years on. RESULTS: Structured diabetes care in general practice has led to more dedicated clinics improved processes of care and increased access to multidisciplinary expertise. Improvement in blood pressure control, the use of aspirin and the use of lipid lowering agents indicate a significant decrease in absolute risk of vascular events for this population. CONCLUSIONS: Structured care in general practice improves intermediate outcomes for people with type 2 diabetes. Further improvements need to be made to reach international targets.

Council Districts

Data.gov (United States)

Town of Cary, North Carolina — View the location of the Town of Cary’s four Town Council districts.Please note that one district, District A, is split into two geo-spatial areas. One area is in...

The nuclear industry and the risk of cancer in the Manche district - Cancer epidemiology and nuclear industry in the Manche district

International Nuclear Information System (INIS)

Laurent, Michel; Collignon, Albert; Bara, Simona; Degre, Delphine; Mouchel, Dominique; Poncet, Jean-Marc; Troussard, Xavier

2013-12-01

This document proposed a summarized version and a full version of a study on cancer epidemiology in the Manche district in which are located four nuclear sites of different nature and with different potential risks: the Flamanville nuclear plant (with the EPR under construction), the La Hague Areva nuclear fuel processing plant, the Manche storage site, and the Cherbourg arsenal. It describes the missions of the two cancer registries regarding the Manche region population (the general cancer registry for the Manche district, and the specialized registry of hematologic malignancies for the Basse-Normandie region), discusses the post-accidental management of a nuclear accident, presents the levels of the various basic indicators of cancer epidemiology survey (share of cancers in global mortality and factors of risk cancer, radio-induced cancers), compares cancer occurrence in the Manche district and in France and outlines some peculiarities of cancer occurrence in the Manche district, comments the cartography of cancer occurrence in the Manche district over the 1999-2010 period (solid cancers, hematologic malignancies)

Community and District Empowerment for Scale-up (CODES): a complex district-level management intervention to improve child survival in Uganda: study protocol for a randomized controlled trial.

Science.gov (United States)

Waiswa, Peter; O'Connell, Thomas; Bagenda, Danstan; Mullachery, Pricila; Mpanga, Flavia; Henriksson, Dorcus Kiwanuka; Katahoire, Anne Ruhweza; Ssegujja, Eric; Mbonye, Anthony K; Peterson, Stefan Swartling

2016-03-11

Innovative and sustainable strategies to strengthen districts and other sub-national health systems and management are urgently required to reduce child mortality. Although highly effective evidence-based and affordable child survival interventions are well-known, at the district level, lack of data, motivation, analytic and planning capacity often impedes prioritization and management weaknesses impede implementation. The Community and District Empowerment for Scale-up (CODES) project is a complex management intervention designed to test whether districts when empowered with data and management tools can prioritize and implement evidence-based child survival interventions equitably. The CODES strategy combines management, diagnostic, and evaluation tools to identify and analyze the causes of bottlenecks to implementation, build capacity of district management teams to implement context-specific solutions, and to foster community monitoring and social accountability to increase demand for services. CODES combines UNICEF tools designed to systematize priority setting, allocation of resources and problem solving with Community dialogues based on Citizen Report Cards and U-Reports used to engage and empower communities in monitoring health service provision and to demand for quality services. Implementation and all data collection will be by the districts teams or local Community-based Organizations who will be supported by two local implementing partners. The study will be evaluated as a cluster randomized trial with eight intervention and eight comparison districts over a period of 3 years. Evaluation will focus on differences in uptake of child survival interventions and will follow an intention-to-treat analysis. We will also document and analyze experiences in implementation including changes in management practices. By increasing the District Health Management Teams' capacity to prioritize and implement context-specific solutions, and empowering communities to

Factors influencing the work efficiency of district health managers in low-resource settings: a qualitative study in Ghana.

Science.gov (United States)

Bonenberger, Marc; Aikins, Moses; Akweongo, Patricia; Wyss, Kaspar

2016-01-14

There is increasing evidence that good district management practices can improve health system performance and conversely, that poor and inefficient management practices have detrimental effects. The aim of the present study was to identify factors contributing to inefficient management practices of district health managers and ways to improve their overall efficiency. Nineteen semi-structured interviews were conducted with district health managers in three districts of the Eastern Region in Ghana. The 19 interviews conducted comprised 90% of the managerial workforce in these districts in 2013. A thematic analysis was carried out using the WHO's leadership and management strengthening framework to structure the results. Key factors for inefficient district health management practices were identified to be: human resource shortages, inadequate planning and communication skills, financial constraints, and a narrow decision space that constrains the authority of district health managers and their ability to influence decision-making. Strategies that may improve managerial efficiency at both an individual and organizational level included improvements to planning, communication, and time management skills, and ensuring the timely release of district funds. Filling District Health Management Team vacancies, developing leadership and management skills of district health managers, ensuring a better flow of district funds, and delegating more authority to the districts seems to be a promising intervention package, which may result in better and more efficient management practices and stronger health system performance.

Bully Proofing: What One District Learned about Improving School Climate.

Science.gov (United States)

Berkey, Leonard G.; Keyes, Barbara J.; Longhurst, James E.

2001-01-01

Collaborating with school officials, a group of concerned parents implemented a bully-proofing program throughout their school district. After two years, the results are encouraging; it was received with enthusiasm at the elementary level. Further study will be needed to determine how these principles might be applied at the secondary level. (MKA)

Improving district level health planning and priority setting in Tanzania through implementing accountability for reasonableness framework: Perceptions of stakeholders.

Science.gov (United States)

Maluka, Stephen; Kamuzora, Peter; San Sebastián, Miguel; Byskov, Jens; Ndawi, Benedict; Hurtig, Anna-Karin

2010-12-01

In 2006, researchers and decision-makers launched a five-year project - Response to Accountable Priority Setting for Trust in Health Systems (REACT) - to improve planning and priority-setting through implementing the Accountability for Reasonableness framework in Mbarali District, Tanzania. The objective of this paper is to explore the acceptability of Accountability for Reasonableness from the perspectives of the Council Health Management Team, local government officials, health workforce and members of user boards and committees. Individual interviews were carried out with different categories of actors and stakeholders in the district. The interview guide consisted of a series of questions, asking respondents to describe their perceptions regarding each condition of the Accountability for Reasonableness framework in terms of priority setting. Interviews were analysed using thematic framework analysis. Documentary data were used to support, verify and highlight the key issues that emerged. Almost all stakeholders viewed Accountability for Reasonableness as an important and feasible approach for improving priority-setting and health service delivery in their context. However, a few aspects of Accountability for Reasonableness were seen as too difficult to implement given the socio-political conditions and traditions in Tanzania. Respondents mentioned: budget ceilings and guidelines, low level of public awareness, unreliable and untimely funding, as well as the limited capacity of the district to generate local resources as the major contextual factors that hampered the full implementation of the framework in their context. This study was one of the first assessments of the applicability of Accountability for Reasonableness in health care priority-setting in Tanzania. The analysis, overall, suggests that the Accountability for Reasonableness framework could be an important tool for improving priority-setting processes in the contexts of resource-poor settings

Public funding of health at the district level in Indonesia after decentralization-sources, flows and contradictions.

Science.gov (United States)

Heywood, Peter; Harahap, Nida P

2009-04-16

During the Suharto era public funding of health in Indonesia was low and the health services were tightly controlled by the central government; district health staff had practically no discretion over expenditure. Following the downfall of President Suharto there was a radical political, administrative and fiscal decentralization with delivery of services becoming the responsibility of district governments. In addition, public funding for health services more than doubled between 2001 and 2006. It was widely expected that services would improve as district governments now had both more adequate funds and the responsibility for services. To date there has been little improvement in services. Understanding why services have not improved requires careful study of what is happening at the district level. We collected information on public expenditure on health services for the fiscal year 2006 in 15 districts in Java, Indonesia from the district health offices and district hospitals. Data obtained in the districts were collected by three teams, one for each province. Information on district government revenues were obtained from district public expenditure databases maintained by the World Bank using data from the Ministry of Finance. The public expenditure information collected in 15 districts as part of this study indicates district governments are reliant on the central government for as much as 90% of their revenue; that approximately half public expenditure on health is at the district level; that at least 40% of district level public expenditure on health is for personnel, almost all of them permanent civil servants; and that districts may have discretion over less than one-third of district public expenditure on health; the extent of discretion over spending is much higher in district hospitals than in the district health office and health centers. There is considerable variation between districts. In contrast to the promise of decentralization there has been

Impact of different improvement measures on the thermal performance of a solar collector field for district heating

DEFF Research Database (Denmark)

Bava, Federico; Furbo, Simon

2018-01-01

The paper describes the impact of different measures to improve the thermal performance of a solar heating plant for district heating applications. The impact of the different measures was evaluated through a validated TRNSYS-Matlab model. The model included details such as effect of the flow...... temperature of the collector field, control strategy based on weather forecast and use of different heat transfer fluids. The results showed that accurate input to the control strategy improved the yearly energy output of the plant by about 3%. If accurate input is not technically or economically feasible...... regime in the absorber pipes on the collector efficiency, flow distribution in the collector field, thermal capacity of the pipes and shadows from row to row. The improvement measures included variation of the operating temperatures, accurate input to the control strategy, feedback control on the outlet...

SOCIAL AUDIT OF THE MUNICIPAL SYSTEM OF GENERAL EDUCATION

Directory of Open Access Journals (Sweden)

T. I. Zerchaninova

2013-01-01

Full Text Available The paper deals with the theory and practice of social audit of the municipal system of general education. The authors have developed a conceptual model of social audit to accurately identify both the short- and long-term development prospects of the given system. The paper describes the social audit procedures in Berezovsky municipal district of Sverdlovsk region including four stages: the content analysis of municipal documents concerning the development strategy of the general education system, diagnosis of the current conditions and problems, effectiveness evaluation of the municipal system of general education, and practical  recommendations for improving the education quality. The above mentioned audit demonstrates that the indices of education development are unsystematically tracked, obstructing therefore the adjustment process. To solve the given problems the following measures are recommended: personnel policy development, creating the regional managerial reserve and organizing management workshops, informing the teachers about the modern educational tools, and updating the municipal program of the «Educational System Development of Berezovsky Municipal District for 20011–20015». However, the above suggestions target only the current problems disregarding the challenges of tomorrow which require the advancing strategy. In authors’ opinion, the main emphasis should be re-placed on the quality improvement of the municipal educational services instead of the infrastructure reinforcement. 

SOCIAL AUDIT OF THE MUNICIPAL SYSTEM OF GENERAL EDUCATION

Directory of Open Access Journals (Sweden)

T. I. Zerchaninova

2015-03-01

Full Text Available The paper deals with the theory and practice of social audit of the municipal system of general education. The authors have developed a conceptual model of social audit to accurately identify both the short- and long-term development prospects of the given system. The paper describes the social audit procedures in Berezovsky municipal district of Sverdlovsk region including four stages: the content analysis of municipal documents concerning the development strategy of the general education system, diagnosis of the current conditions and problems, effectiveness evaluation of the municipal system of general education, and practical  recommendations for improving the education quality. The above mentioned audit demonstrates that the indices of education development are unsystematically tracked, obstructing therefore the adjustment process. To solve the given problems the following measures are recommended: personnel policy development, creating the regional managerial reserve and organizing management workshops, informing the teachers about the modern educational tools, and updating the municipal program of the «Educational System Development of Berezovsky Municipal District for 20011–20015». However, the above suggestions target only the current problems disregarding the challenges of tomorrow which require the advancing strategy. In authors’ opinion, the main emphasis should be re-placed on the quality improvement of the municipal educational services instead of the infrastructure reinforcement. 

Phenotypical and genotypical expression of Wolfram syndrome in 12 patients from a Sicilian district where this syndrome might not be so infrequent as generally expected.

Science.gov (United States)

Lombardo, F; Salzano, G; Di Bella, C; Aversa, T; Pugliatti, F; Cara, S; Valenzise, M; De Luca, F; Rigoli, L

2014-02-01

Since the original description, there have been only few epidemiological studies of Wolfram syndrome (WS). Aims of the present paper are to ascertain WS prevalence and expression in a district of North-eastern Sicily, i.e. a geographic area where consanguineous unions are not very unusual. Prevalence rates of WS in the Messina district were calculated by taking into consideration both the total population (653,737) and the populations included within the 0-30 year age range (202,681). We estimated the relative prevalence of WS among patients with youth-onset insulin-dependent diabetes mellitus (DM) who are currently aged under 30 years (256). Global WS prevalence in our district is 1:54,478, whereas prevalence among individuals under 30 is 1:16,890 and relative prevalence among patients with juvenile-onset insulin-dependent DM is 1:22.3. When compared with the patients with insulin-dependent DM of Messina district, WS patients did not exhibit significant differences in terms of biochemical features at DM onset, whereas age at DM diagnosis was significantly earlier in WS group. (a) WS prevalence is not so infrequent as generally expected; (b) in our series, DM presented before 10 years in 11/12 patients and ten cases have already developed all the four peculiar manifestations of WS by 26 years; (c) 9/12 patients exhibited a homozygous frameshift/truncation mutation (Y454_L459del_fsX454), which is the one most frequently found also in patients from other Italian regions; (d) age at DM diagnosis was significantly earlier in WS group than in the patients with insulin-dependent DM of Messina district.

Marketing Techniques for School Districts.

Science.gov (United States)

Lane, John J., Ed.

Development of marketing plans can assist not only public school districts in meeting recent competition but will also improve educational processes, increase revenue, and restore confidence in schools. This collection of articles describes a new role for school administrators--particulary for business managers: administrators as "entrepreneurs."…

Room for improvement? Leadership, innovation culture and uptake of quality improvement methods in general practice.

Science.gov (United States)

Apekey, Tanefa A; McSorley, Gerry; Tilling, Michelle; Siriwardena, A Niroshan

2011-04-01

Leadership and innovation are currently seen as essential elements for the development and maintenance of high-quality care. Little is known about the relationship between leadership and culture of innovation and the extent to which quality improvement methods are used in general practice. This study aimed to assess the relationship between leadership behaviour, culture of innovation and adoption of quality improvement methods in general practice. Self-administered postal questionnaires were sent to general practitioner quality improvement leads in one county in the UK between June and December 2007. The questionnaire consisted of background information, a 12-item scale to assess leadership behaviour, a seven-dimension self-rating scale for culture of innovation and questions on current use of quality improvement tools and techniques. Sixty-three completed questionnaires (62%) were returned. Leadership behaviours were not commonly reported. Most practices reported a positive culture of innovation, featuring relationship most strongly, followed by targets and information but rated lower on other dimensions of rewards, risk and resources. There was a significant positive correlation between leadership behaviour and the culture of innovation (r = 0.57; P improvement methods were not adopted by most participating practices. Leadership behaviours were infrequently reported and this was associated with a limited culture of innovation in participating general practices. There was little use of quality improvement methods beyond clinical and significant event audit. Practices need support to enhance leadership skills, encourage innovation and develop quality improvement skills if improvements in health care are to accelerate. © 2010 Blackwell Publishing Ltd.

33 CFR 165.506 - Safety Zones; Fifth Coast Guard District Fireworks Displays.

Science.gov (United States)

2010-07-01

... District Fireworks Displays. 165.506 Section 165.506 Navigation and Navigable Waters COAST GUARD... § 165.506 Safety Zones; Fifth Coast Guard District Fireworks Displays. (a) Regulations. The following regulations apply to the fireworks safety zones listed in the Table to § 165.506. (1) The general regulations...

Optimising corrosion monitoring in district heating systems

DEFF Research Database (Denmark)

Hilbert, Lisbeth Rischel; Thorarinsdottir, R.I.; Andersen, A.

2002-01-01

A three-year project - financially supported by the Nordic Industrial Fund - on monitoring of corrosion in district heating systems has been initiated with participation of researchers and industrial partners in Denmark, Finland, Iceland, Norway and Sweden. The primary objective of the project...... is to improve the quality control in district heating systems by corrosion monitoring. In Danish systems electrochemical impedance spectroscopy (EIS), linear polarisation resistance (LPR), high-sensitive electrical resistance (ER) technology, crevice corrosion probes, as well as weight loss coupons...

Health system performance at the district level in Indonesia after decentralization

Directory of Open Access Journals (Sweden)

Choi Yoonjoung

2010-03-01

Full Text Available Abstract Background Assessments over the last two decades have showed an overall low level of performance of the health system in Indonesia with wide variation between districts. The reasons advanced for these low levels of performance include the low level of public funding for health and the lack of discretion for health system managers at the district level. When, in 2001, Indonesia implemented a radical decentralization and significantly increased the central transfer of funds to district governments it was widely expected that the performance of the health system would improve. This paper assesses the extent to which the performance of the health system has improved since decentralization. Methods We measured a set of indicators relevant to assessing changes in performance of the health system between two surveys in three areas: utilization of maternal antenatal and delivery care; immunization coverage; and contraceptive source and use. We also measured respondents' demographic characteristics and their living circumstances. These measurements were made in population-based surveys in 10 districts in 2002-03 and repeated in 2007 in the same 10 districts using the same instruments and sampling methods. Results The dominant providers of maternal and child health in these 10 districts are in the private sector. There was a significant decrease in birth deliveries at home, and a corresponding increase in deliveries in health facilities in 5 of the 10 districts, largely due to increased use of private facilities with little change in the already low use of public facilities. Overall, there was no improvement in vaccination of mothers and their children. Of those using modern contraceptive methods, the majority obtained them from the private sector in all districts. Conclusions There has been little improvement in the performance of the health system since decentralization occurred in 2001 even though there have also been significant increases in

Influencing Swedish homeowners to adopt district heating system

Energy Technology Data Exchange (ETDEWEB)

Mahapatra, Krushna; Gustavsson, Leif [Ecotechnology, Mid Sweden University, Akademigatan 1, 831 25 Oestersund (Sweden)

2009-02-15

Improved energy efficiency and greenhouse gas mitigation could be achieved by replacing resistance heaters with district heating system. In 2005, only about 8% of the Swedish detached houses had district heating system. The expansion of such systems largely depends on homeowners' adoption decisions. And, to motivate homeowners to adopt district heating, it is essential to understand their decision-making process. In this context, in June 2005 we carried out a questionnaire survey of about 700 homeowners who lived in the city of Oestersund in houses with resistance heaters (baseline survey). About 84% of the respondents did not intend to install a new heating system. Since then these homeowners were influenced by (a) an investment subsidy by the Swedish government to replace resistance heaters with district heating, a brine/water-based heat pump, or a biomass-based heating system and (b) a marketing campaign by the municipality-owned district heating company. This paper analyses how these two measures influenced about 78% of the homeowners to adopt the district heating system. For this purpose we carried out a follow-up survey of the same homeowners in December 2006 (resurvey). Results showed that the investment subsidy and the marketing campaign created a need among the homeowners to adopt a new heating system. The marketing campaign was successful in motivating them to adopt the district heating system. The marketing strategy by the district heating company corresponds to the results obtained in the baseline survey. (author)

Influencing Swedish homeowners to adopt district heating system

International Nuclear Information System (INIS)

Mahapatra, Krushna; Gustavsson, Leif

2009-01-01

Improved energy efficiency and greenhouse gas mitigation could be achieved by replacing resistance heaters with district heating system. In 2005, only about 8% of the Swedish detached houses had district heating system. The expansion of such systems largely depends on homeowners' adoption decisions. And, to motivate homeowners to adopt district heating, it is essential to understand their decision-making process. In this context, in June 2005 we carried out a questionnaire survey of about 700 homeowners who lived in the city of Ostersund in houses with resistance heaters (baseline survey). About 84% of the respondents did not intend to install a new heating system. Since then these homeowners were influenced by (a) an investment subsidy by the Swedish government to replace resistance heaters with district heating, a brine/water-based heat pump, or a biomass-based heating system and (b) a marketing campaign by the municipality-owned district heating company. This paper analyses how these two measures influenced about 78% of the homeowners to adopt the district heating system. For this purpose we carried out a follow-up survey of the same homeowners in December 2006 (resurvey). Results showed that the investment subsidy and the marketing campaign created a need among the homeowners to adopt a new heating system. The marketing campaign was successful in motivating them to adopt the district heating system. The marketing strategy by the district heating company corresponds to the results obtained in the baseline survey

Influencing Swedish homeowners to adopt district heating system

Energy Technology Data Exchange (ETDEWEB)

Mahapatra, Krushna; Gustavsson, Leif [Ecotechnology, Mid Sweden University, Akademigatan 1, 831 25 Oestersund (Sweden)

2009-02-15

Improved energy efficiency and greenhouse gas mitigation could be achieved by replacing resistance heaters with district heating system. In 2005, only about 8% of the Swedish detached houses had district heating system. The expansion of such systems largely depends on homeowners' adoption decisions. And, to motivate homeowners to adopt district heating, it is essential to understand their decision-making process. In this context, in June 2005 we carried out a questionnaire survey of about 700 homeowners who lived in the city of Oestersund in houses with resistance heaters (baseline survey). About 84% of the respondents did not intend to install a new heating system. Since then these homeowners were influenced by (a) an investment subsidy by the Swedish government to replace resistance heaters with district heating, a brine/water-based heat pump, or a biomass-based heating system and (b) a marketing campaign by the municipality-owned district heating company. This paper analyses how these two measures influenced about 78% of the homeowners to adopt the district heating system. For this purpose we carried out a follow-up survey of the same homeowners in December 2006 (resurvey). Results showed that the investment subsidy and the marketing campaign created a need among the homeowners to adopt a new heating system. The marketing campaign was successful in motivating them to adopt the district heating system. The marketing strategy by the district heating company corresponds to the results obtained in the baseline survey. (author)

The situation of district heating, district cooling and energy supply in Hungary

International Nuclear Information System (INIS)

Sigmond, Gy.

2009-01-01

District heating represents with 650.000 heated dwellings approximately 15% of the Hungarian residential heating market. Since 1990 there is stagnation at the number of connected dwellings because erection of large settlements with prefab buildings has been stopped, and latter ones represent more than 75% of the dwelling heating market. During the same period, residential heat demand shrunk by 33%, because metering of hot water consumption resulted in changing consumer habits, and because of slowly but step by step refurbishment of buildings and heating systems. In Hungary district heating is present in all large and most of the medium size cities, in 92 cities together. Out of them, there is also a single village with a local district heating system, which heats more than 60% of cottages. The capacity os systems is spreading to a large extent. Approximately 36-36% of all heated dwellings are in Budapest and in 10 large cities in the country, while 148 of the total 202 systems have less than 10 MW capacities. In the fuel structure of district heating it is characteristic the overwhelming role of natural gas consumption, which has exceeded 80% already. Only a few numbers of heating power plants are fuelled by crown coal. The use of renewables is growing continuous, but, together with waste and waste energy, it amounts merely 8% of the total fuel use. Oil consumption is negligible. Currently the most promising DH-market is the service sector (public buildings and commercial consumers). DH-companies can sell their surplus supply capacities on the competitive market. Residential market can be preserved only with better legal conditions and with improving of demand side management. The industrial heat market can be gained when the erection of new power plants will be harmonized with industrial development in the frame of territorial planning. District cooling is just at the beginning in Hungary. Many new commercial and office buildings are erected with air conditioning

Hip resurfacing in a district general hospital: 6-year clinical results using the ReCap hip resurfacing system

Directory of Open Access Journals (Sweden)

van der Weegen Walter

2012-12-01

Full Text Available Abstract Background The purpose of our study was to prospectively report the clinical results of 280 consecutive hips (240 patients who received a ReCap Hip Resurfacing System implant (Biomet Inc., Warsaw, USA in a single district general hospital. Literature reports a large variation in clinical results between different resurfacing designs and published results using this particular design are scarce. Methods Mean follow up was 3.3 years (1.0 to 6.3 and four patients were lost to follow-up. All patients were diagnosed with end-stage hip osteoarthritis, their mean age was 54 years and 76.4% of all patients were male. Results There were 16 revisions and four patients reported a Harris Hip Score Conclusions This independent series confirms that hip resurfacing is a demanding procedure, and that implant survival of the ReCap hip resurfacing system is on a critical level in our series. In non-revised patients, reported outcomes are generally excellent. Trial registration ClinicalTrials.gov Identifier: NCT00603395

What Governs District Manager Decision Making? A Case Study of Complex Leadership in Dangme West District, Ghana

NARCIS (Netherlands)

Kwamie, Aku; Agyepong, Irene Akua; Dijk, Van Han

2015-01-01

Management and leadership in complex health systems
have been little addressed as contributors toward improving maternal
and newborn health. Widespread perceptions of weak district-level
management and leadership have encouraged capacity strengthening
interventions with a predominant

On-line corrosion monitoring in geothermal district heating systems

DEFF Research Database (Denmark)

Richter, S.; Hilbert, Lisbeth Rischel; Thorarinsdottir, R.I.

2006-01-01

General corrosion rates in the geothermal district heating systems in Iceland are generally low, of the magnitude 1 lm/y. The reason is high pH (9.5), low-conductivity (200 lm/y) and negligible dissolved oxygen. The geothermal hot water is either used directly from source or to heat up cold ground...

Using targeted vouchers and health equity funds to improve access to skilled birth attendants for poor women: a case study in three rural health districts in Cambodia.

Science.gov (United States)

Ir, Por; Horemans, Dirk; Souk, Narin; Van Damme, Wim

2010-01-07

In many developing countries, the maternal mortality ratio remains high with huge poor-rich inequalities. Programmes aimed at improving maternal health and preventing maternal mortality often fail to reach poor women. Vouchers in health and Health Equity Funds (HEFs) constitute a financial mechanism to improve access to priority health services for the poor. We assess their effectiveness in improving access to skilled birth attendants for poor women in three rural health districts in Cambodia and draw lessons for further improvement and scaling-up. Data on utilisation of voucher and HEF schemes and on deliveries in public health facilities between 2006 and 2008 were extracted from the available database, reports and the routine health information system. Qualitative data were collected through focus group discussions and key informant interviews. We examined the trend of facility deliveries between 2006 and 2008 in the three health districts and compared this with the situation in other rural districts without voucher and HEF schemes. An operational analysis of the voucher scheme was carried out to assess its effectiveness at different stages of operation. Facility deliveries increased sharply from 16.3% of the expected number of births in 2006 to 44.9% in 2008 after the introduction of voucher and HEF schemes, not only for voucher and HEF beneficiaries, but also for self-paid deliveries. The increase was much more substantial than in comparable districts lacking voucher and HEF schemes. In 2008, voucher and HEF beneficiaries accounted for 40.6% of the expected number of births among the poor. We also outline several limitations of the voucher scheme. Vouchers plus HEFs, if carefully designed and implemented, have a strong potential for reducing financial barriers and hence improving access to skilled birth attendants for poor women. To achieve their full potential, vouchers and HEFs require other interventions to ensure the supply of sufficient quality maternity

Approach and practices of district energy planning to achieve low carbon outcomes in China

International Nuclear Information System (INIS)

Xu, Baoping; Zhou, Shaoxiang; Hao, Lin

2015-01-01

District energy planning is an important methodology to assist in realizing a lower carbon target. However, district energy planning has not yet been incorporated into the statutory planning system in China, primarily because there are no clear standards and specifications for these plans. In this paper, we propose a general framework and low carbon estimation method for district energy planning, which is based on evaluating the low carbon energy planning practices of several new districts in China. In addition, several key points of concern in the planning process are extracted and discussed: overall infrastructure planning; co-operation between city planning and other special low carbon eco-planning; investment, financing and profitable operation; planning management mechanisms; and the management of the construction of the energy system to coincide with the project schedule. We carried out a case study of a low carbon energy plan for a new district of Beijing to evaluate our framework. Finally, we conclude that to realize the low carbon target, regional energy planning covering technologies, the market and management should be standardized as soon as possible. -- Highlights: •A general framework for district energy planning is proposed. •A case study of a low carbon energy plan for a new district is carried out. •District energy planning should be standardized as soon as possible. •The most suitable spatial scale for energy planning is at the municipal level

Improving mapping for Ebola response through mobilising a local community with self-owned smartphones: Tonkolili District, Sierra Leone, January 2015.

Directory of Open Access Journals (Sweden)

Laura M Nic Lochlainn

Full Text Available During the 2014-16 Ebola virus disease (EVD outbreak, the Magburaka Ebola Management Centre (EMC operated by Médecins Sans Frontières (MSF in Tonkolili District, Sierra Leone, identified that available district maps lacked up-to-date village information to facilitate timely implementation of EVD control strategies. In January 2015, we undertook a survey in chiefdoms within the MSF EMC catchment area to collect mapping and village data. We explore the feasibility and cost to mobilise a local community for this survey, describe validation against existing mapping sources and use of the data to prioritise areas for interventions, and lessons learned.We recruited local people with self-owned Android smartphones installed with open-source survey software (OpenDataKit (ODK and open-source navigation software (OpenStreetMap Automated Navigation Directions (OsmAnd. Surveyors were paired with local motorbike drivers to travel to eligible villages. The collected mapping data were validated by checking for duplication and comparing the village names against a pre-existing village name and location list using a geographic distance and text string-matching algorithm.The survey teams gained sufficient familiarity with the ODK and OsmAnd software within 1-2 hours. Nine chiefdoms in Tonkolili District and three in Bombali District were surveyed within two weeks. Following de-duplication, the surveyors collected data from 891 villages with an estimated 127,021 households. The overall survey cost was €3,395; €3.80 per village surveyed. The MSF GIS team (MSF-OCG created improved maps for the MSF Magburaka EMC team which were used to support surveillance, investigation of suspect EVD cases, hygiene-kit distribution and EVD survivor support. We shared the mapping data with OpenStreetMap, the local Ministry of Health and Sanitation and Sierra Leone District and National Ebola Response Centres.Involving local community and using accessible technology allowed

Improving mapping for Ebola response through mobilising a local community with self-owned smartphones: Tonkolili District, Sierra Leone, January 2015.

Science.gov (United States)

Nic Lochlainn, Laura M; Gayton, Ivan; Theocharopoulos, Georgios; Edwards, Robin; Danis, Kostas; Kremer, Ronald; Kleijer, Karline; Tejan, Sumaila M; Sankoh, Mohamed; Jimissa, Augustin; Greig, Jane; Caleo, Grazia

2018-01-01

During the 2014-16 Ebola virus disease (EVD) outbreak, the Magburaka Ebola Management Centre (EMC) operated by Médecins Sans Frontières (MSF) in Tonkolili District, Sierra Leone, identified that available district maps lacked up-to-date village information to facilitate timely implementation of EVD control strategies. In January 2015, we undertook a survey in chiefdoms within the MSF EMC catchment area to collect mapping and village data. We explore the feasibility and cost to mobilise a local community for this survey, describe validation against existing mapping sources and use of the data to prioritise areas for interventions, and lessons learned. We recruited local people with self-owned Android smartphones installed with open-source survey software (OpenDataKit (ODK)) and open-source navigation software (OpenStreetMap Automated Navigation Directions (OsmAnd)). Surveyors were paired with local motorbike drivers to travel to eligible villages. The collected mapping data were validated by checking for duplication and comparing the village names against a pre-existing village name and location list using a geographic distance and text string-matching algorithm. The survey teams gained sufficient familiarity with the ODK and OsmAnd software within 1-2 hours. Nine chiefdoms in Tonkolili District and three in Bombali District were surveyed within two weeks. Following de-duplication, the surveyors collected data from 891 villages with an estimated 127,021 households. The overall survey cost was €3,395; €3.80 per village surveyed. The MSF GIS team (MSF-OCG) created improved maps for the MSF Magburaka EMC team which were used to support surveillance, investigation of suspect EVD cases, hygiene-kit distribution and EVD survivor support. We shared the mapping data with OpenStreetMap, the local Ministry of Health and Sanitation and Sierra Leone District and National Ebola Response Centres. Involving local community and using accessible technology allowed rapid

District heating in Switzerland

International Nuclear Information System (INIS)

Herzog, F.

1991-01-01

District heating has been used in Switzerland for more than 50 years. Its share of the heat market is less than 3% today. An analysis of the use of district heating in various European countries shows that a high share of district heating in the heat market is always dependent on ideal conditions for its use. Market prospects and possible future developments in the use of district heating in Switzerland are described in this paper. The main Swiss producers and distributors of district heating are members of the Association of District Heating Producers and Distributors. This association supports the installation of district heating facilities where ecological, energetical and economic aspects indicate that district heating would be a good solution. (author) 2 tabs., 6 refs

An assessment of the quality of care for children in eighteen randomly selected district and sub-district hospitals in Bangladesh

Directory of Open Access Journals (Sweden)

Hoque Dewan ME

2012-12-01

Full Text Available Abstract Background Quality hospital care is important in ensuring that the needs of severely ill children are met to avert child mortality. However, the quality of hospital care for children in developing countries has often been found poor. As the first step of a country road map for improving hospital care for children, we assessed the baseline situation with respect to the quality of care provided to children under-five years age in district and sub-district level hospitals in Bangladesh. Methods Using adapted World Health Organization (WHO hospital assessment tools and standards, an assessment of 18 randomly selected district (n=6 and sub-district (n=12 hospitals was undertaken. Teams of trained assessors used direct case observation, record review, interviews, and Management Information System (MIS data to assess the quality of clinical case management and monitoring; infrastructure, processes and hospital administration; essential hospital and laboratory supports, drugs and equipment. Results Findings demonstrate that the overall quality of care provided in these hospitals was poor. No hospital had a functioning triage system to prioritise those children most in need of immediate care. Laboratory supports and essential equipment were deficient. Only one hospital had all of the essential drugs for paediatric care. Less than a third of hospitals had a back-up power supply, and just under half had functioning arrangements for safe-drinking water. Clinical case management was found to be sub-optimal for prevalent illnesses, as was the quality of neonatal care. Conclusion Action is needed to improve the quality of paediatric care in hospital settings in Bangladesh, with a particular need to invest in improving newborn care.

Energy efficiency improvements utilising mass flow control and a ring topology in a district heating network

International Nuclear Information System (INIS)

Laajalehto, Tatu; Kuosa, Maunu; Mäkilä, Tapio; Lampinen, Markku; Lahdelma, Risto

2014-01-01

Heating and cooling have a major role in the energy sector, covering 46% of total final energy use worldwide. District heating (DH) is a significant technology for improving the energy efficiency of heating systems in communities, because it enables waste heat sources to be utilised economically and therefore significantly reduces the environmental impacts of power generation. As a result of new and more stringent construction regulations for buildings, the heat demands of individual buildings are decreasing and more energy-efficient heating systems have to be developed. In this study, the energy efficiency of a new DH system which includes both a new control system called mass flow control and a new network design called a ring network is examined. A topology in the Helsinki region is studied by using a commercial DH network modelling tool, Grades Heating. The district heating network is attached to a wood-burning heat station which has a heat recovery system in use. Examination is performed by means of both technical and economic analysis. The new non-linear temperature programme that is required is adopted for supply and return temperatures, which allows greater temperature cooling and smaller flow rates. Lower district heating water temperatures are essential when reducing the heat losses in the network and heat production. Mass flow control allows smaller pressure drops in the network and thus reduces the pumping power. The aim of this study was to determine the most energy-efficient DH water supply temperatures in the case network. If the ring network design is utilised, the district heating system is easier to control. As a result the total heat consumption within the heating season is reduced compared to traditional DH systems. On the basis of the results, the new DH system is significantly more energy-efficient in the case network that was examined than the traditional design. For example, average energy losses within the constraints (which consist of heat

To what extent do site-based training, mentoring, and operational research improve district health system management and leadership in low- and middle-income countries: a systematic review protocol.

Science.gov (United States)

Belrhiti, Zakaria; Booth, Andrew; Marchal, Bruno; Verstraeten, Roosmarijn

2016-04-27

District health managers play a key role in the effectiveness of decentralized health systems in low- and middle-income countries. Inadequate management and leadership skills often hamper their ability to improve quality of care and effectiveness of health service delivery. Nevertheless, significant investments have been made in capacity-building programmes based on site-based training, mentoring, and operational research. This systematic review aims to review the effectiveness of site-based training, mentoring, and operational research (or action research) on the improvement of district health system management and leadership. Our secondary objectives are to assess whether variations in composition or intensity of the intervention influence its effectiveness and to identify enabling and constraining contexts and underlying mechanisms. We will search the following databases: MEDLINE, PsycInfo, Cochrane Library, CRD database (DARE), Cochrane Effective Practice and Organisation of Care (EPOC) group, ISI Web of Science, Health Evidence.org, PDQ-Evidence, ERIC, EMBASE, and TRIP. Complementary search will be performed (hand-searching journals and citation and reference tracking). Studies that meet the following PICO (Population, Intervention, Comparison, Outcome) criteria will be included: P: professionals working at district health management level; I: site-based training with or without mentoring, or operational research; C: normal institutional arrangements; and O: district health management functions. We will include cluster randomized controlled trials, controlled before-and-after studies, interrupted time series analysis, quasi-experimental designs, and cohort and longitudinal studies. Qualitative research will be included to contextualize findings and identify barriers and facilitators. Primary outcomes that will be reported are district health management and leadership functions. We will assess risk of bias with the Cochrane Collaboration's tools for randomized

Comparative analysis of the district heating systems of two towns in Croatia and Denmark

DEFF Research Database (Denmark)

Čulig-Tokić, Dario; Krajačić, Goran; Doračić, Borna

2015-01-01

This paper compares district heating systems in Zagreb and Aalborg in order to see their similarities and differences from which conclusions are drawn on how to improve the systems. The method chosen is the comparative analysis. Data is organized and structured so to allow clear and concise...... comparison. The results of the comparative analysis show that the district heating system in Aalborg is more advanced than the district heating system in Zagreb. This advantage is prominent in aspects of supply, demand, distribution and economic spheres. Some of the possible improvements include lowering...

Load Management in District Heating Operation

OpenAIRE

Li, Hongwei; Wang, Stephen Jia

2015-01-01

Smooth operation of district heating system will avoid installation of expensive peak heat boilers, improve plant partial load performance, increase the system redundancy for further network expansion and improve its resilience to ensuresecurity of supply during severe heating seasons. The peak heating load can be reduced through building demand side management. The building thermal mass can be used to shift the heating supply under the circumstance withoutjeopardizing the consumer thermal co...

Coordinated School Health and the Contribution of a District Wellness Coordinator

Science.gov (United States)

Westrich, Lisa; Sanchez, Monika; Strobel, Karen

2015-01-01

Background: A San Francisco Bay Area school health initiative was established in fall 2010 to improve wellness programs in 4 local school districts using the Coordinated School Health (CSH) model. This study examines the role of district-wide wellness coordinators and the ways in which they contribute to intentional coordination of health and…

Promoting Children's and Adolescents' Social and Emotional Development: District Adaptations of a Theory of Action.

Science.gov (United States)

Kendziora, Kimberly; Osher, David

2016-01-01

This article contributes to the broader discussion of promotion, prevention, and intervention in child and adolescent mental health by describing implementation and early outcomes of an 8-school district demonstration project aimed at making the promotion of social and emotional learning a systemic part of school districts' practice. Eight districts are 2-3 years in to their participation in the 6-year project. The districts are large, are predominantly urban, and serve many students who are at disadvantage. The evaluation involved collection of qualitative data to measure the degree to which the districts realized the goals established in the initiative's theory of action, as well as school climate data, extant student records, and surveys of students' social and emotional competence. To date, results show that districts have followed highly individual pathways toward integrating social and emotional learning systemically, and all have made progress over time. Although school-level implementation remains at moderate levels, 2 districts in which we could examine school climate showed gains from preinitiative years. Four of 6 measured districts showed improvement in social and emotional competence for students in Grade 3, and achievement and discipline showed overall improvements across all districts. Overall findings show that implementation of the initiative's theory of action by school districts is feasible, even in times of budgetary stress and leadership turnover. This establishes the potential for school districts to serve as a lever of change in the promotion of students' social and emotional development and mental wellness.

General practice ethnicity data: evaluation of a tool

Directory of Open Access Journals (Sweden)

Neuwelt P

2014-03-01

Full Text Available INTRODUCTION: There is evidence that the collection of ethnicity data in New Zealand primary care is variable and that data recording in practices does not always align with the procedures outlined in the Ethnicity Data Protocols for the Health and Disability Sector. In 2010, The Ministry of Health funded the development of a tool to audit the collection of ethnicity data in primary care. The aim of this study was to pilot the Ethnicity Data Audit Tool (EAT in general practice. The goal was to evaluate the tool and identify recommendations for its improvement. METHODS: Eight general practices in the Waitemata District Health Board region participated in the EAT pilot. Feedback about the pilot process was gathered by questionnaires and interviews, to gain an understanding of practices’ experiences in using the tool. Questionnaire and interview data were analysed using a simple analytical framework and a general inductive method. FINDINGS: General practice receptionists, practice managers and general practitioners participated in the pilot. Participants found the pilot process challenging but enlightening. The majority felt that the EAT was a useful quality improvement tool for handling patient ethnicity data. Larger practices were the most positive about the tool. CONCLUSION: The findings suggest that, with minor improvements to the toolkit, the EAT has the potential to lead to significant improvements in the quality of ethnicity data collection and recording in New Zealand general practices. Other system-level factors also need to be addressed.

Empowerment Zones and Enterprise Districts - MDC_CommunityDevelopmentDistrict

Data.gov (United States)

NSGIC Local Govt | GIS Inventory — Community Development Districts (CDDs) are special taxing districts or local units of special-purpose government. A CDD may charge separate non-ad valorem special...

District heating in Switzerland: Giving a survey and studying an example case

Energy Technology Data Exchange (ETDEWEB)

Kiss, M; Minder, R

1981-05-01

Today it is generally accepted that district-heating has essential adventages in areas which are suitable for it - as opposed to the heating mode which is most widely practiced in Switzerland, i.e. individual oil heating. These advantages shall only be pointed out briefly, here, by mentioning the following key words: economy, exploitation of fuel, safety of supply, and enviromental protection. Principally supporting the expansion of existing district-heating installations or the construction of new ones the authors give their view on the subject concerning the contribution to the total supply of heat which reasonably may be attributed to district-heating; they also give their opinion of the plans of a Swiss municipality as to its energy and district-heating supply.

Assessment of existing local houses condition as analysis tools for shore housing improvement program in Weriagar district, Bintuni Bay

Science.gov (United States)

Firmansyah, F.; Fernando, A.; Allo, I. P. R.

2018-01-01

The housing assessment is a part of the pre-feasibility study inThe Shore Housing Improvement Program in Weriagar District, West Papua. The housing assessment was conducted to identify the physical condition of existing houses. The parameters of assessment formulated from local references, practices and also national building regulation that covers each building system components, such as building structure/frame, building floor, building cover, and building roof. This study aims to explains lessons from local practices and references, used as the formula to generate assessment parameter, elaborate with Indonesia building regulation. The result of housing assessment were used as a basis to develop the house improvement strategy, the design alternative for housing improvement and further planning recommendations. The local knowledges involved in housing improvement program expected that the local-based approach could respect to the local build culture, respect the local environment, and the most important can offer best suitable solutions for functional utility and livability.

Woodfuel procurement strategies of district heating plants

International Nuclear Information System (INIS)

Roos, A.; Bohlin, F.; Hektor, B.; Hillring, B.

2003-01-01

Woodfuel use in the Swedish district heating sector increased significantly from 1985 to 1999. This study analysed strategies and considerations concerning woodfuel procurement in district heating plants. Priorities and concerns in the industry involved an increased woodfuel share, ambitions to create an environmental image, cost minimisation, awareness about the role of energy policies for fuel choice, improvement of woodfuel quality and the ambition to maintain a competitive woodfuel market with several suppliers. Factor analysis yielded five dimensions in the woodfuel procurement strategies among the district heating companies: (1) increased woodfuel use; (2) import; (3) spot market woodfuel purchases; (4) focus on refined woodfuels; and (5) using price only when deciding whether to use woodfuels or other fuels. Five clusters were defined along the three strategy dimensions (1)-(3). The clusters differed concerning size, experiences from the introduction of woodfuels, perceptions about woodfuels and strategies employed to date. This paper describes different strategies that the district heating companies apply on the woodfuel market. The conclusion is that policies should consider this diversity in procurement strategies, mitigate their negative side-effects and assist to make them cost-effective. (author)

Improving 200 MW NDHR reactor protection system with GAL devices

International Nuclear Information System (INIS)

Shi Mingde; Li Duo; Xie Zhengguo

1999-01-01

The emergence of General Array Logic (GAL), a fairly new type of logic devices with the characteristics of user-definable logic functions, have led to a revolutionary change in the design of logical circuits. The improvements of the reactor protection system for the 200 MW nuclear district heating reactor (NDHR) using GAL are covered

Legislative Districts, Rhode Island Senate Districts; risen07; State legislature district boundaries for the RI State Senate as determined in 2002 and revised in 2004 as designated in Rhode Island General Law 17-11. Corrected for renumbering of districts 9,12,24,and 32 in 2007, Published in 2007, 1:100000 (1in=8333ft) scale, Rhode Island and Providence Plantations.

Data.gov (United States)

NSGIC State | GIS Inventory — Legislative Districts dataset current as of 2007. Rhode Island Senate Districts; risen07; State legislature district boundaries for the RI State Senate as determined...

Using targeted vouchers and health equity funds to improve access to skilled birth attendants for poor women: a case study in three rural health districts in Cambodia

Directory of Open Access Journals (Sweden)

Souk Narin

2010-01-01

Full Text Available Abstract Background In many developing countries, the maternal mortality ratio remains high with huge poor-rich inequalities. Programmes aimed at improving maternal health and preventing maternal mortality often fail to reach poor women. Vouchers in health and Health Equity Funds (HEFs constitute a financial mechanism to improve access to priority health services for the poor. We assess their effectiveness in improving access to skilled birth attendants for poor women in three rural health districts in Cambodia and draw lessons for further improvement and scaling-up. Methods Data on utilisation of voucher and HEF schemes and on deliveries in public health facilities between 2006 and 2008 were extracted from the available database, reports and the routine health information system. Qualitative data were collected through focus group discussions and key informant interviews. We examined the trend of facility deliveries between 2006 and 2008 in the three health districts and compared this with the situation in other rural districts without voucher and HEF schemes. An operational analysis of the voucher scheme was carried out to assess its effectiveness at different stages of operation. Results Facility deliveries increased sharply from 16.3% of the expected number of births in 2006 to 44.9% in 2008 after the introduction of voucher and HEF schemes, not only for voucher and HEF beneficiaries, but also for self-paid deliveries. The increase was much more substantial than in comparable districts lacking voucher and HEF schemes. In 2008, voucher and HEF beneficiaries accounted for 40.6% of the expected number of births among the poor. We also outline several limitations of the voucher scheme. Conclusions Vouchers plus HEFs, if carefully designed and implemented, have a strong potential for reducing financial barriers and hence improving access to skilled birth attendants for poor women. To achieve their full potential, vouchers and HEFs require other

District heating

International Nuclear Information System (INIS)

Hansen, L.

1993-01-01

The environmental risks and uncertainties of a high-energy future are disturbing and give rise to several reservations concerning the use of fossil fuels. A number of technologies will help to reduce atmospheric pollution. In Denmark special importance is attached to the following: Energy conservation. Efficient energy conversion. Renewable energy sources. District heating, combined production of heat and power. Many agree that district heating (DH), produced by the traditional heat-only plant, and combined heat and power (CHP) have enormous potential when considering thermal efficiency and lowered environmental impacts: The basic technology of each is proven, it would be relatively simple to satisfy a substantial part of the energy demand, and their high efficiencies mean reduced pollution including greenhouse gas emissions. This is especially important in high population density areas - the obviously preferred sites for such energy generation. Compared with individual heating DH can provide a community with an operationally efficient and most often also an economically competitive heat supply. This is particularly true under the circumstances where the DH system is supplied from CHP plants. Their use results in very substantial improvements in overall efficiency. Further environmental improvements arise from the reduced air pollution obtainable in reasonably large CHP plants equipped with flue gas cleaning to remove particles, sulphur dioxide, and nitrogen acids. As a consequence of these considerations, DH plays an important role in fulfilling the space and water heating demand in many countries. This is especially the case in Denmark where this technology is utilised to a very great extent. Indeed, DH is one of the reasons why Denmark has relatively good air quality in the cities. (au)

What a Difference a District Can Make: An Interview with Meredith Honig

Science.gov (United States)

Heller, Rafael

2018-01-01

While they're often overlooked in education policy debates, district central office staff can play critical role in improving schools. In this interview, Meredith Honig, professor of Education Policy, Organizations, and Leadership at the University of Washington and founder of the District Leadership Lab, explains what her research and experience…

GENERAL SURGERY

African Journals Online (AJOL)

Department of Surgery, University of Cape Town Health Sciences Faculty, Groote Schuur Hospital, Observatory, Cape Town,. South Africa ... included all district, regional and tertiary hospitals in the nine provinces. Clinics and so-called ..... large contingency of senior general surgeons from countries such as Cuba, who have ...

Improving Immunization Coverage in a Rural School District in Pierce County, Washington

Science.gov (United States)

Peterson, Robin M.; Cook, Carolyn; Yerxa, Mary E.; Marshall, James H.; Pulos, Elizabeth; Rollosson, Matthew P.

2012-01-01

Washington State has some of the highest percentages of school immunization exemptions in the country. We compared school immunization records in a rural school district in Pierce County, Washington, to immunization records in the state immunization information system (IIS) and parent-held records. Correcting school immunization records resulted…

General oilfield driver improvement

International Nuclear Information System (INIS)

Johnson, G.

1997-01-01

The general oilfield driver improvement (GODI) course was discussed. The course is offered to truckers in the oil and gas industry to help reduce accidents and injuries. Oilfield trucking is one of the most accident and injury prone sectors in the Alberta economy. This paper presented Heck's Trucking company's experience in sending its employees on the course. Drivers were taught (1) the National safety code requirements, (2) Commercial Vehicle Safety Alliance requirements, (3) occupational health and safety concerns, (4) vehicle dimension and GVW restrictions, (5) hours of service regulations, (6) log book and pre-trip inspection requirements, (7) workplace hazardous material information, and (8) transportation of dangerous goods. Overall, the course was judged to provide excellent training before sending drivers into the field. The employee, the customer, and the company, all stand to benefit from having rigorous and uniform standards for all drivers in the oil and gas industry

15 local climate-energy plans: regions and districts, local leaders of the struggle against climate change

International Nuclear Information System (INIS)

2009-01-01

This report presents some general information, the sectors addressed by the Climate - Energy Plan, the approaches adopted, the plan elaboration process (organisation, participation and governance, diagnosis and challenges identification, communication actions), the actions and their follow-up, the success factors and the improvement opportunities of the Climate-energy Plans elaborated and adopted by different French regions (Alsace, Aquitaine, Basse-Normandie, Champagne-Ardenne, Franche-Comte, Haute-Normandie, Languedoc-Roussillon, Limousin, Nord-Pas-de-Calais, Poitou-Charentes) and districts (Alpes Maritimes, Bas-Rhin, Eure, Seine-Maritime)

Participative leadership practice in junior high schools and actions to improve the practice : a case study of Sekyere south district, Ghana

OpenAIRE

Gyasi, Kwame

2015-01-01

Gyasi, Kwame. 2015. Participative leadership practice in junior high schools and actions to improve the practice: a case study of Sekyere south district, Ghana Master's Thesis in Education. University of Jyväskylä. Department of Education Participative leadership practice is seen as the kind of school leadership which recognizes parents’ contribution and teachers’ ability and talents in leadership by sharing with them roles and responsibilities in the school administrative process. Th...

Districts Begin Looking Harder at Absenteeism

Science.gov (United States)

Sparks, Sarah D.

2010-01-01

As policymakers debate the merits of new tests and intervention strategies to improve student achievement, some districts are exploring a more basic warning sign: Are students even showing up? A growing consensus of research points to chronic absence--defined by the national policy group Attendance Counts as missing 10 percent of school or…

Public sector scale-up of zinc and ORS improves coverage in selected districts in Bihar, India.

Science.gov (United States)

Walker, Christa L Fischer; Taneja, Sunita; Lamberti, Laura M; Black, Robert E; Mazumder, Sarmila

2015-12-01

In Bihar, India, a new initiative to enhance diarrhea treatment with zinc and ORS in the public sector was rolled out in selected districts. We conducted an external evaluation to measure changes in diarrhea careseeking and treatment in intervention districts. We conducted baseline and endline household surveys among caregivers of children 2-59 months of age. We calculated summary statistics for household characteristics, knowledge, careseeking and treatments given to children with a diarrhea episode in the last 14 days and built logistic regression models to compare baseline and endline values. Caregivers named a public health center as an appropriate source of care for childhood diarrhea more often at endline (71.3%) compared to baseline (38.4%) but did not report increased careseeking to public sector providers for the current diarrhea episode. In logistic regression analyses, the odds of receiving zinc, with or without oral rehydration salts (ORS), increased at endline by more than 2.7 as compared to baseline. Children who were taken to the public sector for care were more likely to receive zinc (odds ratio, OR = 3.93) and zinc in addition to ORS (OR = 6.10) compared to children who were not taken to the public sector. Coverage of zinc and ORS can improve with public sector programs targeted at training and increasing product availability, but demand creation may be needed to increase public sector careseeking in areas where the private sector has historically provided much of the care.

Improving thermal performance of an existing UK district heat network: a case for temperature optimization

DEFF Research Database (Denmark)

Tunzi, Michele; Boukhanouf, Rabah; Li, Hongwei

2018-01-01

This paper presents results of a research study into improving energy performance of small-scale district heat network through water supply and return temperature optimization technique. The case study involves establishing the baseline heat demand of the estate’s buildings, benchmarking...... the existing heat network operating parameters, and defining the optimum supply and return temperature. A stepwise temperature optimization technique of plate radiators heat emitters was applied to control the buildings indoor thermal comfort using night set back temperature strategy of 21/18 °C....... It was established that the heat network return temperature could be lowered from the current measured average of 55 °C to 35.6 °C, resulting in overall reduction of heat distribution losses and fuel consumption of 10% and 9% respectively. Hence, the study demonstrates the potential of operating existing heat...

7 CFR 917.14 - District.

Science.gov (United States)

2010-01-01

... District. (g) Contra Costa District includes and consists of Contra Costa County. (h) Santa Clara District... Ventura County. (l) Stockton District includes and consists of San Joaquin County, Amador County...

Tell me where you live, and I will know why you are there. Territorial mobility and settlement of minor cities in General Pueyrredon District (Buenos Aires Province

Directory of Open Access Journals (Sweden)

Sofía Estela Ares

2010-09-01

Full Text Available Recognizing the space transformations related to the residential behaviors and the mobility of the population requires taking into consideration all the mobility habits, whatever the distance and duration. The purpose of this work is to put into evidence the prevailing motivations in the processes of observed mobility of the population in a set of minor cities next to provincial routes 11th south and 226th of General Pueyrredon District (Buenos Aires Province. Primary data were collected through ninety eight semi-structured surveys carried out in the space units that comprise the study area. The selection of the sampling units was accomplished through a non probabilistic method. The results show a set of non similarities among distinctive settlement lines, and even within them, and point to processes of consolidation of the social-territorial fragmentation beyond the main district urban area.

Fiscal 1999 basic research on promotion of joint implementation. Comprehensive feasibility study on efficiency improvement project for heat generation facilities and heat supply networks for district heating at districts in Moscow region, the Russian Federation (2 model districts within the region)

Energy Technology Data Exchange (ETDEWEB)

NONE

2000-03-01

For the purpose of conserving energy and reducing greenhouse gas, a survey is conducted for district heating facilities of the Khimki district and Voskresensk district in Moscow and for their heat supply networks. Four boilers existing at the Khimki district are all to be replaced by natural gas turbine centralized cogeneration plants, and four boilers existing at the Voskresensk district are all to be replaced by natural gas turbine cogeneration facilities. These projects are designated as Case 1 and Case 2, different from each other in terms of power generation capability and heat supply scale. As for investment, a total of 267-million dollars will be necessary for Case 1, and 208-million dollars for Case 2. As for energy conservation, energy will be saved by approximately 2.8-million tons in total in terms of oil in Case 1, and approximately 2-million tons in terms of oil in Case 2. As for greenhouse gas reduction, there will be a reduction of approximately 6.8-million tons in terms of CO2 in Case 1, and a reduction of approximately 4.9-million tons in terms of CO2 in Case 2. (NEDO)

The Big Money Question: Action Research Projects Give District a Clear Picture of Professional Learning's Impact

Science.gov (United States)

Dill-Varga, Barbara

2015-01-01

How do districts know if the resources they have allocated to support professional learning in their school district are actually improving the quality of teaching and impacting student performance? In an increasingly challenging financial environment, this is important to know. In this article, a Chicago-area district facing a budget deficit…

77 FR 1051 - General Conference Committee of the National Poultry Improvement Plan; Meeting

Science.gov (United States)

2012-01-09

...] General Conference Committee of the National Poultry Improvement Plan; Meeting AGENCY: Animal and Plant... the General Conference Committee of the National Poultry Improvement Plan. DATES: The meeting will be... INFORMATION CONTACT: Dr. C. Stephen Roney, Senior Coordinator, National Poultry Improvement Plan, VS, APHIS...

Legislative Districts, Four layers - One State Assembly district, one State Senate district, one US House of Rep district, and one US Senate district showing the locations in the County of Polk, WI., Published in 2007, 1:24000 (1in=2000ft) scale, Polk County Government.

Data.gov (United States)

NSGIC Local Govt | GIS Inventory — Legislative Districts dataset current as of 2007. Four layers - One State Assembly district, one State Senate district, one US House of Rep district, and one US...

Short-term forecasts of district heating load and outdoor temperature by use of on-line connected computers; Korttidsprognoser foer fjaerrvaermelast och utetemperatur med on-linekopplade datorer

Energy Technology Data Exchange (ETDEWEB)

Malmstroem, B; Ernfors, P; Nilsson, Daniel; Vallgren, H [Chalmers Tekniska Hoegskola, Goeteborg (Sweden). Institutionen foer Energiteknik

1996-10-01

In this report the available methods for forecasting weather and district heating load have been studied. A forecast method based on neural networks has been tested against the more common statistical methods. The accuracy of the weather forecasts from the SMHI (Swedish Meteorological and Hydrological Institute) has been estimated. In connection with these tests, the possibilities of improving the forecasts by using on-line connected computers has been analysed. The most important results from the study are: Energy company staff generally look upon the forecasting of district heating load as a problem of such a magnitude that computer support is needed. At the companies where computer calculated forecasts are in use, their accuracy is regarded as quite satisfactory; The interest in computer produced load forecasts among energy company staff is increasing; At present, a sufficient number of commercial suppliers of weather forecasts as well as load forecasts is available to fulfill the needs of energy companies; Forecasts based on neural networks did not attain any precision improvement in comparison to more traditional statistical methods. There may though be other types of neural networks, not tested in this study, that are possibly capable of improving the forecast precision; Forecasts of outdoor temperature and district heating load can be significantly improved through the use of on-line-connected computers supplied with instantaneous measurements of temperature and load. This study shows that a general reduction of the load prediction errors by approximately 15% is attainable. For short time horizons (less than 5 hours), more extensive load prediction error reductions can be reached. For the 1-hour time horizon, the possible reduction amounts to up to 50%. 21 refs, 4 figs, 7 appendices

Improving generalized inverted index lock wait times

Science.gov (United States)

Borodin, A.; Mirvoda, S.; Porshnev, S.; Ponomareva, O.

2018-01-01

Concurrent operations on tree like data structures is a cornerstone of any database system. Concurrent operations intended for improving read\\write performance and usually implemented via some way of locking. Deadlock-free methods of concurrency control are known as tree locking protocols. These protocols provide basic operations(verbs) and algorithm (ways of operation invocations) for applying it to any tree-like data structure. These algorithms operate on data, managed by storage engine which are very different among RDBMS implementations. In this paper, we discuss tree locking protocol implementation for General inverted index (Gin) applied to multiversion concurrency control (MVCC) storage engine inside PostgreSQL RDBMS. After that we introduce improvements to locking protocol and provide usage statistics about evaluation of our improvement in very high load environment in one of the world’s largest IT company.

State and district policy influences on district-wide elementary and middle school physical education practices.

Science.gov (United States)

Chriqui, Jamie F; Eyler, Amy; Carnoske, Cheryl; Slater, Sandy

2013-01-01

To examine the influence of state laws and district policies on district-wide elementary school and middle school practices related to physical education (PE) time and the percentage of moderate-to-vigorous physical activity (MVPA) time during PE. Multivariate, cross-sectional analysis of state laws, district wellness and PE policies, and district PE practices for school year 2010-2011 controlling for district-level urbanicity, region, size, race/ethnicity of students, and socioeconomic status and clustered on state. One hundred ninety-five public school districts located in 42 states. District-level PE coordinators for the included districts who responded to an online survey. Minutes and days of PE per week and percent time spent in MVPA during PE time. District PE coordinators reported significantly less PE time than national standards-82.9 and 189.6 minutes at the elementary school and middle school levels, respectively. Physical education was provided an average of 2.5 and 3.7 days per week, respectively; and the percentage of MVPA time in PE was 64.4% and 65.7%, respectively. At the elementary school level, districts in either states with laws governing PE time or in a state and district with a law/policy reported significantly more days of PE (0.63 and 0.67 additional days, respectively), and districts in states with PE time laws reported 18 more minutes of PE per week. At the middle school level, state laws were associated with 0.73 more days of PE per week. Neither state laws nor district policies were positively associated with percent MVPA time in PE. State laws and district policies can influence district-level PE practices-particularly those governing the frequency and duration of PE-although opportunities exist to strengthen PE-related laws, policies, and practices.

Sustainability Profile for Urban Districts in Copenhagen

DEFF Research Database (Denmark)

Jensen, Jesper Ole

urban designers to creatively improve the sustainable performance of a district" (Kortman et al, 2001). Compared to other tools for assessing urban sustainability, DPL represents a simple and flexible approach. The idea is to use a limited number of indicators based on already collected data. Once...

78 FR 51189 - Filing Dates for the Alabama Special Elections in the 1st Congressional District

Science.gov (United States)

2013-08-20

... 1st Congressional District AGENCY: Federal Election Commission. ACTION: Notice of filing dates for... Congressional District vacated by Representative Jo Bonner. There are three possible special elections, but only... Election, the top two vote-getters will participate in a Special Runoff Election. General Election...

[Frequent attendance in a Primary Health Care District].

Science.gov (United States)

Menéndez Granados, Nicolás; Vaquero Abellán, Manuel; Toledano Estepa, Manuel; Pérez Díaz, Manuel Modesto; Redondo Pedraza, Rosa

2017-10-09

To describe the distribution of frequent attenders (FA) through the different primary care practices in Cordoba-Guadalquivir Health District (Córdoba, Spain). An ecological study was performed, including data from 2011 to 2015. Defining FA as those subjects who made12 or more appointments per year; independently analysed for nursing, general practice and paediatrics. Prevalence of frequent attendance and FA/professional ratio were used as dependent variables. Demographic characteristics from district population, number of health professionals and use of general facilities were also examinated. Aiming to understand FA distribution, primary health settings were classified according to facility size and environmental location (urban, suburban and rural). The mean prevalence for FA was 10.86% (0.5 SE) for nursing; general practice 21.70% (0.7 SE) and for paediatrics 16.96% (0.7 SE). FA/professional ratios for the different professional categories were: 101.07 (5.0 SE) for nursing, 239.74 (9.0 SE) for general practice and 159.54 (9.8 SE) for paediatrics. A major part of primary health care users make a high number of consultations. From this group, women overuse nursing and general practitioner services more compared to men. A higher prevalence of FAs was observed in smaller settings, in rural areas. Although taking the FAs:professional ratio as the bar, medium-size practices are more highly overused. Copyright © 2017 SESPAS. Publicado por Elsevier España, S.L.U. All rights reserved.

California Political Districts

Data.gov (United States)

California Natural Resource Agency — This is a series of district layers pertaining to California'spolitical districts, that are derived from the California State Senateand State Assembly information....

District nursing in Dominica

NARCIS (Netherlands)

Kolkman, PME; Luteijn, AJ; Nasiiro, RS; Bruney, [No Value; Smith, RJA; Meyboom-de Jong, B

1998-01-01

District nurses constitute the basis of the primary health care services in Dominica. All encounters of three district nurses were registered using the international classification of primary care. Information on other aspects of district nursing was collected by participating observation and the

Promotional study for joint implementation program. Energy conservation and efficiency improvement for district heating system in Tashkent, Uzbekistan

Energy Technology Data Exchange (ETDEWEB)

NONE

2000-03-01

For the purpose of reducing greenhouse effect gas emissions, a study was carried out for repair/improvement of the district heating system in Tashkent City, the Republic of Uzbekistan. In the project, the following were studied: heightening of electrical insulation of the total pipeline, improvement in efficient utilization of heat energy in the thermal plant. As to the existing pipeline, heat loss is improved by 0-5% by changing it to electrical insulation pipe. In relation to the thermal plant, studied were cogeneration facility A using three 4MW gas turbines and combined cycle cogeneration facility B using two 40MW gas turbines. As a result, the amount of energy saving was 11,370 toe/y in pipeline, 12,750 toe/y in facility A and 69,000 toe/y in facility B. Further, the reduction amount of greenhouse effect gas emissions was 27,200t-CO2/y in pipeline, 30,500t-CO2/y in facility A and 164,900t-CO2/y in facility B. (NEDO)

Private Water Districts

Data.gov (United States)

California Natural Resource Agency — Private Water District boundaries are areas where private contracts provide water to the district in California. This database is designed as a regions polygon...

KAJIAN STRATEGI DAN PROGRAM PERBAIKAN OPERASIONALISASI DARI MILK DISTRICT MODEL NESTLÉ DI JAWA TIMUR

Directory of Open Access Journals (Sweden)

Bambang Ali Nugroho

2012-06-01

Full Text Available The objective of this study was to explore the improvement of Nestle milk district model in East Java. Secondary data on dairy development in East Java was used to analyse internal and external factors. SWOT analysis method was used to evaluate existing condition of dairy development in East Java and to build a recomended strategy to improve milk district model. In simplest terms, setting up a milk district involved: a negotiating agreements with farmers for twice-daily collection of their milk, b installing chilling centers in the larger community and collection points in the villages or adapting existing collection infrastructure, c arranging transportation from collection centers to the district’s factory, and d implementing a program to improve milk quality. In reality building a milk district model is not core business or core competence of Nestle but its something absolutely necessary to be introduced. After this program have been introduced, the smallscale dairy farmers were capable to organise themselves to produce freshmilk. Nestle have introduced various insentive systems to support smallscale dairy farmers capacity to guarantee that they have self responsability in dairy farming activities have positive impacts on productivity, quality product and product safety, that all that aspects will give benefit to Nestle. (Key words: Milk district model, Dairy farmer, Dairy cooperative, Milk processing industry, Strategy, Program

The Problem: Low-Achieving Districts and Low-Performing Boards

Directory of Open Access Journals (Sweden)

David E. Lee

2014-10-01

Full Text Available Effective school districts maintain superintendent and school board collegiality which can foster success and connectedness among members. Delagardelle and Alsbury (2008 found that superintendents and board members are not consistent in their perceptions about the work the board does, and Glass (2007 found that states do not require boards to undergo evaluation for effectiveness. In the current study, 115 board meetings were observed using the School Board Video Project (SBVP survey, which was created in 2012 by researchers to uncover school board meetings’ effectiveness. MANOVA, Univariate ANOVA, and Pearson Chi-Square test results revealed significant differences between low-, medium-, and high-performing districts’ school board meetings. Evidence indicated that low-performing districts’ board meetings were: less orderly; had less time spent on student achievement; lacked respectful and attentive engagement across speakers; had board meeting members who seemed to advance their own agenda; had less effective working relationships among the governance team; had fewer board members who relied on the superintendent for advice and input; had one member, other than the board president, stand out for taking excessive time during meetings; and did not focus on policy items as much as high- and medium-performing school districts. The research concluded that more school board members from low-performing districts needed training to improve their effectiveness. Furthermore, highly refined and target-enhanced school board training programs might lead to lasting governance success and more effective teaming that could improve district, and ultimately, student achievement.

Implementing Geothermal Plants in the Copenhagen District Heating System

DEFF Research Database (Denmark)

Jensen, Louise Overvad; Hallgreen, Christine Erikstrup; Larsen, Esben

2003-01-01

of geothermal energy in Denmark as well as the Danish potential, which, in former investigations, has been found to be around 100.000 PJ annually, and the economical potential is less, about 15 PJ/year. Since a considerable amount of the Danish power supply is tied to weather and the demand for heating......The possibility of implementing geothermal heating in the Copenhagen district-heating system is assessed. This is done by building up general knowledge on the geological factors that influence the development of useable geothermal resources, factors concerning the exploration and utilization......, an increasing demand for flexibility has been raised. Implementing geothermal heating would improve the flexibility in the Eastern Danish power system. Based on this information, as well as, on the hourly values of the expected production and consumption in 2010 and 2020, a model of the Copenhagen power...

State Water Districts

Data.gov (United States)

California Natural Resource Agency — State Water Project District boundaries are areas where state contracts provide water to the district in California. This database is designed as a regions polygon...

Energy Neutral Districts in 2050. The Dutch Approach

Energy Technology Data Exchange (ETDEWEB)

Jablonska, B.; Roossien, B.; Ruijg, G.J.; Visser, H.; Bakker, E.J. [Energy research Centre of the Netherlands ECN, Petten (Netherlands); Willems, E. [Cauberg-Huygen Raadgevende Ingenieurs, Amsterdam (Netherlands)

2013-09-15

According to the EPBD, from the end of 2020 on all new buildings should be built as nearly zero energy buildings. Instead of focusing on buildings only, a district approach to energy supply and consumption can be advantageous as regards the energy performance and economics. The potential of renewable energy technologies can be utilized to a larger extent while fewer energy generators are needed. An example is a so called energy-hub, in which exchange, conversion and seasonal storage of energy can lead to energy neutral districts before 2050. The Dutch study Transition in Energy and Process for a Sustainable District Development (Transep-DGO), financed largely by the AgentschapNL, has shown that this is possible. For energy neutral district development in 2050, six innovative energy concepts have been elaborated and the extent of energy neutrality in 2020, 2035 and 2050 calculated. Three concepts are based on an idea of an energy hub - bio hub, geo hub and a solar hub. Other concepts are all-electric, conventional and hydrogen concepts. Calculations show that implementation of each of the concepts can lead to energy neutral districts in 2050 or even earlier. When personal transport is included, energy neutrality in 2050 is not feasible. Based on the six general concepts, the most optimal energy concepts tailored for four Dutch cities have been elaborated as pilots, in close cooperation with municipality representatives. Solar hub has been dynamically simulated in order to show the added value of the exchange, conversion and storage of energy flows on a district scale. Energy Pattern Generator (EPG) has been applied for simulation of a virtual district with 1,000 dwellings of various categories. A solar hub with collective heat storage can reduce the demanded storage capacity by 26%, and the total required solar collector surface by 30% at maximum compared to individual seasonal heat storage capacity in dwellings that are not connected in an energy hub. Energy hub

Report card on school snack food policies among the United States' largest school districts in 2004–2005: Room for improvement

Directory of Open Access Journals (Sweden)

Rivara Frederick P

2006-01-01

Full Text Available Abstract Background Federal nutritional guidelines apply to school foods provided through the national school lunch and breakfast programs, but few federal regulations apply to other foods and drinks sold in schools (labeled "competitive foods", which are often high in calories, fat and sugar. Competitive food policies among school districts are increasingly viewed as an important modifiable factor in the school nutrition environment, particularly to address rising rates of childhood overweight. Congress passed legislation in 2004 requiring all school districts to develop a Wellness Policy that includes nutrition guidelines for competitive foods starting in 2006–2007. In addition, the Institute of Medicine (IOM recently published recommendations for schools to address childhood obesity. Methods Representatives of school districts with the largest student enrollment in each state and D.C. (N = 51 were interviewed in October-November 2004 about each school district's nutrition policies on "competitive foods." District policies were examined and compared to the Institute of Medicine's recommendations for schools to address childhood obesity. Information about state competitive food policies was accessed via the Internet, and through state and district contacts. Results The 51 districts accounted for 5.9 million students, representing 11% of US students. Nineteen of the 51 districts (39% had competitive food policies beyond state or federal requirements. The majority of these district policies (79% were adopted since 2002. School district policies varied in scope and requirements. Ten districts (53% set different standards by grade level. Most district policies had criteria for food and beverage content (74% and prohibited the sale of soda in all schools (63%; fewer policies restricted portion size of foods (53% or beverages (47%. Restrictions more often applied to vending machines (95%, cafeteria à la carte (79%, and student stores (79% than

Improving Former Shifted Cultivation Land Using Wetland Cultivation in Kapuas District, Central Kalimantan

Directory of Open Access Journals (Sweden)

Wahyudi Wahyudi

2016-06-01

Full Text Available Degraded forest area in Kalimantan could be caused by shifted cultivation activity that be conducted by local peoples in the surrounding forest areas. Efforts to improve the former shifted cultivation area (non productive land is developing the settled cultivation by use of irrigation system, better paddy seed, land processing, fertilizing, spraying pesticide, weeding, and better acces to the market.  Local peoples, especially in Kalimantan, has been depended their food on the shifted cultivation pattern since the long time ago.  This tradition could cause forest damage, forest fire, forest degradation, deforestation, and lose out of children education because they were following shifted cultivation activity although itsspace is very far from their home.  This research was aimed to improve former shifted cultivation lands using wetland cultivation in order to improve land productivity and to support food securityin the local community. This research was administratively located in Tanjung Rendan Village, Kapuas Hulu Sub-Ddistrict, Kapuas District, Central Kalimantan Province, Indonesia.  Data of rice yield from settled cultivation and shifted cultivation were got from 15 households that was taking by random at 2010 to 2011. Homogeneity test, analysis of variants, and least significant different (LSD test using SPSS 15.0 for Windows. Result of this research showed that     paddy yield at settled cultivation was significantly differentand better than shifted cultivation at 0.05 level. LSD test also indicated that all paddy yields from settled cultivation were significantly different compare to shifted cultivation at the 0.05 level.  The community in Tanjung Rendan Villages preferred settled cultivation than shifted cultivation, especially due to higher paddy production. Profit for settled cultivation was IDR10.95 million ha-1, meanwhile profit for shifted cultivation was just IDR 2.81 million ha-1 only.  Settled cultivation pattern could

Research advances on thereasonable water resources allocation in irrigation district

DEFF Research Database (Denmark)

Xuebin, Qi; Zhongdong, Huang; Dongmei, Qiao

2015-01-01

The rational allocation of water resources for irrigation is important to improve the efficiency in utilization of water resources and ensuring food security, but also effective control measures need to be in place for the sustainable utilization of water resources in an irrigation area. The prog......The rational allocation of water resources for irrigation is important to improve the efficiency in utilization of water resources and ensuring food security, but also effective control measures need to be in place for the sustainable utilization of water resources in an irrigation area...... mechanism of water resources is not perfect, the model for optimal water resources allocation is not practical, and the basic conditions for optimal allocation of water resources is relatively weak. In order to solve those problems in water resources allocation practice, six important as?pects must...... in irrigation districts, studying the water resources control technology in irrigation districts by hydrology ecological system, studying the technologies of real?time risk dispatching and intelligent management in irrigation districts, and finally studying the technology of cou?pling optimal allocation...

Public sector scale–up of zinc and ORS improves coverage in selected districts in Bihar, India

Directory of Open Access Journals (Sweden)

Christa L. Fischer Walker

2015-02-01

Full Text Available In Bihar, India, a new initiative to enhance diarrhea treatment with zinc and ORS in the public sector was rolled out in selected districts. We conducted an external evaluation to measure changes in diarrhea careseeking and treatment in intervention districts. We conducted baseline and endline household surveys among caregivers of children 2–59 months of age. We calculated summary statistics for household characteristics, knowledge, careseeking and treatments given to children with a diarrhea episode in the last 14 days and built logistic regression models to compare baseline and endline values. Caregivers named a public health center as an appropriate source of care for childhood diarrhea more often at endline (71.3% compared to baseline (38.4% but did not report increased careseeking to public sector providers for the current diarrhea episode. In logistic regression analyses, the odds of receiving zinc, with or without oral rehydration salts (ORS, increased at endline by more than 2.7 as compared to baseline. Children who were taken to the public sector for care were more likely to receive zinc (odds ratio, OR = 3.93 and zinc in addition to ORS (OR = 6.10 compared to children who were not taken to the public sector. Coverage of zinc and ORS can improve with public sector programs targeted at training and increasing product availability, but demand creation may be needed to increase public sector careseeking in areas where the private sector has historically provided much of the care.

Incidence of trampoline related pediatric fractures in a large district general hospital in the United Kingdom: lessons to be learnt.

Science.gov (United States)

Bhangal, K K; Neen, D; Dodds, R

2006-04-01

To test the observation that the incidence of trampoline related pediatric fractures is increasing-both nationally and in a large district general hospital. A retrospective analysis was undertaken of patient records establishing mechanism of injury of pediatric fractures over three consecutive summers from 2000-03. Theatre records of fractures treated operatively were used as the initial data source. A statistically significant increase in trampoline related injuries was discovered. This reflects the rising incidence of injuries from national data and furthermore corresponds to the growing popularity of domestic use trampolines in the UK. The incidence of injuries is increasing. There are lessons to be learnt from existing work from countries where trampoline prevalence has been greater for longer. The authors recommend various safety measures that may reduce children's injuries.

Consultant-led, multidisciplinary balance clinic: process evaluation of a specialist model of care in a district general hospital.

Science.gov (United States)

Trinidade, A; Yung, M W

2014-04-01

A specialist balance clinic to effectively deal with dizzy patients is recommended by ENT-UK. We audit the patient pathway before and following the introduction of a consultant-led dedicated balance clinic. Process evaluation and audit. ENT outpatients department of a district general hospital. The journey of dizzy patients seen in the general ENT clinic was mapped from case notes and recorded retrospectively. A consultant-led, multidisciplinary balance clinic involving an otologist, a senior audiologist and a neurophysiotherapist was then set up, and the journey was prospectively recorded and compared with that before the change. Of the 44 dizzy patients seen in the general clinic, 41% had further follow-up consultations; 64% were given definitive or provisional diagnoses; 75% were discharged without a management plan. Oculomotor examination was not systematically performed. The mean interval between Visits 1 and 2 was 8.4 weeks and the mean number of visits was 3. In the consultant-led dedicated balance clinic, following Visit 1, only 8% of patients required follow-up; 97% received definitive diagnoses, which guided management; all patients left with definitive management plans in place. In all patients, oculomotor assessment was systematically performed and all patients received consultant and, where necessary, allied healthcare professional input. By standardising the management experience for dizzy patients, appropriate and timely treatment can be achieved, allowing for a more seamless and efficient patient journey from referral to treatment. A multidisciplinary balance clinic led by a consultant otologist is the ideal way to achieve this. © 2014 John Wiley & Sons Ltd.

Dynamic behavior of district heating systems. 2. User's guide

International Nuclear Information System (INIS)

Kunz, J.

1993-01-01

This user's guide consists of three parts. The first part describes the characteristics and performance of the dynamic simulation code for district heating systems DYNAM. It shows how to prepare a personal computer for this program and how to install it. The second part shows how to prepare the data for a simulation and how to use the simulation program. Those two sections are for the user who intends to use the code for the simulation of district heating systems. He also learns to prepare the necessary data for his specific problems. The third section is intended for the programmer who desires to improve the program. It explains the main calculation units and shows the parts of the program which seem most important for an improvement. (author) 4 figs

Arabica Coffee Farming and Marketing Chain Analysis in Manggarai and EastManggarai Districts

Directory of Open Access Journals (Sweden)

Dhiany. Faila Sophia Hartatri

2011-05-01

Full Text Available Arabica coffee has a unique flavour and very potential market. The purpose of this study was to analyse Arabica coffee farming and to investigate its performance of marketing chains in Manggarai and East Manggarai Districts, Flores, East Nusa Tenggara Province. This research was conducted in 2008-2010 by interviewing coffee farmers and coffee buyers; using open and close questions. The number of respondents were 100 people in each district. The result showed that land holding per household farmer in Manggarai and East Manggarai were 0.84 ha and 0.92 ha, respectively. Farmers in both districts were within the range of productive age, the farmers who were members of farmer groups in both study sites was £ 50%. Arabica coffee cultivation was still done in a traditional way. Fertilizing and controlling of pest and diseases had not been carried out inten sively. Arabica coffee farming in both district was feasible. BCR, NPV and IRR values in Manggarai were 4.2, Rp8,530,105, and 70.76% respectively, while BCR, NPV, and IRR value in East Manggarai district were 8.1, Rp2,465,833, and 27%, respectively. BEP production and coffee price in Manggarai were 94.2 kg/ha/th and Rp15,913/kg respectively, whereas BEP production and coffee price in East Manggarai were 78,2 kg/ha/th and Rp10,134/kg, respectively. In general, farmers sold their coffee in green bean form. In general, the marketing chains of Arabica coffee in both districts was farmer – collector - trader - exporter.Key words: Arabica coffee, potential market, farming analysis, feasible, marketing chains.

Human Resource Support for School Principals in Two, Urban School Districts: An Exploratory Study

Science.gov (United States)

Lochmiller, Chad R.

2010-01-01

School districts are increasingly focused on instructional practice in classrooms. Many urban school districts have shifted decision-making responsibility to school principals in order to improve instruction. This reform strategy has been referred to as decentralization or school-based management. Decentralization has a significant influence on…

Improvements mineral dressing and extraction processes of gold-silver ores from San Pedro Frio Mining District, Colombia

International Nuclear Information System (INIS)

Yanez Traslavina, J. J.; Vargas Avila, M. A.; Garcia Paez, I. H.; Pedraza Rosas, J. E.

2005-01-01

The San Pedro Frio district mining, Colombia, is a rich region production gold-silver ores. Nowadays, the extraction processes used are amalgamation, percolation cyanidation and precipitation with zinc wood. Due to the ignorance of the ore characteristics, gold and silver treatment processes are inadequate and not efficient. In addition the inappropriate use of mercury and cyanide cause environmental contamination. In this research the ore characterization was carried out obtained fundamental parameters for the technical selection of more efficient gold and silver extraction processes. Experimental work was addressed to the study of both processes the agitation cyanidation and the adsorption on activated carbon in pulp. As a final result proposed a flowsheet to improve the precious metals recovery and reduce the environment contamination. (Author)

Measuring and improving productivity in general radiology.

Science.gov (United States)

Wilt, Michelle A; Miranda, Rafael; Johnson, C Daniel; Love, Peggy Sue

2010-10-01

The aim of this study was to determine a method of measuring productivity among general radiographers in a moderate-sized hospital and to improve and sustain productivity within that work area. The average times needed to perform the 13 most common examinations were measured. Performance of the various examinations was tracked and multiplied by the time allocated per procedure; this measure was divided by the length of the work shift to determine productivity. Productivity measures were shared among the work group, and decisions to improve productivity (eg, whether to fill open positions) were made by group members. Average time spent per examination type was calculated (range, 10 minutes to 1 hour 16 minutes). At baseline (February 2008), group productivity was 50%. Productivity increased during the first year of monitoring and was sustained through November 2009 (productivity range, 57%-63%). Yearly savings from not filling open positions were estimated to be $174,000. Productivity in a general radiology work area can be measured. Consensus among the work group helped increase productivity and assess progress. This methodology, if widely adopted, could be standardized and used to compare productivity across departments and institutions. Copyright © 2010 American College of Radiology. Published by Elsevier Inc. All rights reserved.

Load Management in District Heating Operation

DEFF Research Database (Denmark)

Li, Hongwei; Wang, Stephen Jia

2015-01-01

Smooth operation of district heating system will avoid installation of expensive peak heat boilers, improve plant partial load performance, increase the system redundancy for further network expansion and improve its resilience to ensure security of supply during severe heating seasons. The peak...... heating load can be reduced through building demand side management. The building thermal mass can be used to shift the heating supply under the circumstance without jeopardizing the consumer thermal comfort. In this paper, the multi-agent framework is applied to a simplified building dynamic model...

Tips for School Districts: GASB's New Fund Balance Standards

Science.gov (United States)

Mead, Dean Michael

2010-01-01

In March 2009, the Governmental Accounting Standards Board (GASB) issued Statement No. 54, "Fund Balance Reporting and Governmental Fund Type Definitions." School districts that prepare financial reports based on generally accepted accounting principles are required to implement this standard no later than the first fiscal year that starts after…

Zero Energy Districts

Energy Technology Data Exchange (ETDEWEB)

Polly, Benjamin J [National Renewable Energy Laboratory (NREL), Golden, CO (United States)

2018-05-04

This presentation shows how NREL is approaching Zero Energy Districts, including key opportunities, design strategies, and master planning concepts. The presentation also covers URBANopt, an advanced analytical platform for district that is being developed by NREL.

District heating by the Bohunice nuclear power plant

International Nuclear Information System (INIS)

Metke, E.; Skvarka, P.

1984-01-01

Technical and economical aspects of district heating by the electricity generating nuclear plants in Czechoslovakia are discussed. As a first stage of the project, 240 MW thermal power will be supplied using bleeding lines steam from the B-2 nuclear power plant at Jaslovske Bohunice to heat up water at a central station to 130 grad C. The maximal thermal power that can be produced for district heating by WWER type reactors with regular condensation turbines is estimated to be: 465 MW for a WWER-440 reactor with two 220 MWe turbines and 950 MW for a WWER-1000 reactor with a Skoda made 1000 MWe turbine using a three-stage scheme to heat up water from 60 grad C to 150 grad C. The use of satelite heating turbines connected to the steam collector is expected to improve the efficiency. District heating needs will de taken into account for siting of the new power plants

Analysis of Survival Rates Following Primary Surgery of 178 Consecutive Patients with Oral Cancer in a Large District General Hospital.

Science.gov (United States)

Stathopoulos, Panagiotis; Smith, William P

2017-06-01

The aim of this study is to present the survival rates in patients treated for oral cancer with primary surgery in a large district general hospital. We discuss the influence of the most significant prognostic factors on survival and compare our results with larger centres specializing in the management of oral cancer. All patients diagnosed with oral cancer from 1995 to 2006 and were treated in the Department had their details entered prospectively onto a computerized database. Demographic details of patients, type of treatment, pathological stage of tumor (TNM), local and regional recurrence rate, overall survival, disease specific survival and incidence of involved margins were recorded and calculated. Of the 178 patients, 96 (54 %) were alive and free of oral cancer 5 years after surgery. Forty-four patients died of oral cancer (24.7 %) but 38 (21.3 %) died of other causes. The overall survival rate after primary surgery in relation to stage was: I 84 %, II 71 %, III 36 % and IV 28 %. As almost half of our patients presented with advanced cancer and had discouraging survival rates, we emphasize the need for early recognition of the disease. Advanced disease signifies difficulty in obtaining clear margins which actually indicates a higher recurrence rate. 25 % of our patients died of oral cancer within 5 years of surgery which highlights the poor prognosis that recurrence carries after treatment. Effective educational campaign with purpose to raise oral cancer awareness and earlier referral may result in improvement of survival.

Stochastic abstract policies: generalizing knowledge to improve reinforcement learning.

Science.gov (United States)

Koga, Marcelo L; Freire, Valdinei; Costa, Anna H R

2015-01-01

Reinforcement learning (RL) enables an agent to learn behavior by acquiring experience through trial-and-error interactions with a dynamic environment. However, knowledge is usually built from scratch and learning to behave may take a long time. Here, we improve the learning performance by leveraging prior knowledge; that is, the learner shows proper behavior from the beginning of a target task, using the knowledge from a set of known, previously solved, source tasks. In this paper, we argue that building stochastic abstract policies that generalize over past experiences is an effective way to provide such improvement and this generalization outperforms the current practice of using a library of policies. We achieve that contributing with a new algorithm, AbsProb-PI-multiple and a framework for transferring knowledge represented as a stochastic abstract policy in new RL tasks. Stochastic abstract policies offer an effective way to encode knowledge because the abstraction they provide not only generalizes solutions but also facilitates extracting the similarities among tasks. We perform experiments in a robotic navigation environment and analyze the agent's behavior throughout the learning process and also assess the transfer ratio for different amounts of source tasks. We compare our method with the transfer of a library of policies, and experiments show that the use of a generalized policy produces better results by more effectively guiding the agent when learning a target task.

32 CFR 644.462 - Performance of restoration work by district engineer-extension of time.

Science.gov (United States)

2010-07-01

... 32 National Defense 4 2010-07-01 2010-07-01 true Performance of restoration work by district... Leasehold Improvements § 644.462 Performance of restoration work by district engineer—extension of time. Where the lessor will not accept a cash settlement in lieu of restoration, or desires the work to be...

Assessment of the response to cholera outbreaks in two districts in Ghana.

Science.gov (United States)

Ohene, Sally-Ann; Klenyuie, Wisdom; Sarpeh, Mark

2016-11-02

Despite recurring outbreaks of cholera in Ghana, very little has been reported on assessments of outbreak response activities undertaken in affected areas. This study assessed the response activities undertaken in two districts, Akatsi District in Volta Region and Komenda-Edina-Eguafo-Abirem (KEEA) Municipal in Central Region during the 2012 cholera epidemic in Ghana. We conducted a retrospective assessment of the events, strengths and weaknesses of the cholera outbreak response activities in the two districts making use of the WHO cholera evaluation tool. Information sources included surveillance and facility records, reports and interviews with relevant health personnel involved in the outbreak response from both district health directorates and health facilities. We collected data on age, sex, area of residence, date of reporting to health facility of cholera cases, district population data and information on the outbreak response activities and performed descriptive analyses of the outbreak data by person, time and place. The cholera outbreak in Akatsi was explosive with a high attack rate (AR) of 374/100,000 and case fatality rate (CFR) of 1.2 % while that in KEEA was on a relatively smaller scale AR of 23/100,000 but with a high case fatality rate of 18.8 %. For both districts, we identified multiple strengths in the response to the outbreak including timely notification of the district health officials which triggered prompt investigation of the suspected outbreak facilitating confirmation of cholera and initiation of public health response activities. Others were coordination of the activities by multi-sectoral committees, instituting water, sanitation and hygiene measures and appropriate case management at health facilities. We also found areas that needed improvement in both districts including incomplete surveillance data, sub-optimal community based surveillance considering the late reporting and the deaths in the community and the inadequate

Implementation Recommendations for School Districts. GASB Statement No. 34.

Science.gov (United States)

Association of School Business Officials International, Reston, VA.

Statement 34 is the most significant change in the history of governmental accounting. It is a dramatic change in the way school districts report and present financial information. This new reporting model affects every public-school organization that issues financial statements in conformity with generally accepted accounting principles (GAAP).…

The Promise of a College Scholarship Transforms a District

Science.gov (United States)

Ritter, Gary W.; Ash, Jennifer

2016-01-01

Promise programs are place-based scholarships, generally tied to a city or school district, offering near-universal access to all living in the "place." While Promise programs share some characteristics with other scholarship programs, they're unique because they seek to change communities and schools. Underlying such promise programs is…

Improving Tanzanian childbirth service quality.

Science.gov (United States)

Jaribu, Jennie; Penfold, Suzanne; Green, Cathy; Manzi, Fatuma; Schellenberg, Joanna

2018-04-16

Purpose The purpose of this paper is to describe a quality improvement (QI) intervention in primary health facilities providing childbirth care in rural Southern Tanzania. Design/methodology/approach A QI collaborative model involving district managers and health facility staff was piloted for 6 months in 4 health facilities in Mtwara Rural district and implemented for 18 months in 23 primary health facilities in Ruangwa district. The model brings together healthcare providers from different health facilities in interactive workshops by: applying QI methods to generate and test change ideas in their own facilities; using local data to monitor improvement and decision making; and health facility supervision visits by project and district mentors. The topics for improving childbirth were deliveries and partographs. Findings Median monthly deliveries increased in 4 months from 38 (IQR 37-40) to 65 (IQR 53-71) in Mtwara Rural district, and in 17 months in Ruangwa district from 110 (IQR 103-125) to 161 (IQR 148-174). In Ruangwa health facilities, the women for whom partographs were used to monitor labour progress increased from 10 to 57 per cent in 17 months. Research limitations/implications The time for QI innovation, testing and implementation phases was limited, and the study only looked at trends. The outcomes were limited to process rather than health outcome measures. Originality/value Healthcare providers became confident in the QI method through engagement, generating and testing their own change ideas, and observing improvements. The findings suggest that implementing a QI initiative is feasible in rural, low-income settings.

75 FR 61367 - Revisions to the California State Implementation Plan, South Coast Air Quality Management District

Science.gov (United States)

2010-10-05

... the California State Implementation Plan, South Coast Air Quality Management District AGENCY... the South Coast Air Quality Management District (SCAQMD) portion of the California State... Measure for Architectural Coatings,'' CARB, October 2007. 4. ``Improving Air Quality with Economic...

Policy Poison or Promise: Exploring the Dual Nature of California School District Collective Bargaining Agreements

Science.gov (United States)

Strunk, Katharine O.

2012-01-01

Purpose: This study examines policies set in the collective bargaining agreements (CBAs) negotiated between teachers' unions and school boards and explores what kinds of districts have contract provisions that restrict district administrators, enhance administrative flexibility, and/or improve teachers' professional work lives and that have…

Nankana West District of Ghana

African Journals Online (AJOL)

Agribotix GCS 077

Local governments in Ghana play very important roles with actors in the ... Metropolitan, Municipal and District Chief Executives (MMDCEs), the .... District Budget Officer, District Finance Officer, Presiding Member, members of the Works Sub-.

77 FR 66780 - Revisions to the California State Implementation Plan, South Coast Air Quality Management District

Science.gov (United States)

2012-11-07

... the California State Implementation Plan, South Coast Air Quality Management District AGENCY... the South Coast Air Quality Management District (SCAQMD) portion of the California State... Control Measure for Architectural Coatings,'' CARB, October 2007. 4. ``Improving Air Quality with Economic...

Is Education Associated with Improvements in General Cognitive Ability, or in Specific Skills?

Science.gov (United States)

Ritchie, Stuart J.; Bates, Timothy C.; Deary, Ian J.

2015-01-01

Previous research has indicated that education influences cognitive development, but it is unclear what, precisely, is being improved. Here, we tested whether education is associated with cognitive test score improvements via domain-general effects on general cognitive ability ("g"), or via domain-specific effects on particular cognitive…

PROPOSALS FOR OPTIMISATION THE GENETIC IMPROVEMENT ACTIVITIES IN THE PHASIANUS COLCHICUS COLCHICUS POPULATION FROM PISCHIA PHEASANT PRESERVE, FORESTRY DISTRICT TIMISOARA

Directory of Open Access Journals (Sweden)

D. DRONCA

2008-10-01

Full Text Available Romania adhesion and integration into the European Union offers opportunities for production and export of a significant number of pheasants for game. Pheasant meat is very tender and succulent with a pleasant flavor. The aim the paper was to try to makwe efficient the genetic improvement actions of the Phasianus Colchicus Colchicus stock from the Pischia pheasant preserve, Timis County. The study was carried out on a total of 11550 common game pheasants belonging to the Forestry District Timisoara. Based on analysis carried out, this paper is finalizing with a number of conclusions and recommendations.

Construction Manager or General Contractor?

Science.gov (United States)

McKinley, John

1991-01-01

Unlike the general contractor approach, the construction management firm acts on behalf of the school district in school construction. Examines the development and nature of construction management, and cites its advantages and disadvantages. (MLF)

Stratigraphy of Slick Rock district and vicinity, San Miguel and Dolores Counties, Colorado

Science.gov (United States)

Shawe, Daniel R.; Simmons, George C.; Archbold, Norbert L.

1968-01-01

The Slick Rock district covers about 570 square miles in western San Miguel and Dolores Counties, in southwestern Colorado. It is at the south edge of the salt-anticline region of southwestern Colorado and southeastern Utah and of the Uravan mineral belt.Deposition of Paleozoic sedimentary rocks in the district and vicinity was principally controlled by development of the Paradox Basin, and of Mesozoic rocks by development of a depositional basin farther west. The Paleozoic rocks generally are thickest at the northeast side of the Paradox Basin in a northwest- trending trough which seems to be a wide graben in Precambrian igneous and metamorphic basement rocks; Mesozoic rocks generally thicken westward and southwestward from the district.Sedimentary rocks rest on a Precambrian basement consisting of a variety of rocks, including granite and amphibolite. The surface of the Precambrian rocks is irregular and generally more than 2,000 feet below sea level and 7,000-11,000 feet below the ground surface. In the northern part of the district the Precambrian surface plunges abruptly northeastward into the trough occupying the northeast side of the Paradox Basin, and in the southern part it sags in a narrow northeasterly oriented trough. Deepening of both troughs, or crustal deformation in their vicinity, influenced sedimentation during much of late Paleozoic and Mesozoic time.The maximum total thickness of sedimentary rocks underlying the district is 13,000 feet, and prior to extensive erosion in the late Tertiary and the Quaternary it may have been as much as about 18,000 feet. The lower 5,000 feet or more of the sequence of sedimentary rocks consists of arenaceous strata of early Paleozoic age overlain by dominantly marine carbonate rocks and evaporite beds interbedded with lesser amounts of clastic sediments of late Paleozoic age. Overlying these rocks is about 4,500 feet of terrestrial clastic sediments, dominantly sandstone with lesser amounts of shale, mudstone

A Tale of Three District Energy Systems: Metrics and Future Opportunities

Energy Technology Data Exchange (ETDEWEB)

Pass, Rebecca Zarin; Wetter, Michael; Piette, Mary Ann

2017-08-01

Improving the sustainability of cities is crucial for meeting climate goals in the next several decades. One way this is being tackled is through innovation in district energy systems, which can take advantage of local resources and economies of scale to improve the performance of whole neighborhoods in ways infeasible for individual buildings. These systems vary in physical size, end use services, primary energy resources, and sophistication of control. They also vary enormously in their choice of optimization metrics while all under the umbrella-goal of improved sustainability. This paper explores the implications of choice of metric on district energy systems using three case studies: Stanford University, the University of California at Merced, and the Richmond Bay campus of the University of California at Berkeley. They each have a centralized authority to implement large-scale projects quickly, while maintaining data records, which makes them relatively effective at achieving their respective goals. Comparing the systems using several common energy metrics reveals significant differences in relative system merit. Additionally, a novel bidirectional heating and cooling system is presented. This system is highly energy-efficient, and while more analysis is required, may be the basis of the next generation of district energy systems.

A new district heating system in the city of Bolanzo

DEFF Research Database (Denmark)

Mazzocato, Alessandro; Li, Hongwei; Marchiori, S.

2014-01-01

In the context of the EU project “Sinfonia”, that aims to reduce Bolzano’s primary energy consumption up to 40%, SEL AG, an Italian energy company is planning to extend the existing district heating and cooling (DHC) network and explore strategies to improve efficiency, environmental, and economic...... performance. This research aims to assess the potential energy saving of temperature and peak heating load reduction in the Bolzano’s DHC network. Historical performance data from district heating (DH) users were collected and residential building were classified based on construction year and energy...

A Convergence of Energy and Talent: External Support Boosts New York District's Literacy Initiative

Science.gov (United States)

Murphy, Mike; Sykut, Linda

2013-01-01

This article describes the collaborative efforts of the Webster Central School District in New York, USA, and the Learning Forward's Center for Results consultants, in the fall of 2010 in a focus to improve the elementary literacy program. The School District realized it was vital to have a strong, sustained foundation of professional and student…

Revisiting "Rodriguez v. Los Angeles Unified School District": A Case of Intra-District Inequities

Science.gov (United States)

Espinosa, Ruben W.

2010-01-01

The educational community and the courts continue to struggle with the challenges of intra-district resource inequality revealed by the California Supreme Court landmark case "Rodriguez v. Los Angeles Unified School District" (1992). Intra-district school resource inequality is one of the remaining bastions of major inequalities in the…

North–South debate on district heating: Evidence from a household survey

International Nuclear Information System (INIS)

Guo, Jin; Huang, Ying; Wei, Chu

2015-01-01

There has been a long debate on whether South China should supply district heating for the residential sector, a system that is widely used in North China. The major concern is that it may further accelerate China's energy demand. Using a unique urban household level dataset, the China Residential Energy Consumption Survey (CRECS), we investigate residential energy consumption for heating and examine the energy intensity and energy cost of distributed heating in South China and district heating in North China during the 2012 heating season. Our results show that the total energy consumption for distributed heating system users in southern cities is significantly lower than for users of district heating systems in northern cities. However, when accounting for the heating area and heating season, the distributed heating households in the South consumed 32% more energy and paid 189% higher cost per unit area and per hour, but had lower comfort than district heating users in the North. These findings suggest promoting the district heating market in appropriate areas in South China. This not only can improve residential welfare, but also can indirectly reduce energy consumption and financial burdens. - Highlights: • The debate on whether Southern China apply district heating is present. • The household data in 2012 is used to compare the energy efficient and cost. • South resident use more energy and higher cost but less comfort than North. • Government should not prevent the district heating market.

VII international district heating conference

International Nuclear Information System (INIS)

1988-01-01

The proceedings of the 7th International District Heating Conference contain the full texts of the 89 presented papers of which 11 fall under the INIS Subject Scope. The conference met in seven sessions and dealt with the following problem areas: design and optimization of systems of district heating, integration of the power system and the district heating systems, cooperation of nuclear and fossil burning sources in district heating systems, the use of specific nuclear power plants for heating purposes, questions of the control of systems of district heating, the development of components of heating networks, the reliability and design of heat supply pipes. (Z.M.)

Analysis of Migration Flows of the Population of the Vologda Oblast Districts

Directory of Open Access Journals (Sweden)

Mikhail Mikhailovich Panov

2015-09-01

Full Text Available The article presents the research on the main directions and scale of migration in municipal districts of the Vologda Oblast and considers the main types of migration and the specifics of their statistical accounting. The data by Rosstat served as a basis upon which a general analysis of migration dynamics in the Vologda Oblast districts was carried out; and the article presents its periodization. Three main periods are defined: the “migration shock” of 1991–1999 after the collapse of the Soviet Union, the migration stability of 2000–2008 and the post-crisis rural out-migration that began in 2009 and is increasing year by year. At the same time, gross migration indicators have shown high sensitivity to significant socioeconomic change, in particular, to the economic crises of 1999 and 2008. The article describes the main age and gender characteristics of migrants, it has been determined that the most active migrants are girls aged 15–29, who move from rural to urban settlements. In general, it is the young people aged 15–34 who are most likely to migrate. The author has found out that most of the Vologda Oblast districts are characterized by a higher outflow of the population, which is in some places restrained by a relative migration attractiveness of a number of areas. The author has found out that most districts of the Oblast are characterized by a higher outflow of the population, which is sometimes restrained by relative migration attractiveness of some areas. The author highlights the region’s territories with the highest migration attraction; in the long run they can play the role of “growth points” in the region; these territories comprise Velikoustyugsky and Chagodoshchensky districts, as well as several districts of the central part of the Vologda Oblast – Ust-Kubinsky and Vologodsky. The author also points out the territories that suffered the most from out-migration: Kichmengsko-Gorodetsky, Vashkinsky

75 FR 19923 - Revisions to the California State Implementation Plan, Yolo-Solano Air Quality Management District

Science.gov (United States)

2010-04-16

... the California State Implementation Plan, Yolo- Solano Air Quality Management District AGENCY... the Yolo-Solano Air Quality Management District (YSAQMD) portion of the California State.... ``Improving Air Quality with Economic Incentive Programs,'' EPA- 452/R-01-001, January 2001. B. Does the rule...

District heating in energetic and environmental politics

Energy Technology Data Exchange (ETDEWEB)

di Riscaldamento Urbano, Associazione Italiana

1989-05-01

A review is made of what was said at the Third Bi-annual Convention (Reggio Emilia, 24-25/11/88) of AIRU (the Italian Association for District Heating). In general, the seven papers presented dealt with the following points: the technology of primary energy supply, thermal energy production, energy distribution to users, environmental engineering and socio-economic factors. Emphasis was given to the themes: district heating in Italy within the framework of the 1988 National Energy Plan and the impact on energy marketing due to the future free trade system planned for the E.E.C. in 1992. A critical analysis is made of: forecasts of primary energy demand for the year 2000, plans for the reduction of dependency on foreign supplied petroleum, the promotion of the increased use of natural gas and methane and overall energy conservation measures as called for by the National Energy Plan.

Venous thromboprophylaxis in general surgery ward admissions: strategies for improvement.

Science.gov (United States)

Galante, Mariana; Languasco, Agustín; Gotta, Daniel; Bell, Soledad; Lancelotti, Tomás; Knaze, Viktoria; Saubidet, Cristián Lopez; Grand, Beatriz; Milberg, Matías

2012-12-01

To estimate the adherence to institutional venous thromboprophylaxis clinical practice guidelines (CPGs) in general surgery patients and to assess the effectiveness of a multi-strategy improvement intervention. A prospective before-after study. Two teaching hospitals located in the city of Buenos Aires, Argentina. Prescriptions belonging to patients admitted to the general surgery wards were evaluated. A multi-strategy intervention that included (i) simplification of institutional CPGs for venous thromboprophylaxis using a single drug at a single dose, based on the American College of Chest Physicians recommendations, (ii) distribution of pocket cards with an algorithm for the implementation of new recommendations to both, physicians and nurses, working in the general surgery units, (iii) educational talks, (iv) paper-based reminders and (v) audit and feedback. The adherence of the venous thromboprophylaxis prescription to the institutional recommendations. The prescriptions of 100 admitted patients before and 90 after the intervention were included in the analysis. The initial rate of adherence was 31%. After the intervention this rate rose to 71.1% (P< 0.001). The major improvement observed was the reduction in omitted prophylaxis in patients at risk of venous thromboembolism from 45 to 13.3% (P< 0.001). In the adjusted model, prescribing compliance with CPGs was five times more likely during the second stage than during the first stage (OR = 5.60, 95% CI = 2.92-10.74). Simple and economical interventions such as those described in this study can improve general surgeons compliance with the institutional and international guidelines, thus assuring patient safety and quality of health care.

District heating in Italy

International Nuclear Information System (INIS)

Sacchi, E.

1998-01-01

The legislative act establishing the electric monopoly virtually shut out the district heating associated with electricity cogeneration, while other laws, issued to counteract the effects of oil shocks, allowed municipal utilities to do so. Thus, district heating has experienced some development, though well below its possibilities. The article analyses the reasons for this lagging, reports district heating data and projects its forecasts against the Kyoto Protocol objectives [it

Guidelines for District Heating Substations

Energy Technology Data Exchange (ETDEWEB)

2009-07-15

The present guidelines contain a set of recommendations focusing on planning, installation, use and maintenance of district heating (DH) substations within district heating systems throughout Europe. The recommendations were developed in order to enable readers to develop well-functioning substations and an effective heat and domestic warm water delivery. These guidelines are intended to give the most effective overall solutions for various parts of the customer installation. The guidelines are not meant to specify the different components of the substation such as meters or heat exchangers. The guidelines deal with a wide variety of issues concerning both present systems of today and district heating systems of the future. Specific handling and maintenance recommendations are mainly focused on present modern systems but are also intended to cover the future situation as much as is feasible. For this reason, certain existing systems are not dealt with in these guidelines. For instance, these guidelines do not cover steam systems, systems with temperatures exceeding 110 deg C and pressure levels above 1.6 MPa. The guidelines include a chapter on the heat meter, as the meter and especially the meter installation is always installed simultaneously with the rest of the substation. These guidelines aim to provide best-practice and easy-to-handle recommendations for: - those who are responsible for relations between district heating utilities and customers; - those who own or maintain a building connected to the district heating network; - those who manufacture, plan, purchase, test and install substations. These guidelines do not deal with investment or cost aspects, but in general, Euroheat and Power recommends looking at the lifetime cost of all components of the substation, instead of investment costs alone. An example of this is provided in Chapter 7.8. The Guidelines were developed based on the most optimal operating principles of substations and meters

Corrosion Rate Monitoring in District Heating Systems

DEFF Research Database (Denmark)

Hilbert, Lisbeth Rischel; Nielsen, Lars Vendelbo; Andersen, A.

2005-01-01

be applicable, and if on-line monitoring could improve the quality control. Water quality monitoring was applied as well as corrosion rate monitoring with linear polarization resistance (LPR), electrochemical impedance spectroscopy (EIS), electrical resistance (ER) technique, mass loss and a crevice corrosion......Quality control in district heating systems to keep uniform corrosion rates low and localized corrosion minimal is based on water quality control. Side-stream units equipped with carbon steel probes for online monitoring were mounted in district heating plants to investigate which techniques would...... cell for localized corrosion risk estimation. Important variations in corrosion rate due to changes in make-up water quality were detected with the continuous monitoring provided by ER and crevice cell, while LPR gave unreliable corrosion rates. The acquisition time of two-three days for EIS...

Local or district heating by natural gas: Which is better from energetic, environmental and economic point of views?

International Nuclear Information System (INIS)

Lazzarin, R.; Noro, M.

2006-01-01

Generally, a CHP plant coupled with district heating is considered more efficient than traditional local heating systems from an economic and environmental point of view. This is certainly true for municipal waste CHP plants, but for plants fuelled by natural gas the important developments of the last years regarding both boilers (premixed and modulating burners, condensing boilers, etc.) and mechanical vapour compression and absorption heat pumps can change the traditional view. At the same time also district heating plants improved. Therefore it is worth to analyse the whole matter comparing advantages and disadvantages of the different alternatives, with a wide difference between them. The paper reports on the analysis of major district heating natural gas based technologies (vapour and gas turbines, internal combustion engine, combined cycles); the cost of heat and power produced in these plants is compared to the cost of producing the same quantity of electrical energy by a reference GTCC-Gas Turbine Combined Cycle (actually the most efficient technology for pure electrical production) and the cost of heat production by modern local heating technologies using natural gas as fuel (condensing boilers, electrical, gas engine and absorption heat pumps). Regarding energy efficiency and emissions, modern local heating turns out to be more efficient than district heating for most CHP technologies. However, the same does not happen from an economic point of view, because in Italy natural gas used by cogeneration plants is subjected to a much lower taxation than local heating technologies

All Aboard!: In One Iowa District, All Teachers and Principals Are on the Same Journey

Science.gov (United States)

Hansen, Deb; Anderson, Colleen; Munger, Linda; Chizek, Mitzi

2013-01-01

Collaborative learning teams are improving teacher practice and student learning results in the Dallas Center-Grimes Community School District near Des Moines, Iowa. Since 2009, all teachers and principals in the district have participated in collaborative learning teams to study a process known as assessment for learning, in which formative…

7 CFR 958.27 - Districts.

Science.gov (United States)

2010-01-01

...; (2) changes in the relative position of existing districts with respect to onion production; (3) the... and Orders; Fruits, Vegetables, Nuts), DEPARTMENT OF AGRICULTURE ONIONS GROWN IN CERTAIN DESIGNATED... Districts. (a) For the purpose of selecting committee members, the following districts of the production...

Intra-District Disparities in Primary Education: A Case Study of Bankura District, West Bengal

Directory of Open Access Journals (Sweden)

Krishnendu Maji

2017-03-01

Full Text Available The level of education and its response to different educational opportunities vary from one spatial unit to another depending on various factors like social, economic, cultural, and institutional. It is understood that certain regions acquire relative advancements over others in terms of human resource development and human capital formation. The key purpose of this research is to examine the intra-district disparities in primary education in Bankura District one of the districts of West Bengal. It ranks 11thamong the 19 districts of West Bengal (Human Development Report, 2007.  Overall literacy rate of the district stands at 70.26% but the district scores low in terms of female literacy rates, which is 60.05%,whereas the male literacy rate is 80.05%, which is a huge gender literacy gap of 20%. There are also regional inequalities existing at block level. Kotulpur ranks first with a literacy rate of 78.01% while Saltora occupies the bottom position with literacy rate of just 61.45% (Census of India, 2011. The level of educational development is dependent on several factors—enrolment ratio, dropout and repetition rates, pupil-teacher ratio, habitations covered by educational institutions, space-student ratio, drinking water and sanitation facilities in school, etc. In this context, the present study aims at examining the issues of intra-district disparities in educational attainment with regard to various educational amenities of Bankura district, West Bengal. Ten attributes have been selected to examine the level of development in primary education. It is clear from the study that the level of development in eastern part of the district is relatively better in comparison to other regions. Economic backwardness and physical bottlenecks continue to be major issues in western blocks.

A School Based Cluster Randomised Health Education Intervention Trial for Improving Knowledge and Attitudes Related to Taenia solium Cysticercosis and Taeniasis in Mbulu District, Northern Tanzania

Science.gov (United States)

Mwidunda, Sylvester A.; Carabin, Hélène; Matuja, William B. M.; Winkler, Andrea S.; Ngowi, Helena A.

2015-01-01

Taenia solium causes significant economic and public health impacts in endemic countries. This study determined effectiveness of a health education intervention at improving school children’s knowledge and attitudes related to T. solium cysticercosis and taeniasis in Tanzania. A cluster randomised controlled health education intervention trial was conducted in 60 schools (30 primary, 30 secondary) in Mbulu district. Baseline data were collected using a structured questionnaire in the 60 schools and group discussions in three other schools. The 60 schools stratified by baseline knowledge were randomised to receive the intervention or serve as control. The health education consisted of an address by a trained teacher, a video show and a leaflet given to each pupil. Two post-intervention re-assessments (immediately and 6 months post-intervention) were conducted in all schools and the third (12 months post-intervention) was conducted in 28 secondary schools. Data were analysed using Bayesian hierarchical log-binomial models for individual knowledge and attitude questions and Bayesian hierarchical linear regression models for scores. The overall score (percentage of correct answers) improved by about 10% in all schools after 6 months, but was slightly lower among secondary schools. Monitoring alone was associated with improvement in scores by about 6%. The intervention was linked to improvements in knowledge regarding taeniasis, porcine cysticercosis, human cysticercosis, epilepsy, the attitude of condemning infected meat but it reduced the attitude of contacting a veterinarian if a pig was found to be infected with cysticercosis. Monitoring alone was linked to an improvement in how best to raise pigs. This study demonstrates the potential value of school children as targets for health messages to control T. solium cysticercosis and taeniasis in endemic areas. Studies are needed to assess effectiveness of message transmission from children to parents and the general

A school based cluster randomised health education intervention trial for improving knowledge and attitudes related to Taenia solium cysticercosis and taeniasis in Mbulu district, northern Tanzania.

Science.gov (United States)

Mwidunda, Sylvester A; Carabin, Hélène; Matuja, William B M; Winkler, Andrea S; Ngowi, Helena A

2015-01-01

Taenia solium causes significant economic and public health impacts in endemic countries. This study determined effectiveness of a health education intervention at improving school children's knowledge and attitudes related to T. solium cysticercosis and taeniasis in Tanzania. A cluster randomised controlled health education intervention trial was conducted in 60 schools (30 primary, 30 secondary) in Mbulu district. Baseline data were collected using a structured questionnaire in the 60 schools and group discussions in three other schools. The 60 schools stratified by baseline knowledge were randomised to receive the intervention or serve as control. The health education consisted of an address by a trained teacher, a video show and a leaflet given to each pupil. Two post-intervention re-assessments (immediately and 6 months post-intervention) were conducted in all schools and the third (12 months post-intervention) was conducted in 28 secondary schools. Data were analysed using Bayesian hierarchical log-binomial models for individual knowledge and attitude questions and Bayesian hierarchical linear regression models for scores. The overall score (percentage of correct answers) improved by about 10% in all schools after 6 months, but was slightly lower among secondary schools. Monitoring alone was associated with improvement in scores by about 6%. The intervention was linked to improvements in knowledge regarding taeniasis, porcine cysticercosis, human cysticercosis, epilepsy, the attitude of condemning infected meat but it reduced the attitude of contacting a veterinarian if a pig was found to be infected with cysticercosis. Monitoring alone was linked to an improvement in how best to raise pigs. This study demonstrates the potential value of school children as targets for health messages to control T. solium cysticercosis and taeniasis in endemic areas. Studies are needed to assess effectiveness of message transmission from children to parents and the general

A school based cluster randomised health education intervention trial for improving knowledge and attitudes related to Taenia solium cysticercosis and taeniasis in Mbulu district, northern Tanzania.

Directory of Open Access Journals (Sweden)

Sylvester A Mwidunda

Full Text Available Taenia solium causes significant economic and public health impacts in endemic countries. This study determined effectiveness of a health education intervention at improving school children's knowledge and attitudes related to T. solium cysticercosis and taeniasis in Tanzania. A cluster randomised controlled health education intervention trial was conducted in 60 schools (30 primary, 30 secondary in Mbulu district. Baseline data were collected using a structured questionnaire in the 60 schools and group discussions in three other schools. The 60 schools stratified by baseline knowledge were randomised to receive the intervention or serve as control. The health education consisted of an address by a trained teacher, a video show and a leaflet given to each pupil. Two post-intervention re-assessments (immediately and 6 months post-intervention were conducted in all schools and the third (12 months post-intervention was conducted in 28 secondary schools. Data were analysed using Bayesian hierarchical log-binomial models for individual knowledge and attitude questions and Bayesian hierarchical linear regression models for scores. The overall score (percentage of correct answers improved by about 10% in all schools after 6 months, but was slightly lower among secondary schools. Monitoring alone was associated with improvement in scores by about 6%. The intervention was linked to improvements in knowledge regarding taeniasis, porcine cysticercosis, human cysticercosis, epilepsy, the attitude of condemning infected meat but it reduced the attitude of contacting a veterinarian if a pig was found to be infected with cysticercosis. Monitoring alone was linked to an improvement in how best to raise pigs. This study demonstrates the potential value of school children as targets for health messages to control T. solium cysticercosis and taeniasis in endemic areas. Studies are needed to assess effectiveness of message transmission from children to parents and

Analysis of district heating pricing in Finland from the customers' and energy companies perspectives. Final report; Kaukolaemmoen hinnoittelun nykytila ja tulevaisuuden mahdollisuudet. Loppuraportti

Energy Technology Data Exchange (ETDEWEB)

Sarvaranta, A.; Jaaskelainen, J.; Puolakka, J.; Kouri, P. [AF-Consult, Vantaa (Finland)

2012-12-15

The heating market in Finland is changing. Until now, district heating demand has been constantly increasing. However, forecasts predict the demand to drop slightly in the future due to the increasing energy efficiency demands and development of competing heating technologies. Maintaining existing customer base may rise as one of the major challenges of a district heating company in the future. This report covers the topic 'Analysis of district heating pricing in Finland from the customers' and energy companies perspectives'. The report provides a general description of the current challenges and future opportunities of district heating pricing in Finland. Cost and pricing structures are discussed from both the companies and customers' perspectives. The overall objective is to provide an overview of the current state of district heating pricing in Finland and provide information on new pricing opportunities. The conclusions of the report provide information that district heating companies can use in developing their pricing system. Based on the literature and material analysed in this study, district heating pricing currently lacks adequate transparency and therefore should be developed to reflect the cost structure more closely. New metering technologies allow more accurate information on heat consumption and can hence be used to improve the transparency of pricing. Average marginal costs generally vary between seasons. If the goal is to reflect the cost structure taking into account the average variable costs, season dependent pricing becomes desirable. More variability in pricing between seasons may also keep customers from switching completely or partially into other heating systems, as the pricing becomes more cost-effective and easier to understand. Different types of customers wish for different properties in pricing: transparency, freedom of choice, convenience, more dynamic pricing, etc.. While expanding and tailoring the pricing

Lieutenant Chief Warden Districts

Data.gov (United States)

Vermont Center for Geographic Information — This dataset is a representation overlay of Lieutenant Chief Warden Districts (areas of responsibility). The Vermont Lieutenant Chief Warden Districts layer is part...

IS YOUR DISTRICT READY TO START A JUNIOR COLLEGE.

Science.gov (United States)

PATTERSON, DOW

TO DETERMINE IF A DISTRICT IS READY TO ESTABLISH A JUNIOR COLLEGE, CERTAIN QUESTIONS MUST BE ANSWERED--(1) ARE THERE ENOUGH HIGH SCHOOL GRADUATES TO WARRANT THE PROGRAM WITHOUT UNDUE TAXATION. (2) WILL THE COLLEGE BE ABLE TO OFFER THE USUAL PROGRAMS OF TRANSFER, VOCATIONAL TRAINING, GUIDANCE, AND GENERAL EDUCATION. (3) SHOULD IT BE AN EXTENSION OF…

77 FR 42257 - General Conference Committee of the National Poultry Improvement Plan; Solicitation for Membership

Science.gov (United States)

2012-07-18

...] General Conference Committee of the National Poultry Improvement Plan; Solicitation for Membership AGENCY... regional membership for the General Conference Committee of the National Poultry Improvement Plan. DATES... INFORMATION CONTACT: Dr. C. Stephen Roney, Senior Coordinator, National Poultry Improvement Plan, VS, APHIS...

State-Level Guidance and District-Level Policies and Practices for Food Marketing in US School Districts.

Science.gov (United States)

Merlo, Caitlin L; Michael, Shannon; Brener, Nancy D; Blanck, Heidi

2018-06-07

State agencies play a critical role in providing school districts with guidance and technical assistance on school nutrition issues, including food and beverage marketing practices. We examined associations between state-level guidance and the policies and practices in school districts regarding food and beverage marketing and promotion. State policy guidance was positively associated with districts prohibiting advertisements for junk food or fast food restaurants on school property. Technical assistance from states was negatively associated with 2 district practices to restrict marketing of unhealthy foods and beverages, but positively associated with 1 practice to promote healthy options. These findings may help inform the guidance that states provide to school districts and help identify which districts may need additional assistance to address marketing and promotion practices.

77 FR 59888 - General Conference Committee of the National Poultry Improvement Plan

Science.gov (United States)

2012-10-01

... Improvement Plan AGENCY: Animal and Plant Health Inspection Service, USDA. ACTION: Notice of intent to renew... the General Conference Committee of the National Poultry Improvement Plan (Committee) for a 2year... Improvement Plan, VS, APHIS, USDA, 1506 Klondike Road, Suite 300, Conyers, GA 30094; (770) 922-3496...

Piracetam improves children's memory after general anaesthesia.

Science.gov (United States)

Fesenko, Ułbołgan A

2009-01-01

Surgery and anaesthesia may account for postoperative complications including cognitive impairment. The purpose of the study was to assess the influence of general anaesthetics on children's memory and effectiveness of piracetam for prevention of postoperative cognitive dysfunction. The study included patients receiving different kinds of anaesthesia for various surgical procedures, randomly allocated to two groups. According to immediate postoperative treatment, the study group received intravenous piracetam 30 mg kg(-1) and the control group--placebo. The cognitive functions were examined preoperatively and within 10 consecutive postoperative days using the ten-word memory test. The study group consisted of 123 children, the control one--of 127. Declines in memory indexes were observed in all anaesthetized patients. The most injured function was long-term memory. The intravenous administration of piracetam improved this cognitive function. The study results confirm that general anaesthesia affects the memory function in children. Piracetam is effective for prevention of postoperative cognitive dysfunction after anaesthesia.

Meeting the needs of vulnerable patients: The need for team working across general practice and community nursing services

Science.gov (United States)

While, Alison E

2014-01-01

General practitioners and district nurses have a long history of providing care outside the hospital setting. With health care increasingly moving out of the hospital setting, there are more opportunities for general practitioners and district nurses to work together to meet the health needs of the local population. However, the reduction in qualified specialist practitioner district nurses over the last decade is concerning. The need for an effective district nursing service has been recognised by the Department of Health in their own model – the nature of district nursing work, often over a long period, enables relationships to develop with the patient, family and informal carers as a basis for anticipatory care to manage long-term conditions. Communication and understanding of the role are central to enhance effective working between general practitioners and district nurses, which can be fostered by engagement in community-oriented integrated care and case management. PMID:25949736

77 FR 63326 - Huron Wetland Management District, Madison Wetland Management District, and Sand Lake Wetland...

Science.gov (United States)

2012-10-16

..., consistent with sound principles of fish and wildlife management, conservation, legal mandates, and our... FXRS1265066CCP0] Huron Wetland Management District, Madison Wetland Management District, and Sand Lake Wetland Management District, SD; Final Comprehensive Conservation Plan and Finding of No Significant Impact for...

The impact of urban regeneration programmes on health and health-related behaviour: Evaluation of the Dutch District Approach 6.5 years from the start.

Directory of Open Access Journals (Sweden)

Annemarie Ruijsbroek

Full Text Available Large-scale regeneration programmes to improve the personal conditions and living circumstances in deprived areas may affect health and the lifestyle of the residents. Previous evaluations concluded that a large-scale urban regeneration programme in the Netherlands had some positive effects within 3.5 years. The aim of the current study was to evaluate the effects at the longer run.With a quasi-experimental research design we assessed changes in the prevalence of general health, mental health, physical activity, overweight, obesity, and smoking between the pre-intervention (2003-04 -mid 2008 and intervention period (mid 2008-2013-14 in 40 deprived target districts and comparably deprived control districts. We used the Difference-in-Difference (DiD to assess programme impact. Additionally, we stratified analyses by sex and by the intensity of the regeneration programme.Changes in health and health related behaviours from pre-intervention to the intervention period were about equally large in the target districts as in control districts. DiD impact estimates were inconsistent and not statistically significant. Sex differences in DiD estimates were not consistent or significant. Furthermore, DiD impact estimates were not consistently larger in target districts with more intensive intervention programmes.We found no evidence that this Dutch urban regeneration programme had an impact in the longer run on self-reported health and related behaviour at the area level.

Malnutrition and clinical manifestations in school going children at district tharparkar, sindh, pakistan

International Nuclear Information System (INIS)

Kapoor, A.; Channa, N.A.; Soomro, A.M.; Tunio, S.A.; Khand, T.U.; Memon, N.

2017-01-01

Malnutrition and clinical manifestation in school going children of Tharparkar District Methodology: The study subjects were school going children of class VI to X from different boys and girls schools at Mithi, District Tharparkar. A total number of 300 children with age range of 12-17 years, were included, out of which 150 (50%) were girls and 150 (50%) were boys. General physical examination was carried out for all the subjects. Estimated nutrient intake of energy, carbohydrates, protein, fat and iron was calculated by one week recall method. Anthropometric measurements such as weight, and height, were taken by using the standard operating procedures. Results: General physical examination revealed generalized weakness, recurrent infection and anemia were the most commonly seen in the school going children at district Tharparkar. Nutritional status of children according to the age for height showed 32% girls and 34% boys were stunt whereas the of age for weight showed 34% girls and 39% boys were underweight. The body mass index for age showed 16% girls and 34% boys were thin. Only 2.6 % girls and boys were overweight, but we didn't find any obese children. Conclusion: It is concluded that energy (caloric) carbohydrates, protein, and iron are below recommended daily allowance, which reflects the malnutrition in children. Inadequate intake of nutrients has the effect on height, weight and body mass index. (author)

The Effect of Government Expenditures, Private Investment and Labor on Economic Growth in Pidie District

Directory of Open Access Journals (Sweden)

Munzir AG

2018-02-01

Full Text Available This study aims to determine the effect of government spending, private investment, and labor on economic growth in Pidie District, Data analyzed from 2000-2016, using multiple linear regression model. The results of research on government spending, private investment and labor both simultaneously and partially have a positive and significant impact on economic growth in Pidie District. Variations of government expenditure variables, private investment and labor are able to explain the variation of economic growth in Pidie District by 48,7 percent and the rest of 51,3 percent influenced by other variables. Labor is the most dominant variable of influence on economic growth in Pidie District. Private investment is the least influence variable to economic growth in Pidie District. The need for a policy that could make private government investment spending, and labor increases simultaneously so it is likely to have a positive impact on improving economic growth in Pidie District.

Mental health in primary health care in a rural district of Cambodia: a situational analysis.

Science.gov (United States)

Olofsson, Sofia; Sebastian, Miguel San; Jegannathan, Bhoomikumar

2018-01-01

While mental and substance use disorders are common worldwide, the treatment gap is enormous in low and middle income countries. Primary health care is considered to be the most important way for people to get mental health care. Cambodia is a country with a long history of war and has poor mental health and limited resources for care. The aim of this study was to conduct a situational analysis of the mental health services in the rural district of Lvea Em, Kandal Province, Cambodia. A cross-sectional situational analysis was done to understand the mental health situation in Lvea Em District comparing it with the national one. The Programme for improving mental health care (PRIME) tool was used to collect systematic information about mental health care from 14 key informants in Cambodia. In addition, a separate questionnaire based on the PRIME tool was developed for the district health care centres (12 respondents). Ethical approval was obtained from the National Ethics Committee for Health Research in Cambodia. Mental health care is limited both in Lvea Em District and the country. Though national documents containing guidelines for mental health care exist, the resources available and health care infrastructure are below what is recommended. There is no budget allocated for mental health in the district; there are no mental health specialists and the mental health training of health care workers is insufficient. Based on the limited knowledge from the respondents in the district, mental health disorders do exist but no documentation of these patients is available. Respondents discussed how community aspects such as culture, history and religion were related to mental health. Though there have been improvements in understanding mental health, discrimination and abuse against people with mental health disorders seems still to be present. There are very limited mental health care services with hardly any budget allocated to them in Lvea Em District and Cambodia

Towards the Development of More Comprehensive Measures of School District Wealth.

Science.gov (United States)

Thornton, Robert J.

The author tests several ways in which income can be added to property wealth to improve the measurement of school-district fiscal capacity. His first chapter discusses the economic and legal reasons for this improvement, notes that seven states already combine income and property, and distinguishes adding income and property together from…

IEP Use by General and Special Education Teachers

Directory of Open Access Journals (Sweden)

Kathleen Rotter

2014-04-01

Full Text Available The role of general and special educators in implementing the Individualized Education Program (IEP is critical. This study investigated the perceptions of those teachers on when they read the IEP, how they measure attainment of IEP goals and objectives, and the IEPs usefulness in instructional planning. Four hundred twenty-six teachers from suburban school districts in central New Jersey were respondents. Results indicated that the majority of general and special education teachers are reading their students’ IEPs in a fairly timely manner and that they find them moderately useful in planning instruction. Results also suggested that teachers relied heavily on grades to document attainment of IEP goals and that teachers felt that the IEPs themselves could be improved if they were shorter with student-specific, critical information that was more relevant to classroom instruction.

Management of Peat Fires on Smoldering Phase (Case Study: District Siak and District Kampar Riau Province

Directory of Open Access Journals (Sweden)

Syafrudin Syafrudin

2016-01-01

Full Text Available The difficulty of finding land for farming activities in Indonesia caused some communities began to switch utilizing peat land for agricultural areas such as oil palm. Oil palm plantation is a commodity that has been developed in Indonesia.Oil palm planted area has increased rapidly.Since 1967 extensive oil palm plantations has increased 35times to 5.6 million ha in 2005 and about 7.8 million ha in 2009. The biggest expansion of oil palm plantations occur in 6 province,one of them is Riau.Most people take a practical way to open agricultural areas by burning peat.Riau Province in Indonesia is one of the major hotspots for peat fires during the dry season. Peat fire at smouldering phaseemits a lot of compounds that are not completely oxidized (e.g. CO, VOCs, PAHs that more dangerous than the emissions released during combustion at flaming fires. Particulate Matter (PM 2.5 is one of the emissions from peat fires too.However, existing data on VOCs and PM 2.5 of smoke from peat fires Indonesia is still limited.The aim of this study was to analyze the concentration of VOCs and PM 2.5 on emissions from peat fires in the Langkai Village Siak District and RimboPanjang Village Kampar District Riau Province when compared with background site and the permissible exposure limit and provide recommendations based on the results of this research.VOCs measurement method is based on NIOSH 1500 and EPA TO-17 while the PM 2.5 based on IMPROVE A method. The average concentration of PM 2.5 is 996.72 ± 531.01μg/m3. PM2.5 concentrations increased (compared with the background site was very high at 4,838%.This condition causes a decrease in air quality and serious health problems. While the results of the maximum TVOCs concentration obtained in Siak District was 391,880 g/m3, while in Kampar Districtwas 195,940 g/m3. TVOCs concentration atSiak Districtwas 130.63 times greater than the existing quality standards, while at Kampar District regency was 65.31 times

Reinstating district nursing: A UK perspective.

Science.gov (United States)

Morris, Hannah

2017-09-01

As policy directives gather pace for service provision to be delivered in primary care, district nursing has not been recognised as a valuable asset to facilitate this agenda. Investment in district nursing and specialist district nursing education has fallen. This is concurrent with an ageing district nursing workforce, a lack of recruitment and growing caseloads, as district nursing adapts to meet the challenges of the complexities of contemporary healthcare in the community. The district nurse role is complex and multifaceted and includes working collaboratively and creatively to coordinate care. Redressing the shortages of specialist district nurse practitioners with increased numbers of health care support workers will not replace the skill, knowledge, experience required to meet the complex care needs of today's society. District nursing needs to be reinstated as the valuable asset it is, through renewed investment in the service, research development and in specialist practice education. To prevent extinction district nurses need to be able to demonstrate and articulate the complexities and dynamisms of the role to reinstate themselves to their commissioners as a valuable asset for contemporary practice that can meet current health and social care needs effectively. Crown Copyright © 2017. Published by Elsevier Ltd. All rights reserved.

Pregnancy outcomes of women with HIV in a district general hospital in the UK.

Science.gov (United States)

Carey, L; Desouza, C; Moorcroft, A; Elgalib, A

2018-03-12

The aim of this study was to describe the obstetrical and virological outcomes in HIV-infected pregnant women who delivered at a district general hospital in south London in the period from 2008 to 2014. Our review identified 137 pregnancies; most (60%, 63/105) of them were unplanned. The commonest mode of delivery was spontaneous vaginal delivery (SVD) (42%, 48/114) followed by emergency Caesarean section (32%, 36/114). Gestational age at delivery was ≥37 weeks in most (84%, 91/106) of the cases. Maternal HIV VL at or closest to delivery was undetectable (1000 copies/mL in 73% (94/129), 90% (116/129) and 6% (8/129) of the pregnancies, respectively. None of the infants were infected with HIV making the rate of MTCT of HIV 0% (zero). Our study shows that favourable virological and obstetrical outcomes of HIV-infected pregnant women are achievable in non-tertiary HIV treatment centres. Impact Statement What is already known on this subject: Prevention of mother-to-child transmission (MTCT) of HIV has been one of the major public health successes in the last decades. This success was evident by the reduction of MTCT of HIV in the UK from 25.6% in the 1993 to only 0.46% in 2011. Furthermore, many reports from individual providers, mainly from tertiary centres, of HIV care in the UK also showed very low rates MTCT of HIV. What the results of this study add: Our study shows that favourable virological and obstetrical outcomes of HIV-infected pregnant women are achievable in non-tertiary HIV treatment centres. The MTCT of HIV rate in our hospital was zero in the period from 2008 to 2014. What the implications are of these findings for clinical practice and/or further research: Staff caring for pregnant HIV positive women in general hospitals and small-to-medium HIV clinics should liaise closely with each other and utilise the skill-mix within their hospital in order to provide a quality care that is similar to what is achieved in large teaching centres; however, a

A framework to assess management performance in district health systems: a qualitative and quantitative case study in Iran.

Science.gov (United States)

Tabrizi, Jafar Sadegh; Gholipour, Kamal; Iezadi, Shabnam; Farahbakhsh, Mostafa; Ghiasi, Akbar

2018-01-01

The aim was to design a district health management performance framework for Iran's healthcare system. The mixed-method study was conducted between September 2015 and May 2016 in Tabriz, Iran. In this study, the indicators of district health management performance were obtained by analyzing the 45 semi-structured surveys of experts in the public health system. Content validity of performance indicators which were generated in qualitative part were reviewed and confirmed based on content validity index (CVI). Also content validity ratio (CVR) was calculated using data acquired from a survey of 21 experts in quantitative part. The result of this study indicated that, initially, 81 indicators were considered in framework of district health management performance and, at the end, 53 indicators were validated and confirmed. These indicators were classified in 11 categories which include: human resources and organizational creativity, management and leadership, rules and ethics, planning and evaluation, district managing, health resources management and economics, community participation, quality improvement, research in health system, health information management, epidemiology and situation analysis. The designed framework model can be used to assess the district health management and facilitates performance improvement at the district level.

A framework to assess management performance in district health systems: a qualitative and quantitative case study in Iran

Directory of Open Access Journals (Sweden)

Jafar Sadegh Tabrizi

2018-04-01

Full Text Available The aim was to design a district health management performance framework for Iran’s healthcare system. The mixed-method study was conducted between September 2015 and May 2016 in Tabriz, Iran. In this study, the indicators of district health management performance were obtained by analyzing the 45 semi-structured surveys of experts in the public health system. Content validity of performance indicators which were generated in qualitative part were reviewed and confirmed based on content validity index (CVI. Also content validity ratio (CVR was calculated using data acquired from a survey of 21 experts in quantitative part. The result of this study indicated that, initially, 81 indicators were considered in framework of district health management performance and, at the end, 53 indicators were validated and confirmed. These indicators were classified in 11 categories which include: human resources and organizational creativity, management and leadership, rules and ethics, planning and evaluation, district managing, health resources management and economics, community participation, quality improvement, research in health system, health information management, epidemiology and situation analysis. The designed framework model can be used to assess the district health management and facilitates performance improvement at the district level.

Implementation of an inclusive radiation monitoring system in the Bragin district in Belarus

Energy Technology Data Exchange (ETDEWEB)

Crouail, P.; Bataille, C. [Centre d' etude sur l' Evaluation de la Protection dans le domaine Nucleaire, Fontenay-aux-Roses (France); Katlabai, T. [Sprout of Life, Krasnoye (Belarus)

2006-07-01

This paper presents results from one of the projects developed within the general framework of the international Programme 'CORE' (Cooperation for Rehabilitation in Belarus). The overall objective of the programme is to make sustainable improvements to the living conditions of the inhabitants of the territories affected by the Chernobyl disaster. The CORE Programme is currently developed in four contaminated districts of Belarus (Bragin, Cherchersk, Slavgorod and Stolyn) in the following four areas: economic and social development; health care and surveillance; education and culture; and radiological quality. The project that is presented here refers specifically to the field of 'radiological quality' and will last until the end of 2008. The project named 'implementation of an inclusive radiation monitoring system' was launched in April 2004 in the Bragin district, which is one of the most contaminated areas in Belarus. It is located in the very South East of the country and is adjacent to the 30 km exclusion zone around the Chernobyl nuclear power plant (zone with caesium 137 soil contamination above 1480 kBq/m{sup 2}). Since the accident, the number of people living in the district has declined by 56%. Today, 17000 persons, including 3000 children, live there in mostly rural areas where {sup 137}Cs levels in soil are between 185 and 555 kBq/m{sup 2}. The project aims at diffusing a practical radiation protection culture, among the population, and especially among children, through the development of a radiation monitoring system handled by the local professionals and the population. The adopted approach is mainly based on the experience of the ETHOS Project implemented in Belarus between 1996 and 2001. Indeed the ETHOS Project revealed that an efficient monitoring system and the involvement of the local population and professionals in the day-to-day management of the radioactive contamination of their environment are key elements in

Implementation of an inclusive radiation monitoring system in the Bragin district in Belarus

International Nuclear Information System (INIS)

Crouail, P.; Bataille, C.; Katlabai, T.

2006-01-01

This paper presents results from one of the projects developed within the general framework of the international Programme 'CORE' (Cooperation for Rehabilitation in Belarus). The overall objective of the programme is to make sustainable improvements to the living conditions of the inhabitants of the territories affected by the Chernobyl disaster. The CORE Programme is currently developed in four contaminated districts of Belarus (Bragin, Cherchersk, Slavgorod and Stolyn) in the following four areas: economic and social development; health care and surveillance; education and culture; and radiological quality. The project that is presented here refers specifically to the field of 'radiological quality' and will last until the end of 2008. The project named 'implementation of an inclusive radiation monitoring system' was launched in April 2004 in the Bragin district, which is one of the most contaminated areas in Belarus. It is located in the very South East of the country and is adjacent to the 30 km exclusion zone around the Chernobyl nuclear power plant (zone with caesium 137 soil contamination above 1480 kBq/m 2 ). Since the accident, the number of people living in the district has declined by 56%. Today, 17000 persons, including 3000 children, live there in mostly rural areas where 137 Cs levels in soil are between 185 and 555 kBq/m 2 . The project aims at diffusing a practical radiation protection culture, among the population, and especially among children, through the development of a radiation monitoring system handled by the local professionals and the population. The adopted approach is mainly based on the experience of the ETHOS Project implemented in Belarus between 1996 and 2001. Indeed the ETHOS Project revealed that an efficient monitoring system and the involvement of the local population and professionals in the day-to-day management of the radioactive contamination of their environment are key elements in the process of rehabilitation of living

District Consolidation: Rivals Coming Together

Science.gov (United States)

Mart, Dan

2011-01-01

District consolidation is a highly emotional process. One key to success is sticking to the facts. In Iowa, school districts facing financial difficulties or enrollment concerns do not have to move directly to consolidation. In many cases, districts begin by developing sharing agreements. These sharing agreements may start with simple sharing of…

School District (K-12) Pandemic Influenza Planning Checklist

Science.gov (United States)

Centers for Disease Control and Prevention, 2009

2009-01-01

Local educational agencies (LEAs) play an integral role in protecting the health and safety of their district's staff, students and their families. The Department of Health and Human Services (HHS) and the Centers for Disease Control and Prevention (CDC) have developed this checklist to assist LEAs in developing and/or improving plans to prepare…

33 CFR 3.25-1 - Fifth district.

Science.gov (United States)

2010-07-01

... District § 3.25-1 Fifth district. (a) The District Office is in Portsmouth, Va. (b) The Fifth Coast Guard District is comprised of: North Carolina; Virginia; District of Columbia; Maryland; Delaware; that part of... boundary at the shoreline at the North Carolina-South Carolina border, point located at approximately 30°55...

National Register Historic Districts

Data.gov (United States)

Iowa State University GIS Support and Research Facility — The National Register Historic District layer is a shape file showing the boundaries of Historic Districts that are listed on the National Register of Historic Places.

75 FR 17742 - Filing Dates for the Georgia Special Election in the 9th Congressional District

Science.gov (United States)

2010-04-07

... 9th Congressional District AGENCY: Federal Election Commission. ACTION: Notice of filing dates for special election. SUMMARY: Georgia has scheduled a special general election on May 11, 2010, to fill the U... participate in the Georgia Special General and Special Runoff Elections shall file a 12-day Pre-General Report...

78 FR 53454 - Filing Dates for the Louisiana Special Elections in the 5th Congressional District

Science.gov (United States)

2013-08-29

... the 5th Congressional District AGENCY: Federal Election Commission. ACTION: Notice of filing dates for special election. SUMMARY: Louisiana has scheduled a Special General Election on October 19, 2013, to fill... Special General and Special Runoff Elections shall file a 12-day Pre-General Report on October 7, 2013; a...

High-power condensation turbine application to district heating

International Nuclear Information System (INIS)

Virchenko, M.A.; Arkad'ev, B.A.; Ioffe, V.Yu.

1982-01-01

In general outline the role of condensation turbines in NPP district heating is considered. The expediency of expansion of central heating loading of turbines of operating as well as newly designed condensation power plants on the basis of the WWER-1000-type reactors is shown. The principle heat flowsheet of the 1000 MW power turbine is given. An advantage in using turbines with uncontrolled steam bleeding is pointed out [ru

Method for reducing excess heat supply experienced in typical Chinese district heating systems by achieving hydraulic balance and improving indoor air temperature control at the building level

DEFF Research Database (Denmark)

Zhang, Lipeng; Gudmundsson, Oddgeir; Thorsen, Jan Eric

2016-01-01

A common problem with Chinese district heating systems is that they supply more heat than the actual heat demand. The reason for this excess heat supply is the general failure to use control devices to adjust the indoor temperature and flow in the building heating systems in accordance with the a......A common problem with Chinese district heating systems is that they supply more heat than the actual heat demand. The reason for this excess heat supply is the general failure to use control devices to adjust the indoor temperature and flow in the building heating systems in accordance...... with the actual heat demand. This results in 15-30% of the total supplied heat being lost. This paper proposes an integrated approach that aims to reduce the excess heat loss by introducing pre-set thermostatic radiator valves combined with automatic balancing valves. Those devices establish hydraulic balance...... that once the hydraulic balance is achieved and indoor temperatures are controlled with this integrated approach, 17% heat savings and 42.8% pump electricity savings can be achieved. The energy savings will also have a positive environmental effect with seasonal reductions of 11 kg CO2, 0.1 kg SO2, and 0...

Site-Based Management in Education: Rochester City School District Case Study.

Science.gov (United States)

Gross, Alan

This paper describes outcomes of a partnership between the Rochester City School District (New York) and the Kodak 21st Century Learning Challenge consulting program for improving school-based planning team (S-BPT) operations. The purpose of the school-based planning team is to involve the entire school community in improving school effectiveness.…

The Partnership Pact: Fulfilling School Districts' Research Needs with University-District Partnerships

Science.gov (United States)

Ralston, Nicole; Weitzel, Bruce; Waggoner, Jacqueline; Naegele, Zulema; Smith, Rebecca

2016-01-01

There has been a recent shift in university-district partnership models from traditional transactional partnerships, which lack a shared purpose, to transformational partnerships that are mutually beneficial to both universities and school districts. These transformational research-practice partnerships have gained popularity in the United States…

Carotid Surgery in a District General Hospital

Science.gov (United States)

Fairgrieve, John

1981-01-01

The carotid surgical experience of Cheltenham General Hospital over a 13 year period (1968-81) is presented. This includes 42 operations for stenosis, and 12 further operations for carotid body tumour, carotid aneurysm, subclavian steal syndrome and trauma to the internal carotid artery. The operative techniques and complications are briefly discussed and reasons advanced for a more agressive approach to the problems of extra-cerebral carotid disease in this country. PMID:7185417

Pregnant Women and Alcohol Use in the Bosomtwe District of the ...

African Journals Online (AJOL)

Drinking alcohol in pregnancy is a serious public health concern worldwide. This study sought to determine the magnitude and socio-demograhic characteristics of pregnant women attending Antenatal clinic in the Bosomtwe district, Ghana who drank alcohol and to assess their general knowledge about the effects of ...

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

Science.gov (United States)

Rockers, Peter C; Bärnighausen, Till

2013-04-30

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

Improving mapping for Ebola response through mobilising a local community with self-owned smartphones: Tonkolili District, Sierra Leone, January 2015.

NARCIS (Netherlands)

Nic Lochlainn, Laura M; Gayton, Ivan; Theocharopoulos, Georgios; Edwards, Robin; Danis, Kostas; Kremer, Ronald; Kleijer, Karline; Tejan, Sumaila M; Sankoh, Mohamed; Jimissa, Augustin; Greig, Jane; Caleo, Grazia

2018-01-01

During the 2014-16 Ebola virus disease (EVD) outbreak, the Magburaka Ebola Management Centre (EMC) operated by Médecins Sans Frontières (MSF) in Tonkolili District, Sierra Leone, identified that available district maps lacked up-to-date village information to facilitate timely implementation of EVD

28 CFR 65.83 - Assistance required by the Attorney General.

Science.gov (United States)

2010-07-01

... General. The Attorney General may request assistance from a State or local government in the... of INS, who shall, in turn, certify to the Attorney General, that the number of asylum applications... for asylum in the district. (b) The Attorney General determines that there exist circumstances...

Process mapping as a framework for performance improvement in emergency general surgery.

Science.gov (United States)

DeGirolamo, Kristin; D'Souza, Karan; Hall, William; Joos, Emilie; Garraway, Naisan; Sing, Chad Kim; McLaughlin, Patrick; Hameed, Morad

2018-02-01

Emergency general surgery conditions are often thought of as being too acute for the development of standardized approaches to quality improvement. However, process mapping, a concept that has been applied extensively in manufacturing quality improvement, is now being used in health care. The objective of this study was to create process maps for small bowel obstruction in an effort to identify potential areas for quality improvement. We used the American College of Surgeons Emergency General Surgery Quality Improvement Program pilot database to identify patients who received nonoperative or operative management of small bowel obstruction between March 2015 and March 2016. This database, patient charts and electronic health records were used to create process maps from the time of presentation to discharge. Eighty-eight patients with small bowel obstruction (33 operative; 55 nonoperative) were identified. Patients who received surgery had a complication rate of 32%. The processes of care from the time of presentation to the time of follow-up were highly elaborate and variable in terms of duration; however, the sequences of care were found to be consistent. We used data visualization strategies to identify bottlenecks in care, and they showed substantial variability in terms of operating room access. Variability in the operative care of small bowel obstruction is high and represents an important improvement opportunity in general surgery. Process mapping can identify common themes, even in acute care, and suggest specific performance improvement measures.

Patient satisfaction at accredited antiretroviral treatment sites in the Gert Sibande District

Directory of Open Access Journals (Sweden)

Selente Bezuidenhout

2014-11-01

Aim: This study sought to explore and describe the general satisfaction or dissatisfaction of patients with accredited ART hospital sites at public health facilities in the Gert Sibande District, Mpumalanga and to identify factors contributing to either satisfaction or dissatisfaction. Setting: Six hospitals that initiated ART in the district, participated in the study. Method: The study was conducted using a sample of 300 patients. Proportional random sampling was used in selecting the number of patients from each facility. A structured interview with each participating patient was conducted using a standardised structured questionnaire. The first available required number of patients that complied with requirements from each of the six hospitals was selected for the interview. Descriptive statistics were used to analyse data and data with qualitative aspects were captured and categorised manually. Results: The major factors contributing to satisfaction included the availability of medicines and knowledge regarding how to take medication. Factors contributing to dissatisfaction on the part of the patients included confidentiality issues, long waiting periods, shortage of staff and dirty toilets. Conclusion: This study indicated general satisfaction with the ART-related services at the accredited ART hospital sites in the Gert Sibande District. Regular monitoring and evaluation are recommended.

Tool for economic and environmental analysis of hybrid plants for district cooling and district heating - 'District cooling 2.0'. Final report and user guide; Vaerktoej til oekonomisk og miljoemaessig analyse af hybridanlaeg til fjernkoeling og fjernvarme. Fjernkoel 2.0. Slutrapport og brugermanual

Energy Technology Data Exchange (ETDEWEB)

NONE

2013-03-15

The purpose of the tool is to help bring district cooling solutions into consideration by facilitating rapid technical / economic and environmental analysis of district cooling solutions - also with heat pump operation. The tool is a screening tool intended for specific cases with actual data from reality. The tool can analyze the simultaneous production of heat and cooling, and use of storage can make district cooling even more profitable. It is also possible to analyze the importance of flexible electricity and heating prices and see how they can be utilized, including the calculation of the probable prices on heating and cooling, and investments. The tool can make calculations on the following plant types: - Systems with only cooling without cold storage; - Systems with only cooling with cold storage; - Systems with cooling and heating controlled by cooling - with heat storage; - Systems with heating and cooling controlled by heating - with heating and cooling storage; - Systems with cooling and heating with optimized management - with heat storage. The tool can also be used to make general assessments, for example, to analyze the importance of flexible electricity and heating prices of typical district cooling systems, and for that matter, heat pump systems. (LN)

District of Columbia Public Education: Agencies Have Enhanced Internal Controls over Federal Payments for School Improvement, but More Consistent Monitoring Needed. Report to Congressional Requesters. GAO-11-16

Science.gov (United States)

Ashby, Cornelia M.

2010-01-01

Between fiscal years 2004 and 2009, Congress appropriated nearly $190 million in federal payments for school improvement to the District of Columbia (D.C.). This includes $85 million to the state education office--currently the Office of the State Superintendent of Education (OSSE)--to expand public charter schools and $105 million to D.C. Public…

Regional development of districts in the Lesser Poland Voivodship

Directory of Open Access Journals (Sweden)

Marcin Salamaga

2013-11-01

Full Text Available Purpose of the article: Regional development includes qualitative changes in economy (e.g. in production, investments, employment as well as qualitative changes (regarding the structure of economy and society, changes in the environment. The research of regional development is important and necessary in order to make appropriate decisions at the regional and local level. The main purpose of the article is comparative analysis of districts in the Lesser Poland Voivodship in the area of economic, social and ecological development. Scientific aim: The scientific aims of paper are verifying the hypothesis concerning eco-development and forecasting the level of regional development in districts of Lesser Poland Voivodship. Methodology/methods: In the research of regional development the quality index of economic, social and ecological development has been proposed which has been calculated on the basis of a certain aggregation of the results of the Principal Component Analysis made on the correlation matrix of standardised variables being the components of the index. Forecasts of the regional development level in districts were calculated with the use of different econometric models as linear model, exponential model, or power model. Findings: The findings prove that the Lesser Poland Voivodship is characterised by considerable disproportions in regional development. The most favourable conditions for economic and social development are in the districts with large city agglomerations as well as extensive municipality infrastructure and transport infrastructure. The presented results demonstrate that the majority of districts have not exhibited a constant tendency to changes in the positions in successive ranking lists in terms of the economic, social and ecological development. The positions occupied by most districts are generally stable and have not changed considerably in the examined period. Conclusions: The research has confirmed the negative

A multicriteria approach to evaluate district heating system options

Energy Technology Data Exchange (ETDEWEB)

Ghafghazi, S.; Sowlati, T. [Department of Wood Science, University of British Columbia, 2931-2424 Main Mall, Vancouver, BC (Canada); Sokhansanj, S. [Department of Chemical and Biological Engineering, University of British Columbia, 2360 East Mall, Vancouver, BC (Canada); Environmental Sciences Division, Oak Ridge National Laboratory, Oak Ridge, TN 37831 (United States); Melin, S. [Department of Chemical and Biological Engineering, University of British Columbia, 2360 East Mall, Vancouver, BC (Canada); Delta Research Corporation, Delta, BC (Canada)

2010-04-15

District energy systems, in which renewable energy sources may be utilized, are centralized systems to provide energy to residential and commercial buildings. The aim of this paper is to evaluate and rank energy sources available for a case of district heating system in Vancouver, Canada, based on multiple criteria and the view points of different stakeholders, and to show how communication would affect the ranking of alternatives. The available energy sources are natural gas, biomass (wood pellets), sewer heat, and geothermal heat. The evaluation criteria include GHG emissions, particulate matter emissions, maturity of technology, traffic load, and local source. In order to rank the energy options the PROMETHEE method is used. In this paper, two different scenarios were developed to indicate how the communication between the stakeholders would affect their preferences about criteria weights and would change the ranking of alternatives. The result of this study shows that without communication the best energy source for the considered district energy system is different for different stakeholders. While, addressing concerns through efficient communication would result in a general consensus. In this case, wood pellet is the best energy alternative for all the stakeholders. (author)

Financial cost-benefit analysis of investment possibilities in district heating system on wood residues

Directory of Open Access Journals (Sweden)

Stošić Ivan

2017-01-01

Full Text Available The purpose of this research is to provide feasibility analysis of a long-term sustainable development concept for district heating based on wood residues. In this paper, the experimental study has been conducted starting from the data collected by field researches in municipality of Trstenik (town in Serbia with district heating system currently based on heavy fuel oil and lignite. Using the method of Financial Cost-Benefit Analysis, this study evaluates financial efficiency of investment in district heating plant based on wood residues and energy savings in district heating system. Findings show that such investment could be profitable from the financial point of view: Net Present Value of investment is positive, Financial Rate of Return is high (30.69%, and the pay-back period is relatively favourable (7 years. Moreover, the presented SWOT indicates that there are realistic prospects of implementation of district heating based on wood residues. However, this does not mean everything will go smoothly and easily, keeping in mind a number of challenges that each new concept of district heating contains immanently. Nevertheless, the results of this research could provide useful inputs for the decision makers when selecting appropriate models for improving performance of municipal district heating systems.

District Governance and Student Learning in Indonesia

OpenAIRE

Pradhan, Menno; de Ree, Joppe

2014-01-01

We document the likely importance of district governance and teacher management policies in relation to student learning in Indonesian primary schools. As the responsibility to deliver primary education has been decentralized to district governments, we expect district specific variations in teacher management policies. Consequently, we also expect variations in learning trajectories across districts. We document substantial heterogeneity in learning gains across districts. Furthermore, we sh...

Knowledge and practices of general practitioners at district hospitals towards cervical cancer prevention in Burundi, 2015: a cross-sectional study.

Science.gov (United States)

Ndizeye, Zacharie; Vanden Broeck, Davy; Vermandere, Heleen; Bogers, John Paul; Van Geertruyden, Jean-Pierre

2018-01-16

Well-organized screening and treatment programmes are effective to prevent Invasive Cervical Cancer (ICC) in LMICs. To achieve this, the World Health Organization (WHO) recommends the involvement of existing health personnel in casu doctors, nurses, midwives in ICC prevention. A necessary precondition is that health personnel have appropriate knowledge about ICC. Therefore, to inform policy makers and training institutions in Burundi, we documented the knowledge and practices of general practitioners (GPs) at district hospital level towards ICC control. A descriptive cross-sectional survey was conducted from February to April, 2015 among all GPs working in government district hospitals. A structured questionnaire and a scoring system were used to assess knowledge and practices of GPs. The participation rate was 58.2%. Majority of GPs (76.3%) had appropriate knowledge (score > 70%) on cervical cancer disease; but some risk factors were less well known as smoking and the 2 most important oncogenic HPV. Only 8.4% of the participants had appropriate knowledge on ICC prevention: 55% of the participants were aware that HPV vaccination exists and 48.1% knew cryotherapy as a treatment method for CIN. Further, 15.3% was aware of VIA as a screening method. The majority of the participants (87%) never or rarely propose screening tests to their clients. Only 2 participants (1.5%) have already performed VIA/VILI. Wrong thoughts were also reported: 39.7% thought that CIN could be treated with radiotherapy; 3.1% thought that X-ray is a screening method. In this comprehensive assessment, we observed that Burundian GPs have a very low knowledge level about ICC prevention, screening and treatment. Suboptimal practices and wrong thoughts related to ICC screening and treatments have also been documented. We therefore recommend an adequate pre- and in-service training of GPs and most probably nurses on ICC control before setting up any public health intervention on ICC control.

Counseling, Psychological, and Social Services Staffing: Policies in U.S. School Districts.

Science.gov (United States)

Brener, Nancy; Demissie, Zewditu

2018-06-01

Schools are in a unique position to meet the mental and behavioral health needs of children and adolescents because approximately 95% of young people aged 7-17 years attend school. Little is known, however, about policies related to counseling, psychological, and social services staffing in school districts. This study analyzed the prevalence of such policies in public school districts in the U.S. Data from four cycles (2000, 2006, 2012, and 2016) of the School Health Policies and Practices Study, a national survey periodically conducted to assess policies and practices for ten components of school health, were analyzed in 2017. The survey collected data related to counseling, psychological, and social services among nationally representative samples of school districts using online or mailed questionnaires. Sampled districts identified respondents responsible for or most knowledgeable about the content of each questionnaire. The percentage of districts with a district-level counseling, psychological, and social services coordinator increased significantly from 62.6% in 2000 to 79.5% in 2016. In 2016, 56.3% of districts required each school to have someone to coordinate counseling, psychological, and social services at the school. Fewer districts required schools at each level to have a specified ratio of counselors to students (16.2% for elementary schools, 16.8% for middle schools, and 19.8% for high schools), and the percentage of districts with these requirements has decreased significantly since 2012. Increases in the prevalence of district-level staffing policies could help increase the quantity and quality of counseling, psychological, and social services staff in schools nationwide, which in turn could improve mental and behavioral health outcomes for students. This article is part of a supplement entitled The Behavioral Health Workforce: Planning, Practice, and Preparation, which is sponsored by the Substance Abuse and Mental Health Services Administration

75 FR 70712 - General Conference Committee of the National Poultry Improvement Plan; Reestablishment

Science.gov (United States)

2010-11-18

...] General Conference Committee of the National Poultry Improvement Plan; Reestablishment AGENCY: Animal and... Poultry Improvement Plan (Committee) for a 2-year period. The Secretary of Agriculture has determined that.... Rhorer, Senior Coordinator, National Poultry Improvement Plan, VS, APHIS, USDA, Suite 101, 1498 Klondike...

32 CFR 644.155 - General.

Science.gov (United States)

2010-07-01

... Department of Defense (Continued) DEPARTMENT OF THE ARMY (CONTINUED) REAL PROPERTY REAL ESTATE HANDBOOK Acquisition Acquisition of Rights-Of-Entry § 644.155 General. Sections 644.155 through 644.157 describe the... procedures are applicable to all Division and district Engineers having real estate responsibilities. ...

CMHC's district heating work may lead to solar power-towers

Energy Technology Data Exchange (ETDEWEB)

Peters, W

1979-11-01

A four-year study of district heating systems by the Canada Mortgage and Housing Corporation (CMHC) may combine with leadership recognition by the International Energy Agency to allow Canada to join the U.S. as the center for power-tower technology. The application of central receivers to district heating evolved from the district heating study as heliostat technology developed and the economics improved with scale. Based on the Barstow, Calif. prototype, a commercial version is envisioned for the mid-1980s to generate steam for power generation, heating, and cooling. A proponent suggests applying it to a multi-fuel system as a retrofit after the technology is perfected. Land availability and the need for direct sunlight present problems for this type of application in Canada, where much of the light is diffuse. A cautious view is taken by those who feel that cost will be prohibitive and who point out that the U.S. tests have yet to prove viability. (DCK)

School Autonomy and District Support: How Principals Respond to a Tiered Autonomy Initiative in Philadelphia Public Schools

Science.gov (United States)

Steinberg, Matthew P.; Cox, Amanda Barrett

2017-01-01

A tiered autonomy policy was recently implemented in Philadelphia, where select principals were granted autonomy to manage school operations while others were promised greater district support to improve school functioning. This article provides evidence on how principals used their autonomy and the extent of district support for non-autonomous…

Standard concerning the design of nuclear power stations in earthquake-prone districts

International Nuclear Information System (INIS)

Kirillov, A.P.; Anbriashivili, Y.K.; Suvilova, A.V.

1980-01-01

The measures of security assurance against the effect of radioactive contamination has become more and more complex due to the construction of nuclear power stations of diverse types. The aseismatic measures for the nuclear power stations built in the districts where earthquakes of different intensity occur are important problems. All main machinery and equipments and emergency systems in power stations must be protected from earthquakes, and this makes the solution of problems difficult. At present in USSR, the provisional standard concerning the design of atomic energy facilities built in earthquake-prone districts is completed. The basic philosophy of the standard is to decide the general requirements as the conditions for the design of nuclear power stations built in earthquake-prone districts. The lowest earthquake activity in the construction districts is considered as magnitude 4, and in the districts where earthquake activity is magnitude 9 or more, the construction of nuclear power stations is prohibited. Two levels of earthquake action are specified for the design: design earthquake and the largest design earthquake. The construction sites of nuclear power stations must be 15 to 150 km distant from the potential sources of earthquakes. Nuclear power stations are regarded as the aseismatically guaranteed type when the safety of reactors is secured under the application of the standard. The buildings and installations are classified into three classes regarding the aseismatic properties. (Kako, I.)

76 FR 29750 - Filing Dates for the Nevada Special Election in the 2nd Congressional District

Science.gov (United States)

2011-05-23

... 2nd Congressional District AGENCY: Federal Election Commission. ACTION: Notice of filing dates for special election. SUMMARY: Nevada has scheduled a Special General Election on September 13, 2011, to fill... Heller. Committees required to file reports in connection with the Special General Election on September...

75 FR 10483 - Filing Dates for the Pennsylvania Special Election in the 12th Congressional District

Science.gov (United States)

2010-03-08

... in the 12th Congressional District AGENCY: Federal Election Commission. ACTION: Notice of filing dates for special election. SUMMARY: Pennsylvania has scheduled a Special General Election on May 18... John P. Murtha. Committees required to file reports in connection with the Special General Election on...

76 FR 17124 - Filing Dates for the California Special Election in the 36th Congressional District

Science.gov (United States)

2011-03-28

... the 36th Congressional District AGENCY: Federal Election Commission. ACTION: Notice of filing dates for special election. SUMMARY: California has scheduled a special general election on May 17, 2011, to... committees of candidates who participate in the California Special General and Special Runoff Elections shall...

Accounting Manual for Educational Service Districts in the State of Washington

Science.gov (United States)

Lunghofer, Daniel S.

2010-01-01

This manual provides principles that are an integral part of the accounting requirements for educational service districts (ESDs) in the state of Washington. They are in conformance with generally accepted accounting principles, except where referenced in the ESD principles that follow. This manual provides guidance on the following topics:(1)…

School District Fiscal Strain: Implications for State and Federal Financial Assistance.

Science.gov (United States)

Hentschke, Guilbert; Yagielski, John

1982-01-01

Uses a model portraying school district decision makers as "consumers" to analyze fiscal strain's causes (enrollment decline, input price increases, and changes in input mix) as variants of the general consumer model. Measures the impact of each cause of fiscal strain and discusses implications for state and federal aid. (Author/RW)

Characteristics of uranium districts of the Russian Federation

International Nuclear Information System (INIS)

Boitsov, A.V.; Nikolsky, A.L.

2001-01-01

Uranium deposits are discovered in 15 ore districts of the Russian Federation. They are subdivided into four groups: Streltsovsky district with existing production centre, Stavropolsky district with depleted deposits, three prospective districts and ten reserve districts. The overview of new data on these districts is presented. Streltsovsky district with Priargunsky Production Centre include 19 molybdenum-uranium deposits of structure-bound volcanic type in caldera. The main activities in Stavropolsky district with two depleted uranium deposits are connected with restoration works and wastes rehabilitation. Except Streltsovsky district there are no more deposits in the Russian Federation prepared for uranium production. At the same time some uranium deposits of Vitimsky, Zauralsky, and West-Siberian districts are prospective for new development of production centres. They belong to the sandstone type, related to paleovalley or basal channel, and are suitable for ISL operation. The deposits of the other districts are considered to be reserve and considered unprofitable for uranium production at present and in the nearest future. The biggest of them is Aldansky district with gold-uranium deposits in potassium metasomatites in areas of Mesozoic activation of Archean cratons. Central Transbaikalsky, Yeniseisky, Yergeninsky, Onezhsky, Ladozhsky, Bureinsky, Khankaisky, Volgo-Uralsky reserve districts include mainly small-size deposits of vein, volcanic, surficial and metasomatite types with low uranium grades. (author)

Budget Stability, Revenue Volatility, and District Relations: Determinants of Georgia ELOST Distribution to Municipal School Districts

Science.gov (United States)

Reinagel, Tyler P.

2014-01-01

School districts across the United States are often forced into situations where limited public funds must be distributed among multiple districts. These are often reliant on distribution rates negotiated by district leadership and elected officials. An example of this is Georgia's 1% Education Local Option Sales Tax (ELOST). The tax is collected…

Context matters: Successes and challenges of intrapartum care scale-up in four districts of Afghanistan.

Science.gov (United States)

Tappis, Hannah; Koblinsky, Marge; Winch, Peter J; Turkmani, Sabera; Bartlett, Linda

2016-01-01

Reducing preventable maternal mortality and achieving Sustainable Development Goal targets for 2030 will require increased investment in improving access to quality health services in fragile and conflict-affected states. This study explores the conditions that affect availability and utilisation of intrapartum care services in four districts of Afghanistan where mortality studies were conducted in 2002 and 2011. Information on changes in each district was collected through interviews with community members; service providers; and district, provincial and national officials. This information was then triangulated with programme and policy documentation to identify factors that affect the coverage of safe delivery and emergency obstetric care services. Comparison of barriers to maternal health service coverage across the four districts highlights the complexities of national health policy planning and resource allocation in Afghanistan, and provides examples of the types of challenges that must be addressed to extend the reach of life-saving maternal health interventions to women in fragile and conflict-affected states. Findings suggest that improvements in service coverage must be measured at a sub-national level, and context-specific service delivery models may be needed to effectively scale up intrapartum care services in extremely remote or insecure settings.

Utilization of Yard for Vegetable Hydroponics in Serut Village, Panti Sub-District, Jember District

OpenAIRE

dewanti, parawita

2018-01-01

Vegetables as a horticultural product is a food source that is always consumed by humans daily, including in urban areas. Assorted Vegetables can be eaten raw or processed and it takes as a decoration on the food. Needs vegetables including lettuce, green pakcoy and other vegetables from day to day continues to increase. Therefore, it needs supply of vegetables from the area around the town of Jember including Serut Village, District Panti Sub-District, Jember District. Serut village has the ...

Improving Racial and Ethnic Distribution and Intergroup Relations; An Advisory Report to the Board of Education, Vallejo Unified School District.

Science.gov (United States)

Gunsky, Frederic R.; And Others

As the result of field observation and a review of school data, this report presents the findings of a study of minority-group education and intergroup relations in the Vallejo Unified School District in California. It analyzes the racial and ethnic distribution o f students in the school district and describes the amount of equal educational…

75 FR 23222 - National Poultry Improvement Plan; General Conference Committee Meeting and 40th Biennial Conference

Science.gov (United States)

2010-05-03

...] National Poultry Improvement Plan; General Conference Committee Meeting and 40th Biennial Conference AGENCY... notice of a meeting of the General Conference Committee of the National Poultry Improvement Plan (NPIP... Coordinator, National Poultry Improvement Plan, VS, APHIS, 1498 Klondike Road, Suite 101, Conyers, GA 30094...

77 FR 46374 - National Poultry Improvement Plan; General Conference Committee Meeting and 41st Biennial Conference

Science.gov (United States)

2012-08-03

...] National Poultry Improvement Plan; General Conference Committee Meeting and 41st Biennial Conference AGENCY... notice of a meeting of the General Conference Committee of the National Poultry Improvement Plan (NPIP... CONTACT: Dr. C. Stephen Roney, Senior Coordinator, National Poultry Improvement Plan, VS, APHIS, 1506...

28 CFR 36.503 - Suit by the Attorney General.

Science.gov (United States)

2010-07-01

... 28 Judicial Administration 1 2010-07-01 2010-07-01 false Suit by the Attorney General. 36.503... discretion, the Attorney General may commence a civil action in any appropriate United States district court if the Attorney General has reasonable cause to believe that— (a) Any person or group of persons is...

75 FR 34450 - Filing Dates for the Indiana Special Election in the 3rd Congressional District

Science.gov (United States)

2010-06-17

... 3rd Congressional District AGENCY: Federal Election Commission. ACTION: Notice of filing dates for special election. SUMMARY: Indiana has scheduled a Special General Election on November 2, 2010, to fill.... Committees required to file reports in connection with the Special General Election on November 2, 2010...

Price-structure of electricity and district-heating. A background study for energy conservation programme

International Nuclear Information System (INIS)

1994-01-01

The present report deals with the pricing and price-structure of electricity and district-heating with their effects on energy saving. It constitutes part of the groundwork for the new Government Energy Conservation Programme. The report describes principles for the pricing of electricity and district-heating in Finland, and gives some examples of tariffs in foreign countries, which are interesting from the point of view of energy saving. Different utilities apply quite similar pricing principles but there are big differences in price levels between the utilities. The difference in consumer prices can be almost 100 % in the case of electricity and over 150 % as concerns district-heating. The change in retail prices in the last ten years has not had a big general impact on the consumption of electricity or on energy saving. On the other hand, when the price increases of individual utilities are studied, the impact on energy saving at least in the short term can be seen. It seems that an increase of the fixed charges in relation to energy rates has been as a general trend after 1990. To promote energy saving the changing energy rates should be given special emphasis in determining electricity and district-heating tariffs. The opening of the electricity market means that the electricity suppliers face a new situation also when pricing their products. Customers and their expectations will play an increasingly role. (orig.)

Bottleneck analysis at district level to illustrate gaps within the district health system in Uganda

Science.gov (United States)

Kiwanuka Henriksson, Dorcus; Fredriksson, Mio; Waiswa, Peter; Selling, Katarina; Swartling Peterson, Stefan

2017-01-01

ABSTRACT Background: Poor quality of care and access to effective and affordable interventions have been attributed to constraints and bottlenecks within and outside the health system. However, there is limited understanding of health system barriers to utilization and delivery of appropriate, high-impact, and cost-effective interventions at the point of service delivery in districts and sub-districts in low-income countries. In this study we illustrate the use of the bottleneck analysis approach, which could be used to identify bottlenecks in service delivery within the district health system. Methods: A modified Tanahashi model with six determinants for effective coverage was used to determine bottlenecks in service provision for maternal and newborn care. The following interventions provided during antenatal care were used as tracer interventions: use of iron and folic acid, intermittent presumptive treatment for malaria, HIV counseling and testing, and syphilis testing. Data from cross-sectional household and health facility surveys in Mayuge and Namayingo districts in Uganda were used in this study. Results: Effective coverage and human resource gaps were identified as the biggest bottlenecks in both districts, with coverage ranging from 0% to 66% for effective coverage and from 46% to 58% for availability of health facility staff. Our findings revealed a similar pattern in bottlenecks in both districts for particular interventions although the districts are functionally independent. Conclusion: The modified Tanahashi model is an analysis tool that can be used to identify bottlenecks to effective coverage within the district health system, for instance, the effective coverage for maternal and newborn care interventions. However, the analysis is highly dependent on the availability of data to populate all six determinants and could benefit from further validation analysis for the causes of bottlenecks identified. PMID:28581379

7 CFR 982.31 - Grower districts.

Science.gov (United States)

2010-01-01

... 7 Agriculture 8 2010-01-01 2010-01-01 false Grower districts. 982.31 Section 982.31 Agriculture Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (Marketing Agreements... importance of production in each district and the number of growers in each district; (2) the geographic...

Research on the Positioning of Protection and Utilization of Historic Districts Under Big Data Analysis

Science.gov (United States)

Zhang, J.; Zhang, J.; Huo, X.; Zheng, W.; Zheng, X.; Zhang, M.

2017-08-01

Historic districts are a special type of cultural heritage, as living cultural heritage, the utilization and development of historical districts is an inevitable issue. How to accurately position the protection and utilization of districts and achieve its healthy and sustainable development is the key work in the protection of districts. In this paper, the Internet data including Tencent's location big data are employed to study some Chinese historic and cultural streets, establish protection and development index system for historic and cultural streets, carry out in-depth study of ten core indicators, and sum up the positioning and development direction for the protection and use of districts. Historic district, as a special type of cultural heritage, is the birthplace and supporting zone of urban context, and also the place for the daily life of the general public. It boasts profound historic and humanistic background and the characteristics of a living form. As the living cultural heritage, its use and development are necessary, and attention shall also be paid to static protection and dynamic comprehensive management. But judging from the current practice, protection and use of historic districts face a host of challenges. Some districts are devoid of popularity and vitality and become cold galleries. Some districts suffer excessive development for tourism and commercialism, and lose its "original" cultural characteristics. In addition, throngs of tourists exert a negative impact on the life of the local people and the protection of immovable cultural relics. Disorderly business format and increasingly similar landscape go against the presentation of local characteristics. We should regard historic district as a dynamic urban heritage, and achieve dynamic development and protection in accordance with its inherent development laws and the principle of "step by step" through the "organic update" mode, with emphasis on the continuous comprehensive management of

RESEARCH ON THE POSITIONING OF PROTECTION AND UTILIZATION OF HISTORIC DISTRICTS UNDER BIG DATA ANALYSIS

Directory of Open Access Journals (Sweden)

J. Zhang

2017-08-01

Full Text Available Historic districts are a special type of cultural heritage, as living cultural heritage, the utilization and development of historical districts is an inevitable issue. How to accurately position the protection and utilization of districts and achieve its healthy and sustainable development is the key work in the protection of districts. In this paper, the Internet data including Tencent’s location big data are employed to study some Chinese historic and cultural streets, establish protection and development index system for historic and cultural streets, carry out in-depth study of ten core indicators, and sum up the positioning and development direction for the protection and use of districts. Historic district, as a special type of cultural heritage, is the birthplace and supporting zone of urban context, and also the place for the daily life of the general public. It boasts profound historic and humanistic background and the characteristics of a living form. As the living cultural heritage, its use and development are necessary, and attention shall also be paid to static protection and dynamic comprehensive management. But judging from the current practice, protection and use of historic districts face a host of challenges. Some districts are devoid of popularity and vitality and become cold galleries. Some districts suffer excessive development for tourism and commercialism, and lose its “original” cultural characteristics. In addition, throngs of tourists exert a negative impact on the life of the local people and the protection of immovable cultural relics. Disorderly business format and increasingly similar landscape go against the presentation of local characteristics. We should regard historic district as a dynamic urban heritage, and achieve dynamic development and protection in accordance with its inherent development laws and the principle of “step by step” through the “organic update” mode, with emphasis on the

Generalization in the XCSF classifier system: analysis, improvement, and extension.

Science.gov (United States)

Lanzi, Pier Luca; Loiacono, Daniele; Wilson, Stewart W; Goldberg, David E

2007-01-01

We analyze generalization in XCSF and introduce three improvements. We begin by showing that the types of generalizations evolved by XCSF can be influenced by the input range. To explain these results we present a theoretical analysis of the convergence of classifier weights in XCSF which highlights a broader issue. In XCSF, because of the mathematical properties of the Widrow-Hoff update, the convergence of classifier weights in a given subspace can be slow when the spread of the eigenvalues of the autocorrelation matrix associated with each classifier is large. As a major consequence, the system's accuracy pressure may act before classifier weights are adequately updated, so that XCSF may evolve piecewise constant approximations, instead of the intended, and more efficient, piecewise linear ones. We propose three different ways to update classifier weights in XCSF so as to increase the generalization capabilities of XCSF: one based on a condition-based normalization of the inputs, one based on linear least squares, and one based on the recursive version of linear least squares. Through a series of experiments we show that while all three approaches significantly improve XCSF, least squares approaches appear to be best performing and most robust. Finally we show how XCSF can be extended to include polynomial approximations.

Plug and Play Process Control Applied to a District Heating System

DEFF Research Database (Denmark)

Knudsen, Torben; Trangbæk, Klaus; Kallesøe, Carsten Skovmose

2008-01-01

The general ideas within plug and play process control (PTC) are to initialize and reconfigure control systems just by plug and play. In this paper these ideas are applied to a district heating pressure control problem. First of all this serves as a concrete example of PTC, secondly some of the f...

The potential to supply low temperature district heating to existing building area

DEFF Research Database (Denmark)

Li, Hongwei; Svendsen, Svend

2013-01-01

Low-temperature district heating (LTDH) has the advantages as reduced network heat loss, improved quality match between energy supply and energy demand, and increased utilization of low-grade waste heat and renewable energy. The LTDH represents the next generation district heating (DH) system...... to supply existing building areas which are characterized with high heating demand needs to be examined. In this paper, the DH network deliverable capacity to supply LTDH to an existing building area is studied based on building thermal performance and DH network hydraulic performance simulation....

Building an eco-effective district heating management system in a city

Directory of Open Access Journals (Sweden)

Gitelman Leonid

2016-01-01

Full Text Available The goal of making the urban environment safer amid increasing human impact adds to the importance of district heating management. The article outlines the results of a study into the problem of improving the urban environment by implementing two innovative solutions. Technological innovations imply the introduction of modern sustainable tools of reducing emissions in district heating networks, one of them being the combination of district heating and combined heat and power plants (a case study of Turin. Organizational innovations are built upon the management of demand for thermal energy that makes it possible to reduce investment in new construction and to optimize the architecture of heat load schedules for the purpose of alleviating energy and environmental pressure on the city. The authors propose formats and areas of demand side management for thermal energy and methods of offering economic incentives to program participants.

LeBreton Flats district heating: Institutional issues

Energy Technology Data Exchange (ETDEWEB)

Gerow, L.B.; Bernstein, H.

1981-12-01

Despite the growing popularity in Europe of district heating as an alternative to conventional systems, a number of institutional barriers blocked the road to its successful implementation in Canada. These hurdles include questions of ownership, operation/administration, consumer accountability, financial arrangements, and general consumer acceptance of a new technology. In deciding on ownership, the major issues were legal. Provincial laws to be complied with included The Municipal Franchises Act, The Public Utilities Act, The Municipal Act and The Ontario Municipal Board Act. The operation and administration of the project were also beset with legal complications. The relevant laws were The Boilers and Pressure Vessels Act, and The Environmental Assessment Act. How to charge individual users (consumer accountability) raised a number of technical problems including metering and rate-setting for hot water distribution, and heat borrowing between units. The report recommends that groups planning to implement district heating are advised to allow plenty of lead time for obtaining approvals and franchising arrangements so as not to jeopardize construction schedules. 3 refs.

The decentralisation-centralisation dilemma: recruitment and distribution of health workers in remote districts of Tanzania.

Science.gov (United States)

Munga, Michael A; Songstad, Nils Gunnar; Blystad, Astrid; Maestad, Ottar

2009-04-30

The implementation of decentralisation reforms in the health sector of Tanzania started in the 1980s. These reforms were intended to relinquish substantial powers and resources to districts to improve the development of the health sector. Little is known about the impact of decentralisation on recruitment and distribution of health workers at the district level. Reported difficulties in recruiting health workers to remote districts led the Government of Tanzania to partly re-instate central recruitment of health workers in 2006. The effects of this policy change are not yet documented. This study highlights the experiences and challenges associated with decentralisation and the partial re-centralisation in relation to the recruitment and distribution of health workers. An exploratory qualitative study was conducted among informants recruited from five underserved, remote districts of mainland Tanzania. Additional informants were recruited from the central government, the NGO sector, international organisations and academia. A comparison of decentralised and the reinstated centralised systems was carried out in order to draw lessons necessary for improving recruitment, distribution and retention of health workers. The study has shown that recruitment of health workers under a decentralised arrangement has not only been characterised by complex bureaucratic procedures, but by severe delays and sometimes failure to get the required health workers. The study also revealed that recruitment of highly skilled health workers under decentralised arrangements may be both very difficult and expensive. Decentralised recruitment was perceived to be more effective in improving retention of the lower cadre health workers within the districts. In contrast, the centralised arrangement was perceived to be more effective both in recruiting qualified staff and balancing their distribution across districts, but poor in ensuring the retention of employees. A combination of centralised

Conflict Management in Declining School Districts.

Science.gov (United States)

Boyd, William Lowe; Wheaton, Dennis R.

1983-01-01

Professional literature about managing conflicts associated with declining enrollments indicates the existing tension in this area. A research study shows that, while upper-middle class districts may succeed using a rational approach to decision making, lower class districts, for various reasons, may not. Special problems of urban districts are…

Rollout of quality assurance interventions in labor room in two districts of Bihar, India

OpenAIRE

Jyoti Sharma; Sutapa B Neogi; Preeti Negandhi; Monika Chauhan; Siddharth Reddy; Ghanshyam Sethy

2016-01-01

Background: Quality of care at the facilities during childbirth remains a major concern. Improved quality could have the greatest dividend in saving maternal and newborn lives. Objective: The objective of this study was to implement quality assurance measures in the labor rooms of select public health facilities in two districts of Bihar. Methods: The labor room quality assurance intervention was implemented in two districts, Gaya and Purnea in Bihar. Health facilities having >200 deliveries/...

Auditing the Immunization Data Quality from Routine Reports in Shangyu District, East China.

Science.gov (United States)

Hu, Yu; Zhang, Xinpei; Li, Qian; Chen, Yaping

2016-11-18

Objective: To evaluate the immunization data quality in Shangyu District, East China. Methods: An audit for immunization data for the year 2014 was conducted in 20 vaccination clinics of Shangyu District. The consistency of immunization data was estimated by verification factors (VFs), which was the proportion of vaccine doses reported as being administered that could be verified by written documentation at vaccination clinics. The quality of monitoring systems was evaluated using the quality index (QI). Results: The VFs of 20 vaccine doses ranged from 0.94 to 1.04 at the district level. The VFs for the 20 vaccination clinics ranged from 0.57 to 1.07. The VFs for Shangyu District was 0.98. The mean of total QI score of the 20 vaccination clinics was 80.32%. A significant correlation between the VFs of the 3rd dose of the diphtheria-tetanus-pertussis combined vaccine (DTP) and QI scores was observed at the vaccination clinic level. Conclusions: Deficiencies in data consistency and immunization reporting practice in Shangyu District were observed. Targeted measures are suggested to improve the quality of the immunization reporting system in vaccination clinics with poor data consistency.

The use of acuity and frailty measures for district nursing workforce plans.

Science.gov (United States)

David, Ami; Saunders, Mary

2018-02-02

This article discusses the use of Quest acuity and frailty measures for community nursing interventions to quantify and qualify the contributions of district nursing teams. It describes the use of a suite of acuity and frailty tools tested in 8 UK community service trusts over the past 5years. In addition, a competency assessment tool was used to gauge both capacity and capability of individual nurses. The consistency of the results obtained from the Quest audits offer significant evidence and potential for realigning community nursing services to offer improvements in efficiency and cost-effectiveness. The National Quality Board (NQB) improvement resource for the district nursing services ( NQB, 2017 ) recommends a robust method for classifying patient acuity/frailty/dependency. It is contended the Quest tools and their usage articulated here offer a suitable methodology.

77 FR 21773 - Filing Dates for The New Jersey Special Election in The 10th Congressional District

Science.gov (United States)

2012-04-11

... The 10th Congressional District AGENCY: Federal Election Commission. ACTION: Notice of filing dates... with both the Special Primary and Special General Election on November 6, 2012, shall file a 12-day Pre... General Elections shall file a 12-day Pre-Primary Report on May 24, 2012; a 12-day Pre-General Report on...

76 FR 33285 - Filing Dates for the Nevada Special Election in the 2nd Congressional District

Science.gov (United States)

2011-06-08

... 2nd Congressional District AGENCY: Federal Election Commission. ACTION: Notice of filing dates for... members of major or minor political parties on the special general election ballot until candidates are... INFORMATION: On May 12, 2011, the Commission approved the filing dates for the Special General Election in the...

78 FR 68443 - Filing Dates for the Florida Special Elections in the 13th Congressional District

Science.gov (United States)

2013-11-14

... 13th Congressional District AGENCY: Federal Election Commission. ACTION: Notice of filing dates for... Primary and the Special General Election on March 11, 2014, shall file a 12-day Pre-Primary Report, 12-day... committees of candidates who participate in the Florida Special Primary and Special General Elections shall...

75 FR 12544 - Filing Dates for the Hawaii Special Election In the 1st Congressional District

Science.gov (United States)

2010-03-16

... 1st Congressional District AGENCY: Federal Election Commission. ACTION: Notice of filing dates for special election. SUMMARY: Hawaii has scheduled a Special General Election on May 22, 2010, to fill the U.... Committees required to file reports in connection with the Special General Election on May 22, 2010, shall...

78 FR 9916 - Filing Dates for the Missouri Special Election in the 8th Congressional District

Science.gov (United States)

2013-02-12

... 8th Congressional District AGENCY: Federal Election Commission. ACTION: Notice of filing dates for special election. SUMMARY: Missouri has scheduled a Special General Election on June 4, 2013, to fill the.... Committees required to file reports in connection with the Special General Election on June 4, 2013, shall...

ECONOMIC CONDITIONS AND PROSPECTS OF DEVELOPMENT OF THE MARKET OF RESORT AND RECREATIONAL SERVICES OF THE SOUTHERN FDERAL DISTRICT

Directory of Open Access Journals (Sweden)

Oborin M. S.

2015-03-01

Full Text Available In article features of natural and medical potential, social and economic development of the Southern Federal District which are the main for development of medical and improving tourism are considered. The district borrows favorable natural and the economical geographical position influencing development of sanatorium activity. Positive dynamics of development of the market of sanatorium services of the Southern Federal District is based on the rich natural and medical capacity of the district, historical and social and economic features of development of this kind of activity in this region. Social and economic resources form possibility of development of the market of medical and improving and recreational services as such indicators of the population as mortality, birth rate and a natural increase, indicators of incidence of the population, its income and expenses have direct impact on formation of demand of the population on sanatorium services.

Jordan Lake Watershed Protection District

Data.gov (United States)

Town of Chapel Hill, North Carolina — Polygon representing the area of the Jordan Lake Watershed Protection District. The Watershed Protection District (PDF) is a sensitive area of land that drains to...

TUBERCULOSIS IN SIBERIAN AND FAR EASTERN FEDERAL DISTRICTS (2007-2016

Directory of Open Access Journals (Sweden)

T. V. Alekseeva

2017-01-01

Full Text Available The article describes changes in the main tuberculosis epidemiological indicators in Siberian and Far Eastern Federal Districts over the last decade. The rate of changes was analyzed for 21 regions within two districts, total number and structure of those followed up by phthisiologists in 2007-2016 were compared. TB situation has not significantly improved since the drug resistance and HIV infection become more and more frequent, providing an indirect impact on the epidemiological indicators. It is very difficult to treat such categories of patients and these difficulties do not allow enhancing treatment efficiency and cause an abrupt growth of the costs per one patient, both financial and organizational ones.

VT Data - Overlay District 20170710, South Burlington

Data.gov (United States)

Vermont Center for Geographic Information — Overlay data for the City of South Burlington included in this data:Flood Plain Overlay DistrictTraffic Overlay DistrictInterstate Highway Overlay DistrictScenic...

Impact of a program of diagnostic imaging quality control in mammography centers of the Federal District, Brazil

Energy Technology Data Exchange (ETDEWEB)

Correa, Rosangela da Silveira; Ferreira, Rubemar de Souza [Centro Regional de Ciencias Nucleares do Centro-Oeste (CRCN/CNEN-CO), Abadia de Goias, GO (Brazil)]. E-mail: rcorrea@cnen.gov.br; Peixoto, Joao Emilio [Universidade Federal do Rio de Janeiro (UFRJ), Rio de Janeiro, RJ (Brazil); Silver, Lynn Dee [New York Health Department, New York, NY (United States); Dias, Cintia Melazo [Comissao Nacional de Energia Nuclear (Diplan/CNEN), Braslia, DF (Brazil). Distrito do Planalto Central; Nogueira, Maria do Socorro [Centro de Desenvolvimento da Tecnologia Nuclear (CDTN/CNEN-MG), Belo Horizonte, MG (Brazil); Hwang, Suy Ferreira [Centro Regional de Ciencias Nucleares do Nordeste (CRCN/CNEN-NE), Recife, PE (Brazil)

2008-03-15

Objective: The present study was aimed at evaluating the quality and the impact of an intervention involving inspection and education in mammography centers of the Federal District, Brazil. Materials and methods: Forty one mammography centers in the Federal District were studied in the period between 2000 and 2002. The intervention involved an initial inspection followed by a training activity and notification of mammography centers by the Federal District Sanitary Vigilance authority. The imaging quality was compared before and after the intervention. Results: None of the 36 centers which completed the study reached more than 90% compliance with the standard imaging quality prior to the interventions, whereas ten were above 90% afterwards. Major improvements were observed in chassis maintenance, breast compression and visualization of microcalcifications. Conclusion: Despite the availability of a great number of mammography centers in the Federal District, most of them did not meet the required quality standards. The intervention has shown to be effective for improving the imaging quality, however a continued action is required to solve the remaining problems and increase the impact of the program. (author)

Accountability in district nursing practice: key concepts.

Science.gov (United States)

Griffith, Richard

2015-03-01

Public trust and confidence in district nurses is essential to the nurse-patient relationship that underpins effective care and treatment. That trust and confidence has even greater focus for district nurses who care for patients in their own homes. Those patients need to be able to count on the professionalism and probity of their district nurses. The professionalism and probity of district nurses is based on their accountability, which protects the public by imposing standards on district nurses and holds them answerable for their acts and omissions. This is the first of a series of articles on accountability in district nursing practice to mark the introduction of the revised Nursing and Midwifery Code on the 31 March 2015. This month's article considers the key concepts of accountability.

75 FR 43958 - Turlock Irrigation District and Modesto Irrigation District; Notice of Application for Amendment...

Science.gov (United States)

2010-07-27

... to the Turlock Irrigation District's Tuolumne Substation; (2) 23-mile-long, 69-kV Don Pedro-Hawkins Line extending from the Don Pedro switchyard to the Turlock Irrigation District's Hawkins Substation...

Multitask Classification Hypothesis Space With Improved Generalization Bounds.

Science.gov (United States)

Li, Cong; Georgiopoulos, Michael; Anagnostopoulos, Georgios C

2015-07-01

This paper presents a pair of hypothesis spaces (HSs) of vector-valued functions intended to be used in the context of multitask classification. While both are parameterized on the elements of reproducing kernel Hilbert spaces and impose a feature mapping that is common to all tasks, one of them assumes this mapping as fixed, while the more general one learns the mapping via multiple kernel learning. For these new HSs, empirical Rademacher complexity-based generalization bounds are derived, and are shown to be tighter than the bound of a particular HS, which has appeared recently in the literature, leading to improved performance. As a matter of fact, the latter HS is shown to be a special case of ours. Based on an equivalence to Group-Lasso type HSs, the proposed HSs are utilized toward corresponding support vector machine-based formulations. Finally, experimental results on multitask learning problems underline the quality of the derived bounds and validate this paper's analysis.

ECONOMIC CONDITIONS AND PROSPECTS OF DEVELOPMENT OF THE MARKET OF RESORT AND RECREATIONAL SERVICES OF THE SOUTHERN FDERAL DISTRICT

OpenAIRE

Oborin M. S.

2015-01-01

In article features of natural and medical potential, social and economic development of the Southern Federal District which are the main for development of medical and improving tourism are considered. The district borrows favorable natural and the economical geographical position influencing development of sanatorium activity. Positive dynamics of development of the market of sanatorium services of the Southern Federal District is based on the rich natural and medical capacity of the distri...

Integrated multiscale simulation of combined heat and power based district heating system

International Nuclear Information System (INIS)

Li, Peifeng; Nord, Natasa; Ertesvåg, Ivar Ståle; Ge, Zhihua; Yang, Zhiping; Yang, Yongping

2015-01-01

supply temperatures to high pump power consumptions and high heat losses in the district heating network, since the results showed that the seasonal pump power consumption and the heat loss would decrease with a lower design primary supply temperature. Therefore, from the perspective of seasonal consideration, low temperature district heating has an even more bright future compared to just considering the design heat load condition. Both the combined heat and power plant and the low temperature district heating network were simulated in detail and integrated, including the part heat load conditions, which is one novelty of this article. The simulation in this paper could be considered as the basis for the further improvement and optimization of combined heat and power based district heating systems.

School District Cash Management. Program Audit.

Science.gov (United States)

New York State Legislative Commission on Expenditure Review, Albany.

New York State law permits school districts to invest cash not immediately needed for district operation and also specifies the kinds of investments that may be made in order to ensure the safety and liquidity of public funds. This audit examines cash management and investment practices in New York state's financially independent school districts.…

Reading a District Budget: Reporter Guide

Science.gov (United States)

McNeil, Michele

2013-01-01

Every school budget tells a story--about a district's spending plan, its priorities, goals, and financial health. The challenge is to wade through the jargon and numbers to unlock that story. Although budgets can vary significantly from district to district, and state to state, this primer seeks to introduce reporters to the fundamental components…

Improved dynamic equations for the generally configured Stewart platform manipulator

International Nuclear Information System (INIS)

Pedrammehr, Siamak; Mahboubkhah, Mehran; Khani, Navid

2012-01-01

In this paper, a Newton-Euler approach is utilized to generate the improved dynamic equations of the generally configured Stewart platform. Using the kinematic model of the universal joint, the rotational degree of freedom of the pods around the axial direction is taken into account in the formulation. The justifiable direction of the reaction moment on each pod is specified and considered in deriving the dynamic equations. Considering the theorem of parallel axes, the inertia tensors for different elements of the manipulator are obtained in this study. From a theoretical point, the improved formulation is more accurate in comparison with previous ones, and the necessity of the improvement is clear evident from significant differences in the simulation results for the improved model and the model without improvement. In addition to more feasibility of the structure and higher accuracy, the model is highly compatible with computer arithmetic and suitable for online applications for loop control problems in hardware

Interim district energy implementation

Energy Technology Data Exchange (ETDEWEB)

Fearnley, R.; Susak, W. [City of Vancouver, BC (Canada); Johnstone, I. [BCG Services Inc., Vancouver, BC (Canada)

2001-07-01

The concept of district energy was introduced in the City of North Vancouver, a city of 45,000, in 1997. A preliminary study was completed in 1997, followed by a tour of some district energy facilities in Finland in the same year. In 1999 a large district energy study was completed by a consultant. The study indicated the need for an investment of $15 million to implement district heating in the City. Lack of sufficient financial resources and immediately connectable heat load, the project was considered a non-starter. Some of the other factors leading to shelving the project included no current significant pricing advantages over competing energy sources and no current opportunity for cogeneration, given the low price that BC Hydro is willing to pay for independently produced power. The project, although shelved for the moment, has not been discarded. Planning and exploration are continuing, aided by the City's commitment to energy efficiency and conservation, its long term planning horizon and its significant influence over the development of some prime real estate.

Vascular Plant and Vertebrate Inventory of Saguaro National Park, Tucson Mountain District

Science.gov (United States)

Powell, Brian F.; Halvorson, William L.; Schmidt, Cecilia A.

2007-01-01

the district is cause for concern that the park continue its commitment to environmental restoration, which is largely responsible for reducing the threats posed by non-native plants. With continued maintenance of natural processes and the ecological structure of the park's biodiversity, the park will become an increasingly important place to both the general public and the scientific community. This report supersedes results reported in Powell et al. (2002, 2003).

Cost to government health-care services of treating acute self-poisonings in a rural district in Sri Lanka

DEFF Research Database (Denmark)

Wickramasinghe, Kanchana; Steele, Paul; Dawson, Andrew

2009-01-01

pesticides and possibly by improving case management in primary care hospitals. Additional research is needed to assess if increasing infrastructure and staff at peripheral hospitals could reduce the overall cost to the government, optimize case management and reduce pressure on secondary services....... prospectively collected over a one-month period from one general hospital (2005) and five peripheral hospitals (2006) in the Anuradhapura district. Data on transfers to secondary- and tertiary-level facilities were obtained for a 6-month period from 30 peripheral hospitals. The cost of the inputs in United...... States dollars (US$), using 2005 figures, was derived from hospital accounts. FINDINGS: The average total cost of treating a self-poisoned patient at the general hospital was US$ 31.83, with ward staff input and drugs being the highest expenditure category and only US$ 0.19 of this sum related to capital...

Regional District Attorney's Offices - Alaska Department of Law

Science.gov (United States)

District Stephen B. Wallace, District Attorney Physical Address: 204 Chief Eddie Hoffman Hwy. Bethel, AK Hours M-TH 8-4:30, F 8-12 Kenai - 3rd Judicial District Scot H. Leaders, District Attorney Trading Bay

Energy supply and urban planning projects: Analysing tensions around district heating provision in a French eco-district

International Nuclear Information System (INIS)

Gabillet, Pauline

2015-01-01

Through the analysis of energy supply choices, this article explores the way in which energy priorities and their climate-related features are incorporated into urban public policy. These choices must take account of different factors, as is the case with district heating, which is justified as a vehicle of renewable energy while subject to pressure in eco-districts because its techno-economic balances are destabilised by falls in demand. Our study focuses particularly on the city of Metz (France), which has chosen district heating as the primary source for provision for the municipal area and for its first eco-district. We analyse the tensions within these choices, with particular attention to the way in which they are negotiated inside municipal departments and with the local energy operator. This enables us to explore the tensions in defining the scale that governs decisions and the linkages between energy-related and urban priorities. - Highlights: • Analyses of tensions in the choice of energy supplies for eco-districts. •District heating networks can be vehicles of renewable energy. • District heating networks are threatened by drops in energy consumption. • Energy supply issues oppose urban planning and energy policy in municipal departments. • Technical and financial adjustments can be made by the municipality to justify its energy choices

76 FR 51366 - Filing Dates for the Oregon Special Election in the 1st Congressional District

Science.gov (United States)

2011-08-18

... 1st Congressional District AGENCY: Federal Election Commission. ACTION: Notice of filing dates for... Special Primary and Special General Election on January 31, 2012, shall file a 12-day Pre-Primary Report... Primary and Special General Elections shall file a 12-day Pre-Primary Report on October 27, 2011; a...

77 FR 56208 - Filing Dates for the Kentucky Special Election in the 4th Congressional District

Science.gov (United States)

2012-09-12

... 4th Congressional District AGENCY: Federal Election Commission. ACTION: Notice of filing dates for special election. SUMMARY: Kentucky has scheduled a general election on November 6, 2012, to fill the U.S... required to file reports in connection with the Special General Election on November 6, 2012, shall file a...

North Plant co-generation project for South Davis County Sewer Improvement District

Energy Technology Data Exchange (ETDEWEB)

Rogers, L.S. [Aqua Environmental Services, Inc., Bountiful, UT (United States)

1993-12-31

In the summer of 1988, the South Davis County Sewer Improvement District (SDCSID) learned of a grant/loan program being administered by the Utah State Department of Energy(DOE) for projects that demonstrate new and innovative ways of conserving energy or utilizing renewable energy sources. The SDCSID applied for and received from the DOE both a grant and a no-interest loan to finance half of the cost of a co-generation project at the North Wastewater Treatment Plant. This co-generation project utilizes methane gas, a by-product of the anaerobic digestion process, to generate both electricity and heat that is used at the plant. The SDCSID calculated that at the current anaerobic gas production rate, a 140 KW engine generator could be run almost 24 hours a day. Approximately 75% of the current electrical needs at the North Plant are supplied by the 140 KW engine generator. Also, all of the heat necessary to raise the temperature of the incoming sludge to 95{degrees}F, and to heat four large buildings is supplied from the heat recovery system of the engine. The system utilizes an induction type generator to supply electricity, which is somewhat simpler to design and less expensive to install than a synchronous type system. An induction system utilizes the Electrical Utility`s incoming power to excite the generator to correct the phase so that is can be used by the loads in the plant. In addition, the SDCSID installed a second identical engine generator as a back-up and to peak shave. Plant effluent is used to cool the engines instead of air-cooling through radiators.

Consumption of Fruits and Vegetables in Middle School Students Following the Implementation of a School District Wellness Policy

Science.gov (United States)

Young, Kathleen D.; Snelling, Anastasia; Maroto, Maya; Young, Katherine A.

2013-01-01

Purpose/Objectives: In 2010, a large urban school district implemented a district-wide school wellness policy that addressed childhood obesity by requiring schools to increase health and physical education contact hours for students and to improve the nutritional standards of school meals. Schools were required to serve a different fruit and…

Simulating Crop Evapotranspiration Response under Different Planting Scenarios by Modified SWAT Model in an Irrigation District, Northwest China.

Science.gov (United States)

Liu, Xin; Wang, Sufen; Xue, Han; Singh, Vijay P

2015-01-01

Modelling crop evapotranspiration (ET) response to different planting scenarios in an irrigation district plays a significant role in optimizing crop planting patterns, resolving agricultural water scarcity and facilitating the sustainable use of water resources. In this study, the SWAT model was improved by transforming the evapotranspiration module. Then, the improved model was applied in Qingyuan Irrigation District of northwest China as a case study. Land use, soil, meteorology, irrigation scheduling and crop coefficient were considered as input data, and the irrigation district was divided into subdivisions based on the DEM and local canal systems. On the basis of model calibration and verification, the improved model showed better simulation efficiency than did the original model. Therefore, the improved model was used to simulate the crop evapotranspiration response under different planting scenarios in the irrigation district. Results indicated that crop evapotranspiration decreased by 2.94% and 6.01% under the scenarios of reducing the planting proportion of spring wheat (scenario 1) and summer maize (scenario 2) by keeping the total cultivated area unchanged. However, the total net output values presented an opposite trend under different scenarios. The values decreased by 3.28% under scenario 1, while it increased by 7.79% under scenario 2, compared with the current situation. This study presents a novel method to estimate crop evapotranspiration response under different planting scenarios using the SWAT model, and makes recommendations for strategic agricultural water management planning for the rational utilization of water resources and development of local economy by studying the impact of planting scenario changes on crop evapotranspiration and output values in the irrigation district of northwest China.

Simulating Crop Evapotranspiration Response under Different Planting Scenarios by Modified SWAT Model in an Irrigation District, Northwest China.

Directory of Open Access Journals (Sweden)

Xin Liu

Full Text Available Modelling crop evapotranspiration (ET response to different planting scenarios in an irrigation district plays a significant role in optimizing crop planting patterns, resolving agricultural water scarcity and facilitating the sustainable use of water resources. In this study, the SWAT model was improved by transforming the evapotranspiration module. Then, the improved model was applied in Qingyuan Irrigation District of northwest China as a case study. Land use, soil, meteorology, irrigation scheduling and crop coefficient were considered as input data, and the irrigation district was divided into subdivisions based on the DEM and local canal systems. On the basis of model calibration and verification, the improved model showed better simulation efficiency than did the original model. Therefore, the improved model was used to simulate the crop evapotranspiration response under different planting scenarios in the irrigation district. Results indicated that crop evapotranspiration decreased by 2.94% and 6.01% under the scenarios of reducing the planting proportion of spring wheat (scenario 1 and summer maize (scenario 2 by keeping the total cultivated area unchanged. However, the total net output values presented an opposite trend under different scenarios. The values decreased by 3.28% under scenario 1, while it increased by 7.79% under scenario 2, compared with the current situation. This study presents a novel method to estimate crop evapotranspiration response under different planting scenarios using the SWAT model, and makes recommendations for strategic agricultural water management planning for the rational utilization of water resources and development of local economy by studying the impact of planting scenario changes on crop evapotranspiration and output values in the irrigation district of northwest China.

Successful School Turnarounds: Seven Steps for District Leaders. Issue Brief

Science.gov (United States)

Kowal, Julie; Hassel, Emily Ayscue; Hassel, Bryan C.

2009-01-01

President Obama and Secretary Duncan have called upon states, districts, and education leaders to change the lives of millions of children by dramatically improving the nation's 5,000 lowest performing schools. These chronically failing schools will require intensive intervention to turn around performance that has fallen short of expectations for…

Effect of Clinical Audits of Radiation Use in One Hospital District in Finland

International Nuclear Information System (INIS)

Hirvonen-Kari, M.; Kivisaari, L.; Salo, S.; Dean, K.

2009-01-01

Background: A clinical audit is a systematic, independent, and documented process to improve the quality of radiological processes and radiation safety for patients. Purpose: To evaluate the effect of an audit process by comparing the results of two consecutive audits at the same units. Material and Methods: Audits were carried out twice at each imaging unit in the southwest hospital district of Finland: first, at the end of 2003, and again in November 2007. Both evaluations were carried out in a similar way: by interviewing personnel and examining documents, independent experts from other hospital districts ensured that diagnostic medical imaging processes at each unit were carried out according to generally accepted standards for good medical radiological procedures. The results of the consecutive audits were compared in order to analyze the effects of the clinical audits. Results: The use of radiation was in accordance with the requirements and standards of good medical procedures at every audited unit during both evaluations. The list of audit criteria was fulfilled satisfactorily on both occasions at all of the audited units, and clearly better during the second run. In the first audit, the auditors made 80 recommendations for improving diagnostic procedures and, in the second audit, 53 recommendations. During the first audit, most of the recommendations (22/80) concerned instructions in the fundamental practice of examining a patient. During the second audit, most recommendations were in the category of radiation doses. Conclusion: The clinical audit had a positive impact on the practice of work procedures in radiological departments Most of the recommendations made after the first audit had been taken into consideration by the time of the second audit

New Mexico State Forestry Districts

Data.gov (United States)

Earth Data Analysis Center, University of New Mexico — This dataset contains boundaries of the New Mexico Forestry Districts, plus the names of the district offices. It is in a vector digital structure digitized from a...

Agricultural Land Use in Ahlat District

Directory of Open Access Journals (Sweden)

Necmettin ELMASTAŞ

2009-12-01

Full Text Available Ahlat district has suitable topography for growing of agricultural products. Almost half of Ahlat district is suitable for agricultural. Today, 32.7% of the land use in Ahlat is agricultural area. 90% of agricultural area is dry farming area. 10% of agricultural area is irrigated. 60.3%of land use in Ahlat district is pasturage area. The economy of Ahlat is based on agricultural and animal husbandry. Today, agricultural products such as wheat, potato and sugar beet are grown in agricultural areas. Ahlat district has some problems like unplanned production, irrigation and marketing.

75 FR 62131 - Filing Dates for the New York Special Election in the 29th Congressional District

Science.gov (United States)

2010-10-07

... 29th Congressional District AGENCY: Federal Election Commission. ACTION: Notice of filing dates for special election. SUMMARY: New York has scheduled a Special General Election on November 2, 2010, to fill.... Committees required to file reports in connection with the Special General Election on November 2, 2010...

76 FR 45797 - Filing Dates for the New York Special Election in the 9th Congressional District

Science.gov (United States)

2011-08-01

... 9th Congressional District AGENCY: Federal Election Commission. ACTION: Notice of filing dates for special election. SUMMARY: New York has scheduled a Special General Election on September 13, 2011, to.... Committees required to file reports in connection with the Special General Election on September 13, 2011...

The Nation's Report Card: A First Look--2013 Mathematics and Reading Trial Urban District Assessment. NCES 2014-466

Science.gov (United States)

National Center for Education Statistics, 2013

2013-01-01

The National Assessment of Educational Progress (NAEP), in partnership with the National Assessment Governing Board and the Council of the Great City Schools (CGCS), created the Trial Urban District Assessment (TUDA) in 2002 to support the improvement of student achievement in the nation's large urban districts. The TUDA focuses attention on urban…

78 FR 48869 - Filing Dates for the Massachusetts Special Elections in the 5th Congressional District

Science.gov (United States)

2013-08-12

... in the 5th Congressional District AGENCY: Federal Election Commission. ACTION: Notice of filing dates... Special Primary and the Special General Election on December 10, 2013, shall file a 12-day Pre-Primary... Elections shall file a 12-day Pre-Primary Report on October 3, 2013; a 12-day Pre- General Report on...

77 FR 43823 - Filing Dates for the Michigan Special Election in the 11th Congressional District

Science.gov (United States)

2012-07-26

... 11th Congressional District AGENCY: Federal Election Commission. ACTION: Notice of filing dates for... Special Primary and Special General Election on November 6, 2012, shall file a 12-day Pre-Primary Report... Elections shall file a 12-day Pre-Primary Report on August 24, 2012; a 12-day Pre-General Report on October...

Food hygiene assessment in catering establishments in Hay Hassani district-Casablanca.

Science.gov (United States)

Kadmiri, Nadia El; Bakouri, Halima; Bassir, Fatima; Barmaki, Saadia; Rachad, Laila; Nadifi, Sellama; Kadmiri, Omar El; Amina, Bouleghmane

2016-01-01

Contaminated food is responsible for a significant amount of illnesses. In Morocco, it has become a worrying concern. Numerous awareness campaigns are conducted to warn the population against the risks of such scourge in ways that will prevent foodborne illness. Lawful commissions are in charge of examining and ensuring food safety in production and catering establishments, in addition to the assessment of food poisoning risks. The aim of this study is to evaluate the hygienic quality of food handling, preparation, and storage in catering establishments within Hay Hassani prefecture in Casablanca. During the period 2006-2012 a total of 1765 food samples were taken and examined for microbiological quality tests. As analyzed, 562 per 1765 samples are declared unhealthy for consumption. We note that some products were highly contaminated as compared to other products (p <0.001), specifically vegetable dishes, and meat dishes. In Hay Hassani district food is generally prepared and sold under unhygienic conditions, adequate corrective measures have been announced to improve hygienic practices.

Master plan study - District heating Sillamaee municipality. Estonia. Final report. Appendices for chapter 9

Energy Technology Data Exchange (ETDEWEB)

NONE

1997-03-01

The appendices to the final report on the master plan study on district heating in the municipality in Estonia, chapter nine, gives data related to general economic assumptions for financial and economic calculations, fuel consumption, financing, prices, fuel consumption. (ARW)

Assessment of water, sanitation, and hygiene practices and associated factors in a Buruli ulcer endemic district in Benin (West Africa).

Science.gov (United States)

Johnson, Roch Christian; Boni, Gratien; Barogui, Yves; Sopoh, Ghislain Emmanuel; Houndonougbo, Macaire; Anagonou, Esai; Agossadou, Didier; Diez, Gabriel; Boko, Michel

2015-08-19

Control of neglected tropical diseases (NTDs) requires multiple strategic approaches including water, sanitation and hygiene services (WASH). Buruli ulcer (BU), one of the 17 NTDs, remains a public health issue in Benin particularly in the district of Lalo. The availability of water as well as good hygiene are important for the management of Buruli ulcer particularly in the area of wound care one of the main component of the treatment of BU lesions. Given the growing importance of WASH in controlling NTDs and in order to assess the baseline for future cross-cutting interventions, we report here on the first study evaluating the level of WASH and associated factors in Lalo, one of the most BU-endemic districts in Benin. A cross-sectional study was carried to assess WASH practices and associated factors in the district of Lalo. Data were collected from 600 heads of household using structured pretested questionnaire and observations triangulated with qualitative information obtained from in-depth interviews of patients, care-givers and community members. Univariate and multivariate analysis were carried to determine the relationships between the potential associated factors and the sanitation as well as hygiene status. BU is an important conditions in the district of Lalo with 917 new cases detected from 2006 to 2012. More than 49 % of the household surveyed used unimproved water sources for their daily needs. Only 8.7 % of the investigated household had improved sanitation facilities at home and 9.7 % had improved hygiene behavior. The type of housing as an indicator of the socioeconomic status, the permanent availability of soap and improved hygiene practices were identified as the main factors positively associated with improved sanitation status. In the district of Lalo in Benin, one of the most endemic for BU, the WASH indicators are very low. This study provides baseline informations for future cross-cutting interventions in this district.

Health worker attrition at a rural district hospital in Rwanda: a need ...

African Journals Online (AJOL)

Health worker attrition at a rural district hospital in Rwanda: a need for improved placement and retention strategies. Jackline Odhiambo, Felix Cyamatare Rwabukwisi, Christian Rusangwa, Vincent Rusanganwa, Lisa Ruth Hirschhorn, Evrard Nahimana, Patient Ngamije, Bethany Lynn Hedt-Gauthier ...

CT diagnosis and differential diagnosis of the masses in lateral district of neck

International Nuclear Information System (INIS)

Cai Wenchong; Wei Zengcai; Li Huajie

2006-01-01

Objective: To analyze the CT findings and the corresponding anatomic basis of the masses arising in the lateral district of neck, and improve the diagnosis. Methods: CT findings in 52 patients with tumours in lateral district of neck, pathologically proved, were retrospectively studied on the size of the masses, morphology, density, margin, contrast enhanced characteristics, location and relationship with adjacent vessels and spaces. Results: Among the 52 cases, masses were located in the prestyloid space in 8 cases, in the parotid in 8, within the masticator space in 2, and in the carotid space in 31. In most of the cases, CT revealed the pathologic nature of the masses and adjacent anatomic structure. According to the displacement of the adjacent spaces muscles and vessels caused by the masses, the origin of the masses could be predicted. The origin of the masses was spatially related to the internal carotid artery and the jugular vein. Conclusion: CT is an effective modality for the positional diagnosis of the masses arising lateral district of neck. Considering the anatomical position and contrast enhanced characteristics and the involvement of the adjacent structure, the qualitative and differential diagnosis can be improved. (authors)

Variable fuzzy assessment of water use efficiency and benefits in irrigation district

Directory of Open Access Journals (Sweden)

Ming-hui Wang

2015-07-01

Full Text Available In order to scientifically and reasonably evaluate water use efficiency and benefits in irrigation districts, a variable fuzzy assessment model was established. The model can reasonably determine the relative membership degree and relative membership function of the sample indices in each index's standard interval, and obtain the evaluation level of the sample through the change of model parameters. According to the actual situation of the Beitun Irrigation District, which is located in Fuhai County, in Altay City, Xinjiang Uyghur Autonomous Region, five indices were selected as evaluation factors, including the canal water utilization coefficient, field water utilization coefficient, crop water productivity, effective irrigation rate in farmland, and water-saving irrigation area ratio. The water use efficiency and benefits in the Beitun Irrigation District in different years were evaluated with the model. The results showed that the comprehensive evaluation indices from 2006 to 2008 were all at the third level (medium efficiency, while the index in 2009 increased slightly, falling between the second level (relatively high efficiency and third level, indicating an improvement in the water use efficiency and benefits in the Beitun Irrigation District, which in turn showed that the model was reliable and easy to use. This model can be used to assess the water use efficiency and benefits in similar irrigation districts.

The Policy Implementation in Development Water Front City in District Senapelan Pekanbaru

Directory of Open Access Journals (Sweden)

Panca Setyo Prihatin

2013-02-01

Full Text Available Structuring urban areas, especially the Pekanbaru City, is necessary given the problem of development of Pekanbaru City is more and more complex and highly in need of a better arrangement, especially concerning on the improvement of the environment (Water Front City in Siak River surroundings. This is a descriptive qualitative research with population sample of the Office of Settlement and Regional Infrastructure of Pekanbaru City, Senapelan District Government, NGOs, community leaders, and private parties. Data are collected through interview, observation and documentation, which is then analyzed using qualitative analysis technique. This research finds that the policy of the development of Water Front City at Village Kampung Baru sub-district Senapelan Pekanbaru is not implemented optimally. This situation can be seen through a variety of indicators related to the implementation of development policies of Water Front City at Village Kampung Baru sub-district Senapelan Pekanbaru in that the effect of interest policies, benefits, desire for change, the process of decision-making, implementing programs and supporting resources have not been implemented effectively. The curbing factors in implementing development policies in the District Water Front City Senapelan Pekanbaru are mostly due to the lack of human resources, process of compensation and other inadequate financing, and managerial instruments that are unsupported to the implementation of development programs of Water Front City at Village Kampung Baru sub-district Senapelan Pekanbaru.

Child mortality inequalities across Rwanda districts: a geoadditive continuous-time survival analysis

Directory of Open Access Journals (Sweden)

François Niragire

2017-05-01

Full Text Available Child survival programmes are efficient when they target the most significant and area-specific factors. This study aimed to assess the key determinants and spatial variation of child mortality at the district level in Rwanda. Data from the 2010 Rwanda Demographic and Health Survey were analysed for 8817 live births that occurred during five years preceding the survey. Out of the children born, 433 had died before survey interviews were carried out. A full Bayesian geo-additive continuous-time hazard model enabled us to maximise data utilisation and hence improve the accuracy of our estimates. The results showed substantial district- level spatial variation in childhood mortality in Rwanda. District-specific spatial characteristics were particularly associated with higher death hazards in two districts: Musanze and Nyabihu. The model estimates showed that there were lower death rates among children from households of medium and high economic status compared to those from low-economic status households. Factors, such as four antenatal care visits, delivery at a health facility, prolonged breastfeeding and mothers younger than 31 years were associated with lower child death rates. Long preceding birth intervals were also associated with fewer hazards. For these reasons, programmes aimed at reducing child mortality gaps between districts in Rwanda should target maternal factors and take into consideration district-specific spatial characteristics. Further, child survival gains require strengthening or scaling-up of existing programmes pertaining to access to, and utilisation of maternal and child health care services as well as reduction of the household gap in the economic status.

Child mortality inequalities across Rwanda districts: a geoadditive continuous-time survival analysis.

Science.gov (United States)

Niragire, François; Achia, Thomas N O; Lyambabaje, Alexandre; Ntaganira, Joseph

2017-05-11

Child survival programmes are efficient when they target the most significant and area-specific factors. This study aimed to assess the key determinants and spatial variation of child mortality at the district level in Rwanda. Data from the 2010 Rwanda Demographic and Health Survey were analysed for 8817 live births that occurred during five years preceding the survey. Out of the children born, 433 had died before survey interviews were carried out. A full Bayesian geo-additive continuous-time hazard model enabled us to maximise data utilisation and hence improve the accuracy of our estimates. The results showed substantial district- level spatial variation in childhood mortality in Rwanda. District-specific spatial characteristics were particularly associated with higher death hazards in two districts: Musanze and Nyabihu. The model estimates showed that there were lower death rates among children from households of medium and high economic status compared to those from low-economic status households. Factors, such as four antenatal care visits, delivery at a health facility, prolonged breastfeeding and mothers younger than 31 years were associated with lower child death rates. Long preceding birth intervals were also associated with fewer hazards. For these reasons, programmes aimed at reducing child mortality gaps between districts in Rwanda should target maternal factors and take into consideration district-specific spatial characteristics. Further, child survival gains require strengthening or scaling-up of existing programmes pertaining to access to, and utilisation of maternal and child health care services as well as reduction of the household gap in the economic status.

Investigation of health care waste management in Binzhou District, China

International Nuclear Information System (INIS)

Ruoyan, Gai; Xu Lingzhong; Li Huijuan; Zhou Chengchao; He Jiangjiang; Yoshihisa, Shirayama; Tang Wei; Chushi, Kuroiwa

2010-01-01

In China, national regulations and standards for health care waste management were implemented in 2003. To investigate the current status of health care waste management at different levels of health care facilities (HCF) after the implementation of these regulations, one tertiary hospital, one secondary hospital, and four primary health care centers from Binzhou District were visited and 145 medical staff members and 24 cleaning personnel were interviewed. Generated medical waste totaled 1.22, 0.77, and 1.17 kg/bed/day in tertiary, secondary, and primary HCF, respectively. The amount of medical waste generated in primary health care centers was much higher than that in secondary hospitals, which may be attributed to general waste being mixed with medical waste. This study found that the level of the HCF, responsibility for medical waste management in departments and wards, educational background and training experience can be factors that determine medical staff members' knowledge of health care waste management policy. Regular training programs and sufficient provision of protective measures are urgently needed to improve occupational safety for cleaning personnel. Financing and administrative monitoring by local authorities is needed to improve handling practices and the implementation of off-site centralized disposal in primary health care centers.

An Example of an Improvable Rao-Blackwell Improvement, Inefficient Maximum Likelihood Estimator, and Unbiased Generalized Bayes Estimator.

Science.gov (United States)

Galili, Tal; Meilijson, Isaac

2016-01-02

The Rao-Blackwell theorem offers a procedure for converting a crude unbiased estimator of a parameter θ into a "better" one, in fact unique and optimal if the improvement is based on a minimal sufficient statistic that is complete. In contrast, behind every minimal sufficient statistic that is not complete, there is an improvable Rao-Blackwell improvement. This is illustrated via a simple example based on the uniform distribution, in which a rather natural Rao-Blackwell improvement is uniformly improvable. Furthermore, in this example the maximum likelihood estimator is inefficient, and an unbiased generalized Bayes estimator performs exceptionally well. Counterexamples of this sort can be useful didactic tools for explaining the true nature of a methodology and possible consequences when some of the assumptions are violated. [Received December 2014. Revised September 2015.].

District heating in Flensburg

Energy Technology Data Exchange (ETDEWEB)

Prinz, W.

1981-01-01

The majority of our population, but also of our authorities, are still skeptical or even disapproving towards district heating. The reasons of this negative attitude are partly psychological - e.g. the individualism of the Swiss and their dislike for too centralised structures and ''forced connections'' - but also the existence of finished gas supply networks and the fear of considerable pre-investments and torn streets over years. The following article - held as a speech on the information meeting ''District heating and the possible contribution of nuclear energy'' organised by the Swiss Association for Atomic Energy in Bern shows a practical problem solving at the example of the district heating in Flensburg and deals with these questions.

Shortage of energy increases profitability of district heating

International Nuclear Information System (INIS)

2003-01-01

Increased demand will cause the price of district heating to increase, but not to the level of the price of electricity. The cheapest heating alternative in Denmark, Norway and Sweden is district heating. In Norway, district heating is developed primarily for commercial buildings and housing cooperatives. Thirty per cent of all buildings under construction are prepared for district heating and the percentage will increase strongly in the coming time. The total net production of district heating in Norway in 2001 was 2000 GWh, which is only a small part of the total potential for district heating

76 FR 16419 - Filing Dates for the New York Special Election in the 26th Congressional District

Science.gov (United States)

2011-03-23

... 26th Congressional District AGENCY: Federal Election Commission. ACTION: Notice of filing dates for special election. SUMMARY: New York has scheduled a Special General Election on May 24, 2011, to fill the.... Committees required to file reports in connection with the Special General Election on May 24, 2011, shall...

78 FR 7781 - Filing Dates for the South Carolina Special Elections in the 1st Congressional District

Science.gov (United States)

2013-02-04

... in the 1st Congressional District AGENCY: Federal Election Commission. ACTION: Notice of filing dates... Primary Election, the top two vote-getters will participate in a Special Runoff Election. General Election... participating in the South Carolina Special Primary and Special General Elections shall file a 12-day Pre...

Understanding the organisational culture of district health services: Mahalapye and Ngamiland health districts of Botswana.

Science.gov (United States)

Nkomazana, Oathokwa; Mash, Robert; Phaladze, Nthabiseng

2015-11-30

Botswana has a shortage of health care workers, especially in primary healthcare. Retention and high performance of employees are closely linked to job satisfaction and motivation, which are both highest where employees' personal values and goals are realised. The aim of the study was to evaluate employees' personal values, and the current and desired organisational culture of the district health services as experienced by the primary health care workers. The study was conducted in the Ngamiland and Mahalapye health districts. This was a cross sectional survey. The participants were asked to select 10 values that best described their personal, current organisational and desired organisational values from a predetermined list. Sixty and 67 health care workers completed the survey in Mahalapye and Ngamiland districts, respectively. The top 10 prevalent organisational values experienced in both districts were: teamwork, patient satisfaction, blame, confusion, job insecurity, not sharing information and manipulation. When all the current values were assessed, 32% (Mahalapye) and 36% (Ngamiland) selected by health care workers were potentially limiting organisational effectiveness. The organisational values desired by health care workers in both districts were: transparency, professional growth, staff recognition, shared decision-making, accountability, productivity, leadership development and teamwork. The experience of the primary health care workers in the two health districts were overwhelmingly negative, which is likely to contribute to low levels of motivation, job satisfaction, productivity and high attrition rates. There is therefore urgent need for organisational transformation with a focus on staff experience and leadership development.

BLENDED LEARNING METHOD BASED ON LOCAL WISDOM AS A SPIRITUAL GUIDANCE HOLY TRINITY COMMUNITY IN DISTRICT BENGKAYANG

Directory of Open Access Journals (Sweden)

Priska Vasantan

2016-03-01

Full Text Available Bengkayang is one of the districts the outermost in Indonesia. The district has limitations and underdevelopment in various fields, one of which is in the field of education. Writing this article aims to show that blended learning based on local wisdom is very helpful coaching Holy Trinity Community (HTC in the district Bengkayang. It has been proven from previous studies, suggesting that coaching HTC with blended learning to be more flexible, effective and efficient . Blended learning has been applied HTC with a combination of conventional learning and e-learning in most areas in Indonesia. With the blended learning, the process of spiritual guidance becomes more flexible, effective and efficient so as to improve student in district Bengkayang.

Improved probabilistic inference as a general learning mechanism with action video games.

Science.gov (United States)

Green, C Shawn; Pouget, Alexandre; Bavelier, Daphne

2010-09-14

Action video game play benefits performance in an array of sensory, perceptual, and attentional tasks that go well beyond the specifics of game play [1-9]. That a training regimen may induce improvements in so many different skills is notable because the majority of studies on training-induced learning report improvements on the trained task but limited transfer to other, even closely related, tasks ([10], but see also [11-13]). Here we ask whether improved probabilistic inference may explain such broad transfer. By using a visual perceptual decision making task [14, 15], the present study shows for the first time that action video game experience does indeed improve probabilistic inference. A neural model of this task [16] establishes how changing a single parameter, namely the strength of the connections between the neural layer providing the momentary evidence and the layer integrating the evidence over time, captures improvements in action-gamers behavior. These results were established in a visual, but also in a novel auditory, task, indicating generalization across modalities. Thus, improved probabilistic inference provides a general mechanism for why action video game playing enhances performance in a wide variety of tasks. In addition, this mechanism may serve as a signature of training regimens that are likely to produce transfer of learning. Copyright © 2010 Elsevier Ltd. All rights reserved.

Ontario Power Authority district energy research report : final report

International Nuclear Information System (INIS)

2010-02-01

This paper presented an analysis of the technical and economic characteristics of district energy in Ontario. The market context for district energy was evaluated, and institutional issues that may influence the future development and operation of district energy systems in Ontario were explored. Technical, economic, and environmental analyses of district energy based on different neighbourhood sizes, types, and district energy systems were presented. Three case studies were included to demonstrate real world district energy applications. A set of interviews conducted with representatives of the province's district energy supply chain was also provided in order to provide a framework for district energy opportunities and challenges within the province. 22 tabs., 16 figs.

Fisheries Districts

Data.gov (United States)

Vermont Center for Geographic Information — The Fisheries districts data layer is part of a larger dataset that contains administrative boundaries for Vermont's Agency of Natural Resources. The dataset...

Wastewater Districts

Data.gov (United States)

Vermont Center for Geographic Information — The Wastewater districts layer is part of a larger dataset that contains administrative boundaries for Vermont's Agency of Natural Resources. The dataset includes...

Wildlife Districts

Data.gov (United States)

Vermont Center for Geographic Information — The Wildlife Districts layer is part of a larger dataset contains administrative boundaries for Vermont's Agency of Natural Resources. The dataset includes feature...

Energy efficiency rating of districts, case Finland

International Nuclear Information System (INIS)

Hedman, Åsa; Sepponen, Mari; Virtanen, Mikko

2014-01-01

There is an increasing political pressure on the city planning to create more energy efficient city plans. Not only do the city plans have to enable and promote energy efficient solutions, but it also needs to be clearly assessed how energy efficient the plans are. City planners often have no or poor know how about energy efficiency and building technologies which makes it difficult for them to answer to this need without new guidelines and tools. An easy to use tool for the assessment of the energy efficiency of detailed city plans was developed. The aim of the tool is for city planners to easily be able to assess the energy efficiency of the proposed detailed city plan and to be able to compare the impacts of changes in the plan. The tool is designed to be used with no in-depth knowledge about energy or building technology. With a wide use of the tool many missed opportunities for improving energy efficiency can be avoided. It will provide better opportunities for sustainable solutions leading to less harmful environmental impact and reduced emissions. - Highlights: • We have created a tool for assessing energy efficiency of detailed city plans. • The energy source is the most important factor for efficiency of districts in Finland. • Five case districts in Finland were analyzed. • In this paper one residential district has in-depth sensitivity analyses done

77 FR 9927 - Filing Dates for the Arizona Special Election in the 8th Congressional District

Science.gov (United States)

2012-02-21

... 8th Congressional District AGENCY: Federal Election Commission. ACTION: Notice of filing dates for... Special Primary and Special General Election on June 12, 2012, shall file a 12-day Pre-Primary Report, a... Elections shall file a 12-day Pre-Primary Report on April 5, 2012; a 12-day Pre-General Report on May 31...

77 FR 22574 - Filing Dates for the Washington Special Election In the 1st Congressional District

Science.gov (United States)

2012-04-16

... the 1st Congressional District AGENCY: Federal Election Commission. ACTION: Notice of filing dates for... Special Primary and Special General Election on November 6, 2012, shall file a 12-day Pre-Primary Report... Elections shall file a 12-day Pre-Primary Report on July 26, 2012; a 12-day Pre-General Report on October 25...

77 FR 75161 - Filing Dates for the Illinois Special Election in the 2nd Congressional District

Science.gov (United States)

2012-12-19

... 2nd Congressional District AGENCY: Federal Election Commission. ACTION: Notice of filing dates for... Special Primary and Special General Election on April 9, 2013, shall file a 12- day Pre-Primary Report, a... Elections shall file a 12-day Pre-Primary Report on February 14, 2013; a 12-day Pre-General Report on March...

Demonstration of low-energy district heating for low-energy buildings in EnergyFlexHouse. Subreport 1; Demonstration af lavenergifjernvarme til lavenergibyggeri i energyflexhouse. Delrapport 1

Energy Technology Data Exchange (ETDEWEB)

Holm Christiansen, C.

2011-05-15

This report concerns demonstration of a new concept for low temperature district heating to low energy buildings with district heating flow temperatures on just above 50 deg. C. The concept was developed in a previous energy research project under the EFP-2007-programme supported by the Danish Energy Agency. New types of prototypes for district heating consumer substations and district heating pipes in very small dimensions were developed and manufactured. Demonstration has been carried out in the Danish Technological Institute test houses 'EnergyFlexHouse' with the objective of analyzing and evaluating the performance of the concept in a real low energy house. The EnergyFlexHouse is actually two houses either each designed to be energy neutral with PV's but also fulfilling the Danish building codes low energy class 2015 requirements without the PV's. The two houses are called 'Lab' and 'Family' and are supplied with district heating from a small local distribution network. The tests are carried out in the 'Lab' house connected with a district heating branch twin pipe with two service pipes of just 10 mm inner diameter/14 mm outer diameter and with outer casing diameter of 110 mm corresponding to series 2 insulation. An accumulator consumer substation with a 175 liter storage tank on the primary side (district heating side) has been subject to tests. Tree different tapping patterns of domestic hot water were performed including tapping patterns based on the European standard PrEN50440. Generally the results show that balancing the primary loading flow in relation to actual tapping patterns and domestic hot water consumption is important in order to keep the district heating return temperature as low as possible. Based on the results different options are proposed in order to optimize the operation of the consumer substation. Recently a new project under the EUDP 2010-II has received grant to continue improving and

Parish nursing: a unique resource for community and district nurses.

Science.gov (United States)

Wordsworth, Helen; Moore, Ros; Woodhouse, Daphne

2016-02-01

This paper examines the effect of parish nursing as a faith community initiative to support the work of district and community nurses and improve health outcomes. It discusses the reasons why faith communities might embark upon health initiatives, and describes the practice of parish nursing and its history and development in the UK. With reference to both quantitative and qualitative outcomes, the relevance of the practice in the UK health scene is assessed. The paper suggests that connecting with the third sector through parish nursing could enhance the work of community and district nurses; this would present additional sources of holistic care and health promotion and can be offered in an optional but complementary manner to the care provided through the NHS.

Sexual Harassment Policies in Florida School Districts.

Science.gov (United States)

Rienzo, Barbara A.; Moore, Michele Johnson

1998-01-01

Investigated the extent to which Florida's school districts complied with the Florida Department of Education's (FDOE) recommendations for addressing sexual harassment in schools. Surveys of district equity coordinators and analysis of policies indicated that most districts approved sexual harassment policies incorporating many FDOE…

Warden Districts

Data.gov (United States)

Vermont Center for Geographic Information — This dataset is a representation overlay of warden (areas of responsibility). The Vermont Warden Districts layer is part of a dataset that contains administrative...

Park Districts

Data.gov (United States)

Vermont Center for Geographic Information — The Parks Districts layer is part of a dataset contains administrative boundaries for Vermont's Agency of Natural Resources. The dataset includes feature classes for...

How low can the low heating load density district heating be? Environmental aspects on low heating load density district heating of the present generation compared to a domestic oil burner; Hur vaermegles kan den vaermeglesa fjaerrvaermen vara? Miljoeaspekter paa vaermegles fjaerrvaerme med dagens teknik jaemfoerd med villaoljepanna

Energy Technology Data Exchange (ETDEWEB)

Froeling, Morgan [Chalmers Univ. of Technology, Goeteborg (Sweden). Dept. of Chemical Environmental Science

2005-07-01

In Sweden we can see an increase of district heating networks in residential areas with low heat density. For the customer the economy is normally the most important argument when deciding to choose district heating. For many customers, however, arguments regarding environmental friendliness are important complimentary arguments. When district heating systems are built with decreased heat density, the environmental impacts from use of district heating will increase, depending on such as increased need of pipes and increased heat losses from the distribution system. The purpose of this study is to investigate if there is a limit, a lowest heat density when it is not any longer beneficial to build district heating when district heating replaces local oil furnace heating. Life cycle inventory data for district heating distribution systems in areas with low heat density has been compared with the use of oil furnaces. The environmental impacts are categorized into Global Warming Potential, Acidification Potential, Eutrofication Potential and Use of Finite Resources. To enhance the assessment three single point indicators have also been used: EcoIndicator99, EPS and ExternE. The economics of using district heating in areas with low heat density has not been regarded in this study. A model comparing the space heating of a single family home with an oil furnace or with district heating has been created. The home has an annual heat need of 20 MWh. The district heating distribution network is characterized by its linear heat density. The linear heat density is a rough description of a district heating network, and thus also the results from the model will be general. Still it can give us a general idea of the environmental limit for district heating in areas with low heat density. An assessment of all results indicate that with the type of technology used at present it is not environmentally beneficial to use district heating with lower linear heat density than 0,2 MWh/m. At

Assessment of historical and cultural heritage in Lubensky district of Poltava region

Directory of Open Access Journals (Sweden)

Марина Cторчак

2017-09-01

Full Text Available The article assesses available historical and cultural heritage of Lubny district, Poltava region. Among the considered assessment methods of the historical and cultural heritage K. A. Polyvach’s method has been chosen for the study, as it allows to assess the security of an administrative district. According to this method, the provision of rural districts according to the following indicators was carried out: the number of objects and their division into types; concentration of objects calculated on the area of the territory; a modified concentration index. The latter takes into account not only the area, but also the population. The coefficient of objects’ localization, showing the largest number of cultural monuments and the smallest area of rural councils has also been indicated. In Lubensky district, archeological monuments dominate, namely, the fraternal graves and memorial plaques to the fallen heroes of warriors. The disadvantage of this area is the lack of fixed objects of science and technology that would act as a tourist resource. The largest number of historical and cultural heritage objects is concentrated in Vovchytsya, Kalaydenska, Mgarska and Mykhnivska village councils, and the smallest number is in Shershnevsky, Matskiv and Okipsky. In general, it can be said that there are 102 objects in Lubensky area - this is not enough, if you also take into account that their placement is not uniform. In addition to the lowest level of livelihood in Shershnivska, Okipa, Berezivka, Tyshkivska, Vyshchebulatka, Matskivska, Lytvyakivska and Novorikhivska settlement councils there are only monuments of one category, which diminishes their interest among tourists. In the area the most promising for the development of tourism are Mgarska, Vovchytska and Kalaydentsi rural councils, because within them there is an opportunity to build complex tourist routes and, in general, to develop tourist infrastructure, not only because of the large

Energy Assessment of Automated Mobility Districts

Energy Technology Data Exchange (ETDEWEB)

Chen, Yuche [National Renewable Energy Laboratory (NREL), Golden, CO (United States)

2017-08-03

Automated vehicles (AVs) are increasingly being discussed as the basis for on-demand mobility services, introducing a new paradigm in which a fleet of AVs displace private automobiles for day-to-day travel in dense activity districts. This project examines such a concept to displace privately owned automobiles within a region containing dense activity generators (jobs, retail, entertainment, etc.), referred to as an automated mobility district (AMDs). The project reviews several such districts including airport, college campuses, business parks, downtown urban cores, and military bases, with examples of previous attempts to meet the mobility needs apart from private automobiles, some with automated technology and others with more traditional transit based solutions. The issues and benefits of AMDs are framed within the perspective of intra-district, inter-district, and border issues, and the requirements for a modeling framework are identified to adequately reflect the breadth of mobility, energy, and emissions impact anticipated with AMDs.

A good year for district heating

International Nuclear Information System (INIS)

Bakken, Stein Arne

2003-01-01

In Norway, high prices on electric power have caused economic progress for the district heating companies. The price of district heating is determined by the prices of power and fuel oil. However, the government wants to remove the tax on electricity to the industry, which is the district heating companies' major group of customers, along with public buildings. This is likely to entail a great loss of income

Forestry Districts

Data.gov (United States)

Vermont Center for Geographic Information — The Forestry Districts layer is part of a dataset that contains administrative boundaries for Vermont's Agency of Natural Resources. This is a layer file which...

Steps towards modern trends in district heating

Directory of Open Access Journals (Sweden)

Vasek Lubomir

2017-01-01

Full Text Available This paper focuses on new trends in district heating a cooling (DHC area and algorithms allowing incorporating new technologies and performing optimal control. Classical district heating usually means huge source (as heating plant and set of pipes which transfer heat energy through a medium, mostly water, across whole town and chilled water is returning back to the plant. Let’s imagine a modern city where buildings are consuming only a fraction of the energy contrary to what buildings required in the past. And especially during sunny or windy days, they have energy to spare. Around of such modern city is not only the one big heating plant, but perhaps solar and wind farms, waste incinerators, industrial companies with energy surpluses. Simply in this modern city are dozens, perhaps hundreds of small energy producers that share pipe network or at least part of it. In such a district energy system, production planning is more difficult. And not only production, modern houses with minimal heat loss and data connections also allow to plan consumption more effectively. The aim is to achieve the best solution evaluated by the objective function, usually determined by minimizing the production and distribution costs and providing meets the needs of energy consumers. The method presented in this paper is based on a simulation using the proposed holonic distributed model. This model also introduces the idea of general prosumers strategy, where all active elements within the modern DHC system are represented by prosumer objects. The prosumers are perceived as objects able to actively participate in the planning and realization of the production and consumption of energy. It is assumed that the general behaviour of the object in DHC is the same, no matter how they differ in size and design. Thus, all the objects are defined by two characteristics - the ability to produce and consume. The model based on this basic principle, of course, with the most

Investigating the Role of Instructional Rounds in the Development of Social Networks and District-Wide Improvement

Science.gov (United States)

Hatch, Thomas; Hill, Kathryn; Roegman, Rachel

2016-01-01

In this article, we explore how organizational routines involving instructional rounds--collective, structured observations and reflections on classroom practice--might contribute to the development of social networks among administrators and support a common, district-wide focus on instruction. Building on work on communities of practice, we…

Improving mapping for Ebola response through mobilising a local community with self-owned smartphones: Tonkolili District, Sierra Leone, January 2015

OpenAIRE

Nic Lochlainn, Laura M.; Gayton, Ivan; Theocharopoulos, Georgios; Edwards, Robin; Danis, Kostas; Kremer, Ronald; Kleijer, Karline; Tejan, Sumaila M.; Sankoh, Mohamed; Jimissa, Augustin; Greig, Jane; Caleo, Grazia

2018-01-01

Background During the 2014–16 Ebola virus disease (EVD) outbreak, the Magburaka Ebola Management Centre (EMC) operated by Médecins Sans Frontières (MSF) in Tonkolili District, Sierra Leone, identified that available district maps lacked up-to-date village information to facilitate timely implementation of EVD control strategies. In January 2015, we undertook a survey in chiefdoms within the MSF EMC catchment area to collect mapping and village data. We explore the feasibility and cost to mobi...

Evaluating the implementation of a quality improvement process in General Practice using a realist evaluation framework.

Science.gov (United States)

Moule, Pam; Clompus, Susan; Fieldhouse, Jon; Ellis-Jones, Julie; Barker, Jacqueline

2018-05-25

Underuse of anticoagulants in atrial fibrillation is known to increase the risk of stroke and is an international problem. The National Institute for Health Care and Excellence guidance CG180 seeks to reduce atrial fibrillation related strokes through prescriptions of Non-vitamin K antagonist Oral Anticoagulants. A quality improvement programme was established by the West of England Academic Health Science Network (West of England AHSN) to implement this guidance into General Practice. A realist evaluation identified whether the quality improvement programme worked, determining how and in what circumstances. Six General Practices in 1 region, became the case study sites. Quality improvement team, doctor, and pharmacist meetings within each of the General Practices were recorded at 3 stages: initial planning, review, and final. Additionally, 15 interviews conducted with the practice leads explored experiences of the quality improvement process. Observation and interview data were analysed and compared against the initial programme theory. The quality improvement resources available were used variably, with the training being valued by all. The initial programme theories were refined. In particular, local workload pressures and individual General Practitioner experiences and pre-conceived ideas were acknowledged. Where key motivators were in place, such as prior experience, the programme achieved optimal outcomes and secured a lasting quality improvement legacy. The employment of a quality improvement programme can deliver practice change and improvement legacy outcomes when particular mechanisms are employed and in contexts where there is a commitment to improve service. © 2018 John Wiley & Sons, Ltd.

Absorptive Capacity: A Conceptual Framework for Understanding District Central Office Learning

Science.gov (United States)

Farrell, Caitlin C.; Coburn, Cynthia E.

2017-01-01

Globally, school systems are pressed to engage in large-scale school improvement. In the United States and other countries, school district central offices and other local governing agencies often engage with external organizations and individuals to support such educational change efforts. However, initiatives with external partners are not…

78 FR 33799 - National Poultry Improvement Plan; General Conference Committee Meeting

Science.gov (United States)

2013-06-05

... Washington, DC, this 3rd day of June 2013. Kevin Shea, Acting Administrator, Animal and Plant Health... DEPARTMENT OF AGRICULTURE Animal and Plant Health Inspection Service [Docket No. APHIS-2013-0032] National Poultry Improvement Plan; General Conference Committee Meeting AGENCY: Animal and Plant Health...

The Role of School District Science Coordinators in the District-Wide Appropriation of an Online Resource Discovery and Sharing Tool for Teachers

Science.gov (United States)

Lee, Victor R.; Leary, Heather M.; Sellers, Linda; Recker, Mimi

2014-06-01

When introducing and implementing a new technology for science teachers within a school district, we must consider not only the end users but also the roles and influence district personnel have on the eventual appropriation of that technology. School districts are, by their nature, complex systems with multiple individuals at different levels in the organization who are involved in supporting and providing instruction. Varying levels of support for new technologies between district coordinators and teachers can sometimes lead to counterintuitive outcomes. In this article, we examine the role of the district science coordinator in five school districts that participated in the implementation of an online resource discovery and sharing tool for Earth science teachers. Using a qualitative approach, we conducted and coded interviews with district coordinators and teachers to examine the varied responsibilities associated with the district coordinator and to infer the relationships that were developed and perceived by teachers. We then examine and discuss two cases that illustrate how those relationships could have influenced how the tool was adopted and used to differing degrees in the two districts. Specifically, the district that had high support for online resource use from its coordinator appeared to have the lowest level of tool use, and the district with much less visible support from its coordinator had the highest level of tool use. We explain this difference in terms of how the coordinator's promotion of teacher autonomy took distinctly different forms at those two districts.

Mapping of potential heat sources for heat pumps for district heating in Denmark

International Nuclear Information System (INIS)

Lund, Rasmus; Persson, Urban

2016-01-01

The ambitious policy in Denmark on having a 100% renewable energy supply in 2050 requires radical changes to the energy systems to avoid an extensive and unsustainable use of biomass resources. Currently, wind power is being expanded and the increasing supply of electricity is slowly pushing the CHP (combined heat and power) plants out of operation, reducing the energy efficiency of the DH (district heating) supply. Here, large heat pumps for district heating is a frequently mentioned solution as a flexible demand for electricity and an energy efficient heat producer. The idea is to make heat pump use a low temperature waste or ambient heat source, but it has so far been very unclear which heat sources are actually available for this purpose. In this study eight categories of heat sources are analysed for the case of Denmark and included in a detailed spatial analysis where the identified heat sources are put in relation to the district heating areas and the corresponding demands. The analysis shows that potential heat sources are present near almost all district heating areas and that sea water most likely will have to play a substantial role as a heat source in future energy systems in Denmark. - Highlights: • The availability of heat sources for heat pumps in Denmark are mapped and quantified. • A novel methodology for assessment of low temperature industrial excess heat is presented. • There are heat sources available for 99% of district heating networks in Denmark. • The concentration of heat sources is generally bigger around bigger cities than smaller. • Ambient temperature heat sources will be more needed in district heating of big cities.

District heating versus local heating - Social supportability

International Nuclear Information System (INIS)

Matei, Magdalena; Enescu, Diana; Varjoghie, Elena; Radu, Florin; Matei, Lucian

2004-01-01

District heating, DH, is an energy source which can provide a cost-effective, environmentally friendly source of heat and power for cities, but only in the case of well running systems, with reasonable technological losses. The benefits of DH system are well known: environmental friendly, energy security, economic and social advantages. DH already covers 60% of heating and hot water needs in transition economies. Today, 70 % of Russian, Latvian and Belarus homes use DH, and heating accounts for one-third of total Russian energy consumption. Yet a large number of DH systems in the region face serious financial, marketing or technical problems because of the policy framework. How can DH issues be best addressed in national and local policy? What can governments do to create the right conditions for the sustainable development of DH while improving service quality? What policies can help capture the economic, environmental and energy security benefits of co-generation and DH? To address these questions, the International Energy Agency (IEA) hosted in 2002 and 2004 conference focusing on the crucial importance of well-designed DH policies, for exchanging information on policy approaches. The conclusions of the conference have shown that 'DH systems can do much to save energy and boost energy security, but stronger policy measures are needed to encourage wise management and investment. With a stronger policy framework, DH systems in formerly socialist countries could save the equivalent of 80 billion cubic meters of natural gas a year through supply side efficiency improvements. This is greater than total annual natural gas consumption in Italy'. More efficient systems will also decrease costs, reducing household bills and making DH competitive on long-term. This paper presents the issues: -Theoretical benefits of the district heating and cooling systems; - Municipal heating in Romania; - Technical and economic problems of DH systems and social supportability; - How

Understanding the organisational culture of district health services: Mahalapye and Ngamiland health districts of Botswana

Directory of Open Access Journals (Sweden)

Oathokwa Nkomazana

2015-11-01

Full Text Available Background: Botswana has a shortage of health care workers, especially in primary healthcare. Retention and high performance of employees are closely linked to job satisfaction and motivation, which are both highest where employees’ personal values and goals are realised. Aim: The aim of the study was to evaluate employees’ personal values, and the current and desired organisational culture of the district health services as experienced by the primary health care workers. Setting: The study was conducted in the Ngamiland and Mahalapye health districts. Method: This was a cross sectional survey. The participants were asked to select 10 values that best described their personal, current organisational and desired organisational values from a predetermined list. Results: Sixty and 67 health care workers completed the survey in Mahalapye and Ngamiland districts, respectively. The top 10 prevalent organisational values experienced in both districts were: teamwork, patient satisfaction, blame, confusion, job insecurity, not sharing information and manipulation. When all the current values were assessed, 32% (Mahalapye and 36% (Ngamiland selected by health care workers were potentially limiting organisational effectiveness. The organisational values desired by health care workers in both districts were: transparency, professional growth, staff recognition, shared decision-making, accountability, productivity, leadership development and teamwork. Conclusions: The experience of the primary health care workers in the two health districts were overwhelmingly negative, which is likely to contribute to low levels of motivation, job satisfaction, productivity and high attrition rates. There is therefore urgent need for organisational transformation with a focus on staff experience and leadership development.

Geographic information modeling of Econet of Northwestern Federal District territory on graph theory basis

Science.gov (United States)

Kopylova, N. S.; Bykova, A. A.; Beregovoy, D. N.

2018-05-01

Based on the landscape-geographical approach, a structural and logical scheme for the Northwestern Federal District Econet has been developed, which can be integrated into the federal and world ecological network in order to improve the environmental infrastructure of the region. The method of Northwestern Federal District Econet organization on the basis of graph theory by means of the Quantum GIS geographic information system is proposed as an effective mean of preserving and recreating the unique biodiversity of landscapes, regulation of the sphere of environmental protection.

Exploring the ethos of district nursing, 1885-1985.

Science.gov (United States)

Madsen, Wendy

2013-06-01

The history of district nursing in Australia explored in this paper reveals a continuity in the essential values held by district nurses for over a century. These nurses practised holistic, family-centred nursing from the very origins of district nursing service. The events surrounding the establishment of Community Health Centres in the 1970s challenged district nurses to reconsider their role, while at the same time reconfirming their essential ethos. These values that underpinned district nursing practice and challenges to these values are examined in this paper.

VT Data - Overlay District 20070306, Marlboro

Data.gov (United States)

Vermont Center for Geographic Information — Cartographic version of overlay district (surface water buffer), Marlboro, Vermont. Base zoning districts are in a separate shapefile. Data were originally created...

30 CFR 75.1730 - Compressed air; general; compressed air systems.

Science.gov (United States)

2010-07-01

... 30 Mineral Resources 1 2010-07-01 2010-07-01 false Compressed air; general; compressed air systems... Compressed air; general; compressed air systems. (a) All pressure vessels shall be constructed, installed... Safety and Health district office. (b) Compressors and compressed-air receivers shall be equipped with...

Fire and EMS Districts, Fire District boundaries within Sedgwick County. Cover is programmatically derived from taxing unit districts. Used for Public Safety map rolls. Primary attribute is fire district name. Published to scfiredia.shp., Published in 2008, 1:1200 (1in=100ft) scale, Sedgwick County Government.

Data.gov (United States)

NSGIC Local Govt | GIS Inventory — Fire and EMS Districts dataset current as of 2008. Fire District boundaries within Sedgwick County. Cover is programmatically derived from taxing unit districts....

U.S. Coast Guard (USCG) Districts

Data.gov (United States)

Department of Homeland Security — This layer is a polygonal dataset that represents land and maritime boundaries for each representative United States Coast Guard district, which includes district 1,...

Special Operations Forces’ Turn: Recommendations for Leading the Way in Governance and Development in the Afghan Districts Post-DSTs

Directory of Open Access Journals (Sweden)

Carlos Terrones

2014-05-01

Full Text Available The work of the Provincial Reconstruction Teams (PRTs and District Support Teams (DSTs in Afghanistan emphasized building the district government structures, improving their capacity, and mobilizing economic development. With the completion of the mandate of the PRTs and DSTs, the Special Operations Forces (SOF will take a greater role in governance and development activities in districts and communities throughout the country. In 2014, security responsibility will fall under the Afghan security forces, but the war is not over. SOF will remain in the districts through the early fall of 2014. This practice note examines the role of the DSTs and how SOF should engage in governance and development in the districts. It provides recommendations from the field despite the challenging and minimal resources available in a district. With the right strategic approaches, SOF should be able to maximize the impact of their stability operations; however, it must not be forgotten that achieving stability will depend on whether Afghans are willing to take the lead.

VT Data - Overlay District 20170228, Richmond

Data.gov (United States)

Vermont Center for Geographic Information — The following overlay districts are included in the data:Shoreline Protection OverlayFlood Hazard OverlayDetails about these overlay districts, as well as zoning...

Chelsea, Pimlico and Belgravia District Nursing Association 1930-1939: A case study.

Science.gov (United States)

Bliss, Julie

2017-07-02

The case study explores how the expansion of the health services during the interwar period impacted upon the status of district nursing and examines how being a voluntary service shaped district nursing associations. A range of primary sources were used; the Association Annual Reports, the Medical Officer for Health Annual Reports for the Borough of Chelsea, the Ministry of Health records, the archives of the Queen's Nursing Institute (QNI) and the Borough of Chelsea Council Minutes. The Medical Officer for Health Reports and the Council minutes identify efforts to improve environmental factors that impacted upon health. These primary sources briefly note the contribution of the Association suggesting that it was integral to the health care provision but considered a constant. The impact of changes to the 1932 Sunday Entertainments Act provide an interesting juxtaposition between the acknowledged value of district nursing and the constant struggle to fundraise in order to provide home nursing. Throughout the 1930s the Association experienced staff shortages and challenges regarding recruitment. The complexities of payment for municipal health services following the 1929 Local Government Act contributed to the staffing challenges. The move to a block grant in 1938 provided increased stability with regards to income. The case study identifies a contradiction regarding the esteem and value placed upon district nursing associations providing home nursing and the constant challenge of resources. District nursing services face similar challenges and this is the 130 th anniversary of the Queen's Nursing Institute.

Living conditions—The key issue of housing development in Beijing Fengtai District

Directory of Open Access Journals (Sweden)

Liu Wen Tao

2015-04-01

Full Text Available Good life cannot be achieved without having good living conditions. Living conditions are the most important factor in people’s lives. In the Beijing Fengtai District, the second largest district in Beijing (area: 306 km2; population: 1,360,000, there were three types of housing that had been chosen for the survey: apartment, traditional house and terrace house. The objectives contained in this research are to study residents’ perspectives and preferences of future living conditions in Beijing’s Fengtai District. Also, the study is to know the government’s opinion on living conditions and for future housing development. The close-ended questionnaire with the five-point Likert scale is used as the study methodology. It includes eight attributes of living conditions, residents’ opinion on living conditions now and preferences in the future. A random sample was selected in order to choose the potential respondents for the survey purposes. Additionally, residents’ positive satisfaction can also produce the high return rate to housing development. Based on this research, residents’ in Beijing Fengtai District showed their high aspirations regarding future housing and desired good living conditions. Therefore, to improve the living conditions of their houses, the government, developers and residents should cooperate together to contribute to housing development in the Beijing Fengtai District. Finally, it is hoped that this research could give some suggestions to the other areas in housing development.

A Survey of Former Business Students (General Business, Management, Marketing, Real Estate). Summary Findings of Respondents District-Wide.

Science.gov (United States)

Glyer-Culver, Betty

In fall 2002 staff of the Los Rios Community College District (LRCCD) Office of Institutional Research collaborated with occupational deans, academic deans, and faculty to develop and administer a survey of former business students. The survey was designed to determine how well courses had met the needs of former business students in the areas of…

Plan of disaster prevention in district of Shizuoka Prefecture countermeasures to nuclear power. 1984 ed.

International Nuclear Information System (INIS)

1984-01-01

Based on the basic act for disaster countermeasures, this plan aimes at establishing the necessary system concerning the countermeasures for preventing the disaster due to the release of a large quantity of radioactive substances from the Hamaoka Nuclear Power Station, Chubu Electric Power Co., Inc., determining the measures to be taken for disaster prevention, and striving for the safety of inhabitants by executing the deskworks and services of the disaster prevention related to nuclear power synthetically and purposefully. The general matters concerning the disaster prevention in the district of Shizuoka Prefecture are determined in the ''Plan of disaster prevention in the district of Shizuoka Prefecture (General countermeasures)'', but in view of the peculiarity of nuclear power disaster, the peculiar matters are to be determined in this plan. The general rules on the works of respective disaster prevention organizations, the countermeasures for preventing nuclear power disaster, the emergency countermeasures to nuclear power disaster, the countermeasures to Tokai earthquakes and the countermeasures for restoration after nuclear power disaster are stipulated. (Kako, I.)

About the marshallian industrial district and the theory of the contemporary district. A brief critical reconstruction

Directory of Open Access Journals (Sweden)

Giacomo Becattini

2002-01-01

Full Text Available As a departing point, the paper presents the historical genesis of the concept of industrial district focusing on the scientific views of the pioneer of this field, Alfred Marshall. The concept has its origins in the observation of the current industrial reality, mainly of the British one. The purpose is to give an explanation to the difficulties of the classic theory and to study the challenges of the class conflicts. The economic conditions which launched British industrial districts were present, grosso modo, in Italy after the second World War. Some contributions have dealt with the little industrialisation of some Italian regions and using Marshallian thoughts have rediscovered the industrial districts phenomenon. This is the starting point of a high number of scientific contribution in Italy and abroad. Some of these international studies, particularly the ones made by Spanish experts, are quoted. The text analyses the link between districts-made in Italy with the competitive advantages of Italian products in many economic activities (i.e. clothing, shoes, furniture, etc.. Finally, in the third part the paper reviews some new contributions on the industrial district in Italy.

Cluster analysis of medical service resources at district hospitals in Taiwan, 2007-2011.

Science.gov (United States)

Tseng, Shu-Fang; Lee, Tian-Shyug; Deng, Chung-Yeh

2015-12-01

A vast amount of the annual/national budget has been spent on the National Health Insurance program in Taiwan. However, the market for district hospitals has become increasingly competitive, and district hospitals are under pressure to optimize the use of health service resources. Therefore, we employed a clustering method to explore variations in input and output service volumes, and investigate resource allocation and health care service efficiency in district hospitals. Descriptive and cluster analyses were conducted to examine the district hospitals included in the Ministry of Health and Welfare database during 2007-2011. The results, according to the types of hospital ownership, suggested that the number of public hospitals has decreased and that of private hospitals increased; the largest increase in the number of district hospitals occurred when Taichung City was merged into Taichung County. The descriptive statistics from 2007 to 2011 indicated that 43% and 36.4% of the hospitals had 501-800 occupied beds and 101-200 physicians, respectively, and > 401 medical staff members. However, the number of outpatients and discharged patients exceeded 6001 and 90,001, respectively. In addition, the highest percentage of hospitals (43.9%) had 30,001-60,000 emergency department patients. In 2010, the number of patients varied widely, and the analysis of variance cluster results were nonsignificant (p > 0.05). District hospitals belonging to low-throughput and low-performance groups were encouraged to improve resource utilization for enhancing health care service efficiency. Copyright © 2015. Published by Elsevier Taiwan.

Association between district and state policies and US public elementary school competitive food and beverage environments.

Science.gov (United States)

Chriqui, Jamie F; Turner, Lindsey; Taber, Daniel R; Chaloupka, Frank J

2013-08-01

Given the importance of developing healthy eating patterns during early childhood, policies to improve the elementary school food and beverage environments are critical. To examine the association between district and state policy and/or law requirements regarding competitive food and beverages and public elementary school availability of foods and beverages high in fats, sugars, and/or sodium. Multivariate, pooled, cross-sectional analysis of data gathered annually during elementary school years 2008-2009 through 2010-2011 in the United States. Survey respondents at 1814 elementary schools (1485 unique) in 957 districts in 45 states (food analysis) and 1830 elementary schools (1497 unique) in 962 districts and 45 states (beverage analysis). EXPOSURES Competitive food and beverage policy restrictions at the state and/or district levels. Competitive food and beverage availability. RESULTS Sweets were 11.2 percentage points less likely to be available (32.3% vs 43.5%) when both the district and state limited sugar content, respectively. Regular-fat baked goods were less available when the state law, alone and in combination with district policy, limited fat content. Regular-fat ice cream was less available when any policy (district, state law, or both) limited competitive food fat content. Sugar-sweetened beverages were 9.5 percentage points less likely to be available when prohibited by district policy (3.6% vs 13.1%). Higher-fat milks (2% or whole milk) were less available when prohibited by district policy or state law, with either jurisdiction's policy or law associated with an approximately 15 percentage point reduction in availability. Both district and state policies and/or laws have the potential to reduce in-school availability of high-sugar, high-fat foods and beverages. Given the need to reduce empty calories in children's diets, governmental policies at all levels may be an effective tool.

The Nation's Report Card Reading 2009 Trial Urban District Snapshot Report. Austin Independent School District. Grade 8, Public Schools

Science.gov (United States)

National Center for Education Statistics, 2010

2010-01-01

Each district that participated in the National Assessment of Educational Progress (NAEP) 2009 Trial Urban District Assessment in reading receives a one-page snapshot report that presents key findings and trends in a condensed format. This report presents the results for Austin Independent School District's student achievement in reading. In 2009,…

The Nation's Report Card Reading 2009 Trial Urban District Snapshot Report. Austin Independent School District. Grade 4, Public Schools

Science.gov (United States)

National Center for Education Statistics, 2010

2010-01-01

Each district that participated in the National Assessment of Educational Progress (NAEP) 2009 Trial Urban District Assessment in reading receives a one-page snapshot report that presents key findings and trends in a condensed format. This report presents the results for Austin Independent School District's student achievement in reading. In 2009,…

Public response to the urban forest in inner-city business districts

Science.gov (United States)

Kathleen L. Wolf

2003-01-01

Revitalization programs are under way in many inner-city business districts. An urban forestry program can be an important element in creating an appealing consumer environment, yet it may not be considered a priority given that there are often many physical improvements needs. This research evaluated the role of trees in consumer/...

The Abbott Districts in 2005-06: Progress and Challenges, Spring 2006

Science.gov (United States)

Hirsch, Lesley

2006-01-01

New Jersey's urban--or "Abbott"--schools have improved at the preschool and elementary school level, but lag when it comes to middle and high school performance. These are the key findings of an Abbott Indicators Project report entitled, "The Abbott Districts in 2005-06: Progress and Challenges." The report was prepared by…

Advancing the application of systems thinking in health: realist evaluation of the Leadership Development Programme for district manager decision-making in Ghana.

Science.gov (United States)

Kwamie, Aku; van Dijk, Han; Agyepong, Irene Akua

2014-06-16

Although there is widespread agreement that strong district manager decision-making improves health systems, understanding about how the design and implementation of capacity-strengthening interventions work is limited. The Ghana Health Service has adopted the Leadership Development Programme (LDP) as one intervention to support the development of management and leadership within district teams. This paper seeks to address how and why the LDP 'works' when it is introduced into a district health system in Ghana, and whether or not it supports systems thinking in district teams. We undertook a realist evaluation to investigate the outcomes, contexts, and mechanisms of the intervention. Building on two working hypotheses developed from our earlier work, we developed an explanatory case study of one rural district in the Greater Accra Region of Ghana. Data collection included participant observation, document review, and semi-structured interviews with district managers prior to, during, and after the intervention. Working backwards from an in-depth analysis of the context and observed short- and medium-term outcomes, we drew a causal loop diagram to explain interactions between contexts, outcomes, and mechanisms. The LDP was a valuable experience for district managers and teams were able to attain short-term outcomes because the novel approach supported teamwork, initiative-building, and improved prioritisation. However, the LDP was not institutionalised in district teams and did not lead to increased systems thinking. This was related to the context of high uncertainty within the district, and hierarchical authority of the system, which triggered the LDP's underlying goal of organisational control. Consideration of organisational context is important when trying to sustain complex interventions, as it seems to influence the gap between short- and medium-term outcomes. More explicit focus on systems thinking principles that enable district managers to better cope with

11 CFR 100.14 - State committee, subordinate committee, district, or local committee (2 U.S.C. 431(15)).

Science.gov (United States)

2010-01-01

... 11 Federal Elections 1 2010-01-01 2010-01-01 false State committee, subordinate committee, district, or local committee (2 U.S.C. 431(15)). 100.14 Section 100.14 Federal Elections FEDERAL ELECTION COMMISSION GENERAL SCOPE AND DEFINITIONS (2 U.S.C. 431) General Definitions § 100.14 State committee...

Energetic and Exergetic Analysis of Low and Medium Temperature District Heating Network Integration

DEFF Research Database (Denmark)

Li, Hongwei; Svendsen, Svend

In this paper, energetic and exergetic approaches were applied to an exemplary low temperature district heating (LTDH) network with supply/return water temperature at 55oC/25 oC. The small LTDH network is annexed to a large medium temperature district heating (MTDH) network. The LTDH network can ...... will reduce the amount of water supply from the MTDH network and improve the system energy conversion efficiency. Through the simulation, the system energetic and exergetic efficiencies based on the two network integration approaches were calculated and evaluated.......In this paper, energetic and exergetic approaches were applied to an exemplary low temperature district heating (LTDH) network with supply/return water temperature at 55oC/25 oC. The small LTDH network is annexed to a large medium temperature district heating (MTDH) network. The LTDH network can...... be supplied through upgrading the return water from the MTDH network with a small centralized heat pump. Alternatively, the supply and return water from the MTDH network can be mixed with a shunt at the junction point to supply the LTDH network. Comparing with the second approach, the heat pump system...

An evaluation of public school district tobacco policies in St. Louis County, Missouri.

Science.gov (United States)

Barbero, Colleen; Moreland-Russell, Sarah; Bach, Laura E; Cyr, Julianne

2013-08-01

One way to address tobacco use by youth is for primary and secondary schools to adopt and implement comprehensive tobacco policies. The purpose of this study was to evaluate the comprehensiveness of tobacco policies in St. Louis County, Missouri public school districts. We evaluated the strength of tobacco policies from all 23 public school districts located in the county using the Center for Tobacco Policy Research's School Tobacco Policy Index, a standardized tool for rating school tobacco policies. The districts averaged a score of 24.4 of 40 possible points on the Index. Policies scored highest on the Tobacco-Free Environment domain and lowest on the Enforcement domain. Policies averaged about half of the total possible points for the Prevention and Treatment Services and Policy Organization domains. Despite more than a decade of efforts by the Centers for Disease Control and Prevention to improve school tobacco policies, this study shows that policies in St. Louis County districts have yet to meet the standard of comprehensiveness. It is recommended that schools adopt policies that are comprehensive and that address all domains of the School Tobacco Policy Index. © 2013, American School Health Association.

Comparison of Transformational Leadership Practices: Implications for School Districts and Principal Preparation

Science.gov (United States)

Quin, Jeff; Deris, Aaron; Bischoff, Greg; Johnson, James T.

2015-01-01

The purpose of this study was to determine the leadership practices needed to improve academic achievement and generate positive change in school organizations. The study was also conducted to provide insight to principal preparation programs and school districts about effective transformational leadership practices. A quantitative research method…

4th Generation District Heating (4GDH)

DEFF Research Database (Denmark)

Lund, Henrik; Werner, Sven; Wiltshire, Robin

2014-01-01

This paper defines the concept of 4th Generation District Heating (4GDH) including the relations to District Cooling and the concepts of smart energy and smart thermal grids. The motive is to identify the future challenges of reaching a future renewable non-fossil heat supply as part...... of the implementation of overall sustainable energy systems. The basic assumption is that district heating and cooling has an important role to play in future sustainable energy systems – including 100 percent renewable energy systems – but the present generation of district heating and cooling technologies will have...

Suburban District Leadership Does Matter

Science.gov (United States)

Thompson, Eustace; France, Roxanne Garcia

2015-01-01

The increased demand for educational reform and accountability has resulted in a renewed focus on the relationship between building leaders and district leaders, particularly on how district leaders can support principals to ensure the academic success of students. The No Child Left Behind Act of 2001 (NCLB) and Race to the Top (RttT) legislations…

District heating as the infrastructure for competition among fuels and technologies

DEFF Research Database (Denmark)

Grohnheit, Poul Erik; Mortensen, Bent Ole Gram

2016-01-01

for increased energy efficiency. Additional technologies suitable for small-scale networks are heat pumps, solar panels and local biomass in the form of straw or biogas. For large-scale urban networks, incineration of urban waste and geothermal heat are key technologies. With heat storages district heating...... infrastructure can contribute significantly to balancing the intermittency of wind power. This paper is an update of the authors' article published in Energy Policy in 2003 focusing on the European directives focusing on competition in the electricity and gas network industries and promotion of renewables...... and cogeneration but limited support for the development and expansion of the district heating infrastructure. It was partly based on a contribution to the Shared Analysis Project for the European Commission Directorate-General for Energy, concerning the penetration of combined heat and power (CHP), energy saving...

Implementing and sustaining a hand hygiene culture change programme at Auckland District Health Board.

Science.gov (United States)

Roberts, Sally A; Sieczkowski, Christine; Campbell, Taima; Balla, Greg; Keenan, Andrew

2012-05-11

In January 2009 Auckland District Health Board commenced implementation of the Hand Hygiene New Zealand (HHNZ) programme to bring about a culture change and to improve hand hygiene compliance by healthcare workers. We describe the implementation process and assess the effectiveness of this programme 36 months after implementation. In keeping with the HHNZ guideline the implementation was divided into five steps: roll-out and facility preparation, baseline evaluation, implementation, follow-up evaluation and sustainability. The process measure was improvement in hand hygiene compliance and the outcome measure was Staphylococcus aureus clinical infection and bacteraemia rates. The mean (95% CI; range) baseline compliance rates for the national reporting wards was 35% (95% CI 24-46%, 25-61%). The overall compliance by the 7th audit period was 60% (95% CI 46-74; range 47-91). All healthcare worker groups had improvement in compliance. The reduction in healthcare-associated S. aureus bacteraemia rates following the implementation was statistically significant (p=0.027). Compliance with hand hygiene improved following implementation of a culture change programme. Sustaining this improvement requires commitment and strong leadership at a senior level both nationally and within each District Health Board.

Louisiana State Senate Districts from LEGIS source data, Geographic NAD83, LOSCO (2004) [la_senate_districts_LEGIS_2003

Data.gov (United States)

Louisiana Geographic Information Center — Louisiana State Senate Districts. The district boundaries are the result of legislative acts and redistricting. Reapportionment (redistricting) occurs during the...

Role and Function Sub District in the Implementation of Local Government in Semarang City and District of Semarang Central Java Province

Directory of Open Access Journals (Sweden)

Gunawan

2014-12-01

Full Text Available Sub district in performing common functions government implementation and administration functions of the tasks that have been submitted by District City in accordance with the Law No. 32 Year 2004 on Regional Government and Government Regulation No. 19 Year 2008 on the District experienced a bottleneck in its application in the form of authority, institutional, resource human resources and management districts, the study used a qualitative approach, purposive sampling areas that have been submitted and have not been handed over authority to the districts, the results showed that the authority has submitted both the mayor and the regent was not fully submitted, institution or organization not adjust districts Government Regulation No. 19 in 2008, the quality and quantity of human resources become a bottleneck in the implementation of tasks and discretionary attributive.

Implementation of gas district cooling and cogeneration systems in Malaysia; Mise en oeuvre de systemes de gas district cooling et de cogeneration en Malaisie

Energy Technology Data Exchange (ETDEWEB)

Haron, S. [Gas District Cooling, M, Sdn Bhd (Malaysia)

2000-07-01

With its energy demand in the early 1990's growing at a high rate due to the country's strong economic growth, Malaysia studied various options to improve the efficiency of its energy use. Since its natural gas reserves are almost four times that of its crude oil reserves, efforts were therefore centered on seeking ways to boost the use of natural gas to mitigate the growing domestic energy need. PETRONAS, the national oil company, subsequently studied and chose the District Cooling System using natural gas as the primary source of fuel. The Kuala Lumpur City Center development, which houses the PETRONAS Twin Towers, was subsequently chosen as the first project to use the Gas District Cooling (GDC) System. To acquire the technology and implement this project, PETRONAS created a new subsidiary, Gas District Cooling (Malaysia) Sendirian Berhad (GDC(M)). In the process of improving the plant's efficiency, GDC(M) discovered that the GDC system's efficiency and project economics would be significantly enhanced if its is coupled to a Cogeneration system. Having proven the success of the GDC/Cogeneration system, GDC(M) embarked on a campaign to aggressively promote and seek new opportunities to implement the system, both in Malaysia-and abroad. Apart from enhancing efficiency of energy use, and providing better project economics, the GDC/Cogeneration system also is environment friendly. Today, the GDC/Cogeneration systems is the system of choice for several important developments in Malaysia, which also includes the country's prestigious projects such as the Kuala Lumpur International Airport and the New Federal Government Administrative Center in Putrajaya. (author)

Effective team management by district nurses.

Science.gov (United States)

Bliss, Julie

2004-12-01

This article considers the key role played by the district nurse in managing the district nursing team in order to provide high quality health care. It considers how the district nurse can use key managerial roles (interpersonal, informational and decision-making) in order to ensure unity within the team. The importance of shared goals and trust to achieve unity is explored and a strategy for managing conflict is discussed. Finally, the article suggests a set of ground rules which could be used to facilitate effective team working.

Factors influencing specialist outreach and support services to rural populations in the Eden and Central Karoo districts of the Western Cape.

Science.gov (United States)

Schoevers, Johan; Jenkins, Louis

2015-04-21

Access to health care often depends on where one lives. Rural populations have significantly poorer health outcomes than their urban counterparts. Specialist outreach to rural communities is one way of improving access to care. A multifaceted style of outreach improves access and health outcomes, whilst a shifted outpatients style only improves access. In principle, stakeholders agree that specialist outreach and support (O&S) to rural populations is necessary. In practice, however, factors influence whether or not O&S reaches its goals, affecting sustainability.Aim and setting: Our aim was to better understand factors associated with the success or failure of specialist O&S to rural populations in the Eden and Central Karoo districts in the Western Cape. An anonymous parallel three-stage Delphi process was followed to obtain consensus in a specialist and district hospital panel. Twenty eight specialist and 31 district hospital experts were invited, with response rates of 60.7%-71.4% and 58.1%-74.2% respectively across the three rounds. Relationships, communication and planning were found to be factors feeding into a service delivery versus capacity building tension, which affects the efficiency of O&S. The success of the O&S programme is dependent on a site-specific model that is acceptable to both the outreaching specialists and the hosting district hospital. Good communication, constructive feedback and improved planning may improve relationships and efficiency, which might lead to a more sustainable and mutually beneficial O&S system.

Structural Change of Gross Regional Product in the Subjects of Ural Federal District

Directory of Open Access Journals (Sweden)

Valeriy Vladimirovich Gamukin

2017-06-01

Full Text Available The important factor of the stability of the national economy is the adaptive capability of regional economies to damping of external and internal factors of risk. It occurs thanks to the variety of the developed industry structures of the economy in regions as well as to the constant process of their transformation that finds reflection in the structure of the gross regional product (GRP. It is possible to consider three main strategies of the development of the structure of regional economy: 1 the reduction of the economies of regions to the balanced condition; 2 the emphasis on the individualization of the structure of regional economy; 3 the combined strategy, when regions with various structure of economy are integrated into macro-regions in which there is a compilation of structure. In the latter case, this can result in both the leveling of the GRP structure of the territorial subjects of the Russian Federation included in the region and its convergence to macro-region indicators, in general (for example, to the federal district’s indicators. For the confirmation of this hypothesis, the analysis of GRP of the subjects included in the Ural Federal District for the period of 2005–2014 is carried out. As a result, a number of conclusions are formulated. Thus, the measurements with the use of the Ryabtsev Index and Szalai Index have shown that the GRP structure of autonomous areas is most close to the GRP structure of the federal district. At the same time, during the analyzed period, there was a reducing in a share of mining operations along with the increase in a share of GRP types referred to the auxiliary and social component of economic activity. In the federal district, there is a slow movement to a more balanced participation of regions of the district in the generation of GRP total amount. When using the author’s index of the structure determined by the double calculation of the sum of squared deviations, the tendency towards

Louisiana State House Districts from LEGIS source data, Geographic NAD83, LOSCO (2004) [la_house_districts_LEGIS_2004

Data.gov (United States)

Louisiana Geographic Information Center — Louisiana State House Districts. The district boundaries are the result of legislative acts and redistricting. Reapportionment (redistricting) occurs during the next...

Rehabilitation of living conditions in the post-Chernobyl context: Implementation of an inclusive radiation monitoring system in the Bragin district in Belarus

International Nuclear Information System (INIS)

Crouail, Pascal; Bataille, C.

2008-01-01

Just after the Chernobyl accident, in the mid nineties, a radiation monitoring system was introduced to allow the Belarusian authorities to manage the situation but it failed to involve the general population. This resulted in the fact that a significant fraction of people living in contaminated areas continued to receive exposures that could have been avoided or reduced, if authorities had better taken into account the individual behaviours. Face to this situation, the goal of this project is to contribute to the development of a sustainable system of radiological monitoring handled by the local professionals and the population. It was launched in 2004 in the Bragin district (Belarus) in the framework of the CORE Programme (Cooperation for Rehabilitation) whose general objective is to improve the living conditions of the inhabitants of the territories affected by the Chernobyl catastrophe. The Bragin district is adjacent to the 30-kilometre exclusion zone around the Chernobyl nuclear power plant. Beginning in April 2004, existing infrastructure and means of measurement in the Bragin district were significantly modernised and completed. Today, the monitoring system relies on measurements of contamination of the body and measurements of the radiological quality of food stuffs (measurements of the caesium-137 concentration). In particular, whole-body scan measurement campaigns are carried out every six months in the schools in the district. On the basis of the results of measurements, the most severely contaminated children are systematically identified. Local health professionals and specialists of measurements work, with their families, to determine causes of the contamination and identify the scope for practical reduction of the intake of caesium. In a general manner, they periodically diffuse the results of measurements in the villages of the district via brochures or articles in newspapers. They also constitute a solid network that provides people with reliable

A Tale of Two Districts

Science.gov (United States)

Simon, Mark

2012-01-01

These days, everyone seems to be wringing their hands about how to construct new evaluation systems that will make teachers better. This unnecessary angst has led to crazy experiments in reform that have embraced churn for the sake of churn, put school districts at risk, and demoralized many of the most talented teachers. A few school districts,…

Systematic review protocol of interventions to improve the psychological well-being of general practitioners.

Science.gov (United States)

Murray, Marylou; Murray, Lois; Donnelly, Michael

2015-09-22

The challenges and complexities faced by general practitioners are increasing, and there are concerns about their well-being. Consequently, attention has been directed towards developing and evaluating interventions and strategies to improve general practitioner well-being and their capacity to cope with workplace challenges. This systematic review aims to evaluate research evidence regarding the effectiveness of interventions designed to improve general practitioner well-being. Eligible studies will include programmes developed to improve psychological well-being that have assessed outcomes using validated tools pertaining to well-being and related outcomes. Only programmes that have been evaluated using controlled study designs will be reviewed. An appropriately developed search strategy will be applied to six electronic databases: the Cochrane Database of Systematic Reviews, MEDLINE, Embase, CINAHL, PsycINFO and Web of Science. Studies will be screened in two stages by two independent reviewers. A third reviewer will arbitrate when required. Pre-specified inclusion and exclusion criteria will be assessed during a pilot phase early on in the review process. The Cochrane data extraction form will be adapted and applied to each eligible study by two independent reviewers, and each study will be appraised critically using standardised checklists from the Cochrane Handbook. Methodological quality will be taken into account in the analysis of the data and the synthesis of results. A narrative synthesis will be undertaken if data is unsuited to a meta-analysis. The systematic review will be reported according to the Preferred Reporting Items for Systematic Reviews and Meta-analyses guidance. This will be the first systematic review on this topic, and the evidence synthesis will aid decision-making by general practitioners, policy makers and planners regarding ways in which to improve GP well-being. Findings will be disseminated at general practitioner meetings

The Management of Sexual Assault Victims at Odi District Hospital in ...

African Journals Online (AJOL)

Background: This six-month study at Odi Hospital in the district of Mabopane in the North-West Province was undertaken to gain insight into the way in which alleged sexual assault victims experienced the treatment they received from doctors, nurses and others and how the quality of the care they received can be improved.

Return on Educational Investment: 2014. A District-by-District Evaluation of U.S. Educational Productivity

Science.gov (United States)

Boser, Ulrich

2014-01-01

In 2011, the Center of American Progress (CAP) released the first-ever attempt to evaluate the productivity of almost every major school district in the country. That project developed a set of relatively simple productivity metrics in order to measure the achievement that a school district produces relative to its spending, while controlling for…

Design of a low temperature district heating network with supply recirculation

DEFF Research Database (Denmark)

Li, Hongwei; Dalla Rosa, Alessandro; Svendsen, Svend

2010-01-01

The focus on continuing improving building energy efficiency and reducing building energy consumption brings the key impetus for the development of the new generation district heating (DH) system. In the new generation DH network, the supply and return temperature are designed low in order to sig...... calculates the heat loss in the twin pipe as that in the single pipe. The influence of this simplification on the supply/return water temperature prediction was analyzed by solving the coupled differential energy equations.......-pass system starts to function. The aim of this paper is to investigate the influence of by-pass water on the network return temperature and introduce the concept of supply water recirculation into the network design so that the traditional by-pass system can be avoided. Instead of mixing the by-pass water......The focus on continuing improving building energy efficiency and reducing building energy consumption brings the key impetus for the development of the new generation district heating (DH) system. In the new generation DH network, the supply and return temperature are designed low in order...

Empirical effects of policy induced competition in the electricity industry : the case of district heat pricing in Finland 1996-2002

International Nuclear Information System (INIS)

Peltola-Ojala, P.; Linden, L.

2007-01-01

Following open-market competition in Finland's household electricity markets, the Electricity Market Authority began regulation of electricity and distribution networks to limit unreasonable pricing and to separate the different business units, notably production, distribution and sales. The district heating industry in Finland is regulated through general Competition Laws. The district heating industry is considered to have a regional monopoly within its distribution network and the level of public ownership within the industry is high. This paper presented the results of a study that analyzed how the policy induced competition in the electricity industry in Finland has affected the district heating industry. Both the electricity and district heating industries compete in the same household heating markets. The impact of competition was studied through pricing behaviour using panel data models. The data was gathered from 76 district district heating companies in Finland from 1996 to 2002. It was shown that the price of district heating decreased slightly as a result of electricity market reform, but the effect was short-term. The price decrease was stronger in apartment buildings than in small houses. The results suggest that the district heat markets are non-competitive and some evidence which supports regulatory threat hypothesis can be found. It was suggested that large and market dominant firms are more responsive to policy reform compared to small firms. 16 refs., 5 tabs., 2 figs., 3 appendices

Strategic Plan for Sustainable Energy Management and Environmental Stewardship for Los Angeles Unified School District

Energy Technology Data Exchange (ETDEWEB)

Walker, A.; Beattie, D.; Thomas, K.; Davis, K.; Sim, M.; Jhaveri, A.

2007-11-01

This Strategic Plan for Sustainable Energy Management and Environmental Stewardship states goals, measures progress toward goals and how actions are monitored to achieve continuous improvement for the Los Angeles Unified School District.

Mixing methodology, nursing theory and research design for a practice model of district nursing advocacy.

Science.gov (United States)

Reed, Frances M; Fitzgerald, Les; Rae, Melanie

2016-01-01

To highlight philosophical and theoretical considerations for planning a mixed methods research design that can inform a practice model to guide rural district nursing end of life care. Conceptual models of nursing in the community are general and lack guidance for rural district nursing care. A combination of pragmatism and nurse agency theory can provide a framework for ethical considerations in mixed methods research in the private world of rural district end of life care. Reflection on experience gathered in a two-stage qualitative research phase, involving rural district nurses who use advocacy successfully, can inform a quantitative phase for testing and complementing the data. Ongoing data analysis and integration result in generalisable inferences to achieve the research objective. Mixed methods research that creatively combines philosophical and theoretical elements to guide design in the particular ethical situation of community end of life care can be used to explore an emerging field of interest and test the findings for evidence to guide quality nursing practice. Combining philosophy and nursing theory to guide mixed methods research design increases the opportunity for sound research outcomes that can inform a nursing model of care.

Artisanal small-scale mining: Potential ecological disaster in Mzingwane District, Zimbabwe

Directory of Open Access Journals (Sweden)

Siduduziwe Ncube-Phiri

2015-05-01

Full Text Available Artisanal small-scale mining (ASM has devastating impacts on the environment, such as deforestation, over-stripping of overburden, burning of bushes and use of harmful chemicals like mercury. These environmental impacts are a result of destructive mining, wasteful mineral extraction and processing practices and techniques used by the artisanal small-scale miners. This paper explores the ecological problems caused by ASM in Mzingwane District, Zimbabwe. It seeks to determine the nature and extent to which the environment has been damaged by the ASM from a community perspective. Interviews, questionnaires and observations were used to collect qualitative data. Results indicated that the nature of the mining activities undertaken by unskilled and under-equipped gold panners in Mzingwane District is characterised by massive stripping of overburden and burning of bushes, leading to destruction of large tracts of land and river systems and general ecosystem disturbance. The research concluded that ASM in Mzingwane District is an ecological time bomb, stressing the need for appropriate modifications of the legal and institutional frameworks for promoting sustainable use of natural resources and mining development in Zimbabwe. Government, through the Ministry of Small Scale and Medium Enterprises, need to regularise and formalise all gold mining activities through licensing, giving permanent claims and operating permits to panners in order to recoup some of the added costs in the form of taxes. At the local level, the Mzingwane Rural District Council (MRDC together with the Environmental Management Agency (EMA need to design appropriate environmental education and awareness programmes targeting the local community and gold panners.

General surgery training and robotics: Are residents improving their skills?

Science.gov (United States)

Finnerty, Brendan M; Afaneh, Cheguevara; Aronova, Anna; Fahey, Thomas J; Zarnegar, Rasa

2016-02-01

While robotic-assisted operations have become more prevalent, many general surgery residencies do not have a formal robotic training curriculum. We sought to ascertain how well current general surgery training permits acquisition of robotic skills by comparing robotic simulation performance across various training levels. Thirty-six participants were categorized by level of surgical training: eight medical students (MS), ten junior residents (JR), ten mid-level residents (MLR), and eight senior residents (SR). Participants performed three simulation tasks on the da Vinci (®) Skills Simulator (MatchBoard, EnergyDissection, SutureSponge). Each task's scores (0-100) and cumulative scores (0-300) were compared between groups. There were no differences in sex, hand dominance, video gaming history, or prior robotic experience between groups; however, SR was the oldest (p Robotic skillsets acquired during general surgery residency show minimal improvement during the course of training, although laparoscopic experience is correlated with advanced robotic task performance. Changes in residency curricula or pursuit of fellowship training may be warranted for surgeons seeking proficiency.

Improved QRD-M Detection Algorithm for Generalized Spatial Modulation Scheme

Directory of Open Access Journals (Sweden)

Xiaorong Jing

2017-01-01

Full Text Available Generalized spatial modulation (GSM is a spectral and energy efficient multiple-input multiple-output (MIMO transmission scheme. It will lead to imperfect detection performance with relatively high computational complexity by directly applying the original QR-decomposition with M algorithm (QRD-M to the GSM scheme. In this paper an improved QRD-M algorithm is proposed for GSM signal detection, which achieves near-optimal performance but with relatively low complexity. Based on the QRD, the improved algorithm firstly transforms the maximum likelihood (ML detection of the GSM signals into searching an inverted tree structure. Then, in the searching process of the M branches, the branches corresponding to the illegitimate transmit antenna combinations (TACs and related to invalid number of active antennas are cut in order to improve the validity of the resultant branches at each level by taking advantage of characteristics of GSM signals. Simulation results show that the improved QRD-M detection algorithm provides similar performance to maximum likelihood (ML with the reduced computational complexity compared to the original QRD-M algorithm, and the optimal value of parameter M of the improved QRD-M algorithm for detection of the GSM scheme is equal to modulation order plus one.

The Issues of Self-Funding Benefits for Texas Independent School Districts.

Science.gov (United States)

Cryar, Virginia P.

This paper examines whether self-funding health benefit plans for employees are appropriate for Texas school districts. In a self-funding plan, the cost of benefits is funded directly by the employer without the protection of an insurance contract. Proponents of the self-funding plan argue that it: (1) controls costs and improves the cash flow;…

Free distribution of insecticidal bed nets improves possession and preferential use by households and is equitable: findings from two cross-sectional surveys in thirteen malaria endemic districts of Bangladesh